Sample records for supply facility final

  1. 77 FR 12076 - Final Programmatic Environmental Impact Statement and Integrated Water Resource Management Plan...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-28

    ..., Systems Modification, and Water Supply) which are comprised of seven elements (listed below). The Habitat... existing facilities and operations in order to improve conditions for fish and to improve water supply. The... elements. The third component, Water Supply, is intended to improve water supply for agricultural and...

  2. CONCEPTUAL DESIGN ASSESSMENT FOR THE COFIRING OF BIOREFINERY SUPPLIED LIGNIN PROJECT

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

    David J. Webster; Jeffrey T. Ranney; Jacqueline G. Broder

    2002-07-01

    The major aspects of this project are proceeding toward completion. Prior to this quarter, design criteria, tentative site selection, facility layout, and preliminary facility cost estimates were completed. Processing of biosolids and pilot facility hydrolysis production have been completed to produce lignin for cofire testing. EERC had received all the biomass and baseline coal fuels for use in testing. All the combustion and fuel handling tests at EERC have been completed. During fuel preparation EERC reported no difficulties in fuel blending and handling. Preliminary cofire test results indicate that the blending of lignin and biosolids with the Colbert coal blendmore » generally reduces NOx emissions, increases the reactivity of the coal, and increases the ash deposition rate on superheater surfaces. Deposits produced from the fuel blends, however, are more friable and hence easier to remove from tube surfaces relative to those produced from the baseline Colbert coal blend. A draft of the final cofire technical report entitled ''Effects of Cofiring Lignin and Biosolids with Coal on Fireside Performance and Combustion Products'' has been prepared and is currently being reviewed by project team members. A final report is expected by mid-third quarter 2002. The TVA-Colbert facility has neared completion of the task to evaluate co-location of the Masada facility on the operation of the power generation facility. The TVA-Colbert fossil plant is fully capable of providing a reliable steam supply. The environmental review, preferred steam supply connection points and steam pipeline routing, and assessment of steam export impacts have been completed without major issue. A cost estimate for the steam supply system was also completed. TVA is further evaluating the impacts of adding lignin to the coal fuel blend and how the steam cost is impacted by proximity of the Masada biomass facility. TVA has provided a draft final report that is under review by team members.« less

  3. The gap in human resources to deliver the guaranteed package of prevention and health promotion services at urban and rural primary care facilities in Mexico.

    PubMed

    Alcalde-Rabanal, Jacqueline Elizabeth; Nigenda, Gustavo; Bärnighausen, Till; Velasco-Mondragón, Héctor Eduardo; Darney, Blair Grant

    2017-08-03

    The purpose of this study was to estimate the gap between the available and the ideal supply of human resources (physicians, nurses, and health promoters) to deliver the guaranteed package of prevention and health promotion services at urban and rural primary care facilities in Mexico. We conducted a cross-sectional observational study using a convenience sample. We selected 20 primary health facilities in urban and rural areas in 10 states of Mexico. We calculated the available and the ideal supply of human resources in these facilities using estimates of time available, used, and required to deliver health prevention and promotion services. We performed descriptive statistics and bivariate hypothesis testing using Wilcoxon and Friedman tests. Finally, we conducted a sensitivity analysis to test whether the non-normal distribution of our time variables biased estimation of available and ideal supply of human resources. The comparison between available and ideal supply for urban and rural primary health care facilities reveals a low supply of physicians. On average, primary health care facilities are lacking five physicians when they were estimated with time used and nine if they were estimated with time required (P < 0.05). No difference was observed between available and ideal supply of nurses in either urban or rural primary health care facilities. There is a shortage of health promoters in urban primary health facilities (P < 0.05). The available supply of physicians and health promoters is lower than the ideal supply to deliver the guaranteed package of prevention and health promotion services. Policies must address the level and distribution of human resources in primary health facilities.

  4. Conceptual design assessment for the co-firing of bio-refinery supplied lignin project. Quarterly report, July 1--September 30, 2000

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

    Berglund, T.; Ranney, J.T.; Babb, C.L.

    2000-10-01

    The initial design criteria of the MSW to ethanol facility have been completed along with preliminary site identification and layouts for the processing facility. These items are the first step in evaluating the feasibility of this co-located facility. Pilot facility design and modification are underway for the production and dewatering of the lignin fuel. Major process equipment identification has been completed and several key unit operations will be accomplished on rental equipment. Equipment not available for rental or at TVA has been ordered and facility modification and shakedown will begin in October. The study of the interface and resulting impactsmore » on the TVA Colbert facility are underway. The TVA Colbert fossil plant is fully capable of providing a reliable steam supply for the proposed Masada waste processing facility. The preferred supply location in the Colbert steam cycle has been identified as have possible steam pipeline routes to the Colbert boundary. Additional analysis is underway to fully predict the impact of the steam supply on Colbert plant performance and to select a final steam pipeline route.« less

  5. CONCEPTUAL DESIGN ASSESSMENT FOR THE CO-FIRING OF BIO-REFINERY SUPPLIED LIGNIN PROJECT

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

    Ted Berglund; Jeffrey T. Ranney; Carol L. Babb

    2001-04-01

    The major aspects of this project are proceeding toward completion. Prior to this quarter, design criteria, tentative site selection, facility layout, and preliminary facility cost estimates have been completed and issued for review. Processing of bio-solids was completed, providing material for the pilot operations. Pilot facility design, equipment selection, and modification were completed during the fourth quarter of 2000. Initial pilot facility shakedown was completed during the fourth quarter. After some unavoidable delays, a suitable representative supply of municipal solid waste (MSW) feed material was procured. During this quarter (first quarter of 2001), shredding of the feed material was completedmore » and final feed conditioning was completed. Pilot facility hydrolysis production was completed to produce lignin for co-fire testing. Pilot facility modifications continued to improve facility operations and performance during the first quarter of 2001. Samples of the co-fire fuel material were sent to the co-fire facility for evaluation. The TVA-Colbert facility has neared completion of the task to evaluate the co-location of the Masada facility on the operation of the power generation facility. The TVA-Colbert fossil plant is fully capable of providing a reliable steam supply. The preferred steam supply connection points and steam pipeline routing have been identified. The environmental review of the pipeline routing has been completed and no major impacts have been identified. Detailed assessment of steam export impacts on the Colbert boiler system have been completed and a cost estimate for steam supply system is being developed.« less

  6. Engineer Aviation Units in the Southwest Pacific Theater During World War II

    DTIC Science & Technology

    2005-06-17

    of sorting and distributing cargoes, and a lack of port facilities, particularly in Brisbane, Sidney, and Auckland . 89 Finally, if engineer equipment... workforce provided the Army much needed labor at USASOS supply depots and the Australian Commonwealth provided many critical supplies to U.S. forces

  7. CONCEPTUAL DESIGN ASSESSMENT FOR THE CO-FIRING OF BIO-REFINERY SUPPLIED LIGNIN PROJECT

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

    Ted Berglund; Jeffrey T. Ranney; Carol L. Babb

    2001-01-01

    The major aspects of this project are proceeding toward completion. Prior to this quarter, design criteria, tentative site selection, facility layout, and preliminary facility cost estimates have been completed and issued for review. Processing of bio-solids was completed, providing material for the pilot operations. Pilot facility design, equipment selection, and modification were completed during the fourth quarter. Initial pilot facility shakedown was completed during the fourth quarter. During pilot plant shakedown operations, several production batch test runs were performed. These pilot tests were coupled with laboratory testing to confirm pilot results. In initial batches of operations, cellulose to glucose conversionsmore » of 62.5% and 64.8% were observed in laboratory hydrolysis. As part of this testing, lignin dewatering was tested using laboratory and vendor-supplied filtration equipment. Dewatering tests reported moisture contents in the lignin of between 50% and 60%. Dewatering parameters and options will continue to be investigated during lignin production. After some unavoidable delays, a suitable representative supply of MSW feed material was procured. Shredding of the feed material was completed and final drying of the feed is expected to be completed by late January. Once feed drying is completed, pilot facility production will begin to produce lignin for co-fire testing. Facility modifications are expected to continue to improve facility operations and performance during the first quarter of 2001. The TVA-Colbert facility continues to make progress in evaluating the co-location of the Masada facility on the operation of the power generation facility. The TVA-Colbert fossil plant is fully capable of providing a reliable steam supply. The preferred steam supply connection points and steam pipeline routing have been identified. The environmental review of the pipeline routing has been completed and no major impacts have been identified. Detailed assessment of steam export impacts on the Colbert boiler system continues.« less

  8. Quantifying the Impact of Feedstock Quality on the Design of Bioenergy Supply Chain Networks

    DOE PAGES

    Castillo-Villar, Krystel; Minor-Popocatl, Hertwin; Webb, Erin

    2016-03-01

    Logging residues, which refer to the unused portions of trees cut during logging, are important sources of biomass for the emerging biofuel industry and are critical feedstocks for the first-type biofuel facilities (e.g., corn-ethanol facilities). Logging residues are under-utilized sources of biomass for energetic purposes. To support the scaling-up of the bioenergy industry, it is essential to design cost-effective biofuel supply chains that not only minimize costs, but also consider the biomass quality characteristics. The biomass quality is heavily dependent upon the moisture and the ash contents. Ignoring the biomass quality characteristics and its intrinsic costs may yield substantial economicmore » losses that will only be discovered after operations at a biorefinery have begun. Here this paper proposes a novel bioenergy supply chain network design model that minimizes operational costs and includes the biomass quality-related costs. The proposed model is unique in the sense that it supports decisions where quality is not unrealistically assumed to be perfect. The effectiveness of the proposed methodology is proven by assessing a case study in the state of Tennessee, USA. The results demonstrate that the ash and moisture contents of logging residues affect the performance of the supply chain (in monetary terms). Higher-than-target moisture and ash contents incur in additional quality-related costs. The quality-related costs in the optimal solution (with final ash content of 1% and final moisture of 50%) account for 27% of overall supply chain cost. In conclusion, based on the numeral experimentation, the total supply chain cost increased 7%, on average, for each additional percent in the final ash content.« less

  9. Quantifying the Impact of Feedstock Quality on the Design of Bioenergy Supply Chain Networks

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

    Castillo-Villar, Krystel; Minor-Popocatl, Hertwin; Webb, Erin

    Logging residues, which refer to the unused portions of trees cut during logging, are important sources of biomass for the emerging biofuel industry and are critical feedstocks for the first-type biofuel facilities (e.g., corn-ethanol facilities). Logging residues are under-utilized sources of biomass for energetic purposes. To support the scaling-up of the bioenergy industry, it is essential to design cost-effective biofuel supply chains that not only minimize costs, but also consider the biomass quality characteristics. The biomass quality is heavily dependent upon the moisture and the ash contents. Ignoring the biomass quality characteristics and its intrinsic costs may yield substantial economicmore » losses that will only be discovered after operations at a biorefinery have begun. Here this paper proposes a novel bioenergy supply chain network design model that minimizes operational costs and includes the biomass quality-related costs. The proposed model is unique in the sense that it supports decisions where quality is not unrealistically assumed to be perfect. The effectiveness of the proposed methodology is proven by assessing a case study in the state of Tennessee, USA. The results demonstrate that the ash and moisture contents of logging residues affect the performance of the supply chain (in monetary terms). Higher-than-target moisture and ash contents incur in additional quality-related costs. The quality-related costs in the optimal solution (with final ash content of 1% and final moisture of 50%) account for 27% of overall supply chain cost. In conclusion, based on the numeral experimentation, the total supply chain cost increased 7%, on average, for each additional percent in the final ash content.« less

  10. Space Shuttle Atlantis after its Final Landing

    NASA Image and Video Library

    2011-07-21

    STS135-S-274 (21 July 2011) --- Space shuttle Atlantis is slowly towed from the Shuttle Landing Facility to an orbiter processing facility at NASA's Kennedy Space Center in Florida for the last time. Atlantis' final return from space at 5:57 a.m. (EDT) on July 21, 2011, secured the space shuttle fleet's place in history and brought a close to the America's Space Shuttle Program. STS-135 delivered spare parts, equipment and supplies to the International Space Station. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  11. Space Shuttle Atlantis after its Final Landing

    NASA Image and Video Library

    2011-06-21

    STS135-S-273 (21 July 2011) --- Space shuttle Atlantis is slowly towed from the Shuttle Landing Facility to an orbiter processing facility at NASA's Kennedy Space Center in Florida for the last time. Atlantis' final return from space at 5:57 a.m. (EDT) on July 21, 2011, secured the space shuttle fleet's place in history and brought a close to the America's Space Shuttle Program. STS-135 delivered spare parts, equipment and supplies to the International Space Station. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  12. CONCEPTUAL DESIGN ASSESSMENT FOR THE CO-FIRING OF BIO-REFINERY SUPPLIED LIGNIN PROJECT

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

    Ted Berglund; Jeffrey T. Ranney; Carol L. Babb

    2001-10-01

    The major aspects of this project are proceeding toward completion. Prior to this quarter, design criteria, tentative site selection, facility layout, and preliminary facility cost estimates were completed and issued. Processing of bio-solids was completed, providing material for the pilot operations. Pilot facility design, equipment selection, and modification were completed during the fourth quarter of 2000. Initial pilot facility shakedown was completed. After some unavoidable delays, a suitable representative supply of MSW feed material was procured. During this first quarter of 2001, shredding of the feed material and final feed conditioning were completed. Pilot facility hydrolysis production was completed tomore » produce lignin for co-fire testing and the lignin fuel was washed and dewatered. Both the lignin and bio-solids fuel materials for co-fire testing were sent to the co-fire facility (EERC) for evaluation and co-firing. EERC has received coal typical of the fuel to the TVA-Colbert boilers. This material will be used at EERC as baseline material and for mixing with the bio-fuel for combustion testing. EERC combustion testing of the bio-based fuels is scheduled to begin in October of 2001. The TVA-Colbert facility has neared completion of the task to evaluate co-location of the Masada facility on the operation of the power generation facility. The TVA-Colbert fossil plant is fully capable of providing a reliable steam supply. The preferred steam supply connection points and steam pipeline routing have been identified. The environmental review of the pipeline routing has been completed and no major impacts have been identified. Detailed assessment of steam export impacts on the Colbert boiler system have been completed and a cost estimate for steam supply system was completed. The cost estimate and the output and heat rate impacts will be used to determine a preliminary price for the exported steam.« less

  13. Reliable design of a closed loop supply chain network under uncertainty: An interval fuzzy possibilistic chance-constrained model

    NASA Astrophysics Data System (ADS)

    Vahdani, Behnam; Tavakkoli-Moghaddam, Reza; Jolai, Fariborz; Baboli, Arman

    2013-06-01

    This article seeks to offer a systematic approach to establishing a reliable network of facilities in closed loop supply chains (CLSCs) under uncertainties. Facilities that are located in this article concurrently satisfy both traditional objective functions and reliability considerations in CLSC network designs. To attack this problem, a novel mathematical model is developed that integrates the network design decisions in both forward and reverse supply chain networks. The model also utilizes an effective reliability approach to find a robust network design. In order to make the results of this article more realistic, a CLSC for a case study in the iron and steel industry has been explored. The considered CLSC is multi-echelon, multi-facility, multi-product and multi-supplier. Furthermore, multiple facilities exist in the reverse logistics network leading to high complexities. Since the collection centres play an important role in this network, the reliability concept of these facilities is taken into consideration. To solve the proposed model, a novel interactive hybrid solution methodology is developed by combining a number of efficient solution approaches from the recent literature. The proposed solution methodology is a bi-objective interval fuzzy possibilistic chance-constraint mixed integer linear programming (BOIFPCCMILP). Finally, computational experiments are provided to demonstrate the applicability and suitability of the proposed model in a supply chain environment and to help decision makers facilitate their analyses.

  14. KSC-08pd3047

    NASA Image and Video Library

    2008-10-07

    CAPE CANAVERAL, Fla. – In the Space Station Processing Facility at NASA's Kennedy Space Center in Florida, the Multi-Purpose Logistics Module Leonardo is open to receive the final supplies for the STS-126 mission to the International Space Station. The 15-day flight will deliver equipment and supplies to the International Space Station in preparation for expansion from a three- to six-person resident crew aboard the complex. The mission also will include four spacewalks to service the station Solar Alpha Rotary Joints. Leonardo holds supplies and equipment, including equipment for the regenerative life support system, additional crew quarters and exercise equipment and spare hardware. Photo credit: NASA/Kim Shiflett

  15. KSC-2011-5783

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Space shuttle Atlantis is slowly towed from the Shuttle Landing Facility to Orbiter Processing Facility-2 at NASA's Kennedy Space Center in Florida for the last time. Atlantis' final return from space at 5:57 a.m. EDT secured the space shuttle fleet's place in history and brought a close to the America's Space Shuttle Program. STS-135 delivered spare parts, equipment and supplies to the International Space Station. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  16. KSC-2011-5777

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Space shuttle Atlantis begins its slow trek from the Shuttle Landing Facility to an orbiter processing facility at NASA's Kennedy Space Center in Florida for the last time. Atlantis' final return from space at 5:57 a.m. EDT secured the space shuttle fleet's place in history and brought a close to the America's Space Shuttle Program. STS-135 delivered spare parts, equipment and supplies to the International Space Station. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  17. THE CONCEPTUAL DESIGN ASSESSMENT FOR THE CO-FIRING OF BIO-REFINERY SUPPLIED LIGNIN PROJECT

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

    Ted Berglund; Jeffrey T. Ranney; Carol L. Babb

    2001-07-01

    The major aspects of this project are proceeding toward completion. Prior to this quarter, design criteria, tentative site selection, facility layout, and preliminary facility cost estimates were completed and issued. Processing of bio-solids was completed, providing material for the pilot operations. Pilot facility design, equipment selection, and modification were completed during the fourth quarter of 2000. Initial pilot facility shakedown was completed during the fourth quarter. After some unavoidable delays, a suitable representative supply of MSW feed material was procured. During this first quarter of 2001, shredding of the feed material and final feed conditioning were completed. Pilot facility hydrolysismore » production was completed to produce lignin for co-fire testing. During this quarter, TVA completed the washing and dewatering of the lignin material produced from the MSW hydrolysis. Seven drums of lignin material were washed to recover the acid and sugar from the lignin and provide an improved fuel for steam generation. Samples of both the lignin and bio-solids fuel materials for co-fire testing were sent to the co-fire facility (EERC) for evaluation. After sample evaluation, EERC approved sending the material and all of the necessary fuel for testing was shipped to EERC. EERC has requested and will receive coal typical of the fuel to the TVA-Colbert boilers. This material will be used at EERC as baseline material and for mixing with the bio-fuel for combustion testing. EERC combustion testing of the bio based fuels is scheduled to begin in August of 2001. The TVA-Colbert facility has neared completion of the task to evaluate the co-location of the Masada facility on the operation of the power generation facility. The TVA-Colbert fossil plant is fully capable of providing a reliable steam supply. The preferred steam supply connection points and steam pipeline routing have been identified. The environmental review of the pipeline routing has been completed and no major impacts have been identified. Detailed assessment of steam export impacts on the Colbert boiler system have been completed and a cost estimate for steam supply system was completed. The cost estimate and the output and heat rate impacts will be used to determine a preliminary price for the exported steam. The preliminary steam price will be determined in the next quarter.« less

  18. Guidelines for the evaluation and assessment of the sustainable use of resources and of wastes management at healthcare facilities.

    PubMed

    Townend, William K; Cheeseman, Christopher R

    2005-10-01

    This paper presents guidelines that can be used by managers of healthcare facilities to evaluate and assess the quality of resources and waste management at their facilities and enabling the principles of sustainable development to be addressed. The guidelines include the following key aspects which need to be considered when completing an assessment. They are: (a) general management; (b) social issues; (c) health and safety; (d) energy and water use; (e) purchasing and supply; (f) waste management (responsibility, segregation, storage and packaging); (g) waste transport; (h) recycling and re-use; (i) waste treatment; and (j) final disposal. They identify actions required to achieve a higher level of performance which can readily be applied to any healthcare facility, irrespective of the local level of social, economic and environmental development. The guidelines are presented, and the characteristics of facilities associated with sustainable (level 4) and unsustainable (level 0) healthcare resource and wastes management are outlined. They have been used to assess a major London hospital, and this highlighted a number of deficiencies in current practice, including a lack of control over purchasing and supply, and very low rates of segregation of municipal solid waste from hazardous healthcare waste.

  19. Impact of Distributed Energy Resources on the Reliability of Critical Telecommunications Facilities: Preprint

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

    Robinson, D. G.; Arent, D. J.; Johnson, L.

    2006-06-01

    This paper documents a probabilistic risk assessment of existing and alternative power supply systems at a large telecommunications office. The analysis characterizes the increase in the reliability of power supply through the use of two alternative power configurations. Failures in the power systems supporting major telecommunications service nodes are a main contributor to significant telecommunications outages. A logical approach to improving the robustness of telecommunication facilities is to increase the depth and breadth of technologies available to restore power during power outages. Distributed energy resources such as fuel cells and gas turbines could provide additional on-site electric power sources tomore » provide backup power, if batteries and diesel generators fail. The analysis is based on a hierarchical Bayesian approach and focuses on the failure probability associated with each of three possible facility configurations, along with assessment of the uncertainty or confidence level in the probability of failure. A risk-based characterization of final best configuration is presented.« less

  20. 43 CFR 404.9 - What types of infrastructure and facilities may be included in an eligible rural water supply...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... related facilities required for the rural water supply project; (f) Equipment and management tools for... facilities may be included in an eligible rural water supply project? 404.9 Section 404.9 Public Lands... RURAL WATER SUPPLY PROGRAM Overview § 404.9 What types of infrastructure and facilities may be included...

  1. Land transportation model for supply chain manufacturing industries

    NASA Astrophysics Data System (ADS)

    Kurniawan, Fajar

    2017-12-01

    Supply chain is a system that integrates production, inventory, distribution and information processes for increasing productivity and minimize costs. Transportation is an important part of the supply chain system, especially for supporting the material distribution process, work in process products and final products. In fact, Jakarta as the distribution center of manufacturing industries for the industrial area. Transportation system has a large influences on the implementation of supply chain process efficiency. The main problem faced in Jakarta is traffic jam that will affect on the time of distribution. Based on the system dynamic model, there are several scenarios that can provide solutions to minimize timing of distribution that will effect on the cost such as the construction of ports approaching industrial areas other than Tanjung Priok, widening road facilities, development of railways system, and the development of distribution center.

  2. 43 CFR 404.9 - What types of infrastructure and facilities may be included in an eligible rural water supply...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... facilities may be included in an eligible rural water supply project? 404.9 Section 404.9 Public Lands... RURAL WATER SUPPLY PROGRAM Overview § 404.9 What types of infrastructure and facilities may be included in an eligible rural water supply project? A rural water supply project may include, but is not...

  3. Environmental review of the Panda-Brandywine cogeneration project. Final report

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

    Walters, G.; Keating, R.; Huggins, A.

    1997-02-01

    The Maryland Public Service Commission (PSC) granted a Certificate of Public Convenience and Necessity (CPCN) to Panda-Brandywine, L.P., to construct and operate a 248-megawatt (electric) generating station near Brandywine, Prince George`s County, Maryland. This report describes PPRP`s evaluation of the environmental and socioeconomic impacts of the Panda-Brandywine facility, summarizes the results of that evaluation, and presents recommendations for license conditions which have been incorporated into Panda`s CPCN. The document includes description of the proposed facility, host facility, and associated linear facilities (transmission line, pipelines); discussion of existing environmental and socioeconomic conditions at the site and in the vicinity; analysis ofmore » the potential air quality, surface water, biological, ground water, socioeconomic, cultural, and noise impacts from the proposed facility; and discussion of critical engineering issues associated with operation of the facility, including water supply, water discharge, and fuel handling.« less

  4. 40 CFR 792.45 - Test system supply facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... maintaining algae and aquatic plants. (2) Facilities, as specified in the protocol, for plant growth... supplies shall be preserved by appropriate means. (b) When appropriate, plant supply facilities shall be..., facilities for aquatic animal tests shall be provided. These include but are not limited to aquaria, holding...

  5. 21 CFR 58.45 - Animal supply facilities.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Animal supply facilities. 58.45 Section 58.45 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Facilities § 58.45 Animal supply facilities. There...

  6. 21 CFR 58.45 - Animal supply facilities.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Animal supply facilities. 58.45 Section 58.45 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Facilities § 58.45 Animal supply facilities. There...

  7. 21 CFR 58.45 - Animal supply facilities.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Animal supply facilities. 58.45 Section 58.45 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Facilities § 58.45 Animal supply facilities. There...

  8. 21 CFR 58.45 - Animal supply facilities.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Animal supply facilities. 58.45 Section 58.45 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD LABORATORY PRACTICE FOR NONCLINICAL LABORATORY STUDIES Facilities § 58.45 Animal supply facilities. There...

  9. OA-7 Final "Powered" Cargo Loading and Closeouts Banner Installation

    NASA Image and Video Library

    2017-03-06

    Inside the Payload Hazardous Servicing Facility at NASA's Kennedy Space Center in Florida, technicians perform final cargo and power installation in the Orbital ATK Cygnus pressurized cargo module. The Orbital ATK CRS-7 commercial resupply services mission to the International Space Station is scheduled to launch atop a United Launch Alliance Atlas V rocket from Space Launch Complex 41 at Cape Canaveral Air Force Station no earlier than March 21, 2017. Cygnus will deliver 7,600 pounds of supplies, equipment and scientific research materials to the space station

  10. Impact of distributed energy resources on the reliability of a critical telecommunications facility.

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

    Robinson, David; Zuffranieri, Jason V.; Atcitty, Christopher B.

    2006-03-01

    This report documents a probabilistic risk assessment of an existing power supply system at a large telecommunications office. The focus is on characterizing the increase in the reliability of power supply through the use of two alternative power configurations. Telecommunications has been identified by the Department of Homeland Security as a critical infrastructure to the United States. Failures in the power systems supporting major telecommunications service nodes are a main contributor to major telecommunications outages. A logical approach to improve the robustness of telecommunication facilities would be to increase the depth and breadth of technologies available to restore power inmore » the face of power outages. Distributed energy resources such as fuel cells and gas turbines could provide one more onsite electric power source to provide backup power, if batteries and diesel generators fail. The analysis is based on a hierarchical Bayesian approach and focuses on the failure probability associated with each of three possible facility configurations, along with assessment of the uncertainty or confidence level in the probability of failure. A risk-based characterization of final best configuration is presented.« less

  11. CONCEPTUAL DESIGN ASSESSMENT FOR THE CO-FIRING OF BIO-REFINERY SUPPLIED LIGNIN PROJECT

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

    Ted Berglund; Jeffrey T. Ranney; Carol L. Babb

    2002-04-01

    The major aspects of this project are proceeding toward completion. Prior to this quarter, design criteria, tentative site selection, facility layout, and preliminary facility cost estimates were completed and issued. Processing of bio-solids was completed, providing material for the pilot operations. Pilot facility hydrolysis production has been completed to produce lignin for co-fire testing and the lignin fuel was washed and dewatered. Both the lignin and bio-solids fuel materials for co-fire testing were sent to the co-fire facility (EERC) for evaluation and co-firing. EERC has received coal typical of the fuel to the TVA-Colbert boilers. This material was used atmore » EERC as baseline material and for mixing with the bio-fuel for combustion testing. All the combustion and fuel handling tests at EERC have been completed. During fuel preparation EERC reported no difficulties in fuel blending and handling. Preliminary co-fire test results indicate that the blending of lignin and bio-solids with the Colbert coal blend generally reduces NO{sub x} emissions, increases the reactivity of the coal, and increases the ash deposition rate on superheater surfaces. Deposits produced from the fuel blends, however, are more friable and hence easier to remove from tube surfaces relative to those produced from the baseline Colbert coal blend. The final co-fire testing report is being prepared at EERC and will be completed by the end of the second quarter of 2002. The TVA-Colbert facility has neared completion of the task to evaluate co-location of the Masada facility on the operation of the power generation facility. The TVA-Colbert fossil plant is fully capable of providing a reliable steam supply. The preferred steam supply connection points and steam pipeline routing have been identified. The environmental review of the pipeline routing has been completed and no major impacts have been identified. Detailed assessment of steam export impacts on the Colbert boiler system have been completed and a cost estimate for the steam supply system was completed. The cost estimate and output and heat rate impacts have been used to determine a preliminary price for the exported steam. TVA is further evaluating the impacts of adding lignin to the coal fuel blend and how the steam cost is impacted by proximity of the Masada biomass facility.« less

  12. 33 CFR 334.1030 - Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Alameda Facility, Naval Supply Center, Oakland; restricted area. 334.1030 Section 334.1030 Navigation and... RESTRICTED AREA REGULATIONS § 334.1030 Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area. (a) The area. Within 100 feet of the Alameda Facility wharf. (b) The regulations...

  13. 33 CFR 334.1030 - Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Alameda Facility, Naval Supply Center, Oakland; restricted area. 334.1030 Section 334.1030 Navigation and... RESTRICTED AREA REGULATIONS § 334.1030 Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area. (a) The area. Within 100 feet of the Alameda Facility wharf. (b) The regulations...

  14. 33 CFR 334.1030 - Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Alameda Facility, Naval Supply Center, Oakland; restricted area. 334.1030 Section 334.1030 Navigation and... RESTRICTED AREA REGULATIONS § 334.1030 Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area. (a) The area. Within 100 feet of the Alameda Facility wharf. (b) The regulations...

  15. 33 CFR 334.1030 - Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Alameda Facility, Naval Supply Center, Oakland; restricted area. 334.1030 Section 334.1030 Navigation and... RESTRICTED AREA REGULATIONS § 334.1030 Oakland Inner Harbor adjacent to Alameda Facility, Naval Supply Center, Oakland; restricted area. (a) The area. Within 100 feet of the Alameda Facility wharf. (b) The regulations...

  16. PROGRESS REPORT: COFIRING PROJECTS FOR WILLOW ISLAND AND ALBRIGHT GENERATING STATIONS

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

    K. Payette; D. Tillman

    During the period April 1, 2001--June 30, 2001, Allegheny Energy Supply Co., LLC (Allegheny) accelerated construction of the Willow Island cofiring project, completed the installation of foundations for the fuel storage facility, the fuel receiving facility, and the processing building. Allegheny received all processing equipment to be installed at Willow Island. Allegheny completed the combustion modeling for the Willow Island project. During this time period construction of the Albright Generating Station cofiring facility was completed, with few items left for final action. The facility was dedicated at a ceremony on June 29. Initial testing of cofiring at the facility commenced.more » This report summarizes the activities associated with the Designer Opportunity Fuel program, and demonstrations at Willow Island and Albright Generating Stations. It details the construction activities at both sites along with the combustion modeling at the Willow Island site.« less

  17. KSC-2011-5791

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Space shuttle Atlantis is slowly towed from the Shuttle Landing Facility to Orbiter Processing Facility-2 at NASA's Kennedy Space Center in Florida for the last time. Atlantis' final return from space at 5:57 a.m. EDT secured the space shuttle fleet's place in history and brought a close to the America's Space Shuttle Program. There to welcome Atlantis home are the thousands of workers who have processed, launched and landed the shuttles for more than three decades. STS-135 delivered spare parts, equipment and supplies to the International Space Station. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  18. Feasibility study and preliminary design for fishing (TUNA) vessel fuel storage and distribution. Final report. Export trade information

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

    NONE

    1995-07-01

    The report is divided into the following sections: (1) Introduction; (2) Conclusions and Recommendations; (3) Existing Conditions and Facilities for a Fuel Distribution Center; (4) Pacific Ocean Regional Tuna Fisheries and Resources; (5) Fishing Effort in the FSMEEZ 1992-1994; (6) Current Transshipping Operations in the Western Pacific Ocean; (7) Current and Probale Bunkering Practices of United States, Japanese, Koren, and Taiwanese Offshore-Based Vessels Operating in FSM and Adjacent Waters; (8) Shore-Based Fish-Handling/Processing; (9) Fuels Forecast; (10) Fuel Supply, Storage and Distribution; (11) Cost Estimates; (12) Economic Evaluation of Fuel Supply, Storage and Distribution.

  19. 40 CFR 792.45 - Test system supply facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... maintaining algae and aquatic plants. (2) Facilities, as specified in the protocol, for plant growth, including but not limited to, greenhouses, growth chambers, light banks, and fields. (c) When appropriate... supplies shall be preserved by appropriate means. (b) When appropriate, plant supply facilities shall be...

  20. 40 CFR 792.45 - Test system supply facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... maintaining algae and aquatic plants. (2) Facilities, as specified in the protocol, for plant growth, including but not limited to, greenhouses, growth chambers, light banks, and fields. (c) When appropriate... supplies shall be preserved by appropriate means. (b) When appropriate, plant supply facilities shall be...

  1. 40 CFR 792.45 - Test system supply facilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... maintaining algae and aquatic plants. (2) Facilities, as specified in the protocol, for plant growth, including but not limited to, greenhouses, growth chambers, light banks, and fields. (c) When appropriate... supplies shall be preserved by appropriate means. (b) When appropriate, plant supply facilities shall be...

  2. An integrated assessment of location-dependent scaling for microalgae biofuel production facilities

    DOE PAGES

    Coleman, André M.; Abodeely, Jared M.; Skaggs, Richard L.; ...

    2014-06-19

    Successful development of a large-scale microalgae-based biofuels industry requires comprehensive analysis and understanding of the feedstock supply chain—from facility siting and design through processing and upgrading of the feedstock to a fuel product. The evolution from pilot-scale production facilities to energy-scale operations presents many multi-disciplinary challenges, including a sustainable supply of water and nutrients, operational and infrastructure logistics, and economic competitiveness with petroleum-based fuels. These challenges are partially addressed by applying the Integrated Assessment Framework (IAF) – an integrated multi-scale modeling, analysis, and data management suite – to address key issues in developing and operating an open-pond microalgae production facility.more » This is done by analyzing how variability and uncertainty over space and through time affect feedstock production rates, and determining the site-specific “optimum” facility scale to minimize capital and operational expenses. This approach explicitly and systematically assesses the interdependence of biofuel production potential, associated resource requirements, and production system design trade-offs. To provide a baseline analysis, the IAF was applied in this paper to a set of sites in the southeastern U.S. with the potential to cumulatively produce 5 billion gallons per year. Finally, the results indicate costs can be reduced by scaling downstream processing capabilities to fit site-specific growing conditions, available and economically viable resources, and specific microalgal strains.« less

  3. 43 CFR 404.10 - Are there certain types of infrastructure and facilities that may not be included in a rural...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... and facilities that may not be included in a rural water supply project? 404.10 Section 404.10 Public... RECLAMATION RURAL WATER SUPPLY PROGRAM Overview § 404.10 Are there certain types of infrastructure and facilities that may not be included in a rural water supply project? Yes. A rural water supply project may...

  4. 40 CFR 792.45 - Test system supply facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 31 2010-07-01 2010-07-01 true Test system supply facilities. 792.45 Section 792.45 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES... facilities. (a) There shall be storage areas, as needed, for feed, nutrients, soils, bedding, supplies, and...

  5. Cygnus Orbital ATK OA-6 Final Hatch Closure

    NASA Image and Video Library

    2016-03-06

    Inside the Payload Hazardous Servicing Facility at NASA's Kennedy Space Center in Florida, the hatch is closed for the upcoming flight of a Cygnus cargo vessel. The spacecraft is scheduled for the upcoming Orbital ATK Commercial Resupply Services-6 mission to deliver hardware and supplies to the International Space Station. The Cygnus is scheduled to lift off atop a United Launch Alliance Atlas V rocket on March 22.

  6. Cygnus Orbital ATK OA-6 Final Hatch Closure

    NASA Image and Video Library

    2016-03-06

    Inside the Payload Hazardous Servicing Facility at NASA's Kennedy Space Center in Florida, the hatch has been closed for the upcoming flight of a Cygnus cargo vessel. The spacecraft is scheduled for the upcoming Orbital ATK Commercial Resupply Services-6 mission to deliver hardware and supplies to the International Space Station. The Cygnus is scheduled to lift off atop a United Launch Alliance Atlas V rocket on March 22.

  7. 40 CFR 160.45 - Test system supply facilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... aquatic plants. (2) Facilities for plant growth, including, but not limited to greenhouses, growth... preserved by appropriate means. (b) When appropriate, plant supply facilities shall be provided. As...

  8. 40 CFR 160.45 - Test system supply facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... aquatic plants. (2) Facilities for plant growth, including, but not limited to greenhouses, growth... preserved by appropriate means. (b) When appropriate, plant supply facilities shall be provided. As...

  9. 40 CFR 160.45 - Test system supply facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... aquatic plants. (2) Facilities for plant growth, including, but not limited to greenhouses, growth... preserved by appropriate means. (b) When appropriate, plant supply facilities shall be provided. As...

  10. KSC-2011-5755

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Space shuttle Atlantis is slowly towed from the Shuttle Landing Facility to an orbiter processing facility at NASA's Kennedy Space Center in Florida for the last time. Atlantis' final return from space at 5:57 a.m. EDT secured the space shuttle fleet's place in history and brought a close to the America's Space Shuttle Program. There to welcome Atlantis home and an employee appreciation event are the thousands of workers who have processed, launched and landed the shuttles for more than three decades. STS-135 delivered spare parts, equipment and supplies to the International Space Station. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Frankie Martin

  11. Interactive dependency curves for resilience management.

    PubMed

    Petit, Frédéric; Wallace, Kelly; Phillip, Julia

    Physical dependencies are a fundamental consideration when assessing the resilience of an organisation and, ultimately, the resilience of a region. Every organisation needs specific resources for supporting its operations. A disruption in the supply of these resources can severely impact business continuity. It is important to characterise dependencies thoroughly when seeking to reduce the extent an organisation is directly affected by the missions, functions and operations of other organisations. The general protocol when addressing each critical resource is to determine the use for the resource, whether there are redundant services providing the resource, and what protections, backup equipment and arrangements are in place to maintain service. Finally, the criticality of the resource is determined by estimating the time it will take for the facility to experience a severe impact once primary service is lost and what percentage of facility operations can be maintained without backup service in place, as well as identifying whether any external regulations/policies are in place that require shutdown of the facility because of service disruption owing to lack of a critical resource. All of this information can be presented in the form of interactive dependency curves that help anticipate and manage the effect(s) of a disruption on critical resources supply.

  12. 38 CFR 21.218 - Methods of furnishing supplies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... facility has designated a supplier. Prior authorization of supplies by the case manager is required, except for standard sets of books, tools, or supplies which the facility requires all trainees or employees...

  13. 43 CFR 404.9 - What types of infrastructure and facilities may be included in an eligible rural water supply...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... water conservation, groundwater recovery, and water reuse and recycling; (g) Associated features to... facilities may be included in an eligible rural water supply project? 404.9 Section 404.9 Public Lands... RURAL WATER SUPPLY PROGRAM Overview § 404.9 What types of infrastructure and facilities may be included...

  14. 40 CFR 160.45 - Test system supply facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... aquatic plants. (2) Facilities for plant growth, including, but not limited to greenhouses, growth chambers, light banks, and fields. (c) When appropriate, facilities for aquatic animal tests shall be... preserved by appropriate means. (b) When appropriate, plant supply facilities shall be provided. As...

  15. Environmental Assessment for a Fighter Detachment Facility, Shaw Air Force Base, South Carolina

    DTIC Science & Technology

    2005-04-01

    provides for the protection and propagation of fish, shellfish, wildlife, and recreation in and on the water. The US Army Corps of Engineers (USACE) is...scirpoides Long-beaked baldrush - SC Floating mats in ponds; pond margins. Ruellia caroliniensis A petunia - SC Woods and wood margins. Sagittaria...supply after conventional treatment, fishing, and the survival and propagation of a balanced indigenous aquatic Final EA for a Fighter Detachment

  16. 41 CFR 101-26.503 - Multiple award schedule purchases made by GSA supply distribution facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... facilities are responsible for quickly and economically providing customers with frequently needed common-use... is an important way in which GSA supply distribution facilities meet this responsibility. [60 FR...

  17. Final Environmental Assessment For the Construction and Operation of a Fire Training Facility

    DTIC Science & Technology

    2010-04-29

    practice drafting (i.e., water uptake through hoses ) operations during live fires. The proposed drafting pit would also allow the department to...FTF to allow the Clear FD to practice drafting (i.e., water uptake through hoses ) operations during live fires. The proposed drafting pit would also...respirators, etc.), but trucks, hoses , and other large equipment would need to be supplied by the host fire department (so as not to leave Clear AFS

  18. 76 FR 53021 - Public Hearing and Commission Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... Water Supply System, Halls Cross Roads District, Harford County, Md. Modification to conditions of the... Baltimore. Project Facility: Maryland Water Supply System, Halls Cross Roads District, Harford County, Md... Facility: Maryland Water Supply System, Halls Cross Roads District, Harford County, Md. Modification to...

  19. Health Care Facilities Resilient to Climate Change Impacts

    PubMed Central

    Paterson, Jaclyn; Berry, Peter; Ebi, Kristie; Varangu, Linda

    2014-01-01

    Climate change will increase the frequency and magnitude of extreme weather events and create risks that will impact health care facilities. Health care facilities will need to assess climate change risks and adopt adaptive management strategies to be resilient, but guidance tools are lacking. In this study, a toolkit was developed for health care facility officials to assess the resiliency of their facility to climate change impacts. A mixed methods approach was used to develop climate change resiliency indicators to inform the development of the toolkit. The toolkit consists of a checklist for officials who work in areas of emergency management, facilities management and health care services and supply chain management, a facilitator’s guide for administering the checklist, and a resource guidebook to inform adaptation. Six health care facilities representing three provinces in Canada piloted the checklist. Senior level officials with expertise in the aforementioned areas were invited to review the checklist, provide feedback during qualitative interviews and review the final toolkit at a stakeholder workshop. The toolkit helps health care facility officials identify gaps in climate change preparedness, direct allocation of adaptation resources and inform strategic planning to increase resiliency to climate change. PMID:25522050

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

    Nelson, Carl

    In the summer of 2006 the Green Institute started the study for the RockTenn paper mill that would evaluate the economics and supply chain reliability of wood waste and other clean biomass as a fuel for the facility. The Green Institute obtained sponsorship from a broad coalition representing the community and the project team included other consultants and university researchers specializing in biomass issues. The final product from the project was a report to: 1) assess the availability of clean biomass fuel for use at the Rock-Tenn site; 2) roughly estimate costs at various annual usage quantities; and 3) developmore » the building blocks for a supply chain procurement plan. The initial report was completed and public presentations on the results were completed in spring of 2007.« less

  1. 40 CFR 160.45 - Test system supply facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 23 2010-07-01 2010-07-01 false Test system supply facilities. 160.45 Section 160.45 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) PESTICIDE PROGRAMS... be storage areas, as needed, for feed, nutrients, soils, bedding, supplies, and equipment. Storage...

  2. 7 CFR 1710.102 - Borrower eligibility for different types of loans.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... financing of distribution and subtransmission facilities of both distribution and power supply borrowers... distribution and subtransmission facilities of both distribution and power supply borrowers, including, under.... Both distribution and power supply borrowers are eligible for 100 percent loan guarantees under section...

  3. 7 CFR 1710.102 - Borrower eligibility for different types of loans.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... financing of distribution and subtransmission facilities of both distribution and power supply borrowers... distribution and subtransmission facilities of both distribution and power supply borrowers, including, under.... Both distribution and power supply borrowers are eligible for 100 percent loan guarantees under section...

  4. 21 CFR 58.45 - Animal supply facilities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Animal supply facilities. 58.45 Section 58.45 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL GOOD... infestation or contamination. Perishable supplies shall be preserved by appropriate means. [43 FR 60013, Dec...

  5. Implementation of A Better Choice Healthy Food and Drink Supply Strategy for staff and visitors in government-owned health facilities in Queensland, Australia.

    PubMed

    Miller, Jane; Lee, Amanda; Obersky, Natalie; Edwards, Rachael

    2015-06-01

    The present paper reports on a quality improvement activity examining implementation of A Better Choice Healthy Food and Drink Supply Strategy for Queensland Health Facilities (A Better Choice). A Better Choice is a policy to increase supply and promotion of healthy foods and drinks and decrease supply and promotion of energy-dense, nutrient-poor choices in all food supply areas including food outlets, staff dining rooms, vending machines, tea trolleys, coffee carts, leased premises, catering, fundraising, promotion and advertising. An online survey targeted 278 facility managers to collect self-reported quantitative and qualitative data. Telephone interviews were sought concurrently with the twenty-five A Better Choice district contact officers to gather qualitative information. Public sector-owned and -operated health facilities in Queensland, Australia. One hundred and thirty-four facility managers and twenty-four district contact officers participated with response rates of 48.2% and 96.0%, respectively. Of facility managers, 78.4% reported implementation of more than half of the A Better Choice requirements including 24.6% who reported full strategy implementation. Reported implementation was highest in food outlets, staff dining rooms, tea trolleys, coffee carts, internal catering and drink vending machines. Reported implementation was more problematic in snack vending machines, external catering, leased premises and fundraising. Despite methodological challenges, the study suggests that policy approaches to improve the food and drink supply can be implemented successfully in public-sector health facilities, although results can be limited in some areas. A Better Choice may provide a model for improving food supply in other health and workplace settings.

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

    The Benchmarks of Global Clean Energy Manufacturing will help policymakers and industry gain deeper understanding of global manufacturing of clean energy technologies. Increased knowledge of the product supply chains can inform decisions related to manufacturing facilities for extracting and processing raw materials, making the array of required subcomponents, and assembling and shipping the final product. This brochure summarized key findings from the analysis and includes important figures from the report. The report was prepared by the Clean Energy Manufacturing Analysis Center (CEMAC) analysts at the U.S. Department of Energy's National Renewable Energy Laboratory.

  7. Superfund Record of Decision (EPA Region 5): Sturgis Municipal Wells, Sturgis, MI. (First remedial action), September 1991. Final report

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

    Not Available

    1991-09-30

    The 5-square-mile Sturgis Municipal Wells site is an active municipal well field in Sturgis, St. Joseph County, Michigan. Land use in the area is predominantly mixed industrial and residential, with several wetlands areas located near the site. The site includes the former Wade Electric facility, which closed in 1966 and burned down in 1974, and the Kirsch Company, which operated as a manufacturing facility until 1980. These two properties have been identified as two source areas responsible for the ground water contamination in the aquifer used for the municipal water supply. State investigations starting in 1982 identified contaminated soil andmore » VOC-contaminated ground water onsite and extensive ground water contamination in various wells throughout the city. The Record of Decision (ROD) addresses final remediation of soil and ground water. The primary contaminants of concern affecting the soil and ground water are VOCs including benzene, PCE, and TCE; and other organics including PAHs.« less

  8. Hydrazine Catalyst Production: Sustaining S-405 Technology

    NASA Technical Reports Server (NTRS)

    Wucherer, E. J.; Cook, Timothy; Stiefel, Mark; Humphries, Randy, Jr.; Parker, Janet

    2003-01-01

    The development of the iridium-based Shell 405 catalyst for spontaneous decomposition of hydrazine was one of the key enabling technologies for today's spacecraft and launch vehicles. To ensure that this crucial technology was not lost when Shell elected to exit the business, Aerojet, supported by NASA, has developed a dedicated catalyst production facility that will supply catalyst for future spacecraft and launch vehicle requirements. We have undertaken a program to transfer catalyst production from Shell Chemical USA (Houston, TX) to Aerojet's Redmond, WA location. This technology transition was aided by Aerojet's 30 years of catalyst manufacturing experience and NASA diligence and support in sustaining essential technologies. The facility has produced and tested S-405 catalyst to existing Shell 405 specifications and standards. Our presentation will describe the technology transition effort including development of the manufacturing facility, capture of the manufacturing process, test equipment validation, initial batch build and final testing.

  9. 75 FR 81642 - Long-Term North to South Water Transfer Program, Sacramento County, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-28

    ...-CVP water supplies that require use of CVP or State Water Project (SWP) facilities to convey the... south of the Delta have been using water transfers to supplement local and imported water supplies... water supplies and CVP and SWP facilities. Buyers and sellers would be responsible for negotiating the...

  10. 10 CFR 503.21 - Lack of alternate fuel supply.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Lack of alternate fuel supply. 503.21 Section 503.21 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS NEW FACILITIES Temporary Exemptions for New Facilities § 503.21 Lack of alternate fuel supply. (a) Eligibility. Section 211(a)(1) of the Act provides for...

  11. [Supply services at health facilities: measuring performance].

    PubMed

    Dacosta Claro, I

    2001-01-01

    Performance measurement, in their different meanings--either balance scorecard or outputs measurement--have become an essential tool in today's organizations (World-Class organizations) to improve service quality and reduce costs. This paper presents a performance measurement system for the hospital supply chain. The system is organized in different levels and groups of indicators in order to show a hierarchical, coherent and integrated vision of the processes. Thus, supply services performance is measured according to (1) financial aspects, (2) customers satisfaction aspects and (3) internal aspects of the processes performed. Since the informational needs of the managers vary within the administrative structure, the performance measurement system is defined in three hierarchical levels. Firstly, the whole supply chain, with the different interrelation of activities. Secondly, the three main processes of the chain--physical management of products, purchasing and negotiation processes and the local storage units. And finally, the performance measurement of each activity involved. The system and the indicators have been evaluated with the participation of 17 health services of Quebec (Canada), however, and due to the similarities of the operation, could be equally implemented in Spanish hospitals.

  12. Emergency and backup power supplies at Department of Energy facilities: Augmented Evaluation Team -- Final report

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

    Not Available

    This report documents the results of the Defense Programs (DP) Augmented Evaluation Team (AET) review of emergency and backup power supplies (i.e., generator, uninterruptible power supply, and battery systems) at DP facilities. The review was conducted in response to concerns expressed by former Secretary of Energy James D. Watkins over the number of incidents where backup power sources failed to provide electrical power during tests or actual demands. The AET conducted a series of on-site reviews for the purpose of understanding the design, operation, maintenance, and safety significance of emergency and backup power (E&BP) supplies. The AET found that themore » quality of programs related to maintenance of backup power systems varies greatly among the sites visited, and often among facilities at the same site. No major safety issues were identified. However, there are areas where the AET believes the reliability of emergency and backup power systems can and should be improved. Recommendations for improving the performance of E&BP systems are provided in this report. The report also discusses progress made by Management and Operating (M&O) contractors to improve the reliability of backup sources used in safety significant applications. One area that requires further attention is the analysis and understanding of the safety implications of backup power equipment. This understanding is needed for proper graded-approach implementation of Department of Energy (DOE) Orders, and to help ensure that equipment important to the safety of DOE workers, the public, and the environment is identified, classified, recognized, and treated as such by designers, users, and maintainers. Another area considered important for improving E&BP system performance is the assignment of overall ownership responsibility and authority for ensuring that E&BP equipment performs adequately and that reliability and availability are maintained at acceptable levels.« less

  13. Stop the hunting: using a wound care-specific EMR for 'just-in-time" supply ordering.

    PubMed

    Turner, Toni; Walker, David

    2007-01-01

    Ensuring adequate stocks of wound care supplies at wound care to be tied up, and too little can cause problems for patients. Most facilities maintain a "par" level for each item, which requires that supplies be ordered even if the "par" is numerically short by one item. In addition, due to the current just-in-time environment, if attention is not paid to the par level, unexpected shortages of supplies can develop. By using Inventory Trak software developed by Intellicure, facility managers will always know how much stock is presentfor each item, as individual item barcodes are registered in the system each time an item is used through software-linking scanners. The result is increased efficiency, reduced cost to the facility, and an assurance that the facility will not run out of critical items.

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

    Looney, J.H.; Im, C.J.

    Under the sponsorship of DOE/METC, UCC Research completed a program in 1984 concerned with the development, testing, and manufacture of an ultra-clean coal-water mixture fuel using the UCC two-stage physical beneficiation and coal-water mixture preparation process. Several gallons of ultra-clean coal-water slurry produced at the UCC Research pilot facility was supplied to DOE/METC for combustion testing. The finalization of this project resulted in the presentation of a conceptual design and economic analysis of an ultra-clean coal-water mixture processing facility sufficient in size to continuously supply fuel to a 100 MW turbine power generation system. Upon completion of the above program,more » it became evident that substantial technological and economic improvement could be realized through further laboratory and engineering investigation of the UCC two-stage physical beneficiation process. Therefore, as an extension to the previous work, the purpose of the present program was to define the relationship between the controlling technical parameters as related to coal-water slurry quality and product price, and to determine the areas of improvement in the existing flow-scheme, associated cost savings, and the overall effect of these savings on final coal-water slurry price. Contents of this report include: (1) introduction; (2) process refinement (improvement of coal beneficiation process, different source coals and related cleanability, dispersants and other additives); (3) coal beneficiation and cost parametrics summary; (4) revised conceptual design and economic analysis; (5) operating and capital cost reduction; (6) conclusion; and (7) appendices. 24 figs., 12 tabs.« less

  15. Identification of potential recovery facilities for designing a reverse supply chain network using physical programming

    NASA Astrophysics Data System (ADS)

    Pochampally, Kishore K.; Gupta, Surendra M.; Kamarthi, Sagar V.

    2004-02-01

    Although there are many quantitative models in the literature to design a reverse supply chain, every model assumes that all the recovery facilities that are engaged in the supply chain have enough potential to efficiently re-process the incoming used products. Motivated by the risk of re-processing used products in facilities of insufficient potentiality, this paper proposes a method to identify potential facilities in a set of candidate recovery facilities operating in a region where a reverse supply chain is to be established. In this paper, the problem is solved using a newly developed method called physical programming. The most significant advantage of using physical programming is that it allows a decision maker to express his preferences for values of criteria (for comparing the alternatives), not in the traditional form of weights but in terms of ranges of different degrees of desirability, such as ideal range, desirable range, highly desirable range, undesirable range, and unacceptable range. A numerical example is considered to illustrate the proposed method.

  16. A robotically constructed production and supply base on Phobos

    NASA Astrophysics Data System (ADS)

    1989-05-01

    PHOBIA Corporation is involved with the design of a man-tenable robotically constructed, bootstrap base on Mars' moon, Phobos. This base will be a pit-stop for future manned missions to Mars and beyond and will be a control facility during the robotic construction of a Martian base. An introduction is given to the concepts and the ground rules followed during the design process. Details of a base design and its location are given along with information about some of the subsystems. Since a major purpose of the base is to supply fuel to spacecraft so they can limit their fuel mass, mining and production systems are discussed. Surface support activities such as docks, anchors, and surface transportation systems are detailed. Several power supplies for the base are investigated and include fuel cells and a nuclear reactor. Tasks for the robots are defined along with descriptions of the robots capable of completing the tasks. Finally, failure modes for the entire PHOBIA Corporation design are presented along with an effects analysis and preventative recommendations.

  17. A robotically constructed production and supply base on Phobos

    NASA Technical Reports Server (NTRS)

    1989-01-01

    PHOBIA Corporation is involved with the design of a man-tenable robotically constructed, bootstrap base on Mars' moon, Phobos. This base will be a pit-stop for future manned missions to Mars and beyond and will be a control facility during the robotic construction of a Martian base. An introduction is given to the concepts and the ground rules followed during the design process. Details of a base design and its location are given along with information about some of the subsystems. Since a major purpose of the base is to supply fuel to spacecraft so they can limit their fuel mass, mining and production systems are discussed. Surface support activities such as docks, anchors, and surface transportation systems are detailed. Several power supplies for the base are investigated and include fuel cells and a nuclear reactor. Tasks for the robots are defined along with descriptions of the robots capable of completing the tasks. Finally, failure modes for the entire PHOBIA Corporation design are presented along with an effects analysis and preventative recommendations.

  18. Stock-outs of essential health products in Mozambique - longitudinal analyses from 2011 to 2013.

    PubMed

    Wagenaar, Bradley H; Gimbel, Sarah; Hoek, Roxanne; Pfeiffer, James; Michel, Cathy; Manuel, João Luis; Cuembelo, Fatima; Quembo, Titos; Afonso, Pires; Gloyd, Stephen; Sherr, Kenneth

    2014-07-01

    To assess the relationship between health system factors and facility-level EHP stock-outs in Mozambique. Service provisions were assessed in 26 health facilities and 13 district warehouses in Sofala Province, Mozambique, from July to August in 2011-2013. Generalised estimating equations were used to model factors associated with facility-level availability of essential drugs, supplies and equipment. Stock-out rates for drugs ranged from 1.3% for oral rehydration solution to 20.5% for Depo-Provera and condoms, with a mean stock-out rate of 9.1%; mean stock-out rates were 15.4% for supplies and 4.1% for equipment. Stock-outs at the district level accounted for 27.1% (29/107) of facility-level drug stock-outs and 44.0% (37/84) of supply stock-outs. Each 10-km increase in the distance from district distribution warehouses was associated with a 31% (CI: 22-42%), 28% (CI: 17-40%) or 27% (CI: 7-50%) increase in rates of drug, supply or equipment stock-outs, respectively. The number of heath facility staff was consistently negatively associated with the occurrence of stock-outs. Facility-level stock-outs of EHPs in Mozambique are common and appear to disproportionately affect those living far from district capitals and near facilities with few health staff. The majority of facility-level EHP stock-outs in Mozambique occur when stock exists at the district distribution centre. Innovative methods are urgently needed to improve EHP supply chains, requesting and ordering of drugs, facility and district communication, and forecasting of future EHP needs in Mozambique. Increased investments in public-sector human resources for health could potentially decrease the occurrence of EHP stock-outs. © 2014 John Wiley & Sons Ltd.

  19. Stock-outs of essential health products in Mozambique-longitudinal analyses from 2011 to 2013

    PubMed Central

    Wagenaar, Bradley H.; Gimbel, Sarah; Hoek, Roxanne; Pfeiffer, James; Michel, Cathy; Manuel, João Luis; Cuembelo, Fatima; Quembo, Titos; Afonso, Pires; Gloyd, Stephen; Sherr, Kenneth

    2015-01-01

    objectives To assess the relationship between health system factors and facility-level EHP stock-outs in Mozambique. methods Service provisions were assessed in 26 health facilities and 13 district warehouses in Sofala Province, Mozambique, from July to August in 2011–2013. Generalised estimating equations were used to model factors associated with facility-level availability of essential drugs, supplies and equipment. results Stock-out rates for drugs ranged from 1.3% for oral rehydration solution to 20.5% for Depo-Provera and condoms, with a mean stock-out rate of 9.1%; mean stock-out rates were 15.4% for supplies and 4.1% for equipment. Stock-outs at the district level accounted for 27.1% (29/107) of facility-level drug stock-outs and 44.0% (37/84) of supply stock-outs. Each 10-km increase in the distance from district distribution warehouses was associated with a 31% (CI: 22–42%), 28% (CI: 17–40%) or 27% (CI: 7–50%) increase in rates of drug, supply or equipment stock-outs, respectively. The number of heath facility staff was consistently negatively associated with the occurrence of stock-outs. conclusions Facility-level stock-outs of EHPs in Mozambique are common and appear to disproportionately affect those living far from district capitals and near facilities with few health staff. The majority of facility-level EHP stock-outs in Mozambique occur when stock exists at the district distribution centre. Innovative methods are urgently needed to improve EHP supply chains, requesting and ordering of drugs, facility and district communication, and forecasting of future EHP needs in Mozambique. Increased investments in public-sector human resources for health could potentially decrease the occurrence of EHP stock-outs. PMID:24724617

  20. Factors influencing deliveries at health facilities in a rural Maasai Community in Magadi sub-County, Kenya.

    PubMed

    Karanja, Sarah; Gichuki, Richard; Igunza, Patrick; Muhula, Samuel; Ofware, Peter; Lesiamon, Josephine; Leshore, Lepantas; Kyomuhangi-Igbodipe, Lenny Bazira; Nyagero, Josephat; Binkin, Nancy; Ojakaa, David

    2018-01-03

    In response to poor maternal, newborn, and child health indicators in Magadi sub-county, the "Boma" model was launched to promote health facility delivery by establishing community health units and training community health volunteers (CHVs) and traditional birth attendants (TBAs) as safe motherhood promoters. As a result, health facility delivery increased from 14% to 24%, still considerably below the national average (61%). We therefore conducted this study to determine factors influencing health facility delivery and describe barriers and motivators to the same. A mixed methods cross-sectional study involving a survey with 200 women who had delivered in the last 24 months, 3 focus group discussions with health providers, chiefs and CHVs and 26 in-depth interviews with mothers, key decision influencers and TBAs. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) using logistic regression were calculated to identify predictive factors for health facility delivery. Thematic analysis was done to describe barriers and motivators to the same. Of the women interviewed, 39% delivered at the health facility. Factors positively associated with health facility deliveries included belonging to the highest wealth quintiles [aOR 4.9 (95%CI 1.5-16.5)], currently not married [aOR 2.4 (95%CI 1.1-5.4)] and living near the health facility [aOR 2.2 (95%CI 1.1 = 4.4)]. High parity [aOR 0.7 (95%CI 0.5-0.9)] was negatively associated with health facility delivery. Barriers to health facility delivery included women not being final decision makers on place of birth, lack of a birth plan, gender of health provider, unfamiliar birthing position, disrespect and/or abuse, distance, attitude of health providers and lack of essential drugs and supplies. Motivators included proximity to health facility, mother's health condition, integration of TBAs into the health system, and health education/advice received. Belonging to the highest wealth quintile, currently not married and living near a health facility were positively associated with health facility delivery. Gender inequity and cultural practices such as lack of birth preparedness should be addressed. Transport mechanisms need to be established to avoid delay in reaching a health facility. The health systems also need to be functional with adequate supplies and motivated staff.

  1. A new digital pulse power supply in heavy ion research facility in Lanzhou

    NASA Astrophysics Data System (ADS)

    Wang, Rongkun; Chen, Youxin; Huang, Yuzhen; Gao, Daqing; Zhou, Zhongzu; Yan, Huaihai; Zhao, Jiang; Shi, Chunfeng; Wu, Fengjun; Yan, Hongbin; Xia, Jiawen; Yuan, Youjin

    2013-11-01

    To meet the increasing requirements of the Heavy Ion Research Facility in Lanzhou-Cooler Storage Ring (HIRFL-CSR), a new digital pulse power supply, which employs multi-level converter, was designed. This power supply was applied with a multi H-bridge converters series-parallel connection topology. A new control model named digital power supply regulator system (DPSRS) was proposed, and a pulse power supply prototype based on DPSRS has been built and tested. The experimental results indicate that tracking error and ripple current meet the requirements of this design. The achievement of prototype provides a perfect model for HIRFL-CSR power supply system.

  2. Report on Progress Toward Security and Stability in Afghanistan

    DTIC Science & Technology

    2011-10-01

    change. The inauguration in August 2011 of new Canadian -sponsored facilities (classrooms, dormitories, and an extension of the dining facility) and the...temporary buildings, generators, force protection materials, office supplies, cleaning supplies, kitchen supplies, and furniture . Prior to 2010...Afghan companies making tents, and two Afghan companies making furniture in the Kabul area. An estimated 5,000 Afghans, including women, are

  3. 40 CFR 258.2 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...; plastics and resins manufacturing; pulp and paper industry; rubber and miscellaneous plastic products... wastewater treatment plant, water supply treatment plant, or air pollution control facility exclusive of the... a wastewater treatment plant, water supply treatment plant, or air pollution control facility and...

  4. [Organization of medical equipment and stock supply of military medical facilities and groups of Disaster Medicine Service of the Russian Defense Ministry in emergency situations].

    PubMed

    Korniushko, I G; Iakovlev, S V; Krasavin, K D; Lemeshkin, R N

    2011-10-01

    The article outlined the modern concept of medical equipment and stock supply of medical facilities and groups of Disaster Medicine Service of the Russian Defense Ministry involved into the remedial of the medical actions of emergency situations. The structure of the units of medical supplies in these conditions is presented.

  5. User's guide: Minerals management service outer continental shelf activity database (moad). Final report

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

    Steiner, C.K.; Causley, M.C.; Yocke, M.A.

    1994-04-01

    The 1990 Clean Air Act Amendments require the Minerals Management Service (MMS) to conduct a research study to assess the potential onshore air quality impact from the development of outer continental shelf (OCS) petroleum resources in the Gulf of Mexico. The need for this study arises from concern about the cumulative impacts of current and future OCS emissions on ozone concentrations on nonattainment areas, particularly in Texas and Louisiana. To make quantitative assessments of these impacts, MMS has commissioned an air quality study which includes as a major component the development of a comprehensive emission inventory for photochemical grid modeling.more » The emission inventories prepared in this study include both onshore and offshore emissions. All relevant emissions from anthropogenic and biogenic sources are considered, with special attention focused on offshore anthropogenic sources, including OCS oil and gas production facilities, crew and supply vessels and helicopters serving OCS facilities, commercial shipping and fishing, recreational boating, intercoastal barge traffic and other sources located in the adjacent state waters. This document describes the database created during this study that contains the activity information collected for the development of the OCS platform, and crew/supply vessel and helicopter emission inventories.« less

  6. Supply-side barriers to maternity-care in India: a facility-based analysis.

    PubMed

    Kumar, Santosh; Dansereau, Emily

    2014-01-01

    Health facilities in many low- and middle-income countries face several types of barriers in delivering quality health services. Availability of resources at the facility may significantly affect the volume and quality of services provided. This study investigates the effect of supply-side determinants of maternity-care provision in India. Health facility data from the District-Level Household Survey collected in 2007-2008 were analyzed to explore the effects of supply-side factors on the volume of delivery care provided at Indian health facilities. A negative binomial regression model was applied to the data due to the count and over-dispersion property of the outcome variable (number of deliveries performed at the facility). Availability of a labor room (Incidence Rate Ratio [IRR]: 1.81; 95% Confidence Interval [CI]: 1.68-1.95) and facility opening hours (IRR: 1.43; CI: 1.35-1.51) were the most significant predictors of the volume of delivery care at the health facilities. Medical and paramedical staff were found to be positively associated with institutional deliveries. The volume of deliveries was also higher if adequate beds, essential obstetric drugs, medical equipment, electricity, and communication infrastructures were available at the facility. Findings were robust to the inclusion of facility's catchment area population and district-level education, health insurance coverage, religion, wealth, and fertility. Separate analyses were performed for facilities with and without a labor room and results were qualitatively similar across these two types of facilities. Our study highlights the importance of supply-side barriers to maternity-care India. To meet Millennium Development Goals 4 and 5, policymakers should make additional investments in improving the availability of medical drugs and equipment at primary health centers (PHCs) in India.

  7. Supply-Side Barriers to Maternity-Care in India: A Facility-Based Analysis

    PubMed Central

    Kumar, Santosh; Dansereau, Emily

    2014-01-01

    Background Health facilities in many low- and middle-income countries face several types of barriers in delivering quality health services. Availability of resources at the facility may significantly affect the volume and quality of services provided. This study investigates the effect of supply-side determinants of maternity-care provision in India. Methods Health facility data from the District-Level Household Survey collected in 2007–2008 were analyzed to explore the effects of supply-side factors on the volume of delivery care provided at Indian health facilities. A negative binomial regression model was applied to the data due to the count and over-dispersion property of the outcome variable (number of deliveries performed at the facility). Results Availability of a labor room (Incidence Rate Ratio [IRR]: 1.81; 95% Confidence Interval [CI]: 1.68–1.95) and facility opening hours (IRR: 1.43; CI: 1.35–1.51) were the most significant predictors of the volume of delivery care at the health facilities. Medical and paramedical staff were found to be positively associated with institutional deliveries. The volume of deliveries was also higher if adequate beds, essential obstetric drugs, medical equipment, electricity, and communication infrastructures were available at the facility. Findings were robust to the inclusion of facility's catchment area population and district-level education, health insurance coverage, religion, wealth, and fertility. Separate analyses were performed for facilities with and without a labor room and results were qualitatively similar across these two types of facilities. Conclusions Our study highlights the importance of supply-side barriers to maternity-care India. To meet Millennium Development Goals 4 and 5, policymakers should make additional investments in improving the availability of medical drugs and equipment at primary health centers (PHCs) in India. PMID:25093729

  8. Designing Decentralized Water and Electricity Supply System for Small Recreational Facilities in the South of Russia

    NASA Astrophysics Data System (ADS)

    Kasharin, D. V.

    2017-11-01

    The article tackles the issues of designing seasonal water and power supply systems for small recreational facilities in the south of Russia based on intelligent decision support systems. The paper proposes modular prefabricated shell water and power supply works (MPSW&PW) along with energy-efficient standalone water-treatment plants as the principal facilities compliant with the environmental and infrastructural requirements applied to specially protected areas and ensuring the least possible damage to the environment due to a maximum possible use of local construction materials characterized by impressive safety margins in highly seismic environments. The task of designing water and power supply systems requires the consideration of issues pertaining to the development of an intelligent GIS-based system for the selection of water intake sites that facilitate automation of data-processing systems using a priori scanning methods with a variable step and random directions. The paper duly addresses such issues and develops parameterized optimization algorithms for MPSW&PW shell facilities. It equally provides the substantiation of water-treatment plants intelligent design based on energy recovery reverse osmosis and nanofiltration plants that enhance the energy efficiency of such plants serving as the optimum solution for the decentralized water supply of small recreational facilities from renewable energy sources.

  9. COMMUNITY WATER QUALITY INFORMATION SYSTEM FOR A NEW AND SUSTAINABLE WATER SUPPLY

    EPA Science Inventory

    Clearwater Renewable Resource Facility. The Clearwater facility will provide a carefully selected blend of recharged Colorado River water and groundwater to the community beginning in 2001, thereby providing a renewable drinking water supply, lessening dependence on Tucson's p...

  10. Insight into implementation of facility-based integrated management of childhood illness strategy in a rural district of Sindh, Pakistan.

    PubMed

    Pradhan, Nousheen Akber; Rizvi, Narjis; Sami, Neelofar; Gul, Xaher

    2013-07-05

    Integrated management of childhood illnesses (IMCI) strategy has been proven to improve health outcomes in children under 5 years of age. Pakistan, despite being in the late implementation phase of the strategy, continues to report high under-five mortality due to pneumonia, diarrhea, measles, and malnutrition - the main targets of the strategy. The study determines the factors influencing IMCI implementation at public-sector primary health care (PHC) facilities in Matiari district, Sindh, Pakistan. An exploratory qualitative study with an embedded quantitative strand was conducted. The qualitative part included 16 in-depth interviews (IDIs) with stakeholders which included planners and policy makers at a provincial level (n=5), implementers and managers at a district level (n=3), and IMCI-trained physicians posted at PHC facilities (n=8). Quantitative part included PHC facility survey (n=16) utilizing WHO health facility assessment tool to assess availability of IMCI essential drugs, supplies, and equipments. Qualitative content analysis was used to interpret the textual information, whereas descriptive frequencies were calculated for health facility survey data. The major factors reported to enhance IMCI implementation were knowledge and perception about the strategy and need for separate clinic for children aged under 5 years as potential support factors. The latter can facilitate in strategy implementation through allocated workforce and required equipments and supplies. Constraint factors mainly included lack of clear understanding of the strategy, poor planning for IMCI implementation, ambiguity in defined roles and responsibilities among stakeholders, and insufficient essential supplies and drugs at PHC centers. The latter was further substantiated through health facilities' survey findings, which indicated that none of the facilities had 100% stock of essential supplies and drugs. Only one out of all 16 surveyed facilities had 75% of the total supplies, while 4 out of 16 facilities had 56% of the required IMCI drug stock. The mean availability of supplies ranged from 36.6 to 66%, while the mean availability of drugs ranged from 45.8 to 56.7%. Our findings indicate that the Matiari district has sound implementation potential; however, bottlenecks at health care facility and at health care management level have badly constrained the implementation process. An interdependency exists among the constraining factors, such as lack of sound planning resulting in unclear understanding of the strategy; leading to ambiguous roles and responsibilities among stakeholders which manifest as inadequate availability of supplies and drugs at PHC facilities. Addressing these barriers is likely to have a cumulative effect on facilitating IMCI implementation. On the basis of these findings, we recommend that the provincial Ministry of Health (MoH) and provincial Maternal Neonatal and Child Health (MNCH) program jointly assess the situation and streamline IMCI implementation in the district through sound planning, training, supervision, and logistic support.

  11. 43 CFR 404.9 - What types of infrastructure and facilities may be included in an eligible rural water supply...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false What types of infrastructure and facilities may be included in an eligible rural water supply project? 404.9 Section 404.9 Public Lands: Interior Regulations Relating to Public Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR RECLAMATION RURAL WATER SUPPLY PROGRAM Overview § 404.9...

  12. 43 CFR 404.9 - What types of infrastructure and facilities may be included in an eligible rural water supply...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true What types of infrastructure and facilities may be included in an eligible rural water supply project? 404.9 Section 404.9 Public Lands: Interior Regulations Relating to Public Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR RECLAMATION RURAL WATER SUPPLY PROGRAM Overview § 404.9 Wha...

  13. Estimated water use in Puerto Rico, 2000

    USGS Publications Warehouse

    Molina-Rivera, Wanda L.

    2005-01-01

    Water-use data were compiled for the 78 municipios of the Commonwealth of Puerto Rico for 2000. Five offstream categories were considered: public-supply water withdrawals, domestic self-supplied water use, industrial self-supplied withdrawals, crop irrigation water use, and thermoelectric power fresh water use. Two additional categories also were considered: power generation instream use and public wastewater treatment return-flows. Fresh water withdrawals for offstream use from surface- and ground-water sources in Puerto Rico were estimated at 617 million gallons per day. The largest amount of fresh water withdrawn was by public-supply water facilities and was estimated at 540 million gallons per day. Fresh surface- and ground-water withdrawals by domestic self-supplied users was estimated at 2 million gallons per day and the industrial self-supplied withdrawals were estimated at 9.5 million gallons per day. Withdrawals for crop irrigation purposes were estimated at 64 million gallons per day, or approximately 10 percent of all offstream fresh water withdrawals. Saline instream surface-water withdrawals for cooling purposes by thermoelectric power facilities was estimated at 2,191 million gallons per day, and instream fresh water withdrawals by hydroelectric facilities at 171 million gallons per day. Total discharge from public wastewater treatment facilities was estimated at 211 million gallons per day.

  14. Access barriers to obstetric care at health facilities in sub-Saharan Africa-a systematic review.

    PubMed

    Kyei-Nimakoh, Minerva; Carolan-Olah, Mary; McCann, Terence V

    2017-06-06

    Since 2000, the United Nations' Millennium Development Goals, which included a goal to improve maternal health by the end of 2015, has facilitated significant reductions in maternal morbidity and mortality worldwide. However, despite more focused efforts made especially by low- and middle-income countries, targets were largely unmet in sub-Saharan Africa, where women are plagued by many challenges in seeking obstetric care. The aim of this review was to synthesise literature on barriers to obstetric care at health institutions in sub-Saharan Africa. This review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus databases were electronically searched to identify studies on barriers to health facility-based obstetric care in sub-Saharan Africa, in English, and dated between 2000 and 2015. Combinations of search terms 'obstetric care', 'access', 'barriers', 'developing countries' and 'sub-Saharan Africa' were used to locate articles. Quantitative, qualitative and mixed-methods studies were considered. A narrative synthesis approach was employed to synthesise the evidence and explore relationships between included studies. One hundred and sixty articles met the inclusion criteria. Currently, obstetric care access is hindered by several demand- and supply-side barriers. The principal demand-side barriers identified were limited household resources/income, non-availability of means of transportation, indirect transport costs, a lack of information on health care services/providers, issues related to stigma and women's self-esteem/assertiveness, a lack of birth preparation, cultural beliefs/practices and ignorance about required obstetric health services. On the supply-side, the most significant barriers were cost of services, physical distance between health facilities and service users' residence, long waiting times at health facilities, poor staff knowledge and skills, poor referral practices and poor staff interpersonal relationships. Despite similarities in obstetric care barriers across sub-Saharan Africa, country-specific strategies are required to tackle the challenges mentioned. Governments need to develop strategies to improve healthcare systems and overall socioeconomic status of women, in order to tackle supply- and demand-side access barriers to obstetric care. It is also important that strategies adopted are supported by research evidence appropriate for local conditions. Finally, more research is needed, particularly, with regard to supply-side interventions that may improve the obstetric care experience of pregnant women. PROSPERO 2014 CRD42014015549.

  15. Conflict minerals from the Democratic Republic of the Congo: global tungsten processing plants, a critical part of the tungsten supply chain

    USGS Publications Warehouse

    Bermúdez-Lugo, Omayra

    2014-01-01

    The U.S. Geological Survey (USGS) analyzes supply chains to identify and define major components of mineral and material flows from ore extraction, through intermediate forms, to a final product. Two major reasons necessitate these analyses: (1) to identify risks associated with the supply of critical and strategic minerals to the United States and (2) to provide greater supply chain transparency so that policymakers have the information necessary to ensure domestic legislation compliance. This fact sheet focuses on the latter. The USGS National Minerals Information Center has been asked by governmental and non-governmental organizations to provide information on tin, tantalum, tungsten, and gold (collectively known as “3TG minerals”) processing facilities worldwide in response to U.S. legislation aimed at removing the link between the trade in these minerals and civil unrest in the Democratic Republic of the Congo. Post beneficiation processing plants (smelters and refineries) of 3TG mineral ores and concentrates were identified by company and industry association representatives as being the link in the 3TG mineral supply chain through which these minerals can be traced to their source of origin (mine); determining the point of origin is critical to establishing a transparent conflict mineral supply chain. This fact sheet, the first in a series of 3TG mineral fact sheets, focuses on the tungsten supply chain by listing plants that consume tungsten concentrates to produce ammonium paratungstate and ferrotungsten worldwide.

  16. Spatial and temporal occurrence of N-nitrosamines in seven drinking water supply systems.

    PubMed

    Brisson, Isabelle J; Levallois, Patrick; Tremblay, Hélène; Sérodes, Jean; Deblois, Christian; Charrois, Jeffrey; Taguchi, Vincent; Boyd, Jessica; Li, Xingfang; Rodriguez, Manuel J

    2013-09-01

    The spatiotemporal presence of eight N-nitrosamines in the water of seven supply systems in Quebec considered to be susceptible to these emerging disinfection by-products was evaluated. This is the first study on the presence of N-nitrosamines in drinking water utilities in Quebec. Seven sampling campaigns were carried out at several sampling points in each of the systems over a period of 1 year. The results show that N-nitrosamines, primarily N-nitrosodimethylamine (NDMA), were not commonly detected in the water of the facilities under study (10 % of samples). The concentrations measured were lower than those reported in recent North American studies. None of the 195 samples taken exceeded the Ontario standard of 9 ng/L for NDMA (maximum value observed of 3.3 ng/L). N-nitrosomethylethylamine and N-nitrosopiperidine were detected once, with concentrations of 3.7 and 6.0 ng/L, respectively. Chloramination was identified as being the main risk factor regarding the presence of N-nitrosamines, but water quality and some operating parameters, in particular disinfectant residual, also seem to be related to their presence. NDMA concentrations at the end of the distribution systems were generally higher than water leaving the plant. No seasonal trends were observed for the formation of N-nitrosamines in the investigated supply systems. Finally, an association between the presence of N-nitrosamines and the levels of trihalomethanes and haloacetic acids was observed in some facilities.

  17. Impact of intermodal facilities to the design of supply chains for biorefineries.

    DOT National Transportation Integrated Search

    2009-08-15

    This paper analyzes the impact that an intermodal facility has on location and transportation decisions for biofuel production plants. Location decisions impact the management of the in-bound and out-bound logistics of a plant. We model this supply c...

  18. KSC-2011-5825

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, space shuttle Atlantis dwarfs the employees monitoring its arrival into the empty bay of Orbiter Processing Facility-2. Once inside the processing facility, Atlantis will be prepared for future public display at Kennedy's Visitor Complex. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  19. KSC-2011-5813

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Space shuttle Atlantis and its employee entourage saunter along the towway from the Shuttle Landing Facility to the Orbiter Processing Facility at NASA's Kennedy Space Center in Florida. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  20. KSC-2011-5808

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, the landing convoy vehicles line up to accompany space shuttle Atlantis from the Shuttle Landing Facility to an orbiter processing facility. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  1. KSC-2011-5809

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Employees accompany space shuttle Atlantis as it is slowly towed from the Shuttle Landing Facility to an orbiter processing facility at NASA's Kennedy Space Center in Florida. Looming in the background is the 525-foot-tall Vehicle Assembly Building. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  2. KSC-2011-5810

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, the landing convoy vehicles accompany space shuttle Atlantis as it is slowly towed from the Shuttle Landing Facility to an orbiter processing facility. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  3. KSC-2011-5811

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Space shuttle Atlantis is reflected in the water along the towway from the Shuttle Landing Facility to the Orbiter Processing Facility at NASA's Kennedy Space Center in Florida. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  4. KSC-2011-5820

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Space shuttle Atlantis noses its way toward the open door of Orbiter Processing Facility-2 at NASA's Kennedy Space Center in Florida. Once inside the processing facility, Atlantis will be prepared for future public display at Kennedy's Visitor Complex. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  5. KSC-2011-5812

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- It is time for reflection at NASA's Kennedy Space Center in Florida as employees accompany space shuttle Atlantis as it is slowly towed from the Shuttle Landing Facility to an orbiter processing facility. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  6. Analyzing the impact of intermodal facilities to the design and management of biofuels supply chain.

    DOT National Transportation Integrated Search

    2010-01-01

    This paper analyzes the impact that an intermodal facility has on location and transportation : decisions for biofuel production plants. Location decisions impact the management of the in-bound and out-bound logistics of a plant. We model this supply...

  7. Estimated Water Use in Puerto Rico, 2005

    USGS Publications Warehouse

    Molina-Rivera, Wanda L.; Gómez-Gómez, Fernando

    2008-01-01

    Water-use data were compiled for the 78 municipios of the Commonwealth of Puerto Rico for 2005. Five offstream categories were considered: public-supply water withdrawals and deliveries, domestic self-supplied water use, industrial self-supplied ground-water withdrawals, crop irrigation water use, and thermoelectric power freshwater use. One water-use category also was considered: power-generation instream water use (thermoelectric-saline withdrawals and hydroelectric power). Freshwater withdrawals and deliveries for offstream use from surface- and ground-water sources in Puerto Rico were estimated at 712 million gallons per day (Mgal/d). The largest amount of freshwater withdrawn was by public-supply water facilities and was estimated at 652 Mgal/d. The public-supply domestic water use was estimated at 347 Mgal/d. Fresh surface- and ground-water withdrawals by domestic self-supplied users were estimated at 2.1 Mgal/d and the industrial self-supplied withdrawals were estimated at 9.4 Mgal/d. Withdrawals for crop irrigation purposes were estimated at 45.2 Mgal/d, or approximately 6.3 percent of all offstream freshwater withdrawals. Instream freshwater withdrawals by hydroelectric facilities were estimated at 568 Mgal/d and saline instream surface-water withdrawals for cooling purposes by thermoelectric-power facilities was estimated at 2,288 Mgal/d.

  8. Process modeling and supply chain design for advanced biofuel production based on bio-oil gasification

    NASA Astrophysics Data System (ADS)

    Li, Qi

    As a potential substitute for petroleum-based fuel, second generation biofuels are playing an increasingly important role due to their economic, environmental, and social benefits. With the rapid development of biofuel industry, there has been an increasing literature on the techno-economic analysis and supply chain design for biofuel production based on a variety of production pathways. A recently proposed production pathway of advanced biofuel is to convert biomass to bio-oil at widely distributed small-scale fast pyrolysis plants, then gasify the bio-oil to syngas and upgrade the syngas to transportation fuels in centralized biorefinery. This thesis aims to investigate two types of assessments on this bio-oil gasification pathway: techno-economic analysis based on process modeling and literature data; supply chain design with a focus on optimal decisions for number of facilities to build, facility capacities and logistic decisions considering uncertainties. A detailed process modeling with corn stover as feedstock and liquid fuels as the final products is presented. Techno-economic analysis of the bio-oil gasification pathway is also discussed to assess the economic feasibility. Some preliminary results show a capital investment of 438 million dollar and minimum fuel selling price (MSP) of $5.6 per gallon of gasoline equivalent. The sensitivity analysis finds that MSP is most sensitive to internal rate of return (IRR), biomass feedstock cost, and fixed capital cost. A two-stage stochastic programming is formulated to solve the supply chain design problem considering uncertainties in biomass availability, technology advancement, and biofuel price. The first-stage makes the capital investment decisions including the locations and capacities of the decentralized fast pyrolysis plants and the centralized biorefinery while the second-stage determines the biomass and biofuel flows. The numerical results and case study illustrate that considering uncertainties can be pivotal in this supply chain design and optimization problem. Also, farmers' participation has a significant effect on the decision making process.

  9. Water supply facility damage and water resource operation at disaster base hospitals in miyagi prefecture in the wake of the Great East Japan Earthquake.

    PubMed

    Matsumura, Takashi; Osaki, Shizuka; Kudo, Daisuke; Furukawa, Hajime; Nakagawa, Atsuhiro; Abe, Yoshiko; Yamanouchi, Satoshi; Egawa, Shinichi; Tominaga, Teiji; Kushimoto, Shigeki

    2015-04-01

    The aim of this study was to shed light on damage to water supply facilities and the state of water resource operation at disaster base hospitals in Miyagi Prefecture (Japan) in the wake of the Great East Japan Earthquake (2011), in order to identify issues concerning the operational continuity of hospitals in the event of a disaster. In addition to interview and written questionnaire surveys to 14 disaster base hospitals in Miyagi Prefecture, a number of key elements relating to the damage done to water supply facilities and the operation of water resources were identified from the chronological record of events following the Great East Japan Earthquake. Nine of the 14 hospitals experienced cuts to their water supplies, with a median value of three days (range=one to 20 days) for service recovery time. The hospitals that could utilize well water during the time that water supply was interrupted were able to obtain water in quantities similar to their normal volumes. Hospitals that could not use well water during the period of interruption, and hospitals whose water supply facilities were damaged, experienced significant disruption to dialysis, sterilization equipment, meal services, sanitation, and outpatient care services, though the extent of disruption varied considerably among hospitals. None of the hospitals had determined the amount of water used for different purposes during normal service or formulated a plan for allocation of limited water in the event of a disaster. The present survey showed that it is possible to minimize the disruption and reduction of hospital functions in the event of a disaster by proper maintenance of water supply facilities and by ensuring alternative water resources, such as well water. It is also clear that it is desirable to conclude water supply agreements and formulate strategic water allocation plans in preparation for the eventuality of a long-term interruption to water services.

  10. Availability of drugs and medical supplies for emergency obstetric care: experience of health facility managers in a rural District of Tanzania.

    PubMed

    Mkoka, Dickson Ally; Goicolea, Isabel; Kiwara, Angwara; Mwangu, Mughwira; Hurtig, Anna-Karin

    2014-03-19

    Provision of quality emergency obstetric care relies upon the presence of skilled health attendants working in an environment where drugs and medical supplies are available when needed and in adequate quantity and of assured quality. This study aimed to describe the experience of rural health facility managers in ensuring the timely availability of drugs and medical supplies for emergency obstetric care (EmOC). In-depth interviews were conducted with a total of 17 health facility managers: 14 from dispensaries and three from health centers. Two members of the Council Health Management Team and one member of the Council Health Service Board were also interviewed. A survey of health facilities was conducted to supplement the data. All the materials were analysed using a qualitative thematic analysis approach. Participants reported on the unreliability of obtaining drugs and medical supplies for EmOC; this was supported by the absence of essential items observed during the facility survey. The unreliability of obtaining drugs and medical supplies was reported to result in the provision of untimely and suboptimal EmOC services. An insufficient budget for drugs from central government, lack of accountability within the supply system and a bureaucratic process of accessing the locally mobilized drug fund were reported to contribute to the current situation. The unreliability of obtaining drugs and medical supplies compromises the timely provision of quality EmOC. Multiple approaches should be used to address challenges within the health system that prevent access to essential drugs and supplies for maternal health. There should be a special focus on improving the governance of the drug delivery system so that it promotes the accountability of key players, transparency in the handling of information and drug funds, and the participation of key stakeholders in decision making over the allocation of locally collected drug funds.

  11. Availability of drugs and medical supplies for emergency obstetric care: experience of health facility managers in a rural District of Tanzania

    PubMed Central

    2014-01-01

    Background Provision of quality emergency obstetric care relies upon the presence of skilled health attendants working in an environment where drugs and medical supplies are available when needed and in adequate quantity and of assured quality. This study aimed to describe the experience of rural health facility managers in ensuring the timely availability of drugs and medical supplies for emergency obstetric care (EmOC). Methods In-depth interviews were conducted with a total of 17 health facility managers: 14 from dispensaries and three from health centers. Two members of the Council Health Management Team and one member of the Council Health Service Board were also interviewed. A survey of health facilities was conducted to supplement the data. All the materials were analysed using a qualitative thematic analysis approach. Results Participants reported on the unreliability of obtaining drugs and medical supplies for EmOC; this was supported by the absence of essential items observed during the facility survey. The unreliability of obtaining drugs and medical supplies was reported to result in the provision of untimely and suboptimal EmOC services. An insufficient budget for drugs from central government, lack of accountability within the supply system and a bureaucratic process of accessing the locally mobilized drug fund were reported to contribute to the current situation. Conclusion The unreliability of obtaining drugs and medical supplies compromises the timely provision of quality EmOC. Multiple approaches should be used to address challenges within the health system that prevent access to essential drugs and supplies for maternal health. There should be a special focus on improving the governance of the drug delivery system so that it promotes the accountability of key players, transparency in the handling of information and drug funds, and the participation of key stakeholders in decision making over the allocation of locally collected drug funds. PMID:24646098

  12. 78 FR 18970 - Trunkline LNG Company, LLC; Trunkline LNG Export, LLC; Trunkline Gas Company, LLC; Supplemental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-28

    ... include plans to construct and modify certain pipeline facilities to supply natural gas to the..., Louisiana to supply natural gas to the liquefaction facility from existing gas transmission pipelines... greenfield natural gas pipeline (Mainline Connector) in Jefferson Davis and Calcasieu Parishes, Louisiana...

  13. 75 FR 73169 - Medicare Program; Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-29

    ...This final rule with comment period addresses changes to the physician fee schedule and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. It finalizes the calendar year (CY) 2010 interim relative value units (RVUs) and issues interim RVUs for new and revised procedure codes for CY 2011. It also addresses, implements, or discusses certain provisions of both the Affordable Care Act (ACA) and the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). In addition, this final rule with comment period discusses payments under the Ambulance Fee Schedule (AFS), the Ambulatory Surgical Center (ASC) payment system, and the Clinical Laboratory Fee Schedule (CLFS), payments to end-stage renal disease (ESRD) facilities, and payments for Part B drugs. Finally, this final rule with comment period also includes a discussion regarding the Chiropractic Services Demonstration program, the Competitive Bidding Program for durable medical equipment, prosthetics, orthotics, and supplies (CBP DMEPOS), and provider and supplier enrollment issues associated with air ambulances.

  14. Horizontal/Vertical Stock Fund Cost Comparison

    DTIC Science & Technology

    1974-08-01

    units. Installation Supply Division account and other instal- lation operated activities: Self -Service Supply Store, Clothing Initial...installation supply operations are the Self -Service Supply Center, Clothing Sales Store, Central Issue Facility, and Clothing Initial Issue Point. Stock- age...stocks, stocks for installation operated supply activities such as the Self Service Supply Store, Clothing Sales Store and

  15. Affecting the supply of rural physicians.

    PubMed Central

    Cooper, J K; Heald, K; Samuels, M

    1977-01-01

    A model describing physician supply and distribution is described. Two surveys obtained information to examine elements of the model. The first survey identified a group of primary care physicians that had considered rural locations but ultimately selected an urban location. This sub-group, 29 per cent of the primary care supply pool, received a follow-up survey to provide more information about how they made their choice. About one-half of them finally chose on the basis of factors other than metropolitan/non-metropolitan considerations. For this half, some of the factors that entered into the decision were the availability of physician specialists, nearby hospital facilities, and access to medical school programs. Such factors could be affected by future policy decisions, but the cost is unknown. Even if such policy decisions were made, and appropriate programs instituted, the results would probably not solve the problem of disproportionate physician distribution. The most likely-to-succeed approach to increasing the number of rural physicians remains that of increasing the number of entrants to medical school with a rural background. PMID:888993

  16. Economics of power plant siting in southeastern New England. Final report

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

    Gates, J.M.; Meade, N.F.; Sutinen, J.G.

    1974-06-01

    The four major topics are discussed, i.e. demand and supply of electrical energy in the SENE region; the economics of expanding supply of and managing demand for electrical energy in SENE; the economics of locating power plants; and the economic implications of fifteen alternative power plant sites. The major sources of demand in the SENE region are Boston and Providence. Fossil fuel expansions in these areas will have to contend with higher fuel prices in the future and strict air quality standards. This will create incentives for fossil fuel facilities in outlying communities and for coastal nuclear plants where adequatemore » cooling water exists. Considerations affecting the choice of sites are: public health and safety; environmental quality and zero emissions; resistance on the part of land owners to sell sites for power plants; and local regulations on transmission lines.« less

  17. Motivation and Retention of Physicians in Primary Healthcare Facilities: A Qualitative Study From Abbottabad, Pakistan

    PubMed Central

    Shah, Sayed Masoom; Zaidi, Shehla; Ahmed, Jamil; Rehman, Shafiq Ur

    2016-01-01

    Background: Workforce motivation and retention is important for the functionality and quality of service delivery in health systems of developing countries. Despite huge primary healthcare (PHC) infrastructure, Pakistan’s health indicators are not impressive; mainly because of under-utilization of facilities and low patient satisfaction. One of the major underlying issues is staff absenteeism. The study aimed to identify factors affecting retention and motivation of doctors working in PHC facilities of Pakistan. Methods: An exploratory study was conducted in a rural district in Khyber Puktunkhwa (KP) province, in Pakistan. A conceptual framework was developed comprising of three organizational, individual, and external environmental factors. Qualitative research methods comprising of semi-structured interviews with doctors working in basic health units (BHUs) and in-depth interviews with district and provincial government health managers were used. Document review of postings, rules of business and policy actions was also conducted. Triangulation of findings was carried out to arrive at the final synthesis. Results: Inadequate remuneration, unreasonable facilities at residence, poor work environment, political interference, inadequate supplies and medical facilities contributed to lack of motivation among both male and female doctors. The physicians accepted government jobs in BHUs with a belief that these jobs were more secure, with convenient working hours. Male physicians seemed to be more motivated because they faced less challenges than their female counterparts in BHUs especially during relocations. Overall, the organizational factors emerged as the most significant whereby human resource policy, career growth structure, performance appraisal and monetary benefits played an important role. Gender and marital status of female doctors was regarded as most important individual factor affecting retention and motivation of female doctors in BHUs. Conclusion: Inadequate remuneration, unreasonable facilities at residence, poor work environment, political interference, inadequate supplies, and medical facilities contributed to lack of motivation in physicians in our study. Our study advocates that by addressing the retention and motivation challenges, service delivery can be made more responsive to the patients and communities in Pakistan and other similar settings. PMID:27694660

  18. Motivation and Retention of Physicians in Primary Healthcare Facilities: A Qualitative Study From Abbottabad, Pakistan.

    PubMed

    Shah, Sayed Masoom; Zaidi, Shehla; Ahmed, Jamil; Rehman, Shafiq Ur

    2016-04-09

    Workforce motivation and retention is important for the functionality and quality of service delivery in health systems of developing countries. Despite huge primary healthcare (PHC) infrastructure, Pakistan's health indicators are not impressive; mainly because of under-utilization of facilities and low patient satisfaction. One of the major underlying issues is staff absenteeism. The study aimed to identify factors affecting retention and motivation of doctors working in PHC facilities of Pakistan. An exploratory study was conducted in a rural district in Khyber Puktunkhwa (KP) province, in Pakistan. A conceptual framework was developed comprising of three organizational, individual, and external environmental factors. Qualitative research methods comprising of semi-structured interviews with doctors working in basic health units (BHUs) and in-depth interviews with district and provincial government health managers were used. Document review of postings, rules of business and policy actions was also conducted. Triangulation of findings was carried out to arrive at the final synthesis. Inadequate remuneration, unreasonable facilities at residence, poor work environment, political interference, inadequate supplies and medical facilities contributed to lack of motivation among both male and female doctors. The physicians accepted government jobs in BHUs with a belief that these jobs were more secure, with convenient working hours. Male physicians seemed to be more motivated because they faced less challenges than their female counterparts in BHUs especially during relocations. Overall, the organizational factors emerged as the most significant whereby human resource policy, career growth structure, performance appraisal and monetary benefits played an important role. Gender and marital status of female doctors was regarded as most important individual factor affecting retention and motivation of female doctors in BHUs. Inadequate remuneration, unreasonable facilities at residence, poor work environment, political interference, inadequate supplies, and medical facilities contributed to lack of motivation in physicians in our study. Our study advocates that by addressing the retention and motivation challenges, service delivery can be made more responsive to the patients and communities in Pakistan and other similar settings. © 2016 by Kerman University of Medical Sciences

  19. 78 FR 63176 - Notice of Preliminary Determination of a Qualifying Conduit Hydropower Facility and Soliciting...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... new ``y'' pipe intake off the existing 10-inch diameter water supply pipeline; (2) a new 12-foot-long... water supply pipeline; and (5) appurtenant facilities. The proposed project would have an estimated... 22 kW Orchard City Water Treatment Plant Hydroelectric Project would utilize Orchard City's water...

  20. Medicare and Medicaid programs; Home Health Prospective Payment System rate update for CY 2014, home health quality reporting requirements, and cost allocation of home health survey expenses. Final rule.

    PubMed

    2013-12-02

    This final rule will update the Home Health Prospective Payment System (HH PPS) rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, the low-utilization payment adjustment (LUPA) add-on, and the non-routine medical supply (NRS) conversion factor under the Medicare prospective payment system for home health agencies (HHAs), effective January 1, 2014. As required by the Affordable Care Act, this rule establishes rebasing adjustments, with a 4-year phase-in, to the national, standardized 60-day episode payment rates; the national per-visit rates; and the NRS conversion factor. In addition, this final rule will remove 170 diagnosis codes from assignment to diagnosis groups within the HH PPS Grouper, effective January 1, 2014. Finally, this rule will establish home health quality reporting requirements for CY 2014 payment and subsequent years and will clarify that a state Medicaid program must provide that, in certifying HHAs, the state's designated survey agency carry out certain other responsibilities that already apply to surveys of nursing facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID), including sharing in the cost of HHA surveys. For that portion of costs attributable to Medicare and Medicaid, we will assign 50 percent to Medicare and 50 percent to Medicaid, the standard method that CMS and states use in the allocation of expenses related to surveys of nursing homes.

  1. Insight into implementation of facility-based integrated management of childhood illness strategy in a rural district of Sindh, Pakistan

    PubMed Central

    Akber Pradhan, Nousheen; Rizvi, Narjis; Sami, Neelofar; Gul, Xaher

    2013-01-01

    Background Integrated management of childhood illnesses (IMCI) strategy has been proven to improve health outcomes in children under 5 years of age. Pakistan, despite being in the late implementation phase of the strategy, continues to report high under-five mortality due to pneumonia, diarrhea, measles, and malnutrition – the main targets of the strategy. Objective The study determines the factors influencing IMCI implementation at public-sector primary health care (PHC) facilities in Matiari district, Sindh, Pakistan. Design An exploratory qualitative study with an embedded quantitative strand was conducted. The qualitative part included 16 in-depth interviews (IDIs) with stakeholders which included planners and policy makers at a provincial level (n=5), implementers and managers at a district level (n=3), and IMCI-trained physicians posted at PHC facilities (n=8). Quantitative part included PHC facility survey (n=16) utilizing WHO health facility assessment tool to assess availability of IMCI essential drugs, supplies, and equipments. Qualitative content analysis was used to interpret the textual information, whereas descriptive frequencies were calculated for health facility survey data. Results The major factors reported to enhance IMCI implementation were knowledge and perception about the strategy and need for separate clinic for children aged under 5 years as potential support factors. The latter can facilitate in strategy implementation through allocated workforce and required equipments and supplies. Constraint factors mainly included lack of clear understanding of the strategy, poor planning for IMCI implementation, ambiguity in defined roles and responsibilities among stakeholders, and insufficient essential supplies and drugs at PHC centers. The latter was further substantiated through health facilities’ survey findings, which indicated that none of the facilities had 100% stock of essential supplies and drugs. Only one out of all 16 surveyed facilities had 75% of the total supplies, while 4 out of 16 facilities had 56% of the required IMCI drug stock. The mean availability of supplies ranged from 36.6 to 66%, while the mean availability of drugs ranged from 45.8 to 56.7%. Conclusion Our findings indicate that the Matiari district has sound implementation potential; however, bottlenecks at health care facility and at health care management level have badly constrained the implementation process. An interdependency exists among the constraining factors, such as lack of sound planning resulting in unclear understanding of the strategy; leading to ambiguous roles and responsibilities among stakeholders which manifest as inadequate availability of supplies and drugs at PHC facilities. Addressing these barriers is likely to have a cumulative effect on facilitating IMCI implementation. On the basis of these findings, we recommend that the provincial Ministry of Health (MoH) and provincial Maternal Neonatal and Child Health (MNCH) program jointly assess the situation and streamline IMCI implementation in the district through sound planning, training, supervision, and logistic support. PMID:23830574

  2. The challenge to avoid anti-malarial medicine stock-outs in an era of funding partners: the case of Tanzania.

    PubMed

    Mikkelsen-Lopez, Inez; Shango, Winna; Barrington, Jim; Ziegler, Rene; Smith, Tom; deSavigny, Don

    2014-05-11

    Between 2007 and 2013, the Tanzanian public sector received 93.1 million doses of first-line anti-malarial artemisinin-based combination therapy (ACT) in the form of artemether-lumefantrine entirely supplied by funding partners. The introduction of a health facility ACT stock monitoring system using SMS technology by the National Malaria Control Programme in mid 2011 revealed a high frequency of stock-outs of ACT in primary care public health facilities. The objective of this study was to determine the pattern of availability of ACT and possible causes of observed stock-outs across public health facilities in Tanzania since mid-2011. Data were collected weekly by the mobile phone reporting tool SMS for Life on ACT availability from over 5,000 public health facilities in Tanzania starting from September 2011 to December 2012. Stock data for all four age-dose levels of ACT across health facilities were summarized and supply of ACT at the national level was also documented. Over the period of 15 months, on average 29% of health facilities in Tanzania were completely stocked out of all four-age dose levels of the first-line anti-malarial with a median duration of total stock-out of six weeks. Patterns of total stock-out by region ranged from a low of 9% to a high of 52%. The ACT stock-outs were most likely caused by: a) insufficient ACT supplies entering Tanzania (e.g. in 2012 Tanzania received 10.9 million ACT doses compared with a forecast demand of 14.4 million doses); and b) irregular pattern of ACT supply (several months with no ACT stock). The reduced ACT availability and irregular pattern of supply were due to cumbersome bureaucratic processes and delays both within the country and from the main donor, the Global Fund to Fight AIDS, Tuberculosis and Malaria. Tanzania should invest in strengthening both the supply system and the health information system using mHealth solutions such as SMS for Life. This will continue to assist in tracking ACT availability across the country where all partners work towards more streamlined, demand driven and accountable procurement and supply chain systems.

  3. Estimated water use in Puerto Rico, 2010

    USGS Publications Warehouse

    Molina-Rivera, Wanda L.

    2014-01-01

    Water-use data were aggregated for the 78 municipios of the Commonwealth of Puerto Rico for 2010. Five major offstream categories were considered: public-supply water withdrawals and deliveries, domestic and industrial self-supplied water use, crop-irrigation water use, and thermoelectric-power freshwater use. One instream water-use category also was compiled: power-generation instream water use (thermoelectric saline withdrawals and hydroelectric power). Freshwater withdrawals for offstream use from surface-water [606 million gallons per day (Mgal/d)] and groundwater (118 Mgal/d) sources in Puerto Rico were estimated at 724 million gallons per day. The largest amount of freshwater withdrawn was by public-supply water facilities estimated at 677 Mgal/d. Public-supply domestic water use was estimated at 206 Mgal/d. Fresh groundwater withdrawals by domestic self-supplied users were estimated at 2.41 Mgal/d. Industrial self-supplied withdrawals were estimated at 4.30 Mgal/d. Withdrawals for crop irrigation purposes were estimated at 38.2 Mgal/d, or approximately 5 percent of all offstream freshwater withdrawals. Instream freshwater withdrawals by hydroelectric facilities were estimated at 556 Mgal/d and saline instream surface-water withdrawals for cooling purposes by thermoelectric-power facilities was estimated at 2,262 Mgal/d.

  4. Implementation of a Water Flow Control System into the ISS'S Planned Fluids & Combustion Facility

    NASA Technical Reports Server (NTRS)

    Edwards, Daryl A.

    2003-01-01

    The Fluids and Combustion Facility (FCF) will become an ISS facility capable of performing basic combustion and fluids research. The facility consists of two independent payload racks specifically configured to support multiple experiments over the life of the ISS. Both racks will depend upon the ISS's Moderate Temperature Loop (MTL) for removing waste heat generated by the avionics and experiments operating within the racks. By using the MTL, constraints are imposed by the ISS vehicle on how the coolant resource is used. On the other hand, the FCF depends upon effective thermal control for maximizing life of the hardware and for supplying proper boundary conditions for the experiments. In the implementation of a design solution, significant factors in the selection of the hardware included ability to measure and control relatively low flow rates, ability to throttle flow within the time constraints of the ISS MTL, conserve energy usage, observe low mass and small volume requirements. An additional factor in the final design solution selection was considering how the system would respond to a loss of power event. This paper describes the method selected to satisfy the FCF design requirements while maintaining the constraints applied by the ISS vehicle.

  5. Effect of a package of integrated demand- and supply-side interventions on facility delivery rates in rural Bangladesh: Implications for large-scale programs

    PubMed Central

    Choudhury, Aziz Ahmed; Khanam, Rasheda; Moin, Syed Mamun Ibne; Ahmed, Salahuddin; Begum, Nazma; Shoma, Nurun Naher; Quaiyum, Md Abdul; Baqui, Abdullah H.

    2017-01-01

    Background According to the Bangladesh Demographic and Health Survey 2014, only approximately 37 percent of women deliver in a health facility. Among the eight administrative divisions of Bangladesh, the facility delivery rate is lowest in the Sylhet division (22.6 percent) where we assessed the effect of integrated supply- and demand-side interventions on the facility-based delivery rate. Methods Population-based cohort data of pregnant women from an ongoing maternal and newborn health improvement study being conducted in a population of ~120,000 in Sylhet district were used. The study required collection and processing of biological samples immediately after delivery. Therefore, the project assembled various strategies to increase institutional delivery rates. The supply-side intervention included capacity expansion of the health facilities through service provider refresher training, 24/7 service coverage, additions of drugs and supplies, and incentives to the providers. The demand-side component involved financial incentives to cover expenses, a provision of emergency transport, and referral support to a tertiary-level hospital. We conducted a before-and-after observational study to assess the impact of the intervention in a total of 1,861 deliveries between December 2014 and November 2016. Results Overall, implementation of the intervention package was associated with 52.6 percentage point increase in the proportions of facility-based deliveries from a baseline rate of 25.0 percent to 77.6 percent in 24 months. We observed lower rates of institutional deliveries when only supply-side interventions were implemented. The proportion rose to 47.1 percent and continued increasing when the project emphasized addressing the financial barriers to accessing obstetric care in a health facility. Conclusions An integrated supply- and demand-side intervention was associated with a substantial increase in institutional delivery. The package can be tailored to identify which combination of interventions may produce the optimum result and be scaled. Rigorous implementation research studies are needed to draw confident conclusions and to provide information about the costs, feasibility for scale-up and sustainability. PMID:29073229

  6. Control System Upgrade for a Mass Property Measurement Facility

    NASA Technical Reports Server (NTRS)

    Chambers, William; Hinkle, R. Kenneth (Technical Monitor)

    2002-01-01

    The Mass Property Measurement Facility (MPMF) at the Goddard Space Flight Center has undergone modifications to ensure the safety of Flight Payloads and the measurement facility. The MPMF has been technically updated to improve reliability and increase the accuracy of the measurements. Modifications include the replacement of outdated electronics with a computer based software control system, the addition of a secondary gas supply in case of a catastrophic failure to the gas supply and a motor controlled emergency stopping feature instead of a hard stop.

  7. 41 CFR 101-30.601 - Objective.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 30-FEDERAL CATALOG SYSTEM 30.6-GSA Section of the Federal Supply Catalog § 101-30.601 Objective. GSA supply catalogs are primarily designed to... facilities by Federal civilian agencies and other organizations authorized to use the GSA Federal Supply...

  8. 41 CFR 101-30.601 - Objective.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 30-FEDERAL CATALOG SYSTEM 30.6-GSA Section of the Federal Supply Catalog § 101-30.601 Objective. GSA supply catalogs are primarily designed to... facilities by Federal civilian agencies and other organizations authorized to use the GSA Federal Supply...

  9. 41 CFR 101-30.601 - Objective.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 30-FEDERAL CATALOG SYSTEM 30.6-GSA Section of the Federal Supply Catalog § 101-30.601 Objective. GSA supply catalogs are primarily designed to... facilities by Federal civilian agencies and other organizations authorized to use the GSA Federal Supply...

  10. 41 CFR 101-30.601 - Objective.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 30-FEDERAL CATALOG SYSTEM 30.6-GSA Section of the Federal Supply Catalog § 101-30.601 Objective. GSA supply catalogs are primarily designed to... facilities by Federal civilian agencies and other organizations authorized to use the GSA Federal Supply...

  11. 41 CFR 101-30.601 - Objective.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND PROCUREMENT 30-FEDERAL CATALOG SYSTEM 30.6-GSA Section of the Federal Supply Catalog § 101-30.601 Objective. GSA supply catalogs are primarily designed to... facilities by Federal civilian agencies and other organizations authorized to use the GSA Federal Supply...

  12. Northwest Energy Policy Project. Institutional constraints and opportunities study module V, Report on tasks 4, 5, 6, and 7. Final report

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

    Not Available

    State governments, along with their counties, cities, public utility districts, and other local units have important responsibilities in the energy field. Their institutions and policy processes offer both constraints and opportunities in the exercise of these responsibilities. The purpose of this study is to explore them in four rather different aspects: Task 4, Public Participation; Task 5, State Rate-Making; Task 6, Siting Energy Facilities; Task 7, Unconventional Energy Sources. Public participation is basic to democratic systems, which strive to develop policies in accord with, or at least not adverse to, the wishes of the people; participation in decision making canmore » be in the market place as well as in the voting booth or the halls of government. The state public utility commissions set rates for investor-owned utilities which supply some 23% of the electricity consumed in Washington, 72% in Oregon, and 92% in Idaho. Rates for electricity supplied by publicly-owned systems are established by their elected governing bodies. For these and other reasons there are many and widely varying rates charged in the Northwest. Siting of energy facilities presents a widely varying framework in the Northwest states also. Task 7 focuses on the institutional constraints and opportunities the states confront in seeking alternatives to the traditional pattern of looking to greater supplies of the conventional sources. Geothermal energy appears to have potential mainly as a heat source in this region. Energy conservation is considered as a policy alternative, although not an energy source. (MCW)« less

  13. Development of a Checklist for Assessing Good Hygiene Practices of Fresh-Cut Fruits and Vegetables Using Focus Group Interviews.

    PubMed

    Araújo, Jane A M; Esmerino, Erick A; Alvarenga, Verônica O; Cappato, Leandro P; Hora, Iracema C; Silva, Marcia Cristina; Freitas, Monica Q; Pimentel, Tatiana C; Walter, Eduardo H M; Sant'Ana, Anderson S; Cruz, Adriano G

    2018-03-01

    This study aimed to develop a checklist for good hygiene practices (GHP) for raw material of vegetable origin using the focus groups (FGs) approach (n = 4). The final checklist for commercialization of horticultural products totaled 28 questions divided into six blocks, namely: water supply; hygiene, health, and training; waste control; control of pests; packaging and traceability; and hygiene of facilities and equipment. The FG methodology was efficient to elaborate a participatory and objective checklist, based on minimum hygiene requirements, serving as a tool for diagnosis, planning, and training in GHP of fresh vegetables, besides contributing to raise awareness of the consumers' food safety. The FG methodology provided useful information to establish the final checklist for GHP, with easy application, according to the previous participants' perception and experience.

  14. KSC-2011-7069

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – At the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida, STS-135 Pilot Doug Hurley inspects the wings on a T-38 training jet. Hurley, along with Commander Chris Ferguson and Mission Specialist Sandra Magnus, was at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  15. KSC-2011-7068

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – At the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida, STS-135 Pilot Doug Hurley stands in front of a T-38 training jet. Hurley, along with Commander Chris Ferguson and Mission Specialist Sandra Magnus, was at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  16. KSC-2011-7061

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – Outside Kennedy Space Center's Orbiter Processing Facility-1, STS-135 Commander Chris Ferguson and Pilot Doug Hurley sign autographs for employees while Mission Specialist Sandra Magnus poses with a worker for a photograph. The astronauts were at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  17. KSC-2011-7065

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – At NASA's Kennedy Space Center in Florida, STS-135 Commander Chris Ferguson and Pilot Doug Hurley (on left) visit with employees at the Shuttle Landing Facility. The astronauts, along with Mission Specialist Sandra Magnus, were at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  18. KSC-2011-7063

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – After visiting with employees at Kennedy Space Center's Orbiter Processing Facility-2, STS-135 Commander Chris Ferguson holds the door of the Astrovan for Pilot Doug Hurley and Mission Specialist Sandra Magnus. The astronauts were at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  19. KSC-2011-7062

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – Astronauts from space shuttle Atlantis’ STS-135 mission leave Kennedy Space Center's Orbiter Processing Facility-2 after visiting with employees. From left are Commander Chris Ferguson, Pilot Doug Hurley and Mission Specialist Sandra Magnus. The astronauts were at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  20. KSC-2011-7067

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – At the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida, STS-135 Mission Specialist Sandra Magnus prepares for departure in a T-38 training jet. Magnus, along with Commander Chris Ferguson and Pilot Doug Hurley, was at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  1. 41 CFR 101-26.602-5 - Procurement of natural gas from the wellhead and other supply sources.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...-26.602-5 Procurement of natural gas from the wellhead and other supply sources. (a) Natural gas... natural gas procurements at a facility exceed 20,000 mcf annually and the facility can accept... natural gas shall be forwarded to the Public Utilities Division (PPU), Office of Procurement, General...

  2. 41 CFR 101-26.602-5 - Procurement of natural gas from the wellhead and other supply sources.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...-26.602-5 Procurement of natural gas from the wellhead and other supply sources. (a) Natural gas... natural gas procurements at a facility exceed 20,000 mcf annually and the facility can accept... natural gas shall be forwarded to the Public Utilities Division (PPU), Office of Procurement, General...

  3. Environmental Survey preliminary report, Pantex Facility, Amarillo, Texas

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

    Not Available

    This report presents the preliminary findings from the first phase of the Environmental Survey of the United States Department of Energy (DOE) Pantex Facility, conducted November 3 through 14, 1986.The Survey is being conducted by an interdisciplinary team of environmental specialist, led and managed by the Office of Environment, Safety and Health's Office of Environmental Audit. Individual team components are outside experts being supplied by a private contractor. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with the Pantex Facility. The Survey covers all environmental media and all areas of environmental regulation.more » It is being performed in accordance with the DOE Environmental Survey Manual. The on-site phase of the Survey involves the review of existing site environmental data, observations of the operations carried on at the Pantex Facility, and interviews with site personnel. The Survey team developed a Sampling and Analysis Plan to assist in further assessing certain of the environmental problems identified during its on-site activities. The Sampling and Analysis Plan will be executed by the Oak Ridge National Laboratory. When completed, the results will be incorporated into the Pantex Facility Environmental Survey Interim Report. The Interim Report will reflect the final determinations of the Survey for the Pantex Facility. 65 refs., 44 figs., 27 tabs.« less

  4. 76 FR 77893 - Agency Information Collection (Request for Supplies (Chapter 31-Vocational Rehabilitation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-14

    ... for Supplies (Chapter 31- Vocational Rehabilitation)): Activity Under OMB Review AGENCY: Veterans... for Supplies (Chapter 31--Vocational Rehabilitation), VA Form 28-1905m. OMB Control Number: 2900-0061... request supplies for veterans in rehabilitation programs. The official at the facility providing...

  5. KSC-2011-5816

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- A "towback" vehicle slowly pulls space shuttle Atlantis toward Orbiter Processing Facility-2 at NASA's Kennedy Space Center in Florida. A purge unit that pumps conditioned air into a shuttle after landing is connected to Atlantis' aft end. Once inside the processing facility, Atlantis will be prepared for future public display at Kennedy's Visitor Complex. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  6. KSC-2011-5822

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- With the assistance of a "towback" vehicle, space shuttle Atlantis inches its way into the empty bay of Orbiter Processing Facility-2 at NASA's Kennedy Space Center in Florida. Once inside the processing facility, Atlantis will be prepared for future public display at Kennedy's Visitor Complex. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  7. KSC-2011-5817

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- A "towback" vehicle slowly pulls space shuttle Atlantis toward Orbiter Processing Facility-2 at NASA's Kennedy Space Center in Florida. A purge unit that pumps conditioned air into a shuttle after landing is connected to Atlantis' aft end. Once inside the processing facility, Atlantis will be prepared for future public display at Kennedy's Visitor Complex. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  8. KSC-2011-5823

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Slowly and carefully, a "towback" vehicle pulls space shuttle Atlantis into the empty bay of Orbiter Processing Facility-2 at NASA's Kennedy Space Center in Florida. Once inside the processing facility, Atlantis will be prepared for future public display at Kennedy's Visitor Complex. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  9. KSC-2011-5818

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- A "towback" vehicle slowly pulls space shuttle Atlantis toward Orbiter Processing Facility-2 at NASA's Kennedy Space Center in Florida. A purge unit that pumps conditioned air into a shuttle after landing is connected to Atlantis' aft end. Once inside the processing facility, Atlantis will be prepared for future public display at Kennedy's Visitor Complex. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  10. KSC-2011-5824

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, employees in Orbiter Processing Facility-2 monitor the alignment of space shuttle Atlantis as it is towed into the empty bay. Once inside the processing facility, Atlantis will be prepared for future public display at Kennedy's Visitor Complex. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  11. KSC-2011-5826

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, space shuttle Atlantis glides into position between the work platforms of Orbiter Processing Facility-2. A purge unit that pumps conditioned air into a shuttle after landing is connected to Atlantis' aft end. Once inside the processing facility, Atlantis will be prepared for future public display at Kennedy's Visitor Complex. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  12. Medicare Program; End-Stage Renal Disease Prospective Payment System, Coverage and Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program Bid Surety Bonds, State Licensure and Appeals Process for Breach of Contract Actions, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program and Fee Schedule Adjustments, Access to Care Issues for Durable Medical Equipment; and the Comprehensive End-Stage Renal Disease Care Model. Final rule.

    PubMed

    2016-11-04

    This rule updates and makes revisions to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2017. It also finalizes policies for coverage and payment for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. This rule also sets forth requirements for the ESRD Quality Incentive Program, including the inclusion of new quality measures beginning with payment year (PY) 2020 and provides updates to programmatic policies for the PY 2018 and PY 2019 ESRD QIP. This rule also implements statutory requirements for bid surety bonds and state licensure for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). This rule also expands suppliers' appeal rights in the event of a breach of contract action taken by CMS, by revising the appeals regulation to extend the appeals process to all types of actions taken by CMS for a supplier's breach of contract, rather than limit an appeal for the termination of a competitive bidding contract. The rule also finalizes changes to the methodologies for adjusting fee schedule amounts for DMEPOS using information from CBPs and for submitting bids and establishing single payment amounts under the CBPs for certain groupings of similar items with different features to address price inversions. Final changes also are made to the method for establishing bid limits for items under the DMEPOS CBPs. In addition, this rule summarizes comments on the impacts of coordinating Medicare and Medicaid Durable Medical Equipment for dually eligible beneficiaries. Finally, this rule also summarizes comments received in response to a request for information related to the Comprehensive ESRD Care Model and future payment models affecting renal care.

  13. A Movable Combined Water Treatment Facility for Rainwater Harvesting

    NASA Astrophysics Data System (ADS)

    Zhang, L.; Liao, L.

    2003-12-01

    Alarming water shortage and increased water scarcity world wide has led to increased interests in alternative water sources. Rainwater harvesting is one of them which is getting more and more attention. There is a huge potential for generalization and extension of rainwater harvesting system as an alternative water supply. This is especially important for arid and semi-arid regions where the water shortage blocks further social, economical development. Earlier laboratory experiments and field study showed that harvested rainwater requires treatments of different degrees in order to meet the WHO drinking water standards. The main focus of this study is to ascertain the quality of stored rainwater for drinking purposes with emphasis on water disinfection and pollutants removal. A movable, low-cost, fully functional small scale treatment facility is proposed and tested under simulated field condition. A number of actual and potential hazardous pollutants were identified in the collected water samples together with laboratory test. The corresponding water purification procedure and fresh-keeping methods are discussed. The final proposal of this movable facility needs to be further examined to achieve optimal combined treatment efficiency.

  14. The state of emergency obstetric care services in Nairobi informal settlements and environs: Results from a maternity health facility survey

    PubMed Central

    Ziraba, Abdhalah K; Mills, Samuel; Madise, Nyovani; Saliku, Teresa; Fotso, Jean-Christophe

    2009-01-01

    Background Maternal mortality in Sub-Saharan Africa remains a challenge with estimates exceeding 1,000 maternal deaths per 100,000 live births in some countries. Successful prevention of maternal deaths hinges on adequate and quality emergency obstetric care. In addition to skilled personnel, there is need for a supportive environment in terms of essential drugs and supplies, equipment, and a referral system. Many household surveys report a reasonably high proportion of women delivering in health facilities. However, the quality and adequacy of facilities and personnel are often not assessed. The three delay model; 1) delay in making the decision to seek care; 2) delay in reaching an appropriate obstetric facility; and 3) delay in receiving appropriate care once at the facility guided this project. This paper examines aspects of the third delay by assessing quality of emergency obstetric care in terms of staffing, skills equipment and supplies. Methods We used data from a survey of 25 maternity health facilities within or near two slums in Nairobi that were mentioned by women in a household survey as places that they delivered. Ethical clearance was obtained from the Kenya Medical Research Institute. Permission was also sought from the Ministry of Health and the Medical Officer of Health. Data collection included interviews with the staff in-charge of maternity wards using structured questionnaires. We collected information on staffing levels, obstetric procedures performed, availability of equipment and supplies, referral system and health management information system. Results Out of the 25 health facilities, only two met the criteria for comprehensive emergency obstetric care (both located outside the two slums) while the others provided less than basic emergency obstetric care. Lack of obstetric skills, equipment, and supplies hamper many facilities from providing lifesaving emergency obstetric procedures. Accurate estimation of burden of morbidity and mortality was a challenge due to poor and incomplete medical records. Conclusion The quality of emergency obstetric care services in Nairobi slums is poor and needs improvement. Specific areas that require attention include supervision, regulation of maternity facilities; and ensuring that basic equipment, supplies, and trained personnel are available in order to handle obstetric complications in both public and private facilities. PMID:19284626

  15. 9 CFR 354.224 - Water supply.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 2 2011-01-01 2011-01-01 false Water supply. 354.224 Section 354.224....224 Water supply. The water supply shall be ample, clean, and potable with adequate facilities for its distribution in the plant and its protection against contamination and pollution. (a) Hot water at a...

  16. 9 CFR 354.224 - Water supply.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Water supply. 354.224 Section 354.224....224 Water supply. The water supply shall be ample, clean, and potable with adequate facilities for its distribution in the plant and its protection against contamination and pollution. (a) Hot water at a...

  17. 75 FR 21344 - Habitat Conservation Plan for City of Kent, Washington

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-23

    ... Supply System adjacent to Rock Creek, King County, Washington. The Clark Springs Water Supply System... Springs Water Supply facilities; Maintenance of 320 acres of Kent-owned property as it relates to the protection of its water supply; and Operation and maintenance of a water augmentation system for the...

  18. 9 CFR 354.224 - Water supply.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 2 2012-01-01 2012-01-01 false Water supply. 354.224 Section 354.224....224 Water supply. The water supply shall be ample, clean, and potable with adequate facilities for its distribution in the plant and its protection against contamination and pollution. (a) Hot water at a...

  19. 9 CFR 354.224 - Water supply.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 2 2014-01-01 2014-01-01 false Water supply. 354.224 Section 354.224....224 Water supply. The water supply shall be ample, clean, and potable with adequate facilities for its distribution in the plant and its protection against contamination and pollution. (a) Hot water at a...

  20. 9 CFR 354.224 - Water supply.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 2 2013-01-01 2013-01-01 false Water supply. 354.224 Section 354.224....224 Water supply. The water supply shall be ample, clean, and potable with adequate facilities for its distribution in the plant and its protection against contamination and pollution. (a) Hot water at a...

  1. Understanding and addressing contraceptive stockouts to increase family planning access and uptake in Senegal.

    PubMed

    Hasselback, Leah; Dicko, Modibo; Viadro, Claire; Ndour, Soussaba; Ndao, Oumy; Wesson, Jennifer

    2017-05-26

    Senegal's government has pledged to reduce contraceptive stockouts, which have been frequent in public sector health facilities. An innovative distribution system called the Informed Push Model (IPM) addresses supply chain obstacles through direct regional-to-facility delivery of contraceptives and use of private sector logistics operators. Following promising pilot results, Senegal's Ministry of Health and Social Action committed to a three-year (2013-2016) expansion of IPM to all public health facilities nationwide. From August 2014-July 2016, IPM's six logisticians made 29,319 visits to restock public sector health facilities. During these regular facility visits, the logisticians conducted a physical inventory to flag contraceptive stockouts (no usable stock of any single method available) and asked facility staff to identify the primary reason for documented stockouts. Our descriptive study examines stockout trends over the course of IPM scale-up. We also describe trends in contraceptive consumption over the three-year period using facility-level data collected by the logisticians. Contraceptive consumption rose by 91% over 35 months in the first three IPM regions, and by 118% in the next five regions (over 26 months). After scale-up to 1,394 health facilities, nationwide consumption rose by 48% over one year. On average, logisticians documented stockouts at fewer than 2% of facility visits. In comparison, two pre-IPM studies in 2011 identified stockouts of selected modern contraceptives at 60-70% of facilities visited, with 84% of clients reporting stockouts in the past year. Six factors (including consumption spikes, IPM-preventable causes, and community outreach) explained most remaining stockouts. IPM has been highly successful in ensuring full availability of contraceptives across regions and health facilities. The model also has facilitated the flow of essential data on consumption and stockouts from facilities up to district, regional, and central-level managers. These achievements highlight the relevance of professionalizing supply chain management while continuing to mitigate stockouts through enhanced stakeholder communication and improved training, coaching, and supervision of third-party logistics operators. Supply reliability is critical in shaping demand for and regular use of contraception. The government is transitioning the IPM to full management by the National Supply Pharmacy.

  2. New geospatial approaches for efficiently mapping forest biomass logistics at high resolution over large areas

    Treesearch

    John Hogland; Nathaniel Anderson; Woodam Chung

    2018-01-01

    Adequate biomass feedstock supply is an important factor in evaluating the financial feasibility of alternative site locations for bioenergy facilities and for maintaining profitability once a facility is built. We used newly developed spatial analysis and logistics software to model the variables influencing feedstock supply and to estimate and map two components of...

  3. 30 CFR 75.1712-3 - Minimum requirements of surface bathing facilities, change rooms, and sanitary toilet facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...-1 shall include the following: (1) Bathing facilities. (i) Showers shall be provided with both hot... supply of toilet paper shall be provided with each toilet. (v) Adequate handwashing facilities or hand...

  4. 30 CFR 75.1712-3 - Minimum requirements of surface bathing facilities, change rooms, and sanitary toilet facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...-1 shall include the following: (1) Bathing facilities. (i) Showers shall be provided with both hot... supply of toilet paper shall be provided with each toilet. (v) Adequate handwashing facilities or hand...

  5. 30 CFR 75.1712-3 - Minimum requirements of surface bathing facilities, change rooms, and sanitary toilet facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...-1 shall include the following: (1) Bathing facilities. (i) Showers shall be provided with both hot... supply of toilet paper shall be provided with each toilet. (v) Adequate handwashing facilities or hand...

  6. 30 CFR 75.1712-3 - Minimum requirements of surface bathing facilities, change rooms, and sanitary toilet facilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...-1 shall include the following: (1) Bathing facilities. (i) Showers shall be provided with both hot... supply of toilet paper shall be provided with each toilet. (v) Adequate handwashing facilities or hand...

  7. 30 CFR 75.1712-3 - Minimum requirements of surface bathing facilities, change rooms, and sanitary toilet facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...-1 shall include the following: (1) Bathing facilities. (i) Showers shall be provided with both hot... supply of toilet paper shall be provided with each toilet. (v) Adequate handwashing facilities or hand...

  8. 20 CFR 416.1023 - Facilities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Facilities. 416.1023 Section 416.1023... Facilities. (a) Space, equipment, supplies, and other services. Subject to appropriate Federal funding, the... and prompt disability determinations. (b) Location of facilities. Subject to appropriate Federal...

  9. VETA-I x ray test analysis

    NASA Technical Reports Server (NTRS)

    Brissenden, R. J. V.; Chartas, G.; Freeman, M. D.; Hughes, J. P.; Kellogg, E. M.; Podgorski, W. A.; Schwartz, D. A.; Zhao, P.

    1992-01-01

    This interim report presents some definitive results from our analysis of the VETA-I x-ray testing data. It also provides a description of the hardware and software used in the conduct of the VETA-I x-ray test program performed at the MSFC x-ray Calibration Facility (XRCF). These test results also serve to supply data and information to include in the TRW final report required by DPD 692, DR XC04. To provide an authoritative compendium of results, we have taken nine papers as published in the SPIE Symposium, 'Grazing Incidence X-ray/EUV Optics for Astronomy and Projection Lithography' and have reproduced them as the content of this report.

  10. Drug supply strategies, constraints and prospects in Nigeria.

    PubMed

    Yusuff, K B; Tayo, F

    2004-12-01

    The study set out to identify the strategies for public drug supply in Nigeria, assess its functionality, and recommend appropriate means to ensure regular availability of safe, efficacious, good quality and affordable essential drugs at public health facilities. The investigation was carried out at the Directorate of Pharmaceutical services, Federal Ministry of Health (F.M.O.H) Abuja and Federal Medical Stores, Oshodi, Lagos. Semi-structured interview was conducted with key informants at the Department of Food & Drugs, Drug procurement unit and Central Medical store using structured questionnaires and direct informants answers. Our study shows that public drug supply in Nigeria is governed by a National Drug Policy (NDP) which was introduced in 1990 and it is yet to be reviewed after ten years. We also identified the Central Medical Store (CMS) system as the current public drug supply strategy in Nigeria. Public drug supply is mainly financed by governments and this is inadequate to ensure sustained availability of essential drugs. The major procurement methods in use are open tender and direct procurement. These methods as presently operated suffer from late order placement, delay in payment and poor supplier lead-time mainly attributable to lateness in payment for previous drug supplies. These have contributed to stock out of essential drugs at public health facilities. Major losses due to expiration and spoilage are recorded at both central and peripheral storage points despite adequacy of storage facilities and personnel. Road transportation was the major mode of drug distribution from central to peripheral storage points and shortage of vehicle was a key factor affecting drug distribution. There was an apparent lack of a functioning drug management information system to effectively coordinate public drug supply and there are no definite systems that monitor and evaluate staff performance. The CMS strategy currently used for public drug supply in Nigeria has not ensured regular availability of essential drugs at public health facilities. Our study suggests that this is more of an administrative failure. Public drug supply in Nigeria is therefore in need of urgent reforms and this could be achieved through the use of an autonomous drug supply agency to assure efficiency and sustainability.

  11. Integrated supply chain design for commodity chemicals production via woody biomass fast pyrolysis and upgrading.

    PubMed

    Zhang, Yanan; Hu, Guiping; Brown, Robert C

    2014-04-01

    This study investigates the optimal supply chain design for commodity chemicals (BTX, etc.) production via woody biomass fast pyrolysis and hydroprocessing pathway. The locations and capacities of distributed preprocessing hubs and integrated biorefinery facilities are optimized with a mixed integer linear programming model. In this integrated supply chain system, decisions on the biomass chipping methods (roadside chipping vs. facility chipping) are also explored. The economic objective of the supply chain model is to maximize the profit for a 20-year chemicals production system. In addition to the economic objective, the model also incorporates an environmental objective of minimizing life cycle greenhouse gas emissions, analyzing the trade-off between the economic and environmental considerations. The capital cost, operating cost, and revenues for the biorefinery facilities are based on techno-economic analysis, and the proposed approach is illustrated through a case study of Minnesota, with Minneapolis-St. Paul serving as the chemicals distribution hub. Copyright © 2014 Elsevier Ltd. All rights reserved.

  12. NASA Ames Research Center 60 MW Power Supply Modernization

    NASA Technical Reports Server (NTRS)

    Choy, Yuen Ching; Ilinets, Boris V.; Miller, Ted; Nagel, Kirsten (Technical Monitor)

    2001-01-01

    The NASA Ames Research Center 60 MW DC Power Supply was built in 1974 to provide controlled DC power for the Thermophysics Facility Arc Jet Laboratory. The Power Supply has gradually losing reliability due to outdated technology and component life limitation. NASA has decided to upgrade the existing rectifier modules with contemporary high-power electronics and control equipment. NASA plans to complete this project in 2001. This project includes a complete replacement of obsolete thyristor stacks in all six rectifier modules and rectifier bridge control system. High power water-cooled thyristors and freewheeling diodes will be used. The rating of each of the six modules will be 4000 A at 5500 V. The control firing angle signal will be sent from the Facility Control System to six modules via fiberoptic cable. The Power Supply control and monitoring system will include a Master PLC in the Facility building and a Slave PLC in each rectifier module. This system will also monitor each thyristor level in each stack and the auxiliary equipment.

  13. Quantifying surgical and anesthetic availability at primary health facilities in Mongolia.

    PubMed

    Spiegel, David A; Choo, Shelly; Cherian, Meena; Orgoi, Sergelen; Kehrer, Beat; Price, Raymond R; Govind, Salik

    2011-02-01

    Significant barriers limit the safe and timely provision of surgical and anaesthetic care in low- and middle-income countries. Nearly one-half of Mongolia's population resides in rural areas where the austere geography makes travel for adequate surgical care very difficult. Our goal was to characterize the availability of surgical and anaesthetic services, in terms of infrastructure capability, physical resources (supplies and equipment), and human resources for health at primary level health facilities in Mongolia. A situational analysis of the capacity to deliver emergency and essential surgical care (EESC) was performed in a nonrandom sample of 44 primary health facilities throughout Mongolia. Significant shortfalls were noted in the capacity to deliver surgical and anesthetic services. Deficiencies in infrastructure and supplies were common, and there were no trained surgeons or anaesthesiologists at any of the health facilities sampled. Most procedures were performed by general doctors and paraprofessionals, and occasionally visiting surgeons from higher levels of the health system. While basic interventions such as suturing or abscess drainage were commonly performed, the availability of many essential interventions was absent at a significant number of facilities. This situational analysis of the availability of essential surgical and anesthetic services identified significant deficiencies in infrastructure, supplies, and equipment, as well as a lack of human resources at the primary referral level facilities in Mongolia. Given the significant travel distances to secondary level facilities for the majority of the rural population, there is an urgent need to strengthen the delivery of essential surgical and anaesthetic services at the primary referral level (soum and intersoum). This will require a multidisciplinary, multi-sectoral effort aimed to improve infrastructure, procure and maintain essential equipment and supplies, and train appropriate health professionals.

  14. The challenge to avoid anti-malarial medicine stock-outs in an era of funding partners: the case of Tanzania

    PubMed Central

    2014-01-01

    Background Between 2007 and 2013, the Tanzanian public sector received 93.1 million doses of first-line anti-malarial artemisinin-based combination therapy (ACT) in the form of artemether-lumefantrine entirely supplied by funding partners. The introduction of a health facility ACT stock monitoring system using SMS technology by the National Malaria Control Programme in mid 2011 revealed a high frequency of stock-outs of ACT in primary care public health facilities. The objective of this study was to determine the pattern of availability of ACT and possible causes of observed stock-outs across public health facilities in Tanzania since mid-2011. Methods Data were collected weekly by the mobile phone reporting tool SMS for Life on ACT availability from over 5,000 public health facilities in Tanzania starting from September 2011 to December 2012. Stock data for all four age-dose levels of ACT across health facilities were summarized and supply of ACT at the national level was also documented. Results Over the period of 15 months, on average 29% of health facilities in Tanzania were completely stocked out of all four-age dose levels of the first-line anti-malarial with a median duration of total stock-out of six weeks. Patterns of total stock-out by region ranged from a low of 9% to a high of 52%. The ACT stock-outs were most likely caused by: a) insufficient ACT supplies entering Tanzania (e.g. in 2012 Tanzania received 10.9 million ACT doses compared with a forecast demand of 14.4 million doses); and b) irregular pattern of ACT supply (several months with no ACT stock). Conclusion The reduced ACT availability and irregular pattern of supply were due to cumbersome bureaucratic processes and delays both within the country and from the main donor, the Global Fund to Fight AIDS, Tuberculosis and Malaria. Tanzania should invest in strengthening both the supply system and the health information system using mHealth solutions such as SMS for Life. This will continue to assist in tracking ACT availability across the country where all partners work towards more streamlined, demand driven and accountable procurement and supply chain systems. PMID:24885420

  15. Cryogenic Fluid Management Facility

    NASA Technical Reports Server (NTRS)

    Eberhardt, R. N.; Bailey, W. J.

    1985-01-01

    The Cryogenic Fluid Management Facility is a reusable test bed which is designed to be carried within the Shuttle cargo bay to investigate the systems and technologies associated with the efficient management of cryogens in space. Cryogenic fluid management consists of the systems and technologies for: (1) liquid storage and supply, including capillary acquisition/expulsion systems which provide single-phase liquid to the user system, (2) both passive and active thermal control systems, and (3) fluid transfer/resupply systems, including transfer lines and receiver tanks. The facility contains a storage and supply tank, a transfer line and a receiver tank, configured to provide low-g verification of fluid and thermal models of cryogenic storage and transfer processes. The facility will provide design data and criteria for future subcritical cryogenic storage and transfer system applications, such as Space Station life support, attitude control, power and fuel depot supply, resupply tankers, external tank (ET) propellant scavenging, and ground-based and space-based orbit transfer vehicles (OTV).

  16. 44 CFR 206.221 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...) Utility means buildings, structures, or systems of energy, communication, water supply, sewage collection.... Irrigation facilities include water for fire suppression, generating and supplying electricity, and drinking...

  17. 44 CFR 206.221 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) Utility means buildings, structures, or systems of energy, communication, water supply, sewage collection.... Irrigation facilities include water for fire suppression, generating and supplying electricity, and drinking...

  18. 44 CFR 206.221 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) Utility means buildings, structures, or systems of energy, communication, water supply, sewage collection.... Irrigation facilities include water for fire suppression, generating and supplying electricity, and drinking...

  19. Conceptual Design of an In-Space Cryogenic Fluid Management Facility

    NASA Technical Reports Server (NTRS)

    Willen, G. S.; Riemer, D. H.; Hustvedt, D. C.

    1981-01-01

    The conceptual design of a Spacelab experiment to develop the technology associated with low gravity propellant management is presented. The proposed facility consisting of a supply tank, receiver tank, pressurization system, instrumentation, and supporting hardware, is described. The experimental objectives, the receiver tank to be modeled, and constraints imposed on the design by the space shuttle, Spacelab, and scaling requirements, are described. The conceptual design, including the general configurations, flow schematics, insulation systems, instrumentation requirements, and internal tank configurations for the supply tank and the receiver tank, is described. Thermal, structural, fluid, and safety and reliability aspects of the facility are analyzed. The facility development plan, including schedule and cost estimates for the facility, is presented. A program work breakdown structure and master program schedule for a seven year program are included.

  20. KSC-2011-7071

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – At the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida, STS-135 Pilot Doug Hurley and Mission Specialist Sandra Magnus (in the red helmet) prepare for departure in a T-38 training jet. The astronauts, along with Commander Chris Ferguson, were at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  1. KSC-2011-7043

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – STS-135 Pilot Doug Hurley visits with an employee inside Kennedy Space Center's Orbiter Processing Facility-2, where space shuttle Atlantis is being prepared for eventual display at the Kennedy Space Center Visitor Complex in Florida. Hurley, along with Commander Chris Ferguson and Mission Specialist Sandra Magnus, was at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  2. KSC-2011-7072

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – At the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida, STS-135 Pilot Doug Hurley and Mission Specialist Sandra Magnus (in the red helmet) prepare for departure in a T-38 training jet. The astronauts, along with Commander Chris Ferguson, were at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  3. KSC-2011-7051

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – STS-135 Commander Chris Ferguson signs an autograph for an employee inside Kennedy Space Center's Orbiter Processing Facility-2, where space shuttle Atlantis is being prepared for eventual display at the Kennedy Space Center Visitor Complex in Florida. Ferguson, along Pilot Doug Hurley and Mission Specialist Sandra Magnus, was at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  4. KSC-2011-7048

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – STS-135 Commander Chris Ferguson autographs a book for an employee inside Kennedy Space Center's Orbiter Processing Facility-2, where space shuttle Atlantis is being prepared for eventual display at the Kennedy Space Center Visitor Complex in Florida. Ferguson, along Pilot Doug Hurley and Mission Specialist Sandra Magnus, was at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  5. KSC-2011-7070

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – At the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida, STS-135 Pilot Doug Hurley and Mission Specialist Sandra Magnus (in the red helmet) prepare for departure in a T-38 training jet. The astronauts, along with Commander Chris Ferguson, were at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  6. KSC-2011-7046

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – STS-135 Pilot Doug Hurley signs an autograph for an employee inside Kennedy Space Center's Orbiter Processing Facility-2, where space shuttle Atlantis is being prepared for eventual display at the Kennedy Space Center Visitor Complex in Florida. Hurley, along with Commander Chris Ferguson and Mission Specialist Sandra Magnus, was at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  7. KSC-2011-7049

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – STS-135 Commander Chris Ferguson and Mission Specialist Sandra Magnus sign autographs for employees inside Kennedy Space Center's Orbiter Processing Facility-2, where space shuttle Atlantis is being prepared for eventual display at the Kennedy Space Center Visitor Complex in Florida. The astronauts, along with Pilot Doug Hurley, were at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  8. KSC-2011-7055

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – Inside Kennedy Space Center's Orbiter Processing Facility-2, STS-135 Pilot Doug Hurley inspects the windows on space shuttle Atlantis. Atlantis is being prepared for eventual display at the Kennedy Space Center Visitor Complex in Florida. Hurley, along with Commander Chris Ferguson and Mission Specialist Sandra Magnus, was at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  9. KSC-2011-7050

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – STS-135 Mission Specialist Sandra Magnus signs an autograph for an employee inside Kennedy Space Center's Orbiter Processing Facility-2, where space shuttle Atlantis is being prepared for eventual display at the Kennedy Space Center Visitor Complex in Florida. Magnus, along with Commander Chris Ferguson and Pilot Doug Hurley, was at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  10. KSC-2011-7052

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – STS-135 Pilot Doug Hurley and Mission Specialist Sandra Magnus stand next to a wheel on space shuttle Atlantis inside Kennedy Space Center's Orbiter Processing Facility-2. Atlantis is being prepared for eventual display at the Kennedy Space Center Visitor Complex in Florida. The astronauts, along Commander Chris Ferguson, were at the center for the traditional post-flight crew return presentation. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  11. Designing a capacitated multi-configuration logistics network under disturbances and parameter uncertainty: a real-world case of a drug supply chain

    NASA Astrophysics Data System (ADS)

    Shishebori, Davood; Babadi, Abolghasem Yousefi

    2018-03-01

    This study investigates the reliable multi-configuration capacitated logistics network design problem (RMCLNDP) under system disturbances, which relates to locating facilities, establishing transportation links, and also allocating their limited capacities to the customers conducive to provide their demand on the minimum expected total cost (including locating costs, link constructing costs, and also expected costs in normal and disturbance conditions). In addition, two types of risks are considered; (I) uncertain environment, (II) system disturbances. A two-level mathematical model is proposed for formulating of the mentioned problem. Also, because of the uncertain parameters of the model, an efficacious possibilistic robust optimization approach is utilized. To evaluate the model, a drug supply chain design (SCN) is studied. Finally, an extensive sensitivity analysis was done on the critical parameters. The obtained results show that the efficiency of the proposed approach is suitable and is worthwhile for analyzing the real practical problems.

  12. Contamination of the cold water distribution system of health care facilities by Legionella pneumophila: do we know the true dimension?

    PubMed

    Arvand, M; Jungkind, K; Hack, A

    2011-04-21

    German water guidelines do not recommend routine assessment of cold water for Legionella in healthcare facilities, except if the water temperature at distal sites exceeds 25°C. This study evaluates Legionella contamination in cold and warm water supplies of healthcare facilities in Hesse, Germany, and analyses the relationship between cold water temperature and Legionella contamination. Samples were collected from four facilities, with cases of healthcare-associated Legionnaires' disease or notable contamination of their water supply. Fifty-nine samples were from central lines and 625 from distal sites, comprising 316 cold and 309 warm water samples. Legionella was isolated from central lines in two facilities and from distal sites in four facilities. 17% of all central and 32% of all distal samples were contaminated. At distal sites, cold water samples were more frequently contaminated with Legionella (40% vs 23%, p <0.001) and with higher concentrations of Legionella (≥1,000 colony-forming unit/100 ml) (16% vs 6%, p<0.001) than warm water samples. There was no clear correlation between the cold water temperature at sampling time and the contamination rate. 35% of cold water samples under 20 °C at collection were contaminated. Our data highlight the importance of assessing the cold water supply of healthcare facilities for Legionella in the context of an intensified analysis.

  13. A Medical Decision Support System for the Space Station Health Maintenance Facility

    PubMed Central

    Ostler, David V.; Gardner, Reed M.; Logan, James S.

    1988-01-01

    NASA is developing a Health Maintenance Facility (HMF) to provide the equipment and supplies necessary to deliver medical care in the Space Station. An essential part of the Health Maintenance Facility is a computerized Medical Decision Support System (MDSS) that will enhance the ability of the medical officer (“paramedic” or “physician”) to maintain the crew's health, and to provide emergency medical care. The computer system has four major functions: 1) collect and integrate medical information into an electronic medical record from Space Station medical officers, HMF instrumentation, and exercise equipment; 2) provide an integrated medical record and medical reference information management system; 3) manage inventory for logistical support of supplies and secure pharmaceuticals; 4) supply audio and electronic mail communications between the medical officer and ground based flight surgeons. ImagesFigure 1

  14. 48 CFR 352.270-8 - Prostitution and related activities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...; the World Health Organization; the International AIDS Vaccine Initiative; and any United Nations... services provided directly to the final populations receiving such supplies or services in host countries... the provision of supplies or services to the final populations receiving such supplies and services...

  15. Onshore planning for offshore oil: lessons from Scotland

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

    Baldwin, P.L.; Baldwin, M.F.

    1975-01-01

    This book examines the physical, social, and economic effects onshore that accompany oil development offshore, namely: (1) the phases of oil development--exploration, platform construction, supply base development, pipeline construction, drilling, processing, and transportation--each of which generates its own impacts in its own time frame; many of the impacts are felt surprisingly early; (2) the strains placed on planning systems as the unforeseen magnitude of oil discoveries, the speed of development, and the need for onshore support facilities can overwhelm local planning capacity; (3) the experience of the sparsely populated Shetland Islands, where the County Council succeeded in pushing special legislationmore » throug Parliament to ''Shetlandize'' oil facilities within its boundaries and limit them to a single location; (4) the transformation of the once sleepy fishing village of Peterhead (pop. 14,500) and its fine natural harbor into a major supply base, with a power plant, pipeline landings, storage tanks, and processing plants planned for nearby; and (5) the growth of Aberdeen, formerly a university and fishing city, into the ''Houston of the North,'' with direct flights to and from Texas and high-heeled boots and Stetson hats displayed in store windows. Finally, the authors relate the Scottish experience directly to the U.S. with specific policy recommendations to permit coastal areas about to undergo an oil boom to take advantage of the lessons the Scots have learned--in many cases, the hard way.« less

  16. Applications study of advanced power generation systems utilizing coal-derived fuels, volume 2

    NASA Technical Reports Server (NTRS)

    Robson, F. L.

    1981-01-01

    Technology readiness and development trends are discussed for three advanced power generation systems: combined cycle gas turbine, fuel cells, and magnetohydrodynamics. Power plants using these technologies are described and their performance either utilizing a medium-Btu coal derived fuel supplied by pipeline from a large central coal gasification facility or integrated with a gasification facility for supplying medium-Btu fuel gas is assessed.

  17. 43 CFR 404.10 - Are there certain types of infrastructure and facilities that may not be included in a rural...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Are there certain types of infrastructure and facilities that may not be included in a rural water supply project? 404.10 Section 404.10 Public Lands: Interior Regulations Relating to Public Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR RECLAMATION RURAL WATER SUPPLY PROGRAM...

  18. 43 CFR 404.10 - Are there certain types of infrastructure and facilities that may not be included in a rural...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Are there certain types of infrastructure and facilities that may not be included in a rural water supply project? 404.10 Section 404.10 Public Lands: Interior Regulations Relating to Public Lands BUREAU OF RECLAMATION, DEPARTMENT OF THE INTERIOR RECLAMATION RURAL WATER SUPPLY PROGRAM...

  19. 44 CFR 302.7 - Use of funds, materials, supplies, equipment, and personnel.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... use of civil defense personnel, organizational equipment, materials, and facilities, in preparation..., supplies, equipment, and personnel. 302.7 Section 302.7 Emergency Management and Assistance FEDERAL... EMERGENCY MANAGEMENT ASSISTANCE PROGRAM (EMA) § 302.7 Use of funds, materials, supplies, equipment, and...

  20. The development of a green supply chain dual-objective facility by considering different levels of uncertainty

    NASA Astrophysics Data System (ADS)

    Khorasani, Sasan Torabzadeh; Almasifard, Maryam

    2017-11-01

    This paper presents a dual-objective facility programming model for a green supply chain network. The main objectives of the presented model are minimizing overall expenditure and negative environmental impacts of the supply chain. This study contributes to the existing literature by incorporating uncertainty in customer demand, suppliers, production, and casting capacity. An industrial case study is also analyzed to reveal the feasibility of the proposed model and its application. A fuzzy approach which is known as TH is used to solve the suggested dual-objective model. TH approach is integration of a max-min method (LH) and modified version of Werners' approach (MW). The outcome of this study reveals that the presented model can support green supply chain network in different levels of uncertainty. In presented model, cost and negative environmental impacts derived from the supply chain network will increase of higher levels of uncertainty.

  1. Development of an integrated medical supply information system

    NASA Astrophysics Data System (ADS)

    Xu, Eric; Wermus, Marek; Blythe Bauman, Deborah

    2011-08-01

    The integrated medical supply inventory control system introduced in this study is a hybrid system that is shaped by the nature of medical supply, usage and storage capacity limitations of health care facilities. The system links demand, service provided at the clinic, health care service provider's information, inventory storage data and decision support tools into an integrated information system. ABC analysis method, economic order quantity model, two-bin method and safety stock concept are applied as decision support models to tackle inventory management issues at health care facilities. In the decision support module, each medical item and storage location has been scrutinised to determine the best-fit inventory control policy. The pilot case study demonstrates that the integrated medical supply information system holds several advantages for inventory managers, since it entails benefits of deploying enterprise information systems to manage medical supply and better patient services.

  2. Staff experiences of providing maternity services in rural southern Tanzania - a focus on equipment, drug and supply issues.

    PubMed

    Penfold, Suzanne; Shamba, Donat; Hanson, Claudia; Jaribu, Jennie; Manzi, Fatuma; Marchant, Tanya; Tanner, Marcel; Ramsey, Kate; Schellenberg, David; Schellenberg, Joanna Armstrong

    2013-02-14

    The poor maintenance of equipment and inadequate supplies of drugs and other items contribute to the low quality of maternity services often found in rural settings in low- and middle-income countries, and raise the risk of adverse patient outcomes through delaying care provision. We aim to describe staff experiences of providing maternal and neonatal care in rural health facilities in Southern Tanzania, focusing on issues related to equipment, drugs and supplies. Focus group discussions and in-depth interviews were conducted with different staff cadres from all facility levels in order to explore experiences and views of providing maternity care in the context of poorly maintained equipment, and insufficient drugs and other supplies. A facility survey quantified the availability of relevant items. The facility survey, which found many missing or broken items and frequent stock outs, corroborated staff reports of providing care in the context of missing or broken care items. Staff reported increased workloads, reduced morale, difficulties in providing optimal maternity care, and carrying out procedures with potential health risks to themselves as a result. Inadequately stocked and equipped facilities compromise the health system's ability to reduce maternal and neonatal mortality and morbidity by affecting staff personally and professionally, which hinders the provision of timely and appropriate interventions. Improving stock control and maintaining equipment could benefit mothers and babies, not only through removing restrictions to the availability of care, but also through improving staff working conditions.

  3. Staff experiences of providing maternity services in rural southern Tanzania – a focus on equipment, drug and supply issues

    PubMed Central

    2013-01-01

    Background The poor maintenance of equipment and inadequate supplies of drugs and other items contribute to the low quality of maternity services often found in rural settings in low- and middle-income countries, and raise the risk of adverse patient outcomes through delaying care provision. We aim to describe staff experiences of providing maternal and neonatal care in rural health facilities in Southern Tanzania, focusing on issues related to equipment, drugs and supplies. Methods Focus group discussions and in-depth interviews were conducted with different staff cadres from all facility levels in order to explore experiences and views of providing maternity care in the context of poorly maintained equipment, and insufficient drugs and other supplies. A facility survey quantified the availability of relevant items. Results The facility survey, which found many missing or broken items and frequent stock outs, corroborated staff reports of providing care in the context of missing or broken care items. Staff reported increased workloads, reduced morale, difficulties in providing optimal maternity care, and carrying out procedures with potential health risks to themselves as a result. Conclusions Inadequately stocked and equipped facilities compromise the health system’s ability to reduce maternal and neonatal mortality and morbidity by affecting staff personally and professionally, which hinders the provision of timely and appropriate interventions. Improving stock control and maintaining equipment could benefit mothers and babies, not only through removing restrictions to the availability of care, but also through improving staff working conditions. PMID:23410228

  4. Reorganizing Nigeria's Vaccine Supply Chain Reduces Need For Additional Storage Facilities, But More Storage Is Required.

    PubMed

    Shittu, Ekundayo; Harnly, Melissa; Whitaker, Shanta; Miller, Roger

    2016-02-01

    One of the major problems facing Nigeria's vaccine supply chain is the lack of adequate vaccine storage facilities. Despite the introduction of solar-powered refrigerators and the use of new tools to monitor supply levels, this problem persists. Using data on vaccine supply for 2011-14 from Nigeria's National Primary Health Care Development Agency, we created a simulation model to explore the effects of variance in supply and demand on storage capacity requirements. We focused on the segment of the supply chain that moves vaccines inside Nigeria. Our findings suggest that 55 percent more vaccine storage capacity is needed than is currently available. We found that reorganizing the supply chain as proposed by the National Primary Health Care Development Agency could reduce that need to 30 percent more storage. Storage requirements varied by region of the country and vaccine type. The Nigerian government may want to consider the differences in storage requirements by region and vaccine type in its proposed reorganization efforts. Project HOPE—The People-to-People Health Foundation, Inc.

  5. KSC-2011-5819

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- A "towback" vehicle slowly pulls space shuttle Atlantis toward the open door of Orbiter Processing Facility-2 at NASA's Kennedy Space Center in Florida. A purge unit that pumps conditioned air into a shuttle after landing is connected to Atlantis' aft end. Once inside the processing facility, Atlantis will be prepared for future public display at Kennedy's Visitor Complex. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  6. KSC-2011-5821

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- A "towback" vehicle slowly pulls space shuttle Atlantis toward the empty bay of Orbiter Processing Facility-2 at NASA's Kennedy Space Center in Florida. A purge unit that pumps conditioned air into a shuttle after landing is connected to Atlantis' aft end. Once inside the processing facility, Atlantis will be prepared for future public display at Kennedy's Visitor Complex. Atlantis' final return from space at 5:57 a.m. EDT concluded the STS-135 mission, secured the space shuttle fleet's place in history and brought a close to America's Space Shuttle Program. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board were STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles, and also the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  7. The Antaeus Project - An orbital quarantine facility for analysis of planetary return samples

    NASA Technical Reports Server (NTRS)

    Sweet, H. C.; Bagby, J. R.; Devincenzi, D. L.

    1983-01-01

    A design is presented for an earth-orbiting facility for the analysis of planetary return samples under conditions of maximum protection against contamination but minimal damage to the sample. The design is keyed to a Mars sample return mission profile, returning 1 kg of documented subsamples, to be analyzed in low earth orbit by a small crew aided by automated procedures, tissue culture and microassay. The facility itself would consist of Spacelab shells, formed into five modules of different sizes with purposes of power supply, habitation, supplies and waste storage, the linking of the facility, and both quarantine and investigation of the samples. Three barriers are envisioned to protect the biosphere from any putative extraterrestrial organisms: sealed biological containment cabinets within the Laboratory Module, the Laboratory Module itself, and the conditions of space surrounding the facility.

  8. The Global Drug Facility as an intervention in the market for tuberculosis drugs.

    PubMed

    Arinaminpathy, Nimalan; Cordier-Lassalle, Thierry; Lunte, Kaspars; Dye, Christopher

    2015-04-01

    To investigate funding for the Global Drug Facility since 2001 and to analyse the facility's influence on the price of high-quality tuberculosis drugs. Data on the price of tuberculosis drugs were obtained from the Global Drug Facility for 2001 to 2012 and, for the private sector in 15 countries, from IMS Health for 2002 to 2012. Data on funding of the facility were also collected. Quality-assured tuberculosis drugs supplied by the Global Drug Facility were generally priced lower than drugs purchased in the private sector. In 2012, just three manufacturers accounted for 29.9 million United Stated dollars (US$) of US$ 44.5 million by value of first-line drugs supplied. The Global Fund to Fight AIDS, Tuberculosis and Malaria provided 73% (US$ 32.5 million of US$ 44.5 million) and 89% (US$ 57.8 million of US $65.2 million) of funds for first- and second-line drugs, respectively. Between 2010 and 2012, the facility's market share of second-line tuberculosis drugs increased from 26.1% to 42.9%, while prices decreased by as much as 24% (from US$ 1231 to US$ 939). Conversely, the facility's market share of first-line drugs fell from 37.2% to 19.2% during this time, while prices increased from US$ 9.53 to US$ 10.2. The price of tuberculosis drugs supplied through the facility was generally less than that on the private market. However, to realize its full potential and meet the needs of more tuberculosis patients, the facility requires more diverse and stable public funding and greater flexibility to participate in the private market.

  9. Emergency, anaesthetic and essential surgical capacity in the Gambia

    PubMed Central

    Shivute, Nestor; Bickler, Stephen; Cole-Ceesay, Ramou; Jargo, Bakary; Abdullah, Fizan; Cherian, Meena

    2011-01-01

    Abstract Objective To assess the resources for essential and emergency surgical care in the Gambia. Methods The World Health Organization’s Tool for Situation Analysis to Assess Emergency and Essential Surgical Care was distributed to health-care managers in facilities throughout the country. The survey was completed by 65 health facilities – one tertiary referral hospital, 7 district/general hospitals, 46 health centres and 11 private health facilities – and included 110 questions divided into four sections: (i) infrastructure, type of facility, population served and material resources; (ii) human resources; (iii) management of emergency and other surgical interventions; (iv) emergency equipment and supplies for resuscitation. Questionnaire data were complemented by interviews with health facility staff, Ministry of Health officials and representatives of nongovernmental organizations. Findings Important deficits were identified in infrastructure, human resources, availability of essential supplies and ability to perform trauma, obstetric and general surgical procedures. Of the 18 facilities expected to perform surgical procedures, 50.0% had interruptions in water supply and 55.6% in electricity. Only 38.9% of facilities had a surgeon and only 16.7% had a physician anaesthetist. All facilities had limited ability to perform basic trauma and general surgical procedures. Of public facilities, 54.5% could not perform laparotomy and 58.3% could not repair a hernia. Only 25.0% of them could manage an open fracture and 41.7% could perform an emergency procedure for an obstructed airway. Conclusion The present survey of health-care facilities in the Gambia suggests that major gaps exist in the physical and human resources needed to carry out basic life-saving surgical interventions. PMID:21836755

  10. Access to water and sanitation facilities in primary schools: A neglected educational crisis in Ngamiland district in Botswana

    NASA Astrophysics Data System (ADS)

    Ngwenya, B. N.; Thakadu, O. T.; Phaladze, N. A.; Bolaane, B.

    2018-06-01

    In developing countries, the sanitation and hygiene provision often receives limited resources compared to the water supply. However, water supply benefits tend to diminish if improved sanitation and hygiene are neglected. This paper presents findings of a situational analysis of water supply, sanitation and hygiene infrastructure and their utilization in three primary schools in north-western Botswana. The overall objective of the paper is to determine access and functionality of water supply, sanitation and hygiene infrastructure in three primary schools. The specific objectives are: a) Learners' perspective of their water and sanitation facilities and b) gendered utilization of sanitation and hygiene facilities. Data were collected through a face-to-face administered social survey tool to 286 learners selected through proportionate stratified random sampling from three purposively selected villages in the middle and lower Okavango Delta. Findings indicate that standpipes provide 96% of potable water supply. However, the majority (65% of leaners) indicated that they 'sometimes' experienced water shortage due to dry/nonfunctioning taps/pumps and leaks/wastage. Overall, schools have relatively sufficient sanitation facilities consisting of both water borne toilets and VIP latrines. The major sanitation gap identified was that 80% flush toilets hardly work, while 77% of VIP toilets were in disrepair. Furthermore, poor water supply compromised hand washing with 65.7% learners "always" washing their hands if school standpipes had water, while the majority did not wash hands if standpipes were dry. The study concluded that availability of sanitation infrastructure does not necessarily translate into utilization in the study area due to multiple problems, such as lack of personal hygiene supplies (regular toilet paper and hand washing detergents), privacy issues and recurring water problems. The chronicity of inadequate water, sanitation and hygiene infrastructure in primary schools is critical and there is urgent need to address these challenges in order to create a conducive learning environment in primary schools in the district.

  11. System Modeling of Lunar Oxygen Production: Mass and Power Requirements

    NASA Technical Reports Server (NTRS)

    Steffen, Christopher J.; Freeh, Joshua E.; Linne, Diane L.; Faykus, Eric W.; Gallo, Christopher A.; Green, Robert D.

    2007-01-01

    A systems analysis tool for estimating the mass and power requirements for a lunar oxygen production facility is introduced. The individual modeling components involve the chemical processing and cryogenic storage subsystems needed to process a beneficiated regolith stream into liquid oxygen via ilmenite reduction. The power can be supplied from one of six different fission reactor-converter systems. A baseline system analysis, capable of producing 15 metric tons of oxygen per annum, is presented. The influence of reactor-converter choice was seen to have a small but measurable impact on the system configuration and performance. Finally, the mission concept of operations can have a substantial impact upon individual component size and power requirements.

  12. 41 CFR 101-25.101-4 - Supply through indefinite quantity requirement contracts.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    .... (3) The item is proprietary or so complex in design, function, or operation as to be noncompetitive... Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND... introduced into a supply system), or no advantage accrues doing so; and (b) Industry distribution facilities...

  13. 41 CFR 101-25.101-4 - Supply through indefinite quantity requirement contracts.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    .... (3) The item is proprietary or so complex in design, function, or operation as to be noncompetitive... Federal Property Management Regulations System FEDERAL PROPERTY MANAGEMENT REGULATIONS SUPPLY AND... introduced into a supply system), or no advantage accrues doing so; and (b) Industry distribution facilities...

  14. Final_report_pub1.pdf

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

    O'Brien, Nicholas

    2014-08-15

    The paper describes Soitecs project to plan,install,qualify and ramp a high volume CPV module manufactruing facility in Southern California. Soitec’s CPV module factory in San Diego was planned with an annual production capacity of 280MWDC. It was scheduled to be operational by the first quarter of 2013, and was expected to create several hundred direct and indirect jobs in the San Diego region. From ground breaking to facility readiness was completed in six months. This enabled the docking of equipment in the Q3’12 time frame. The first 140 MW of capacity was ready for operation in Q4’12. Production of themore » CX-M500 modules started in Q4 2012. The line yield and factory capacity were ramped in 2013. The annual production capacity demonstration was successfully completed in Q2 2014. The modules manufactured at the plant were used to supply utility scale demand in the US and also world markets.« less

  15. Moly99 Production Facility: Report on Beamline Components, Requirements, Costs

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

    Bishofberger, Kip A.

    2015-12-23

    In FY14 we completed the design of the beam line for the linear accelerator production design concept. This design included a set of three bending magnets, quadrupole focusing magnets, and octopoles to flatten the beam on target. This design was generic and applicable to multiple different accelerators if necessary. In FY15 we built on that work to create specifications for the individual beam optic elements, including power supply requirements. This report captures the specification of beam line components with initial cost estimates for the NorthStar production facility.This report is organized as follows: The motivation of the beamline design is introducedmore » briefly, along with renderings of the design. After that, a specific list is provided, which accounts for each beamline component, including part numbers and costs, to construct the beamline. After that, this report details the important sections of the beamline and individual components. A final summary and list of follow-on activities completes this report.« less

  16. Investigation of thermochemical biorefinery sizing and environmental sustainability impacts for conventional supply system and distributed pre-processing supply system designs

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

    David J. Muth, Jr.; Matthew H. Langholtz; Eric C. D. Tan

    The 2011 US Billion-Ton Update estimates that by 2030 there will be enough agricultural and forest resources to sustainably provide at least one billion dry tons of biomass annually, enough to displace approximately 30% of the country's current petroleum consumption. A portion of these resources are inaccessible at current cost targets with conventional feedstock supply systems because of their remoteness or low yields. Reliable analyses and projections of US biofuels production depend on assumptions about the supply system and biorefinery capacity, which, in turn, depend upon economic value, feedstock logistics, and sustainability. A cross-functional team has examined combinations of advancesmore » in feedstock supply systems and biorefinery capacities with rigorous design information, improved crop yield and agronomic practices, and improved estimates of sustainable biomass availability. A previous report on biochemical refinery capacity noted that under advanced feedstock logistic supply systems that include depots and pre-processing operations there are cost advantages that support larger biorefineries up to 10 000 DMT/day facilities compared to the smaller 2000 DMT/day facilities. This report focuses on analyzing conventional versus advanced depot biomass supply systems for a thermochemical conversion and refinery sizing based on woody biomass. The results of this analysis demonstrate that the economies of scale enabled by advanced logistics offsets much of the added logistics costs from additional depot processing and transportation, resulting in a small overall increase to the minimum ethanol selling price compared to the conventional logistic supply system. While the overall costs do increase slightly for the advanced logistic supply systems, the ability to mitigate moisture and ash in the system will improve the storage and conversion processes. In addition, being able to draw on feedstocks from further distances will decrease the risk of biomass supply to the conversion facility.« less

  17. Investigation of thermochemical biorefinery sizing and environmental sustainability impacts for conventional supply system and distributed preprocessing supply system designs

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

    Muth, jr., David J.; Langholtz, Matthew H.; Tan, Eric

    2014-03-31

    The 2011 US Billion-Ton Update estimates that by 2030 there will be enough agricultural and forest resources to sustainably provide at least one billion dry tons of biomass annually, enough to displace approximately 30% of the country's current petroleum consumption. A portion of these resources are inaccessible at current cost targets with conventional feedstock supply systems because of their remoteness or low yields. Reliable analyses and projections of US biofuels production depend on assumptions about the supply system and biorefinery capacity, which, in turn, depend upon economic value, feedstock logistics, and sustainability. A cross-functional team has examined combinations of advancesmore » in feedstock supply systems and biorefinery capacities with rigorous design information, improved crop yield and agronomic practices, and improved estimates of sustainable biomass availability. A previous report on biochemical refinery capacity noted that under advanced feedstock logistic supply systems that include depots and pre-processing operations there are cost advantages that support larger biorefineries up to 10 000 DMT/day facilities compared to the smaller 2000 DMT/day facilities. This report focuses on analyzing conventional versus advanced depot biomass supply systems for a thermochemical conversion and refinery sizing based on woody biomass. The results of this analysis demonstrate that the economies of scale enabled by advanced logistics offsets much of the added logistics costs from additional depot processing and transportation, resulting in a small overall increase to the minimum ethanol selling price compared to the conventional logistic supply system. While the overall costs do increase slightly for the advanced logistic supply systems, the ability to mitigate moisture and ash in the system will improve the storage and conversion processes. In addition, being able to draw on feedstocks from further distances will decrease the risk of biomass supply to the conversion facility.« less

  18. Clinical and perceived quality of care for maternal, neonatal and antenatal care in Kenya and Namibia: the service provision assessment.

    PubMed

    Diamond-Smith, Nadia; Sudhinaraset, May; Montagu, Dominic

    2016-08-11

    The majority of women in sub-Saharan Africa now deliver in a facility, however, little is known about the quality of services for maternal and newborn basic and emergency care, nor how this is associated with patient's perception of their experiences. Using data from the Service Provision Assessment (SPA) survey from Kenya 2010 and Namibia 2009, we explore whether facilities have the necessary signal functions for providing emergency and basic maternal (EmOC) and newborn care (EmNC), and antenatal care (ANC) using descriptives and multivariate regression. We explore differences by type of facility (hospital, center or other) and by private and public facilities. Finally, we see if patient satisfaction (taken from exit surveys at antenatal care) is associated with the quality of services (specific services provided). We find that most facilities do not have all of the signal functions, with 46 and 27 % in Kenya and 18 and 5 % in Namibia of facilities have high/basic scores in routine and emergency obstetric care, respectively. We found that hospitals preform better than centers in general and few differences emerged between public and private facilities. Patient perceptions were not consistently associated with services provided; however, patients had fewer complaints in private compared to public facilities in Kenya (-0.46 fewer complaints in private) and smaller facilities compared to larger in Namibia (-0.26 fewer complaints in smaller facilities). Service quality itself (measured in scores), however, was only significantly better in Kenya for EmOC and EmNC. This analysis sheds light on the inadequate levels of care for saving maternal and newborn lives in most facilities in two countries of Africa. It also highlights the disconnect between patients' perceptions and clinical quality of services. More effort is needed to ensure that high quality supply of services is present to meet growing demand as an increasing number of women deliver in facilities.

  19. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-188 (21 July 2011) --- Ribbons of steam and smoke trail space shuttle Atlantis as it touches down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  20. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-171 (21 July 2011) --- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  1. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-245 (21 July 2011) --- Xenon lights guide space shuttle Atlantis as it lands on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  2. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-168 (21 July 2011) --- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  3. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-251 (21 July 2011) --- Xenon lights guide space shuttle Atlantis as it lands on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  4. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-174 (21 July 2011) --- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  5. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-173 (21 July 2011) --- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  6. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-247 (21 July 2011) --- Xenon lights guide space shuttle Atlantis as it lands on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  7. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-250 (21 July 2011) --- Xenon lights guide space shuttle Atlantis as it lands on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  8. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-172 (21 July 2011) --- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  9. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-169 (21 July 2011) --- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  10. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-170 (21 July 2011) --- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  11. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-248 (21 July 2011) --- Xenon lights guide space shuttle Atlantis as it lands on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  12. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-167 (21 July 2011) --- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  13. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-246 (21 July 2011) --- Xenon lights guide space shuttle Atlantis as it lands on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  14. An exploration in mineral supply chain mapping using tantalum as an example

    USGS Publications Warehouse

    Soto-Viruet, Yadira; Menzie, W. David; Papp, John F.; Yager, Thomas R.

    2013-01-01

    This report uses the supply chain of tantalum (Ta) to investigate the complexity of mineral and metal supply chains in general and show how they can be mapped. A supply chain is made up of all the manufacturers, suppliers, information networks, and so forth, that provide the materials and parts that go into making up a final product. The mineral portion of the supply chain begins with mineral material in the ground (the ore deposit); extends through a series of processes that include mining, beneficiation, processing (smelting and refining), semimanufacture, and manufacture; and continues through transformation of the mineral ore into concentrates, refined mineral commodities, intermediate forms (such as metals and alloys), component parts, and, finally, complex products. This study analyses the supply chain of tantalum beginning with minerals in the ground to many of the final goods that contain tantalum.

  15. Heavy metals contamination in surface and groundwater supply of an urban city.

    PubMed

    Dixit, R C; Verma, S R; Nitnaware, V; Thacker, N P

    2003-04-01

    There is a continuous increase in the demand of water supply in cities due to the industrialization and growing population. This extra supply is generally met by groundwaters or nearby available surface waters. It may lead into incomplete treatment and substandard supply of drinking water. To ensure that the intake water derived from surface and groundwater is clear, palatable, neither corrosive nor scale forming, free from undesirable taste, odor and acceptable from aesthetic and health point of view, the final water quality at Delhi have been evaluated. The final water supply of four treatment plants and 80 tubewells at Delhi were surveyed in 2000-2001 for cadmium, chromium, copper, iron, lead, manganese, nickel, selenium and zinc. The levels of manganese, copper, selenium and cadmium were found marginally above the Indian Standards (IS) specification regulated for drinking water. The data was used to assess the final water quality supplied at Delhi.

  16. Steam Plant at the Aircraft Engine Research Laboratory

    NASA Image and Video Library

    1945-09-21

    The Steam Plant at the National Advisory Committee for Aeronautics (NACA) Aircraft Engine Research Laboratory supplies steam to the major test facilities and office buildings. Steam is used for the Icing Research Tunnel's spray system and the Engine Research Building’s desiccant air dryers. In addition, its five boilers supply heat to various buildings and the cafeteria. Schirmer-Schneider Company built the $141,000 facility in the fall of 1942, and it has been in operation ever since.

  17. Wireless remote monitoring of critical facilities

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

    Tsai, Hanchung; Anderson, John T.; Liu, Yung Y.

    A method, apparatus, and system are provided for monitoring environment parameters of critical facilities. A Remote Area Modular Monitoring (RAMM) apparatus is provided for monitoring environment parameters of critical facilities. The RAMM apparatus includes a battery power supply and a central processor. The RAMM apparatus includes a plurality of sensors monitoring the associated environment parameters and at least one communication module for transmitting one or more monitored environment parameters. The RAMM apparatus is powered by the battery power supply, controlled by the central processor operating a wireless sensor network (WSN) platform when the facility condition is disrupted. The RAMM apparatusmore » includes a housing prepositioned at a strategic location, for example, where a dangerous build-up of contamination and radiation may preclude subsequent manned entrance and surveillance.« less

  18. Service readiness, health facility management practices, and delivery care utilization in five states of Nigeria: a cross-sectional analysis.

    PubMed

    Gage, Anastasia J; Ilombu, Onyebuchi; Akinyemi, Akanni Ibukun

    2016-10-06

    Existing studies of delivery care in Nigeria have identified socioeconomic and cultural factors as the primary determinants of health facility delivery. However, no study has investigated the association between supply-side factors and health facility delivery. Our study analyzed the role of supply-side factors, particularly health facility readiness and management practices for provision of quality maternal health services. Using linked data from the 2005 and 2009 health facility and household surveys in the five states in which the Community Participation for Action in the Social Sector (COMPASS) project was implemented, indices of health service readiness and management were developed based on World Health Organization guidelines. Multilevel logistic regression models were run to determine the association between these indices and health facility delivery among 2710 women aged 15-49 years whose last child was born within the five years preceding the surveys and who lived in 51 COMPASS LGAs. The health facility delivery rate increased from 25.4 % in 2005 to 44.1 % in 2009. Basic amenities for antenatal care provision, readiness to deliver basic emergency obstetric and newborn care, and management practices supportive of quality maternal health services were suboptimal in health facilities surveyed and did not change significantly between 2005 and 2009. The LGA mean index of basic amenities for antenatal care provision was more positively associated with the odds of health facility delivery in 2009 than in 2005, and in rural than in urban areas. The LGA mean index of management practices was associated with significantly lower odds of health facility delivery in rural than in urban areas. The LGA mean index of facility readiness to deliver basic emergency obstetric and neonatal care declined slightly from 5.16 in 2005 to 3.98 in 2009 and was unrelated to the odds of health facility delivery. Supply-side factors appeared to play a role in health facility delivery after controlling for socio-demographic factors. Improving uptake of delivery care would require greater attention to rural-urban inequities and health facility management practices, and to increasing the number of health facilities with fundamental elements for delivery of basic emergency obstetric and neonatal care.

  19. 76 FR 39072 - Notice of Availability of a Final Environmental Impact Statement and Final Habitat Conservation Plan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-05

    ... listed and six unlisted species of fish covered by Kent's Clark Springs Water Supply HCP. This notice... applications are for the operation and maintenance of Kent's Clark Springs Water Supply System adjacent to Rock Creek, King County, Washington. The Clark Springs Water Supply System consists of a spring-fed...

  20. 76 FR 46853 - JLG Industries, Inc., Access Segment, a Subsidiary of Oshkosh Corporation, Including On-Site...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-03

    ... supplied by the workers and confirmed by JLG Industries, Inc. revealed that the Hagerstown, Maryland facility operated in conjunction with JLG-McConnellsburg in the production of access equipment and supplied design engineering, global procurement supply chain, safety, and reliability services used in the...

  1. 76 FR 43352 - JLG Industries, Inc., Access Segment, a Subsidiary of Oshkosh Corporation, Including On-Site...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... supplied by the workers and confirmed by JLG Industries, Inc. revealed that the Hagerstown, Maryland facility operated in conjunction with JLG-McConnellsburg in the production of access equipment and supplied design engineering, global procurement supply chain, safety, and reliability services used in the...

  2. 10 CFR 503.8 - No alternate power supply-general requirement for certain exemptions for new powerplants.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false No alternate power supply-general requirement for certain... NEW FACILITIES General Requirements for Exemptions § 503.8 No alternate power supply—general... demonstration that, despite reasonable good faith efforts, there is no alternative supply of electric power...

  3. 7 CFR 1710.303 - Power cost studies-power supply borrowers.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 11 2011-01-01 2011-01-01 false Power cost studies-power supply borrowers. 1710.303... AND GUARANTEES Long-Range Financial Forecasts § 1710.303 Power cost studies—power supply borrowers. (a... facilities shall be supported by a power cost study to demonstrate that the proposed generation and...

  4. 10 CFR 503.8 - No alternate power supply-general requirement for certain exemptions for new powerplants.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false No alternate power supply-general requirement for certain... NEW FACILITIES General Requirements for Exemptions § 503.8 No alternate power supply—general... demonstration that, despite reasonable good faith efforts, there is no alternative supply of electric power...

  5. Inequalities in microbial contamination of drinking water supplies in urban areas: the case of Lilongwe, Malawi.

    PubMed

    Boakye-Ansah, Akosua Sarpong; Ferrero, Giuliana; Rusca, Maria; van der Zaag, Pieter

    2016-10-01

    Over past decades strategies for improving access to drinking water in cities of the Global South have mainly focused on increasing coverage, while water quality has often been overlooked. This paper focuses on drinking water quality in the centralized water supply network of Lilongwe, the capital of Malawi. It shows how microbial contamination of drinking water is unequally distributed to consumers in low-income (unplanned areas) and higher-income neighbourhoods (planned areas). Microbial contamination and residual disinfectant concentration were measured in 170 water samples collected from in-house taps in high-income areas and from kiosks and water storage facilities in low-income areas between November 2014 and January 2015. Faecal contamination (Escherichia coli) was detected in 10% of the 40 samples collected from planned areas, in 59% of the 64 samples collected from kiosks in the unplanned areas and in 75% of the 32 samples of water stored at household level. Differences in water quality in planned and unplanned areas were found to be statistically significant at p < 0.05. Finally, the paper shows how the inequalities in microbial contamination of drinking water are produced by decisions both on the development of the water supply infrastructure and on how this is operated and maintained.

  6. Hydrogeology and ground-water quality of the Bay Mills Indian Community Study Area, near Brimley, Michigan

    USGS Publications Warehouse

    ,

    1996-01-01

    Bay Mills Indian Community (BMIC) near Brimley, Mich. (fig. 1), with a population of about 1,000, needs hydrogeologic and ground-water-quality information to help assure a reliable ground-water supply for future economic development. Currently (1995), three wells supply water to a housing development adjacent to Mission Hill, but the remainder of BMIC is dependent on private low-capacity wells. Currently (1995), motel and gaming facilities are being constructed at the former Fisherman's Wharf site. These facilities will require large-capacity wells for public supply and fire protection. In addition, a proposed fish hatchery would require a water supply that would meet stringent water-quality requirements and be capable of producing about 500 to 600 gallons per minute (gal/min). This report summarizes hydrogeologic and ground-water-quality information needed to effectively plan for water-supply development at BMIC and is the result of a cooperative effort between BMIC and the U.S. Geological Survey (USGS).

  7. 7 CFR 58.406 - Starter facility.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... precaution shall be taken to prevent contamination of the facility, equipment and the air therein. A filtered air supply with a minimum average efficiency of 90 percent when tested in accordance with the ASHRAE....406 Starter facility. A separate starter room or properly designed starter tanks and satisfactory air...

  8. Off-Balance Sheet Financing.

    ERIC Educational Resources Information Center

    Adams, Matthew C.

    1998-01-01

    Examines off-balance sheet financing, the facilities use of outsourcing for selected needs, as a means of saving operational costs and using facility assets efficiently. Examples of using outside sources for energy supply and food services, as well as partnering with business for facility expansion are provided. Concluding comments address tax…

  9. 21 CFR 110.37 - Sanitary facilities and controls.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... HUMAN FOOD Buildings and Facilities § 110.37 Sanitary facilities and controls. Each plant shall be... water to required locations throughout the plant. (2) Properly convey sewage and liquid disposable waste from the plant. (3) Avoid constituting a source of contamination to food, water supplies, equipment, or...

  10. 21 CFR 110.37 - Sanitary facilities and controls.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... HUMAN FOOD Buildings and Facilities § 110.37 Sanitary facilities and controls. Each plant shall be... water to required locations throughout the plant. (2) Properly convey sewage and liquid disposable waste from the plant. (3) Avoid constituting a source of contamination to food, water supplies, equipment, or...

  11. 21 CFR 110.37 - Sanitary facilities and controls.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... HUMAN FOOD Buildings and Facilities § 110.37 Sanitary facilities and controls. Each plant shall be... water to required locations throughout the plant. (2) Properly convey sewage and liquid disposable waste from the plant. (3) Avoid constituting a source of contamination to food, water supplies, equipment, or...

  12. Final Design Report for the RH LLW Disposal Facility (RDF) Project

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

    Austad, Stephanie Lee

    2015-09-01

    The RH LLW Disposal Facility (RDF) Project was designed by AREVA Federal Services (AFS) and the design process was managed by Battelle Energy Alliance (BEA) for the Department of Energy (DOE). The final design report for the RH LLW Disposal Facility Project is a compilation of the documents and deliverables included in the facility final design.

  13. Final Design Report for the RH LLW Disposal Facility (RDF) Project

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

    Austad, S. L.

    2015-05-01

    The RH LLW Disposal Facility (RDF) Project was designed by AREVA Federal Services (AFS) and the design process was managed by Battelle Energy Alliance (BEA) for the Department of Energy (DOE). The final design report for the RH LLW Disposal Facility Project is a compilation of the documents and deliverables included in the facility final design.

  14. Project Themis Supercritical Cold Flow Facility, Experiment Design and Modeling for the Study of Fluid Mixing

    DTIC Science & Technology

    2012-06-01

    AFRL facility was well suited for the Themis cold flow experiment. A test cell was selected that contained an insulated cryogenic oxygen tank that...could be used for the LN2 supply. Adjacent to the test cell is a cryogenic storage bunker that contained a helium supply tank with existing high...venturi to the fuel bunker tank was very low (less than 25 psi) while the helium pressure drop from the cryogenic storage bunker was almost 2000 psi

  15. A social systems model of hospital utilization.

    PubMed Central

    Anderson, J G

    1976-01-01

    A social systems model for the health services system serving the state of New Mexico is presented. Utilization of short-term general hospitals is viewed as a function of sociodemographic characteristics of the population and of the supply of health manpower and facilities available to that population. The model includes a network specifying the causal relationships hypothesized as existing among a set of social, demographic, and economic variables known to be related to the supply of health manpower and facilities and to their utilization. Inclusion of feedback into the model as well as lagged values of physician supply variables permits examination of the dynamic behavior of the social system over time. A method for deriving the reduced form of the structural model is presented along with the reduced-form equations. These equations provide valuable information for policy decisions regarding the likely consequences of changes in the structure of the population and in the supply of health manpower and facilities. The structural and reduced-form equations have been used to predict the consequences for one New Mexico county of state and federal policies that would affect the organization and delivery of health services. PMID:1017949

  16. 30 CFR 57.6161 - Auxiliary facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... near work places shall be wooden, box-type containers equipped with covers or doors, or facilities... used exclusively for explosive material; (7) Filled with no more than a one-week supply of explosive...

  17. 30 CFR 57.6161 - Auxiliary facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... near work places shall be wooden, box-type containers equipped with covers or doors, or facilities... used exclusively for explosive material; (7) Filled with no more than a one-week supply of explosive...

  18. 30 CFR 57.6161 - Auxiliary facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... near work places shall be wooden, box-type containers equipped with covers or doors, or facilities... used exclusively for explosive material; (7) Filled with no more than a one-week supply of explosive...

  19. 42 CFR 124.604 - Posted notice.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... facility shall post notices, which the Secretary supplies in English and Spanish, in appropriate areas of... other than English or Spanish, the facility shall translate the notice into that language and post the...

  20. Opportunities for Automated Demand Response in California’s Dairy Processing Industry

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

    Homan, Gregory K.; Aghajanzadeh, Arian; McKane, Aimee

    During periods of peak electrical demand on the energy grid or when there is a shortage of supply, the stability of the grid may be compromised or the cost of supplying electricity may rise dramatically, respectively. Demand response programs are designed to mitigate the severity of these problems and improve reliability by reducing the demand on the grid during such critical times. In 2010, the Demand Response Research Center convened a group of industry experts to suggest potential industries that would be good demand response program candidates for further review. The dairy industry was suggested due to the perception thatmore » the industry had suitable flexibility and automatic controls in place. The purpose of this report is to provide an initial description of the industry with regard to demand response potential, specifically automated demand response. This report qualitatively describes the potential for participation in demand response and automated demand response by dairy processing facilities in California, as well as barriers to widespread participation. The report first describes the magnitude, timing, location, purpose, and manner of energy use. Typical process equipment and controls are discussed, as well as common impediments to participation in demand response and automated demand response programs. Two case studies of demand response at dairy facilities in California and across the country are reviewed. Finally, recommendations are made for future research that can enhance the understanding of demand response potential in this industry.« less

  1. Title I, Part B, Institutionalized Facilities Program, Summer 1982. Annual Evaluation Report.

    ERIC Educational Resources Information Center

    New York City Board of Education, Brooklyn, NY. Office of Educational Evaluation.

    This 1982 summer Title I, Part B, Institutionalized Facilities Program provided supplementary career instruction to 188 students residing in facilities for neglected and delinquent children and youth. This report briefly describes the program, providing information on methodology, physical setting, equipment, and supplies; population and class…

  2. 20 CFR 654.412 - Bathing, laundry, and handwashing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Bathing, laundry, and handwashing. (a) Bathing and handwashing facilities, supplied with hot and cold... floor drains. Except in individual family units, separate shower facilities shall be provided each sex. When common use shower facilities for both sexes are in the same building they shall be separated by a...

  3. 20 CFR 654.412 - Bathing, laundry, and handwashing.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Bathing, laundry, and handwashing. (a) Bathing and handwashing facilities, supplied with hot and cold... floor drains. Except in individual family units, separate shower facilities shall be provided each sex. When common use shower facilities for both sexes are in the same building they shall be separated by a...

  4. 20 CFR 654.412 - Bathing, laundry, and handwashing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Bathing, laundry, and handwashing. (a) Bathing and handwashing facilities, supplied with hot and cold... floor drains. Except in individual family units, separate shower facilities shall be provided each sex. When common use shower facilities for both sexes are in the same building they shall be separated by a...

  5. 20 CFR 654.412 - Bathing, laundry, and handwashing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Bathing, laundry, and handwashing. (a) Bathing and handwashing facilities, supplied with hot and cold... floor drains. Except in individual family units, separate shower facilities shall be provided each sex. When common use shower facilities for both sexes are in the same building they shall be separated by a...

  6. 20 CFR 654.412 - Bathing, laundry, and handwashing.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Bathing, laundry, and handwashing. (a) Bathing and handwashing facilities, supplied with hot and cold... floor drains. Except in individual family units, separate shower facilities shall be provided each sex. When common use shower facilities for both sexes are in the same building they shall be separated by a...

  7. 42 CFR 440.40 - Nursing facility services for individuals age 21 or older (other than services in an institution...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Nursing facility services for individuals age 21 or... Definitions § 440.40 Nursing facility services for individuals age 21 or older (other than services in an institution for mental disease), EPSDT, and family planning services and supplies. (a) Nursing facility...

  8. 42 CFR 440.40 - Nursing facility services for individuals age 21 or older (other than services in an institution...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Nursing facility services for individuals age 21 or... Definitions § 440.40 Nursing facility services for individuals age 21 or older (other than services in an institution for mental disease), EPSDT, and family planning services and supplies. (a) Nursing facility...

  9. 42 CFR 440.40 - Nursing facility services for individuals age 21 or older (other than services in an institution...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Nursing facility services for individuals age 21 or... Definitions § 440.40 Nursing facility services for individuals age 21 or older (other than services in an institution for mental disease), EPSDT, and family planning services and supplies. (a) Nursing facility...

  10. 42 CFR 440.40 - Nursing facility services for individuals age 21 or older (other than services in an institution...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Nursing facility services for individuals age 21 or... Definitions § 440.40 Nursing facility services for individuals age 21 or older (other than services in an institution for mental disease), EPSDT, and family planning services and supplies. (a) Nursing facility...

  11. 42 CFR 440.40 - Nursing facility services for individuals age 21 or older (other than services in an institution...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Nursing facility services for individuals age 21 or... Definitions § 440.40 Nursing facility services for individuals age 21 or older (other than services in an institution for mental disease), EPSDT, and family planning services and supplies. (a) Nursing facility...

  12. 75 FR 30033 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ... intentionally contaminate the food supply would be deterred from entering the food production chain. Two, if FDA... might be used against them, from starting a business in the food supply chain. Persons who might... facilities that might be affected by a deliberate or accidental contamination of the food supply. Description...

  13. Characterizing the tradeoffs and costs associated with transportation congestion in supply chains.

    DOT National Transportation Integrated Search

    2010-01-21

    We consider distribution and location-planning models for supply chains that explicitly : account for traffic congestion effects. The majority of facility location and transportation : planning models in the operations research literature consider fa...

  14. How to Dispose of Unused Medicines

    MedlinePlus

    ... trash and recycling facility. Flushing Drugs and the Water Supply Some people wonder if it’s okay to flush ... such as rivers and lakes, and in drinking water supplies. “The main way drug residues enter water systems ...

  15. Summit Equipment & Supplies, Inc. Five-Year Reviews

    EPA Pesticide Factsheets

    The Summit Equipment & Supplies site in Akron, OH is a former salvage yard and scrap metal facility with PCB contamination of soil on-site, off-site movement of the PCBs, and ground water contamination under the site.

  16. Cryptosporidium: Treatment

    MedlinePlus

    ... Camps Boil Water Advisories Public Users of Public Water Supplies Commercial Establishments Commercial Ice Maker Users Childcare Facilities Dental Offices Hospitals, Healthcare Facilities, & Nursing Homes Dialysis A Guide to Water Filters A Guide to Commercially-Bottled Water and ...

  17. Cryptosporidium (Crypto)

    MedlinePlus

    ... Camps Boil Water Advisories Public Users of Public Water Supplies Commercial Establishments Commercial Ice Maker Users Childcare Facilities Dental Offices Hospitals, Healthcare Facilities, & Nursing Homes Dialysis A Guide to Water Filters A Guide to Commercially-Bottled Water and ...

  18. Integrated forward and reverse supply chain: A tire case study.

    PubMed

    Pedram, Ali; Yusoff, Nukman Bin; Udoncy, Olugu Ezutah; Mahat, Abu Bakar; Pedram, Payam; Babalola, Ayo

    2017-02-01

    This paper attempts to integrate both a forward and reverse supply chain to design a closed-loop supply chain network (CLSC). The problem in the design of a CLSC network is uncertainty in demand, return products and the quality of return products. Scenario analyses are generated to overcome this uncertainty. In contrast to the existing supply chain network design models, a new application of a CLSC network was studied in this paper to reduce waste. A multi-product, multi-tier mixed integer linear model is developed for a CLSC network design. The main objective is to maximize profit and provide waste management decision support in order to minimize pollution. The result shows applicability of the model in the tire industry. The model determines the number and the locations of facilities and the material flows between these facilities. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Major design issues of molten carbonate fuel cell power generation unit

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

    Chen, T.P.

    1996-04-01

    In addition to the stack, a fuel cell power generation unit requires fuel desulfurization and reforming, fuel and oxidant preheating, process heat removal, waste heat recovery, steam generation, oxidant supply, power conditioning, water supply and treatment, purge gas supply, instrument air supply, and system control. These support facilities add considerable cost and system complexity. Bechtel, as a system integrator of M-C Power`s molten carbonate fuel cell development team, has spent substantial effort to simplify and minimize these supporting facilities to meet cost and reliability goals for commercialization. Similiar to other fuels cells, MCFC faces design challenge of how to complymore » with codes and standards, achieve high efficiency and part load performance, and meanwhile minimize utility requirements, weight, plot area, and cost. However, MCFC has several unique design issues due to its high operating temperature, use of molten electrolyte, and the requirement of CO2 recycle.« less

  20. An assessment of drinking-water supplies on the Hanford site: an evaluation conducted at a federal nuclear facility in southeastern Washington state.

    PubMed

    Hanf, R William; Kelly, Lynn M

    2005-03-01

    Drinking water is supplied to most U.S. Department of Energy (DOE) facilities on the Hanford Site by DOE-owned, contractor-operated pumping and distribution systems. Water is primarily obtained from the Columbia River, but some facilities use water from on-site groundwater wells. Because of the large amount of radioactive and chemical waste produced, stored, and disposed of at Hanford, some people are concerned that waste materials are contaminating on-site drinking-water supplies. This paper describes the drinking-water facilities and treatment requirements on the Hanford Site and summarizes radiological and non-radiological water quality data obtained from water samples collected from each drinking-water system in use during 2001 and 2002. Monitoring data show that Hanford-produced radionuclides are measurable in some drinking-water samples. The only non-radiological contaminants detected either were by-products of the chlorination process or came from off-site agricultural activities. Contaminant level values were, in all cases, below state and federal drinking-water limits. This information will provide assurance to current employees and future site developers that drinking water on the Hanford Site is safe for public consumption.

  1. N 2 gas is an effective fertilizer for bioethanol production by Zymomonas mobilis

    DOE PAGES

    Kremer, Timothy A.; LaSarre, Breah; Posto, Amanda L.; ...

    2015-02-02

    A nascent cellulosic ethanol industry is struggling to become cost-competitive against corn ethanol and gasoline. Millions of dollars are spent on nitrogen supplements to make up for the low nitrogen content of the cellulosic feedstock. In this paper, we show for the first time to our knowledge that the ethanol-producing bacterium, Zymomonas mobilis, can use N 2 gas in lieu of traditional nitrogen supplements. Despite being an electron-intensive process, N 2 fixation by Z. mobilis did not divert electrons away from ethanol production, as the ethanol yield was greater than 97% of the theoretical maximum. In a defined medium, Z.more » mobilis produced ethanol 50% faster per cell and generated half the unwanted biomass when supplied N 2 instead of ammonium. In a cellulosic feedstock-derived medium, Z. mobilis achieved a similar cell density and a slightly higher ethanol yield when supplied N 2 instead of the industrial nitrogen supplement, corn steep liquor. Finally, we estimate that N 2-utilizing Z. mobilis could save a cellulosic ethanol production facility more than $1 million/y.« less

  2. KSC-2011-1682

    NASA Image and Video Library

    2011-02-24

    CAPE CANAVERAL, Fla. -- House Of Representatives Democratic Leader Nancy Pelosi, from California's 8th District, and other VIPs are at NASA's Kennedy Space Center in Florida to witness space shuttle Discovery make history as it lifts off on its final scheduled mission from Launch Pad 39A. While at the space center, they attended a presentation in the Operations Support Building II and toured Orbiter Processing Facilities 1 and 2 where shuttles Atlantis and Endeavour are being prepared for their final missions respectively. Discovery and its six-member STS-133 crew will deliver the Permanent Multipurpose Module, packed with supplies and critical spare parts, as well as Robonaut 2, the dexterous humanoid astronaut helper, to the International Space Station. Discovery will make its 39th mission and is scheduled to be retired following STS-133. This will be the 133rd Space Shuttle Program mission and the 35th shuttle voyage to the space station. For more information on the STS-133 mission, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Jim Grossmann

  3. KSC-2011-7064

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – At NASA's Kennedy Space Center in Florida, a T-38 training jet on the Shuttle Landing Facility is being fueled in preparation for the arrival of the space shuttle Atlantis’ STS-135 astronauts. Commander Chris Ferguson, Pilot Doug Hurley and Mission Specialist Sandra Magnus were at the center for the traditional post-flight crew return presentation. To the left of the jet is the space shuttle's mate-demate device. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  4. KSC-2011-7073

    NASA Image and Video Library

    2011-09-19

    CAPE CANAVERAL, Fla. – At the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida, STS-135 Pilot Doug Hurley and Mission Specialist Sandra Magnus (in the red helmet) prepare for departure in a T-38 training jet. The astronauts, along with Commander Chris Ferguson, were at the center for the traditional post-flight crew return presentation. To the left of the jet is the space shuttle's mate-demate device. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

  5. Cygnus Orbital ATK OA-6 Final Hatch Closure

    NASA Image and Video Library

    2016-03-06

    Inside the Payload Hazardous Servicing Facility at NASA's Kennedy Space Center in Florida, the hatch is closed for the upcoming flight of a Cygnus cargo vessel. The spacecraft is scheduled for the upcoming Orbital ATK Commercial Resupply Services-6 mission to deliver hardware and supplies to the International Space Station. When members of the ISS Expedition 47 crew open the hatch, they will be greeted with a sign noting the spacecraft was named SS Rick Husband in honor of the commander of the STS-107 mission. On that flight, the crew of the space shuttle Columbia was lost during re-entry on Feb. 1, 2003. The Cygnus is scheduled to lift off atop a United Launch Alliance Atlas V rocket on March 22.

  6. OA-7 CYGNUS Unbagging, Move from Airlock to Highbay, Lift to Stand at PHSF

    NASA Image and Video Library

    2017-02-24

    Inside the Payload Hazardous Servicing Facility at NASA's Kennedy Space Center in Florida, technicians remove the protective covering from Orbital ATK's CYGNUS pressurized cargo module on a KAMAG transporter. CYGNUS is then moved from the airlock to the highbay inside the PHSF, followed by the payload being lifted and positioned on a work stand for final propellant loading and late cargo stowage. The Orbital ATK CRS-7 commercial resupply services mission to the International Space Station is scheduled to launch atop a United Launch Alliance Atlas V rocket from Space Launch Complex 41 at Cape Canaveral Air Force Station on March 19, 2017. CYGNUS will deliver thousands of pounds of supplies, equipment and scientific research materials to the space station.

  7. Medicare and Medicaid programs; fire safety requirements for long term care facilities, automatic sprinkler systems. Final rule.

    PubMed

    2008-08-13

    This final rule requires all long term care facilities to be equipped with sprinkler systems by August 13, 2013. Additionally, this final rule requires affected facilities to maintain their automatic sprinkler systems once they are installed.

  8. 77 FR 31182 - Final Withdrawal of Regulations Pertaining to Imports of Cotton Woven Fabric and Short Supply...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-25

    ... No. 120117047-2421-02] RIN 0625-AA90 Final Withdrawal of Regulations Pertaining to Imports of Cotton... final rule withdrawing regulations pertaining to imports of cotton woven fabric and short supply procedures. Both sets of regulations are obsolete: The tariff quota on cotton woven fabric expired in 2009...

  9. Pilot assessment of supply chains for pharmaceuticals and medical commodities for malaria, tuberculosis and HIV infection in Ethiopia.

    PubMed

    Daniel, Gabriel; Tegegnework, Hailu; Demissie, Tsion; Reithinger, Richard

    2012-01-01

    To obtain preliminary data on the drug supply management system in Ethiopia, selected facilities were assessed for the availability of essential drugs and commodities for malaria, TB and HIV. Of the 48 surveyed hospitals and health centers, 9 (19%), 9 (19%) and 10 (21%) did not have malaria, TB or HIV drugs, respectively. Similarly, of 27 health posts, 9 (33%) and 6 (22%) did not have rapid diagnostic tests and antimalarial drugs, respectively. The findings indicated an inadequate availability of essential drugs and commodities in the surveyed facilities as well as weaknesses in human resources and training. Assessments of commodity supply chains to ensure operational program success and impact are important. Published by Elsevier Ltd.

  10. Costing the supply chain for delivery of ACT and RDTs in the public sector in Benin and Kenya.

    PubMed

    Shretta, Rima; Johnson, Brittany; Smith, Lisa; Doumbia, Seydou; de Savigny, Don; Anupindi, Ravi; Yadav, Prashant

    2015-02-05

    Studies have shown that supply chain costs are a significant proportion of total programme costs. Nevertheless, the costs of delivering specific products are poorly understood and ballpark estimates are often used to inadequately plan for the budgetary implications of supply chain expenses. The purpose of this research was to estimate the country level costs of the public sector supply chain for artemisinin-based combination therapy (ACT) and rapid diagnostic tests (RDTs) from the central to the peripheral levels in Benin and Kenya. A micro-costing approach was used and primary data on the various cost components of the supply chain was collected at the central, intermediate, and facility levels between September and November 2013. Information sources included central warehouse databases, health facility records, transport schedules, and expenditure reports. Data from document reviews and semi-structured interviews were used to identify cost inputs and estimate actual costs. Sampling was purposive to isolate key variables of interest. Survey guides were developed and administered electronically. Data were extracted into Microsoft Excel, and the supply chain cost per unit of ACT and RDT distributed by function and level of system was calculated. In Benin, supply chain costs added USD 0.2011 to the initial acquisition cost of ACT and USD 0.3375 to RDTs (normalized to USD 1). In Kenya, they added USD 0.2443 to the acquisition cost of ACT and USD 0.1895 to RDTs (normalized to USD 1). Total supply chain costs accounted for more than 30% of the initial acquisition cost of the products in some cases and these costs were highly sensitive to product volumes. The major cost drivers were found to be labour, transport, and utilities with health facilities carrying the majority of the cost per unit of product. Accurate cost estimates are needed to ensure adequate resources are available for supply chain activities. Product volumes should be considered when costing supply chain functions rather than dollar value. Further work is needed to develop extrapolative costing models that can be applied at country level without extensive micro-costing exercises. This will allow other countries to generate more accurate estimates in the future.

  11. Simulation modeling of domestic and international intermodal supply paths.

    DOT National Transportation Integrated Search

    2014-07-01

    supply of material to a manufacturing facility obviously has a major impact on enterprise : performance, whether measured in terms of cost, timeliness, quality, etc. Most material that is : input to a manufacturing process is transported to the manuf...

  12. 78 FR 14298 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    .... Applicants: Wolverine Power Supply Cooperative, Inc., Wisconsin Electric Power Company. Description: Wolverine Power Supply Cooperative, Inc. et al Application for Authorization for Disposition of Jurisdictional Facilities Pursuant to Federal Power Act Section 203 & Request for limited Waivers & Confidential...

  13. Cryptosporidium (Crypto) Disease: Diagnosis & Detection

    MedlinePlus

    ... Camps Boil Water Advisories Public Users of Public Water Supplies Commercial Establishments Commercial Ice Maker Users Childcare Facilities Dental Offices Hospitals, Healthcare Facilities, & Nursing Homes Dialysis A Guide to Water Filters A Guide to Commercially-Bottled Water and ...

  14. The Papua New Guinea medical supply system - documenting opportunities and challenges to meet the Millennium Development Goals

    PubMed Central

    2014-01-01

    Objectives Limited human resources are widely recognised as an impediment to achieving the health-related Millennium Development Goals in Pacific Island Countries, with the availability of medical supplies and suitably trained health personnel crucial to ensuring a well-functioning medical supply chain. This paper presents our findings as we seek to answer the research question ‘What factors influence the availability of medical supplies within the health facilities of Papua New Guinea?’ Methods We used a qualitative, triangulated strategy using semi-structured interviews, workplace observation and semi-structured focus groups. The parallel use of the interview tool and workplace observation tool allowed identification of ‘know-do’ gaps between what the interviewee said they did in their work practices, and the actual evidence of these practices. Focus groups provided further opportunities for raising and elaborating issues. Results During 2 weeks of data collection we conducted 17 interviews and 15 observational workplace surveys in 15 facilities. Sixteen health personnel participated in 3 focus groups across 2 provinces and one district. An array of medical supply issues across all levels of the medical supply chain were revealed, including standard operating procedures, facilities, transport, emergency medical kits, the cold chain and record keeping. The influence of health worker training and competency was found to be common across all of these issues. Conclusion The factors influencing the availability of medical supplies in PNG consist of a range of interrelating issues, consisting of both simple and complex problems involving the different levels and cadres of workers within the medical supply chain. Health systems sustainability theory suggests that a coordinated approach which addresses the inter-related nature of these issues, led by the PNG government and supported by suitable development partners, will be required for sustainable health systems change to occur. These changes are necessary for PNG to meet the health-related Millennium Development Goals. PMID:25848545

  15. The Papua New Guinea medical supply system - documenting opportunities and challenges to meet the Millennium Development Goals.

    PubMed

    Brown, Andrew N; Gilbert, Ben

    2014-01-01

    Limited human resources are widely recognised as an impediment to achieving the health-related Millennium Development Goals in Pacific Island Countries, with the availability of medical supplies and suitably trained health personnel crucial to ensuring a well-functioning medical supply chain. This paper presents our findings as we seek to answer the research question 'What factors influence the availability of medical supplies within the health facilities of Papua New Guinea?' We used a qualitative, triangulated strategy using semi-structured interviews, workplace observation and semi-structured focus groups. The parallel use of the interview tool and workplace observation tool allowed identification of 'know-do' gaps between what the interviewee said they did in their work practices, and the actual evidence of these practices. Focus groups provided further opportunities for raising and elaborating issues. During 2 weeks of data collection we conducted 17 interviews and 15 observational workplace surveys in 15 facilities. Sixteen health personnel participated in 3 focus groups across 2 provinces and one district. An array of medical supply issues across all levels of the medical supply chain were revealed, including standard operating procedures, facilities, transport, emergency medical kits, the cold chain and record keeping. The influence of health worker training and competency was found to be common across all of these issues. The factors influencing the availability of medical supplies in PNG consist of a range of interrelating issues, consisting of both simple and complex problems involving the different levels and cadres of workers within the medical supply chain. Health systems sustainability theory suggests that a coordinated approach which addresses the inter-related nature of these issues, led by the PNG government and supported by suitable development partners, will be required for sustainable health systems change to occur. These changes are necessary for PNG to meet the health-related Millennium Development Goals.

  16. 7 CFR Appendix A to Subpart E of... - Hazard Potential Classification for Civil Works Projects

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... essential facilities and access Disruption of critical facilities and access. Property Losses 4 Private..., communications, power supply, etc. 4 Direct economic impact of value of property damages to project facilities and down stream property and indirect economic impact due to loss of project services, i.e., impact on...

  17. Dressing Rooms & Related Service Facilities for Physical Education, Athletics, and Recreation.

    ERIC Educational Resources Information Center

    Ragsdale, Lee; And Others

    The purpose of this publication is to identify significant considerations in the planning of dressing-locker rooms and related service facilities such as shower rooms, toilet and lavatory rooms, toweling areas, storage and supply rooms, laundries, training and first aid rooms, and custodial facilities. However, only a perfunctory treatment of each…

  18. 48 CFR 47.303-2 - F.o.b. origin, contractor's facility.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false F.o.b. origin, contractor... REGULATION CONTRACT MANAGEMENT TRANSPORTATION Transportation in Supply Contracts 47.303-2 F.o.b. origin, contractor's facility. (a) Explanation of delivery term. F.o.b. origin, contractor's facility means free of...

  19. The Commuting Student Study, Report IV: Food Facilities.

    ERIC Educational Resources Information Center

    Williamson, W. J.; And Others

    This report presents a detailed analysis of the food facilities at the University of Alberta. Emphasis is placed on the three main supplies of food: the peak production of cafeterias at meal times, the snack facilities, and vending machines. Study results indicate: (1) extensive use of the students' union building cafeterias; (2) reported use of…

  20. Operations Plans for Anadromous Fish Production Facilities in the Columbia River Basin, Volume II of V; 1992 Annual Report.

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

    Hutchison, Bill

    1993-05-01

    Clearwater Hatchery is located on the north bank of the North Fork of the Clearwater River, downstream from Dworshak Dam. It is approximately 72 miles from Lower Granite Dam, and 504 miles from the mouth of the Columbia River. Site elevation is approximately 994 feet above sea level. The hatchery is staffed with 7 FTE's. Clearwater Hatchery has two pipelines from Dworshak Reservoir. One is attached to a floating platform and is capable of providing various temperatures at varying depths. The other is a stationary intake about 245 feet below the top of the dam. All water is gravity fedmore » to the hatchery. An l8 inch intake pipe provides an estimated 10 cfs with temperature remaining constant at approximately 40 F. The primary 42-inch intake pipe can draw water from 5 to 45 feet in depth with temperatures ranging from 55 to 60 F and 70 cfs of flow. The hatchery facility consists of 11 chinook raceways, 24 steelhead raceways, 2 adult holding ponds, a covered spawning area with 2 live wells and 60 concrete rearing vats. There are 40 double stacks of Heath-type incubators and each vat also has an incubation jar. All facility units are in excellent condition. Clearwater Hatchery also supports satellite facilities at Red River, Crooked River and Powell. The Red River satellite facility is located approximately 15 miles east of Elk City, Idaho. It is approximately 186 miles upstream from Lower Granite Dam and 618 miles from the mouth of the Columbia River. It was first built in 1974 by the Columbia River Project and then remodeled by the U.S. Army Corps of Engineers in 1986. Red River is supplied by gravity flow from an intake located at the bottom of the South Fork of Red River, 225 yards upstream from the facility. Water rights allow for 10 cfs and during low flows in the summer about 5 cfs is available. Temperatures range from 40 F in the spring to 71 F in early August. The facility consists of two adult holding ponds, a removable tripod and panel weir, and a rearing pond. All units are in good condition due to the recent remodeling. The Crooked River satellite facility is located 20 miles downstream of Red River. The trap is located 0.5 miles upstream of the mouth of Crooked River, a tributary of the South Fork of the Clearwater River. The rearing ponds are 10 miles upstream from the Crooked River adult trap. Crooked River water is supplied by gravity flow by an intake 200 yards upstream of the facility raceways. Water rights allow for 10 cfs at the rearing facility and 10 cfs at the trapping facility. Water temperatures range from 42 to 70 F. The trap and weir are located at the mouth of Crooked River. Ten miles upstream from the mouth are two raceways, a cleaning waste pond and final settling pond. All facility units are in good condition. The Powell satellite facility is located 122 miles east of the Clear-water Hatchery at the headwaters of the Lochsa River, the confluence of the Crooked Fork Creek and White Sands Creek. Powell is 192.5 miles from Lower Granite Dam and 624 miles from the mouth of the Columbia River. The Powell Facility receives gravity flow water from Walton Creek at a rate of 7 cfs with the intake being located 100 yards upstream from the facility. Powell also has a pumped supply from White Sands Creek at 3 cfs. Water temperature ranges from 45.8 to 50.2 F from the Walton Creek intake and 41 to 65 F from the White Sands pump station. The facility consists of one rearing pond, a diversion and intake screen, two adult holding ponds, a floating weir, and an open bay spawning shelter. All facility units are in good condition.« less

  1. The impact of facility audits, evaluation reports and incentives on motivation and supply management among family planning service providers: an interventional study in two districts in Maputo Province, Mozambique.

    PubMed

    Vermandere, Heleen; Galle, Anna; Griffin, Sally; de Melo, Málica; Machaieie, Lino; Van Braeckel, Dirk; Degomme, Olivier

    2017-05-02

    Good progress is being made towards universal access to contraceptives, however stock-outs still jeopardize progress. A seldom considered but important building block in optimizing supply management is the degree to which health workers feel motivated and responsible for monitoring supply. We explored how and to what extent motivation can be improved, and the impact this can have on avoiding stock-outs. Fifteen health facilities in Maputo Province, Mozambique, were divided into 3 groups (2 intervention groups and 1 control), and 10 monthly audits were implemented in each of these 15 facilities to collect data through examination of stock cards and stock-counts of 6 contraceptives. Based on these audits, the 2 intervention groups received a monthly evaluation report reflecting the quality of their supply management. One of these 2 groups was also awarded material incentives conditional on their performance. A Wilcoxon-Mann Whitney test was used to detect differences between the groups in the average number of stocked-out centres, while changes over time were verified through applying a Friedman test. Additionally, staff motivation was measured through interviewing health care providers of all centres at baseline, and after 5 and 10 months. To detect differences between the groups and changes over time, a Kruskal Wallis and a Wilcoxon signed-rank test were applied, respectively. Motivation reported by providers (n = 55, n = 40 and n = 39 at baseline, 1st and 2nd follow-up respectively) was high in all groups, during all rounds, and did not change over time. Facilities in the intervention groups had better supply management results (including less stock-outs) during the entire intervention period compared with those in the control group, but the difference was only significant for the group receiving both material incentives and a monthly evaluation. However, our data also suggest that supply management also improved in control facilities, receiving only a monthly audit. During this study, more stock-outs occurred for family planning methods with lower demand, but the number of stock-outs per family planning method in the intervention groups was only significantly lower, compared with the control group, for female condoms. While a rise in motivation was not measurable, stock management was enhanced possibly as a result of the monthly audits. This activity was primarily for data collection, but was described as motivating and supportive, indicating the importance of feedback on health workers' accomplishments. More research is needed to quantify the additional impact of the interventions (distribution of evaluation reports and material incentives) on staff motivation and supply management. Special attention should be paid to supply management of less frequently used contraceptive methods.

  2. Military Government

    DTIC Science & Technology

    1949-07-01

    The water supply may be disrupted or poluted . ( 4) Hospital facilities and medical supplies may be extremely scarce. Dead may be found unburied and...insurance unit may supervise all insurance companies, or an income tax unit may audit internal revenue offices. (2) Other military government units carry

  3. Examining school-based hygiene facilities: a quantitative assessment in a Ghanaian municipality.

    PubMed

    Appiah-Brempong, Emmanuel; Harris, Muriel J; Newton, Samuel; Gulis, Gabriel

    2018-05-02

    The crucial role of adequate water, sanitation and hygiene (WASH) facilities in influencing children's handwashing behaviour is widely reported. Report from UNICEF indicates a dearth of adequate data on WASH facilities in schools, especially in the developing world. This study sought to contribute to building the evidence-base on school hygiene facilities in Ghana. The study further explored for possible associations and differences between key variables within the context of school water, sanitation and hygiene. Data was collected from 37 junior high schools using an observational checklist. Methods of data analysis included a Scalogram model, Fisher's exact test, and a Student's t-test. Results of the study showed a facility deficiency in many schools: 33% of schools had students washing their hands in a shared receptacle (bowl), 24% had students using a single cotton towel to dry hands after handwashing, and only 16% of schools had a functional water facility. Furthermore, results of a proportion test indicated that 83% of schools which had functional water facilities also had functional handwashing stations. On the other hand, only 3% of schools which had functional water facilities also had a functional handwashing stations. A test of difference in the proportions of the two sets of schools showed a statistically significant difference (p < 0.001). In addition, 40% of schools which had financial provisions for water supply also had functional handwashing stations. On the other hand, only 7% of schools which had financial provisions for water supply also had functional handwashing stations. There was a statistically significant difference in the proportions of the two sets of schools (p = 0.02). We conclude that it is essential to have a financial provision for water supply in schools as this can potentially influence the existence of a handwashing station in a school. An intervention by government, educational authorities and civil society organisations towards enabling schools in low resource areas to have a sustainable budgetary allocation for WASH facilities would be timely.

  4. Closeout of IE Bulletin 83-06: Nonconforming materials supplied by Tube-Line Corporation Facilities at Long Island City, New York; Houston, Texas; and Carol Stream, Illinois

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

    Dean, R.S.; Foley, W.J.; Hennick, A.

    1989-05-01

    Documentation is provided in this report for the closeout of IE Bulletin 83-06 regarding nonconformities of certain materials which were obtained directly or indirectly from the Tube-Line Corporation (T-L) for use in safety-related systems. Closeout is based on the implementation and verification of four (4) required actions by licensees and holders of construction permits of nuclear power reactor and nuclear fuel facilities. From evaluation of responses and NRC/Region inspection reports, it is concluded that the concerns of the bulletin have been resolved. The bulletin is closed for all of the 120 power reactor facilities and for both of the twomore » nuclear fuel facilities to which it was issued for action. Background information is supplied in the Introduction and Appendix A. 3 refs., 5 tabs.« less

  5. The Global Drug Facility as an intervention in the market for tuberculosis drugs

    PubMed Central

    Cordier-Lassalle, Thierry; Lunte, Kaspars; Dye, Christopher

    2015-01-01

    Abstract Objective To investigate funding for the Global Drug Facility since 2001 and to analyse the facility’s influence on the price of high-quality tuberculosis drugs. Methods Data on the price of tuberculosis drugs were obtained from the Global Drug Facility for 2001 to 2012 and, for the private sector in 15 countries, from IMS Health for 2002 to 2012. Data on funding of the facility were also collected. Findings Quality-assured tuberculosis drugs supplied by the Global Drug Facility were generally priced lower than drugs purchased in the private sector. In 2012, just three manufacturers accounted for 29.9 million United Stated dollars (US$) of US$ 44.5 million by value of first-line drugs supplied. The Global Fund to Fight AIDS, Tuberculosis and Malaria provided 73% (US$ 32.5 million of US$ 44.5 million) and 89% (US$ 57.8 million of US $65.2 million) of funds for first- and second-line drugs, respectively. Between 2010 and 2012, the facility’s market share of second-line tuberculosis drugs increased from 26.1% to 42.9%, while prices decreased by as much as 24% (from US$ 1231 to US$ 939). Conversely, the facility’s market share of first-line drugs fell from 37.2% to 19.2% during this time, while prices increased from US$ 9.53 to US$ 10.2. Conclusion The price of tuberculosis drugs supplied through the facility was generally less than that on the private market. However, to realize its full potential and meet the needs of more tuberculosis patients, the facility requires more diverse and stable public funding and greater flexibility to participate in the private market. PMID:26229188

  6. A prototype Crew Medical Restraint System (CMRS) for Space Station Freedom

    NASA Technical Reports Server (NTRS)

    Johnston, S. L.; Eichstadt, F. T.; Billica, R. D.

    1992-01-01

    The Crew Medical Restrain System (CMRS) is a prototype system designed and developed for use as a universally deployable medical restraint/workstation on Space Station Freedom (SSF), the Shuttle Transportation System (STS), and the Assured Crew Rescue Vehicle (ACRV) for support of an ill or injured crewmember requiring stabilization and transportation to Earth. The CMRS will support all medical capabilities of the Health Maintenance Facility (HMF) by providing a restraint/interface system for all equipment (advance life support packs, defibrillator, ventilator, portable oxygen supply, IV pump, transport monitor, transport aspirator, and intervenous fluids delivery system) and personnel (patient and crew medical officers). It must be functional within the STS, ACRV, and all SSF habitable volumes. The CMRS will allow for medical capabilities within CPR, ACLS and ATLS standards of care. This must all be accomplished for a worst case transport time scenario of 24 hours from SSF to a definitive medical care facility on Earth. A presentation of the above design prototype with its subsequent one year SSF/HMF and STS/ACRV high fidelity mock-up ground based simulation testing will be given. Also, parabolic flight and underwater Weightless Test Facility evaluations will be demonstrated for various medical contingencies. The final design configuration to date will be discussed with future space program impact considerations.

  7. Fuel Cells for Backup Power in Telecommunications Facilities (Fact Sheet)

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

    Not Available

    2009-04-01

    Telecommunications providers rely on backup power to maintain a constant power supply, to prevent power outages, and to ensure the operability of cell towers, equipment, and networks. The backup power supply that best meets these objectives is fuel cell technology.

  8. KSC-2011-5700

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Xenon lights positioned on Runway 15 at the Shuttle Landing Facility reveal space shuttle Atlantis as it nears touchdown for the final time at NASA's Kennedy Space Center in Florida. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered in the Raffaello multi-purpose logistics module more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. STS-135 is the final mission in the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Chuck Tintera

  9. KSC-2011-5704

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Backlit by the xenon lights on Runway 15 at the Shuttle Landing Facility, space shuttle Atlantis nears touchdown for the final time at NASA's Kennedy Space Center in Florida. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. STS-135 also was the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Chad Baumer

  10. KSC-2011-5705

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Backlit by the xenon lights on Runway 15 at the Shuttle Landing Facility, space shuttle Atlantis nears touchdown for the final time at NASA's Kennedy Space Center in Florida. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. STS-135 also was the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Chad Baumer

  11. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-166 (21 July 2011) --- Xenon lights illuminate space shuttle Atlantis' unfurled drag chute as the vehicle rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  12. KSC-2011-5697

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Xenon lights positioned on Runway 15 at the Shuttle Landing Facility reveal space shuttle Atlantis as it touches down for the final time at NASA's Kennedy Space Center in Florida. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered in the Raffaello multi-purpose logistics module more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. STS-135 is the final mission in the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Rusty Backer

  13. KSC-2011-5706

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Xenon lights positioned on Runway 15 at the Shuttle Landing Facility reveal space shuttle Atlantis as it nears touchdown for the final time at NASA's Kennedy Space Center in Florida. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. STS-135 also was the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Chad Baumer

  14. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-164 (21 July 2011) --- Xenon lights illuminate space shuttle Atlantis' unfurled drag chute as the vehicle rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  15. The Final Landing of STS-135 Atlantis

    NASA Image and Video Library

    2011-07-21

    STS135-S-165 (21 July 2011) --- Xenon lights illuminate space shuttle Atlantis' unfurled drag chute as the vehicle rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. (EDT) on July 21, 2011, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. Onboard are NASA astronauts Chris Ferguson, STS-135 commander; Doug Hurley, pilot; Sandy Magnus and Rex Walheim, both mission specialists. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. Photo credit: NASA

  16. KSC-2011-5716

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Backlit by the xenon lights on Runway 15 at the Shuttle Landing Facility, space shuttle Atlantis nears touchdown for the final time at NASA's Kennedy Space Center in Florida. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. STS-135 also was the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kenny Allen

  17. A satellite based telemetry link for a UAV application

    NASA Technical Reports Server (NTRS)

    Bloise, Anthony

    1995-01-01

    The requirements for a satellite based communication facility to service the needs of the Geographical Information System (GIS) data collection community are addressed in this paper. GIS data is supplied in the form of video imagery at sub-television rates in one or more spectral bands / polarizations laced with a position correlated data stream. The limitations and vicissitudes of using a terrestrial based telecommunications link to collect GIS data are illustrated from actual mission scenarios. The expectations from a satellite based communications link by the geophysical data collection community concerning satellite architecture, operating bands, bandwidth, footprint agility, up link and down link hardware configurations on the UAV, the Mobile Control Vehicle and at the Central Command and Data Collection Facility comprise the principle issues discussed in the first section of this paper. The final section of the paper discusses satellite based communication links would have an increased volume and scope of services the GIS data collection community could make available to the GIS user community, and the price the data collection community could afford to pay for access to the communication satellite described in the paper.

  18. The impact of market and organizational characteristics on nursing care facility service innovation: a resource dependency perspective.

    PubMed

    Banaszak-Holl, J; Zinn, J S; Mor, V

    1996-04-01

    Using resource dependency theory as a conceptual framework, this study investigates both the organizational and environmental factors associated with an emerging health care service delivery innovation, the provision of specialty care in designated units in nursing care facilities. We consider two types of specialty units, Alzheimer's Disease and subacute care. The Medicare/Medicaid Automated Certification Survey (MMACS) data file was merged with local market area data obtained from the 1992 Area Resource File and with state level regulatory data. The likelihood of providing Alzheimer's Disease or subacute care in dedicated units was estimated by separate logistic regressions. Results indicate that facilities with fewer Medicare patients are more likely to operate a dedicated Alzheimer's care unit, while facilities located in markets with a large HMO population and greater hospital supply are more likely to operate a subacute care unit. While competition among nursing homes, for the most part, is an incentive to innovate, greater regulatory stringency appears to constrain the development of specialty care units of both types. Finally, organizational characteristics (e.g., size and proprietary status) appear to be important enabling factors influencing the propensity to provide specialty care in dedicated units. Nursing care facilities are moving toward providing specialty care units partly as a response to a growing demand by resource providers and to maintain a competitive edge in tighter markets. Loosening regulation directed at cost containment would further encourage the development of specialty care but should be preceded by some evaluation of population needs for specialty care and the effectiveness of specialty care units.

  19. Final Monitoring Plan for Site Closure at Inman, Kansas

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

    LaFreniere, Lorraine M.

    Inman, Kansas, is a rural town located in southwest McPherson County, in sections 8, 9, 16, and 17, Township 21 South, Range 4 West (Figure 1.1). There are 1,377 people in 513 households, as of the census of 2010. The Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA), operated a grain storage facility at the southern edge of the city of Inman, Kansas, from 1954 to 1965. During this time, commercial grain fumigants containing carbon tetrachloride were in common use by the grain storage industry to preserve grain in their facilities. In 1997, trace to low levels ofmore » carbon tetrachloride (below the maximum contamination level [MCL] of 5.0 μg/L) were detected in three private wells near the former grain storage facility at Inman, as part of a statewide USDA private well sampling program that was implemented by the Kansas Department of Health and Environment (KDHE) near former CCC/USDA facilities. No public water supply wells were identified within 1 mi of the town by the KDHE in 1998. Carbon tetrachloride is the contaminant of primary concern at sites associated with grain storage operations. To determine whether the former CCC/USDA facility at Inman is a potential contaminant source and its possible relationship to the carbon tetrachloride contamination in groundwater, the CCC/USDA agreed to conduct a multi-phase investigation at Inman. The investigation was performed by the Environmental Science Division of Argonne National Laboratory in accordance with the Intergovernmental Agreement between the KDHE and the Farm Service Agency of the USDA.« less

  20. How front-line healthcare workers respond to stock-outs of essential medicines in the Eastern Cape Province of South Africa.

    PubMed

    Hodes, R; Price, I; Bungane, N; Toska, E; Cluver, L

    2017-08-25

    Shortages of essential medicines are a daily occurrence in many of South Africa (SA)'s public health facilities. This study focuses on the responses of healthcare workers to stock-outs, investigating how actors at the 'front line' of public health delivery understand, experience and respond to shortages of essential medicines and equipment in their facilities. Findings are based on focus groups, observations and interviews with healthcare workers and patients at healthcare facilities in the Eastern Cape Province of SA, conducted as part of the Mzantsi Wakho study. The research revealed a discrepancy between 'informal' definitions of stock-outs and their reporting through formal stock-out management channels. Front-line healthcare workers had designed their own systems for classifying the severity of stock-outs, based on the product in question, and on their potential to access stocks from other facilities. Beyond formal systems of procurement and supply, healthcare workers had established vast networks of alternative communication and action, often using personal resources to procure medical supplies. Stock-outs were only reported when informal methods of stock-sharing did not secure top-up supplies. These findings have implications for understanding the frequency and severity of stock-outs, and for taking action to prevent and manage stock-outs effectively.

  1. 75 FR 1615 - Amended Record of Decision: Idaho High-Level Waste and Facilities Disposition Final Environmental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-12

    ... DEPARTMENT OF ENERGY Amended Record of Decision: Idaho High-Level Waste and Facilities Disposition...-Level Waste and Facilities Disposition Final Environmental Impact Statement. This document corrects an... Record of Decision: Idaho High-Level Waste and Facilities [[Page 1616

  2. Client perspective assessment of women's satisfaction towards labour and delivery care service in public health facilities at Arba Minch town and the surrounding district, Gamo Gofa zone, south Ethiopia.

    PubMed

    Dewana, Zeritu; Fikadu, Teshale; G/Mariam, Abebe; Abdulahi, Misra

    2016-02-11

    A woman's satisfaction with labour and delivery care service has a good effect on her health and subsequent utilization of the services. Thus knowledge about women's satisfaction on labour and delivery care used to enhances the services utilization. The objective of this study was to assess the satisfaction of women's towards labour and delivery care service and identify factors associated it at public health facilities in Arba Minch town and the surrounding district, Gamo Gofa zone, southern Ethiopia. Facility based cross sectional study was conducted among women who gave birth at public health facility. A total 256 women who gave birth during the study period were included in the study. Data was collected using a structured questionnaire. Satisfaction level was measured using a 5 point-Likert scale questions. Data were entered using Epi data version 3.5.1 and analyzed using SPSS 20.0 statistical software. Factor analysis was employed for Likert scale questions to extract factor represented each of the scale which facilitate treatment of variable as continuous for further analysis. Bi-variate and multivariable logistic regression analysis was employed to identify association between women's satisfaction and predicator variables. Statistical significance was declared at P value <0.05 on final model. The strength of association was interpreted using the adjusted odds ratio and 95% CI. This study revealed that 90.2% of women who gave birth in public health facilities were satisfied with labour and delivery care. Factors associated with women's satisfaction with labour and delivery care services include: not attending formal education [AOR = 8.00, 95% CI = (1.52, 12.27)] attending antenatal care four times and more [AOR = 5.00, 95% CI = (1.76, 14.20)] waiting below 15 minutes to be seen by health professional [AOR = 3.37, 95% CI = (1.14, 9.97)] and not paying for drugs and supplies [AOR = 6.19, 95% CI = (1.34, 18.59)]. Although majority of women were satisfied with the labour and delivery service they got, their level of satisfaction was influenced by educational status, number of ANC visits, waiting time, and payment for drug and supplies. Thus, public health intervention working on improving delivery care should consider these factors.

  3. Medicare and Medicaid programs; fire safety requirements for certain health care facilities. Final rule.

    PubMed

    2003-01-10

    This final rule amends the fire safety standards for hospitals, long-term care facilities, intermediate care facilities for the mentally retarded, ambulatory surgery centers, hospices that provide inpatient services, religious nonmedical health care institutions, critical access hospitals, and Programs of All-Inclusive Care for the Elderly facilities. Further, this final rule adopts the 2000 edition of the Life Safety Code and eliminates references in our regulations to all earlier editions.

  4. Implementation research to improve quality of maternal and newborn health care, Malawi.

    PubMed

    Brenner, Stephan; Wilhelm, Danielle; Lohmann, Julia; Kambala, Christabel; Chinkhumba, Jobiba; Muula, Adamson S; De Allegri, Manuela

    2017-07-01

    To evaluate the impact of a performance-based financing scheme on maternal and neonatal health service quality in Malawi. We conducted a non-randomized controlled before and after study to evaluate the effects of district- and facility-level performance incentives for health workers and management teams. We assessed changes in the facilities' essential drug stocks, equipment maintenance and clinical obstetric care processes. Difference-in-difference regression models were used to analyse effects of the scheme on adherence to obstetric care treatment protocols and provision of essential drugs, supplies and equipment. We observed 33 health facilities, 23 intervention facilities and 10 control facilities and 401 pregnant women across four districts. The scheme improved the availability of both functional equipment and essential drug stocks in the intervention facilities. We observed positive effects in respect to drug procurement and clinical care activities at non-intervention facilities, likely in response to improved district management performance. Birth assistants' adherence to clinical protocols improved across all studied facilities as district health managers supervised and coached clinical staff more actively. Despite nation-wide stock-outs and extreme health worker shortages, facilities in the study districts managed to improve maternal and neonatal health service quality by overcoming bottlenecks related to supply procurement, equipment maintenance and clinical performance. To strengthen and reform health management structures, performance-based financing may be a promising approach to sustainable improvements in quality of health care.

  5. Description of a Ground Facility for Conducting Ionospheric Scintillation Measurements with the ATS-5 Spacecraft

    DOT National Transportation Integrated Search

    1974-07-01

    Some of the capabilities of the DOT/TSC Westford Propagation Facility located in Westford Massachusetts as they relate to ionospheric measurements will be described. A detailed bibliography of over 400 references is supplied.

  6. Informed push distribution of contraceptives in Senegal reduces stockouts and improves quality of family planning services.

    PubMed

    Daff, Bocar Mamadou; Seck, Cheikh; Belkhayat, Hassan; Sutton, Perri

    2014-05-01

    Contraceptive use in Senegal is among the lowest in the world and has barely increased over the past 5 years, from 10% of married women in 2005 to 12% in 2011. Contraceptive stockouts in public facilities, where 85% of women access family planning services, are common. In 2011, we conducted a supply chain study of 33 public-sector facilities in Pikine and Guediawaye districts of the Dakar region to understand the magnitude and root causes of stockouts. The study included stock audits, surveys with 156 consumers, and interviews with facility staff, managers, and other stakeholders. At the facility level, stockouts of injectables and implants occurred, on average, 43% and 83% of the year, respectively. At least 60% of stockouts occurred despite stock availability at the national level. Data from interviews revealed that the current "pull-based" distribution system was complex and inefficient. In order to reduce stockout rates to the commercial-sector standard of 2% or less, the Government of Senegal and the Senegal Urban Reproductive Health Initiative developed the informed push distribution model (IPM) and pilot-tested it in Pikine district between February 2012 and July 2012. IPM brings the source of supply (a delivery truck loaded with supplies) closer to the source of demand (clients in health facilities) and streamlines the steps in between. With a professional logistician managing stock and deliveries, the health facilities no longer need to place and pick up orders. Stockouts of contraceptive pills, injectables, implants, and intrauterine devices (IUDs) were completely eliminated at the 14 public health facilities in Pikine over the 6-month pilot phase. The government expanded IPM to all 140 public facilities in the Dakar region, and 6 months later stockout rates throughout the region dropped to less than 2%. National coverage of the IPM is expected by July 2015.

  7. Informed push distribution of contraceptives in Senegal reduces stockouts and improves quality of family planning services

    PubMed Central

    Daff, Bocar Mamadou; Seck, Cheikh; Belkhayat, Hassan; Sutton, Perri

    2014-01-01

    Contraceptive use in Senegal is among the lowest in the world and has barely increased over the past 5 years, from 10% of married women in 2005 to 12% in 2011. Contraceptive stockouts in public facilities, where 85% of women access family planning services, are common. In 2011, we conducted a supply chain study of 33 public-sector facilities in Pikine and Guediawaye districts of the Dakar region to understand the magnitude and root causes of stockouts. The study included stock audits, surveys with 156 consumers, and interviews with facility staff, managers, and other stakeholders. At the facility level, stockouts of injectables and implants occurred, on average, 43% and 83% of the year, respectively. At least 60% of stockouts occurred despite stock availability at the national level. Data from interviews revealed that the current “pull-based” distribution system was complex and inefficient. In order to reduce stockout rates to the commercial-sector standard of 2% or less, the Government of Senegal and the Senegal Urban Reproductive Health Initiative developed the informed push distribution model (IPM) and pilot-tested it in Pikine district between February 2012 and July 2012. IPM brings the source of supply (a delivery truck loaded with supplies) closer to the source of demand (clients in health facilities) and streamlines the steps in between. With a professional logistician managing stock and deliveries, the health facilities no longer need to place and pick up orders. Stockouts of contraceptive pills, injectables, implants, and intrauterine devices (IUDs) were completely eliminated at the 14 public health facilities in Pikine over the 6-month pilot phase. The government expanded IPM to all 140 public facilities in the Dakar region, and 6 months later stockout rates throughout the region dropped to less than 2%. National coverage of the IPM is expected by July 2015. PMID:25276582

  8. Waste to Watts and Water: Enabling Self-Contained Facilities Using Microbial Fuel Cells

    DTIC Science & Technology

    2008-05-01

    suitable growing medium. LOC - Line of communications . Used in a military sense to indicate a main supply route. It includes transportation by ships...fresh water. Self-Contained Facilities - Facilities that do not rely on outside infrastructure or lines of communication for utilities such as water...require in future facilities is the ability to operate cleanly and efficiently apart from the infrastructure network and line of communications (LOCs) both

  9. Updating fire safety standards. Final rule; affirmation.

    PubMed

    2011-11-16

    This document affirms as final, without changes, a provision included in a final rule with request for comments that amended the Department of Veterans Affairs (VA) regulations concerning community residential care facilities, contract facilities for certain outpatient and residential services, and State home facilities. That provision established a five-year period within which all covered buildings with nursing home facilities existing as of June 25, 2001, must conform to the automatic sprinkler requirement of the 2009 edition of the National Fire Protection Association (NFPA) 101. This rule helps ensure the safety of veterans in the affected facilities.

  10. The Vanuatu medical supply system – documenting opportunities and challenges to meet the Millennium Development Goals

    PubMed Central

    Brown, Andrew; Gilbert, Ben

    2012-01-01

    Objectives: Limited human resources are widely recognised as a barrier to achieve health-related Millennium Development Goals. Availability of medical supplies and suitably trained health personnel are crucial to ensuring a well-functioning medical supply system. The objective of this paper is to identify the factors which influence the availability of medical supplies within the health facilities of Vanuatu. Methods: A qualitative triangulated strategy using semi-structured interviews, observational workplace surveys and semi-structured focus groups was developed. This research was approved by the Human Ethics Committee of the University of Canberra and was funded through a direct grant from the United Nations Population Fund Suva, Pacific sub regional office. Results: During two weeks of data collection, 21 interviews were conducted, observational workplace surveys were completed in 19 facilities and 22 personnel participated in three focus groups across three provinces. The interviewees had a wide range of primary professional groupings and were representative of the Vanuatu health workforce. A complex array of medical supply issues are described from within the three tiered structure of the medical supply system. Conclusion: The results of this research have further informed our understanding of the competencies required by healthcare personnel to conduct medical supply management activities effectively in Pacific Island countries. As a result of this research, a platform is provided for the government of Vanuatu to engage development partners to work toward a sustainable medical supply system. PMID:23093895

  11. Supplying the Giant

    NASA Technical Reports Server (NTRS)

    Lawson, Larry

    2003-01-01

    It was critical for our team to find a radically different way of doing business. Deciding to build the airframe out of composites was the first step, refining processes from the boat building industry was second, and the final step was choosing a supplier. Lockheed Martin built the first prototypes at our Skunk Works facility in Palmdale, California. These units were hand-built and used early prototypical tooling. They looked great but were not affordable. We had to focus on minimizing touch labor and cycle time and reducing material costs. We needed a company to produce the composite quilts we would use to avoid hand lay-ups. The company we found surprised a lot of people. We partnered with a small company outside of Boston whose primary business was making baseball bats and golf club shafts.

  12. Diversification in the Supply Chain of (99)Mo Ensures a Future for (99m)Tc.

    PubMed

    Cutler, Cathy S; Schwarz, Sally W

    2014-07-01

    The uncertain availability of (99m)Tc has become a concern for nuclear medicine departments across the globe. An issue for the United States is that currently it is dependent on a supply of (99m)Tc (from (99)Mo) that is derived solely by production outside the United States. Since the United States uses half the world's (99)Mo production, the U.S. (99)Mo supply chain would be greatly enhanced if a producer were located within the United States. The fragility of the old (99)Mo supply chain is being addressed as new facilities are constructed and new processes are developed to produce (99)Mo without highly enriched uranium. The conversion to low-enriched uranium is necessary to minimize the potential misuse of highly enriched uranium in the world for nonpeaceful means. New production facilities, new methods for the production of (99)Mo, and a new generator elution system for the supply of (99m)Tc are currently being pursued. The progress made in all these areas will be discussed, as they all highlight the need to embrace diversity to ensure that we have a robust and reliable supply of (99m)Tc in the future. © 2014 by the Society of Nuclear Medicine and Molecular Imaging, Inc.

  13. National Program for Inspection of Non-Federal Dams. Mianus Filter Plant Dam (CT 00040), Southwestern Coastal Basin, Greenwich, Connecticut. Phase I Inspection Report.

    DTIC Science & Technology

    1980-02-01

    water supply for the surrounding area. The water treatment facility was r renovated in 1954. The dam is approx. 130 ft. long, 31 ft. hgih and has a top...width~of 7 ft. The outlet works for the dam consist of a 65 ft. long spillway, a 30 inch supply main to the water treatment facility, a low level...Connecticut American Water Company, Greenwich, Connecticut. Copies of this report will be made available to the public, upon request, by this office

  14. Utilizing LEAF to increase biomass feedstock supplies from agricultural land

    USDA-ARS?s Scientific Manuscript database

    The start-up of three full-scale corn stover bioenergy conversion facilities in 2014 will require a substantial increase in sustainable biomass feedstock. Supplying crop residues without having a negative impact on ecosystem services is indeed a “grand challenge” associated with sustainable food and...

  15. 7 CFR 1717.852 - Financing purposes.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... AGRICULTURE POST-LOAN POLICIES AND PROCEDURES COMMON TO INSURED AND GUARANTEED ELECTRIC LOANS Lien... facilities, including real property, used to supply electric and/or steam power to: (i) RE Act beneficiaries... are determined by RUS to be an integral component of the borrower's system of supplying electric and...

  16. 7 CFR 1717.852 - Financing purposes.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... AGRICULTURE POST-LOAN POLICIES AND PROCEDURES COMMON TO INSURED AND GUARANTEED ELECTRIC LOANS Lien... facilities, including real property, used to supply electric and/or steam power to: (i) RE Act beneficiaries... are determined by RUS to be an integral component of the borrower's system of supplying electric and...

  17. 30 CFR 71.402 - Minimum requirements for bathing facilities, change rooms, and sanitary flush toilet facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) Showers shall be provided with both hot and cold water. (ii) At least one shower head shall be provided... urinal. (iv) An adequate supply of toilet paper shall be provided with each toilet. (v) Adequate...

  18. 30 CFR 71.402 - Minimum requirements for bathing facilities, change rooms, and sanitary flush toilet facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) Showers shall be provided with both hot and cold water. (ii) At least one shower head shall be provided... urinal. (iv) An adequate supply of toilet paper shall be provided with each toilet. (v) Adequate...

  19. 30 CFR 71.402 - Minimum requirements for bathing facilities, change rooms, and sanitary flush toilet facilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) Showers shall be provided with both hot and cold water. (ii) At least one shower head shall be provided... urinal. (iv) An adequate supply of toilet paper shall be provided with each toilet. (v) Adequate...

  20. 30 CFR 71.402 - Minimum requirements for bathing facilities, change rooms, and sanitary flush toilet facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) Showers shall be provided with both hot and cold water. (ii) At least one shower head shall be provided... urinal. (iv) An adequate supply of toilet paper shall be provided with each toilet. (v) Adequate...

  1. 30 CFR 71.402 - Minimum requirements for bathing facilities, change rooms, and sanitary flush toilet facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) Showers shall be provided with both hot and cold water. (ii) At least one shower head shall be provided... urinal. (iv) An adequate supply of toilet paper shall be provided with each toilet. (v) Adequate...

  2. 43 CFR 404.53 - Does this rule provide authority for the transfer of pre-existing facilities from Federal to...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... RECLAMATION, DEPARTMENT OF THE INTERIOR RECLAMATION RURAL WATER SUPPLY PROGRAM Miscellaneous § 404.53 Does...-existing facilities or pre-existing components of any water system from Federal to private ownership, or...

  3. Biotechnology Facility (BTF) for ISS

    NASA Technical Reports Server (NTRS)

    1998-01-01

    Engineering mockup shows the general arrangement of the plarned Biotechnology Facility inside an EXPRESS rack aboard the International Space Station. This layout includes a gas supply module (bottom left), control computer and laptop interface (bottom right), two rotating wall vessels (top right), and support systems.

  4. 14 CFR 121.123 - Servicing maintenance facilities.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Servicing maintenance facilities. 121.123 Section 121.123 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION..., supplies, and materials) are available for the proper servicing, maintenance, and preventive maintenance of...

  5. 14 CFR 121.123 - Servicing maintenance facilities.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Servicing maintenance facilities. 121.123 Section 121.123 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION..., supplies, and materials) are available for the proper servicing, maintenance, and preventive maintenance of...

  6. 14 CFR 121.123 - Servicing maintenance facilities.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Servicing maintenance facilities. 121.123 Section 121.123 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION..., supplies, and materials) are available for the proper servicing, maintenance, and preventive maintenance of...

  7. 14 CFR 121.123 - Servicing maintenance facilities.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Servicing maintenance facilities. 121.123 Section 121.123 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION..., supplies, and materials) are available for the proper servicing, maintenance, and preventive maintenance of...

  8. Opportunities and Challenges in the Design and Analysis of Biomass Supply Chains.

    PubMed

    Lautala, Pasi T; Hilliard, Michael R; Webb, Erin; Busch, Ingrid; Richard Hess, J; Roni, Mohammad S; Hilbert, Jorge; Handler, Robert M; Bittencourt, Roger; Valente, Amir; Laitinen, Tuuli

    2015-12-01

    The biomass supply chain is one of the most critical elements of large-scale bioenergy production and in many cases a key barrier for procuring initial funding for new developments on specific energy crops. Most productions rely on complex transforming chains linked to feed and food markets. The term 'supply chain' covers various aspects from cultivation and harvesting of the biomass, to treatment, transportation, and storage. After energy conversion, the product must be delivered to final consumption, whether it is in the form of electricity, heat, or more tangible products, such as pellets and biofuels. Effective supply chains are of utmost importance for bioenergy production, as biomass tends to possess challenging seasonal production cycles and low mass, energy and bulk densities. Additionally, the demand for final products is often also dispersed, further complicating the supply chain. The goal of this paper is to introduce key components of biomass supply chains, examples of related modeling applications, and if/how they address aspects related to environmental metrics and management. The paper will introduce a concept of integrated supply systems for sustainable biomass trade and the factors influencing the bioenergy supply chain landscape, including models that can be used to investigate the factors. The paper will also cover various aspects of transportation logistics, ranging from alternative modal and multi-modal alternatives to introduction of support tools for transportation analysis. Finally gaps and challenges in supply chain research are identified and used to outline research recommendations for the future direction in this area of study.

  9. Opportunities and Challenges in the Design and Analysis of Biomass Supply Chains

    NASA Astrophysics Data System (ADS)

    Lautala, Pasi T.; Hilliard, Michael R.; Webb, Erin; Busch, Ingrid; Richard Hess, J.; Roni, Mohammad S.; Hilbert, Jorge; Handler, Robert M.; Bittencourt, Roger; Valente, Amir; Laitinen, Tuuli

    2015-12-01

    The biomass supply chain is one of the most critical elements of large-scale bioenergy production and in many cases a key barrier for procuring initial funding for new developments on specific energy crops. Most productions rely on complex transforming chains linked to feed and food markets. The term `supply chain' covers various aspects from cultivation and harvesting of the biomass, to treatment, transportation, and storage. After energy conversion, the product must be delivered to final consumption, whether it is in the form of electricity, heat, or more tangible products, such as pellets and biofuels. Effective supply chains are of utmost importance for bioenergy production, as biomass tends to possess challenging seasonal production cycles and low mass, energy and bulk densities. Additionally, the demand for final products is often also dispersed, further complicating the supply chain. The goal of this paper is to introduce key components of biomass supply chains, examples of related modeling applications, and if/how they address aspects related to environmental metrics and management. The paper will introduce a concept of integrated supply systems for sustainable biomass trade and the factors influencing the bioenergy supply chain landscape, including models that can be used to investigate the factors. The paper will also cover various aspects of transportation logistics, ranging from alternative modal and multi-modal alternatives to introduction of support tools for transportation analysis. Finally gaps and challenges in supply chain research are identified and used to outline research recommendations for the future direction in this area of study.

  10. The costs of accessing abortion in South Africa: women's costs associated with second-trimester abortion services in Western Cape Province.

    PubMed

    Lince-Deroche, Naomi; Constant, Deborah; Harries, Jane; Blanchard, Kelly; Sinanovic, Edina; Grossman, Daniel

    2015-10-01

    To assess women's costs of accessing second-trimester labor induction and dilation and evacuation (D&E) services at four public hospitals in Western Cape Province, South Africa. From April to August 2010, in interviews immediately after completion of their abortion, we asked women about specific direct and indirect costs incurred. We collected information on recurring costs (i.e., per visit) and one-time expenditures and calculated total costs. In total, 194 patients participated (136 D&E; 58 induction). Their median age was 26; 37.6% reported being employed or doing paid work. Most (73.2%) women visited two different facilities, including the study facility, while seeking the procedure. Induction women reported a median of three required visits [interquartile range (IQR) 2.0-3.0] to the study facility, while D&E women reported two required visits [IQR 1.0-2.0]. Twenty-seven percent of women missed work due to the procedure, and few (4.6%) paid for childcare. At each visit, almost all women (180, 92.8%) paid for transportation costs and reported additional one-time costs (177, 91.2%) such as sanitary supplies or doctor's fees. The total median cost incurred per woman was $21.23 [IQR 11.94-44.68]. Roughly half (49.0%) received help with these costs. Although technically offered freely or low cost in the public sector, women accessing second-trimester abortion lost income and incurred costs for transport, fees, supplies and childcare. Their total costs could be reduced by minimizing the number of required visits to facilities and freely offering supplies such as sanitary pads and pregnancy tests. Limited access to second-trimester, safe abortion services in South Africa may result in some women incurring unnecessary costs. Women make multiple visits in attempting to obtain an abortion, often because of facility or health systems requirements, and incur costs for lost income, child care, transport, fees and supplies. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Relationship of source and sink in determining kernel composition of maize

    PubMed Central

    Seebauer, Juliann R.; Singletary, George W.; Krumpelman, Paulette M.; Ruffo, Matías L.; Below, Frederick E.

    2010-01-01

    The relative role of the maternal source and the filial sink in controlling the composition of maize (Zea mays L.) kernels is unclear and may be influenced by the genotype and the N supply. The objective of this study was to determine the influence of assimilate supply from the vegetative source and utilization of assimilates by the grain sink on the final composition of maize kernels. Intermated B73×Mo17 recombinant inbred lines (IBM RILs) which displayed contrasting concentrations of endosperm starch were grown in the field with deficient or sufficient N, and the source supply altered by ear truncation (45% reduction) at 15 d after pollination (DAP). The assimilate supply into the kernels was determined at 19 DAP using the agar trap technique, and the final kernel composition was measured. The influence of N supply and kernel ear position on final kernel composition was also determined for a commercial hybrid. Concentrations of kernel protein and starch could be altered by genotype or the N supply, but remained fairly constant along the length of the ear. Ear truncation also produced a range of variation in endosperm starch and protein concentrations. The C/N ratio of the assimilate supply at 19 DAP was directly related to the final kernel composition, with an inverse relationship between the concentrations of starch and protein in the mature endosperm. The accumulation of kernel starch and protein in maize is uniform along the ear, yet adaptable within genotypic limits, suggesting that kernel composition is source limited in maize. PMID:19917600

  12. Impact of the Urban Reproductive Health Initiative on family planning uptake at facilities in Kenya, Nigeria, and Senegal.

    PubMed

    Winston, Jennifer; Calhoun, Lisa M; Corroon, Meghan; Guilkey, David; Speizer, Ilene

    2018-01-05

    The 2012 London Summit on Family Planning set ambitious goals to enable 120 million more women and adolescent girls to use modern contraceptives by 2020. The Urban Reproductive Health Initiative (URHI) was a Bill & Melinda Gates Foundation funded program designed to help contribute to these goals in urban areas in India, Kenya, Nigeria, and Senegal. URHI implemented a range of country-specific demand and supply side interventions, with supply interventions generally focused on improved service quality, provider training, outreach to patients, and commodity stock management. This study uses data collected by the Measurement, Learning & Evaluation (MLE) Project to examine the effectiveness of these supply-side interventions by considering URHI's influence on the number of family planning clients at health facilities over a four-year period in Kenya, Nigeria, and Senegal. The analysis used facility audits and provider surveys. Principal-components analysis was used to create country-specific program exposure variables for health facilities. Fixed-effects regression was used to determine whether family planning uptake increased at facilities with higher exposure. Outcomes of interest were the number of new family planning acceptors and the total number of family planning clients per reproductive health care provider in the last year. Higher program component scores were associated with an increase in new family planning acceptors per provider in Kenya (β = 18, 95% CI = 7-29), Nigeria (β = 14, 95% CI = 8-20), and Senegal (β = 7, 95% CI = 3-12). Higher scores were also associated with more family planning clients per provider in Kenya (β = 31, 95% CI = 7-56) and Nigeria (β = 26, 95% CI = 15-38), but not in Senegal. Supply-side interventions have increased the number of new family planning acceptors at facilities in urban Nigeria, Kenya, and Senegal and the overall number of clients in urban Nigeria and Kenya. While tailoring to the local environment, programs seeking to increase family planning use should include components to improve availability and quality of family planning services, which are part of a rights-based approach to family planning programming.

  13. Supply and demand challenges to modern contraceptive use in Azerbaijan.

    PubMed

    Bradley, Janet; Mursagulova, Nabat; Nosa, Marianna; Searing, Hannah

    2007-06-01

    We conducted a survey of health facilities and household members to determine supply and demand aspects of contraceptive use in Azerbaijan. In June 2005, we conducted interviews with 758 women and 253 men in a community-based survey in 40 communities in five districts. We also surveyed a sample of health facilities and pharmacies and conducted interviews with key informants. Both men and women in these communities desire small families, yet significant supply and demand impediments exist. Despite community interest, lack of knowledge of contraception is prevalent. Fear of side effects plays a role in non-use and discontinuation of modern methods, although little opportunity exists for counselling on side effects, since few health workers are trained. An obstacle to use is legislation that only allows contraception to be prescribed by gynaecologists, who are mostly concentrated in the hospitals of urban centres. However, the main handicap to increased use of modern contraception, is insufficient contraceptive supply. Not only is there a lack of method choice nationally, but few of the facilities we surveyed had any contraceptives available. This situation threatens to worsen as the United Nations Population Fund (UNFPA) retracts commodities' funding. The lack of knowledge of modern contraception, lack of trained staff and poor commodity availability signals that much remains to be done for the people of Azerbaijan to achieve their fertility control goals.

  14. Social-epidemiological study for evaluation of water supply and sanitation systems of low-income urban community in Dhaka, Bangladesh.

    PubMed

    Mollah, Kabirul A; Aramaki, Toshiya

    2010-03-01

    This study aims at quantification of health losses, considering social and environmental factors. Morbidity and mortality cases of diarrhoea for children under five years old were used to estimate the disability adjusted life years (DALYs) lost for the target households in low-income communities in Dhaka, Bangladesh. Water supply facilities and sanitation systems, along with hygiene practices and their health outcomes, were studied at community level. Demographic, socio-economic and socio-cultural aspects were also studied to support the research findings and give a better understanding of the local conditions. The four selected communities, Ward 60 (W60), Ward 61 (W61), Ward 62 (W62) and Ward 65 (W65), all had different existing urban services such as water supply, sanitation, garbage management and drainage facilities. All of these services existed in W62, but W60 did not have any of the services; W61 had sanitation and drainage coverage, whereas W65 had only a water supply facility. The results conclusively showed that, compared with the null (absence of services) scenario (W60), the other three scenarios (W61, W62 and W65) showed a substantial decrease of diarrhoea (1.219, 1.284 and 2.052 DALYs/household/year, respectively) reported for children under five years old. Besides urban services, other socio-economic characteristics might also influence the prevalence of diseases.

  15. An Empirical Analysis of Air Force Food Service Management with Recommendations

    DTIC Science & Technology

    1984-02-01

    RECEIVING AND STORAGE AREAS Dining facilities must have areas for storage of perishable and nonperishable foods and storage of operational and cleaning ... supplies . Storage areas must be of sufficient size for their intended purpose and must be kept in clean, orderly manner. 1. Expendable Supply Storage: a

  16. 77 FR 25721 - National Maritime Security Advisory Committee; Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-01

    ... meeting will be closed to the public. (2) Global Supply Chain Security Initiative. Per the SAFE Port Act (Pub. L. 109-347) the Coast Guard consults with the NMSAC on the Global Supply Chain Security... submitting comments. Mail: Docket Management Facility (M-30), U.S. Department of Transportation, West...

  17. First-String Field Houses.

    ERIC Educational Resources Information Center

    Peterson, Erin

    1999-01-01

    Discusses how to build field houses that not only cater to athletes and recreational users alike but are also designed and supplied to satisfy a wide range of interests and abilities. Tips include having good flooring; using divider curtains; and providing ample space to store equipment, supplies, and portable surfaces to aid facility personnel.…

  18. 7 CFR 1717.852 - Financing purposes.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... facilities, including real property, used to supply electric and/or steam power to: (i) RE Act beneficiaries... are determined by RUS to be an integral component of the borrower's system of supplying electric and... electric and/or steam power to end-user customers of the borrower; (3) Investments in a lender required of...

  19. How Can Conventional Drinking Water Treatment Facilities Build Resilience to Climate and Weather Induced Water Supply Variability?

    EPA Science Inventory

    Abstract: Water supplies are vulnerable to a host of climate- and weather-related stressors such as droughts, intense storms/flooding, snowpack depletion, sea level changes, and consequences from fires, landslides, and excessive heat or cold. Surface water resources (lakes, reser...

  20. Two-phase simulation-based location-allocation optimization of biomass storage distribution

    USDA-ARS?s Scientific Manuscript database

    This study presents a two-phase simulation-based framework for finding the optimal locations of biomass storage facilities that is a very critical link on the biomass supply chain, which can help to solve biorefinery concerns (e.g. steady supply, uniform feedstock properties, stable feedstock costs,...

  1. 10 CFR 216.4 - Evaluation by DOE of applications.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Energy DEPARTMENT OF ENERGY OIL MATERIALS ALLOCATION AND PRIORITY PERFORMANCE UNDER CONTRACTS OR ORDERS... described supplies of materials and equipment, services, or facilities are critical and essential to the... and equipment, services, or facilities described in the application are critical and essential to an...

  2. 10 CFR 216.4 - Evaluation by DOE of applications.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Energy DEPARTMENT OF ENERGY OIL MATERIALS ALLOCATION AND PRIORITY PERFORMANCE UNDER CONTRACTS OR ORDERS... described supplies of materials and equipment, services, or facilities are critical and essential to the... and equipment, services, or facilities described in the application are critical and essential to an...

  3. 10 CFR 216.4 - Evaluation by DOE of applications.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Energy DEPARTMENT OF ENERGY OIL MATERIALS ALLOCATION AND PRIORITY PERFORMANCE UNDER CONTRACTS OR ORDERS... described supplies of materials and equipment, services, or facilities are critical and essential to the... and equipment, services, or facilities described in the application are critical and essential to an...

  4. 10 CFR 216.4 - Evaluation by DOE of applications.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Energy DEPARTMENT OF ENERGY OIL MATERIALS ALLOCATION AND PRIORITY PERFORMANCE UNDER CONTRACTS OR ORDERS... described supplies of materials and equipment, services, or facilities are critical and essential to the... and equipment, services, or facilities described in the application are critical and essential to an...

  5. 10 CFR 216.4 - Evaluation by DOE of applications.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Energy DEPARTMENT OF ENERGY OIL MATERIALS ALLOCATION AND PRIORITY PERFORMANCE UNDER CONTRACTS OR ORDERS... described supplies of materials and equipment, services, or facilities are critical and essential to the... and equipment, services, or facilities described in the application are critical and essential to an...

  6. Recreational Small Boat Moorage Study: Puget Sound and Adjacent Waters, State of Washington

    DTIC Science & Technology

    1980-10-01

    pro - tection is normally required. Additional floats at established marinas will, in most instances- be sufficient to supply the needs of the...others. Information is provided on pleasure boat dwership; wet and dry moorage supply ; and demand for permanent, teppar y, and transient summer and...and 4 cover moorage supply and demand, respectively, while potential marina sites are con- sidered in chapter 5 and boat launching facilities in

  7. The CERN-EU high-energy Reference Field (CERF) facility: applications and latest developments

    NASA Astrophysics Data System (ADS)

    Silari, Marco; Pozzi, Fabio

    2017-09-01

    The CERF facility at CERN provides an almost unique high-energy workplace reference radiation field for the calibration and test of radiation protection instrumentation employed at high-energy accelerator facilities and for aircraft and space dosimetry. This paper describes the main features of the facility and supplies a non-exhaustive list of recent (as of 2005) applications for which CERF is used. Upgrade work started in 2015 to provide the scientific and industrial communities with a state-of-the-art reference facility is also discussed.

  8. Logistics Response to the Industry 4.0: the Physical Internet

    NASA Astrophysics Data System (ADS)

    Maslarić, Marinko; Nikoličić, Svetlana; Mirčetić, Dejan

    2016-11-01

    Today's mankind and all human activities are constantly changing and evolving in response to changes in technology, social and economic environments and climate. Those changes drive a "new" way of manufacturing industry. That novelty could be described as the organization of production processes based on technology and devices autonomously communicating with each other along the value chain. Decision-makers have to address this novelty (usually named as Industry 4.0) and try to develop appropriate information systems, physical facilities, and different kind of technologies capable of meeting the future needs of economy. As a consequence, there is a need for new paradigms of the way freight is move, store, realize, and supply through the world (logistics system). One of the proposed solutions is the Physical Internet, concept of open global logistics system which completely redefines current supply chain configuration, business models, and value-creation patterns.However, further detailed research on this topic is much needed. This paper aims to provide a balanced review of the variety of views considered among professionals in the field of Physical Internet with the final aim to identify the biggest challenges (technological, societal, business paradigm) of proposed new logistics paradigm as a practical solution in supporting Industry 4.0.

  9. KSC-2011-5693

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Workers measured and marked in bright green the letters "NLG" at the spot where space shuttle Atlantis' nose landing gear came to a stop after the vehicle's final return from space. Securing the space shuttle fleet's place in history on the STS-135 mission, Atlantis safely and successfully rounded out NASA's Space Shuttle Program on the Shuttle Landing Facility's Runway 15 at Kennedy Space Center in Florida. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  10. Newman Unit 1 advanced solar repowering advanced conceptual design. Final report

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

    None

    1982-04-01

    The Newman Unit 1 solar repowering design is a water/steam central receiver concept supplying superheated steam. The work reported is to develop a refined baseline conceptual design that has potential for construction and operation by 1986, makes use of existing solar thermal technology, and provides the best economics for this application. Trade studies performed in the design effort are described, both for the conceptual design of the overall system and for the subsystem conceptual design. System-level functional requirements, design, operation, performance, cost, safety, environmental, institutional, and regulatory considerations are described. Subsystems described include the collector, receiver, fossil energy, electrical powermore » generating, and master control subsystems, site and site facilities. The conceptual design, cost, and performance of each subsystem is discussed at length. A detailed economic analysis of the repowered unit is made to realistically assess the economics of the first repowered unit using present cost data for a limited production level for solar hardware. Finally, a development plan is given, including the design, procurement, construction, checkout, startup, performance validation, and commercial operation. (LEW)« less

  11. KSC-2011-1681

    NASA Image and Video Library

    2011-02-24

    CAPE CANAVERAL, Fla. -- House Of Representatives Democratic Leader Nancy Pelosi, from California's 8th District, is greeted by NASA Kennedy Space Center Director Robert Cabana. Pelosi is at Florida's space center to witness space shuttle Discovery make history as it lifts off on its final scheduled mission from Launch Pad 39A. While at the center, Pelosi attended a presentation in the Operations Support Building II and toured Orbiter Processing Facilities 1 and 2 where shuttles Atlantis and Endeavour are being prepared for their final missions respectively. Discovery and its six-member STS-133 crew will deliver the Permanent Multipurpose Module, packed with supplies and critical spare parts, as well as Robonaut 2, the dexterous humanoid astronaut helper, to the International Space Station. Discovery will make its 39th mission and is scheduled to be retired following STS-133. This will be the 133rd Space Shuttle Program mission and the 35th shuttle voyage to the space station. For more information on the STS-133 mission, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Jim Grossmann

  12. KSC-2011-1683

    NASA Image and Video Library

    2011-02-24

    CAPE CANAVERAL, Fla. -- CAPE CANAVERAL, Fla. -- House Of Representatives Democratic Leader Nancy Pelosi, from California's 8th District, fourth from left, and other VIPs pose for a photo with NASA Kennedy Space Center Director Robert Cabana. They are at Florida's space center to witness space shuttle Discovery make history as it lifts off on its final scheduled mission from Launch Pad 39A. While at the center, they attended a presentation in the Operations Support Building II and toured Orbiter Processing Facilities 1 and 2 where shuttles Atlantis and Endeavour are being prepared for their final missions respectively. Discovery and its six-member STS-133 crew will deliver the Permanent Multipurpose Module, packed with supplies and critical spare parts, as well as Robonaut 2, the dexterous humanoid astronaut helper, to the International Space Station. Discovery will make its 39th mission and is scheduled to be retired following STS-133. This will be the 133rd Space Shuttle Program mission and the 35th shuttle voyage to the space station. For more information on the STS-133 mission, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Jim Grossmann

  13. KSC-2011-1685

    NASA Image and Video Library

    2011-02-24

    CAPE CANAVERAL, Fla. -- House Of Representatives Democratic Leader Nancy Pelosi, from California's 8th District, left, and United Space Alliance worker Brian Elleman pose for a photo at NASA's Kennedy Space Center in Florida. Pelosi is at the space center to witness space shuttle Discovery make history as it lifts off on its final scheduled mission from Launch Pad 39A. While at the center, Pelosi attended a presentation in the Operations Support Building II and toured Orbiter Processing Facilities 1 and 2 where shuttles Atlantis and Endeavour are being prepared for their final missions respectively. Discovery and its six-member STS-133 crew will deliver the Permanent Multipurpose Module, packed with supplies and critical spare parts, as well as Robonaut 2, the dexterous humanoid astronaut helper, to the International Space Station. Discovery will make its 39th mission and is scheduled to be retired following STS-133. This will be the 133rd Space Shuttle Program mission and the 35th shuttle voyage to the space station. For more information on the STS-133 mission, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Jim Grossmann

  14. KSC-2011-5692

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Workers measured and marked in bright red the letters "MLG" at the spot where space shuttle Atlantis' main landing gear came to a stop after the vehicle's final return from space. Securing the space shuttle fleet's place in history on the STS-135 mission, Atlantis safely and successfully rounded out NASA's Space Shuttle Program on the Shuttle Landing Facility's Runway 15 at Kennedy Space Center in Florida. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kim Shiflett

  15. Superfund Record of Decision (EPA Region 1): Stamina Mills site, North Smithfield, RI. (First remedial action), September 1990. Final report

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

    Not Available

    1990-09-28

    The five-acre Stamina Mills site is a former textile weaving and finishing facility in North Smithfield, Providence County, Rhode Island. A portion of the site is within the 100-year floodplain and wetland area of the Branch River. The manufacturing process used cleaning solvents, acids, bases and dyes for coloring, pesticides for moth proofing, and plasticizers to coat fabrics. Mill process wastes were placed in a landfill onsite. EPA initiated three removal actions from 1984 to 1990, including an extension of the municipal water supply to residents obtaining water from the affected aquifer; and treatment of two underground and one above-groundmore » storage tanks, followed by offsite disposal. The Record of Decision (ROD) provides a final remedy and addresses both source control and management of contaminated ground water migration at the site. The primary contaminants of concern affecting the soil, debris, sediment, and ground water are VOCs including TCE and PCE; other organics including pesticides; and metals including chromium.« less

  16. KSC-2011-5645

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Xenons light the way home for space shuttle Atlantis at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown on the Shuttle Landing Facility's Runway 15 was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Sandra Joseph

  17. KSC-2011-5632

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Frank Michaux

  18. KSC-2011-5644

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Xenons light the way home for space shuttle Atlantis at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown on the Shuttle Landing Facility's Runway 15 was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Sandra Joseph

  19. KSC-2011-5631

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Frank Michaux

  20. KSC-2011-5633

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Frank Michaux

  1. KSC-2011-5634

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Xenon lights guide space shuttle Atlantis down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered more than 9,400 pounds of spare parts, equipment and supplies in the Raffaello multi-purpose logistics module that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Frank Michaux

  2. 26 CFR 49.4252-5 - Teletypewriter exchange service.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... device used in conjunction with such service may be connected to such an exchange, the service... person leases lines or channels, equipment, and other facilities used in conjunction with teletypewriter... lines or channels, equipment, and other facilities used in conjunction with such service are supplied by...

  3. Guidelines and Recommendations for New Hampshire Public Elementary Schools, Kindergarten--Grade 6.

    ERIC Educational Resources Information Center

    New Hampshire State Dept. of Education, Concord.

    Sections concerned with facilities deal with library services, equipment and facilities for science and physical education, and the school building. Recommendations for library service include check lists and standards pertaining to objectives, basic equipment and supplies, individual classroom collections, audio visual collections, library…

  4. 10 CFR 503.36 - State or local requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS NEW FACILITIES Permanent Exemptions for New Facilities § 503... petitioner is not entitled to an exemption for lack of alternate fuel supply, site limitation, environmental... reasonable alternative site for the alternate fuel(s) considered; (5) At the proposed site and every...

  5. 2014 QuickCompass of TRICARE Child Beneficiaries: Utilization of Medicaid-Waivered Services. Tabulation of Responses

    DTIC Science & Technology

    2014-08-30

    management) Long term care (e.g., home health care, hospice, integrated personal care, intermediate care facilities for the mentally retarded, nurse ... aide training and testing, and nursing facilities) Medical equipment (e.g., medically necessary supplies, including oxygen, catheters, and reusable

  6. The impact of market and organizational characteristics on nursing care facility service innovation: a resource dependency perspective.

    PubMed Central

    Banaszak-Holl, J; Zinn, J S; Mor, V

    1996-01-01

    OBJECTIVE. Using resource dependency theory as a conceptual framework, this study investigates both the organizational and environmental factors associated with an emerging health care service delivery innovation, the provision of specialty care in designated units in nursing care facilities. We consider two types of specialty units, Alzheimer's Disease and subacute care. DATA SOURCES. The Medicare/Medicaid Automated Certification Survey (MMACS) data file was merged with local market area data obtained from the 1992 Area Resource File and with state level regulatory data. STUDY DESIGN. The likelihood of providing Alzheimer's Disease or subacute care in dedicated units was estimated by separate logistic regressions. PRINCIPAL FINDINGS. Results indicate that facilities with fewer Medicare patients are more likely to operate a dedicated Alzheimer's care unit, while facilities located in markets with a large HMO population and greater hospital supply are more likely to operate a subacute care unit. While competition among nursing homes, for the most part, is an incentive to innovate, greater regulatory stringency appears to constrain the development of specialty care units of both types. Finally, organizational characteristics (e.g., size and proprietary status) appear to be important enabling factors influencing the propensity to provide specialty care in dedicated units. CONCLUSIONS. Nursing care facilities are moving toward providing specialty care units partly as a response to a growing demand by resource providers and to maintain a competitive edge in tighter markets. Loosening regulation directed at cost containment would further encourage the development of specialty care but should be preceded by some evaluation of population needs for specialty care and the effectiveness of specialty care units. PMID:8617612

  7. An economic evaluation of the controlled temperature chain approach for vaccine logistics: evidence from a study conducted during a meningitis A vaccine campaign in Togo.

    PubMed

    Mvundura, Mercy; Lydon, Patrick; Gueye, Abdoulaye; Diaw, Ibnou Khadim; Landoh, Dadja Essoya; Toi, Bafei; Kahn, Anna-Lea; Kristensen, Debra

    2017-01-01

    A recent innovation in support of the final segment of the immunization supply chain is licensing certain vaccines for use in a controlled temperature chain (CTC), which allows excursions into ambient temperatures up to 40°C for a specific number of days immediately prior to administration. However, limited evidence exists on CTC economics to inform investments for labeling other eligible vaccines for CTC use. Using data collected during a MenAfriVac™ campaign in Togo, we estimated economic costs for vaccine logistics when using the CTC approach compared to full cold chain logistics (CCL) approach. We conducted the study in Togo's Central Region, where two districts were using the CTC approach and two relied on a fullCCL approach during the MenAfriVac™ campaign. Data to estimate vaccine logistics costs were obtained from primary data collected using costing questionnaires and from financial cost data from campaign microplans. Costs are presented in 2014 US dollars. Average logistics costs per dose were estimated at $0.026±0.032 for facilities using a CTC and $0.029±0.054 for facilities using the fullCCL approach, but the two estimates were not statistically different. However, if the facilities without refrigerators had not used a CTC but had received daily deliveries of vaccines, the average cost per dose would have increased to $0.063 (range $0.007 to $0.33), with larger logistics cost increases occurring for facilities that were far from the district. Using the CTC approach can reduce logistics costs for remote facilities without cold chain infrastructure, which is where CTC is designed to reduce logistical challenges of vaccine distribution.

  8. An economic evaluation of the controlled temperature chain approach for vaccine logistics: evidence from a study conducted during a meningitis A vaccine campaign in Togo

    PubMed Central

    Mvundura, Mercy; Lydon, Patrick; Gueye, Abdoulaye; Diaw, Ibnou Khadim; Landoh, Dadja Essoya; Toi, Bafei; Kahn, Anna-Lea; Kristensen, Debra

    2017-01-01

    Introduction A recent innovation in support of the final segment of the immunization supply chain is licensing certain vaccines for use in a controlled temperature chain (CTC), which allows excursions into ambient temperatures up to 40°C for a specific number of days immediately prior to administration. However, limited evidence exists on CTC economics to inform investments for labeling other eligible vaccines for CTC use. Using data collected during a MenAfriVac™ campaign in Togo, we estimated economic costs for vaccine logistics when using the CTC approach compared to full cold chain logistics (CCL) approach. Methods We conducted the study in Togo’s Central Region, where two districts were using the CTC approach and two relied on a fullCCL approach during the MenAfriVac™ campaign. Data to estimate vaccine logistics costs were obtained from primary data collected using costing questionnaires and from financial cost data from campaign microplans. Costs are presented in 2014 US dollars. Results Average logistics costs per dose were estimated at $0.026±0.032 for facilities using a CTC and $0.029±0.054 for facilities using the fullCCL approach, but the two estimates were not statistically different. However, if the facilities without refrigerators had not used a CTC but had received daily deliveries of vaccines, the average cost per dose would have increased to $0.063 (range $0.007 to $0.33), with larger logistics cost increases occurring for facilities that were far from the district. Conclusion Using the CTC approach can reduce logistics costs for remote facilities without cold chain infrastructure, which is where CTC is designed to reduce logistical challenges of vaccine distribution. PMID:29296162

  9. FInal Report: Site Investigation Results, 2009-2011, at Inman, Kansas

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

    LaFreniere, Lorraine M.

    The Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA) operated a grain storage facility at the southern edge of the city of Inman, Kansas, from 1954 to 1965. During this time, commercial grain fumigants containing carbon tetrachloride were in common use by the grain storage industry to preserve grain in their facilities. In 1997, trace to low levels of carbon tetrachloride (below the maximum contamination level [MCL] of 5.0 μg/L) were detected in three private wells near the former grain storage facility at Inman, as part of a statewide USDA private well sampling program that was implemented bymore » the Kansas Department of Health and Environment (KDHE) near former CCC/USDA facilities. No public water supply wells were identified in 1998 by the KDHE within 1 mi of the town. Carbon tetrachloride is the contaminant of primary concern at sites associated with grain storage operations. To determine whether the former CCC/USDA facility at Inman is a potential contaminant source and its possible relationship to the contamination in groundwater, the CCC/USDA agreed to conduct investigations at Inman. The investigations were performed by the Environmental Science Division of Argonne National Laboratory in accordance with the Intergovernmental Agreement between the KDHE and the Farm Service Agency of the USDA. Argonne, on behalf of the CCC/USDA, developed a Work Plan (Argonne 2007) and subsequently a Summary of Investigation Results and Proposed Work Plan (Appendix A) for a phased site investigation. The proposed work was approved by the KDHE (2007, 2011). The investigations were conducted from November 2009 to September 2011, as proposed in the two work plans. This report presents the findings of the 2009-2011 investigations at Inman.« less

  10. Delivering radiology supplies just-in-time.

    PubMed

    Clinton, M

    1999-01-01

    The radiology department at Dartmouth Hitchcock Medical Center (DHMC) adopted a just-in-time (JIT) inventory management system in 1992, reducing the volume of its in-house inventory of radiology supplies from a value of $400,000 to $16,000, just enough for four to five days of activity. An asset manager, the only person authorized to order supplies, was given responsibility for maintaining the department's supply of fixed and consumable assets. The first step in implementing the new system was to identify the supplies needed, standardize them and determine how often deliveries would be made. The JIT implementation team developed a request for proposal (RFP) that incorporated the standardized list of supplies. Three radiology supply vendors were invited to respond to the RFP. The team later determined that only one vendor was capable of implementing the JIT program. A three-year contract was awarded to that vendor. As that three-year contract reached completion, DHMC offered the JIT program to its eight affiliate hospitals and four outpatient clinics. The team decided to re-bid the contract for the entire network, which collectively performed 700,000 radiology exams annually. The new RFP encompassed 90 percent of the network's consumable supplies and offered customized delivery for each facility. The team identified eight criteria necessary for the evaluation of each vendor response to the RFP, rather than use price as the only consideration. The company that won the three-year contract furnished 90 percent of the radiology supplies for the DHMC network, allowing even further savings by the network, particularly for the smaller facilities and clinics. The program is continually monitored, adjusted and enhanced in order to incorporate changing departmental needs.

  11. Medicaid program; revision to Medicaid upper payment limit requirements for hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services. Health Care Financing Administration (HCFA), HHS. Final rule.

    PubMed

    2001-01-12

    This final rule modifies the Medicaid upper payment limits for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services. For each type of Medicaid inpatient service, existing regulations place an upper limit on overall aggregate payments to all facilities and a separate aggregate upper limit on payments made to State-operated facilities. This final rule establishes an aggregate upper limit that applies to payments made to government facilities that are not State government-owned or operated, and a separate aggregate upper limit on payments made to privately-owned and operated facilities. This rule also eliminates the overall aggregate upper limit that had applied to these services. With respect to outpatient hospital and clinic services, this final rule establishes an aggregate upper limit on payments made to State government-owned or operated facilities, an aggregate upper limit on payments made to government facilities that are not State government-owned or operated, and an aggregate upper limit on payments made to privately-owned and operated facilities. These separate upper limits are necessary to ensure State Medicaid payment systems promote economy and efficiency. We are allowing a higher upper limit for payment to non-State public hospitals to recognize the higher costs of inpatient and outpatient services in public hospitals. In addition, to ensure continued beneficiary access to care and the ability of States to adjust to the changes in the upper payment limits, the final rule includes a transition period for States with approved rate enhancement State plan amendments.

  12. Emergency and urgent care capacity in a resource-limited setting: an assessment of health facilities in western Kenya

    PubMed Central

    Burke, Thomas F; Hines, Rosemary; Ahn, Roy; Walters, Michelle; Young, David; Anderson, Rachel Eleanor; Tom, Sabrina M; Clark, Rachel; Obita, Walter; Nelson, Brett D

    2014-01-01

    Objective Injuries, trauma and non-communicable diseases are responsible for a rising proportion of death and disability in low-income and middle-income countries. Delivering effective emergency and urgent healthcare for these and other conditions in resource-limited settings is challenging. In this study, we sought to examine and characterise emergency and urgent care capacity in a resource-limited setting. Methods We conducted an assessment within all 30 primary and secondary hospitals and within a stratified random sampling of 30 dispensaries and health centres in western Kenya. The key informants were the most senior facility healthcare provider and manager available. Emergency physician researchers utilised a semistructured assessment tool, and data were analysed using descriptive statistics and thematic coding. Results No lower level facilities and 30% of higher level facilities reported having a defined, organised approach to trauma. 43% of higher level facilities had access to an anaesthetist. The majority of lower level facilities had suture and wound care supplies and gloves but typically lacked other basic trauma supplies. For cardiac care, 50% of higher level facilities had morphine, but a minority had functioning ECG, sublingual nitroglycerine or a defibrillator. Only 20% of lower level facilities had glucometers, and only 33% of higher level facilities could care for diabetic emergencies. No facilities had sepsis clinical guidelines. Conclusions Large gaps in essential emergency care capabilities were identified at all facility levels in western Kenya. There are great opportunities for a universally deployed basic emergency care package, an advanced emergency care package and facility designation scheme, and a reliable prehospital care transportation and communications system in resource-limited settings. PMID:25260371

  13. Quantitative Properties of the Macro Supply and Demand Structure for Care Facilities for Elderly in Japan.

    PubMed

    Nishino, Tatsuya

    2017-12-01

    As the Asian country with the most aged population, Japan, has been modifying its social welfare system. In 2000, the Japanese social care vision turned towards meeting the elderly's care needs in their own homes with proper formal care services. This study aims to understand the quantitative properties of the macro supply and demand structure for facilities for the elderly who require support or long-term care throughout Japan and present them as index values. Additionally, this study compares the targets for establishing long-term care facilities set by Japan's Ministry of Health, Labor and Welfare for 2025. In 2014, approximately 90% of all the people who were certified as requiring support and long-term care and those receiving preventive long-term care or long-term care services, were 75 years or older. The target increases in the number of established facilities by 2025 (for the 75-years-or-older population) were calculated to be 3.3% for nursing homes; 2.71% for long-term-care health facilities; 1.7% for group living facilities; and, 1.84% for community-based multi-care facilities. It was revealed that the establishment targets for 2025 also increase over current projections with the expected increase of the absolute number of users of group living facilities and community-based multi-care facilities. On the other hand, the establishment target for nursing homes remains almost the same as the current projection, whereas that for long-term-care health facilities decreases. These changes of facility ratios reveal that the Japanese social care system is shifting to realize 'Ageing in Place'. When considering households' tendencies, the target ratios for established facilities are expected to be applied to the other countries in Asia.

  14. Quantitative Properties of the Macro Supply and Demand Structure for Care Facilities for Elderly in Japan

    PubMed Central

    Nishino, Tatsuya

    2017-01-01

    As the Asian country with the most aged population, Japan, has been modifying its social welfare system. In 2000, the Japanese social care vision turned towards meeting the elderly’s care needs in their own homes with proper formal care services. This study aims to understand the quantitative properties of the macro supply and demand structure for facilities for the elderly who require support or long-term care throughout Japan and present them as index values. Additionally, this study compares the targets for establishing long-term care facilities set by Japan’s Ministry of Health, Labor and Welfare for 2025. In 2014, approximately 90% of all the people who were certified as requiring support and long-term care and those receiving preventive long-term care or long-term care services, were 75 years or older. The target increases in the number of established facilities by 2025 (for the 75-years-or-older population) were calculated to be 3.3% for nursing homes; 2.71% for long-term-care health facilities; 1.7% for group living facilities; and, 1.84% for community-based multi-care facilities. It was revealed that the establishment targets for 2025 also increase over current projections with the expected increase of the absolute number of users of group living facilities and community-based multi-care facilities. On the other hand, the establishment target for nursing homes remains almost the same as the current projection, whereas that for long-term-care health facilities decreases. These changes of facility ratios reveal that the Japanese social care system is shifting to realize ‘Ageing in Place’. When considering households’ tendencies, the target ratios for established facilities are expected to be applied to the other countries in Asia. PMID:29194405

  15. Conceptual definition of a high voltage power supply test facility

    NASA Technical Reports Server (NTRS)

    Biess, John J.; Chu, Teh-Ming; Stevens, N. John

    1989-01-01

    NASA Lewis Research Center is presently developing a 60 GHz traveling wave tube for satellite cross-link communications. The operating voltage for this new tube is - 20 kV. There is concern about the high voltage insulation system and NASA is planning a space station high voltage experiment that will demonstrate both the 60 GHz communications and high voltage electronics technology. The experiment interfaces, requirements, conceptual design, technology issues and safety issues are determined. A block diagram of the high voltage power supply test facility was generated. It includes the high voltage power supply, the 60 GHz traveling wave tube, the communications package, the antenna package, a high voltage diagnostics package and a command and data processor system. The interfaces with the space station and the attached payload accommodations equipment were determined. A brief description of the different subsystems and a discussion of the technology development needs are presented.

  16. Analysis of Biomass Feedstock Availability and Variability for the Peace River Region of Alberta, Canada

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

    Stephen, Jamie; Sokhansanj, Shahabaddine; Bi, X.T.

    2009-11-01

    Biorefineries or other biomass-dependent facilities require a predictable, dependable feedstock supplied over many years to justify capital investments. Determining inter-year variability in biomass availability is essential to quantifying the feedstock supply risk. Using a geographic information system (GIS) and historic crop yield data, average production was estimated for 10 sites in the Peace River region of Alberta, Canada. Four high-yielding potential sites were investigated for variability over a 20 year time-frame (1980 2000). The range of availability was large, from double the average in maximum years to nothing in minimum years. Biomass availability is a function of grain yield, themore » biomass to grain ratio, the cropping frequency, and residue retention rate to ensure future crop productivity. Storage strategies must be implemented and alternate feedstock sources identified to supply biomass processing facilities in low-yield years.« less

  17. The industrial utility of public water supplies in the east south central states, 1952

    USGS Publications Warehouse

    Lohr, E.W.; Billingsley, G.A.; Geurin, J.W.; Lamar, W.L.

    1952-01-01

    The location of industrial plants is dependent on an ample water supply of suitable quality. Information relating to the chemical characteristics of the water supplies is not only essential to the location of many plants but also is an aid in the manufacture and distribution of many commodities. Public water supplies are utilized extensively as a source of supply for many industrial plants, used either as delivered for domestic consumption or with further treatment if necessary to meet specific needs of the plant, such as water for processing, cooling, and steam generation. The industrial use of water in the United States in 1950 was estimated to be more than 75 billion gallons per day from private sources. In addition, about 6 billion gallons per day was estimated to be taken from public water supplies. U. S. Geological Survey Water-Supply Paper 658, "The industrial utility of public water supplies in the United States, 1932" contains information pertaining to the public water supplies of 670 of the larger cities throughout the United States. This report, which is still in print and being distributed, has filled an important need in the field of water-supply engineering. The demand for more up-to-date information and more extended coverage has led to studies by the Geological Survey for revision of the information contained in the 1932 report. The revised report, which will include data pertaining to public water supplies of more than 1,200 cities in the United States, will eventually be published as a Geological Survey Water-Supply Paper. However, in order that the information might be available at the earliest possible time, nine preliminary reports are being issued which give data on the larger cities in each state. These nine reports are being released as Geological Survey Circulars, each covering a group of states as delineated by the Bureau of Census in taking the census of the population of the country. (See fig. 1). The reports give descriptive information and analytical data for approximately three-fourths of the cities that will be included in the final report for each of the states. This circular is the first of the series and includes data for the States of Alabama, Kentucky, Mississippi, and Tennessee. (See fig. 1). The report gives the population (1950) of the city, population supplied, ownership, sources and treatment of supplies, capacity of treatment plants, storage facilities for both raw and finished waters, and chemical analyses of the water, for 19 cities in Alabama, 16 in Kentucky, 17 in Mississippi, and 15 in Tennessee. The data for each city are essentially the same as will appear in the complete report for the whole country.

  18. KENNEDY SPACE CENTER, FLA. - STS-114 Commander Eileen Collins talks with workers in the Orbiter Processing Facility. She and other crew members are at KSC to become familiar with Shuttle and mission equipment. The mission is Logistics Flight 1, which is scheduled to deliver supplies and equipment plus the external stowage platform to the International Space Station.

    NASA Image and Video Library

    2004-03-05

    KENNEDY SPACE CENTER, FLA. - STS-114 Commander Eileen Collins talks with workers in the Orbiter Processing Facility. She and other crew members are at KSC to become familiar with Shuttle and mission equipment. The mission is Logistics Flight 1, which is scheduled to deliver supplies and equipment plus the external stowage platform to the International Space Station.

  19. Multi-criteria analysis of potential recovery facilities in a reverse supply chain

    NASA Astrophysics Data System (ADS)

    Nukala, Satish; Gupta, Surendra M.

    2005-11-01

    Analytic Hierarchy Process (AHP) has been employed by researchers for solving multi-criteria analysis problems. However, AHP is often criticized for its unbalanced scale of judgments and failure to precisely handle the inherent uncertainty and vagueness in carrying out the pair-wise comparisons. With an objective to address these drawbacks, in this paper, we employ a fuzzy approach in selecting potential recovery facilities in the strategic planning of a reverse supply chain network that addresses the decision maker's level of confidence in the fuzzy assessments and his/her attitude towards risk. A numerical example is considered to illustrate the methodology.

  20. Medicare and Medicaid Programs; Fire Safety Requirements for Certain Health Care Facilities. Final rule.

    PubMed

    2016-05-04

    This final rule will amend the fire safety standards for Medicare and Medicaid participating hospitals, critical access hospitals (CAHs), long-term care facilities, intermediate care facilities for individuals with intellectual disabilities (ICF-IID), ambulatory surgery centers (ASCs), hospices which provide inpatient services, religious non-medical health care institutions (RNHCIs), and programs of all-inclusive care for the elderly (PACE) facilities. Further, this final rule will adopt the 2012 edition of the Life Safety Code (LSC) and eliminate references in our regulations to all earlier editions of the Life Safety Code. It will also adopt the 2012 edition of the Health Care Facilities Code, with some exceptions.

  1. 76 FR 1146 - Notice of Intent To Prepare an Environmental Assessment for the Proposed Northeast Supply...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-07

    ... meter station and compressor station, and other appurtenant facilities. The Northeast Supply... modifications at existing Compressor Station 230C in Niagara County, New York; A new pig \\2\\ receiver at existing Compressor Station 317 in Bradford County, Pennsylvania; \\2\\ A ``pig'' is a tool that is inserted...

  2. 10 CFR 503.21 - Lack of alternate fuel supply.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Lack of alternate fuel supply. 503.21 Section 503.21 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS NEW FACILITIES Temporary Exemptions for New... substantially exceed the cost of using imported petroleum as a primary energy source as defined in § 503.6 (Cost...

  3. 10 CFR 503.21 - Lack of alternate fuel supply.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Lack of alternate fuel supply. 503.21 Section 503.21 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS NEW FACILITIES Temporary Exemptions for New... substantially exceed the cost of using imported petroleum as a primary energy source as defined in § 503.6 (Cost...

  4. 10 CFR 503.21 - Lack of alternate fuel supply.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Lack of alternate fuel supply. 503.21 Section 503.21 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS NEW FACILITIES Temporary Exemptions for New... substantially exceed the cost of using imported petroleum as a primary energy source as defined in § 503.6 (Cost...

  5. 10 CFR 503.21 - Lack of alternate fuel supply.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Lack of alternate fuel supply. 503.21 Section 503.21 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS NEW FACILITIES Temporary Exemptions for New... substantially exceed the cost of using imported petroleum as a primary energy source as defined in § 503.6 (Cost...

  6. 76 FR 52871 - Pseudomonas fluorescens Strain CL145A; Exemption From the Requirement of a Tolerance

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ..., hydroelectric power facility operator or water supply system operator. Potentially affected entities may include... (NAICS code 221111). Water supply and irrigation systems (NAICS code 221310). This listing is not... treatment areas are limited to completely enclosed pipe or water conveyance systems or concrete chambers...

  7. 47 CFR 15.123 - Labeling of digital cable ready products.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... supply or design products of the type it tests, nor provide any other products or services that could... must not supply or design products of the type it tests, nor provide any other products or services... a qualified test facility. If the model fails to comply, the manufacturer or importer shall have any...

  8. 47 CFR 15.123 - Labeling of digital cable ready products.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... supply or design products of the type it tests, nor provide any other products or services that could... must not supply or design products of the type it tests, nor provide any other products or services... a qualified test facility. If the model fails to comply, the manufacturer or importer shall have any...

  9. 47 CFR 15.123 - Labeling of digital cable ready products.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... supply or design products of the type it tests, nor provide any other products or services that could... must not supply or design products of the type it tests, nor provide any other products or services... a qualified test facility. If the model fails to comply, the manufacturer or importer shall have any...

  10. 47 CFR 15.123 - Labeling of digital cable ready products.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... qualified hereunder must not supply or design products of the type it tests, nor provide any other products... testing laboratory qualified hereunder must not supply or design products of the type it tests, nor..., see § 15.38) at a qualified test facility. If the model fails to comply, the manufacturer or importer...

  11. 42 CFR 424.57 - Special payment rules for items furnished by DMEPOS suppliers and issuance of DMEPOS supplier...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... effort, and arterial oxygen saturation furnished in a sleep laboratory facility in which a technologist... inspiration and expiration. DMEPOS stands for durable medical equipment, prosthetics, orthotics and supplies... items means medical equipment and supplies as defined in section 1834(j)(5) of the Act. National...

  12. 42 CFR 424.57 - Special payment rules for items furnished by DMEPOS suppliers and issuance of DMEPOS supplier...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... effort, and arterial oxygen saturation furnished in a sleep laboratory facility in which a technologist... inspiration and expiration. DMEPOS stands for durable medical equipment, prosthetics, orthotics and supplies... items means medical equipment and supplies as defined in section 1834(j)(5) of the Act. National...

  13. 42 CFR 424.57 - Special payment rules for items furnished by DMEPOS suppliers and issuance of DMEPOS supplier...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... effort, and arterial oxygen saturation furnished in a sleep laboratory facility in which a technologist... inspiration and expiration. DMEPOS stands for durable medical equipment, prosthetics, orthotics and supplies... items means medical equipment and supplies as defined in section 1834(j)(5) of the Act. National...

  14. 42 CFR 482.41 - Condition of participation: Physical environment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... rooms, and stairwells. In all other areas not serviced by the emergency supply source, battery lamps and flashlights must be available. (2) There must be facilities for emergency gas and water supply. (b) Standard...; (ii) The dispensers are installed in a manner that minimizes leaks and spills that could lead to falls...

  15. Geothermal Cogeneration: Iceland's Nesjavellir Power Plant

    ERIC Educational Resources Information Center

    Rosen, Edward M.

    2008-01-01

    Energy use in Iceland (population 283,000) is higher per capita than in any other country in the world. Some 53.2% of the energy is geothermal, which supplies electricity as well as heated water to swimming pools, fish farms, snow melting, greenhouses, and space heating. The Nesjavellir Power Plant is a major geothermal facility, supplying both…

  16. 33 CFR 106.270 - Security measures for delivery of stores and industrial supplies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... stores and industrial supplies. (a) General. The OCS facility owner or operator must ensure that security...). These additional security measures may include: (1) Intensifying inspection of the stores or industrial... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Security measures for delivery of...

  17. Supply chain network design problem for a new market opportunity in an agile manufacturing system

    NASA Astrophysics Data System (ADS)

    Babazadeh, Reza; Razmi, Jafar; Ghodsi, Reza

    2012-08-01

    The characteristics of today's competitive environment, such as the speed with which products are designed, manufactured, and distributed, and the need for higher responsiveness and lower operational cost, are forcing companies to search for innovative ways to do business. The concept of agile manufacturing has been proposed in response to these challenges for companies. This paper copes with the strategic and tactical level decisions in agile supply chain network design. An efficient mixed-integer linear programming model that is able to consider the key characteristics of agile supply chain such as direct shipments, outsourcing, different transportation modes, discount, alliance (process and information integration) between opened facilities, and maximum waiting time of customers for deliveries is developed. In addition, in the proposed model, the capacity of facilities is determined as decision variables, which are often assumed to be fixed. Computational results illustrate that the proposed model can be applied as a power tool in agile supply chain network design as well as in the integration of strategic decisions with tactical decisions.

  18. Measuring and Managing Army Supply Chain Risk: A Quantitative Approach by Item Number and Commercial Entity Code

    DTIC Science & Technology

    2015-01-01

    services to the end user across the modes of transport .” As such, the supply chain “may include vendors, manufacturing facilities, logistics providers...sharing them with a group, before ranking each. For more information, see Van De Ven and Delbecq, 1974. 12 “When working through the vulnerability...are cost-effective (Kiser and Cantrell, 2006), avoiding higher production and transportation costs. Figure 2.5 outlines two prevalent supply chain

  19. F-35 Lightning II Program Quality Assurance and Corrective Action Evaluation

    DTIC Science & Technology

    2015-03-11

    5000.02, “Operation of the Defense Acquisition System,” enclosure 1; and DoD Manual 4140.01, “DoD Supply Chain Materiel Management Procedures...initiated several initiatives to reduce nonconformances of all types both within their facilities and throughout their supply chains . The F-35 JPO is...agreed and stated: There are effective Corrective Action processes already in place within Lockheed Martin and the supply chain . DCMA and F-35 JPO

  20. Availability of pediatric services and equipment in emergency departments: United States, 2006.

    PubMed

    Schappert, Susan M; Bhuiya, Farida

    2012-03-01

    This report presents data on the availability of pediatric services, expertise, and supplies for treating pediatric emergencies in U.S. hospitals. Data in this report are from the Emergency Pediatric Services and Equipment Supplement (EPSES), a self-administered questionnaire added to the 2006 National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS samples nonfederal short-stay and general hospitals in the United States. Sample data were weighted to produce annual estimates of pediatric services, expertise, and equipment availability in hospital emergency departments (EDs). In 2006, only 7.2 percent of hospital EDs had all recommended pediatric emergency supplies, and 45.6 percent had at least 85.0 percent of recommended supplies. EDs in children's hospitals and hospitals with pediatric intensive care units (PICUs) were more likely to meet guidelines for pediatric emergency department services, expertise, and supplies. About 74.0 percent of these facilities had at least 85.0 percent of recommended supplies, compared with 42.4 percent of other facilities. Among children's hospitals and hospitals with PICUs, 66.0 percent had 24 hours a day, 7 days a week access to a board-certified pediatric emergency medicine attending physician; such access was uncommon in other types of hospitals. In general, little change was noted in the availability of emergency pediatric supplies between 2002-2003, when the initial EPSES was conducted, and 2006.

  1. 78 FR 20128 - Extension of the Designation of Nicaragua for Temporary Protected Status

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-03

    ... Nicaragua's roads are paved. Hurricane Mitch damaged potable water, sewage treatment systems, water uptake systems, wells, water pump stations, and pipes in Nicaragua. The storm floods and runoff polluted water... education facilities, water supply and sanitation facilities, and the agricultural sector. Living conditions...

  2. 75 FR 74000 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-30

    ... 306C Water & Waste Disposal (WWD) Loans & Grants. OMB Control Number: 0572-0109. Summary of Collection... access to or are not served by adequate affordable water supply systems or waste disposal facilities. The loans and grants will be available to provide water and waste disposal facilities and services to these...

  3. 40 CFR 302.8 - Continuous releases.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... sensitive populations and ecosystems within a one-mile radius of the facility or vessel (e.g., elementary... supplied: (A) The name/identity of the hazardous substance; the Chemical Abstracts Service Registry Number... location of sensitive populations and ecosystems within a one-mile radius of the facility or vessel (e.g...

  4. 40 CFR 302.8 - Continuous releases.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... sensitive populations and ecosystems within a one-mile radius of the facility or vessel (e.g., elementary... supplied: (A) The name/identity of the hazardous substance; the Chemical Abstracts Service Registry Number... location of sensitive populations and ecosystems within a one-mile radius of the facility or vessel (e.g...

  5. 40 CFR 302.8 - Continuous releases.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... sensitive populations and ecosystems within a one-mile radius of the facility or vessel (e.g., elementary... supplied: (A) The name/identity of the hazardous substance; the Chemical Abstracts Service Registry Number... location of sensitive populations and ecosystems within a one-mile radius of the facility or vessel (e.g...

  6. 33 CFR 127.1507 - Water systems for fire protection.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Water systems for fire protection... HAZARDOUS GAS Waterfront Facilities Handling Liquefied Hazardous Gas Firefighting Equipment § 127.1507 Water systems for fire protection. (a) Each waterfront facility handling LHG must have a supply of water and a...

  7. Water for the World: The Scope of the Challenge.

    ERIC Educational Resources Information Center

    Kalbermatten, John M.; Montanari, Francis W.

    1980-01-01

    Assistance from professional organizations such as the American Water Works Association is essential if the goals of the International Drinking Water and Sanitation decade are to be fulfilled. This assistance will help design and construct adequate facilities and train personnel to provide water supply and sanitation facilities in developing…

  8. 46 CFR 160.151-45 - Equipment required for servicing facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...); (d) Hot presses (if applicable); (e) Safety-type glue pots or equivalents; (f) Abrasive devices; (g..., or other pressure-measurement device or pressure gauge of equivalent accuracy and sensitivity; (j... liferafts, unless the facility services only non-davit-launched liferafts; (q) A supply of parts for all...

  9. 49 CFR 1039.14 - Boxcar transportation exemptions and rules.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... jurisdiction in the following areas: (1) Car hire and car service. (2) Mandatory interchange of equipment. (3) Reciprocal switching or joint use of terminal facilities. (4) Car supply. (5) Freight car pooling agreements. (6) Freight rates applicable to boxcar traffic originating or terminating at an industry facility...

  10. 49 CFR 1039.14 - Boxcar transportation exemptions and rules.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... jurisdiction in the following areas: (1) Car hire and car service. (2) Mandatory interchange of equipment. (3) Reciprocal switching or joint use of terminal facilities. (4) Car supply. (5) Freight car pooling agreements. (6) Freight rates applicable to boxcar traffic originating or terminating at an industry facility...

  11. 49 CFR 1039.14 - Boxcar transportation exemptions and rules.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... jurisdiction in the following areas: (1) Car hire and car service. (2) Mandatory interchange of equipment. (3) Reciprocal switching or joint use of terminal facilities. (4) Car supply. (5) Freight car pooling agreements. (6) Freight rates applicable to boxcar traffic originating or terminating at an industry facility...

  12. 49 CFR 1039.14 - Boxcar transportation exemptions and rules.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... jurisdiction in the following areas: (1) Car hire and car service. (2) Mandatory interchange of equipment. (3) Reciprocal switching or joint use of terminal facilities. (4) Car supply. (5) Freight car pooling agreements. (6) Freight rates applicable to boxcar traffic originating or terminating at an industry facility...

  13. 49 CFR 1039.14 - Boxcar transportation exemptions and rules.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... jurisdiction in the following areas: (1) Car hire and car service. (2) Mandatory interchange of equipment. (3) Reciprocal switching or joint use of terminal facilities. (4) Car supply. (5) Freight car pooling agreements. (6) Freight rates applicable to boxcar traffic originating or terminating at an industry facility...

  14. 30 CFR 254.24 - What information must I include in the “Equipment inventory” appendix?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., REGULATION, AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Oil-Spill Response Plans for Outer Continental Shelf Facilities... inventory appendix” must include: (a) An inventory of spill-response materials and supplies, services...

  15. ARC-1964-A-33038-22

    NASA Image and Video Library

    1964-08-14

    Aerial view of Gasdynamics facility in 1964 and the 20 inch helium tunnel Part of the Thermal Protection Laboratory used to research materials for heat shield applications and for aerodynamic heating and materials studies of vehicles in planetary atmospheres.  This laboratory is comprised of five separate facilities: an Aerodynamic Heating Tunnel, a Heat Transfer Tunnel, two Supersonic Turbulent Ducts, and a High-Power CO2 Gasdynamic Laser. All these facilities are driven by arc-heaters, with the exception of the large, combustion-type laser. The arc-heated facilities are powered by a 20 Megawatt DC power supply. Their effluent gas stream (test gases; Air, N2, He, CO2 and mixtures; flow rates from 0.05 to 5.0 lbs/sec) discharges into a five-stage stream-ejector-driven vacuum system. The vacuum system and power supply are common to the test faciities in building N-238. All of the facilities have high pressure water available at flow rates up to 4, 000 gals/min. The data obtained from these facilities are recorded on magnetic tape or oscillographs. All forms of data can be handled whether from thermo-couples, pressure cells, pyrometers, or radiometers, etc. in addition, closed circuit T. V. monitors and various film cameras are available. (operational since 1962)

  16. Oil and Natural Gas Production Facilities & Natural Gas Transmission and Storage Facilities Final Air Toxics Rules Fact Sheet

    EPA Pesticide Factsheets

    This page contains a May 1999 fact sheet for the final National Emission Standards for Hazardous Air Pollutants (NESHAP) for Petroleum Refineries. This document provides a summary of the 1999 final rule.

  17. Layouts of trigeneration plants for centralized power supply

    NASA Astrophysics Data System (ADS)

    Klimenko, A. V.; Agababov, V. S.; Il'ina, I. P.; Rozhnatovskii, V. D.; Burmakina, A. V.

    2016-06-01

    One of the possible and, under certain conditions, sufficiently effective methods for reducing consumption of fuel and energy resources is the development of plants for combined generation of different kinds of energy. In the power industry of Russia, the facilities have become widespread in which the cogeneration technology, i.e., simultaneous generation of electric energy and heat, is implemented. Such facilities can use different plants, viz., gas- and steam-turbine plants and gas-reciprocating units. Cogeneration power supply can be further developed by simultaneously supplying the users not only with electricity and heat but also with cold. Such a technology is referred to as trigeneration. To produce electricity and heat, trigeneration plants can use the same facilities that are used in cogeneration, namely, gas-turbine plants, steam-turbine plants, and gas-reciprocating units. Cold can be produced in trigeneration plants using thermotransformers of various kinds, such as vaporcompression thermotransformers, air thermotransformers, and absorption thermotransformers, that operate as chilling machines. The thermotransformers can also be used in the trigeneration plants to generate heat. The main advantage of trigeneration plants based on gas-turbine plants or gas-reciprocating units over cogeneration plants is the increased thermodynamic power supply efficiency owing to utilization of the waste-gas heat not only in winter but also in summer. In the steam-turbine-based trigeneration plants equipped with absorption thermotransformers, the enhancement of the thermodynamic power supply efficiency is determined by the increase in the heat extraction load during the nonheating season. The article presents calculated results that demonstrate higher thermodynamic efficiency of a gas-turbine-based plant with an absorption thermotransformer that operates in the trigeneration mode compared with a cogeneration gas-turbine plant. The structural arrangements of trigeneration plants designed to supply electricity, heat, and cold to the users are shown and the principles of their operation are described. The article presents results of qualitative analysis of different engineering solutions applied to select one combination of power- and heat-generating equipment and thermotransformers or another.

  18. Ground-Water Reconnaissance at Pinnacles National Monument, California

    USGS Publications Warehouse

    Evenson, R.E.

    1962-01-01

    Ground-water supplies at Pinnacles National Monument have been obtained from springs that occur in fractures and along bedding planes of volcanic flows and deposits, and from springs discharged from perched water in a sedimentary fanglomerate formation. The spring-water yield is barely adequate to supply existing camp facilities, and therefore a supplemental water supply is necessary before existing campgrounds can be expanded. This supplemental water can be supplied by good-quality ground water obtained from shallow wells drilled in the alluvium of Chalone Creek. The yield of properly constructed wells in this area should exceed 10 gallons per minute.

  19. HIV/AIDS related commodities supply chain management in public health facilities of Addis Ababa, Ethiopia: a cross-sectional survey.

    PubMed

    Berhanemeskel, Eyerusalem; Beedemariam, Gebremedhin; Fenta, Teferi Gedif

    2016-01-01

    A wide range of pharmaceutical products are needed for diagnosis, treatment, and prevention of HIV/AIDS. However, interrupted supplies and stock-outs are the major challenges in the supply chain of ARV medicines and related commodities. The aim of this study was to assess the supply chain management of HIV/AIDS related commodities in public health facilities of Addis Ababa, Ethiopia. A descriptive cross-sectional survey complemented by qualitative method was conducted in 24 public health facilities (4 hospitals and 20 health centers). A semi-structured questionnaire and observation check list were used to collect data on HIV/AIDS related service, reporting and ordering; receiving, transportation and storage condition of ARV medicines and test kits; and supportive supervision and logistics management information system. In addition, in-depth interview with flexible probing techniques was used to complement the quantitative data with emphasis to the storage condition of ARV medicines and test kits. Quantitative data was analyzed using SPSS version-20. Analysis of qualitative data involved rigorous reading of transcripts in order to identify key themes and data was analyzed using thematic approach. The study revealed that 16 health centers and one hospital had recorded and reported patient medication record. Six months prior to the study, 14 health centers and 2 hospitals had stopped VCT services for one time or more. Three hospitals and 18 health centers claimed to have been able to submit the requisition and report concerning ARV medicines to Pharmaceutical Fund and Supply Agency according to the specific reporting period. More than three-fourth of the health centers had one or more emergency order of ARV medicines on the day of visit, while all of hospitals had emergency order more than 3 times within 6 months prior to the study. All of the hospitals and nearly half of the health centers had an emergency order of test kits more than 3 times in the past 6 months. Overall, nearly 3/4th of the health facilities faced stock-out of one or more ARV medicines and test kits on the day of visit. There was no adequate data on patient medication record and stock status of HIV/AIDS related commodities. Moreover there were frequent stock-outs of ARV medicines and HIV test kits, which was an indicator of the weak supply chain management. Hospitals and health centers, therefore, should devise a system to capture and make use of patient medication record and stock status information so as to ensure continuous supply of the commodities.

  20. Geochemical data package for the Hanford immobilized low-activity tank waste performance assessment (ILAW PA)

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

    DI Kaplan; RJ Serne

    Lockheed Martin Hanford Company (LMHC) is designing and assessing the performance of disposal facilities to receive radioactive wastes that are stored in single- and double-shell tanks at the Hanford Site. The preferred method of disposing of the portion that is classified as low-activity waste is to vitrify the liquid/slurry and place the solid product in near-surface, shallow-land burial facilities. The LMHC project to assess the performance of these disposal facilities is the Hanford Immobilized Low-Activity Tank Waste (ILAW) Performance Assessment (PA) activity. The goal of this project is to provide a reasonable expectation that the disposal of the waste ismore » protective of the general public, groundwater resources, air resources, surface-water resources, and inadvertent intruders. Achieving this goal will require prediction of contaminant migration from the facilities. This migration is expected to occur primarily via the movement of water through the facilities, and the consequent transport of dissolved contaminants in the porewater of the vadose zone. Pacific Northwest National Laboratory assists LMHC in their performance assessment activities. One of the PNNL tasks is to provide estimates of the geochemical properties of the materials comprising the disposal facility, the disturbed region around the facility, and the physically undisturbed sediments below the facility (including the vadose zone sediments and the aquifer sediments in the upper unconfined aquifer). The geochemical properties are expressed as parameters that quantify the adsorption of contaminants and the solubility constraints that might apply for those contaminants that may exceed solubility constraints. The common parameters used to quantify adsorption and solubility are the distribution coefficient (K{sub d}) and the thermodynamic solubility product (K{sub sp}), respectively. In this data package, the authors approximate the solubility of contaminants using a more simplified construct, called the solution concentration limit, a constant value. In future geochemical data packages, they will determine whether a more rigorous measure of solubility is necessary or warranted based on the dose predictions emanating from the ILAW 2001 PA and reviewers' comments. The K{sub d}s and solution concentration limits for each contaminant are direct inputs to subsurface flow and transport codes used to predict the performance of the ILAW system. In addition to the best-estimate K{sub d}s, a reasonable conservative value and a range are provided. They assume that K{sub d} values are log normally distributed over the cited ranges. Currently, they do not give estimates for the range in solubility limits or their uncertainty. However, they supply different values for both the K{sub d}s and solution concentration limits for different spatial zones in the ILAW system and supply time-varying K{sub d}s for the concrete zone, should the final repository design include concrete vaults or cement amendments to buffer the system pH.« less

  1. KSC-2011-5831

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Backlit by the xenon lights on Runway 15 at the Shuttle Landing Facility, space shuttle Atlantis nears touchdown for the final time at NASA's Kennedy Space Center in Florida. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. It was the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Sandra Joseph and Kevin O'Connell

  2. KSC-2011-5862

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, xenon lights positioned at the end of Runway 15 illuminate the Shuttle Landing Facility for space shuttle Atlantis' final return from space. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandy Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. STS-135 also was the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Tom Farrar and Tony Gray

  3. KSC-2011-5840

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Backlit by the xenon lights on Runway 15 at the Shuttle Landing Facility, space shuttle Atlantis nears touchdown for the final time at NASA's Kennedy Space Center in Florida. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. It was the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Sandra Joseph and Kevin O'Connell

  4. KSC-2011-5858

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, xenon lights positioned at the end of Runway 15 illuminate the Shuttle Landing Facility for space shuttle Atlantis' final return from space. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandy Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. STS-135 also was the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Tom Farrar and Tony Gray

  5. KSC-2011-5724

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- At the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida, the drag chute trailing space shuttle Atlantis is illuminated by the xenon lights on Runway 15 as the shuttle lands for the final time. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. STS-135 also was the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Kenny Allen

  6. KSC-2011-5836

    NASA Image and Video Library

    2011-07-21

    CAPE CANAVERAL, Fla. -- Backlit by the xenon lights on Runway 15 at the Shuttle Landing Facility, space shuttle Atlantis nears touchdown for the final time at NASA's Kennedy Space Center in Florida. Securing the space shuttle fleet's place in history, Atlantis marked the 26th nighttime landing of NASA's Space Shuttle Program and the 78th landing at Kennedy. Main gear touchdown was at 5:57:00 a.m. EDT, followed by nose gear touchdown at 5:57:20 a.m., and wheelstop at 5:57:54 a.m. On board are STS-135 Commander Chris Ferguson, Pilot Doug Hurley, and Mission Specialists Sandra Magnus and Rex Walheim. On the 37th shuttle mission to the International Space Station, STS-135 delivered the Raffaello multi-purpose logistics module filled with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis, which has spent 307 days in space, orbited Earth 4,848 times and traveled 125,935,769 miles. It was the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Sandra Joseph and Kevin O'Connell

  7. Increase in Lead Concentration in the Drinking Water of an Animal Care Facility.

    PubMed

    Davidowitz, Bradley; Boehm, Kirk; Banovetz, Sandra; Binkley, Neil

    1998-01-01

    We report here the unexpected detection, and subsequent correction, of a problem that resulted in an increase in lead concentration in the drinking water of an animal research facility. At the initiation of a study, analysis of a water sample obtained from the drinking spout of an animal cage revealed a lead concentration nearly twice the Environmental Protection Agency's maximum acceptable concentration. Because the municipal water supply routinely had been tested and found to be free of lead, it was assumed that this contamination was within the animal care facility. It was hypothesized that the brass fitting connecting the drinking spout to a polyvinyl chloride (PVC) pipe was the source of contamination. Water samples were obtained hourly from 0700 to 1600 hours before and after replacement of the brass fitting with a PVC fitting. After this change, lead concentrations in all samples were within acceptable limits. Although blood lead concentrations were undetectable in 47 rhesus monkeys (Macaca mulatta) housed in the facility, subclinical lead toxicosis could have resulted and potentially complicated studies in which these monkeys were used. We recommend that the water supply of research facilities be monitored periodically.

  8. sts133-s-133

    NASA Image and Video Library

    2011-03-10

    STS133-S-133 (9 March 2011) --- Space shuttle Discovery rolls down Runway 15 at the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida. Landing was at 11:57 a.m. (EST) on March 9, 2011, completing a more than 12-day STS-133 mission to the International Space Station. Onboard are NASA astronauts Steve Lindsey, commander; Eric Boe, pilot; Steve Bowen, Alvin Drew, Michael Barratt and Nicole Stott, all mission specialists. Discovery and its six-member crew delivered the Permanent Multipurpose Module, packed with supplies and critical spare parts, as well as Robonaut 2, the dexterous humanoid astronaut helper, to the orbiting outpost. STS-133 was Discovery's 39th and final mission. This was the 133rd Space Shuttle Program mission and the 35th shuttle voyage to the space station. Photo credit: NASA or National Aeronautics and Space Administration

  9. KSC-2011-1535

    NASA Image and Video Library

    2011-02-21

    CAPE CANAVERAL, Fla. -- A Shuttle Training Aircraft (STA) performs touch-and-go landings over the Shuttle Landing Facility runway at NASA's Kennedy Space Center in Florida. STS-133 Commander Steve Lindsey and Pilot Eric Boe are flying two Gulfstream II business jets that are modified to mimic the shuttle's handling during the final phase of landing. These practice landings are part of standard training before space shuttle Discovery's launch to the International Space Station. Scheduled to lift off Feb. 24 at 4:50 p.m. EST, Discovery and its six-member crew will deliver the Permanent Multipurpose Module, packed with supplies and critical spare parts, as well as Robonaut 2, the dexterous humanoid astronaut helper, to the orbiting outpost. For more information on the STS-133 mission, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Kim Shiflett

  10. Implementation research to improve quality of maternal and newborn health care, Malawi

    PubMed Central

    Wilhelm, Danielle; Lohmann, Julia; Kambala, Christabel; Chinkhumba, Jobiba; Muula, Adamson S; De Allegri, Manuela

    2017-01-01

    Abstract Objective To evaluate the impact of a performance-based financing scheme on maternal and neonatal health service quality in Malawi. Methods We conducted a non-randomized controlled before and after study to evaluate the effects of district- and facility-level performance incentives for health workers and management teams. We assessed changes in the facilities’ essential drug stocks, equipment maintenance and clinical obstetric care processes. Difference-in-difference regression models were used to analyse effects of the scheme on adherence to obstetric care treatment protocols and provision of essential drugs, supplies and equipment. Findings We observed 33 health facilities, 23 intervention facilities and 10 control facilities and 401 pregnant women across four districts. The scheme improved the availability of both functional equipment and essential drug stocks in the intervention facilities. We observed positive effects in respect to drug procurement and clinical care activities at non-intervention facilities, likely in response to improved district management performance. Birth assistants’ adherence to clinical protocols improved across all studied facilities as district health managers supervised and coached clinical staff more actively. Conclusion Despite nation-wide stock-outs and extreme health worker shortages, facilities in the study districts managed to improve maternal and neonatal health service quality by overcoming bottlenecks related to supply procurement, equipment maintenance and clinical performance. To strengthen and reform health management structures, performance-based financing may be a promising approach to sustainable improvements in quality of health care. PMID:28670014

  11. 7 CFR 1493.250 - Final application and issuance of a facility payment guarantee.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) COMMODITY CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CCC EXPORT CREDIT GUARANTEE PROGRAMS CCC Facility Guarantee Program (FGP) Operations § 1493.250 Final application... application to CCC for a facility payment guarantee which shall include the following information: (1) A cover...

  12. 7 CFR 1493.250 - Final application and issuance of a facility payment guarantee.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...) COMMODITY CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CCC EXPORT CREDIT GUARANTEE PROGRAMS CCC Facility Guarantee Program (FGP) Operations § 1493.250 Final application... application to CCC for a facility payment guarantee which shall include the following information: (1) A cover...

  13. Gasoline Distribution Facilities (Bulk Gasoline Terminals and Pipeline Breakout Stations) Air Toxics Rule Fact Sheets

    EPA Pesticide Factsheets

    This page contains a November 1994 fact sheet for the final NESHAP for Gasoline Distribution Facilities. This page also contains a December fact sheet with information regarding the final amendments to the 2003 final rule for the NESHAP.

  14. Medicare program; prospective payment system and consolidated billing for skilled nursing facilities for FY 2015. Final rule.

    PubMed

    2014-08-05

    This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2015. In addition, it adopts the most recent Office of Management and Budget (OMB) statistical area delineations to identify a facility's urban or rural status for the purpose of determining which set of rate tables will apply to the facility, and to determine the SNF PPS wage index including a 1-year transition with a blended wage index for all providers for FY 2015. This final rule also contains a revision to policies related to the Change of Therapy (COT) Other Medicare Required Assessment (OMRA). This final rule includes a discussion of a provision related to the Affordable Care Act involving Civil Money Penalties. Finally, this final rule discusses the SNF therapy payment research currently underway within CMS, observed trends related to therapy utilization among SNF providers, and the agency's commitment to accelerating health information exchange in SNFs.

  15. The implementation of Prime Vendor Europe and its successful impact on an overseas naval medical treatment facility.

    PubMed

    Koerner, S D; Anaya, M A

    1996-10-01

    Prime Vendor Europe (PVE) is the commercial pharmaceutical ordering and delivery program that is revolutionizing overseas health care delivery at military health care treatment facilities located in the European theater. Mirroring civilian programs already available and replacing the Federal Supply System, PVE offers many benefits never before realized at overseas military health care treatment facilities, including: diminished order turnaround times with resultant decreased Operating Target requirements; rapid order confirmation after order placement; lower carrying costs and inventory needs; better dating of pharmaceuticals received; redistribution and increased efficiency of the current manhours needed to operate a pharmacy supply system; order tracking capabilities; and enhancement of the present cooperative and constructive dichotomous relationship between medical logistics and pharmacy regarding pharmaceutical purchasing practices. This paper will explore the fundamentals, past performance, continuous quality improvement of logistical functions, frame-work establishment for PVE, implementation of PVE, and subsequent observed command benefits of PVE realization.

  16. A 3-D hydrologic transport model of a water recharge system using carbamazepine and chloride as tracers

    NASA Astrophysics Data System (ADS)

    Rona, Michael; Gasser, Guy; Negev, Ido; Pankratov, Irena; Elhanany, Sara; Lev, Ovadia; Gvirtzman, Haim

    2014-05-01

    Wastewater recharge facilities are often used as a final water treatment before the discharge to the sea or before water reclamation. These facilities are often located in active aquifers that supply drinking water. Thus, leakage from the water recharge facility and gradual expansion of the underground wastewater plume are of considerable health concern. Hydrological modeling of water recharge systems are widely used as operational and predictive tools. These models rely on distributed water head monitoring and at least one chemical or physical tracer to model solutes' transport. Refractory micropollutants have proven useful in qualitative identification of pollution leakages and for quantification of pollution to a specific site near water recharge facilities. However, their usefulness as tracers for hydrological modeling is still questionable. In this article, we describe a long term, 3-D hydraulic model of a large-scale wastewater effluents recharge system in which a combination of chloride and a refractory micropollutant, carbamazepine is used to trace the solute transport. The combination of the two tracers provides the model with the benefits of the high specificity of the carbamazepine and the extensive historic data base that is available for chloride. The model predicts westward expansion of the pollution plume, whereas a standing front is formed at the east. These trends can be confirmed by the time trace of the carbamazepine concentrations at specific locations. We show that the combination of two tracers accounts better (at least at some locations) for the evolution of the pollution plume than a model based on chloride or carbamazepine alone.

  17. Evaluation of the 183-D Water Filtration Facility for Bat Roosts and Development of a Mitigation Strategy, 100-D Area, Hanford Site

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

    Lindsey, C. T.; Gano, K. A.; Lucas, J. G.

    The 183-D Water Filtration Facility is located in the 100-D Area of the Hanford Site, north of Richland, Washington. It was used to provide filtered water for cooling the 105-D Reactor and supplying fire-protection and drinking water for all facilities in the 100-D Area. The facility has been inactive since the 1980s and is now scheduled for demolition. Therefore, an evaluation was conducted to determine if any part of the facility was being used as roosting habitat by bats.

  18. Systems approach to monitoring and evaluation guides scale up of the Standard Days Method of family planning in Rwanda.

    PubMed

    Igras, Susan; Sinai, Irit; Mukabatsinda, Marie; Ngabo, Fidele; Jennings, Victoria; Lundgren, Rebecka

    2014-05-01

    There is no guarantee that a successful pilot program introducing a reproductive health innovation can also be expanded successfully to the national or regional level, because the scaling-up process is complex and multilayered. This article describes how a successful pilot program to integrate the Standard Days Method (SDM) of family planning into existing Ministry of Health services was scaled up nationally in Rwanda. Much of the success of the scale-up effort was due to systematic use of monitoring and evaluation (M&E) data from several sources to make midcourse corrections. Four lessons learned illustrate this crucially important approach. First, ongoing M&E data showed that provider training protocols and client materials that worked in the pilot phase did not work at scale; therefore, we simplified these materials to support integration into the national program. Second, triangulation of ongoing monitoring data with national health facility and population-based surveys revealed serious problems in supply chain mechanisms that affected SDM (and the accompanying CycleBeads client tool) availability and use; new procedures for ordering supplies and monitoring stockouts were instituted at the facility level. Third, supervision reports and special studies revealed that providers were imposing unnecessary medical barriers to SDM use; refresher training and revised supervision protocols improved provider practices. Finally, informal environmental scans, stakeholder interviews, and key events timelines identified shifting political and health policy environments that influenced scale-up outcomes; ongoing advocacy efforts are addressing these issues. The SDM scale-up experience in Rwanda confirms the importance of monitoring and evaluating programmatic efforts continuously, using a variety of data sources, to improve program outcomes.

  19. Systems approach to monitoring and evaluation guides scale up of the Standard Days Method of family planning in Rwanda

    PubMed Central

    Igras, Susan; Sinai, Irit; Mukabatsinda, Marie; Ngabo, Fidele; Jennings, Victoria; Lundgren, Rebecka

    2014-01-01

    There is no guarantee that a successful pilot program introducing a reproductive health innovation can also be expanded successfully to the national or regional level, because the scaling-up process is complex and multilayered. This article describes how a successful pilot program to integrate the Standard Days Method (SDM) of family planning into existing Ministry of Health services was scaled up nationally in Rwanda. Much of the success of the scale-up effort was due to systematic use of monitoring and evaluation (M&E) data from several sources to make midcourse corrections. Four lessons learned illustrate this crucially important approach. First, ongoing M&E data showed that provider training protocols and client materials that worked in the pilot phase did not work at scale; therefore, we simplified these materials to support integration into the national program. Second, triangulation of ongoing monitoring data with national health facility and population-based surveys revealed serious problems in supply chain mechanisms that affected SDM (and the accompanying CycleBeads client tool) availability and use; new procedures for ordering supplies and monitoring stockouts were instituted at the facility level. Third, supervision reports and special studies revealed that providers were imposing unnecessary medical barriers to SDM use; refresher training and revised supervision protocols improved provider practices. Finally, informal environmental scans, stakeholder interviews, and key events timelines identified shifting political and health policy environments that influenced scale-up outcomes; ongoing advocacy efforts are addressing these issues. The SDM scale-up experience in Rwanda confirms the importance of monitoring and evaluating programmatic efforts continuously, using a variety of data sources, to improve program outcomes. PMID:25276581

  20. Greenhouse gas emissions from alternative water supply processes in southern California, USA

    NASA Astrophysics Data System (ADS)

    Schneider, A.; Townsend-Small, A.

    2012-12-01

    Burgeoning population centers and declining hydrological resources have encouraged the development of alternative water treatment systems, including desalination and wastewater recycling. These processes currently provide potable water for millions of people and assist in satisfying agricultural and landscaping irrigation demands. There are a variety of alternative water production methods in place, and while they help to reduce the demands placed on aquifers, during their operation they are also significant sources of greenhouse gases. The environmental advantages of these alternative water production methods need to be carefully weighed against their energy footprints and greenhouse gas emissions profiles. This study measured the greenhouse gas emissions of a wastewater treatment and recycling facility in Orange County, California to get a more complete picture of the carbon footprint of the plant. We measured atmospheric emissions of CO2, CH4, and N2O throughout the water recycling process and at various times of the day and week. This allowed us to assemble a thorough, cross-sectional profile of greenhouse gas emissions from the facility. We then compared the measured emissions of the treatment plant to the modeled emissions of desalination plants in order to assess the relative carbon footprints of the two water production methods. Other water supply alternatives, including regional water importation, were also included in the comparison in order to provide a more complete understanding of the potential greenhouse gas emissions. Finally, we assessed the significance of wastewater treatment as an urban greenhouse gas source when compared to other known emissions in the region. This research offers a valuable tool for sustainable urban and regional development by providing planners with a quantified comparison of the carbon footprints of several water production options.

  1. 46 CFR 113.10-9 - Power supply.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Power supply. 113.10-9 Section 113.10-9 Shipping COAST... SYSTEMS AND EQUIPMENT Fire and Smoke Detecting and Alarm Systems § 113.10-9 Power supply. (a) General... battery, the charger must be supplied from the final emergency power source. Upon loss of power to the...

  2. 46 CFR 113.10-9 - Power supply.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Power supply. 113.10-9 Section 113.10-9 Shipping COAST... SYSTEMS AND EQUIPMENT Fire and Smoke Detecting and Alarm Systems § 113.10-9 Power supply. (a) General... battery, the charger must be supplied from the final emergency power source. Upon loss of power to the...

  3. User-managed inventory: an approach to forward-deployment of urgently needed medical countermeasures for mass-casualty and terrorism incidents.

    PubMed

    Coleman, C Norman; Hrdina, Chad; Casagrande, Rocco; Cliffer, Kenneth D; Mansoura, Monique K; Nystrom, Scott; Hatchett, Richard; Caro, J Jaime; Knebel, Ann R; Wallace, Katherine S; Adams, Steven A

    2012-12-01

    The user-managed inventory (UMI) is an emerging idea for enhancing the current distribution and maintenance system for emergency medical countermeasures (MCMs). It increases current capabilities for the dispensing and distribution of MCMs and enhances local/regional preparedness and resilience. In the UMI, critical MCMs, especially those in routine medical use ("dual utility") and those that must be administered soon after an incident before outside supplies can arrive, are stored at multiple medical facilities (including medical supply or distribution networks) across the United States. The medical facilities store a sufficient cache to meet part of the surge needs but not so much that the resources expire before they would be used in the normal course of business. In an emergency, these extra supplies can be used locally to treat casualties, including evacuees from incidents in other localities. This system, which is at the interface of local/regional and federal response, provides response capacity before the arrival of supplies from the Strategic National Stockpile (SNS) and thus enhances the local/regional medical responders' ability to provide life-saving MCMs that otherwise would be delayed. The UMI can be more cost-effective than stockpiling by avoiding costs due to drug expiration, disposal of expired stockpiled supplies, and repurchase for replacement.

  4. MouseNet database: digital management of a large-scale mutagenesis project.

    PubMed

    Pargent, W; Heffner, S; Schäble, K F; Soewarto, D; Fuchs, H; Hrabé de Angelis, M

    2000-07-01

    The Munich ENU Mouse Mutagenesis Screen is a large-scale mutant production, phenotyping, and mapping project. It encompasses two animal breeding facilities and a number of screening groups located in the general area of Munich. A central database is required to manage and process the immense amount of data generated by the mutagenesis project. This database, which we named MouseNet(c), runs on a Sybase platform and will finally store and process all data from the entire project. In addition, the system comprises a portfolio of functions needed to support the workflow management of the core facility and the screening groups. MouseNet(c) will make all of the data available to the participating screening groups, and later to the international scientific community. MouseNet(c) will consist of three major software components:* Animal Management System (AMS)* Sample Tracking System (STS)* Result Documentation System (RDS)MouseNet(c) provides the following major advantages:* being accessible from different client platforms via the Internet* being a full-featured multi-user system (including access restriction and data locking mechanisms)* relying on a professional RDBMS (relational database management system) which runs on a UNIX server platform* supplying workflow functions and a variety of plausibility checks.

  5. Lithium recycling and cathode material regeneration from acid leach liquor of spent lithium-ion battery via facile co-extraction and co-precipitation processes.

    PubMed

    Yang, Yue; Xu, Shengming; He, Yinghe

    2017-06-01

    A novel process for extracting transition metals, recovering lithium and regenerating cathode materials based on facile co-extraction and co-precipitation processes has been developed. 100% manganese, 99% cobalt and 85% nickel are co-extracted and separated from lithium by D2EHPA in kerosene. Then, Li is recovered from the raffinate as Li 2 CO 3 with the purity of 99.2% by precipitation method. Finally, organic load phase is stripped with 0.5M H 2 SO 4 , and the cathode material LiNi 1/3 Co 1/3 Mn 1/3 O 2 is directly regenerated from stripping liquor without separating metal individually by co-precipitation method. The regenerative cathode material LiNi 1/3 Co 1/3 Mn 1/3 O 2 is miro spherical morphology without any impurities, which can meet with LiNi 1/3 Co 1/3 Mn 1/3 O 2 production standard of China and exhibits good electrochemical performance. Moreover, a waste battery management model is introduced to guarantee the material supply for spent battery recycling. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Quality assurance in nuclear medicine facilities; availability of final recommendations--FDA. Notice.

    PubMed

    1985-05-13

    The Food and Drug Administration (FDA) is announcing the availability of final recommendations prepared by its Center for Devices and Radiological Health (CDRH) on quality assurance programs in nuclear medicine facilities. The final recommendations include the agency's rationale for the recommendations as well as references that can be used as well as references that can be used as guides in conducting quality control monitoring. These final recommendations are available as a technical report in CDRH's radiation recommendations series. They are intended to encourage and promote the development of voluntary quality assurance programs in nuclear medicine facilities.

  7. Oil and Natural Gas Production Facilities National Emissions Standards for Hazardous Air Pollutants (NESHAP) Final Rule Fact Sheet

    EPA Pesticide Factsheets

    This page contains a January 2007 fact sheet for the final National Emission Standards for Hazardous Air Pollutants (NESHAP) for Oil and Natural Gas Production Facilities. This document provides a summary of the 2007 final rule.

  8. 32 CFR 766.13 - Sale of aviation fuel, oil, services and supplies.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 5 2014-07-01 2014-07-01 false Sale of aviation fuel, oil, services and... MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.13 Sale of aviation fuel, oil, services and supplies. (a) General policy. In accordance with sections 1107 and 1108 of...

  9. 32 CFR 766.13 - Sale of aviation fuel, oil, services and supplies.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 5 2013-07-01 2013-07-01 false Sale of aviation fuel, oil, services and... MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.13 Sale of aviation fuel, oil, services and supplies. (a) General policy. In accordance with sections 1107 and 1108 of...

  10. 32 CFR 766.13 - Sale of aviation fuel, oil, services and supplies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 5 2011-07-01 2011-07-01 false Sale of aviation fuel, oil, services and... MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.13 Sale of aviation fuel, oil, services and supplies. (a) General policy. In accordance with sections 1107 and 1108 of...

  11. 32 CFR 766.13 - Sale of aviation fuel, oil, services and supplies.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 5 2012-07-01 2012-07-01 false Sale of aviation fuel, oil, services and... MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.13 Sale of aviation fuel, oil, services and supplies. (a) General policy. In accordance with sections 1107 and 1108 of...

  12. 78 FR 66355 - Pleasant Grove City, UT; Notice of Preliminary Determination of a Qualifying Conduit Hydropower...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-05

    ... intake pipe off the existing 12-inch diameter water supply pipeline; (2) a new powerhouse containing one... water into an existing 12-inch water supply pipeline; and (4) appurtenant facilities. The proposed...--Project Blue Energy would utilize Pleasant Grove's water intake pipeline that delivers water to its water...

  13. Trends in private and commercial recreation

    Treesearch

    Arlin F. Epperson

    1980-01-01

    Although there has been substantial growth in the supply of outdoor recreation resources, there is no existing system or program to track annual changes in private and commercial facilities or enterprises. This paper traces efforts to assess the supply of private recreation resources and provides the reader with information on where to look for data on the private...

  14. 32 CFR 766.13 - Sale of aviation fuel, oil, services and supplies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... supplies. 766.13 Section 766.13 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY MISCELLANEOUS RULES USE OF DEPARTMENT OF THE NAVY AVIATION FACILITIES BY CIVIL AIRCRAFT § 766.13 Sale of... other assistance by reason of an emergency. Such sales will be made only where there is no commercial...

  15. 77 FR 59840 - Statutory Amendments Affecting Transportation of Agricultural Commodities and Farm Supplies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-01

    ... transportation of farm supplies from the local farm retailer to the ultimate consumer within a 100 air-mile... wholesalers located at port or terminal facilities to either local farm retailers or farms. (See Question 33...] commodities.'' The exemption created by the Act applies to two types of transportation. The first type is...

  16. Medicare and Medicaid programs; fire safety requirements for certain health care facilities; amendment. Final rule.

    PubMed

    2006-09-22

    This final rule adopts the substance of the April 15, 2004 tentative interim amendment (TIA) 00-1 (101), Alcohol Based Hand Rub Solutions, an amendment to the 2000 edition of the Life Safety Code, published by the National Fire Protection Association (NFPA). This amendment allows certain health care facilities to place alcohol-based hand rub dispensers in egress corridors under specified conditions. This final rule also requires that nursing facilities at least install battery-operated single station smoke alarms in resident rooms and common areas if they are not fully sprinklered or they do not have system-based smoke detectors in those areas. Finally, this final rule confirms as final the provisions of the March 25, 2005 interim final rule with changes and responds to public comments on that rule.

  17. A Study of Selected Issues in Military Construction and Base Operating Support

    DTIC Science & Technology

    1986-12-01

    and poten- tial, of data reported annually on the readiness of Navy shore base facilities * Development of a statistical model for forecasting the...of replacing or modernizing existing facilities * Study of the set of activities--including retail supply operations, bachelor housing, automated data ...until data from FY 1986 can be obtained and I SECTION 2 CAPITAL FACILITIES : AGING, REPLACEMENT, AND CHANGE OVER TIME During development of the POM, OP

  18. 2. Credit PSR. The Administration/Shops Building appears here as the ...

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

    2. Credit PSR. The Administration/Shops Building appears here as the camera looks east (84°). To the right in the view is the Guard House (Building 4279/E-80) which controls entry to the JPL facility. At left is a warehouse (Building 4287/E88). Overhead utility lines supply alternating current to the facility. - Jet Propulsion Laboratory Edwards Facility, Administration & Shops Building, Edwards Air Force Base, Boron, Kern County, CA

  19. Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2017, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and SNF Payment Models Research. Final rule.

    PubMed

    2016-08-05

    This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2017. In addition, it specifies a potentially preventable readmission measure for the Skilled Nursing Facility Value-Based Purchasing Program (SNF VBP), and implements requirements for that program, including performance standards, a scoring methodology, and a review and correction process for performance information to be made public, aimed at implementing value-based purchasing for SNFs. Additionally, this final rule includes additional polices and measures in the Skilled Nursing Facility Quality Reporting Program (SNF QRP). This final rule also responds to comments on the SNF Payment Models Research (PMR) project.

  20. Improving quality of care through payment for performance: examining effects on the availability and stock-out of essential medical commodities in Tanzania.

    PubMed

    Binyaruka, Peter; Borghi, Josephine

    2017-01-01

    To evaluate the effects of payment for performance (P4P) on the availability and stock-out rate of reproductive, maternal, newborn and child health (RMNCH) medical commodities in Tanzania and assess the distributional effects. The availability of RMNCH commodities (medicines, supplies and equipment) on the day of the survey, and stock-outs for at least one day in the 90 days prior to the survey, was measured in 75 intervention and 75 comparison facilities in January 2012 and 13 months later. Composite scores for each subgroup of commodities were generated. A difference-in-differences linear regression was used to estimate the effect of P4P on outcomes and differential effects by facility location, level of care, ownership and socio-economic status of the catchment population. We estimated a significant increase in the availability of medicines by 8.4 percentage points (P = 0.002) and an 8.3 percentage point increase (P = 0.050) in the availability of medical supplies. P4P had no effect on the availability of functioning equipment. Most items with a significant increase in availability also showed a significant reduction in stock-outs. Effects were generally equally distributed across facilities, with effects on stock-outs of many medicines being pro-poor, and greater effects in facilities in rural compared to urban districts. P4P can improve the availability of medicines and medical supplies, especially in poor, rural areas, when these commodities are incentivised at both facility and district levels, making services more acceptable, effective and affordable, enhancing progress towards universal health coverage. © 2016 John Wiley & Sons Ltd.

  1. Safer injections following a new national medicine policy in the public sector, Burkina Faso 1995 – 2000

    PubMed Central

    Logez, Sophie; Hutin, Yvan; Somda, Paul; Thuault, Jérôme; Holloway, Kathleen

    2005-01-01

    Background The common failure of health systems to ensure adequate and sufficient supplies of injection devices may have a negative impact on injection safety. We conducted an assessment in April 2001 to determine to which extent an increase in safe injection practices between 1995 and 2000 was related to the increased access to injection devices because of a new essential medicine policy in Burkina Faso. Methods We reviewed outcomes of the new medicine policy implemented in1995. In April 2001, a retrospective programme review assessed the situation between 1995 and 2000. We visited 52 health care facilities where injections had been observed during a 2000 injection safety assessment and their adjacent operational public pharmaceutical depots. Data collection included structured observations of available injection devices and an estimation of the proportion of prescriptions including at least one injection. We interviewed wholesaler managers at national and regional levels on supply of injection devices to public health facilities. Results Fifty of 52 (96%) health care facilities were equipped with a pharmaceutical depot selling syringes and needles, 37 (74%) of which had been established between 1995 and 2000. Of 50 pharmaceutical depots, 96% had single-use 5 ml syringes available. At all facilities, patients were buying syringes and needles out of the depot for their injections prescribed at the dispensary. While injection devices were available in greater quantities, the proportion of prescriptions including at least one injection remained stable between 1995 (26.5 %) and 2000 (23.8 %). Conclusion The implementation of pharmaceutical depots next to public health care facilities increased geographical access to essential medicines and basic supplies, among which syringes and needles, contributing substantially to safer injection practices in the absence of increased use of therapeutic injections. PMID:16364178

  2. Lignocellulosic crop supply chains (eg, Miscanthus, switchgrass, reed canary grass, rye, giant reed, etc.) Chapter 12 of "Biomass Supply Chains for Bioenergy and Biorefining"

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

    Roni, Mohammad S.; Cafferty, Kara G.; Hess, J. Richard

    This chapter provides an overview of lignocellulosic crop supply chains such as Miscanthus, switch grass, reed canary grass, rye, and giant reed by outlining typical logistic operations in support of a liquid biofuel market. We present two strategies for managing feedstocks within the biomass supply system: (1) the conventional bale feedstock supply system and (2) the advanced supply system concept. Finally, we discuss feedstock blending and integrated landscape management as innovative improvements to the lignocellulosic crop supply chain.

  3. 75 FR 10395 - Attestation Applications by Facilities Temporarily Employing H-1C Nonimmigrant Foreign Workers as...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-05

    ... Applications by Facilities Temporarily Employing H-1C Nonimmigrant Foreign Workers as Registered Nurses; Final... Nurses; Final Rule AGENCY: Employment and Training Administration, Labor, in collaboration with Wage and... registered nurses in health professional shortage areas on a temporary basis under the H-1C visa. Facilities...

  4. 36 CFR 1234.12 - What are the fire safety requirements that apply to records storage facilities?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... that have been incorporated to minimize loss. The report should make specific reference to appropriate.... Retrofitting may require modifications to the piping system to ensure that adequate water capacity and pressure... storage facilities, boiler rooms or rooms containing equipment operating with a fuel supply (such as...

  5. Programs for Infants and Young Children. Part IV: Facilities and Equipment.

    ERIC Educational Resources Information Center

    Sale, June

    This manual is designed to facilitate planning for day care center facilities. Goals and principles of day care are discussed in relation to programs for infants, toddlers, and preschoolers with special attention to staff, parents, and community. Suggestions are presented for indoor and outdoor planning for such topics as equipment, supplies,…

  6. 30 CFR 254.24 - What information must I include in the “Equipment inventory” appendix?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Oil-Spill Response Plans for Outer Continental Shelf Facilities § 254.24 What information...: (a) An inventory of spill-response materials and supplies, services, equipment, and response vessels...

  7. 30 CFR 254.24 - What information must I include in the “Equipment inventory” appendix?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Oil-Spill Response Plans for Outer Continental Shelf Facilities § 254.24 What... include: (a) An inventory of spill-response materials and supplies, services, equipment, and response...

  8. 30 CFR 254.24 - What information must I include in the “Equipment inventory” appendix?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Oil-Spill Response Plans for Outer Continental Shelf Facilities § 254.24 What... include: (a) An inventory of spill-response materials and supplies, services, equipment, and response...

  9. 30 CFR 254.24 - What information must I include in the “Equipment inventory” appendix?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE COAST LINE Oil-Spill Response Plans for Outer Continental Shelf Facilities § 254.24 What... include: (a) An inventory of spill-response materials and supplies, services, equipment, and response...

  10. Scientific approach and practical experience for reconstruction of waste water treatment plants in Russia

    NASA Astrophysics Data System (ADS)

    Makisha, Nikolay; Gogina, Elena

    2017-11-01

    Protection of water bodies has a strict dependence on reliable operation of engineering systems and facilities for water supply and sewage. The majority of these plants and stations has been constructed in 1970-1980's in accordance with rules and regulations of that time. So now most of them require reconstruction due to serious physical or/and technological wear. The current condition of water supply and sewage systems and facilities frequently means a hidden source of serious danger for normal life support and ecological safety of cities and towns. The article reveals an obtained experience and modern approaches for reconstruction of waste water and sludge treatment plants that proved their efficiency even if applied in limited conditions such as area limits, investments limits. The main directions of reconstruction: overhaul repair and partial modernization of existing facilities on the basis of initial project; - restoration and modernization of existing systems on the basis on the current documents and their current condition; upgrade of waste water treatment plants (WWTPs) performance on the basis of modern technologies and methods; reconstruction of sewage systems and facilities and treatment quality improvement.

  11. Effects of user fee exemptions on the provision and use of maternal health services: a review of literature.

    PubMed

    Hatt, Laurel E; Makinen, Marty; Madhavan, Supriya; Conlon, Claudia M

    2013-12-01

    User fee removal has been put forward as an approach to increasing priority health service utilization, reducing impoverishment, and ultimately reducing maternal and neonatal mortality. However, user fees are a source of facility revenue in many low-income countries, often used for purchasing drugs and supplies and paying incentives to health workers. This paper reviews evidence on the effects of user fee exemptions on maternal health service utilization, service provision, and outcomes, including both supply-side and demand-side effects. We reviewed 19 peer-reviewed research articles addressing user fee exemptions and maternal health services or outcomes published since 1990. Studies were identified through a USAID-commissioned call for evidence, key word search, and screening process. Teams of reviewers assigned criteria-based quality scores to each paper and prepared structured narrative reviews. The grade of the evidence was found to be relatively weak, mainly from short-term, non-controlled studies. The introduction of user fee exemptions appears to have resulted in increased rates of facility-based deliveries and caesarean sections in some contexts. Impacts on maternal and neonatal mortality have not been conclusively demonstrated; exemptions for delivery care may contribute to modest reductions in institutional maternal mortality but the evidence is very weak. User fee exemptions were found to have negative, neutral, or inconclusive effects on availability of inputs, provider motivation, and quality of services. The extent to which user fee revenue lost by facilities is replaced can directly affect service provision and may have unintended consequences for provider motivation. Few studies have looked at the equity effects of fee removal, despite clear evidence that fees disproportionately burden the poor. This review highlights potential and documented benefits (increased use of maternity services) as well as risks (decreased provider motivation and quality) of user fee exemption policies for maternal health services. Governments should link user fee exemption policies with the replacement of lost revenue for facilities as well as broader health system improvements, including facility upgrades, ensured supply of needed inputs, and improved human resources for health. Removing user fees may increase uptake but will not reduce mortality proportionally if the quality of facility-based care is poor. More rigorous evaluations of both demand- and supply-side effects of mature fee exemption programmes are needed.

  12. Deficiencies in the availability of essential musculoskeletal surgical services at 883 health facilities in 24 low- and lower-middle-income countries.

    PubMed

    Spiegel, D A; Nduaguba, A; Cherian, M N; Monono, M; Kelley, E T

    2015-06-01

    The sequelae of acute musculoskeletal conditions, especially injuries and infections, are responsible for significant disability in low- and middle-income countries. This study characterizes the availability of selected musculoskeletal surgical services at different tiers of the health system in a convenience sample of 883 health facilities from 24 low- and lower-middle-income countries. Selected data points from the World Health Organization's (WHO) tool of situational analysis of surgical availability were extracted from the WHO's database in December, 2013. These included infrastructure, physical resources and supplies, interventions, and human resources. For a descriptive analysis, facilities were divided into two groups based on number of beds (<100, 100-300, and >300) and level of facility (primary referral, secondary/tertiary, and Private/NGO/Mission). Statistical comparison was made between public and Private/NGO/Mission facilities based on number of beds (≤100, 100-300, and >300) using a Chi-Square analysis, with statistical significance at p < 0.05. Significant deficiencies were noted in infrastructure, physical resources and supplies, and human resources for the provision of essential orthopedic surgical services at all tiers of the health system. Availability was significantly lower in public versus Private/NGO/Mission facilities for nearly all categories in facilities with ≤100 beds, and in a subset of measures in facilities with between 100 and 300 beds. Deficiencies in the availability of orthopedic surgical services were observed at all levels of health facility and were most pronounced at facilities with ≤100 beds in the public sector. Strengthening the delivery of essential surgical services, including orthopedics, at the primary referral level must be prioritized if we are to reduce the burden of death and disability from a variety of emergent health conditions. There were no sources of funding.

  13. The reality of task shifting in medicines management- a case study from Tanzania.

    PubMed

    Wiedenmayer, Karin A; Kapologwe, Ntuli; Charles, James; Chilunda, Fiona; Mapunjo, Siana

    2015-01-01

    Tanzania suffers a severe shortage of pharmaceutical staff. This negatively affects the provision of pharmaceutical services and access to medicines, particularly in rural areas. Task shifting has been proposed as a way to mitigate the impact of health worker shortfalls.The aim of this study was to understand the context and extent of task shifting in pharmaceutical management in Dodoma Region, Tanzania. We explored 1) the number of trained pharmaceutical staff as compared to clinical cadres managing medicines, 2) the national establishment for staffing levels, 3) job descriptions, 4) supply management training conducted and 5) availability of medicines and adherence to Good Storage Practice. A cross-sectional study was conducted in 270 public health facilities in 2011. A pre-tested questionnaire was administered to the person in charge of the facility to collect data on staff employed and their respective pharmaceutical tasks. Availability of 26 tracer medicines and adherence to Good Storage Practice guidelines was surveyed by direct observation. The national establishments for pharmaceutical staffing levels and job descriptions of facility cadres were analysed. While required staffing levels in 1999 were 50, the region employed a total of only 14 pharmaceutical staff in 2011. Job descriptions revealed that, next to pharmaceutical staff, only nurses were required to provide dispensing services and adherence counselling. In 95.5% of studied health facilities medicines management was done by non-pharmaceutically trained cadres, predominantly medical attendants. The first training on supply management was provided in 2005 with no refresher training thereafter. Mean availability of tracer medicines was 53%, while 56% of health facilities fully met criteria of Good Storage Practice. Task shifting is a reality in the pharmaceutical sector in Tanzania and it occurs mainly as a coping mechanism rather than a formal response to the workforce crisis. In Dodoma Region, pharmacy-related tasks and supply management have informally been shifted to clinical staff without policy guidance, explicit job descriptions, and without the necessary support through training. Implicit task shifting should be recognized and formalized. Job orientation, training and operational procedures may be useful to support non-pharmaceutical health workers to effectively manage medicine supply.

  14. Prevention and management of severe pre-eclampsia/eclampsia in Afghanistan

    PubMed Central

    2013-01-01

    Background An evidence-based strategy exists to reduce maternal morbidity and mortality associated with severe pre-eclampsia/eclampsia (PE/E), but it may be difficult to implement in low-resource settings. This study examines whether facilities that provide emergency obstetric and newborn care (EmONC) in Afghanistan have the capacity to manage severe PE/E cases. Methods A further analysis was conducted of the 2009–10 Afghanistan EmONC Needs Assessment. Assessors observed equipment and supplies available, and services provided at 78 of the 127 facilities offering comprehensive EmONC services and interviewed 224 providers. The providers also completed a written case scenario on severe PE/E. Descriptive statistics were used to summarize facility and provider characteristics. Student t-test, one-way ANOVA, and chi-square tests were performed to determine whether there were significant differences between facility types, doctors and midwives, and trained and untrained providers. Results The median number of severe PE/E cases in the past year was just 5 (range 0–42) at comprehensive health centers (CHCs) and district hospitals, compared with 44 (range 0–130) at provincial hospitals and 108 (range 32–540) at regional and specialized hospitals (p < 0.001). Most facilities had the drugs and supplies needed to treat severe PE/E, including the preferred anticonvulsant, magnesium sulfate (MgSO4). One-third of the smallest facilities and half of larger facilities reported administering a second-line drug, diazepam, in some cases. In the case scenario, 96% of doctors and 89% of midwives recognized that MgSO4 should be used to manage severe PE/E, but 42% of doctors and 58% of midwives also thought diazepam had a role to play. Providers who were trained on the use of MgSO4 scored significantly higher than untrained providers on six of 20 items in the case scenario. Providers at larger facilities significantly outscored those at smaller facilities on five items. There was a significant difference between doctors and midwives on only one item: continued use of anti-hypertensives after convulsions are controlled. Conclusions Drugs and supplies needed to treat severe PE/E are widely available at EmONC facilities in Afghanistan, but providers lack knowledge in some areas, especially concerning the use of MgSO4 and diazepam. Providers who have specialized training or work at larger facilities are better at managing cases of severe PE/E. The findings suggest a need to clarify service delivery guidelines, offer refresher training, and reinforce best practices with supervision and reinforcement. PMID:24119329

  15. Prevention and management of severe pre-eclampsia/eclampsia in Afghanistan.

    PubMed

    Kim, Young Mi; Ansari, Nasratullah; Kols, Adrienne; Tappis, Hannah; Currie, Sheena; Zainullah, Partamin; Bailey, Patricia; van Roosmalen, Jos; Stekelenburg, Jelle

    2013-10-12

    An evidence-based strategy exists to reduce maternal morbidity and mortality associated with severe pre-eclampsia/eclampsia (PE/E), but it may be difficult to implement in low-resource settings. This study examines whether facilities that provide emergency obstetric and newborn care (EmONC) in Afghanistan have the capacity to manage severe PE/E cases. A further analysis was conducted of the 2009-10 Afghanistan EmONC Needs Assessment. Assessors observed equipment and supplies available, and services provided at 78 of the 127 facilities offering comprehensive EmONC services and interviewed 224 providers. The providers also completed a written case scenario on severe PE/E. Descriptive statistics were used to summarize facility and provider characteristics. Student t-test, one-way ANOVA, and chi-square tests were performed to determine whether there were significant differences between facility types, doctors and midwives, and trained and untrained providers. The median number of severe PE/E cases in the past year was just 5 (range 0-42) at comprehensive health centers (CHCs) and district hospitals, compared with 44 (range 0-130) at provincial hospitals and 108 (range 32-540) at regional and specialized hospitals (p < 0.001). Most facilities had the drugs and supplies needed to treat severe PE/E, including the preferred anticonvulsant, magnesium sulfate (MgSO4). One-third of the smallest facilities and half of larger facilities reported administering a second-line drug, diazepam, in some cases. In the case scenario, 96% of doctors and 89% of midwives recognized that MgSO4 should be used to manage severe PE/E, but 42% of doctors and 58% of midwives also thought diazepam had a role to play. Providers who were trained on the use of MgSO4 scored significantly higher than untrained providers on six of 20 items in the case scenario. Providers at larger facilities significantly outscored those at smaller facilities on five items. There was a significant difference between doctors and midwives on only one item: continued use of anti-hypertensives after convulsions are controlled. Drugs and supplies needed to treat severe PE/E are widely available at EmONC facilities in Afghanistan, but providers lack knowledge in some areas, especially concerning the use of MgSO4 and diazepam. Providers who have specialized training or work at larger facilities are better at managing cases of severe PE/E. The findings suggest a need to clarify service delivery guidelines, offer refresher training, and reinforce best practices with supervision and reinforcement.

  16. Domestic water conservation practices in Tlemcen City (Algeria)

    NASA Astrophysics Data System (ADS)

    Habi, Mohammed; Harrouz, Omar

    2015-06-01

    During the last three decades, citizens of an Algerian city are concerned with the problem of drinking water supply. Time discontinuation service became the rule. The central idea of the analysis based on interviews is to assess the role of water in the organization of the relationship between habitat and users. The fundamental question is how users, in particular women, incorporate water in their daily lives due to rationing. Having to deal with the discontinuous and frequent weak water supply, the inhabitants of the city of Tlemcen who are connected to the water supply system, as well as those connected to the water system of all Algerian towns, have developed an internal water storage system to sort out this problem. The imposed rationing has proved to be expensive for consumers. The water shortage pushed the consumers to invest in relatively expensive storage and pumping facilities to satisfy their domestic needs. As the frequency of the water supply is on a two times per week basis, the survey reveals a discrepancy in terms of volumes consumed and stored by each household. The use of water depends on the individual storage facility and the frequency of the supply. The life of the households, particularly that of the housewives, depends on the availability of water and thus on the schedules of the Company of Production of Water "Algerian Des Eaux'' (ADE). This is particularly the case when they are supplied during the night.

  17. 75 FR 12702 - Tart Cherries Grown in the States of Michigan, et al.; Final Free and Restricted Percentages for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-17

    ... three years 183 (2) Plus desirable carryout 0 (3) Optimum supply calculated by the Board at the 183 June...) Average sales of the prior three years 176 (2) Plus desirable carryout 0 (3) Optimum supply calculated by the Board 176 Final Percentages: (4) Board reported production 355 (5) Plus carryin held by handlers...

  18. 75 FR 29647 - Tart Cherries Grown in the States of Michigan, et al.; Final Free and Restricted Percentages for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-27

    ... the prior three years 183 (2) Plus desirable carryout 0 (3) Optimum supply calculated by the Board at... 176 (2) Plus desirable carryout 0 (3) Optimum supply calculated by the Board 176 Final Percentages: (4) Board reported production 355 (5) Plus carryin held by handlers as of July 1, 2009... 52 (6) Tonnage...

  19. Fuel-Flexible Gas Turbine Combustor Flametube Facility

    NASA Technical Reports Server (NTRS)

    Little, James E.; Nemets, Stephen A.; Tornabene, Robert T.; Smith, Timothy D.; Frankenfield, Bruce J.; Manning, Stephen D.; Thompson, William K.

    2004-01-01

    Facility modifications have been completed to an existing combustor flametube facility to enable testing with gaseous hydrogen propellants at the NASA Glenn Research Center. The purpose of the facility is to test a variety of fuel nozzle and flameholder hardware configurations for use in aircraft combustors. Facility capabilities have been expanded to include testing with gaseous hydrogen, along with the existing hydrocarbon-based jet fuel. Modifications have also been made to the facility air supply to provide heated air up to 350 psig, 1100 F, and 3.0 lbm/s. The facility can accommodate a wide variety of flametube and fuel nozzle configurations. Emissions and performance data are obtained via a variety of gas sample probe configurations and emissions measurement equipment.

  20. Medicare program; replacement of reasonable charge methodology by fee schedules for parenteral and enteral nutrients, equipment, and supplies. Final rule.

    PubMed

    2001-08-28

    This final rule implements fee schedules for payment of parenteral and enteral nutrition (PEN) items and services furnished under the prosthetic device benefit, defined in section 1861(s)(8) of the Social Security Act. The authority for establishing these fee schedules is provided by the Balanced Budget Act of 1997, which amended the Social Security Act at section 1842(s). Section 1842(s) of the Social Security Act specifies that statewide or other area wide fee schedules may be implemented for the following items and services still subject to the reasonable charge payment methodology: medical supplies; home dialysis supplies and equipment; therapeutic shoes; parenteral and enteral nutrients, equipment, and supplies; electromyogram devices; salivation devices; blood products; and transfusion medicine. This final rule describes changes made to the proposed fee schedule payment methodology for these items and services and provides that the fee schedules for PEN items and services are effective for all covered items and services furnished on or after January 1, 2002. Fee schedules will not be implemented for electromyogram devices and salivation devices at this time since these items are not covered by Medicare. In addition, fee schedules will not be implemented for medical supplies, home dialysis supplies and equipment, therapeutic shoes, blood products, and transfusion medicine at this time since the data required to establish these fee schedules are inadequate.

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