Helping behavior induced by empathic concern attenuates anterior cingulate activation in response to others' distress.

PubMed

Kawamichi, Hiroaki; Yoshihara, Kazufumi; Sugawara, Sho K; Matsunaga, Masahiro; Makita, Kai; Hamano, Yuki H; Tanabe, Hiroki C; Sadato, Norihiro

2016-01-01

Helping behavior is motivated by empathic concern for others in distress. Although empathic concern is pervasive in daily life, its neural mechanisms remain unclear. Empathic concern involves the suppression of the emotional response to others' distress, which occurs when individuals distance themselves emotionally from the distressed individual. We hypothesized that helping behavior induced by empathic concern, accompanied by perspective-taking, would attenuate the neural activation representing aversive feelings. We also predicted reward system activation due to the positive feeling resulting from helping behavior. Participant underwent functional magnetic resonance imaging while playing a virtual ball-toss game. In some blocks ("concern condition"), one player ("isolated player") did not receive ball-tosses from other players. In this condition, participants increased ball-tosses to the isolated player (helping behavior). Participants then evaluated the improved enjoyment of the isolated player resulting from their helping behavior. Anterior cingulate activation during the concern condition was attenuated by the evaluation of the effect of helping behavior. The right temporoparietal junction, which is involved in perspective-taking and the dorsal striatum, part of the reward system, were also activated during the concern condition. These results suggest that humans can attenuate affective arousal by anticipating the positive outcome of empathic concern through perspective-taking.

Gate Crashers.

ERIC Educational Resources Information Center

Wilson, David L.

1993-01-01

Campus computing officials are working to improve security against computer hackers because of concerns about privacy, accidental or intentional damage to systems, and impediments to legitimate system users. Increasingly, public law enforcement authorities are called in but do not always take the problem seriously. (MSE)

Fatigue evaluation of the increased weight limit on transit railway bridges.

DOT National Transportation Integrated Search

2014-09-01

The recent increase of freight railcar weight limits from 263,000 lbs. to 286,000 lbs. raises concerns for the safety of bridges : on transit passenger rail systems, since they were not designed for this weight increase. Thus, there is a need to asse...

Pharmaceuticals and personal care products in waters: occurrence, toxicity, and risk.

PubMed

Cizmas, Leslie; Sharma, Virender K; Gray, Cole M; McDonald, Thomas J

2015-12-01

Pharmaceuticals and personal care products (PPCP) are compounds with special physical and chemical properties that address the care of animal and human health. PPCP have been detected in surface water and wastewater in the ng/L to µg/L concentration range worldwide. PPCP ecotoxicity has been studied in a variety of organisms, and multiple methods have been used to assess the risk of PPCP in the environment to ecological health. Here we review the occurrence, effects, and risk assessment of PPCP in aquatic systems, as well as the sustainability of current methods for managing PPCP contamination in aquatic systems. The major points are the following: (1) a number of PPCP present potential concerns at environmentally relevant concentrations. PPCP mixtures may produce synergistic toxicity. (2) Various methods have been used for the ecological risk assessment of PPCP in aquatic systems. There are similarities in these methods, but no consensus has emerged regarding best practices for the ecological risk assessment of these compounds. (3) Human health risk assessments of PPCP contamination in aquatic systems have generally indicated little cause for concern. However, there is a lack of information regarding whether antibiotic contamination in wastewater and aquatic systems could lead to an increase in clinically relevant antibiotic-resistant bacteria and antibiotic-resistant genes. (4) Over the next century, the combination of increasing global population size and potential droughts may result in reduced water availability, increased need for water reuse, and increasing concentrations of PPCP in wastewaters. The current wastewater treatment methods do not remove all PPCP effectively. This, coupled with the possibility that antibiotics may promote the development of antibiotic-resistant bacteria and antibiotic-resistant genes, leads to concerns about the sustainability of global water supplies.

Pharmaceuticals and personal care products in waters: occurrence, toxicity, and risk

PubMed Central

Sharma, Virender K.; Gray, Cole M.; McDonald, Thomas J.

2016-01-01

Pharmaceuticals and personal care products (PPCP) are compounds with special physical and chemical properties that address the care of animal and human health. PPCP have been detected in surface water and wastewater in the ng/L to µg/L concentration range worldwide. PPCP ecotoxicity has been studied in a variety of organisms, and multiple methods have been used to assess the risk of PPCP in the environment to ecological health. Here we review the occurrence, effects, and risk assessment of PPCP in aquatic systems, as well as the sustainability of current methods for managing PPCP contamination in aquatic systems. The major points are the following: (1) a number of PPCP present potential concerns at environmentally relevant concentrations. PPCP mixtures may produce synergistic toxicity. (2) Various methods have been used for the ecological risk assessment of PPCP in aquatic systems. There are similarities in these methods, but no consensus has emerged regarding best practices for the ecological risk assessment of these compounds. (3) Human health risk assessments of PPCP contamination in aquatic systems have generally indicated little cause for concern. However, there is a lack of information regarding whether antibiotic contamination in wastewater and aquatic systems could lead to an increase in clinically relevant antibiotic-resistant bacteria and antibiotic-resistant genes. (4) Over the next century, the combination of increasing global population size and potential droughts may result in reduced water availability, increased need for water reuse, and increasing concentrations of PPCP in wastewaters. The current wastewater treatment methods do not remove all PPCP effectively. This, coupled with the possibility that antibiotics may promote the development of antibiotic-resistant bacteria and antibiotic-resistant genes, leads to concerns about the sustainability of global water supplies. PMID:28592954

Simultaneous Authentication and Certification of Arms-Control Measurement Systems

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

MacArthur, Duncan W.; Hauck, Danielle K.; Thron, Jonathan L.

2012-07-09

Most arms-control-treaty-monitoring scenarios involve a host party that makes a declaration regarding its nuclear material or items and a monitoring party that verifies that declaration. A verification system developed for such a use needs to be trusted by both parties. The first concern, primarily from the host party's point of view, is that any sensitive information that is collected must be protected without interfering in the efficient operation of the facility being monitored. This concern is addressed in what can be termed a 'certification' process. The second concern, of particular interest to the monitoring party, is that it must bemore » possible to confirm the veracity of both the measurement system and the data produced by this measurement system. The monitoring party addresses these issues during an 'authentication' process. Addressing either one of these concerns independently is relatively straightforward. However, it is more difficult to simultaneously satisfy host party certification concerns and monitoring party authentication concerns. Typically, both parties will want the final access to the measurement system. We will describe an alternative approach that allows both parties to gain confidence simultaneously. This approach starts with (1) joint development of the measurement system followed by (2) host certification of several copies of the system and (3) random selection by the inspecting party of one copy to be use during the monitoring visit and one (or more) copy(s) to be returned to the inspecting party's facilities for (4) further hardware authentication; any remaining copies are stored under joint seal for use as spares. Following this process, the parties will jointly (5) perform functional testing on the selected measurement system and then (6) use this system during the monitoring visit. Steps (1) and (2) assure the host party as to the certification of whichever system is eventually used in the monitoring visit. Steps (1), (3), (4), and (5) increase the monitoring party's confidence in the authentication of the measurement system.« less

FY2016 Vehicle Systems Annual Progress Report

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

None, None

Vehicle Systems is concerned with advancing light-, medium-, and heavy-duty (HD) vehicle systems to support DOE’s goals of developing technologies for the U.S. transportation sector that enhance national energy security,increase U.S. competitiveness in the global economy, and support improvement of U.S. transportation and energy infrastructure.

Computer Security Primer: Systems Architecture, Special Ontology and Cloud Virtual Machines

ERIC Educational Resources Information Center

Waguespack, Leslie J.

2014-01-01

With the increasing proliferation of multitasking and Internet-connected devices, security has reemerged as a fundamental design concern in information systems. The shift of IS curricula toward a largely organizational perspective of security leaves little room for focus on its foundation in systems architecture, the computational underpinnings of…

AIM: a personal view of where I have been and where we might be going.

PubMed

Rector, A

2001-08-01

My own career in medical informatics and AI in medicine has oscillated between concerns with medical records and concerns with knowledge representation with decision support as a pivotal integrating issue. It has focused on using AI to organise information and reduce 'muddle' and improve the user interfaces to produce 'useful and usable systems' to help doctors with a 'humanly impossible task'. Increasingly knowledge representation and ontologies have become the fulcrum for orchestrating re-use of information and integration of systems. Encouragingly, the dilemma between computational tractability and expressiveness is lessening, and ontologies and description logics are joining the mainstream both in AI in Medicine and in Intelligent Information Management generally. It has been shown possible to scale up ontologies to meet medical needs, and increasingly ontologies are playing a key role in meeting the requirements to scale up the complexity of clinical systems to meet the ever increasing demands brought about by new emphasis on reduction of errors, clinical accountability, and the explosion of knowledge on the Web.

Increasing plant density in eastern United States broccoli production systems to maximize marketable head yields

USDA-ARS?s Scientific Manuscript database

Increased demand for fresh market broccoli (Brassica oleracea L. var. italica) has led to increased production along the eastern seaboard of the United States. Maximizing broccoli yields is a primary concern for quickly expanding eastern commercial markets. Thus, a plant density study was carried ...

Probabilistic Evaluation of Mammalian Pharmacology Data to Target Pharmaceuticals for Environmental Hazard Assessment

EPA Science Inventory

Active Pharmaceutical Ingredients (APIs) are being detected with increasing frequency in aquatic systems associated with municipal effluent. APIs considered a Contaminant of Emerging Concern (CEC) -Little, if any, regulation considering aquatic systems -Effects on aquatic o...

Cyanobacteria as photosynthetic biocatalysts: a systems biology perspective.

PubMed

Gudmundsson, Steinn; Nogales, Juan

2015-01-01

The increasing need to replace oil-based products and to address global climate change concerns has triggered considerable interest in photosynthetic microorganisms. Cyanobacteria, in particular, have great potential as biocatalysts for fuels and fine-chemicals. During the last few years the biotechnological applications of cyanobacteria have experienced an unprecedented increase and the use of these photosynthetic organisms for chemical production is becoming a tangible reality. However, the field is still immature and many concerns about the economic feasibility of the biotechnological potential of cyanobacteria remain. In this review we describe recent successes in biofuel and fine-chemical production using cyanobacteria. We discuss the role of the photosynthetic metabolism and highlight the need for systems-level metabolic optimization in order to achieve the true potential of cyanobacterial biocatalysts.

Grounding Privacy with Awareness: A Social Approach to Describe Privacy Related Issues in Awareness Systems

NASA Astrophysics Data System (ADS)

Romero, Natalia; Markopoulos, Panos

By their very nature, awareness systems bring about an increase in the level of communication between the individuals they connect. Sharing information regarding people’s whereabouts and activities raises privacy concerns, potentially compromising their ability to control who receives what information about them, in what form and at what times. Such privacy concerns can be more pronounced in cases where such information is captured and disclosed automatically, which can lead to unintentional and undesirable disclosure of information (Belloti and Sellen, 1993; Markopoulos, 2005).

Medical providers' knowledge and concerns about opioid overdose education and take-home naloxone rescue kits within Veterans Affairs health care medical treatment settings.

PubMed

Winograd, Rachel P; Davis, Corey S; Niculete, Maria; Oliva, Elizabeth; Martielli, Richard P

2017-01-01

Overdose from opioids is a serious public health and clinical concern. Veterans are at increased risk for opioid overdose compared with the civilian population, suggesting the need for enhanced efforts to address overdose prevention in Department of Veterans Affairs (VA) health care settings, such as primary care clinics. Prescribing providers (N = 45) completed surveys on baseline knowledge and concerns about the VA Overdose Education and Naloxone Distribution (OEND) initiative prior to attending an OEND educational training. Survey items were grouped into 4 OEND-related categories, reflecting (1) lack of knowledge/familiarity/comfort; (2) concerns about iatrogenic effects; (3) concerns about impressions of unsafe opioid prescribing; and (4) concerns about risks of naloxone prescribing. Although certain OEND-related categories were associated with each other, concerns related to iatrogenic effects of OEND (e.g., patients will use more opioids and/or be less likely to see treatment) and lack of knowledge/familiarity/comfort with OEND were endorsed more than concerns related to giving impressions of unsafe opioid prescribing. The majority of providers endorsed the belief that those prescribing opioids to patients should be responsible for providing overdose education to those patients. System-wide naloxone prescription rates and sources increased over 320% following initiation of OEND expansion efforts, although these increases cannot be viewed as a direct result of the in-service trainings. Findings demonstrate that some providers believe they lack knowledge of opioid overdose prevention techniques and hold concerns about OEND implementation. More training of medical providers outside substance use treatment settings is needed, with particular attention to concerns about harmful consequences resulting from the receipt of naloxone.

Bridge weigh-in-motion (B-WIM) system testing and evaluation.

DOT National Transportation Integrated Search

2012-06-01

The expansion in freight shipments on the nations highways has led to a substantial increase in road traffic congestion. Of particular concern is the increase in the number, size, and weight of heavy commercial vehicles. Because of the limited res...

Demographic and psychographic associations of consumer intentions to purchase healthier food products.

PubMed

Burton, Melissa; Wang, Wei Chun; Worsley, Anthony

2015-01-01

This study investigated the associations of nutrition concerns, demographics, universalism (community oriented) values, perceived control over personal health and food buying, and perceived influence over the food system with intentions to purchase low fat, sugar and salt (LFSS) food products. A national online survey of 2204 Australian consumers administered in November 2011. Structural equation modeling was used to examine associations of LFSS purchasing intentions with demographic, values, perceived control, and influence factors. Nutrition concern, perceived influence over the food system, and universalism values were key predictors of LFSS purchasing intentions. Almost two thirds (64.6%) of the variance associated with LFSS purchasing was explained by the structural equation model. Communication programs which focus on universalism values, nutrition concern and perceived influence over the food system are likely to increase LFSS purchasing and perhaps reduce the demand for energy dense, nutrient poor foods.

Demographic and psychographic associations of consumer intentions to purchase healthier food products

PubMed Central

Burton, Melissa; Wang, Wei Chun; Worsley, Anthony

2014-01-01

Objective This study investigated the associations of nutrition concerns, demographics, universalism (community oriented) values, perceived control over personal health and food buying, and perceived influence over the food system with intentions to purchase low fat, sugar and salt (LFSS) food products. Methods A national online survey of 2204 Australian consumers administered in November 2011. Structural equation modeling was used to examine associations of LFSS purchasing intentions with demographic, values, perceived control, and influence factors. Results Nutrition concern, perceived influence over the food system, and universalism values were key predictors of LFSS purchasing intentions. Almost two thirds (64.6%) of the variance associated with LFSS purchasing was explained by the structural equation model. Conclusion Communication programs which focus on universalism values, nutrition concern and perceived influence over the food system are likely to increase LFSS purchasing and perhaps reduce the demand for energy dense, nutrient poor foods. PMID:26844047

Information Systems Security and Computer Crime in the IS Curriculum: A Detailed Examination

ERIC Educational Resources Information Center

Foltz, C. Bryan; Renwick, Janet S.

2011-01-01

The authors examined the extent to which information systems (IS) security and computer crime are covered in information systems programs. Results suggest that IS faculty believe security coverage should be increased in required, elective, and non-IS courses. However, respondent faculty members are concerned that existing curricula leave little…

Analysis of abrupt transitions in ecological systems

USDA-ARS?s Scientific Manuscript database

The occurrence and causes of abrupt transitions, thresholds, or regime shifts between ecosystem states are of great concern and the likelihood of such transitions is increasing for many ecological systems. General understanding of abrupt transitions has been advanced by theory, but hindered by the l...

Crop species diversity changes in the United States: 1978-2012

USDA-ARS?s Scientific Manuscript database

Anecdotal accounts regarding reduced US cropping system diversity have raised concerns about negative impacts of increasingly homogeneous cropping systems. However, formal analyses to document such changes are lacking. Using US Agriculture Census data, which is collected on 5-year intervals, we qua...

EVALUATION OF REAL-TIME INNOVATIVE BIOLOGICAL AND CHEMICAL MONITORING SYSTEMS TO PROTECT SOURCE WATERS

EPA Science Inventory

Evaluation of Real-Time Innovative Biological and Chemical Monitoring Systems
To Protect Source Waters

Drinking water supplies have in recent years come under increasing pressure from regulatory concerns regarding TMDL designations and restoration strategies as well ...

Effect of Conservation Systems and Irrigation on Potential Bioenergy Crops

USDA-ARS?s Scientific Manuscript database

Renewable energy production in the United States should increase due to economic, environmental, and national security concerns. In the Southeastern US, annual cellulosic crops could be integrated in rotation systems to produce biofuels. An experiment conducted in South Central Alabama evaluated thr...

The Effectiveness of Health Care Information Technologies: Evaluation of Trust, Security Beliefs, and Privacy as Determinants of Health Care Outcomes.

PubMed

Kisekka, Victoria; Giboney, Justin Scott

2018-04-11

The diffusion of health information technologies (HITs) within the health care sector continues to grow. However, there is no theory explaining how success of HITs influences patient care outcomes. With the increase in data breaches, HITs' success now hinges on the effectiveness of data protection solutions. Still, empirical research has only addressed privacy concerns, with little regard for other factors of information assurance. The objective of this study was to study the effectiveness of HITs using the DeLone and McLean Information Systems Success Model (DMISSM). We examined the role of information assurance constructs (ie, the role of information security beliefs, privacy concerns, and trust in health information) as measures of HIT effectiveness. We also investigated the relationships between information assurance and three aspects of system success: attitude toward health information exchange (HIE), patient access to health records, and perceived patient care quality. Using structural equation modeling, we analyzed the data from a sample of 3677 cancer patients from a public dataset. We used R software (R Project for Statistical Computing) and the Lavaan package to test the hypothesized relationships. Our extension of the DMISSM to health care was supported. We found that increased privacy concerns reduce the frequency of patient access to health records use, positive attitudes toward HIE, and perceptions of patient care quality. Also, belief in the effectiveness of information security increases the frequency of patient access to health records and positive attitude toward HIE. Trust in health information had a positive association with attitudes toward HIE and perceived patient care quality. Trust in health information had no direct effect on patient access to health records; however, it had an indirect relationship through privacy concerns. Trust in health information and belief in the effectiveness of information security safeguards increases perceptions of patient care quality. Privacy concerns reduce patients' frequency of accessing health records, patients' positive attitudes toward HIE exchange, and overall perceived patient care quality. Health care organizations are encouraged to implement security safeguards to increase trust, the frequency of health record use, and reduce privacy concerns, consequently increasing patient care quality. ©Victoria Kisekka, Justin Scott Giboney. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 11.04.2018.

Passive Solar Heating Residences.

DTIC Science & Technology

1979-07-01

concerned, as long as the basic system falls within one of the passive concepts, then it is a passive system. If a fan can increase the system~s...wood walls and roof is R-22, in the block walls (urea-formaldahyde foam sprayed in wall cavity) is R-30, and a 4" styro- foam board at the slab edge (R...is based cn 1,000 BTU/sq. ft./day, which is a clear day value. The south windows have reflectors which will increase the energy gained (30% by Steve

Agronomic and environmental impacts of pasture-crop rotations intemperate North and South America

USDA-ARS?s Scientific Manuscript database

Agriculture has become increasingly specialized in response to political, regulatory, sociological, and economic pressures to meet market demands of an ever-larger food and fiber processing sector. However, there is a growing concern with specialized agricultural systems, because of increasingly ne...

PubMed Central

Stachenko, Sylvie

1983-01-01

With more women entering the labor market, concern about adverse effects of occupational exposure on reproductive health has been increasing. Of special importance are those agents which might cause birth defects and gene mutations. The fetus can be subject to chemical, biological, physical and ergonomic threats to its wellbeing. Most of the concern has been focused on the occupational dangers for pregnant women. However, the potential risks for the male reproductive system are being more widely recognized. PMID:21283300

[Bias of results in clinical research due to method of informed consent].

PubMed

Appels, C W Y

2007-03-24

Research ethics committees increasingly demand that investigators use an opt-in method (prior informed consent) to recruit their potential participants. Recent research has shown that opt-in systems of recruitment increase the response bias and reduce response rates. People willing to participate seem to find it burdensome to opt in. In contrast to this, public concern about an opt-out approach is minimal and will probably be outweighed by the potential harm caused by biased results from opt-in approaches. Concerns about protecting the rights of the individual should not override the importance of recruiting patients in medical research.

Roundabouts and access management.

DOT National Transportation Integrated Search

2014-03-01

Transportation engineers and planners are becoming more interested in using roundabouts to address access : management and safety concerns in the transportation system. While roundabouts are being used increasingly in a : variety of contexts, existin...

Microbiological Characterization and Concerns of the International Space Station Internal Active Thermal Control System

NASA Technical Reports Server (NTRS)

Roman, Monsi C.; Wieland, Paul O.

2005-01-01

Since January 1999, the chemical the International Space Station Thermal Control System (IATCS) and microbial state of (ISS) Internal Active fluid has been monitored by analysis of samples returned to Earth. Key chemical parameters have changed over time, including a drop in pH from the specified 9.5 +/- 0.5 ta = 58.4, an increase in the level of total inorganic carbon (TIC), total organic carbon (TOC) and dissolved nickel (Ni) in the fluid, and a decrease in the phosphate (PO,) level. In addition, silver (AS) ion levels in the fluid decreased rapidly as Ag deposited on internal metallic surfaces of the system. The lack of available Ag ions coupled with changes in the fluid chemistry has resulted in a favorable environment for microbial growth. Counts of heterotrophic bacteria have increased from less than 10 colony-forming units (CFUs)/l00 mL to l0(exp 6) to l0(exp 7) CFUs/100 mL. The increase of the microbial population is of concern because uncontrolled microbiological growth in the IATCS can contribute to deterioration in the performance of critical components within the system and potentially impact human health if opportunistic pathogens become established and escape into the cabin atmosphere. Micro-organisms can potentially degrade the coolant chemistry; attach to surfaces and form biofilms; lead to biofouling of filters, tubing, and pumps; decrease flow rates; reduce heat transfer; initiate and accelerate corrosion; and enhance mineral scale formation. The micro- biological data from the ISS IATCS fluid, and approaches to addressing the concerns, are summarized in this paper.

Communication and general concern criterion prior to activation of the rapid response team: a grounded theory.

PubMed

Martland, Jarrad; Chamberlain, Diane; Hutton, Alison; Smigielski, Michael

2016-11-01

Objective Patients commonly show signs and symptoms of deterioration for hours or days before cardiorespiratory arrest. Rapid response teams (RRT) were created to improve recognition and response to patient deterioration in these situations. Activation criteria include vital signs or 'general concern' by a clinician or family member. The general concern criterion for RRT activation accounts for nearly one-third of all RRT activity, and although it is well established that communication deficits between staff can contribute to poorer outcomes for patients, there is little evidence pertaining to communication and its effects on the general concern RRT activation. Thus, the aim of the present study was to develop a substantive grounded theory related to the communication process between clinicians that preceded the activation of an RRT when general concern criterion was used. Methods Qualitative grounded theory involved collection of three types of data details namely personal notes from participants in focus groups with white board notes from discussions and audio recordings of the focus groups sessions. Focus groups were conducted with participants exploring issues associated with clinician communication and how it related to the activation of an RRT using the general concern criterion. Results The three main phases of coding (i.e. open, axial and selective coding) analysis identified 322 separate open codes. The strongest theme contributed to a theory of ineffective communication and decreased psychological safety, namely that 'In the absence of effective communication there is a subsequent increase in anxiety, fear or concern that can be directly attributed to the activation of an RRT using the 'general concern' criterion'. The RRT filled cultural and process deficiencies in the compliance with an escalation protocol. Issues such as 'not for resuscitation documentation' and 'inability to establish communication with and between medical or nursing personnel' rated highly and contributed to the debate. Conclusions This study highlighted that in the surveillance and management of the deteriorating patient and in the absence of effective communication there is a subsequent increase in anxiety, fear or concern that can be directly attributed to the activation of an RRT for the 'general concern' calling criteria. What is known about the topic? Deficiencies in collaboration and communication between healthcare professionals (HCPs) increase the stress and anxiety of healthcare staff and correspond to poorer outcomes for patients. The RRT can be activated as a 'general concern RRT' without observation of physiological derangements if staff are concerned about a patient's condition, allowing for assistance from a skilled critical care team at the patient's bedside. There are limited data on how poor communication affects the frequency of activation of general concern RRTs. What does this paper add? This study shows that poor communication between health professionals increases staff levels of anxiety and concern. In addition, the RRT system is being used to fill deficiencies in many other hospital processes, including end-of-life discussions. The deficiencies in hospital processes contribute to poor communication and increased levels of concern with this study demonstrating a direct link between a clinician's level of anxiety/concern and the 'general concern' activation category for the RRT system. What are the implications for practitioners? The present study highlights the importance of effective communication strategies between HCPs to improve patient safety and quality of care. The study also highlights the expanding role of the RRT in hospitals, which has implications for hospital policy makers with regard to future funding and resource allocation. Finally, many of the concerns raised in the present study by the focus groups have been addressed by recent measures introduced through the Australian Commission on Safety and Quality in Health Care (e.g. rapid detection and response observation charts and Introduction, Situation, Background, Assessment and Recommendation [ISBAR] style of communication) with these measures supported by the findings of the present study.

Herbicidal drift control: aerial spray equipment, formulations, and supervision.

Treesearch

H. Gratkowski

1974-01-01

Public concern over environmental pollution requires increasingly sophisticated procedures when herbicides are used in silviculture. Many specialized aerial application systems and spray additives have been developed to reduce drift of herbicidal sprays. This publication provides forest-land managers with a brief description of these aerial spray systems and additives...

DISTRIBUTION SYSTEM: COST OF REPAIR AND REPLACEMENT

EPA Science Inventory

The Safe Drinking Water Act of 1974 mandates that EPA be concerned with the supply of potable water to the consumer. Although most emphasis has been placed on water quality as it leaves the treatment plant interest is increasing in the role of the distribution system in causing w...

INTRODUCTION: INHALATION EXPOSURE AND SYSTEMIC IMMUNOTOXICITY: MECHANISMS LINKING THE LUNG AND IMMUNE SYSTEM

EPA Science Inventory

Concerns regarding inhaled compounds, immune suppression and increased risk of disease have focused primarily on suppression of local immune responses in the lung and susceptibility to respiratory infections. However, a number of studies have shown that both gaseous (O3, NO2)...

Developing Sustainable Digital Libraries: Socio-Technical Perspectives

ERIC Educational Resources Information Center

Ashraf, Tariq, Ed.; Sharma, Jaideep, Ed.; Gulati, Puja Anand, Ed.

2010-01-01

The increasing prevalence of digital information systems and technologies compels libraries across the globe to update systems and provide users with a digital experience outside the confines of the structural library, providing useful benefits to the user while creating new areas of concern such as digital information preservation.…

Biological aspects of weed dynamics in no-till systems

USDA-ARS?s Scientific Manuscript database

Scientists and producers in the Eurasian steppe are interested in no-till crop production, but are concerned that, without tillage, weed density will escalate in croplands. In the United States, producers have used no-till systems for several decades and weed density has not increased. In this pap...

Student Modeling Based on Problem Solving Times

ERIC Educational Resources Information Center

Pelánek, Radek; Jarušek, Petr

2015-01-01

Student modeling in intelligent tutoring systems is mostly concerned with modeling correctness of students' answers. As interactive problem solving activities become increasingly common in educational systems, it is useful to focus also on timing information associated with problem solving. We argue that the focus on timing is natural for certain…

Elucidating the potential for transfer of antibiotic resistance genes trhough agro-ecosystems

USDA-ARS?s Scientific Manuscript database

Increases in the occurrence of antibiotic resistance (AR) in clinical pathogens raises concerns about how resistance is spread within and between human, environmental and agricultural eco-systems. Livestock manure applied to soil may increase AR bacterial concentrations as a result of addition of ma...

Is the Level of Student Academic Performance in Tennessee Public School Systems Related to Level of Expenditures for School Systems?

ERIC Educational Resources Information Center

Leuthold, Frank O.

The 1992 Tennessee Education Improvement Act resulted from a successful law suit by smaller and poorer school systems in Tennessee concerning equity of funding. The Act established the Basic Education Program (BEP), which increased the state sales tax rate, shifted state funds from better funded to poorer school systems, and required systematic…

Designing sustainable work systems: the need for a systems approach.

PubMed

Zink, Klaus J

2014-01-01

There is a growing discussion concerning sustainability. While this discussion was at first mainly focused on a society level--and sometimes regarding especially environmental problems, one can now see that this topic is of increasing relevance for companies worldwide and even the social dimension of this three pillar approach is gaining more and more importance. This leads to some questions: Is sustainability already a part of human factors thinking or do we have to further develop our discipline? How can we define sustainable work systems? What are the topics we have to consider? Do we need a new systems ergonomics perspective regarding whole value creation chains and a life-cycle perspective concerning products (and work systems)? How can we deal with potential contradictions about social, ecological, and economic goals? Copyright © 2013 Elsevier Ltd and The Ergonomics Society. All rights reserved.

Performance measures for metropolitan planning organizations.

DOT National Transportation Integrated Search

2012-04-01

Performance measurement is a topic of increasing importance to transportation agencies, as issues with : funding shortfalls and concerns about transportation system efficiency lead to a shift in how transportation : decision making is carried out. In...

Source Water Quality Monitoring Networks

EPA Science Inventory

Harmful Algal Blooms (HABs) are increasingly impacting aquatic systems, reducing provided ecological services and requiring expensive engineered solutions. HABs, particularly those dominated by cyanobacteria (cyanoHABs) are a public health, ecologic, and economic concern. Charac...

Multi-layered water resources, management, and uses under the impacts of global changes in a southern coastal metropolis: When will it be already too late? Crossed analysis in Recife, NE Brazil.

PubMed

Petelet-Giraud, Emmanuelle; Cary, Lise; Cary, Paul; Bertrand, Guillaume; Giglio-Jacquemot, Armelle; Hirata, Ricardo; Aquilina, Luc; Alves, Lincoln Muniz; Martins, Veridiana; Melo, Ana Maria; Montenegro, Suzana; Chatton, Eliot; Franzen, Melissa; Aurouet, Axel

2018-03-15

Coastal water resources are a worldwide key socio-environmental issue considering the increasing concentration of population in these areas. Here, we propose an integrative transdisciplinary approach of water resource, water management and water access in Recife (NE Brazil). The present-day water situation is conceptualized as an imbricated multi-layered system: a multi-layered water resource, managed by a multi-layered governance system and used by a multi-layered social population. This allows identifying processes of quantitative, qualitative, and sanitary conflicts between governance and population strategies regarding water supply, as well as the institutional and individual denials of these conflicts. Based on this model, we anticipate future water-related problematic fates. Concerning the water resource system, the rapid groundwater level decrease due to unsustainable water predatory strategies, and the very low recharge rate have drastically modified the aquifer system functioning, inducing hydraulic connection between shallow groundwater (contaminated and locally salty) and deep ones (mostly fresh, with local inherited salinity), threatening the deep strategic water resource. Concerning the water governance system, the investments to increase the capacity storage of surface water, the water regulation agencies and the public/private partnership should shortly improve the water supply and wastewater issue. Nevertheless, the water situation will remain highly fragile due to the expected water demand increase, the precipitation decrease and the sea-level increase. Concerning the water access system, the population variably perceives these current and further effects and the possible mitigation policies, and develops alternative individual strategies. Authorities, policymakers and water managers will have to implement a well-balanced water governance, taking into account the specificities of the PPP, public and private groundwater users, and with a strong political willingness for a sustainable water management to ensure water supply for all the population. In other words, an anticipatory and integrated vision is necessary to reduce the discrepancies in this complex system. Copyright © 2017 Elsevier B.V. All rights reserved.

Animal production systems in the industrialised world.

PubMed

Sørensen, J T; Edwards, S; Noordhuizen, J; Gunnarsson, S

2006-08-01

The production of food from animal origin is relatively stable in the industrialised world. However, animal production systems are changing dramatically with respect to location, herd size and specialisation. Increased pressure from a critical public is moving animal-based production towards systems such as organic production and loose-housing systems which allow the animals to better express normal behaviour. The focus on food safety promotes systems with a high degree of biosecurity, often associated with an increase in herd size and self-containment. The globalisation of agricultural trade and increased competition also favours an increase in herd size and specialisation. These trends also lead to regions with livestock-dense areas, giving rise to environmental concerns. Therefore, good farming practice regulations and systems to provide a higher level of transparency, such as quality risk management programmes, are being developed.

Reported Effects of the SRTR 5-tier Rating System on US Transplant Centers: Results of a National Survey.

PubMed

Van Pilsum Rasmussen, Sarah E; Thomas, Alvin G; Garonzik-Wang, Jacqueline; Henderson, Macey L; Stith, Sarah S; Segev, Dorry L; Hersch Nicholas, Lauren

2018-05-26

In the US, the Scientific Registry of Transplant Recipients (SRTR) provides publicly available quality report cards. These reports have historically rated transplant programs using a 3-tier system. In 2016, the SRTR temporarily transitioned to a 5-tier system, which classified more programs as under-performing. As part of a larger survey about transplant quality metrics, we surveyed members of the American Society of Transplant Surgeons and American Society of Transplantation (N = 280 respondents) on transplant center experiences with patient and payer responses to the 5-tier SRTR ratings. Over half of respondents (n=137, 52.1%) reported ≥1 negative effect of the new 5-tier ranking system, including losing patients, losing insurers, increased concern among patients, and increased concern among referring providers. Few respondents (n=35, 13.7%) reported any positive effects of the 5-tier ranking system. Lower SRTR-reported scores on the 5-tier scale were associated with increased risk of reporting at least one negative effect in a logistic model (p<0.01). The change to a more granular rating system provoked an immediate response in the transplant community that may have long-term implications for transplant hospital finances and patient options for transplantation. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Psychiatric education in the correctional setting: challenges and opportunities.

PubMed

Holoyda, Brian J; Scott, Charles L

2017-02-01

As the need for mental healthcare services within correctional settings in the US increases, so does the need for a mental health workforce that is motivated to work within such systems. One potentially effective method by which to increase the number of psychiatrists working in jails, prisons, and parole clinics is to provide exposure to these environments during their training. Correctional settings can serve as unique training sites for medical students and psychiatric residents and fellows. Such training experiences can provide a host of benefits to both trainees and staff within the correctional mental health system. Alongside many potential benefits exist substantial potential barriers to coordinating correctional training experiences, including both programme directors' and residents' concerns regarding safety and enjoyment and negative perceptions of inmate and prisoner patients. The establishment of academic affiliations with correctional institutions and didactic instruction on commonly encountered clinical issues with inmate populations may be methods of diffusing these concerns. Improving residents' and fellows' training experiences offers a hope for increasing the attractiveness of a career in correctional psychiatry.

Classification and designation systems for materials: A report on the present situation, an inventory of the systems in use, and comments on the future possibilities

NASA Technical Reports Server (NTRS)

Reynard, Keith W.

1996-01-01

The different systems that are in use for the major classes of engineering materials are summarized. The work was carried out within the scope of the Versailles project on advanced materials and standards (VAMAS). An inventory of national and international standards that give specifications for the materials and international standards are included. Comments on the increasing knowledge of, and the increasing demand for, data concerning the materials performance are included. Recommendations for future activities in the standardization of classification and designation systems are given.

Building a scientific framework for studying hormonal effects on behavior and on the development of the sexually dimorphic nervous system

EPA Science Inventory

There has been increasing concern that low-dose exposure to hormonally active chemicals disrupts sexual differentiation of the brain and peripheral nervous system. There also has been active drug development research on the therapeutic potential of hormone therapy on behaviors. T...

Training for New Technologies in Singapore. Training Discussion Paper No. 96.

ERIC Educational Resources Information Center

Oliveira, Joao; Pillay, Gerald F.

Recent educational reforms in Singapore have essentially been motivated by economic and industrial concerns. Six specific training policies and practices are being implemented to respond to the perceived requirements of new work technologies: (1) development of an increasingly flexible training system, including introduction of a dual system; (2)…

Building Systems on the Campus, Part I. BSIC/EFL Newsletter.

ERIC Educational Resources Information Center

BSIC/EFL Newsletter, 1972

1972-01-01

The major systems development projects of the 1960's were concerned primarily with facility problems at the elementary and secondary levels. Rapidly increasing enrollments coupled with changes in both curriculum and in teaching methods created a demand for more flexible facilities that could be constructed rapidly and inexpensively. The success of…

The Effects of Victim-Related Contextual Factors on the Criminal Justice System

ERIC Educational Resources Information Center

Haynes, Stacy Hoskins

2011-01-01

Despite numerous reforms designed to integrate the needs and concerns of crime victims into the criminal justice system, which include expanding programs for compensation and restitution, providing counseling and other services to victims, and increasing victims' involvement in the criminal justice process, critics have argued that these reforms…

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

Unat, Didem; Dubey, Anshu; Hoefler, Torsten

The cost of data movement has always been an important concern in high performance computing (HPC) systems. It has now become the dominant factor in terms of both energy consumption and performance. Support for expression of data locality has been explored in the past, but those efforts have had only modest success in being adopted in HPC applications for various reasons. However, with the increasing complexity of the memory hierarchy and higher parallelism in emerging HPC systems, locality management has acquired a new urgency. Developers can no longer limit themselves to low-level solutions and ignore the potential for productivity andmore » performance portability obtained by using locality abstractions. Fortunately, the trend emerging in recent literature on the topic alleviates many of the concerns that got in the way of their adoption by application developers. Data locality abstractions are available in the forms of libraries, data structures, languages and runtime systems; a common theme is increasing productivity without sacrificing performance. Furthermore, this paper examines these trends and identifies commonalities that can combine various locality concepts to develop a comprehensive approach to expressing and managing data locality on future large-scale high-performance computing systems.« less

Pressures on the dental care system in the United States.

PubMed Central

Wotman, S; Goldman, H

1982-01-01

A number of significant pressures are creating tensions in the dental profession and the dental care delivery system. These pressures may be categorized in five major areas: 1) regulation and deregulation pressures involve changes in the state dental practice acts, court decisions concerning antitrust and advertising, and the inclusion of consumers on State professional regulatory boards; 2) cost of services includes factors involving the out-of-pocket cost of dental care and the growth of dental insurance; 3) dentist-related factors include the increased number of dentists and the indebtedness of dental graduates; 4) the pressures of changes in the American populations include the decline in population growth and the increase in proportion of elderly people; 5) changes in the distribution of dental care are based on new epidemiologic data concerning dental caries and progress in the prevention of periodontal disease. Many of these pressures are inducing competition in the dental care system. It is clear that the dental care system is in the process of change as it responds to these complex pressures. PMID:7091458

Pressures on the dental care system in the United States.

PubMed

Wotman, S; Goldman, H

1982-07-01

A number of significant pressures are creating tensions in the dental profession and the dental care delivery system. These pressures may be categorized in five major areas: 1) regulation and deregulation pressures involve changes in the state dental practice acts, court decisions concerning antitrust and advertising, and the inclusion of consumers on State professional regulatory boards; 2) cost of services includes factors involving the out-of-pocket cost of dental care and the growth of dental insurance; 3) dentist-related factors include the increased number of dentists and the indebtedness of dental graduates; 4) the pressures of changes in the American populations include the decline in population growth and the increase in proportion of elderly people; 5) changes in the distribution of dental care are based on new epidemiologic data concerning dental caries and progress in the prevention of periodontal disease. Many of these pressures are inducing competition in the dental care system. It is clear that the dental care system is in the process of change as it responds to these complex pressures.

Calibration and testing of a Raman hyperspectral imaging system to reveal powdered food adulteration

USDA-ARS?s Scientific Manuscript database

The potential adulteration of foodstuffs has led to increasing concern regarding food safety and security, in particular for powdered food products where cheap ground materials or hazardous chemicals can be added to increase the quantity of powder or to obtain the desired aesthetic quality. Due to t...

Fall Prevention in a Neurological Care Unit

ERIC Educational Resources Information Center

Jeffrey, Claudeth

2017-01-01

Patient falls are an ongoing concern for health systems in the US and in the setting where this project took place. Inpatient falls affect consumers and health providers because falls often result in patient morbidity and mortality, legal risk, increased length of stay, and increased costs. The purpose of this project was to evaluate the existing…

NASA Blue Team: Determining Operational Security Posture of Critical Systems and Networks

NASA Technical Reports Server (NTRS)

Alley, Adam David

2016-01-01

Emergence of Cybersecurity has increased the focus on security risks to Information Technology (IT) assets going beyond traditional Information Assurance (IA) concerns: More sophisticated threats have emerged from increasing sources as advanced hacker tools and techniques have emerged and proliferated to broaden the attack surface available across globally interconnected networks.

Reducing Our Ignorance: Finding Answers to Certain Epistemic Questions for Software Systems

NASA Technical Reports Server (NTRS)

Holloway, C. Michael; Johnson, Christopher W.

2011-01-01

In previous papers, we asserted that software system safety is primarily concerned with epistemic questions, that is, questions concerning knowledge and the degree of confidence that can be placed in that knowledge. We also enumerated a set of 21 foundational epistemic questions, discussed some of the difficulties that exist in answering these questions adequately today, and speculated briefly on possible research that may provide improved confidence in the sufficiency of answers in the future. This paper focuses on three of the foundational questions. For each of these questions, current answers are discussed and potential research is proposed to help increase the justifiable level of confidence.

Impact of air conditioning system operation on increasing gases emissions from automobile

NASA Astrophysics Data System (ADS)

Burciu, S. M.; Coman, G.

2016-08-01

The paper presents a study concerning the influence of air conditioning system operation on the increase of gases emissions from cars. The study focuses on urban operating regimes of the automobile, regimes when the engines have low loads or are operating at idling. Are presented graphically the variations of pollution emissions (CO, CO2, HC) depending of engine speed and the load on air conditioning system. Additionally are presented, injection duration, throttle position, the mechanical power required by the compressor of air conditioning system and the refrigerant pressure variation on the discharge path, according to the stage of charging of the air conditioning system.

Failure of the MicroScan WalkAway System To Detect Heteroresistance to Carbapenems in a Patient with Enterobacter aerogenes Bacteremia▿

PubMed Central

Gordon, N. C.; Wareham, D. W.

2009-01-01

We report the failure of the automated MicroScan WalkAway system to detect carbapenem heteroresistance in Enterobacter aerogenes. Carbapenem resistance has become an increasing concern in recent years, and robust surveillance is required to prevent dissemination of resistant strains. Reliance on automated systems may delay the detection of emerging resistance. PMID:19641071

Trends in data locality abstractions for HPC systems

DOE PAGES

Unat, Didem; Dubey, Anshu; Hoefler, Torsten; ...

2017-05-10

The cost of data movement has always been an important concern in high performance computing (HPC) systems. It has now become the dominant factor in terms of both energy consumption and performance. Support for expression of data locality has been explored in the past, but those efforts have had only modest success in being adopted in HPC applications for various reasons. However, with the increasing complexity of the memory hierarchy and higher parallelism in emerging HPC systems, locality management has acquired a new urgency. Developers can no longer limit themselves to low-level solutions and ignore the potential for productivity andmore » performance portability obtained by using locality abstractions. Fortunately, the trend emerging in recent literature on the topic alleviates many of the concerns that got in the way of their adoption by application developers. Data locality abstractions are available in the forms of libraries, data structures, languages and runtime systems; a common theme is increasing productivity without sacrificing performance. Furthermore, this paper examines these trends and identifies commonalities that can combine various locality concepts to develop a comprehensive approach to expressing and managing data locality on future large-scale high-performance computing systems.« less

Study of space shuttle orbiter system management computer function. Volume 1: Analysis, baseline design

NASA Technical Reports Server (NTRS)

1975-01-01

A system analysis of the shuttle orbiter baseline system management (SM) computer function is performed. This analysis results in an alternative SM design which is also described. The alternative design exhibits several improvements over the baseline, some of which are increased crew usability, improved flexibility, and improved growth potential. The analysis consists of two parts: an application assessment and an implementation assessment. The former is concerned with the SM user needs and design functional aspects. The latter is concerned with design flexibility, reliability, growth potential, and technical risk. The system analysis is supported by several topical investigations. These include: treatment of false alarms, treatment of off-line items, significant interface parameters, and a design evaluation checklist. An in-depth formulation of techniques, concepts, and guidelines for design of automated performance verification is discussed.

Allometric scaling and accidents at work

PubMed Central

Cempel, Czesław; Tabaszewski, Maciej; Ordysiński, Szymon

2016-01-01

Allometry is the knowledge concerning relations between the features of some beings, like animals, or cities. For example, the daily energy rate is proportional to a mass of mammals rise of 3/4. This way of thinking has spread quickly from biology to many areas of research concerned with sociotechnical systems. It was revealed that the number of innovations, patents or heavy crimes rises as social interaction increases in a bigger city, while other urban indexes such as suicides decrease with social interaction. Enterprise is also a sociotechnical system, where social interaction and accidents at work take place. Therefore, do these interactions increase the number of accidents at work or, on the contrary, are they reduction-driving components? This article tries to catch such links and assess the allometric exponent between the number of accidents at work and the number of employees in an enterprise. PMID:26655044

Climate Change Impacts on Hydrology and Water Management of the San Juan Basin

NASA Astrophysics Data System (ADS)

Rich, P. M.; Weintraub, L. H.; Chen, L.; Herr, J.

2005-12-01

Recent climatic events, including regional drought and increased storm severity, have accentuated concerns that climatic extremes may be increasing in frequency and intensity due to global climate change. As part of the ZeroNet Water-Energy Initiative, the San Juan Decision Support System includes a basin-scale modeling tool to evaluate effects of climate change on water budgets under different climate and management scenarios. The existing Watershed Analysis Risk Management Framework (WARMF) was enhanced with iterative modeling capabilities to enable construction of climate scenarios based on historical and projected data. We applied WARMF to 42,000 km2 (16,000 mi2) of the San Juan Basin (CO, NM) to assess impacts of extended drought and increased temperature on surface water balance. Simulations showed that drought and increased temperature impact water availability for all sectors (agriculture, energy, municipal, industry), and lead to increased frequency of critical shortages. Implementation of potential management alternatives such as "shortage sharing" or degraded water usage during critical years helps improve available water supply. In the face of growing concern over climate change, limited water resources, and competing demands, integrative modeling tools can enable better understanding of complex interconnected systems, and enable better decisions.

Development of Tailorable Electrically Conductive Thermal Control Material Systems

NASA Technical Reports Server (NTRS)

Deshpande, M. S.; Harada, Y.

1998-01-01

The optical characteristics of surfaces on spacecraft are fundamental parameters in controlling its temperature. Passive thermal control coatings with designed solar absorptance and infrared emittance properties have been developed and been in use for some time. In this total space environment, the coating must be stable and maintain its desired optical properties for the course of the mission lifetime. The mission lifetimes are increasing and in our quest to save weight, newer substrates are being integrated which limit electrical grounding schemes. All of this has already added to the existing concerns about spacecraft charging and related spacecraft failures or operational failures. The concern is even greater for thermal control surfaces that are very large. One way of alleviating such concerns is to design new thermal control material systems (TCMS) that can help to mitigate charging via providing charge leakage paths. The object of this program was to develop two types of passive electrically conductive TCMS.

Space Nuclear Power Public and Stakeholder Risk Communication

NASA Technical Reports Server (NTRS)

Dawson, Sandra M.; Sklar, Maria

2005-01-01

The 1986 Challenger accident coupled with the Chernobyl nuclear reactor accident increased public concern about the safety of spacecraft using nuclear technology. While three nuclear powered spacecraft had been launched before 1986 with little public interest, future nuclear powered missions would see significantly more public concern and require NASA to increase its efforts to communicate mission risks to the public. In 1987 a separate risk communication area within the Launch Approval Planning Group of the Jet Propulsion Laboratory was created to address public concern about the health, environmental, and safety risks of NASA missions. The lessons learned from the risk communication strategies developed for the nuclear powered Galileo, Ulysses, and Cassini missions are reviewed in this paper and recommendations are given as to how these lessons can be applied to future NASA missions that may use nuclear power systems and other potentially controversial NASA missions.

Should we fear "flu fear" itself? Effects of H1N1 influenza fear on ED use.

PubMed

McDonnell, William M; Nelson, Douglas S; Schunk, Jeff E

2012-02-01

Surges in patient volumes compromise emergency departments' (EDs') ability to deliver care, as shown by the recent H1N1 influenza (flu) epidemic. Media reports are important in informing the public about health threats, but the effects of media-induced anxiety on ED volumes are unclear. The aim of this study is to examine the effect of widespread public concern about flu on ED use. We reviewed ED data from an integrated health system operating 18 hospital EDs. We compared ED visits during three 1-week periods: (a) a period of heightened public concern regarding flu before the disease was present ("Fear Week"), (b) a subsequent period of active disease ("Flu Week"), and (c) a week before widespread concern ("Control Week"). Fear Week was identified from an analysis of statewide Google electronic searches for "swine flu" and from media announcements about flu. Flu Week was identified from statewide epidemiological data. Data were reviewed from 22 608 visits during the study periods. Fear Week (n = 7712) and Flu Week (n = 7687) were compared to Control Week (n = 7209). Fear Week showed a 7.0% increase in visits (95% confidence interval, 6-8). Pediatric visits increased by 19.7%, whereas adult visits increased by 1%. Flu Week showed an increase over Control Week of 6.6% (95% confidence interval, 6-7). Pediatric visits increased by 10.6%, whereas adult visits increased by 4.8%. At a time of heightened public concern regarding flu but little disease prevalence, EDs experienced substantial increases in patient volumes. These increases were significant and comparable to the increases experienced during the subsequent epidemic of actual disease. Copyright © 2012 Elsevier Inc. All rights reserved.

Responses of soybeans and wheat to elevated CO2 in free-air and open top chamber systems

USDA-ARS?s Scientific Manuscript database

With increasing demand for agricultural products, more confidence is needed concerning impacts of rising atmospheric CO2 on crop yields. Despite debate about the merits of free-air CO2 enrichment (FACE) and open top chamber (OTC) systems, there has been only one reported experiment directly compari...

Biology and Management of Insect Pests in North American Intensively Managed Hardwood Forest Systems

Treesearch

David R. Coyle; T. Evan Nebeker; Elwood R. Hart; William J. Mattson

2005-01-01

Increasing demand for wood and wood products is putting stress on traditional forest production areas, leading to long-term economic and environmental concerns. Intensively managed hardwood forest systems (IMHFS), grown using conventional agricultural as well as forestry methods, can help alleviate potential problems in natural forest production areas. Although IMHFS...

32 CFR Appendix E to Part 323 - OMB Guidelines for Matching Programs

Code of Federal Regulations, 2010 CFR

2010-07-01

... concern expressed by the Congress in the Privacy Act of 1974 that “the increasing use of computers and sophisticated information technology, while essential to the efficient operation of the Government, has greatly... which a computer is used to compare two or more automated systems of records or a system of records with...

32 CFR Appendix E to Part 323 - OMB Guidelines for Matching Programs

Code of Federal Regulations, 2011 CFR

2011-07-01

... concern expressed by the Congress in the Privacy Act of 1974 that “the increasing use of computers and sophisticated information technology, while essential to the efficient operation of the Government, has greatly... which a computer is used to compare two or more automated systems of records or a system of records with...

The influence of climate variability and change on the science and practice of restoration ecology

Treesearch

Donald A. Falk; Connie Millar

2016-01-01

Variation in Earth’s climate system has always been a primary driver of ecosystem processes and biological evolution. In recent decades, however, the prospect of anthropogenically driven change to the climate system has become an increasingly dominant concern for scientists and conservation biologists. Understanding how ecosystems may...

Developing Primary Science Teacher Expertise: Thinking about the System

ERIC Educational Resources Information Center

Bull, Ally

2016-01-01

This report comes from an exploratory project looking at professional learning and development for primary science teachers. In recent years there has been increased interest in science in New Zealand for social and economic reasons. However, there has been concern that the primary school system is not preparing students as well as it could in…

The role of simulation models in monitoring soil organic carbon storage and greenhouse gas mitigation potential in bioenergy cropping systems

USDA-ARS?s Scientific Manuscript database

There is an increased demand on agricultural systems worldwide to provide food, fiber, and feedstock for the emerging bioenergy industry, raising legitimate concerns on the associated impacts of such intensification on the environment. Of the many ecosystem services that could be impacted by the la...

32 CFR Appendix E to Part 323 - OMB Guidelines for Matching Programs

Code of Federal Regulations, 2012 CFR

2012-07-01

... concern expressed by the Congress in the Privacy Act of 1974 that “the increasing use of computers and sophisticated information technology, while essential to the efficient operation of the Government, has greatly... which a computer is used to compare two or more automated systems of records or a system of records with...

Remediation of Stratified Soil Acidity Through Surface Application of Lime in No-Till Cropping Systems

USDA-ARS?s Scientific Manuscript database

Yield reduction and reduced crop vigor, resulting from soil acidification, are of increasing concern in eastern Washington and northern Idaho. In this region, soil pH has been decreasing at an accelerated rate, primarily due to the long-term use of ammonium based fertilizers. In no-till systems, the...

Relationships of fire ecology and avian communities in North America

Treesearch

Victoria A. Saab; Natasha B. Kotliar; William M. Block

2005-01-01

Wild and managed fires have become increasingly prevalent across North America since the 1980’s. Interest and concern about the influence of fire on ecological systems has also increased (Laverty and Williams 2000, USDA 2000). We summarize a symposium on fire and avian ecology, identifying patterns and differences in bird responses to various fire conditions...

Factors influencing northern spruce engraver colonization of white spruce slash in interior Alaska

Treesearch

Christopher J. Fettig; Roger E. Burnside; Chistopher J. Hayes; James J. Kruse; Nicholas J. Lisuzzo; Stephen R. McKelvey; Sylvia R. Mori; Stephen K. Nickel; Mark E. Schultz

2013-01-01

In interior Alaska, increased use of mechanical fuel reduction treatments, increased interests in the use of wood energy systems as alternatives to fossil fuels, and elevated populations of northern spruce engraver, Ips perturbatus (Eichhoff), have raised concerns regarding the impact of this bark beetle to forest resources. We conducted a large-...

School Tax Increase During Hard Times: The Birmingham Story.

ERIC Educational Resources Information Center

Cody, Wilmer S.

The Birmingham (Alabama) school district regressed from a model system in 1926 to a poorly equipped, underfunded one in 1975. In that year, however, in spite of recession and joblessness, the citizens voted a $3 million tax increase for schools. The success of the election may be traced to several factors. Citizens were concerned about the…

77 FR 45606 - Policy Statement Concerning Assistance to Troubled Farm Credit System Institutions

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-01

... FARM CREDIT SYSTEM INSURANCE CORPORATION Policy Statement Concerning Assistance to Troubled Farm...) published for comment a draft Policy Statement Concerning Assistance to Troubled Farm Credit System (System) Institutions to replace the Corporation's present Policy Statement Concerning Stand- Alone Assistance. The...

77 FR 37399 - Policy Statement Concerning Assistance to Troubled Farm Credit System Institutions

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-21

... FARM CREDIT SYSTEM INSURANCE CORPORATION Policy Statement Concerning Assistance to Troubled Farm... publishing for comment a draft Policy Statement Concerning Assistance to Troubled Farm Credit System (System) Institutions to replace the Corporation's present Policy Statement Concerning Stand- Alone Assistance. The...

Health Sector Evolution Plan in Iran; Equity and Sustainability Concerns.

PubMed

Moradi-Lakeh, Maziar; Vosoogh-Moghaddam, Abbas

2015-08-31

In 2014, a series of reforms, called as the Health Sector Evolution Plan (HSEP), was launched in the health system of Iran in a stepwise process. HSEP was mainly based on the fifth 5-year health development national strategies (2011-2016). It included different interventions to: increase population coverage of basic health insurance, increase quality of care in the Ministry of Health and Medical Education (MoHME) affiliated hospitals, reduce out-of-pocket (OOP) payments for inpatient services, increase quality of primary healthcare, launch updated relative value units (RVUs) of clinical services, and update tariffs to more realistic values. The reforms resulted in extensive social reaction and different professional feedback. The official monitoring program shows general public satisfaction. However, there are some concerns for sustainability of the programs and equity of financing. Securing financial sources and fairness of the financial contribution to the new programs are the main concerns of policy-makers. Healthcare providers' concerns (as powerful and influential stakeholders) potentially threat the sustainability and efficiency of HSEP. Previous experiences on extending health insurance coverage show that they can lead to a regressive healthcare financing and threat financial equity. To secure financial sources and to increase fairness, the contributions of people to new interventions should be progressive by their income and wealth. A specific progressive tax would be the best source, however, since it is not immediately feasible, a stepwise increase in the progressivity of financing must be followed. Technical concerns of healthcare providers (such as nonplausible RVUs for specific procedures or nonefficient insurance-provider processes) should be addressed through proper revision(s) while nontechnical concerns (which are derived from conflicting interests) must be responded through clarification and providing transparent information. The requirements of HSEP and especially the key element of progressive tax should be considered properly in the coming sixth national development plan (2016-2021). © 2015 by Kerman University of Medical Sciences.

Health Sector Evolution Plan in Iran; Equity and Sustainability Concerns

PubMed Central

Moradi-Lakeh, Maziar; Vosoogh-Moghaddam, Abbas

2015-01-01

In 2014, a series of reforms, called as the Health Sector Evolution Plan (HSEP), was launched in the health system of Iran in a stepwise process. HSEP was mainly based on the fifth 5-year health development national strategies (2011-2016). It included different interventions to: increase population coverage of basic health insurance, increase quality of care in the Ministry of Health and Medical Education (MoHME) affiliated hospitals, reduce out-of-pocket (OOP) payments for inpatient services, increase quality of primary healthcare, launch updated relative value units (RVUs) of clinical services, and update tariffs to more realistic values. The reforms resulted in extensive social reaction and different professional feedback. The official monitoring program shows general public satisfaction. However, there are some concerns for sustainability of the programs and equity of financing. Securing financial sources and fairness of the financial contribution to the new programs are the main concerns of policy-makers. Healthcare providers’ concerns (as powerful and influential stakeholders) potentially threat the sustainability and efficiency of HSEP. Previous experiences on extending health insurance coverage show that they can lead to a regressive healthcare financing and threat financial equity. To secure financial sources and to increase fairness, the contributions of people to new interventions should be progressive by their income and wealth. A specific progressive tax would be the best source, however, since it is not immediately feasible, a stepwise increase in the progressivity of financing must be followed. Technical concerns of healthcare providers (such as nonplausible RVUs for specific procedures or nonefficient insurance-provider processes) should be addressed through proper revision(s) while nontechnical concerns (which are derived from conflicting interests) must be responded through clarification and providing transparent information. The requirements of HSEP and especially the key element of progressive tax should be considered properly in the coming sixth national development plan (2016-2021). PMID:26673172

Sustainable streets and highways : an analysis of green roads rating systems.

DOT National Transportation Integrated Search

2012-05-01

As sustainability increasingly becomes a concern to society, it is in state transportation : agencies best interests to embrace and adopt initiatives that will both educate their : employees and the communities they serve on how transportation sys...

Implications of Aggregated DoD Information Systems for Information Assurance Certification and Accreditation

DTIC Science & Technology

2010-01-01

offshoring, or producing major software components overseas (Defense Science Board, 2009). These trends raise concerns about the level of trust that...7 Software Complexity...7 Increasing Software Vulnerabilities and Malware Population . . . . . . . . . . . . . . . . 9 Limitations of

Safety in Acute Pain Medicine-Pharmacologic Considerations and the Impact of Systems-Based Gaps.

PubMed

Weingarten, Toby N; Taenzer, Andreas H; Elkassabany, Nabil M; Le Wendling, Linda; Nin, Olga; Kent, Michael L

2018-05-02

In the setting of an expanding prevalence of acute pain medicine services and the aggressive use of multimodal analgesia, an overview of systems-based safety gaps and safety concerns in the setting of aggressive multimodal analgesia is provided below. Expert commentary. Recent evidence focused on systems-based gaps in acute pain medicine is discussed. A focused literature review was conducted to assess safety concerns related to commonly used multimodal pharmacologic agents (opioids, nonsteroidal anti-inflammatory drugs, gabapentanoids, ketamine, acetaminophen) in the setting of inpatient acute pain management. Optimization of systems-based gaps will increase the probability of accurate pain assessment, improve the application of uniform evidence-based multimodal analgesia, and ensure a continuum of pain care. While acute pain medicine strategies should be aggressively applied, multimodal regimens must be strategically utilized to minimize risk to patients and in a comorbidity-specific fashion.

Feasibility study of solar energy in residential electricity generation

NASA Astrophysics Data System (ADS)

Solanki, Divyangsinh G.

With the increasing demand for energy and the concerns about the global environment, along with the steady progress in the field of renewable energy technologies, new opportunities and possibilities are opening up for an efficient utilization of renewable energy sources. Solar energy is undoubtedly the most clean, inexhaustible and abundant source of renewable energy. Photovoltaic (PV) technology is one of the most efficient mean to utilize solar power. The focus of this study was to establish economics of a residential photovoltaic system for a typical home in south Texas. The PV system serves the needs of a typical mid-size home inhibited by a typical family. Assumptions are made for the typical daily energy consumption, and the necessary equipments like solar arrays, batteries, inverter, etc. are sized and evaluated optimally so as to reduce the life cycle cost (LCC) of the system. Calculations are done taking into consideration the economic parameters concerned with the system.

Corrosion resistance of grouted post-tensioning systems : [summary].

DOT National Transportation Integrated Search

2013-08-01

The increased popularity of post-tensioned bridge construction in the United States has led to concerns about corrosion and its impact on the life cycle of these bridges. Although the vast majority of post-tensioned bridges in the United States have ...

Developing an Interactive Machine-Learning-based Approach for Sidewalk Digitalization

DOT National Transportation Integrated Search

2018-01-01

In urban areas, many socio-economic concerns have been raised regarding fatal collisions, traffic congestion, and deteriorated air quality due to increased travel and logistic demands as well as the existing on-road transportation systems. As one of ...

Student Data Collection, Access, and Storage: Separating Fact from Fiction. Safeguarding Data: Briefs for Policymakers

ERIC Educational Resources Information Center

Data Quality Campaign, 2014

2014-01-01

District and state data systems are constructed to ensure that individuals can access only the data that are appropriate for their role. Still, questions from the public about how these data systems work and how student privacy is protected have been increasing. A recurring concern is the feared existence of a "permanent record"--a…

Job-Stress and Burnout of the Venezuelan Teachers: Related to Educational Systems Change (Educacion Basica).

ERIC Educational Resources Information Center

Kim, Young Mi; And Others

Beginning with a review of the increasing literature concerning job-related teacher stress, this study examines the particular stress and burnout experiences of school teachers in Venezuela since the incorporation by law in 1980 of "Educacion Basica" (basic education) as a new level of the school system (grades 1-9). To compare teachers…

Display-based communications for advanced transport aircraft

NASA Technical Reports Server (NTRS)

Lee, Alfred T.

1989-01-01

The next generation of civil transport aircraft will depend increasingly upon ground-air-ground and satellite data link for information critical to safe and efficient air transportation. Previous studies which examined the concept of display-based communications in addition to, or in lieu of, conventional voice transmissions are reviewed. A full-mission flight simulation comparing voice and display-based communication modes in an advanced transport aircraft is also described. The results indicate that a display-based mode of information transfer does not result in significantly increased aircrew workload, but does result in substantially increased message acknowledgment times when compared to conventional voice transmissions. User acceptance of the display-based communication system was generally high, replicating the findings of previous studies. However, most pilots tested expressed concern over the potential loss of information available from frequency monitoring which might result from the introduction of discrete address communications. Concern was expressed by some pilots for the reduced time available to search for conflicting traffic when using the communications display system. The implications of the findings for the design of display-based communications are discussed.

Woody plant regeneration after blowdown, salvage logging, and prescribed fire in a northern Minnesota forest

Treesearch

Brian J. Palik; Doug Kastendick

2009-01-01

Salvage logging after natural disturbance has received increased scrutiny in recent years because of concerns over detrimental effects on tree regeneration and increased fine fuel levels. Most research on tree regeneration after salvage logging comes from fire-prone systems and is short-term in scope. Limited information is available on longer term responses to salvage...

The Place of Crowdfunding in the Discovery of Scientific and Social Value of Medical Research.

PubMed

Del Savio, Lorenzo

2017-06-01

Crowdfunding is increasingly common in medical research. Some critics are concerned that by adopting crowdfunding, some researchers may sidestep the established systems of review of the social and scientific value of studies (e.g. impact on disease burden, issues of justice), especially mechanisms of expert-based review. I argue firstly that such concerns are based on a misleading picture of how research value is assessed and secondly that crowdfunding may turn out to be an useful complement of extant funding systems. I start with the idea that medical knowledge is a structured and intermediate public good and explain from this perspective that funding systems as a whole, rather than any of their parts (such as expert-based reviews) ought to be considered devices for the discovery of the social and scientific value of research. If so, we should not be concerned with whether crowdfunding bypasses expert reviews, but with whether it may constitute an improvement of extant funding systems. In the second part, I speculate that crowdfunding may ameliorate, albeit limitedly, some recalcitrant failures of funding systems, such as the sponsorship of research on neglected diseases, and smooth funding adaptations for scientific transitions. If, after trial, such hypotheses turn out to be true, crowdfunding ought to be promoted. © 2017 John Wiley & Sons Ltd.

Health system strengthening: prospects and threats for its sustainability on the global health policy agenda.

PubMed

Naimoli, Joseph F; Saxena, Sweta; Hatt, Laurel E; Yarrow, Kristina M; White, Trenton M; Ifafore-Calfee, Temitayo

2018-01-01

In 2013, Hafner and Shiffman applied Kingdon's public policy process model to explain the emergence of global attention to health system strengthening (HSS). They questioned, however, HSS's sustainability on the global health policy agenda, citing various concerns. Guided by the Grindle and Thomas interactive model of policy implementation, we advance and elaborate a proposition: a confluence of developments will contribute to maintaining HSS's prominent place on the agenda until at least 2030. Those developments include (1) technical, managerial, financial, and political responses to unpredictable public health crises that imperil the routine functioning of health systems, such as the 2014-2015 Ebola virus disease (Ebola) epidemic in West Africa; (2) similar responses to non-crisis situations requiring fully engaged, robust health systems, such as the pursuit of the new Sustainable Development Goal for health (SDG3); and (3) increased availability of new knowledge about system change at macro, meso, and micro levels and its effects on people's health and well-being. To gauge the accuracy of our proposition, we carried out a speculative assessment of credible threats to our premise by discussing all of the Hafner-Shiffman concerns. We conclude that (1) the components of our proposition and other forces that have the potential to promote continuing attention to HSS are of sufficient strength to counteract these concerns, and (2) prospective monitoring of HSS agenda status and further research on agenda sustainability can increase confidence in our threat assessment. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

A review of tin oxide-based catalytic systems: Preparation, characterization and catalytic behavior

NASA Technical Reports Server (NTRS)

Hoflund, Gar B.

1987-01-01

This paper reviews the important aspects of the preparation, characterization and catalytic behavior of tin oxide-based catalytic systems including doped tin oxide, mixed oxides which contain tin oxide, Pt supported on tin oxide and Pt/Sn supported on alumina. These systems have a broad range of applications and are continually increasing in importance. However, due to their complex nature, much remains to be understood concerning how they function catalytically.

Extending the applied software in the contemporary thermal power plants for increasing the intelligence of the automatic control system

NASA Astrophysics Data System (ADS)

Krokhin, G.; Pestunov, A.; Arakelyan, E.; Mukhin, V.

2017-11-01

During the last decades, there can be noticed an increase of interest concerning various aspects of intellectual diagnostics and management in thermal power engineering according the hybrid principle. It is conditioned by the fact that conservative static methods does not allow to reflect the actual power installation state adequately. In order to improve the diagnostics quality, we use various fuzzy systems apparatus. In this paper, we introduce the intellectual system, called SKAIS, which is intended for quick and precise diagnostics of thermal power equipment. This system was developed as the result of the research carried out by specialists from National Research University “Moscow Power Engineering Institute” and Novosibirsk State University of Economics and Management. It drastically increases the level of intelligence of the automatic power plant control system.

The Developmental Neurotoxicity Guideline Study: Issues with Methodology, Evaluation and Regulation

EPA Science Inventory

Recently social concerns are increasing for the effects of environmental factors on children's health, especially on their nervous system. The U.S. Environmental Protection Agency (EPA) and the Organization for Economic Co-operation and Development (GECD) have published testing ...

Effects of gestational ethanol inhalation on hippocampal function in rats.

EPA Science Inventory

Recent legislation has increased national emphasis on the development of renewable fuels as alternatives to petroleum fuels. The toxicity of gasoline-ethanol blended fuels to the developing nervous system is of specific concern. The hippocampus, a brain region involved in spatial...

Aggregate mixture found to increase safety on roads : fact sheet.

DOT National Transportation Integrated Search

2011-11-01

Constructing a safe and durable highway system in Louisiana has long been a major concern for highway engineers. Open-graded friction course (OGFC) mixtures have shown to improve wet weather visibility, which can be a leading factor in causing wet we...

Water Biosensor Challenge to Address Toxicity of Water

EPA Science Inventory

An ongoing concern for water treatment systems and resource managers is the need to monitor for the presence of increasing number of pollutants from agricultural, municipal, and industrial outfalls that are present in U.S. source waters. The associated environmental compounds can...

Fungicide and Nutrient Transport with Runoff from Creeping Bentgrass Turf

USDA-ARS?s Scientific Manuscript database

The detection of pesticides and excess nutrients in surface waters of urban watersheds has lead to increased environmental concern and suspect of contaminant contributions from residential, urban, and recreational sources. Highly managed biotic systems such as golf courses and commercial landscapes ...

Contact zoonosis related to aquaculture: a growing concern

USDA-ARS?s Scientific Manuscript database

Aquaculture develops fast worldwide, with new cultured species and increased global transport of live aquaculture products. There is a growing recognition of zoonotic disease agents causing epidemics and carrier states in cultured fish and shellfish, especially from warm water systems, transmitted t...

Soil Moisture Dynamics Under Corn, Soybean, and Perennial Kura Clover

USDA-ARS?s Scientific Manuscript database

Rising global food and energy consumption call for increased agricultural production, whereas rising concerns for environmental quality call for farming systems with more favorable environmental impacts. Improved understanding and management of plant-soil water interactions are central to meeting th...

The Curious National Security Pendulum: Openness and/or Censorship.

ERIC Educational Resources Information Center

Marwick, Christine M.

1979-01-01

Lawsuits illustrate the increasing concern over national security in regulating the security classification system, and government attitudes toward information have shifted from secrecy to openness to censorship. The Central Intelligence Agency's suppression of unclassified printed information is a case in point. (SW)

Technical Considerations in Remote LIMS Access via the World Wide Web

PubMed Central

Schlabach, David M.

2005-01-01

The increased dependency on the World Wide Web by both laboratories and their customers has led LIMS developers to take advantage of thin-client web applications that provide both remote data entry and manipulation, along with remote reporting functionality. Use of an LIMS through a web browser allows a person to interact with a distant application, providing both remote administration and real-time analytical result delivery from virtually anywhere in the world. While there are many benefits of web-based LIMS applications, some concern must be given to these new methods of system architecture before justifying them as a suitable replacement for their traditional client-server systems. Developers and consumers alike must consider the security aspects of introducing a wide area network capable system into a production environment, as well as the concerns of data integrity and usability. PMID:18924736

An Overview of SAL

NASA Technical Reports Server (NTRS)

Bensalem, Saddek; Ganesh, Vijay; Lakhnech, Yassine; Munoz, Cesar; Owre, Sam; Ruess, Harald; Rushby, John; Rusu, Vlad; Saiedi, Hassen; Shankar, N.

2000-01-01

To become practical for assurance, automated formal methods must be made more scalable, automatic, and cost-effective. Such an increase in scope, scale, automation, and utility can be derived from an emphasis on a systematic separation of concerns during verification. SAL (Symbolic Analysis Laboratory) attempts to address these issues. It is a framework for combining different tools to calculate properties of concurrent systems. The heart of SAL is a language, developed in collaboration with Stanford, Berkeley, and Verimag for specifying concurrent systems in a compositional way. Our instantiation of the SAL framework augments PVS with tools for abstraction, invariant generation, program analysis (such as slicing), theorem proving, and model checking to separate concerns as well as calculate properties (i.e., perform, symbolic analysis) of concurrent systems. We. describe the motivation, the language, the tools, their integration in SAL/PAS, and some preliminary experience of their use.

Factors Influencing the Decisions and Actions of Pilots and Air Traffic Controllers in Three Plausible NextGen Environments

NASA Technical Reports Server (NTRS)

Vu, Kim-Phuong L.; Strybel, Thomas Z.; Battiste, Vernol; Johnson, Walter

2011-01-01

In the current air traffic management (ATM) system, pilots and air traffic controllers have well-established roles and responsibilities: pilots fly aircraft and are concerned with energy management, fuel efficiency, and passenger comfort; controllers separate aircraft and are concerned with safety and management of traffic flows. Despite having different goals and obligations, both groups must be able to effectively communicate and interact with each other for the ATM system to work. This interaction will become even more challenging as traffic volume increases dramatically in the near future. To accommodate this increase, by 2025 the national air transportation system in the U.S. will go through a transformation that will modernize the ATM system and make it safer, more effective, and more efficient. This new system, NextGen, will change how pilots and controllers perform their tasks by incorporating advanced technologies and employing new procedures. It will also distribute responsibility between pilots, controllers and automation over such tasks as maintaining aircraft separation. The present chapter describes three plausible concepts of operations that allocate different ATM responsibilities to these groups. We describe how each concept changes the role of each operator and the types of decisions and actions performed by them.

Shuttle/tethered satellite system conceptual design study

NASA Technical Reports Server (NTRS)

1976-01-01

A closed-loop control system was added to the tether reel which improves control over the tethered satellite. In addition to increasing the stability of the tethered satellite along local vertical, this control system is used for deployment and retrieval of tethered satellites. This conceptual design study describes a tether system for suspending a science payload at an altitude of 120 km from space shuttle orbiter flying at an altitude of 200 km. In addition to the hardware conceptual designs, various aspects concerning Orbiter accommodations are discussed.

Impact of same-day appointments on patient satisfaction with general practice appointment systems.

PubMed

Sampson, Fiona; Pickin, Mark; O'Cathain, Alicia; Goodall, Stephen; Salisbury, Chris

2008-09-01

Following recent concerns about patients' inability to book appointments in advance, this study examined the relationship between the proportion of GP appointments reserved for same-day booking, and patient satisfaction with appointment systems. In a survey of 12,825 patients in 47 practices, it was found that a 10% increase in the proportion of same-day appointments was associated with an 8% reduction in the proportion of patients satisfied. Practices should be wary of increasing the level of same-day appointments to meet access targets.

Secondary Teachers' Concerns in Adopting Learning Management Systems: A U.S. Perspective

ERIC Educational Resources Information Center

Lochner, Bianca; Conrad, Rita-Marie; Graham, Edward

2015-01-01

This study examined the concerns of U.S. secondary teachers regarding the adoption of learning management systems (LMSs) utilizing the concerns-based adoption model (CBAM). The stages of concern questionnaire used enabled the strength of teacher concerns to be measured for seven distinct stages of concerns: awareness, informational, personal,…

[3 summit conferences on Earth insufficient to save the Planet, Controversies and achievements].

PubMed

Pérez Pérez, Félix

2003-01-01

This review summarizes the present concerns on the deteriorated biological systems. This concern has generated many publications since it is a very serious subject. The human being has produced a deep impact on the environment that could even could induce climatic changes. Because these circumstances have increased the socioeconomical differences between developed and third world countries, the United Nations Organization had organized three summit conferences (Oslo, 1972; Rio do Janeiro, 1992; Johannesburgh, 2002) in order to propose solutions. This review discusses the conclusions held at these conferences.

Emergency Department Telepsychiatry Service Model for a Rural Regional Health System: The First Steps.

PubMed

Meyer, James D; McKean, Alastair J S; Blegen, Rebecca N; Demaerschalk, Bart M

2018-05-09

Emergency departments (EDs) have recognized an increasing number of patients presenting with mental health (MH) concerns. This trend imposes greater demands upon EDs already operating at capacity. Many ED providers do not feel they are optimally prepared to provide the necessary MH care. One consideration in response to this dilemma is to use advanced telemedicine technology for psychiatric consultation. We examined a rural- and community-based health system operating 21 EDs, none of which has direct access to psychiatric consultation. Dedicated beds to MH range from zero (in EDs with only 3 beds) to 6 (in an ED with 38 beds). We conducted a needs assessment of this health system. This included a survey of emergency room providers with a 67% response rate and site visits to directly observe patient flow and communication with ED staff. A visioning workshop provided input from ED staff. Data were also obtained, which reflected ED admissions for the year 2015. The data provide a summary of provider concerns, a summary of MH presentations and diagnosis, and age groupings. The data also provide a time when most MH concerns present to the ED. Based upon these results, a proposed model for delivering comprehensive regional emergency telepsychiatry and behavioral health services is proposed. Emergency telepsychiatry services may be a tenable solution for addressing the shortage of psychiatric consultation to EDs in light of increasing demand for MH treatment in the ED.

Genomic sequencing and the impact of molecular diagnosis on patient care.

PubMed

Solomon, Benjamin D

2015-02-01

Evolving sequencing technologies allow more accurate, efficient and affordable genomic analysis. As a result, these technologies are increasingly available, especially to provide molecular diagnoses for patients with suspected genetic disorders. However, there are many challenges to using genomic sequencing to benefit patients, including concerns that there is insufficient evidence that identifying an underlying molecular explanation may positively impact a patient's healthcare. This concern has many repercussions, including funding and/or (in some countries and healthcare systems) insurance reimbursement for genomic sequencing. To investigate this concern, all monogenic disorders were analyzed based on the impact of achieving molecular diagnosis. Of the 2,849 individual genes in which germline mutations cause disorders (not including contiguous gene syndromes or what may be categorized as susceptibility alleles), our analyses showed a specific, available intervention related to at least one affected organ system for 1,419 (49.8%) genes. In 95.6% of these genes, the intervention(s) would be recommended during the pediatric time frame.

Addressing Social-Emotional Development and Infant Mental Health in Early Childhood Systems. Building State Early Childhood Comprehensive Systems Series, Number 12

ERIC Educational Resources Information Center

Zeanah, Paula D.; Stafford, Brian S.; Nagle, Geoffrey A.; Rice, Thomas

2005-01-01

The science of early development and our understanding of the impact of early experience on later social, emotional, and cognitive development has grown dramatically in the past three decades. Because the data are compelling and far-reaching, there has been increasing interest and concern about the quality of the infant's earliest experiences, and…

Web Systems Help Schools Screen Visitors: Officials Responding to Increased Fears About Sex Offenders

ERIC Educational Resources Information Center

Maxwell, Lesli A.

2006-01-01

This article reports, that in a growing number of districts, school leaders are ranking the threat of sex offenders-some of them the parents of enrolled students--as one of their chief student-safety concerns. That threat, they say, is a primary reason for investing thousands of dollars in a Web-based tracking system that tells school officials if…

A Criminological Perspective on the Prenatal Abuse of Substances during Pregnancy and the Link to Child Abuse in South Africa

ERIC Educational Resources Information Center

Ovens, Michelle

2009-01-01

The increase in drug abuse in South Africa has had major social implications in the country. Problems associated with drug dependency are poverty, unemployment, a heavier burden on the health care system, the disintegration of family systems and drug-related crimes. Another area of concern is the link between drug abuse and child abuse. While…

Cerebrospinal fluid viral breakthrough in two HIV-infected subjects on darunavir/ritonavir monotherapy

PubMed Central

2012-01-01

Darunavir/ritonavir monotherapy maintains HIV suppression in most patients who have achieved an undetectable viral load on combination antiretroviral treatment, and is increasingly used in the clinic. However, concerns have been raised about the effectiveness of ritonavir-boosted protease inhibitor (PI/r) monotherapy in the prevention of HIV replication in the central nervous system (CNS). Here we report the cases of 2 patients on darunavir/r maintenance monotherapy with cerebrospinal fluid viral breakthrough together with increased immunoactivation and biomarker signs of neuronal injury. These 2 cases raise concerns about the effectiveness of darunavir/ritonavir monotherapy in HIV CNS infection. Thus, we recommend caution with protease inhibitor monotherapy until CNS results have been obtained from clinical studies. PMID:22776013

Cerebrospinal fluid viral breakthrough in two HIV-infected subjects on darunavir/ritonavir monotherapy.

PubMed

Gisslén, Magnus; Fuchs, Dietmar; Hagberg, Lars; Svennerholm, Bo; Zetterberg, Henrik

2012-12-01

Darunavir/ritonavir monotherapy maintains HIV suppression in most patients who have achieved an undetectable viral load on combination antiretroviral treatment, and is increasingly used in the clinic. However, concerns have been raised about the effectiveness of ritonavir-boosted protease inhibitor (PI/r) monotherapy in the prevention of HIV replication in the central nervous system (CNS). Here we report the cases of 2 patients on darunavir/r maintenance monotherapy with cerebrospinal fluid viral breakthrough together with increased immunoactivation and biomarker signs of neuronal injury. These 2 cases raise concerns about the effectiveness of darunavir/ritonavir monotherapy in HIV CNS infection. Thus, we recommend caution with protease inhibitor monotherapy until CNS results have been obtained from clinical studies.

Multifractality and heteroscedastic dynamics: An application to time series analysis

NASA Astrophysics Data System (ADS)

Nascimento, C. M.; Júnior, H. B. N.; Jennings, H. D.; Serva, M.; Gleria, Iram; Viswanathan, G. M.

2008-01-01

An increasingly important problem in physics concerns scale invariance symmetry in diverse complex systems, often characterized by heteroscedastic dynamics. We investigate the nature of the relationship between the heteroscedastic and fractal aspects of the dynamics of complex systems, by analyzing the sensitivity to heteroscedasticity of the scaling properties of weakly nonstationary time series. By using multifractal detrended fluctuation analysis, we study the singularity spectra of currency exchange rate fluctuations, after partially or completely eliminating n-point correlations via data shuffling techniques. We conclude that heteroscedasticity can significantly increase multifractality and interpret these findings in the context of self-organizing and adaptive complex systems.

Macrofaunal community response to extreme concentrations of green macroalgae in a naturally eutrophic estuary

EPA Science Inventory

Increases in the size and frequency of green macroalgal (GMA) blooms in estuarine systems are strongly linked to anthropogenic nutrient enrichment, making it an important concern in managing estuarine water quality worldwide. However, the relationship between macroalgae and anth...

The science of integrated crop-livestock systems

USDA-ARS?s Scientific Manuscript database

Agriculture in the USA and other industrialized countries of the world has become increasingly specialized in response to political, regulatory, and economic pressures to meet market demands of an ever-larger food and fiber processing sector. However, there is a growing concern with specialized agr...

Weed Community Response to No-Till in North America

USDA-ARS?s Scientific Manuscript database

Scientists and producers in Ukraine are interested in no-till crop production, but are concerned about weed management. In North America, producers have used no-till systems for several decades without increasing weed community density in croplands. Initially, weed density escalated with no-till, ...

Intensified agroecosystems and changes in soil carbon dynamics

USDA-ARS?s Scientific Manuscript database

Land use change, intensive farming systems and poor land management practices can reduce soil organic carbon (SOC) and soil health. One way to address these concerns is by increasing ecological intensification in agroecosystems for environmental and economic benefits. This chapter will discuss the b...

Solar Technologies

ERIC Educational Resources Information Center

von Hippel, Frank; Williams, Robert H.

1975-01-01

As fossil fuels decrease in availability and environmental concerns increase, soalr energy is becoming a potential major energy source. Already solar energy is used for space heating in homes. Proposals for solar-electric generating systems include land-based or ocean-based collectors and harnessing wind and wave power. Photosynthesis can also…

Making a Comeback

ERIC Educational Resources Information Center

Ramaswami, Rama

2008-01-01

As technology grows more pervasive in education, the data recovery issues that school systems encounter are becoming increasingly problematic, as districts work to accommodate a range of concerns that do not encumber commercial businesses. State and federal laws often require schools to report on student populations and educational progress…

Exclusive lanes for trucks and passenger vehicles on interstate highways in Virginia : an economic evaluation.

DOT National Transportation Integrated Search

1997-01-01

Increases in heavy truck traffic on Virginia's highways in recent years have raised concerns about both safety and capacity, particularly on the interstate system. Transportation agencies have developed a number of strategies for dealing with the imp...

FOULING OF FINE PORE DIFFUSED AERATORS: AN INTER- PLANT COMPARISON

EPA Science Inventory

There has been increasing interest in fine pore aeration systems, along with concerned about diffuser fouling and the subsequent loss of aeration efficiency. The objective of this study was to assess the relative fouling tendency of fine bubble diffusers t nine activated sludge ...

Learning Analytics: Challenges and Limitations

ERIC Educational Resources Information Center

Wilson, Anna; Watson, Cate; Thompson, Terrie Lynn; Drew, Valerie; Doyle, Sarah

2017-01-01

Learning analytic implementations are increasingly being included in learning management systems in higher education. We lay out some concerns with the way learning analytics--both data and algorithms--are often presented within an unproblematized Big Data discourse. We describe some potential problems with the often implicit assumptions about…

State Services for California Indians. FY 1980-81.

ERIC Educational Resources Information Center

Sanderson, Jack

Through cooperative efforts of state and federal officials and with concerned California Indians, State program delivery systems are constantly being monitored, evaluated, and adjusted to assure increasingly fair services for California Indians. The report divides State services into five general categories: cultural preservation; educational…

Evaluation of Biochar to Enhance Green Infrastructure for Removal of Heavy Metals in Stormwater

EPA Science Inventory

The changes in the natural North American drainage system over the centuries have given rise to significant modern ecological impacts during high precipitation events. Contaminated stormwater runoff is of particular concern during these events. Urban development increases imperme...

A Multilevel Analysis of Institutional Fiscal Autonomy and Its Effect on Affordability, Operating Efficiency, and Minority Access at Public Colleges and Universities

ERIC Educational Resources Information Center

Glass, Christine J.

2012-01-01

In recent years, an unstable funding environment for state higher education systems has led to a trend of increasing institutional fiscal autonomy in exchange for reductions in appropriations. With the growing concern that reducing state oversight will result in increased tuition and spending levels, this study was designed to provide a clearer…

Effects of Seating Location and Stereoscopic Display on Learning Outcomes in an Introductory Physical Geography Class

ERIC Educational Resources Information Center

Hirmas, Daniel R.; Slocum, Terry; Halfen, Alan F.; White, Travis; Zautner, Eric; Atchley, Paul; Liu, Huan; Johnson, William C.; Egbert, Stephen; McDermott, Dave

2014-01-01

Recently, the use of stereoscopic three-dimensional (3-D) projection displays has increased in geoscience education. One concern in employing 3-D projection systems in large lecture halls, however, is that the 3-D effect is reported to diminish with increased angle and distance from the stereoscopic display. The goal of this work was to study that…

Are perfectionistic concerns an antecedent of or a consequence of binge eating, or both? A short-term four-wave longitudinal study of undergraduate women.

PubMed

Smith, Martin M; Sherry, Simon B; Gautreau, Chantal M; Stewart, Sherry H; Saklofske, Donald H; Mushquash, Aislin R

2017-08-01

The perfectionism model of binge eating (PMOBE) posits perfectionistic concerns are a vulnerability factor for binge eating. And evidence indicates perfectionistic concerns and binge eating correlate positively. However, the direction of this relationship is seldom studied. Accordingly, it is unclear whether perfectionistic concerns represent an antecedent of binge eating (a vulnerability effect with perfectionistic concerns predicting increases in binge eating), a consequence of binge eating (a complication effect with binge eating predicting increases in perfectionistic concerns), or both (reciprocal relations with perfectionistic concerns predicting increases in binge eating and vice versa). To address these questions, we studied 200 undergraduate women using a 4-week, 4-wave cross-lagged longitudinal design. Consistent with the PMOBE, perfectionistic concerns predicted increased binge eating (vulnerability effect). But, binge eating did not predict increased perfectionistic concerns (complication effect). Findings support the long-held theory that perfectionistic concerns are part of the premorbid personality of women vulnerable to binge eating. Copyright © 2017 Elsevier Ltd. All rights reserved.

Dietary strategies for the management of cardiovascular risk: role of dietary carbohydrates.

PubMed

Macdonald, Ian A

2014-05-01

Carbohydrate-rich foods are an essential component of the diet, providing the glucose that is continuously required by the nervous system and some other cells and tissues in the body for normal function. There is some concern that too much carbohydrate or certain types of carbohydrate such as fructose or the high glycaemic index carbohydrate foods that produce large, rapid increases in blood glucose may be detrimental to health. This review considers these issues and also summarises the public health advice currently available in Europe and the USA concerning dietary carbohydrates. The UK Scientific Advisory Committee on Nutrition is currently reviewing carbohydrates and health, and the subsequent report should help clarify some of the concerns regarding carbohydrates and health.

Why System Safety Professionals Should Read Accident Reports

NASA Technical Reports Server (NTRS)

Holloway, C. M.; Johnson, C. W.

2006-01-01

System safety professionals, both researchers and practitioners, who regularly read accident reports reap important benefits. These benefits include an improved ability to separate myths from reality, including both myths about specific accidents and ones concerning accidents in general; an increased understanding of the consequences of unlikely events, which can help inform future designs; a greater recognition of the limits of mathematical models; and guidance on potentially relevant research directions that may contribute to safety improvements in future systems.

Space science/space station attached payload pointing accommodation study: Technology assessment white paper

NASA Technical Reports Server (NTRS)

Lin, Richard Y.; Mann, Kenneth E.; Laskin, Robert A.; Sirlin, Samuel W.

1987-01-01

Technology assessment is performed for pointing systems that accommodate payloads of large mass and large dimensions. Related technology areas are also examined. These related areas include active thermal lines or power cables across gimbals, new materials for increased passive damping, tethered pointing, and inertially reacting pointing systems. Conclusions, issues and concerns, and recommendations regarding the status and development of large pointing systems for space applications are made based on the performed assessments.

Fluid-flow-rate metrology: laboratory uncertainties and traceabilities

NASA Astrophysics Data System (ADS)

Mattingly, G. E.

1991-03-01

Increased concerns for improved fluid flowrate measurement are driving the fluid metering community-meter manufacturers and users alike-to search for better verification and documentation for their fluid measurements. These concerns affect both our domestic and international market places they permeate our technologies - aerospace chemical processes automotive bioengineering etc. They involve public health and safety and they impact our national defense. These concerns are based upon the rising value of fluid resources and products and the importance of critical material accountability. These values directly impact the accuracy needs of fluid buyers and sellers in custody transfers. These concerns impact the designers and operators of chemical process systems where control and productivity optimization depend critically upon measurement precision. Public health and safety depend upon the quality of numerous pollutant measurements - both liquid and gaseous. The performance testing of engines - both automotive and aircraft are critically based upon accurate fuel measurements - both liquid and oxidizer streams. Fluid flowrate measurements are established differently from counterparts in length and mass measurement systems because these have the benefits of " identity" standards. For rate measurement systems the metrology is based upon " derived standards" . These use facilities and transfer standards which are designed built characterized and used to constitute basic measurement capabilities and quantify performance - accuracy and precision. Because " identity standards" do not exist for flow measurements facsimiles or equivalents must

Comparison of CO2 Photoreduction Systems: A Review

EPA Science Inventory

Carbon dioxide (CO2) emissions are a major contributor to the climate change equation. To alleviate concerns of global warming, strategies to mitigate increase of CO2 levels in the atmosphere have to be developed. The most desirable approach is to convert the carbon dioxide to us...

Nitrogen balance as an indicator of the environmental impact: towards sustainable agricultural production

USDA-ARS?s Scientific Manuscript database

Economics is a principle driver impacting management decisions in agricultural production systems. While increasing concern has focused on preserving the natural resource base to ensure continued support for future production, little emphasis has been placed on examining how drivers alter management...

Introduction to “Symposium: Integrated Crop–Livestock Systems for Profit and Sustainability”

USDA-ARS?s Scientific Manuscript database

Agriculture in the USA and other industrialized countries has become increasingly specialized in response to political, regulatory, and economic pressures to meet market demands of an ever-larger food and fiber-processing sector. However, there is a growing concern with specialized agricultural syst...

Systemic mycoplasmosis with dystocia and abortion in North American bison (Bison bison) herd

USDA-ARS?s Scientific Manuscript database

Mycoplasma bovis has recently emerged as a significant health threat in bison and is an increasing concern and source of economic loss for producers. Clinical manifestations of infection documented in bison include pneumonia, respiratory distress and polyarthritis. The current study describes the ...

THE NATIONAL CHILDREN'S STUDY (NCS): THE IMPACT OF ENVIRONMENT ON CHILDREN'S HEALTH AND DEVELOPMENT

EPA Science Inventory

Compared to adults, children are at increased risk from environmental influences because of vulnerable developing systems and enhanced exposure to many agents. Observed effects from low level toxic agents or from other influences raise similar concerns for the many unexamined en...

Cops, cameras, and enclosures : a synthesis of the effectiveness of methods to provide enhanced security for bus operators

DOT National Transportation Integrated Search

2001-05-31

The safety of operators and passengers is a primary concern of transit systems and has become an increasingly important issue to transit bus operators themselves. Many transit agencies have experienced incidents of assaults against their bus operator...

POLLUTION PREVENTION, PROCESS DESIGN, AND SUSTAINABLE SYSTEMS: SOME NEW THOUGHTS

EPA Science Inventory

It has been clear for some time that the activities of modern industrial society have resulted in increasingly adverse effects on the planetary and local natural environment. Since all living things depend on this environment for their existence, this is of serious concern to all...

Rates, levels, and determinants of electronic health record system adoption: a study of hospitals in Riyadh, Saudi Arabia.

PubMed

Aldosari, Bakheet

2014-05-01

Outside a small number of OECD countries, little information exists regarding the rates, levels, and determinants of hospital electronic health record (EHR) system adoption. This study examines EHR system adoption in Riyadh, Saudi Arabia. Respondents from 22 hospitals were surveyed regarding the implementation, maintenance, and improvement phases of EHR system adoption. Thirty-seven items were graded on a three-point scale of preparedness/completion. Measured determinants included hospital size, level of care, ownership, and EHR system development team composition. Eleven of the hospitals had implemented fully functioning EHR systems, eight had systems in progress, and three had not adopted a system. Sixteen different systems were being used across the 19 adopting hospitals. Differential adoption levels were positively related to hospital size and negatively to the level of care (secondary versus tertiary). Hospital ownership (nonprofit versus private) and development team composition showed mixed effects depending on the particular adoption phase being considered. Adoption rates compare favourably with those reported from other countries and other districts in Saudi Arabia, but wide variations exist among hospitals in the levels of adoption of individual items. General weaknesses in the implementation phase concern the legacy of paper data systems, including document scanning and data conversion; in the maintenance phase concern updating/maintaining software; and in the improvement phase concern the communication and exchange of health information. This study is the first to investigate the level and determinants of EHR system adoption for public, other nonprofit, and private hospitals in Saudi Arabia. Wide interhospital variations in adoption bear implications for policy-making and funding intervention. Identified areas of weakness require action to increase the degree of adoption and usefulness of EHR systems. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Proposed system safety design and test requirements for the microlaser ordnance system

NASA Technical Reports Server (NTRS)

Stoltz, Barb A.; Waldo, Dale F.

1993-01-01

Safety for pyrotechnic ignition systems is becoming a major concern for the military. In the past twenty years, stray electromagnetic fields have steadily increased during peacetime training missions and have dramatically increased during battlefield missions. Almost all of the ordnance systems in use today depend on an electrical bridgewire for ignition. Unfortunately, the bridgewire is the cause of the majority of failure modes. The common failure modes include the following: broken bridgewires; transient RF power, which induces bridgewire heating; and cold temperatures, which contracts the explosive mix away from the bridgewire. Finding solutions for these failure modes is driving the costs of pyrotechnic systems up. For example, analyses are performed to verify that the system in the environment will not see more energy than 20 dB below the 'No-fire' level. Range surveys are performed to determine the operational, storage, and transportation RF environments. Cryogenic tests are performed to verify the bridgewire to mix interface. System requirements call for 'last minute installation,' 'continuity checks after installation,' and rotating safety devices to 'interrupt the explosive train.' As an alternative, MDESC has developed a new approach based upon our enabling laser diode technology. We believe that Microlaser initiated ordnance offers a unique solution to the bridgewire safety concerns. For this presentation, we will address, from a system safety viewpoint, the safety design and the test requirements for a Microlaser ordnance system. We will also review how this system could be compliant to MIL-STD-1576 and DOD-83578A and the additional necessary requirements.

Barriers to human papillomavirus vaccination among US adolescents: a systematic review of the literature.

PubMed

Holman, Dawn M; Benard, Vicki; Roland, Katherine B; Watson, Meg; Liddon, Nicole; Stokley, Shannon

2014-01-01

Since licensure of the human papillomavirus (HPV) vaccine in 2006, HPV vaccine coverage among US adolescents has increased but remains low compared with other recommended vaccines. To systematically review the literature on barriers to HPV vaccination among US adolescents to inform future efforts to increase HPV vaccine coverage. We searched PubMed and previous review articles to identify original research articles describing barriers to HPV vaccine initiation and completion among US adolescents. Only articles reporting data collected in 2009 or later were included. Findings from 55 relevant articles were summarized by target populations: health care professionals, parents, underserved and disadvantaged populations, and males. Health care professionals cited financial concerns and parental attitudes and concerns as barriers to providing the HPV vaccine to patients. Parents often reported needing more information before vaccinating their children. Concerns about the vaccine's effect on sexual behavior, low perceived risk of HPV infection, social influences, irregular preventive care, and vaccine cost were also identified as potential barriers among parents. Some parents of sons reported not vaccinating their sons because of the perceived lack of direct benefit. Parents consistently cited health care professional recommendations as one of the most important factors in their decision to vaccinate their children. Continued efforts are needed to ensure that health care professionals and parents understand the importance of vaccinating adolescents before they become sexually active. Health care professionals may benefit from guidance on communicating HPV recommendations to patients and parents. Further efforts are also needed to reduce missed opportunities for HPV vaccination when adolescents interface with the health care system. Efforts to increase uptake should take into account the specific needs of subgroups within the population. Efforts that address system-level barriers to vaccination may help to increase overall HPV vaccine uptake.

Exploring gender differences in body image, eating pathology, and sexual harassment.

PubMed

Buchanan, Nicole T; Bluestein, Brooke M; Nappa, Alexa C; Woods, Krystle C; Depatie, Melissa M

2013-06-01

This study examines the relationship between body image (weight/shape concerns), eating pathology, and sexual harassment among men and women (N=2446). Hierarchical regressions controlling for depression revealed main effects of gender such that women reported greater weight/shape concerns, eating pathology, dietary restraint, eating concerns, and binge eating compared to men. Main effects for sexual harassment indicated that as harassment increased, participants reported increased weight/shape concerns, eating pathology, dietary restraint, eating concerns, binge eating, and compensatory behaviors. There were small but significant interactions between gender and harassment for eating pathology total score (which included each of the domains listed above), weight/shape concerns, dietary restraint, and eating concerns such that the relationship between increased harassment and increased pathology was stronger for women compared to men. The largest interaction was found for compensatory behaviors, such that while women and men's scores both increased as harassment increased, the relationship was stronger for men. Copyright © 2013 Elsevier Ltd. All rights reserved.

Potential negative ecological effects of corridors.

PubMed

Haddad, Nick M; Brudvig, Lars A; Damschen, Ellen I; Evans, Daniel M; Johnson, Brenda L; Levey, Douglas J; Orrock, John L; Resasco, Julian; Sullivan, Lauren L; Tewksbury, Josh J; Wagner, Stephanie A; Weldon, Aimee J

2014-10-01

Despite many studies showing that landscape corridors increase dispersal and species richness for disparate taxa, concerns persist that corridors can have unintended negative effects. In particular, some of the same mechanisms that underlie positive effects of corridors on species of conservation interest may also increase the spread and impact of antagonistic species (e.g., predators and pathogens), foster negative effects of edges, increase invasion by exotic species, increase the spread of unwanted disturbances such as fire, or increase population synchrony and thus reduce persistence. We conducted a literature review and meta-analysis to evaluate the prevalence of each of these negative effects. We found no evidence that corridors increase unwanted disturbance or non-native species invasion; however, these have not been well-studied concerns (1 and 6 studies, respectively). Other effects of corridors were more often studied and yielded inconsistent results; mean effect sizes were indistinguishable from zero. The effect of edges on abundances of target species was as likely to be positive as negative. Corridors were as likely to have no effect on antagonists or population synchrony as they were to increase those negative effects. We found 3 deficiencies in the literature. First, despite studies on how corridors affect predators, there are few studies of related consequences for prey population size and persistence. Second, properly designed studies of negative corridor effects are needed in natural corridors at scales larger than those achievable in experimental systems. Third, studies are needed to test more targeted hypotheses about when corridor-mediated effects on invasive species or disturbance may be negative for species of management concern. Overall, we found no overarching support for concerns that construction and maintenance of habitat corridors may result in unintended negative consequences. Negative edge effects may be mitigated by widening corridors or softening edges between corridors and the matrix. Other negative effects are relatively small and manageable compared with the large positive effects of facilitating dispersal and increasing diversity of native species. © 2014 Society for Conservation Biology.

Strategic Defense Initiative Demonstration/Validation Program Environmental Assessment. Exoatmospheric Reentry Vehicle Interception System (ERIS),

DTIC Science & Technology

1987-08-01

proceed to Demonstration/Validation for ERIS vould not preclude other technologies, nor vould it mandate the eventual Full-Scale Development or Production ...Full-Scale Development, and Production /Deployment. These four stages are separated by three major decision points (Milestones I, II, and III). Prior...percent facility population increase would require increased power plant gener- ating capacity. One concern is the nitrogen oxide emissions which is

U.S. Laws and Regulations for Renewable Energy Grid Interconnections

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

Chernyakhovskiy, Ilya; Tian, Tian; McLaren, Joyce

Rapidly declining costs of wind and solar energy technologies, increasing concerns about the environmental and climate change impacts of fossil fuels, and sustained investment in renewable energy projects all point to a not-so-distant future in which renewable energy plays a pivotal role in the electric power system of the 21st century. In light of public pressures and market factors that hasten the transition towards a low-carbon system, power system planners and regulators are preparing to integrate higher levels of variable renewable generation into the grid. Updating the regulations that govern generator interconnections and operations is crucial to ensure system reliabilitymore » while creating an enabling environment for renewable energy development. This report presents a chronological review of energy laws and regulations concerning grid interconnection procedures in the United States, highlighting the consequences of policies for renewable energy interconnections. Where appropriate, this report places interconnection policies and their impacts on renewable energy within the broader context of power market reform.« less

Membrane Distillation Bioreactor (MDBR) - A lower Green-House-Gas (GHG) option for industrial wastewater reclamation.

PubMed

Goh, Shuwen; Zhang, Jinsong; Liu, Yu; Fane, Anthony G

2015-12-01

A high-retention membrane bioreactor system, the Membrane Distillation Bioreactor (MDBR) is a wastewater reclamation process which has the potential to tap on waste heat generated in industries to produce high quality product water. There are a few key factors which could make MDBR an attractive advanced treatment option, namely tightening legal requirements due to increasing concerns on the micropollutants in industrial wastewater effluents as well as concerns over the electrical requirement of pressurized advanced treatment processes and greenhouse gas emissions associated with wastewater reclamation. This paper aims to provide a consolidated review on the current state of research for the MDBR system and to evaluate the system as a possible lower Green House Gas (GHG) emission option for wastewater reclamation using the membrane bioreactor-reverse osmosis (MBR-RO) system as a baseline for comparison. The areas for potential applications and possible configurations for MDBR applications are discussed. Copyright © 2014 Elsevier Ltd. All rights reserved.

Speech comprehension training and auditory and cognitive processing in older adults.

PubMed

Pichora-Fuller, M Kathleen; Levitt, Harry

2012-12-01

To provide a brief history of speech comprehension training systems and an overview of research on auditory and cognitive aging as background to recommendations for future directions for rehabilitation. Two distinct domains were reviewed: one concerning technological and the other concerning psychological aspects of training. Historical trends and advances in these 2 domains were interrelated to highlight converging trends and directions for future practice. Over the last century, technological advances have influenced both the design of hearing aids and training systems. Initially, training focused on children and those with severe loss for whom amplification was insufficient. Now the focus has shifted to older adults with relatively little loss but difficulties listening in noise. Evidence of brain plasticity from auditory and cognitive neuroscience provides new insights into how to facilitate perceptual (re-)learning by older adults. There is a new imperative to complement training to increase bottom-up processing of the signal with more ecologically valid training to boost top-down information processing based on knowledge of language and the world. Advances in digital technologies enable the development of increasingly sophisticated training systems incorporating complex meaningful materials such as music, audiovisual interactive displays, and conversation.

Total healthcare budget: assigning priority and level of asset allocation to the diagnosis and management of urologic diseases.

PubMed

Standaert, B

1995-09-01

During the past decade increasing concern has developed as to how money should best be allocated in the healthcare sector and to the different disciplines within health care. In the Western world, healthcare budgets increase dramatically each year, even during periods of economic recession. There are many reasons explaining this evolution, but publicly funded healthcare systems, as in the United Kingdom, appear to control their growth more effectively than the private systems as, for instance, in the United States. The bulk of the increase in healthcare expenditure happens to be attributed to elderly people who are becoming high consumers of healthcare facilities. There are, however, two important ways to tackle the problem: one is based on free market regulation systems, introducing diagnosis related groups and resource based relative value scales, as in the United States. The other starts from evaluating the needs and the demands of the population and, based on these results, tries to build up an appropriate healthcare system, as in The Netherlands. In the realm of urology where most of the workload is concentrated around older patients, one can foresee difficulties concerning budget allocation. New medical treatments are introduced, demanding new management skills of the urologist. This should involve new ways of evaluating the benefits of the interventions. Quality of life measurements seem to be crucial for the future where, for cost-effectiveness reasons, more care than cure could be the new function of the urologist.

Conducting an agricultural life cycle assessment: challenges and perspectives.

PubMed

Caffrey, Kevin R; Veal, Matthew W

2013-12-10

Agriculture is a diverse field that produces a wide array of products vital to society. As global populations continue to grow the competition for natural resources will increase pressure on agricultural production of food, fiber, energy, and various high value by-products. With elevated concerns related to environmental impacts associated with the needs of a growing population, a life cycle assessment (LCA) framework can be used to determine areas of greatest impact and compare reduction strategies for agricultural production systems. The LCA methodology was originally developed for industrial operations but has been expanded to a wider range of fields including agriculture. There are various factors that increase the complexity of determining impacts associated with agricultural production including multiple products from a single system, regional and crop specific management techniques, temporal variations (seasonally and annually), spatial variations (multilocation production of end products), and the large quantity of nonpoint emission sources. The lack of consistent methodology of some impacts that are of major concern to agriculture (e.g., land use and water usage) increases the complexity of this analysis. This paper strives to review some of these issues and give perspective to the LCA practitioner in the field of agriculture.

Conducting an Agricultural Life Cycle Assessment: Challenges and Perspectives

PubMed Central

Caffrey, Kevin R.; Veal, Matthew W.

2013-01-01

Agriculture is a diverse field that produces a wide array of products vital to society. As global populations continue to grow the competition for natural resources will increase pressure on agricultural production of food, fiber, energy, and various high value by-products. With elevated concerns related to environmental impacts associated with the needs of a growing population, a life cycle assessment (LCA) framework can be used to determine areas of greatest impact and compare reduction strategies for agricultural production systems. The LCA methodology was originally developed for industrial operations but has been expanded to a wider range of fields including agriculture. There are various factors that increase the complexity of determining impacts associated with agricultural production including multiple products from a single system, regional and crop specific management techniques, temporal variations (seasonally and annually), spatial variations (multilocation production of end products), and the large quantity of nonpoint emission sources. The lack of consistent methodology of some impacts that are of major concern to agriculture (e.g., land use and water usage) increases the complexity of this analysis. This paper strives to review some of these issues and give perspective to the LCA practitioner in the field of agriculture. PMID:24391463

Parenting Education at Medford and Churchill High Schools.

ERIC Educational Resources Information Center

Jensen, Mary Cihak

1986-01-01

Nationally, interest in family life and parenting programs has grown amidst concern for "basic education." Parenting education in today's schools may be justified because of increased family stress and deteriorating family support systems. Most parenting and family life courses are offered within home economics departments, have a narrow…

Examining "One Grant, One Loan." NASFAA Task Force Report

ERIC Educational Resources Information Center

National Association of Student Financial Aid Administrators, 2016

2016-01-01

Growing concern over the complexity of the federal financial aid system and a push toward simplification has led to increased attention toward streamlining the federal student aid programs. Specifically, several proposals and policy papers have recommended consolidating the federal aid programs into one grant program and one loan program, commonly…

Classroom Profiling Training: Increasing Preservice Teachers' Confidence and Knowledge of Classroom Management Skills

ERIC Educational Resources Information Center

Jackson, Cliff; Simoncini, Kym; Davidson, Mark

2013-01-01

Classroom management is a serious concern for beginning teachers including preservice teachers. The Queensland Department of Education, Training and Employment (DETE) has developed the Essential Skills for Classroom Management (ESCM), a system of positive and pro-active strategies for maintaining supportive learning environments. In addition, the…

Systems thinking and wildland fire management

Treesearch

Matthew P. Thompson; Christopher J. Dunn; David E. Calkin

2017-01-01

A changing climate, changing development and land use patterns, and increasing pressures on ecosystem services raise global concerns over growing losses associated with wildland fires. New management paradigms acknowledge that fire is inevitable and often uncontrollable, and focus on living with fire rather than attempting to eliminate it from the landscape. A notable...

Use of performance measurement to include air quality and energy into mileage-based user fees.

DOT National Transportation Integrated Search

2012-03-01

Road pricing is an increasingly popular tool for achieving a number of transportation policy related goals and objectives. Addressing environmental concerns is a common goal of road pricing systems in Europe but is less common in the U.S., and framew...

Systematic Alternatives to Proposal Preparation.

ERIC Educational Resources Information Center

Knirk, Frederick G.; And Others

Educators who have to develop proposals must be concerned with making effective decisions. This paper discusses a number of educational systems management tools which can be used to reduce the time and effort in developing a proposal. In addition, ways are introduced to systematically increase the quality of the proposal through the development of…

Deployment and evaluation of an active RFID tracking system for finishing pigs

USDA-ARS?s Scientific Manuscript database

Modern swine facilities were developed mainly based on logistics of feeding and moving animals. In recent years, the public has become increasingly concerned about animal care and well-being. A better understanding of the animal space utilization in current facilities could lead to improved facilit...

Simulated Response of Mercury and Nitrogen to Land Management and Land Use Change in a Large River Basin

EPA Science Inventory

Increases in nitrogen cascading from headwater systems to coastal waterways and bioaccumulation of mercury in aquatic ecosystems have become primary environmental concerns in recent decades. Studies assessing the effects of land use or climate change on water quality in large ri...

Salmonella prevalence and antimicrobial susceptibility from the National Animal Health Monitoring System Swine 2000 and 2006 Studies

USDA-ARS?s Scientific Manuscript database

Concern over Salmonella contamination of food is compounded by fear that antimicrobials traditionally used to combat the infection will become useless due to rising antibiotic resistance. Livestock, in particular swine, are often blamed for illnesses caused by Salmonella and for increasing antibioti...

Financial and Economic Analysis of Reduced Impact Logging

Treesearch

Tom Holmes

2016-01-01

Concern regarding extensive damage to tropical forests resulting from logging increased dramatically after World War II when mechanized logging systems developed in industrialized countries were deployed in the tropics. As a consequence, tropical foresters began developing logging procedures that were more environmentally benign, and by the 1990s, these practices began...

To and From Campus: Changing Student Transportation Patterns.

ERIC Educational Resources Information Center

Fink, Ira Stephen

A thorough study of changing student transportation patterns is justified on the grounds that (1) campuses are major traffic generators; (2) there is increased concern over the need to develop transportation systems that pose less ecological threat to the urban environment; (3) transportation patterns of students, faculty, and staff are changing…

Opportunities for improving risk communication during the permitting process for entomophagous biological control agents: A review of current systems

USDA-ARS?s Scientific Manuscript database

Concerns about potentially irreversible non-target impacts from the importation and release of entomophagous biological control agents (BCAs) have resulted in increasingly stringent import requirements by National Plant Protection Organizations. Despite numerous scientific publications on the poten...

TV Viewing and Parental Guidance. Education Consumer Guide, Number 10.

ERIC Educational Resources Information Center

Sweet, David; Singh, Ram

This newsletter issue focuses on the role of parents in monitoring their children's television viewing habits. The newsletter first discusses the current status of parental concerns about the content of television programming, noting the industry's increased willingness to provide more information, and the advent of a rating system and…

Accountability Incentives: Do Schools Practice Educational Triage?

ERIC Educational Resources Information Center

Springer, Matthew G.

2008-01-01

Increasingly frequent journalistic accounts report that schools are responding to No Child Left Behind (NCLB) by engaging in what has come to be known as "educational triage." Although these accounts rely almost entirely on anecdotal evidence, the prospect is of real concern. The NCLB accountability system divides schools into those in…

[Is It Time to Implement a 12-Hour Shift for Nurses in Taiwan?

PubMed

Lin, Yi-Fung; Chang, Shiow-Ru; Wang, Li-Ting

2017-04-01

The twelve-hour shift system, first introduced in the U.S. in 1967 to address a nursing shortage, is now the main system of shift rotation used in numerous countries. In recent years, several hospitals in Taiwan have implemented the 12-hour shift model as one initiative to improve the problems of overtime and high turnover rate among nursing staff. Under this model, nurses work only three to four days per week for 12-hour shifts per day. Despite the increase in numbers of days off, there is growing concern that long shift hours may harm both the safety of patients and the well being of the nurses. The aim of the present article is to explain the application of the 12-hour shift system and to review the potential impacts of this model. Benefits of the 12-hour shift system include improving quality of life for nursing staff, reducing the turnover rate, and increasing job satisfaction. Primary concerns regarding this system include patient safety, nurse fatigue, and the potential negative effects on the sleep quality of nurses. These findings may be referenced by policymakers considering the development / implementation of flexible work schedules in Taiwan. The government must set a ceiling on work hours allowed per week and impose limits on overtime in order to prevent burnout in nursing staff.

Work-Facilitating Information Visualization Techniques for Complex Wastewater Systems

NASA Astrophysics Data System (ADS)

Ebert, Achim; Einsfeld, Katja

The design and the operation of urban drainage systems and wastewater treatment plants (WWTP) have become increasingly complex. This complexity is due to increased requirements concerning process technology, technical, environmental, economical, and occupational safety aspects. The plant operator has access not only to some timeworn filers and measured parameters but also to numerous on-line and off-line parameters that characterize the current state of the plant in detail. Moreover, expert databases and specific support pages of plant manufactures are accessible through the World Wide Web. Thus, the operator is overwhelmed with predominantly unstructured data.

An experimental SMI adaptive antenna array for weak interfering signals

NASA Technical Reports Server (NTRS)

Dilsavor, R. L.; Gupta, I. J.

1989-01-01

A modified sample matrix inversion (SMI) algorithm designed to increase the suppression of weak interference is implemented on an existing experimental array system. The algorithm itself is fully described as are a number of issues concerning its implementation and evaluation, such as sample scaling, snapshot formation, weight normalization, power calculation, and system calibration. Several experiments show that the steady state performance (i.e., many snapshots are used to calculate the array weights) of the experimental system compares favorably with its theoretical performance. It is demonstrated that standard SMI does not yield adequate suppression of weak interference. Modified SMI is then used to experimentally increase this suppression by as much as 13dB.

Coordinated Response to Reports of Possible Anthrax Contamination, Idaho, 2001

PubMed Central

Hudson, Richard; Barnes, Shana; Hahn, Christine

2002-01-01

In 2001, the intentional release of anthrax spores in the eastern United States increased concern about exposure to anthrax nationwide, and residents of Idaho sought assistance. Response from state and local agencies was required, increasing the strain on epidemiologists, laboratorians, and communications personnel. In late 2001, Idaho’s public health communications system handled 133 calls about suspicious powders. For each call, a multiagency bridge call was established, and participants (public health officials, epidemiologists, police, Federal Bureau of Investigation personnel, hazardous materials officials, and others) determined which samples would be tested by the state public health laboratory. A triage system for calls helped relieve the burden on public safety and health systems. PMID:12396922

48 CFR 22.1026 - Disputes concerning labor standards.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Disputes concerning labor standards. 22.1026 Section 22.1026 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION... Amended 22.1026 Disputes concerning labor standards. Disputes concerning labor standards requirements of...

Clinical and critical care concerns in severely ill obese patient

PubMed Central

Bajwa, Sukhminder Jit Singh; Sehgal, Vishal; Bajwa, Sukhwinder Kaur

2012-01-01

The incidence of obesity has acquired an epidemic proportion throughout the globe. As a result, increasing number of obese patients is being presented to critical care units for various indications. The attending intensivist has to face numerous challenges during management of such patients. Almost all the organ systems are affected by the impact of obesity either directly or indirectly. The degree of obesity and its prolong duration are the main factors which determine the harmful effect of obesity on human body. The present article reviews few of the important clinical and critical care concerns in critically ill obese patients. PMID:23087857

Health Technology Assessment, International Reference Pricing, and Budget Control Tools from China's Perspective: What Are the Current Developments and Future Considerations?

PubMed

Koh, Liling; Glaetzer, Christoph; Chuen Li, Shu; Zhang, Meng

2016-05-01

China is investing considerably in health care reforms to address issues in its health care system. An example is access to innovative drugs, which remains challenging because it is largely dependent on patient self-pay. Recognizing this, the government has invested considerably in its basic medical insurance. As health care expenditure increases, there are growing concerns on budget control. Several health policy tools have been discussed recently such as health technology assessment, international reference pricing, and hospital budget control tools, which can be viewed as addressing the affordability concerns of the government budget. China has also listed her health outcomes goals in "Healthy China 2020" initiative. This article aimed to discuss the "fit-for-purpose" of these tools to address budget concerns and support China in reaching her health outcomes goals. The findings are informed by a panel discussion at ISPOR Asia Pacific 2014, literature review, and authors' experience. This review looks at the current developments in China and the considerations and implications for using these tools by drawing experiences from countries where they are used. These tools are generally used in countries with advanced health care systems. China's health care spending is still below that of countries with advanced health care systems and below World Health Organization recommendation. China has not yet reached the "critical mass" necessary for the effective use of these tools. As China continues its health care reforms, increase in health care spending to balance the health needs of the population would be key. Copyright © 2015. Published by Elsevier Inc.

Fifty Years of Progress in Water Relations Research

PubMed Central

Kramer, Paul J.

1974-01-01

Many of the basic concepts dealing with soil and plant water relationships were in existence 50 years ago, but were inadequately presented in the textbooks of that time. There has been a marked increase in the amount of work done in this field during recent decades, but much of it involves advances in understanding the concepts already in existence. Three of the most important advances in the field of water relations are: (a) acceptance of the term, water potential, to describe the free energy status of water in soil and plants; (b) marked improvement in methods of measuring water potential and stomatal resistance; and (c) use of the concept of water flow in the soil-plant system as analogous to flow of electricity in a conducting system. A number of interesting and important problems remain to be studied. Of these, probably the most important is to learn why mild water stress of less than - 10 bars can affect various enzyme-mediated metabolic processes. Plant scientists in applied fields also need to learn more about the causes of differences in ability to tolerate drought among plants of various kinds. There is uncertainty concerning the relative magnitude of the resistances to water flow in various parts of the soil-plant system and concerning the causes of the apparent changes in resistance to water flow with increase in rate and with time of day. More information also is needed concerning the role of growth regulators synthesized in roots and the importance of the older, suberized roots in the absorption of water and mineral nutrients. PMID:16658910

Long-Time Stability of Ni-Ti-Shape Memory Alloys for Automotive Safety Systems

NASA Astrophysics Data System (ADS)

Strittmatter, Joachim; Gümpel, Paul

2011-07-01

In automotive a lot of electromagnetically, pyrotechnically or mechanically driven actuators are integrated to run comfort systems and to control safety systems in modern passenger cars. Using shape memory alloys (SMA) the existing systems could be simplified, performing the same function through new mechanisms with reduced size, weight, and costs. A drawback for the use of SMA in safety systems is the lack of materials knowledge concerning the durability of the switching function (long-time stability of the shape memory effect). Pedestrian safety systems play a significant role to reduce injuries and fatal casualties caused by accidents. One automotive safety system for pedestrian protection is the bonnet lifting system. Based on such an application, this article gives an introduction to existing bonnet lifting systems for pedestrian protection, describes the use of quick changing shape memory actuators and the results of the study concerning the long-time stability of the tested NiTi-wires. These wires were trained, exposed up to 4 years at elevated temperatures (up to 140 °C) and tested regarding their phase change temperatures, times, and strokes. For example, it was found that A P-temperature is shifted toward higher temperatures with longer exposing periods and higher temperatures. However, in the functional testing plant a delay in the switching time could not be detected. This article gives some answers concerning the long-time stability of NiTi-wires that were missing till now. With this knowledge, the number of future automotive applications using SMA can be increased. It can be concluded, that the use of quick changing shape memory actuators in safety systems could simplify the mechanism, reduce maintenance and manufacturing costs and should be insertable also for other automotive applications.

Experiences of faculty and students using an audience response system in the classroom.

PubMed

Thomas, Christine M; Monturo, Cheryl; Conroy, Katherine

2011-07-01

The advent of innovative technologies, such as the audience response system, provides an opportunity to engage students and enhance learning. Based on their experiences, three nursing faculty evaluated the use of an audience response system in four distinct nursing courses through the use of informal survey results. When using the audience response system, the faculty experienced an increased perception of student attentiveness and engagement, high level of class attendance, and enhanced learning. Faculty feelings were mixed concerning the burden in adapting to increased classroom time and increased preparation time. Students' perception of the value of audience response system use was mostly positive, except when responses were included as part of the grade. The majority of the students indicated that use of the audience response system enhanced learning and was a helpful learning method when used with NCLEX-style questions. Overall, faculty believed that the benefits of student engagement and enhanced learning outweighed the burdens of incorporating this new technology in the classroom.

Parental hesitation in immunizing children in Utah.

PubMed

Luthy, Karlen E; Beckstrand, Renea L; Callister, Lynn Clark

2010-01-01

To determine why parents in a Utah community hesitated in immunizing their children. Cross-sectional descriptive study. Data were collected from a convenience sample of 86 parents of under-immunized children in the county health department and local pediatric and family practice offices. Participants were asked to complete an immunization hesitancy survey including questions regarding why parents hesitated to immunize their children, parental concerns regarding immunizations, and what advice they would give to a friend or family member who had concerns about childhood vaccines. Parents could also write in any other comment, concern, or suggestion they had regarding childhood immunizations. 2 major themes were identified: concerns regarding immunization safety and lack of perceived need. The most commonly reported concerns regarding immunization safety included autism, immune system overload, and other adverse reactions. Many parents did not recognize the need for childhood immunizations, especially multiple immunizations given simultaneously on a strict timeline. The manner in which immunization information is shared with hesitant parents can be particularly important. There is a need for health care providers to assess and increase parental knowledge regarding immunizations.

Working for America: A Federal Employee Survey

DTIC Science & Technology

1990-06-01

take concerning these is- developed and trained; restructuring the Federal sues. employees ’ health insurance program ; increasing 2 A Report by the U.S...we do that is by periodically conducting surveys of the employees in that system. In developing this questionnaire, we received assistance from...AD-A234 177 I WORKING FOR AMERICA: A FEDERAL EMPLOYEE SURVEY A SPECIAL STUDY (2 THE CHAIRMAN U.S. MERIT SYSTEMS PROTECTION BOARD 1120 Vermont Avenue

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

Hansen, Jacob; Edgar, Thomas W.; Daily, Jeffrey A.

With an ever-evolving power grid, concerns regarding how to maintain system stability, efficiency, and reliability remain constant because of increasing uncertainties and decreasing rotating inertia. To alleviate some of these concerns, demand response represents a viable solution and is virtually an untapped resource in the current power grid. This work describes a hierarchical control framework that allows coordination between distributed energy resources and demand response. This control framework is composed of two control layers: a coordination layer that ensures aggregations of resources are coordinated to achieve system objectives and a device layer that controls individual resources to assure the predeterminedmore » power profile is tracked in real time. Large-scale simulations are executed to study the hierarchical control, requiring advancements in simulation capabilities. Technical advancements necessary to investigate and answer control interaction questions, including the Framework for Network Co-Simulation platform and Arion modeling capability, are detailed. Insights into the interdependencies of controls across a complex system and how they must be tuned, as well as validation of the effectiveness of the proposed control framework, are yielded using a large-scale integrated transmission system model coupled with multiple distribution systems.« less

Reliability of robotic system during general surgical procedures in a university hospital.

PubMed

Buchs, Nicolas C; Pugin, François; Volonté, Francesco; Morel, Philippe

2014-01-01

Data concerning the reliability of robotic systems are scarce, especially for general surgery. The aim of this study was to assess the incidence and consequences of robotic malfunction in a teaching institution. From January 2006 to September 2012, 526 consecutive robotic general surgical procedures were performed. All failures were prospectively recorded in a computerized database and reviewed retrospectively. Robotic malfunctions occurred in 18 cases (3.4%). These dysfunctions concerned the robotic instruments in 9 cases, the robotic arms in 4 cases, the surgical console in 3 cases, and the optical system in 2 cases. Two malfunctions were considered critical, and 1 led to a laparoscopic conversion (conversion rate due to malfunction, .2%). Overall, there were more dysfunctions at the beginning of the study period (2006 to 2010) than more recently (2011 to 2012) (4.2% vs 2.6%, P = .35). The robotic system malfunction rate was low. Most malfunctions could be resolved during surgery, allowing the procedures to be completed safely. With increased experience, the system malfunction rate seems to be reduced. Copyright © 2014 Elsevier Inc. All rights reserved.

[The system of information concerning pharmaceuticals and its role in efficient using of medicines: opinion of medical specialists].

PubMed

Rostova, N B; Kudriashova, A I

2016-01-01

The issues of efficient application of pharmaceuticals by national authorities and supranational institutions are considered as important ones. The WHO recommends implementing twelve key propositions enhancing efficient application of pharmaceuticals. The development of independent information system concerning pharmaceuticals. The WHO recognizes that absence of neatly organized information system concerning pharmaceuticals information is usually spreading through different channels by manufacturers of medicines. The WHO determines admissible sources of information concerning pharmaceuticals and also requirements to content of presented information. The article presents results of survey of opinions of medical professionals about information sources concerning pharmaceuticals regulated in the Russian Federation and the WHO and also about actual information system concerning pharmaceuticals in the Russian Federation and its role in efficient application of medicines.

Impact of Alternative Rate Structures on Distributed Solar Customer Electricity Bills

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

McLaren, Joyce A

Electric utilities are increasingly proposing changes to residential rate structures, in order to address concerns about their inability to recover fixed system costs from customers with grid connected distributed generation. The most common proposals have been to increase fixed charges, set minimum bills or instigate residential demand charges. This presentation provides results of an analysis to explore how these rate design alternatives impact electricity bills for PV and non-PV customers.

Proton Effects and Test Issues for Satellite Designers. Section 4; Ionization Effects

NASA Technical Reports Server (NTRS)

Marshall, Paul W.; Marshall, Cheryl J.

1999-01-01

This portion of the Short Course is divided into two segments to separately address the two major proton-related effects confronting satellite designers: ionization effects and displacement damage effects. While both of these topics are deeply rooted in "traditional" descriptions of space radiation effects, there are several factors at play to cause renewed concern for satellite systems being designed today. For example, emphasis on Commercial Off-The-Shelf (COTS) technologies in both commercial and government systems increases both Total Ionizing Dose (TID) and Single Event Effect (SEE) concerns. Scaling trends exacerbate the problems, especially with regard to SEEs where protons can dominate soft error rates and even cause destructive failure. In addition, proton-induced displacement damage at fluences encountered in natural space environments can cause degradation in modern bipolar circuitry as well as in many emerging electronic and opto-electronic technologies. A crude, but nevertheless telling, indication of the level of concern for proton effects follows from surveying the themes treated in papers presented at this conference. The table lists themes found in the IEEE Transaction on Nuclear Science (TNS) December issue from the past year and compares them with the December issue's content a decade earlier. Ten years ago there were nine papers, or about 10% of the total, dealing with the four indicated topics. At that time, single event effects from protons were the primary concern, and these were thought to be possible only when a nuclear reaction initiated energetic recoil atoms. This is shown in the table as the 'traditional" SEE subject. A decade later, submissions addressing this topic had doubled, while papers devoted to displacement damage studies had increased from one to nine! More importantly, displacement damage effects in the natural space environments have become a concern for degradation in modern devices (other than solar cells), and this was not so ten years earlier.

34 CFR 99.38 - What conditions apply to disclosure of information as permitted by State statute adopted after...

Code of Federal Regulations, 2013 CFR

2013-07-01

... permitted by State statute adopted after November 19, 1974, concerning the juvenile justice system? 99.38... adopted after November 19, 1974, concerning the juvenile justice system? (a) If reporting or disclosure allowed by State statute concerns the juvenile justice system and the system's ability to effectively...

34 CFR 99.38 - What conditions apply to disclosure of information as permitted by State statute adopted after...

Code of Federal Regulations, 2012 CFR

2012-07-01

... permitted by State statute adopted after November 19, 1974, concerning the juvenile justice system? 99.38... adopted after November 19, 1974, concerning the juvenile justice system? (a) If reporting or disclosure allowed by State statute concerns the juvenile justice system and the system's ability to effectively...

34 CFR 99.38 - What conditions apply to disclosure of information as permitted by State statute adopted after...

Code of Federal Regulations, 2011 CFR

2011-07-01

... permitted by State statute adopted after November 19, 1974, concerning the juvenile justice system? 99.38... adopted after November 19, 1974, concerning the juvenile justice system? (a) If reporting or disclosure allowed by State statute concerns the juvenile justice system and the system's ability to effectively...

34 CFR 99.38 - What conditions apply to disclosure of information as permitted by State statute adopted after...

Code of Federal Regulations, 2014 CFR

2014-07-01

... permitted by State statute adopted after November 19, 1974, concerning the juvenile justice system? 99.38... adopted after November 19, 1974, concerning the juvenile justice system? (a) If reporting or disclosure allowed by State statute concerns the juvenile justice system and the system's ability to effectively...

Assessing and Maximizing the Acceptability of Global Positioning System Device Use for Studying the Role of Human Movement in Dengue Virus Transmission in Iquitos, Peru

PubMed Central

Paz-Soldan, Valerie A.; Stoddard, Steven T.; Vazquez-Prokopec, Gonzalo; Morrison, Amy C.; Elder, John P.; Kitron, Uriel; Kochel, Tadeusz J.; Scott, Thomas W.

2010-01-01

As use of global positioning system (GPS) technology to study disease transmission increases, it is important to assess possible barriers to its use from the perspective of potential study participants. Fifteen focus group discussions stratified by sex, age, and motherhood status were conducted in 2008 in Iquitos, Peru. All participants said they would accept using a GPS unit for study purposes for 2–4 weeks. Participants' main concerns included caring properly for the unit, whether the unit would audio/videotape them, health effects of prolonged use, responsibility for units, and confidentiality of information. A pilot study was then conducted in which 126 persons were asked to carry GPS units for 2–4 weeks; 98% provided consent. All persons used the units expressing minimal concerns, although 44% reported forgetting the device at least once. Our study is the first to highlight participant concerns related to use of GPS for long-term monitoring of individual behavior in a resource-limited setting. PMID:20348526

48 CFR 14.203-2 - Dissemination of information concerning invitations for bids.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 14.203-2 Dissemination of information concerning invitations for bids. Procedures concerning display... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Dissemination of information concerning invitations for bids. 14.203-2 Section 14.203-2 Federal Acquisition Regulations System...

75 FR 67395 - Advice Concerning Possible Modifications to the U.S. Generalized System of Preferences: 2010...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-02

... INTERNATIONAL TRADE COMMISSION [Investigation No. 332-521] Advice Concerning Possible... Concerning Possible Modifications to the U.S. Generalized System of Preferences: 2010 Review of Removals, for... terminal at 202-205-1810. General information concerning the Commission may also be obtained by accessing...

Searching for Answers or Creating More Questions? A Response to Robinson

ERIC Educational Resources Information Center

Callahan, Carolyn M.

2003-01-01

Grappling with the issues of equity and excellence has become evermore complex, solutions seem more and more remote as the divides between socioeconomic groups become greater and greater, and the ethnic diversity of the student population continues to present ever-increasing stress on the educational system. Robinson's concerns that redress to…

Experiences of Parents Who Homeschool Their Children with Autism Spectrum Disorders

ERIC Educational Resources Information Center

Hurlbutt, Karen S.

2011-01-01

Teachers may be inadequately prepared for the increasing number of students being identified with autism spectrum disorders (ASD), as students with ASD may not respond to traditional methods of instruction. Some parents of children with ASD are concerned with educational programming available through public school systems and are turning to…

Impact of stream geomorphology on greenhouse gas concentration in a New York mountain stream

Treesearch

Philippe Vidon; Satish Serchan

2016-01-01

As increased greenhouse gas concentrations (GHG: N2O, CO2, CH4) in our atmosphere remain a major concern, better quantifying GHG fluxes from natural systems is essential. In this study, we investigate GHG concentrations in saturated riparian sediments (dry, wet, mucky), streambed hyporheic zone...

Researching design and transportation systems for sustainable communities : what can we learn and how can it be applied in Rhode Island.

DOT National Transportation Integrated Search

2009-01-29

There has been a marked growth of interest in the topic of sustainable communities and sustainable transportation due to increased concerns about global warming and climate change. One of the leading causes is urbanization and its impacts on people a...

Salmonella Newport as Reported by the Animal Arm of the National Antimicrobial Resistance Monitoring System – Enteric Bacteria (NARMS) 1997-2007

USDA-ARS?s Scientific Manuscript database

Introduction: Since the early 1990’s there has been increasing awareness and concern regarding the development of antimicrobial resistance among bacteria of public health significance. Reports targeting zoonotic bacteria, and in particular Salmonella species, suggest that resistance is trending upw...

A Zero Sum Game? Eliminating Course Repetition and Its Effects on Arts Education

ERIC Educational Resources Information Center

Carrigan, Ting-Pi Joyce

2014-01-01

In 2011, with ongoing concerns over state budget shortfalls and the increasing educational cost structure, California state legislators focused their attention on measures that could lead to access, added productivity, and value in order to sustain the current educational system. One of the recommendations provided by the Legislative Analyst's…

Mandatory Use of Electronic Health Records: Overcoming Physician Resistance

ERIC Educational Resources Information Center

Brown, Viseeta K.

2012-01-01

Literature supports the idea that electronic health records hold tremendous value for the healthcare system in that it increases patient safety, improves the quality of care and provides greater efficiency. The move toward mandatory implementation of electronic health records is a growing concern in the United States health care industry. The…

Missing Children in Educational Research: Investigating School-Based versus Household-Based Assessments in India

ERIC Educational Resources Information Center

Goodnight, Melissa Rae; Bobde, Savitri

2018-01-01

Including all children in large-scale educational studies is a pressing concern. Omitting certain types of children from studies can lead to skewed findings that promote inaccuracies about learning levels or educational quality. Increasingly, assessments are a method for investigating the quality of education systems, but national assessments are…

Schoolwide Positive Behavior Supports: Primary Systems and Practices

ERIC Educational Resources Information Center

Simonsen, Brandi; Sugai, George; Negron, Madeline

2008-01-01

Many school personnel are becoming increasingly frustrated with the impact of student behavior on their schools. More than ever, the public perception is that student behavior is out of control. Although isolated instances of violence (e.g., school shootings) contribute to this perception, people are most concerned with the lack of discipline and…

The snowmobile

Treesearch

John W. Hetherington

1971-01-01

As use of the snowmobile has increased - nearly 1 1/2 million now in use - the development and maintenance of snowmobile use areas has become a concern. A study made by Bombardier, Ltd., calls attention to safety problems, costs, trail design and maintenance, sign systems, rules and aids for snowmobilers, safety patrols and other services, and safeguards for the...

Database Security: What Students Need to Know

ERIC Educational Resources Information Center

Murray, Meg Coffin

2010-01-01

Database security is a growing concern evidenced by an increase in the number of reported incidents of loss of or unauthorized exposure to sensitive data. As the amount of data collected, retained and shared electronically expands, so does the need to understand database security. The Defense Information Systems Agency of the US Department of…

Different Directions

ERIC Educational Resources Information Center

Bushweller, Kevin

2004-01-01

The genesis of the Prince William choice program was in surveys of high school seniors in the 63,100-student district, the third-largest school system in Virginia. In the mid-1990s, Superintendent Edward L. Kelly became increasingly concerned by responses to a question that asked whether the teenagers felt they could have pushed themselves harder.…

Rewarding Faculty Scholarship at Two-Year Colleges: Incentive for Change or Perceived Threat?

ERIC Educational Resources Information Center

Padovan, Patricia; Whittington, Dale

1998-01-01

Explores the definition and relevance of faculty scholarship in the community college. Examines positive and negative attitudes toward various scholarship criteria in the faculty-reward (promotion, tenure, salary increase, and release time) systems, and discusses concerns about scholarship as an additional facet of faculty evaluation. (25…

Statement of National Environmental Health Assocation on Future National Health Legislation

ERIC Educational Resources Information Center

Pohlit, Nicholas; And Others

1974-01-01

This article concerns the need for more preventative health legislation to cutback increasing curative medical costs. Preventative action would provide better nutrition, better housing, and more effective controls on food, water, and solid wastes. Environmental health specialists would play a major role in the staffing of the new health systems.…

Fair Employment and Performance Appraisal: Legal Requirements and Practical Guidelines.

ERIC Educational Resources Information Center

Edwards, Keith J.

The use of tests in personnel decisions has become an increasing legal liability for employers. The major questions raised by the courts concerning this use of tests are described. Current federal guidelines for performance appraisal systems, as established by the Equal Employment Opportunity Commission, are explained and traced to Title VII of…

U.S. Metric Study Interim Report: Education.

ERIC Educational Resources Information Center

National Bureau of Standards (DOC), Washington, DC.

This report is another in the series being prepared on the numerous investigations comprising the U. S. Metric Study, by the U. S. National Bureau of Standards. This report concerns the effects of increasing worldwide use of the metric system on education in the United States. Its purpose is to present the educational advantages and disadvantages…

Energy management: total program considers all building's systems.

PubMed

Blan, G J; Browne, K H

1978-09-16

Managing energy consumption, containing fuel usage, and preparing for alternate fuel sources are immediate areas for concern and action for all health care providers. The authors describe how they are meeting the challenge of increased energy costs and reduced availability while maintaining high-quality care by applying the concept of total energy management.

Unethical Admissions: Academic Integrity in Question.

PubMed

Ansah, Richard Hannis; Aikhuele, Daniel O; Yao, Liu

2017-08-01

The increasing unethical practices of graduates' admissions have heightened concerns about the integrity of the academy. This article informs this important subject that affects the students, admission systems, and the entire scientific community, thus, representing an approach against scholarly black market activities including falsified documents and unethical practices by consultants and students' recruitment agencies.

Early Childhood Education in Ireland: Change and Challenge

ERIC Educational Resources Information Center

Murphy, Rosaleen

2015-01-01

Early childhood care and education in Ireland has come under increasing scrutiny in recent years, as a result of public concern about standards in some early years services. Services for children before they enter primary school are largely the responsibility of the department of health, while children in the formal school system are the…

What Would a Socially Just Education System Look like?

ERIC Educational Resources Information Center

Francis, Becky; Mills, Martin

2012-01-01

This paper was born of the authors' discussions about the imbalance between critique and constructive thinking within the sociology of education, and work on education policy. They were concerned that their research--and the body of work to which their research contributes--is becoming increasingly irrelevant to policy and practice. For British…

Keeping the Community in the Know

ERIC Educational Resources Information Center

Dyrli, Kurt O.

2009-01-01

This article reports that notification systems--which use the Internet to enable school administrators to make and send thousands of automated phone calls, text messages and e-mails in minutes--are expanding in popularity in school districts across the country. As the dire national economic conditions increase voter concern about the best use of…

ResearchGate and Academia.edu as Networked Socio-Technical Systems for Scholarly Communication: A Literature Review

ERIC Educational Resources Information Center

Manca, Stefania

2018-01-01

ResearchGate and Academia.edu have been increasingly acknowledged as the most popular academic social network sites (ASNS) for scholarly communication. Along with their benefits for supporting communication and knowledge sharing within academic communities, concerns over quality and credibility remain a pertinent issue. In terms of research…

Understanding safety and production risks in rail engineering planning and protection.

PubMed

Wilson, John R; Ryan, Brendan; Schock, Alex; Ferreira, Pedro; Smith, Stuart; Pitsopoulos, Julia

2009-07-01

Much of the published human factors work on risk is to do with safety and within this is concerned with prediction and analysis of human error and with human reliability assessment. Less has been published on human factors contributions to understanding and managing project, business, engineering and other forms of risk and still less jointly assessing risk to do with broad issues of 'safety' and broad issues of 'production' or 'performance'. This paper contains a general commentary on human factors and assessment of risk of various kinds, in the context of the aims of ergonomics and concerns about being too risk averse. The paper then describes a specific project, in rail engineering, where the notion of a human factors case has been employed to analyse engineering functions and related human factors issues. A human factors issues register for potential system disturbances has been developed, prior to a human factors risk assessment, which jointly covers safety and production (engineering delivery) concerns. The paper concludes with a commentary on the potential relevance of a resilience engineering perspective to understanding rail engineering systems risk. Design, planning and management of complex systems will increasingly have to address the issue of making trade-offs between safety and production, and ergonomics should be central to this. The paper addresses the relevant issues and does so in an under-published domain - rail systems engineering work.

Attitudes of pregnant women towards personally controlled electronic, hospital-held, and patient-held medical record systems: a survey study.

PubMed

Quinlivan, Julie A; Lyons, Sarah; Petersen, Rodney W

2014-09-01

On July 1, 2012 the Australian Government launched the personally controlled electronic health record (PCEHR). This article surveys obstetric patients about their medical record preferences and identifies barriers to adoption of the PCEHR. A survey study was conducted of antenatal patients attending a large Australian metropolitan hospital. Consecutive patients completed questionnaires during the launch phase of the PCEHR system. Quantitative and qualitative data were collected on demographics, computer access and familiarity, preference for medical record system, and perceived benefits and concerns. Of 528 women eligible to participate, 474 completed the survey (89.8%). Respondents had high levels of home access to a computer (90.5%) and the Internet (87.1%) and were familiar with using computers in daily life (median Likert scale of 9 out of 10). Despite this, respondents preferred hospital-held paper records, and only one-third preferred a PCEHR; the remainder preferred patient-held records. Compared with hospital-held paper records, respondents felt a PCEHR would reduce the risk of lost records (p<0.0001) and improve staff communication (p<0.0001). However, there were significant concerns about confidentiality and privacy of the PCEHR (p<0.0001) and lack of control (p<0.0001). Consumers see advantages and disadvantages with the PCEHR, although the majority still prefer existing record systems. To increase uptake, confidentiality, privacy, and control concerns need to be addressed.

Pilot workload, performance and aircraft control automation

NASA Technical Reports Server (NTRS)

Hart, S. G.; Sheridan, T. B.

1984-01-01

Conceptual and practical issues associated with the design, operation, and performance of advanced systems and the impact of such systems on the human operators are reviewed. The development of highly automated systems is driven by the availability of new technology and the requirement that operators safely and economically perform more and more activities in increasingly difficult and hostile environments. It is noted that the operators workload may become a major area of concern in future design considerations. Little research was done to determine how automation and workload relate to each other, although it is assumed that the abstract, supervisory, or management roles that are performed by operators of highly automated systems will impose increased mental workload. The relationship between performance and workload is discussed in relation to highly complex and automated environments.

An analysis of electronic health record-related patient safety concerns

PubMed Central

Meeks, Derek W; Smith, Michael W; Taylor, Lesley; Sittig, Dean F; Scott, Jean M; Singh, Hardeep

2014-01-01

Objective A recent Institute of Medicine report called for attention to safety issues related to electronic health records (EHRs). We analyzed EHR-related safety concerns reported within a large, integrated healthcare system. Methods The Informatics Patient Safety Office of the Veterans Health Administration (VA) maintains a non-punitive, voluntary reporting system to collect and investigate EHR-related safety concerns (ie, adverse events, potential events, and near misses). We analyzed completed investigations using an eight-dimension sociotechnical conceptual model that accounted for both technical and non-technical dimensions of safety. Using the framework analysis approach to qualitative data, we identified emergent and recurring safety concerns common to multiple reports. Results We extracted 100 consecutive, unique, closed investigations between August 2009 and May 2013 from 344 reported incidents. Seventy-four involved unsafe technology and 25 involved unsafe use of technology. A majority (70%) involved two or more model dimensions. Most often, non-technical dimensions such as workflow, policies, and personnel interacted in a complex fashion with technical dimensions such as software/hardware, content, and user interface to produce safety concerns. Most (94%) safety concerns related to either unmet data-display needs in the EHR (ie, displayed information available to the end user failed to reduce uncertainty or led to increased potential for patient harm), software upgrades or modifications, data transmission between components of the EHR, or ‘hidden dependencies’ within the EHR. Discussion EHR-related safety concerns involving both unsafe technology and unsafe use of technology persist long after ‘go-live’ and despite the sophisticated EHR infrastructure represented in our data source. Currently, few healthcare institutions have reporting and analysis capabilities similar to the VA. Conclusions Because EHR-related safety concerns have complex sociotechnical origins, institutions with long-standing as well as recent EHR implementations should build a robust infrastructure to monitor and learn from them. PMID:24951796

Promoting the safety performance of industrial radiography using a quantitative assessment system.

PubMed

Kardan, M R; Mianji, F A; Rastkhah, N; Babakhani, A; Azad, S Borhan

2006-12-01

The increasing number of industrial radiographers and their considerable occupational exposure has been one of the main concerns of the Iran Nuclear Regulatory Authority (INRA) in recent years. In 2002, a quantitative system of evaluating the safety performance of licensees and a complementary enforcement system was introduced by the National Radiation Protection Department (NRPD). Each parameter of the practice is given a weighting factor according to its importance to safety. Assessment of the licensees is done quantitatively by summing up their scores using prepared tables. Implementing this system of evaluation showed a considerable decrease in deficiencies in the various centres. Tables are updated regularly as a result of findings during the inspections. This system is used in addition to enforcement to promote safety performance and to increase the culture of safety in industrial radiography.

Modeling of urban solid waste management system: The case of Dhaka city

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

Sufian, M.A.; Bala, B.K.

2007-07-01

This paper presents a system dynamics computer model to predict solid waste generation, collection capacity and electricity generation from solid waste and to assess the needs for waste management of the urban city of Dhaka, Bangladesh. Simulated results show that solid waste generation, collection capacity and electricity generation potential from solid waste increase with time. Population, uncleared waste, untreated waste, composite index and public concern are projected to increase with time for Dhaka city. Simulated results also show that increasing the budget for collection capacity alone does not improve environmental quality; rather an increased budget is required for both collectionmore » and treatment of solid wastes of Dhaka city. Finally, this model can be used as a computer laboratory for urban solid waste management (USWM) policy analysis.« less

Designing an Authorization System Based on Patient Privacy Preferences in Japan.

PubMed

Morris, Kensuke; Yamamoto, Goshiro; Hiragi, Shusuke; Ohtera, Shosuke; Sakai, Michi; Sugiyama, Osamu; Okamoto, Kazuya; Nambu, Masayuki; Kuroda, Tomohiro

2018-01-01

High accessibility of Electronic Health Record systems can increase usability but creates simultaneously patients' anxieties about privacy issues. In order to reduce the privacy concerns, we focused on control and awareness, and designed an approach that can provide availability of patient's clinical data to doctors in two scenarios; (S1) direct control by the patient when they are conscious, (S2) control by a trusted representative when the patient is unconscious. In this paper, we show further analysis in a survey (n = 310, age range: 19-91) done to test the acceptability of our concept of a using a trusted representative and to further understand the concerns of Japanese citizens to improve our system design. These results in S1 suggest that patients concerned about control have a stronger inclination to also choose full awareness. We found also that patients tended to choose the same level of awareness for the representative as they did for themselves in S2. In addition, patients who chose awareness in S1 tended to choose the same for their representative in S2 and themselves after recovery from unconsciousness. We also discuss the significant differences found between the age-groups 20-39 and 60-79. We conclude that the system design of privacy aware EHR systems must be improved to consider patients who want to preserve their choice of control in the event they become unconscious but do not want to use a representative to maintain control.

Specialty pharmacies and other restricted drug distribution systems: financial and safety considerations for patients and health-system pharmacists.

PubMed

Kirschenbaum, Bonnie E

2009-12-15

To discuss the role of restricted drug distribution systems in the implementation of risk evaluation and mitigation strategies (REMS), health-system pharmacists' concerns associated with the use of specialty pharmacies and other restricted drug distribution systems, reimbursement policies for high-cost specialty drugs, supply chain models for traditional and specialty drugs, and emerging trends in the management of and reimbursement for specialty pharmaceuticals. Restricted drug distribution systems established by pharmaceutical manufacturers, specialty pharmacies, or other specialty suppliers may be a component of REMS, which are required by the Food and Drug Administration for the management of known or potential serious risks from certain drugs. Concerns of health-system pharmacists using specialty suppliers include access to pharmaceuticals, operational challenges, product integrity, financial implications, continuity of care, and patient safety. An ambulatory care patient taking a specialty drug product from home to a hospital outpatient clinic or inpatient setting for administration, a practice known as "brown bagging," raises concerns about product integrity and institutional liability. An institution's finances, tolerance for liability, and ability to skillfully manage the processes involved often determine its choice between an approach that prohibits brown bagging but is costly and one that permits the practice under certain conditions and is less costly. The recent shift from a traditional supply chain model to a specialty pharmacy supply chain model for high-cost pharmaceuticals has the potential to increase pharmaceutical costs for health systems. A dialogue is needed between health-system pharmacists and group purchasing organizations to address the latter's role in mitigating the financial implications of this change and to help clarify the safety issues. Some health plans have shifted part of the cost of expensive drugs to patients by establishing a fourth tier of drugs with a large copayment based on a substantial percentage of the cost of the drug. The number and cost of specialty drugs are expected to increase in the future. New approaches and reimbursement models are emerging to manage the high cost of new pharmaceuticals. Health-system pharmacists can improve drug safety and manage costs by collaborating with group purchasing organizations, establishing policies for brown bagging, and making efforts to reconcile drug therapy provided in different settings through traditional drug channels and specialty pharmacies or other restricted drug distribution systems.

Why doctors don't use computers: some empirical findings.

PubMed Central

Anderson, J G; Jay, S J; Schweer, H M; Anderson, M M

1986-01-01

The attitudes of 148 medical students, 141 residents, and 644 practising physicians towards computer applications in medicine were studied. The results indicate that physicians recognize the potential of computers to improve patient care, but are concerned about the possibility of increased governmental and hospital control, threats to privacy, and legal and ethical problems. In general, all three groups are uncertain as to the potential effects of computers on their traditional professional role and on the organization of practice. Practising physicians, however, express more concern about these potential effects of computers than do medical students and residents. While attitudes appear to be somewhat independent of prior computer experience, they significantly affect the extent to which physicians use a computer-based hospital information system. This may be a major reason for the slow introduction of clinical computer systems. PMID:3701749

Eating Concerns in College Women across Sexual Orientation Identities

ERIC Educational Resources Information Center

Maloch, Janelle K.; Bieschke, Kathleen J.; McAleavey, Andrew A.; Locke, Benjamin D.

2013-01-01

This study found that treatment-seeking sexual minority college women evidenced serious eating concerns. Regardless of sexual orientation and compared with those with low levels of eating concerns, women with high levels of eating concerns evidenced increased depression, increased generalized anxiety, and a greater likelihood of experiencing…

The weight of obesity on the human immune response to vaccination

PubMed Central

Painter, Scott D.; Ovsyannikova, Inna G.; Poland, Gregory A.

2015-01-01

Despite the high success of protection against several infectious diseases through effective vaccines, some sub-populations have been observed to respond poorly to vaccines, putting them at increased risk for vaccine-preventable diseases. In particular, the limited data concerning the effect of obesity on vaccine immunogenicity and efficacy suggests that obesity is a factor that increases the likelihood of a poor vaccine-induced immune response. Obesity occurs through the deposition of excess lipids into adipose tissue through the production of adipocytes, and is defined as a body-mass index (BMI) ≥ 30 kg/m2. The immune system is adversely affected by obesity, and these “immune consequences” raise concern for the lack of vaccine-induced immunity in the obese patient requiring discussion of how this sub-population might be better protected. PMID:26163925

Towards health impact assessment of drinking-water privatization--the example of waterborne carcinogens in North Rhine-Westphalia (Germany).

PubMed Central

Fehr, Rainer; Mekel, Odile; Lacombe, Martin; Wolf, Ulrike

2003-01-01

Worldwide there is a tendency towards deregulation in many policy sectors - this, for example, includes liberalization and privatization of drinking-water management. However, concerns about the negative impacts this might have on human health call for prospective health impact assessment (HIA) on the management of drinking-water. On the basis of an established generic 10-step HIA procedure and on risk assessment methodology, this paper aims to produce quantitative estimates concerning health effects from increased exposure to carcinogens in drinking-water. Using data from North Rhine-Westphalia in Germany, probabilistic estimates of excess lifetime cancer risk, as well as estimates of additional cases of cancer from increased carcinogen exposure levels are presented. The results show how exposure to contaminants that are strictly within current limits could increase cancer risks and case-loads substantially. On the basis of the current analysis, we suggest that with uniform increases in pollutant levels, a single chemical (arsenic) is responsible for a large fraction of expected additional risk. The study also illustrates the uncertainty involved in predicting the health impacts of changes in water quality. Future analysis should include additional carcinogens, non-cancer risks including those due to microbial contamination, and the impacts of system failures and of illegal action, which may be increasingly likely to occur under changed management arrangements. If, in spite of concerns, water is privatized, it is particularly important to provide adequate surveillance of water quality. PMID:12894324

Introducing systems change in the schools: the case of school luncheons and vending machines.

PubMed

Suarez-Balcazar, Yolanda; Redmond, Ladonna; Kouba, Joanne; Hellwig, Maureen; Davis, Rochelle; Martinez, Louise I; Jones, Lara

2007-06-01

A major public health crisis facing America's society is the increase in child and youth obesity, which has seen a fourfold increase in the last four decades. Major concerns include what children eat for school lunch and what other foods are available in schools. This paper illustrates efforts towards systems change in the luncheon program and food vending machines in the Chicago Public Schools. We discuss the different factors that lead to such changes using the framework of the social ecological model and the soft systems methodology, and we analyze how the resulting innovation was implemented and evaluated. First, we present a theoretical perspective to explain factors that influence children's eating patterns from a systems approach. Second, we discuss the antecedent factors that lead to systems change. Finally, we examine challenges to systems change, such as resistance to change, different stakeholder priorities, lack of resources, institutional bureaucracy, and unrealistic funder expectations.

The serotonergic system in fish.

PubMed

Lillesaar, Christina

2011-07-01

Neurons using serotonin (5-HT) as neurotransmitter and/or modulator have been identified in the central nervous system in representatives from all vertebrate clades, including jawless, cartilaginous and ray-finned fishes. The aim of this review is to summarize our current knowledge about the anatomical organization of the central serotonergic system in fishes. Furthermore, selected key functions of 5-HT will be described. The main focus will be the adult brain of teleosts, in particular zebrafish, which is increasingly used as a model organism. It is used to answer not only genetic and developmental biology questions, but also issues concerning physiology, behavior and the underlying neuronal networks. The many evolutionary conserved features of zebrafish combined with the ever increasing number of genetic tools and its practical advantages promise great possibilities to increase our understanding of the serotonergic system. Further, comparative studies including several vertebrate species will provide us with interesting insights into the evolution of this important neurotransmitter system. Copyright © 2011 Elsevier B.V. All rights reserved.

Health and safety implications of alternative energy technologies. II. Solar

NASA Astrophysics Data System (ADS)

Etnier, E. L.; Watson, A. P.

1981-09-01

No energy technology is risk free when all aspects of its utilization are taken into account. Every energy technology has some attendant direct and indirect health and safety concerns. Solar technologies examined in this paper are wind, ocean thermal energy gradients, passive, photovoltaic, satellite power systems, low- and high-temperature collectors, and central power stations, as well as tidal power. For many of these technologies, insufficient historical data are available from which to assess the health risks and environmental impacts. However, their similarities to other projects make certain predictions possible. For example, anticipated problems in worker safety in constructing ocean thermal energy conversion systems will be similar to those associated with other large-scale construction projects, like deep-sea oil drilling platforms. Occupational hazards associated with photovoltaic plant operation would be those associated with normal electricity generation, although for workers involved in the actual production of photovoltaic materials, there is some concern for the toxic effects of the materials used, including silicon, cadmium, and gallium arsenide. Satellite power systems have several unique risks. These include the effects of long-term space travel for construction workers, effects on the ozone layer and the attendant risk of skin cancer in the general public, and the as-yet-undetermined effects of long-term, low-level microwave exposure. Hazards may arise from three sources in solar heating and cooling systems: water contamination from corrosion inhibitors, heat transfer fluids, and bactericides; collector over-heating, fires, and “out-gassing” and handling and disposal of system fluids and wastes. Similar concerns exist for solar thermal power systems. Even passive solar systems may increase indoor exposure levels to various air pollutants and toxic substances, eitherdirectly from the solar system itself or indirectly by trapping released pollutants from furnishings, building materials, and indoor combustion.

Single-Event Effects Ground Testing and On-Orbit Rate Prediction Methods: The Past, Present and Future

NASA Technical Reports Server (NTRS)

Reed, Robert A.; Kinnison, Jim; Pickel, Jim; Buchner, Stephen; Marshall, Paul W.; Kniffin, Scott; LaBel, Kenneth A.

2003-01-01

Over the past 27 years, or so, increased concern over single event effects in spacecraft systems has resulted in research, development and engineering activities centered around a better understanding of the space radiation environment, single event effects predictive methods, ground test protocols, and test facility developments. This research has led to fairly well developed methods for assessing the impact of the space radiation environment on systems that contain SEE sensitive devices and the development of mitigation strategies either at the system or device level.

Active control strategy for synchronization and anti-synchronization of a fractional chaotic financial system

NASA Astrophysics Data System (ADS)

Huang, Chengdai; Cao, Jinde

2017-05-01

This paper is concerned with the issues of synchronization and anti-synchronization for fractional chaotic financial system with market confidence by taking advantage of active control approach. Some sufficient conditions are derived to guarantee the synchronization and anti-synchronization for the proposed fractional system. Moreover, the relationship between the order and synchronization(anti-synchronization) is demonstrated numerically. It reveals that synchronization(anti-synchronization) is faster as the order increases. Finally, two illustrative examples are exploited to verify the efficiency of the obtained theoretical results.

Pollutant monitoring of aircraft exhaust with multispectral imaging

NASA Astrophysics Data System (ADS)

Berkson, Emily E.; Messinger, David W.

2016-10-01

Communities surrounding local airports are becoming increasingly concerned about the aircraft pollutants emitted during the landing-takeoff (LTO) cycle, and their potential for negative health effects. Chicago, Los Angeles, Boston and London have all recently been featured in the news regarding concerns over the amount of airport pollution being emitted on a daily basis, and several studies have been published on the increased risks of cancer for those living near airports. There are currently no inexpensive, portable, and unobtrusive sensors that can monitor the spatial and temporal nature of jet engine exhaust plumes. In this work we seek to design a multispectral imaging system that is capable of tracking exhaust plumes during the engine idle phase, with a specific focus on unburned hydrocarbon (UHC) emissions. UHCs are especially potent to local air quality, and their strong absorption features allow them to act as a spatial and temporal plume tracer. Using a Gaussian plume to radiometrically model jet engine exhaust, we have begun designing an inexpensive, portable, and unobtrusive imaging system to monitor the relative amount of pollutants emitted by aircraft in the idle phase. The LWIR system will use two broadband filters to detect emitted UHCs. This paper presents the spatial and temporal radiometric models of the exhaust plume from a typical jet engine used on 737s. We also select filters for plume tracking, and propose an imaging system layout for optimal detectibility. In terms of feasibility, a multispectral imaging system will be two orders of magnitude cheaper than current unobtrusive methods (PTR-MS) used to monitor jet engine emissions. Large-scale impacts of this work will include increased capabilities to monitor local airport pollution, and the potential for better-informed decision-making regarding future developments to airports.

Vanadium Inhalation in a Mouse Model for the Understanding of Air-Suspended Particle Systemic Repercussion

PubMed Central

Fortoul, T. I.; Rodriguez-Lara, V.; Gonzalez-Villalva, A.; Rojas-Lemus, M.; Cano-Gutierrez, G.; Ustarroz-Cano, M.; Colin-Barenque, L.; Montaño, L. F.; García-Pelez, I.; Bizarro-Nevares, P.; Lopez-Valdez, N.; Falcon-Rodriguez, C. I.; Jimenez-Martínez, R. S.; Ruiz-Guerrero, M. L.; López-Zepeda, L. S.; Morales-Rivero, A.; Muñiz-Rivera-Cambas, A.

2011-01-01

There is an increased concern about the health effects that air-suspended particles have on human health which have been dissected in animal models. Using CD-1 mouse, we explore the effects that vanadium inhalation produce in different tissues and organs. Our findings support the systemic effects of air pollution. In this paper, we describe our findings in different organs in our conditions and contrast our results with the literature. PMID:21716674

Clinicians' views on displaying cost information to increase clinician cost-consciousness.

PubMed

Kruger, Jenna F; Chen, Alice Hm; Rybkin, Alex; Leeds, Kiren; Frosch, Dominick L; Goldman, Elizabeth

2014-01-01

To evaluate 1) clinician attitudes towards incorporating cost information into decision making when ordering imaging studies; and 2) clinician reactions to the display of Medicare reimbursement information for imaging studies at clinician electronic order entry. Focus group study with inductive thematic analysis. We conducted focus groups of primary care clinicians and subspecialty physicians (nephrology, pulmonary, and neurology) (N = 50) who deliver outpatient care in 12 hospital-based clinics and community health centers in an urban safety net health system. We analyzed focus group transcripts using an inductive framework to identify emergent themes and illustrative quotations. Clinicians believed that their knowledge of healthcare costs was low and wanted access to relevant cost information for reference. However, many clinicians believed it was inappropriate and unethical to consider costs in individual patient care decisions. Among clinicians' negative reactions toward displaying costs at order entry, 4 underlying themes emerged: 1) belief that ordering is already limited to clinically necessary tests; 2) importance of prioritizing responsibility to patients above that to the healthcare system; 3) concern about worsening healthcare disparities; and 4) perceived lack of accountability for healthcare costs in the system. Although clinicians want relevant cost information, many voiced concerns about displaying cost information at clinician order entry in safety net health systems. Alternative approaches to increasing cost-consciousness may be more acceptable to clinicians.

Health Care Market Concentration Trends In The United States: Evidence And Policy Responses.

PubMed

Fulton, Brent D

2017-09-01

Policy makers and analysts have been voicing concerns about the increasing concentration of health care providers and health insurers in markets nationwide, including the potential adverse effect on the cost and quality of health care. The Council of Economic Advisers recently expressed its concern about the lack of estimates of market concentration in many sectors of the US economy. To address this gap in health care, this study analyzed market concentration trends in the United States from 2010 to 2016 for hospitals, physician organizations, and health insurers. Hospital and physician organization markets became increasingly concentrated over this time period. Concentration among primary care physicians increased the most, partially because hospitals and health care systems acquired primary care physician organizations. In 2016, 90 percent of Metropolitan Statistical Areas (MSAs) were highly concentrated for hospitals, 65 percent for specialist physicians, 39 percent for primary care physicians, and 57 percent for insurers. Ninety-one percent of the 346 MSAs analyzed may have warranted concern and scrutiny because of their concentration levels in 2016 and changes in their concentrations since 2010. Public policies that enhance competition are needed, such as stricter enforcement of antitrust laws, reducing barriers to entry, and restricting anticompetitive behaviors. Project HOPE—The People-to-People Health Foundation, Inc.

Linking customisation of ERP systems to support effort: an empirical study

NASA Astrophysics Data System (ADS)

Koch, Stefan; Mitteregger, Kurt

2016-01-01

The amount of customisation to an enterprise resource planning (ERP) system has always been a major concern in the context of the implementation. This article focuses on the phase of maintenance and presents an empirical study about the relationship between the amount of customising and the resulting support effort. We establish a structural equation modelling model that explains support effort using customisation effort, organisational characteristics and scope of implementation. The findings using data from an ERP provider show that there is a statistically significant effect: with an increasing amount of customisation, the quantity of telephone calls to support increases, as well as the duration of each call.

The Research on Application of Information Technology in sports Stadiums

NASA Astrophysics Data System (ADS)

Can, Han; Lu, Ma; Gan, Luying

With the Olympic glory in the national fitness program planning and the smooth development of China, the public's concern for the sport continues to grow, while their physical health is also increasingly fervent desired, the country launched a modern technological construction of sports facilities. Information technology applications in the sports venues in the increasingly wide range of modern venues and facilities, including not only the intelligent application of office automation systems, intelligent systems and sports facilities, communication systems for event management, ticket access control system, contest information systems, television systems, Command and Control System, but also in action including the use of computer technology, image analysis, computer-aided training athletes, sports training system and related data entry systems, decision support systems.Using documentary data method, this paper focuses on the research on application of information technology in Sports Stadiums, and try to explore its future trends.With a view to promote the growth of China's national economyand,so as to improve the students'quality and promote the cause of Chinese sports.

Mental health literacy in secondary schools: a Canadian approach.

PubMed

Kutcher, Stan; Bagnell, Alexa; Wei, Yifeng

2015-04-01

"Mental health literacy is an integral component of health literacy and has been gaining increasing attention as an important focus globally for mental health interventions. In Canada, youth mental health is increasingly recognized as a key national health concern and has received more focused attention than ever before within our health system. This article outlines 2 unique homegrown initiatives to address youth mental health literacy within Canadian secondary schools." Copyright © 2015 Elsevier Inc. All rights reserved.

Alternative Housing System & Materials Criteria For Land Subsidence Area (Case Study: Bandarharjo, Semarang)

NASA Astrophysics Data System (ADS)

Saharom, N. S.; Diana, S. C.; Kusyala, D.

2018-05-01

The critical land subsidence at rate 10cm per year happening in Bandarharjo district of Semarang is a big concern for the local community. With the increasing number of population, the building load increases as well thus could be one of the factors that hasten the land subsidence process. This phenomena causes the locals to spend a lot on house renovation and repairment. To keep up with the road level increased by the government, they had to increase their house floor level. Some demolished and rebuilt their houses. This paper seek to study the ideal criteria of alternative housing systems and materials that is adaptable for land subsidence and flood situation in Semarang by reference research methodology which various papers and guidelines of construction system based on the context of Bandarharjo. The existing housing material and system needs to be strategised for more affordable and adaptable housing system. Although there are already adaptation responses towards these natural disasters by the local communities but the responses are without the awareness about the ideal house system and materials that that helps them to adapt and live with natural disaster in a sustainable and more durable system.

Indoor Air Nuclear, Biological, and Chemical Health Modeling and Assessment System

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

Stenner, Robert D.; Hadley, Donald L.; Armstrong, Peter R.

2001-03-01

Indoor air quality effects on human health are of increasing concern to public health agencies and building owners. The prevention and treatment of 'sick building' syndrome and the spread of air-borne diseases in hospitals, for example, are well known priorities. However, increasing attention is being directed to the vulnerability of our public buildings/places, public security and national defense facilities to terrorist attack or the accidental release of air-borne biological pathogens, harmful chemicals, or radioactive contaminants. The Indoor Air Nuclear, Biological, and Chemical Health Modeling and Assessment System (IA-NBC-HMAS) was developed to serve as a health impact analysis tool for usemore » in addressing these concerns. The overall goal was to develop a user-friendly fully functional prototype Health Modeling and Assessment system, which will operate under the PNNL FRAMES system for ease of use and to maximize its integration with other modeling and assessment capabilities accessible within the FRAMES system (e.g., ambient air fate and transport models, water borne fate and transport models, Physiologically Based Pharmacokinetic models, etc.). The prototype IA-NBC-HMAS is designed to serve as a functional Health Modeling and Assessment system that can be easily tailored to meet specific building analysis needs of a customer. The prototype system was developed and tested using an actual building (i.e., the Churchville Building located at the Aberdeen Proving Ground) and release scenario (i.e., the release and measurement of tracer materials within the building) to ensure realism and practicality in the design and development of the prototype system. A user-friendly "demo" accompanies this report to allow the reader the opportunity for a "hands on" review of the prototype system's capability.« less

Patient access to complex chronic disease records on the Internet.

PubMed

Bartlett, Cherry; Simpson, Keith; Turner, A Neil

2012-08-06

Access to medical records on the Internet has been reported to be acceptable and popular with patients, although most published evaluations have been of primary care or office-based practice. We tested the feasibility and acceptability of making unscreened results and data from a complex chronic disease pathway (renal medicine) available to patients over the Internet in a project involving more than half of renal units in the UK. Content and presentation of the Renal PatientView (RPV) system was developed with patient groups. It was designed to receive information from multiple local information systems and to require minimal extra work in units. After piloting in 4 centres in 2005 it was made available more widely. Opinions were sought from both patients who enrolled and from those who did not in a paper survey, and from staff in an electronic survey. Anonymous data on enrollment and usage were extracted from the webserver. By mid 2011 over 17,000 patients from 47 of the 75 renal units in the UK had registered. Users had a wide age range (<10 to >90 yrs) but were younger and had more years of education than non-users. They were enthusiastic about the concept, found it easy to use, and 80% felt it gave them a better understanding of their disease. The most common reason for not enrolling was being unaware of the system. A minority of patients had security concerns, and these were reduced after enrolling. Staff responses were also strongly positive. They reported that it aided patient concordance and disease management, and increased the quality of consultations with a neutral effect on consultation length. Neither patient nor staff responses suggested that RPV led to an overall increase in patient anxiety or to an increased burden on renal units beyond the time required to enroll each patient. Patient Internet access to secondary care records concerning a complex chronic disease is feasible and popular, providing an increased sense of empowerment and understanding, with no serious identified negative consequences. Security concerns were present but rarely prevented participation. These are powerful reasons to make this type of access more widely available.

Using Game Theoretic Models to Predict Pilot Behavior in NextGen Merging and Landing Scenario

NASA Technical Reports Server (NTRS)

Yildiz, Yildiray; Lee, Ritchie; Brat, Guillaume

2012-01-01

In this paper, we present an implementation of the Semi Network-Form Game framework to predict pilot behavior in a merging and landing scenario. In this scenario, two aircraft are approaching to a freeze horizon with approximately equal distance when they become aware of each other via an ADS-B communication link that will be available in NextGen airspace. Both pilots want to gain advantage over the other by entering the freeze horizon earlier and obtain the first place in landing. They re-adjust their speed accordingly. However, they cannot simply increase their speed to the maximum allowable values since they are concerned with safety, separation distance, effort, possibility of being vectored-off from landing and possibility of violating speed constraints. We present how to model these concerns and the rest of the system using semi network-from game framework. Using this framework, based on certain assumptions on pilot utility functions and on system configuration, we provide estimates of pilot behavior and overall system evolution in time. We also discuss the possible employment of this modeling tool for airspace design optimization. To support this discussion, we provide a case where we investigate the effect of increasing the merging point speed limit on the commanded speed distribution and on the percentage of vectored aircraft.

Microbial ecology of terrestrial Antarctica: Are microbial systems at risk from human activities?

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

White, G.J.

1996-08-01

Many of the ecological systems found in continental Antarctica are comprised entirely of microbial species. Concerns have arisen that these microbial systems might be at risk either directly through the actions of humans or indirectly through increased competition from introduced species. Although protection of native biota is covered by the Protocol on Environmental Protection to the Antarctic Treaty, strict measures for preventing the introduction on non-native species or for protecting microbial habitats may be impractical. This report summarizes the research conducted to date on microbial ecosystems in continental Antarctica and discusses the need for protecting these ecosystems. The focus ismore » on communities inhabiting soil and rock surfaces in non-coastal areas of continental Antarctica. Although current polices regarding waste management and other operations in Antarctic research stations serve to reduce the introduction on non- native microbial species, importation cannot be eliminated entirely. Increased awareness of microbial habitats by field personnel and protection of certain unique habitats from physical destruction by humans may be necessary. At present, small-scale impacts from human activities are occurring in certain areas both in terms of introduced species and destruction of habitat. On a large scale, however, it is questionable whether the introduction of non-native microbial species to terrestrial Antarctica merits concern.« less

Distributed cooperative control of AC microgrids

NASA Astrophysics Data System (ADS)

Bidram, Ali

In this dissertation, the comprehensive secondary control of electric power microgrids is of concern. Microgrid technical challenges are mainly realized through the hierarchical control structure, including primary, secondary, and tertiary control levels. Primary control level is locally implemented at each distributed generator (DG), while the secondary and tertiary control levels are conventionally implemented through a centralized control structure. The centralized structure requires a central controller which increases the reliability concerns by posing the single point of failure. In this dissertation, the distributed control structure using the distributed cooperative control of multi-agent systems is exploited to increase the secondary control reliability. The secondary control objectives are microgrid voltage and frequency, and distributed generators (DGs) active and reactive powers. Fully distributed control protocols are implemented through distributed communication networks. In the distributed control structure, each DG only requires its own information and the information of its neighbors on the communication network. The distributed structure obviates the requirements for a central controller and complex communication network which, in turn, improves the system reliability. Since the DG dynamics are nonlinear and non-identical, input-output feedback linearization is used to transform the nonlinear dynamics of DGs to linear dynamics. Proposed control frameworks cover the control of microgrids containing inverter-based DGs. Typical microgrid test systems are used to verify the effectiveness of the proposed control protocols.

Influence of quasi-particle density over polaron mobility in armchair graphene nanoribbons.

PubMed

Silva, Gesiel Gomes; da Cunha, Wiliam Ferreira; de Sousa Junior, Rafael Timóteo; Almeida Fonseca, Antonio Luciano; Ribeiro Júnior, Luiz Antônio; E Silva, Geraldo Magela

2018-06-20

An important aspect concerning the performance of armchair graphene nanoribbons (AGNRs) as materials for conceiving electronic devices is related to the mobility of charge carriers in these systems. When several polarons are considered in the system, a quasi-particle wave function can be affected by that of its neighbor provided the two are close enough. As the overlap may affect the transport of the carrier, the question concerning how the density of polarons affect its mobility arises. In this work, we investigate such dependence for semiconducting AGNRs in the scope of nonadiabatic molecular dynamics. Our results unambiguously show an impact of the density on both the stability and average velocity of the quasi-particles. We have found a phase transition between regimes where increasing density stops inhibiting and starts promoting mobility; densities higher than 7 polarons per 45 Å present increasing mean velocity with increasing density. We have also established three different regions relating electric field and average velocity. For the lowest electric field regime, surpassing the aforementioned threshold results in overcoming the 0.3 Å fs-1 limit, thus representing a transition between subsonic and supersonic regimes. For the highest of the electric fields, density effects alone are responsible for a stunning difference of 1.5 Å fs-1 in the mean carrier velocity.

Vulnerability of water distribution systems to pathogen intrusion: how effective is a disinfectant residual?

PubMed

Propato, Marco; Uber, James G

2004-07-01

Can the spread of infectious disease through water distribution systems be halted by a disinfectant residual? This question is overdue for an answer. Regulatory agencies and water utilities have long been concerned about accidental intrusions of pathogens into distribution system pipelines (i.e., cross-connections) and are increasingly concerned about deliberate pathogen contamination. Here, a simulation framework is developed and used to assess the vulnerability of a water system to microbiological contamination. The risk of delivering contaminated water to consumers is quantified by a network water quality model that includes disinfectant decay and disinfection kinetics. The framework is applied to two example networks under a worst-case deliberate intrusion scenario. Results show that the risk of consumer exposure is affected by the residual maintenance strategy employed. The common regulation that demands a "detectable" disinfectant residual may not provide effective consumer protection against microbial contamination. A chloramine residual, instead of free chlorine, may significantly weaken this final barrier against pathogen intrusions. Moreover, the addition of a booster station at storage tanks may improve consumer protection without requiring excessive disinfectant.

Rare resource supply crisis and solution technology for semiconductor manufacturing

NASA Astrophysics Data System (ADS)

Fukuda, Hitomi; Hu, Sophia; Yoo, Youngsun; Takahisa, Kenji; Enami, Tatsuo

2016-03-01

There are growing concerns over future environmental impact and earth resource shortage throughout the world and in many industries. Our semiconductor industry is not excluded. "Green" has become an important topic as production volume become larger and more powerful. Especially, the rare gases are widely used in semiconductor manufacturing because of its inertness and extreme chemical stability. One major component of an Excimer laser system is Neon. It is used as a buffer gas for Argon (Ar) and Krypton (Kr) gases used in deep ultraviolet (DUV) lithography laser systems. Since Neon gas accounting for more than 96% of the laser gas mixture, a fairly large amount of neon gas is consumed to run these DUV lasers. However, due to country's instability both in politics and economics in Ukraine, the main producer of neon gas today, supply reduction has become an issue and is causing increasing concern. This concern is not only based on price increases, but has escalated to the point of supply shortages in 2015. This poses a critical situation for the semiconductor industry, which represents the leading consumer of neon gas in the world. Helium is another noble gas used for Excimer laser operation. It is used as a purge gas for optical component modules to prevent from being damaged by active gases and impurities. Helium has been used in various industries, including for medical equipment, linear motor cars, and semiconductors, and is indispensable for modern life. But consumption of helium in manufacturing has been increased dramatically, and its unstable supply and price rise has been a serious issue today. In this article, recent global supply issue of rare resources, especially Neon gas and Helium gas, and its solution technology to support semiconductor industry will be discussed.

DEVELOPMENT OF A RISK ASSESSMENT MODEL FOR THE EFFECTS OF ORGANOPHOSPHORUS PESTICIDES ON INFECTIOUS DISEASE SUSCEPTIBILITY AND THE IMMUNE SYSTEM

EPA Science Inventory

There is increased concern about the sublethal effects of organophosphorus (OP) pesticides on human and animal health. This class of chemicals has been shown to affect the immune function of macrophages and lymphocytes. Malathion, an OP compound, is one of the most widely used ...

The Operational Value of Human Capital Theory and Cultural Capital Theory in Social Stratification

ERIC Educational Resources Information Center

Aziz, Abdul

2015-01-01

Policy prescriptions concerning the state of pedagogy by previous government administrations have transformed the education system into a market model where brand values and purchasing power appear to be increasingly dictating access to education rather than the ability to learn and meritocracy. This article explores the pervasion of market values…

Ideas Tried, Lessons Learned, and Improvements to Make: A Journey in Moving a Spreadsheet-Intensive Course Online

ERIC Educational Resources Information Center

Berardi, Victor L.

2012-01-01

Using information systems to solve business problems is increasingly required of everyone in an organization, not just technical specialists. In the operations management class, spreadsheet usage has intensified with the focus on building decision models to solve operations management concerns such as forecasting, process capability, and inventory…

Does Climate Literacy Matter? A Case Study of U.S. Students' Level of Concern about Anthropogenic Global Warming

ERIC Educational Resources Information Center

Bedford, Daniel

2016-01-01

Educators seeking to address global warming in their classrooms face numerous challenges, including the question of whether student opinions about anthropogenic global warming (AGW) can change in response to increased knowledge about the climate system. This article analyzes survey responses from 458 students at a primarily undergraduate…

Higher Education in Australia: A Review of Reviews from Dawkins to Today

ERIC Educational Resources Information Center

Australian Government Department of Education and Training, 2015

2015-01-01

The challenge of funding a high quality higher education system, ensuring it has the capacity to help meet the increasing demand for high level skills in our economy and the aspirations of our students, has been an ongoing concern for successive Australian governments over many years. This paper reviews the findings and recommendations of…

Perspectives on law enforcement in recreation areas

Treesearch

Lawrence C. Hadley

1971-01-01

The nature and scope of law-enforcement problems in the National Park System are of increasing concern to park and recreation area managers. A positive response by management in terms of formulating and executing a fully professional and effective enforcement program is vital for sustaining public confidence that Parks are safe for individual and family use. Law...

Long-term impacts of variable retention harvesting on ground-layer plant communities in Pinus resinosa forests

Treesearch

Margaret W. Roberts; Anthony W. D' Amato; Christel C. Kern; Brian J. Palik; Lorenzo Marini

2016-01-01

Concerns about loss of biodiversity and structural complexity in managed forests have recently increased and led to the development of new management strategies focused on restoring or maintaining ecosystem functions while also providing wood outputs. Variable retention harvest (VRH) systems, in which mature overstorey trees are retained in various spatial arrangements...

A Profile of Anson County, North Carolina.

ERIC Educational Resources Information Center

Farr, M. Gaston; And Others

Since 1950 Anson County, North Carolina, has had major contributions to economic development, a source of great concern to residents of the almost entirely rural area. The increased capacity of the Blewitt Falls Dam power output and the county-wide water filtration system (one of only a few in the United States today) are attractive to industry.…

Hours to Graduation: A National Survey of Credit Hours Required for Baccalaureate Degrees.

ERIC Educational Resources Information Center

Pitter, Gita Wijesinghe; And Others

In the context of an increased emphasis on accountability in higher education and time taken to earn a baccalaureate degree, the Board of Regents of the State University System of Florida conducted a national survey of 75 public universities concerning the minimum credit hours required for the baccalaureate degree for various disciplines. The…

An Economist's View of Planning Problems in Community College Systems. Occasional Paper No. 10.

ERIC Educational Resources Information Center

Fearn, Robert M.; Ihnen, Loren A.

Major factors that have led to the recent concern and heavy involvement in educational research and planning are: (1) society's resources are being used to finance educational activities; (2) the role of education in the economic growth; and (3) the increased recognition that the quantity of education influences the individual's level of income…

Financial Accounting for School Activities. Bulletin, 1959, No. 21

ERIC Educational Resources Information Center

Samuelson, Everett V., Comp.; Tankard, George G., Jr., Comp.; Pope, Hoyt, W., Comp.

1959-01-01

This handbook is a guide to accounting for school activity funds. It is designed for use by individual schools and school systems throughout the United States. The project was undertaken to meet the increasing concern of State and local school officials and the general public for safe ands economical handling of school activity money which amounts…

Report from the International Permafrost Association: carbon pools in permafrost regions

Treesearch

Peter Kuhry; Chien-Lu Ping; Edward A.G. Schuur; Charles Tarnocai; Sergey Zimov

2009-01-01

The IPA Carbon Pools in Permafrost Regions (CAPP) Project started in 2005, with endorsement of the Earth System Science Partnership (EESP) Global Carbon Project and the World Climate Research Programme (WCRP) Climate and Cryosphere Project. CAPP is also a project of the IPY. The project was launched because there is considerable concern and increased awareness both...

Higher Education System and the "Open" Knowledge Transfer: A View from Perception of Senior Managers at University Knowledge Transfer Offices

ERIC Educational Resources Information Center

Sharifi, Hossein; Liu, Weisheng; Ismail, Hossam S.

2014-01-01

Higher education institutions (HEIs) have become increasingly entrepreneurial. Such a shift is highly dependent on the managers of university knowledge transfer offices whose perceptions can be critical in this transformation. This study examines such senior managers' perceptions concerning the "open" paradigm in relation with the…

Liquidity-related plan asset issues.

PubMed

Murphy, B B; Johnson, M K; Zorn, W P

2000-12-01

By about 2025, most baby boomers will have retired, which will put a tremendous strain on public sector pension plans. Many will experience negative cash flows, and liquidity will be an increasing concern. Asset/liability studies can help measure the effect of this risk on system funding and contribution requirements, resulting in more informed asset allocation choices and benefit policies.

Examining the Implementation of Two Co-Teaching Models: Team Teaching and Station Teaching

ERIC Educational Resources Information Center

Gurgur, Hasan; Uzuner, Yildiz

2011-01-01

In Turkey, the number of students in mainstream education is increasing, and a support service does not exist even though mainstreaming has been implemented for many years. Therefore, within this system, many students with special needs are failing. Thus, there is a need for evidence-based research projects concerning the ways of supporting these…

Potential traceable markers of organic matter in organic and conventional dairy manure using ultraviolet–visible and solid-state 13C nuclear magnetic resonance spectroscopy

USDA-ARS?s Scientific Manuscript database

Organic dairy (OD) production is drawing increasing attention because of public concerns about food safety, animal welfare and the potential environmental impacts of conventional dairy (CD) systems. However, very limited information is available on how organic farming practices affect the chemical ...

Helicopter Parents of Community College Students: How Community College Professionals Operationally Define and Address This Phenomenon

ERIC Educational Resources Information Center

Hightower, Helen C.

2014-01-01

This study examined whether the phenomenon of "parental over-involvement" occurred in the Virginia Community College System. Concern has been expressed in the popular and academic literature in recent years over the increased level of parental involvement at four year institutions whose student bodies consist almost exclusively of…

Public Pension Reform and Teacher Turnover: Evidence from Washington State. CEDR Policy Brief. WP #2015-8

ERIC Educational Resources Information Center

Goldhaber, Dan; Grout, Cyrus; Holden, Kristian

2015-01-01

Traditional defined benefit (DB) pension systems in many states face large funding shortfalls. Movement toward defined contribution (DC) pension structures may reduce the likelihood of future shortfalls, but there is concern that such reforms may have the undesirable effect of increasing employee turnover. In studying patterns of employee turnover…

Cyber-Security Concerns Mount as Student Hacking Hits Schools: Districts Straining to Safeguard Online Networks

ERIC Educational Resources Information Center

Borja, Rhea R.

2006-01-01

While schools rightly fear break-ins to their computer systems by professional criminals, students are increasingly giving educators almost as much to worry about. Reports of students' gaining access to school networks to change grades, delete teachers' files, or steal data are becoming more common, experts say, and many districts remain highly…

Creating a Comprehensive Picture of School Performance. A PACER Policy Brief

ERIC Educational Resources Information Center

Duffy, Mark; Jenkins, Della

2015-01-01

For more than two decades, states have been required to report publicly on the academic performance of schools and districts. These school rating systems have received increased public attention amid growing concerns about the prevalence and cost of standardized testing in schools. According to a recent Gallup Poll, 64 percent of the public…

[Ethical and legal issues concerning renal replacement therapy withdrawal or withholding].

PubMed

Radziszewski, Andrzej; Stompór, Tomasz; Gajda, Mariusz; Sułowicz, Władysław

2006-01-01

Rapid and dynamic increase of the number of patients that need different forms of renal replacement therapy can be noticed in the developed countries. This increase is associated with increased number of patients with 'diseases of modern civilization', such as diabetes and hypertension, which lead to kidney complications (e.g. diabetic and hypertensive nephropathy). Improved long-term care (especially diabetic and cardiologic) allows these patients to survive longer and to reach the stage of end-stage renal disease. This leads to increasing age and morbidity of patients treated with dialysis. In many cases, due to extremely advanced level of co-morbidity patients on dialysis are exposed to extreme level of suffering and unacceptably low quality of life. Persistent continuing of renal replacement therapy under such circumstances (with no hope for recovery or improvement) raises also some economical issues, especially in the context of permanent crisis and shortage of resources in health systems of most countries in the world. In this review the current practice concerning withdrawal or withholding of renal replacement therapy as well as some legal and ethical issues of this practice are discussed.

Low dose radiation adaptive protection to control neurodegenerative diseases.

PubMed

Doss, Mohan

2014-05-01

Concerns have been expressed recently regarding the observed increased DNA damage from activities such as thinking and exercise. Such concerns have arisen from an incomplete accounting of the full effects of the increased oxidative damage. When the effects of the induced adaptive protective responses such as increased antioxidants and DNA repair enzymes are taken into consideration, there would be less endogenous DNA damage during the subsequent period of enhanced defenses, resulting in improved health from the thinking and exercise activities. Low dose radiation (LDR), which causes oxidative stress and increased DNA damage, upregulates adaptive protection systems that may decrease diseases in an analogous manner. Though there are ongoing debates regarding LDR's carcinogenicity, with two recent advisory committee reports coming to opposite conclusions, data published since the time of the reports have overwhelmingly ruled out its carcinogenicity, paving the way for consideration of its potential use for disease reduction. LDR adaptive protection is a promising approach to control neurodegenerative diseases, for which there are no methods of prevention or cure. Preparation of a compelling ethics case would pave the way for LDR clinical studies and progress in dealing with neurodegenerative diseases.

Flutter suppression by active control and its benefits

NASA Technical Reports Server (NTRS)

Doggett, R. V., Jr.; Townsend, J. C.

1976-01-01

A general discussion of the airplane applications of active flutter suppression systems is presented with focus on supersonic cruise aircraft configurations. Topics addressed include a brief historical review; benefits, risks, and concerns; methods of application; and applicable configurations. Results are presented where the direct operating costs and performance benefits of an arrow wing supersonic cruise vehicle equipped with an active flutter suppression system are compared with corresponding costs and performance of the same baseline airplane where the flutter deficiency was corrected by passive methods (increases in structural stiffness). The design, synthesis, and conceptual mechanization of the active flutter suppression system are discussed. The results show that a substantial weight savings can be accomplished by using the active system. For the same payload and range, airplane direct operating costs are reduced by using the active system. The results also indicate that the weight savings translates into increased range or payload.

Risk assessment of integrated electronic health records.

PubMed

Bjornsson, Bjarni Thor; Sigurdardottir, Gudlaug; Stefansson, Stefan Orri

2010-01-01

The paper describes the security concerns related to Electronic Health Records (EHR) both in registration of data and integration of systems. A description of the current state of EHR systems in Iceland is provided, along with the Ministry of Health's future vision and plans. New legislation provides the opportunity for increased integration of EHRs and further collaboration between institutions. Integration of systems, along with greater availability and access to EHR data, requires increased security awareness since additional risks are introduced. The paper describes the core principles of information security as it applies to EHR systems and data. The concepts of confidentiality, integrity, availability, accountability and traceability are introduced and described. The paper discusses the legal requirements and importance of performing risk assessment for EHR data. Risk assessment methodology according to the ISO/IEC 27001 information security standard is described with examples on how it is applied to EHR systems.

48 CFR 871.211 - Information concerning correspondence courses.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Information concerning correspondence courses. 871.211 Section 871.211 Federal Acquisition Regulations System DEPARTMENT OF VETERANS... PROGRAMS Vocational Rehabilitation and Employment Service 871.211 Information concerning correspondence...

48 CFR 453.108 - Recommendations concerning forms.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Recommendations concerning forms. 453.108 Section 453.108 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE CLAUSES AND FORMS FORMS General 453.108 Recommendations concerning forms. Contracting officers shall submit...

[Awareness survey of Healthcare Number System pros and cons according to medical doctors in Japan].

PubMed

Takahashi, Yoshimitsu; Uryuhara, Yoko; Inoue, Machiko; Okamoto, Shigeru; Kashihara, Hidenori; Kito, Kumiko; Shinohara, Keiko; Mandai, Marie; Morioka, Miho; Tanaka, Shiro; Kawakami, Koji; Nakayama, Takeo

2015-01-01

After bills to launch the Social Security and Tax Number System were enacted in 2013, health and political officials have considered the Healthcare Number System (the System). However, little is known about doctors' awareness and concerns about the System. This study aimed to measure how many doctors disagree with the System, examine the doctors' characteristics, and analyze the benefits and harms of the System that they identified. A cross-sectional survey was conducted of doctors via the Internet. The participants were selected from a convenience sample of a panel of doctors based on stratified sampling including four groups: working at a hospital and <45 years; working at a hospital and ≥45 years; working at a clinic and <45 years; and working at a clinic and ≥45 years. The main outcome was how many doctors agreed or disagreed with the System. The prevalence was calculated for each group, and their characteristics were examined using multivariable logistic regression analysis. The responses to open-ended questions concerning the Systems' benefits and harms were analyzed using qualitative content analysis. There were 562 respondents (68%). By group, 16/143 (11%), 25/138 (18%), 31/132 (23%), and 43/149 (29%) doctors, respectively, thought that the System was unnecessary. The variables that correlated with the main outcome were age (per 5 years; odds ratio [95% confidence interval], 1.14 [1.01-1.29]) and type of medical facility (working at a clinic; 1.99 [1.30-3.08]). The doctors identified that unifying information could decrease administrative duties, facilitate inter-facility collaboration, and prevent inappropriate medical consultations. This could result in decreased healthcare costs and personalized healthcare. However, the doctors also identified that integrating information and dealing with big data could increase information leakage and information management, cause over-monitoring of doctors, and enable the inappropriate use of integrated information. This could result in deteriorating healthcare. Since some information should not be integrated, the System raises ethical considerations about privacy. Among the doctors surveyed here, 10-30% thought the System was unnecessary. These respondents tended to be older and work at a clinic. The System could decrease the cost of healthcare and enable personalized healthcare but could also increase information leakage and information management, cause over-monitoring of doctors, and enable the inappropriate use of integrated information. Prior to System introduction, we should facilitate consensus-building about protecting and utilizing personal information as well as consider the related ethical issues, and doctors' characteristics and concerns.

Dynamic characteristic investigation on the fuel pressure of diesel engines electronic in-line pump system

NASA Astrophysics Data System (ADS)

Liu, You; Yuan, Zhi-Guo; Fan, Li-Yun; Tian, Bin-Qi

2010-12-01

The electronic in-line pump (EIP) is a complex system consisting of mechanical, hydraulic, and electromagnetic parts. Experimental study showed that the fuel pressure of the plunger and the fuel drainage of the pressure system after fuel injection could result in fuel pressure fluctuation in the low pressure system. Such fluctuation exhibited pulsating cycle fluctuation as the amplitude rose with the increase of the injection pulse width. The time domain analysis found that the pressure time history curve and injection cylinders corresponded with a one-to-one relationship. By frequency domain analysis, the result was that with the increase of the working cylinder number, the high frequency amplitude gradually increased and the basic frequency amplitude gradually decreased. The conclusion was that through wavelet transformation, the low pressure signal simultaneously moved towards low frequency as the high frequency of the wavelet transformation signal with the working cylinder number increased. Lastly, by using the numerical model, the study investigated the simulation research concerning the relationship of the fluctuation dynamic characteristic in the low pressure system and the fuel injection characteristic of the high pressure system, completing the conclusions obtained by the experimental study.

Development of a Sensitive Luciferase-Based Sandwich ELISA System for the Detection of Human Extracellular Matrix 1 Protein.

PubMed

Li, Ya; Li, Yanqing; Zhao, Junli; Zheng, Xiaojing; Mao, Qinwen; Xia, Haibin

2016-12-01

Enzyme-linked immunosorbent assay (ELISA) has been one of the main methods for detecting an antigen in an aqueous sample for more than four decades. Nowadays, one of the biggest concerns for ELISA is still how to improve the sensitivity of the assay, and the luciferase-luciferin reaction system has been noticed as a new detection method with high sensitivity. In this study, a luciferin-luciferase reaction system was used as the detection method for a sandwich ELISA system. It was shown that this new system led to an increase in the detection sensitivity of at least two times when compared with the traditional horseradish peroxidase (HRP) detection method. Lastly, the serum levels of the human extracellular matrix 1 protein of breast cancer patients were determined by the new system, which were overall similar to the HRP chemiluminescent system. Furthermore, this new luciferase reporter can be implemented into other ELISA systems for the purpose of increasing the assay sensitivity.

THE CONCEPT OF A COMMUNITY INFORMATION SYSTEM TO MEASURE THE QUALITY OF PUBLIC SERVICES,

DTIC Science & Technology

The community information system would consist of the collection of data relevant to public service quality , the periodic reporting of this data in a summarized, sharply focused form, and the application of reliable performance measures to it. The primary purpose of the CIS...groups in forming balanced judgments and making decisions concerning the service they receive. A secondary purpose would be to increase service quality by making it more visible to the public. (Author)

An Analysis of Attendance Patterns in the Experimental Food Service System at Travis Air Force Base

DTIC Science & Technology

1974-12-01

Food Service System Study was undertaken to develop wideranging improvements in current Air Force food service operations. Of particular concern was the need to increase consumer attendance and utilization of the dining facilities. A number of changes were implemented during the experiment including menu modifications, dining hall renovations, and the introduction of three new food service operations - a modular fast food unit, a flight line facility, and an ethnic, specialty meal service provided by one of the renovated dining

The Test and Evaluation Uses of Heterogeneous Computing: GPGPUs and Other Approaches

DTIC Science & Technology

2011-03-01

is commonly held that test and evaluation (T& E ) is one of the most critical steps in the development of virtually all defense systems (Fox et al. 2003...T& E of current systems is an elaborate and time-consuming process that reflects both the intricacies of the object of the test and the range of...bases (Kepner 2004). These questions are even more urgent because increasing emphasis in T& E concerns the expenditures of money and time in the

Status of the ERDA/NASA photovoltaic tests and applications project

NASA Technical Reports Server (NTRS)

Deyo, J. N.; Brandhorst, H. W., Jr.; Forestieri, A. F.

1976-01-01

The Tests and Applications Project of the ERDA Photovoltaic Program is concerned with the testing of photovoltaic systems and the growth of their use in real terrestrial applications. This activity is an important complement to the development of low cost solar arrays by providing requirements based on application needs and stimulating markets to create demand to absorb increasing production capacity. A photovoltaic system test facility is now operational, market stimulation has been initiated through applications, and standards for terrestrial cell measurements established.

78 FR 23247 - Policy Statement Concerning Assistance

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-18

... FARM CREDIT SYSTEM INSURANCE CORPORATION Policy Statement Concerning Assistance AGENCY: Farm... Concerning Assistance,'' which replaces the Corporation's existing ``Policy Statement Concerning Stand-Alone Assistance.'' The new policy statement provides additional transparency concerning the Corporation's...

48 CFR 5.002 - Policy.

Code of Federal Regulations, 2010 CFR

2010-10-01

....002 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION ACQUISITION PLANNING... (c) Assist small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns...

Component Cost Reduction by Value Engineering: A Case Study

NASA Astrophysics Data System (ADS)

Kalluri, Vinayak; Kodali, Rambabu

2017-04-01

The concept value engineering (VE) acts to increase the value of a product through the improvement in existent functions without increasing their costs. In other words, VE is a function oriented, systematic team approach study to provide value in a product, system or service. The authors systematically explore VE through the six step framework proposed by SAVE and a case study is presented to address the concern of reduction in cost without compromising the function of a hydraulic steering cylinder through the aforementioned VE framework.

Progress and challenges associated with halal authentication of consumer packaged goods.

PubMed

Premanandh, Jagadeesan; Bin Salem, Samara

2017-11-01

Abusive business practices are increasingly evident in consumer packaged goods. Although consumers have the right to protect themselves against such practices, rapid urbanization and industrialization result in greater distances between producers and consumers, raising serious concerns on the supply chain. The operational complexities surrounding halal authentication pose serious challenges on the integrity of consumer packaged goods. This article attempts to address the progress and challenges associated with halal authentication. Advancement and concerns on the application of new, rapid analytical methods for halal authentication are discussed. The significance of zero tolerance policy in consumer packaged foods and its impact on analytical testing are presented. The role of halal assurance systems and their challenges are also considered. In conclusion, consensus on the establishment of one standard approach coupled with a sound traceability system and constant monitoring would certainly improve and ensure halalness of consumer packaged goods. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

1999 NSREC Short Course: Proton Effects and Test Issues for Satellite Designers: Displacement Effects. Section 4

NASA Technical Reports Server (NTRS)

Marshall, Cheryl J.; Marshall, Paul W.

1999-01-01

This portion of the Short Course is divided into two segments to separately address the two major proton-related effects confronting satellite designers: ionization effects and displacement damage effects. While both of these topics are deeply rooted in "traditional" descriptions of space radiation effects, there are several factors at play to cause renewed concern for satellite systems being designed today. For example, emphasis on Commercial Off-The-Shelf (COTS) technologies in both commercial and government systems increases both Total Ionizing Dose (TID) and Single Event Effect (SEE) concerns. Scaling trends exacerbate the problems, especially with regard to SEEs where protons can dominate soft error rates and even cause destructive failure. In addition, proton-induced displacement damage at fluences encountered in natural space environments can cause degradation in modern bipolar circuitry as well as in many emerging electronic and opto-electronic technologies.

A Survey on Nickel Titanium Rotary Instruments and their Usage Techniques by Endodontists in India.

PubMed

Patil, Thimmanagowda N; Saraf, Prahlad A; Penukonda, Raghavendra; Vanaki, Sneha S; Kamatagi, Laxmikant

2017-05-01

The preference and usage of nickel titanium rotary instruments varies from individual to individual based on their technique, experience with the rotary systems and the clinical situation. Very limited information is available to explain the adoption of changing concepts with respect to nickel titanium rotary instruments pertaining to the endodontists in India. The aim of this study was to conduct a questionnaire survey to acquire the knowledge concerning different NiTi rotary instruments and their usage techniques by endodontists in India. A Survey questionnaire was designed which consisted of 32 questions regarding designation, demographics, experience with rotary instruments, usage of different file systems, usage techniques, frequency of reuse, occurrence of file fracture, reasons and their management was distributed by hand in the national postgraduate convention and also disseminated via electronic medium to 400 and 600 endodontists respectively. Information was collected from each individual to gain insight into the experiences and beliefs of endodontists concerning the new endodontic technology of rotary NiTi instrumentation based on their clinical experience with the rotary systems. The questions were designed to ascertain the problems, patterns of use and to identify areas of perceived or potential concern regarding the rotary instruments and the data acquired was statistically evaluated using Fisher's-exact test and the Chi-Square test. Overall 63.8% (638) endodontists responded. ProTaper was one of the most commonly used file system followed by M two and ProTaper Next. There was a significant co relation between the years of experience and the file re use frequency, preparation technique, file separation, management of file separation. A large number of Endodontists prefer to reuse the rotary NiTi instruments. As there was an increase in the experience, the incidence of file separation reduced with increasing number of re use frequency and with experience, the management of separated file was better.

A Survey on Nickel Titanium Rotary Instruments and their Usage Techniques by Endodontists in India

PubMed Central

Saraf, Prahlad A; Penukonda, Raghavendra; Vanaki, Sneha S; Kamatagi, Laxmikant

2017-01-01

Introduction The preference and usage of nickel titanium rotary instruments varies from individual to individual based on their technique, experience with the rotary systems and the clinical situation. Very limited information is available to explain the adoption of changing concepts with respect to nickel titanium rotary instruments pertaining to the endodontists in India. Aim The aim of this study was to conduct a questionnaire survey to acquire the knowledge concerning different NiTi rotary instruments and their usage techniques by endodontists in India. Materials and Methods A Survey questionnaire was designed which consisted of 32 questions regarding designation, demographics, experience with rotary instruments, usage of different file systems, usage techniques, frequency of reuse, occurrence of file fracture, reasons and their management was distributed by hand in the national postgraduate convention and also disseminated via electronic medium to 400 and 600 endodontists respectively. Information was collected from each individual to gain insight into the experiences and beliefs of endodontists concerning the new endodontic technology of rotary NiTi instrumentation based on their clinical experience with the rotary systems. The questions were designed to ascertain the problems, patterns of use and to identify areas of perceived or potential concern regarding the rotary instruments and the data acquired was statistically evaluated using Fisher’s-exact test and the Chi-Square test. Results Overall 63.8% (638) endodontists responded. ProTaper was one of the most commonly used file system followed by M two and ProTaper Next. There was a significant co relation between the years of experience and the file re use frequency, preparation technique, file separation, management of file separation. Conclusion A large number of Endodontists prefer to reuse the rotary NiTi instruments. As there was an increase in the experience, the incidence of file separation reduced with increasing number of re use frequency and with experience, the management of separated file was better. PMID:28658903

48 CFR 53.108 - Recommendations concerning forms.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Recommendations concerning forms. 53.108 Section 53.108 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION (CONTINUED) CLAUSES AND FORMS FORMS General 53.108 Recommendations concerning forms. Users of this regulation...

Use of Monte Carlo simulation for the interpretation and analysis of diffuse scattering

NASA Astrophysics Data System (ADS)

Welberry, T. R.; Chan, E. J.; Goossens, D. J.; Heerdegen, A. P.

2010-02-01

With the development of computer simulation methods there is, for the first time, the possibility of having a single general method that can be used for any diffuse scattering problem in any type of system. As computers get ever faster it is expected that current methods will become increasingly powerful and applicable to a wider and wider range of problems and materials and provide results in increasingly fine detail. In this article we discuss two contrasting recent examples. The first is concerned with the two polymorphic forms of the pharmaceutical compound benzocaine. The strong and highly structured diffuse scattering in these is shown to be symptomatic of the presence of highly correlated molecular motions. The second concerns Ag+ fast ion conduction in the pearceite/polybasite family of mineral solid electrolytes. Here Monte-Carlo simulation is used to model the diffuse scattering and gain insight into how the ionic conduction arises.

Increased premotor cortex activation in high functioning autism during action observation.

PubMed

Perkins, Tom J; Bittar, Richard G; McGillivray, Jane A; Cox, Ivanna I; Stokes, Mark A

2015-04-01

The mirror neuron (MN) hypothesis of autism has received considerable attention, but to date has produced inconsistent findings. Using functional MRI, participants with high functioning autism or Asperger's syndrome were compared to typically developing individuals (n=12 in each group). Participants passively observed hand gestures that included waving, pointing, and grasping. Concerning the MN network, both groups activated similar regions including prefrontal, inferior parietal and superior temporal regions, with the autism group demonstrating significantly greater activation in the dorsal premotor cortex. Concerning other regions, participants with autism demonstrated increased activity in the anterior cingulate and medial frontal gyrus, and reduced activation in calcarine, cuneus, and middle temporal gyrus. These results suggest that during observation of hand gestures, frontal cortex activation is affected in autism, which we suggest may be linked to abnormal functioning of the MN system. Copyright © 2014 Elsevier Ltd. All rights reserved.

Protein instability and immunogenicity: roadblocks to clinical application of injectable protein delivery systems for sustained release.

PubMed

Jiskoot, Wim; Randolph, Theodore W; Volkin, David B; Middaugh, C Russell; Schöneich, Christian; Winter, Gerhard; Friess, Wolfgang; Crommelin, Daan J A; Carpenter, John F

2012-03-01

Protein instability and immunogenicity are two main roadblocks to the clinical success of novel protein drug delivery systems. In this commentary, we discuss the need for more extensive analytical characterization in relation to concerns about protein instability in injectable drug delivery systems for sustained release. We then will briefly address immunogenicity concerns and outline current best practices for using state-of-the-art analytical assays to monitor protein stability for both conventional and novel therapeutic protein dosage forms. Next, we provide a summary of the stresses on proteins arising during preparation of drug delivery systems and subsequent in vivo release. We note the challenges and difficulties in achieving the absolute requirement of quantitatively assessing the degradation of protein molecules in a drug delivery system. We describe the potential roles for academic research in further improving protein stability and developing new analytical technologies to detect protein degradation byproducts in novel drug delivery systems. Finally, we provide recommendations for the appropriate approaches to formulation design and assay development to ensure that stable, minimally immunogenic formulations of therapeutic proteins are created. These approaches should help to increase the probability that novel drug delivery systems for sustained protein release will become more readily available as effective therapeutic agents to treat and benefit patients. Copyright © 2011 Wiley Periodicals, Inc.

Role of chemoreception in cardiorespiratory acclimatization to, and deacclimatization from, hypoxia

PubMed Central

Powell, Frank L.; Bisgard, Gerald E.; Blain, Gregory M.; Poulin, Marc J.; Smith, Curtis A.

2013-01-01

During sojourn to high altitudes, progressive time-dependent increases occur in ventilation and in sympathetic nerve activity over several days, and these increases persist upon acute restoration of normoxia. We discuss evidence concerning potential mediators of these changes, including the following: 1) correction of alkalinity in cerebrospinal fluid; 2) increased sensitivity of carotid chemoreceptors; and 3) augmented translation of carotid chemoreceptor input (at the level of the central nervous system) into increased respiratory motor output via sensitization of hypoxic sensitive neurons in the central nervous system and/or an interdependence of central chemoreceptor responsiveness on peripheral chemoreceptor sensory input. The pros and cons of chemoreceptor sensitization and cardiorespiratory acclimatization to hypoxia and intermittent hypoxemia are also discussed in terms of their influences on arterial oxygenation, the work of breathing, sympathoexcitation, systemic blood pressure, and exercise performance. We propose that these adaptive processes may have negative implications for the cardiovascular health of patients with sleep apnea and perhaps even for athletes undergoing regimens of “sleep high-train low”! PMID:24371017

Role of chemoreception in cardiorespiratory acclimatization to, and deacclimatization from, hypoxia.

PubMed

Dempsey, Jerome A; Powell, Frank L; Bisgard, Gerald E; Blain, Gregory M; Poulin, Marc J; Smith, Curtis A

2014-04-01

During sojourn to high altitudes, progressive time-dependent increases occur in ventilation and in sympathetic nerve activity over several days, and these increases persist upon acute restoration of normoxia. We discuss evidence concerning potential mediators of these changes, including the following: 1) correction of alkalinity in cerebrospinal fluid; 2) increased sensitivity of carotid chemoreceptors; and 3) augmented translation of carotid chemoreceptor input (at the level of the central nervous system) into increased respiratory motor output via sensitization of hypoxic sensitive neurons in the central nervous system and/or an interdependence of central chemoreceptor responsiveness on peripheral chemoreceptor sensory input. The pros and cons of chemoreceptor sensitization and cardiorespiratory acclimatization to hypoxia and intermittent hypoxemia are also discussed in terms of their influences on arterial oxygenation, the work of breathing, sympathoexcitation, systemic blood pressure, and exercise performance. We propose that these adaptive processes may have negative implications for the cardiovascular health of patients with sleep apnea and perhaps even for athletes undergoing regimens of "sleep high-train low"!

From flood management systems to flood resilient systems: integration of flood resilient technologies

NASA Astrophysics Data System (ADS)

Salagnac, J.-L.; Diez, J.; Tourbier, J.

2012-04-01

Flooding has always been a major risk world-wide. Humans chose to live and develop settlements close to water (rivers, seas) due to the resources water brings, i.e. food, energy, capacity to economically transport persons and goods, and recreation. However, the risk from flooding, including pluvial flooding, often offsets these huge advantages. Floods sometimes have terrible consequences from both a human and economic point of view. The permanence and growth of urban areas in flood-prone zones despite these risks is a clear indication of the choices of concerned human groups. The observed growing concentration of population along the sea shore, the increase of urban population worldwide, the exponential growth of the world population and possibly climate change are factors that confirm flood will remain a major issue for the next decades. Flood management systems are designed and implemented to cope with such situations. In spite of frequent events, lessons look to be difficult to draw out and progresses are rather slow. The list of potential triggers to improve flood management systems is nevertheless well established: information, education, awareness raising, alert, prevention, protection, feedback from events, ... Many disciplines are concerned which cover a wide range of soft and hard sciences. A huge amount of both printed and electronic literature is available. Regulations are abundant. In spite of all these potentially favourable elements, similar questions spring up after each new significant event: • Was the event forecast precise enough? • Was the alert system efficient? • Why were buildings built in identified flood prone areas? • Why did the concerned population not follow instructions? • Why did the dike break? • What should we do to avoid it happens again? • What about damages evaluation, wastes and debris evacuation, infrastructures and buildings repair, activity recovery, temporary relocation of inhabitants, health concerns, insurance concerns, water-resistant materials, vulnerability assessment ? Flood resilient system (FReS) concept has been proposed as a new framework to address flood situations. Such systems intend to better approach such situations from a holistic point of view. FReS encompass ecologic, spatial, structural, social, disaster relief and flood risk aspects. FReS design and implementation conditions have been addressed by the FP7 SMARTeST (Smart Resilience Technology, Systems and Tools) project. The focus of this Project on the use of available and innovative communication, forecasting and flood protection technologies leads to an original contribution which highlights both the scope and the limits of this technology driven approach. These reflexions contribute to the elaboration of guidelines for the design of FReS.

Ask Dr. Sue: Center Directors Express These Health Concerns.

ERIC Educational Resources Information Center

Aronson, Susan S.

1991-01-01

A physician addresses three health concerns of child care center directors. She provides information about the increasing number of children with asthma problems, the exclusion of ill children from child care settings, and the increasing concern about lead poisoning. (GLR)

Security and privacy issues in wireless sensor networks for healthcare applications.

PubMed

Al Ameen, Moshaddique; Liu, Jingwei; Kwak, Kyungsup

2012-02-01

The use of wireless sensor networks (WSN) in healthcare applications is growing in a fast pace. Numerous applications such as heart rate monitor, blood pressure monitor and endoscopic capsule are already in use. To address the growing use of sensor technology in this area, a new field known as wireless body area networks (WBAN or simply BAN) has emerged. As most devices and their applications are wireless in nature, security and privacy concerns are among major areas of concern. Due to direct involvement of humans also increases the sensitivity. Whether the data gathered from patients or individuals are obtained with the consent of the person or without it due to the need by the system, misuse or privacy concerns may restrict people from taking advantage of the full benefits from the system. People may not see these devices safe for daily use. There may also possibility of serious social unrest due to the fear that such devices may be used for monitoring and tracking individuals by government agencies or other private organizations. In this paper we discuss these issues and analyze in detail the problems and their possible measures.

The politics of end-of-life decision-making: computerised decision-support tools, physicians' jurisdiction and morality.

PubMed

Jennings, Beth

2006-04-01

With the increasing corporate and governmental rationalisation of medical care, the mandate of efficiency has caused many to fear that concern for the individual patient will be replaced with impersonal, rule-governed allocation of medical resources. Largely ignored is the role of moral principles in medical decision-making. This analysis comes from an ethnographic study conducted from 1999-2001 in three US Intensive Care Units, two of which were using the computerised decision-support tool, APACHE III (Acute Physiological and Chronic Health Evaluation III), which notably predicts the probability that a patient will die. It was found that the use of APACHE presents a paradox regarding concern for the individual patient. To maintain jurisdiction over the care of patients, physicians share the data with the payers and regulators of care to prove they are using resources effectively and efficiently, yet they use the system in conjunction with moral principles to justify treating each patient as unique. Thus, concern for the individual patient is not lessened with the use of this system. However, physicians do not share the data with patients or surrogate decision-makers because they fear they will be viewed as more interested in profits than patients.

A distributed incentive compatible pricing mechanism for P2P networks

NASA Astrophysics Data System (ADS)

Zhang, Jie; Zhao, Zheng; Xiong, Xiao; Shi, Qingwei

2007-09-01

Peer-to-Peer (P2P) systems are currently receiving considerable interest. However, as experience with P2P networks shows, the selfish behaviors of peers may lead to serious problems of P2P network, such as free-riding and white-washing. In order to solve these problems, there are increasing considerations on reputation system design in the study of P2P networks. Most of the existing works is concerning probabilistic estimation or social networks to evaluate the trustworthiness for a peer to others. However, these models can not be efficient all the time. In this paper, our aim is to provide a general mechanism that can maximize P2P networks social welfare in a way of Vickrey-Clarke-Groves family, while assuming every peer in P2P networks is rational and selfish, which means they only concern about their own outcome. This mechanism has some desirable properties using an O(n) algorithm: (1) incentive compatibility, every peer truly report its connection type; (2) individually rationality; and (3) fully decentralized, we design a multiple-principal multiple-agent model, concerning about the service provider and service requester individually.

Neuroendocrine Carcinomas of the Gastroenteropancreatic System: A Comprehensive Review

PubMed Central

Ilett, Emma Elizabeth; Langer, Seppo W.; Olsen, Ingrid Holst; Federspiel, Birgitte; Kjær, Andreas; Knigge, Ulrich

2015-01-01

To date, empirical literature has generally been considered lacking in relation to neuroendocrine carcinomas (NECs), the highly malignant subgroup of neuroendocrine neoplasms. NECs are often found in the lungs or the gastroenteropancreatic (GEP) system and can be of small or large cell type. Concentrating on GEP-NECs, we can conclude that survival times are poor, with a median of only 4–16 months depending on disease stage and primary site. Further, this aggressive disease appears to be on the rise, with incidence numbers increasing while survival times are stagnant. Treatment strategies concerning surgery are often undecided and second-line chemotherapy is not yet established. After an analysis of over 2600 articles, we can conclude that there is indeed more empirical literature concerning GEP-NECs available than previously assumed. This unique review is based on 333 selected articles and contains detailed information concerning all aspects of GEP-NECs. Namely, the classification, histology, genetic abnormalities, epidemiology, origin, biochemistry, imaging, treatment and survival of GEP-NECs are described. Also, organ-specific summaries with more detail in relation to disease presentation, diagnosis, treatment and survival are presented. Finally, key points are discussed with directions for future research priorities. PMID:26854147

Wind Power Ramping Product for Increasing Power System Flexibility

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

Cui, Mingjian; Zhang, Jie; Wu, Hongyu

With increasing penetrations of wind power, system operators are concerned about a potential lack of system flexibility and ramping capacity in real-time dispatch stages. In this paper, a modified dispatch formulation is proposed considering the wind power ramping product (WPRP). A swinging door algorithm (SDA) and dynamic programming are combined and used to detect WPRPs in the next scheduling periods. The detected WPRPs are included in the unit commitment (UC) formulation considering ramping capacity limits, active power limits, and flexible ramping requirements. The modified formulation is solved by mixed integer linear programming. Numerical simulations on a modified PJM 5-bus Systemmore » show the effectiveness of the model considering WPRP, which not only reduces the production cost but also does not affect the generation schedules of thermal units.« less

Remote sensing applications for urban planning - The LUMIS project. [Land Use Management Information System

NASA Technical Reports Server (NTRS)

Paul, C. K.; Landini, A. J.; Diegert, C.

1975-01-01

The Santa Monica mountains of Los Angeles consist primarily of complexly folded sedimentary marine strata with igneous and metamorphic rocks at the eastern end of the mountains. With the increased development of the Santa Monicas, a study was conducted to determine the critical land use data items in the mountains. Two information systems developed in parallel are described. One capitalizes on the City's present computer line printer system, and the second utilizes map overlay techniques on an interactive computer terminal. Results concerning population, housing, and land improvement illustrate the successful linking of ordinal and nominal data files in the interactive system.-

Parental vaccine refusal in Wisconsin: a case-control study.

PubMed

Salmon, Daniel A; Sotir, Mark J; Pan, William K; Berg, Jeffrey L; Omer, Saad B; Stokley, Shannon; Hopfensperger, Daniel J; Davis, Jeffrey P; Halsey, Neal A

2009-02-01

Successful immunization programs have diminished parental fear of diseases and increased fear of vaccines. Children with nonmedical exemptions to school immunization requirements are at increased risk of acquiring and transmitting disease. We explored differences in vaccine attitudes, beliefs, and information sources among parents of exempt and vaccinated children. Self-administered surveys were mailed to 780 parents of children with nonmedical exemptions (cases) and 1491 parents of fully-vaccinated children (controls). Vaccines most often refused by exempt children were varicella (49%) and hepatitis B (30%). The most common reason for claiming exemptions was vaccine might cause harm (57%). Parents of vaccinated children were less likely than parents of exempt children to report concern about vaccine safety, question the need for immunization, and oppose immunization requirements. Nearly 25% of parents of vaccinated children reported that children get more immunizations than are good for them and 34% expressed concern that children's immune systems could be weakened by too many immunizations. Both groups received information from health care professionals; parents of exempt children were more likely to also consult other sources. Our findings support the need for improved methods to communicate vaccine safety information. Further studies to explore vaccine safety concerns among parents are needed.

Use of Social Media by Fathers of Premature Infants.

PubMed

Kim, Hyung Nam; Wyatt, Tami H; Li, Xueping; Gaylord, Mark

Although parents of premature infants experience many challenges when transitioning home from the neonatal intensive care unit, healthcare providers and social support systems tend to focus on mothers and infants rather than fathers. Unfortunately, very little is known about paternal concerns and needs as compared with maternal ones. The lack of understanding about paternal needs may lead to inadequate designs of neonatal intensive care unit family support programs with less involved fathers, all of which contribute to increased burdens on mothers and poor health outcomes for their infants. Although information technology (IT) might have the potential to increase support for the fathers of preterm infants, only a few studies have examined systematically how IT applications can be beneficial. This study aims to advance the understanding of needs and concerns of fathers with preterm infants and how fathers use the IT applications (eg, social networking Web sites) to support themselves. We observed qualitatively various social networking Web sites (ie, 29 Web sites) where fathers share their experiences about preterm infants. We discovered that fathers used various social media to discuss their concerns and, in turn, obtained informational, companionship, and emotional supports. On the basis of our analysis, we provide insights into a father-centered technology intervention design.

75 FR 31803 - Notice of Issuance of Final Determination Concerning a Lift Unit for an Overhead Patient Lift System

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-04

... Determination Concerning a Lift Unit for an Overhead Patient Lift System AGENCY: U.S. Customs and Border... concerning the country of origin of a lift unit for an overhead patient lift system. Based upon the facts presented, CBP has concluded in the final determination that Sweden is the country of origin of the lift...

Competitive advantage in the ERP system's value-chain and its influence on future development

NASA Astrophysics Data System (ADS)

Johansson, Björn; Newman, Mike

2010-02-01

Using the resource-based view, we present a set of propositions related to enterprise resource planning (ERP) development, reflections on competitive advantage and the different roles that stakeholders play in the value-chain. This has the goal of building a foundation for future research on ERPs and how stakeholders' desire to achieve competitive advantage influence ERP development, especially when it comes to development of a more standardised or pre-customised ERP system. The propositions also act as a foundation for increasing our knowledge concerning the difficulty in developing improved ERP systems.

Environmental management problems in India

NASA Astrophysics Data System (ADS)

Bowonder, B.

1986-09-01

Environmental problems are becoming serious in India because of the interacting effects of increasing population density, industrialization and urbanization, and poor environmental management practices. Unless stringent regulatory measures are taken, environmental systems will be irreversibly degraded. Lack of political commitment, lack of a comprehensive environmental policy, poor environmental awareness, functional fragmentation of the public administration system, poor mass media concern, and prevalence of poverty are some of the major factors responsible for increasing the severity of the problems. Environmental problems in India are highly complex, and management procedures have to be developed to achieve coordination between various functional departments, and for this, political leaders have to be convinced of the need to initiate environmental protection measures.

Soyuz 22 Return Samples: Assessment of Air Quality Aboard the International Space Station

NASA Technical Reports Server (NTRS)

Jams, John T.

2010-01-01

Three mini-grab sample containers (m-GSCs) were returned aboard Soyuz 22 because of concerns that new air pollutants were present in the air and these were getting into the water recovery system. The Total Organic Carbon Analyzer had been giving increasing readings of total organic carbon (TOC) in the potable water, and it was postulated that an increased load into the system was responsible. The toxicological assessment of 3 m-GSCs from the ISS is shown in Table 1. The recoveries of the 3 standards (as listed above) from the GSCs averaged 103, 95 and 76%, respectively. Recovery from formaldehyde control badges were 90 and 91%.

Window performance and building energy use: Some technical options for increasing energy efficiency

NASA Astrophysics Data System (ADS)

Selkowitz, Stephen

1985-11-01

Window system design and operation has a major impact on energy use in buildings as well as on occupants' thermal and visual comfort. Window performance will be a function of optical and thermal properties, window management strategies, climate and orientation, and building type and occupancy. In residences, heat loss control is a primary concern, followed by sun control in more southerly climates. In commercial buildings, the daylight provided by windows may be the major energy benefits but solar gain must be controlled so that increased cooling loads do not exceed daylighting savings. Reductions in peak electrical demand and HVAC system size may also be possible in well-designed daylighted buildings.

Weight, shape, and muscularity concerns in male and female adolescents: Predictors of change and influences on eating concern.

PubMed

Hoffmann, Svenja; Warschburger, Petra

2017-02-01

The purpose of this study was to examine the impact of age and weight status on adolescents' body dissatisfaction and its change over 20 months in a gender-comparing design. The influence of body image concern on eating concern was also investigated. In a prospective study, 675 male and female adolescents aged 12-16 were assessed using self-report questionnaires on weight, shape, muscularity, and eating concerns. Height and weight measurements were taken by trained personnel. Data were analyzed using structural equation modeling. Analyses of latent means revealed more pronounced weight/shape concern in females than males and more pronounced muscularity concern in males than females. Weight/shape concern increased in females over time, whereas muscularity concern remained stable in both genders. Baseline levels of weight/shape concern could be predicted by age and weight status in females and by weight status in males. The only predictor of change in weight/shape concern was weight status in males. Baseline levels of muscularity concern could be predicted by age in females and by weight status in males. Similar effects were found for changes in muscularity concern in both genders. Increases in weight/shape and muscularity concern were associated with more pronounced eating concern. The results confirm gender differences in distinctive facets of body image concern and its prediction. The relevance of increase in body image concern in adolescents is underlined by its association with eating concern in both genders. Further explanatory variables for change in body dissatisfaction should be examined in future studies. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2017; 50:139-147). © 2016 Wiley Periodicals, Inc.

Vaccination of chickens with recombinant salmonella expressing the M2e and CD154 increase protection and decrease viral shedding following low pathogenic avian influenza challenge

USDA-ARS?s Scientific Manuscript database

Avian influenza (AI) is a significant public health concern and serious economic threat to the commercial poultry industry worldwide. Previous research demonstrates that antibodies against M2e confer protection against influenza challenge. Using the Red recombinase system in combination with overl...

Adaptations of Euro-Canadian Schools to Inuit Culture in Selected Communities in Nunavut.

ERIC Educational Resources Information Center

Berger, Paul

Formal schooling is less than 100 years old in the Kivalliq region of Nunavut. In the last three decades, efforts to reflect and value Inuit culture in northern schools have increased, in light of concerns over whether the dominant culture's education system was appropriate or effective for Inuit children. These efforts have resulted in varying…

Ethnic Identity Development in Schools among First Generation Immigrants in the United States

ERIC Educational Resources Information Center

Acar, Erkan; Yigit, Mehmet Fatih; Aslan, Dolgun

2016-01-01

Today, Americans are increasingly concerned about the matter of immigration in the United States. A growing number believe that immigrants are a burden to the country, taking jobs and housing and creating strains on the health care system. Many Americans are also worried about the cultural impact of the expanding number of newcomers to the U.S.…

Online Ratings Systems for Physicians and Institutions: Limitations of the Current State of the Art.

PubMed

Daskivich, Timothy J; Spiegel, Brennan; Kim, Hyung L

2017-03-01

Consumers are increasingly using online ratings tools that compare surgeons and institutions to identify high-quality providers. However, concerns regarding their limitations-data quality, validity of statistical comparisons, and impact on access to care-should be considered before full-scale implementation. Copyright © 2016 European Association of Urology. Published by Elsevier B.V. All rights reserved.

Successful Rural Water Supply Projects and the Concerns of Women. Women in Development.

ERIC Educational Resources Information Center

Roark, Paula

As the traditional water carriers and water managers, third world women are crucial to the success of rural water supply projects whose short term goal is increased water quality and quantity and whose long term goal is improved family health. Change depends on the utilization of local learning systems of the society and women are most often the…

An Examination of Information Technology and Its Perceived Quality Issues in Single System Hospitals in the United States

ERIC Educational Resources Information Center

Byrd, Linda W.

2009-01-01

The safety and quality of healthcare is of great concern in the United States. The positive effects of information technology reported in past research, especially case studies, has encouraged expectations that information technology may increase the quality of healthcare while reducing costs of healthcare. The goals of this study was to examine…

Amphibian distributions in riparian and upslope areas and their habitat associations on managed forest landscapes in the Oregon Coast Range

Treesearch

Matthew R. Kluber; Deanna H. Olson; Klaus J. Puettmann

2008-01-01

Over the past 50 years, forested landscapes of the Pacific Northwest have become increasingly patchy, dominated by early-successional forests. Several amphibian species associated with forested headwater systems have emerged as management concerns, especially after dearcutting. Given that headwater streams comprise a large portion of the length of flowing waterways in...

Sediment movement from forest road systems-roads: a major contributor to erosion and stream sedimentation

Treesearch

Johnny M. Grace

2002-01-01

Nonpoint source pollution is a major concern related to natural resource management throughout the United States. Undisturbed forest lands typically have minimal erosion, less than 0.13 ton/acre (0.30 ton/hectare), due to the increased cover and surface roughness found in these areas. However, disturbances caused by forest management practices can result in...

Survival of Escherichia coli O157:H7 on lettuce harvested from fields irrigated by different irrigation systems and stored under different conditions

USDA-ARS?s Scientific Manuscript database

Escherichia coli O157:H7 outbreaks associated with the consumption of leafy greens have increased food safety concerns in the food industry. Irrigation water could be a major potential source of microbial contamination to vegetables. The potential for irrigation water to contaminate vegetables with ...

Benchmarking First-Year English: An Analysis of the Language Proficiencies Required for Entry into First-Year English Composition

ERIC Educational Resources Information Center

Ostler, Catherine; Sheldrake, Charlotte; Vogel, Vicki; West, Elizabeth

2008-01-01

Increasing numbers of ESL (English as a Second Language) students are entering college and university programs, and educators in these programs are concerned about student preparedness. ESL students enter the post-secondary system from a variety of places, resulting in a lack of uniformity in entry level academic skills. A significant associated…

Investigations of Nitrogen Oxide Plasmas: Fundamental Chemistry and Surface Reactivity and Monitoring Student Perceptions in a General Chemistry Recitation

ERIC Educational Resources Information Center

Blechle, Joshua M.

2016-01-01

Part I of this dissertation focuses on investigations of nitrogen oxide plasma systems. With increasing concerns over the environmental presence of NxOy species, there is growing interest in utilizing plasma-assisted conversion techniques. Advances, however, have been limited because of the lack of knowledge regarding the fundamental chemistry of…

Catfish and Goldfish in the Same Bowl: Perceived Outcomes and Effects of Accreditation at the Institutional Level

ERIC Educational Resources Information Center

Beatty, Lisa Louise Riley

2013-01-01

Concerns about the value and quality of higher education have led to increased scrutiny of the U.S. system of peer accreditation. Public policy-makers have begun to question the extent to which accrediting agencies achieve their quality assurance and quality improvement objectives in the colleges and universities they accredit. Some have begun to…

Exploiting the explosion of information associated with whole genome sequencing to tackle Shiga toxin-producing Escherichia coli (STEC) in global food production systems

USDA-ARS?s Scientific Manuscript database

The rates of foodborne disease caused by gastrointestinal pathogens continue to be a concern in both the developed and developing worlds. The growing world population, the increasing complexity of agri-food networks and the wide range of foods now associated with STEC are potential drivers for incre...

Future space development scenarios: Environmental considerations

NASA Technical Reports Server (NTRS)

Tangum, Richard

1992-01-01

The formation of positive attitudes and values concerning the environment of space, as the basis for assuming a wise stewardship role, is becoming increasingly important as many nations begin their journeys into space. A strong emphasis should be placed on fostering an international space environmental ethics. The object of environmental assessment and management in space should be to define what interplanetary regulatory procedures are needed to avoid unnecessary environmental damage and to monitor the effectiveness of such avoidance. The first requirement for research is to narrow the field of concern to areas where there could be an increased scale of development in space in the immediate future. Research needs to be focused on methodologies for defining the environmental systems involved (e.g., the lunar surface) and then recognizing key variables in the system that are fragile and need to be respected. Criteria for environmental quality should emerge which identify, in the case of lunar surface, how much mining activity can be safely undertaken and what quantity of exhaust gases can be released over a given period of time. Only then will humans be most able to evaluate the likely consequences of ventures into space.

[Health-related consequences of obstructive sleep apnea: daytime sleepiness, accident risk and legal aspects].

PubMed

Orth, M; Kotterba, S

2012-04-01

Daytime sleepiness for any reason leads to impairment of daytime performance and an increased accident rate. The consequences are an increase of illness- and accident-related costs for the health system. Obstructive sleep apnea (OSA) is one of the major reasons for increased daytime sleepiness, especially in professional drivers. The accident frequency in OSA can be significantly reduced by adequate continuous positive airway pressure (CPAP) therapy. Up till now there are no uniform legal regulations about the handling of OSAS patients or patients with daytime sleepiness due to other diseases as far as driving ability is concerned.

Developing a national computerised absence monitoring and management system to reduce nursing student attrition: evaluation of staff and student perspectives.

PubMed

Currie, Kay; McCallum, Jacqueline; Murray, John; Scott, Janine; Strachan, Evelyn; Yates, Lynda; Wright, Marty

2014-05-01

Reducing avoidable nursing student attrition is an international challenge. A pattern of falling attendance is recognised as a frequent precursor to withdrawal from nursing programmes. To address concerns regarding nursing student attrition, the Scottish Government implemented a pilot project for a centralised Computerised Absence Management and Monitoring System (CAMMS). The CAMMS adopted an 'assertive outreach' approach, contacting students every two weeks via colour coded letters to tell them whether their attendance was 'excellent', 'good, but potentially causing concern'; or 'warning; attendance concerns/contact academic staff for support'. This article reports key findings from an evaluation of CAMMS. To explore the perceived impact of CAMMS on student support and attrition, from the perspectives of academic and administrative staff and students. Mixed methods evaluation design. Three large geographically dispersed Schools of Nursing in Scotland. 83 students; 20 academic staff; and 3 lead administrators. On-line cohort survey of academic staff and students; structured interviews with lead administrators. Findings reflected a spectrum of negative and positive views of CAMMS. Students who are attending regularly seem pleased that their commitment is recognised. Lecturers who teach larger groups report greater difficulty getting to know students individually and acknowledge the benefit of identifying potential attendance concerns at an early stage. Conversely, some students who received a 'warning' letter were frequently annoyed or irritated, rather than feeling supported. Increased staff workload resulted in negative perceptions and a consequent reluctance to use CAMMS. However, students who were causing concern reported subsequent improvement in attendance. CAMMS has the potential to identify 'at-risk' students at an early stage; however, the system should have flexibility to tailor automatically generated letters in response to individual circumstances, to avoid student frustration. Further research on the longer term impact of CAMMS on attrition rates is warranted. © 2013.

DNA Probe Design for Preflight and Inflight Microbial Monitoring

NASA Technical Reports Server (NTRS)

Fox, George E.

1999-01-01

Crew health is a dominant issue in manned space flight. Microbiological concerns, in particular, have repeatedly emerged as determinants of flight readiness. For example, in at least one case, suspected contamination of the potable water supply nearly forced a launch delay. In another instance, a crew member's urinary tract infection nearly led to early termination of the mission, in part due to the difficulty of accurately diagnosing the nature of the infection in-flight. Microbial problems are an increasing concern with the trend towards longer-duration missions. It is essential to the success of such missions that systems that deliver acceptable quality of air and water during the anticipated lifetime of the spacecraft be available. As mission duration and resupply intervals increase, it will be necessary to rely on advanced life support systems which incorporate both biological and physical-chemical recycling methods for air and water as well as provide food for the crew. It therefore is necessary to develop real-time, robust, in-flight monitoring procedures that are sensitive enough to detect less than 100 CFU (colony forming units) of bacteria per 100 milliliters of water. It would be desirable if the monitoring system could be readily "reprogrammed" to identify specific pathogens if an in-flight incident were to occur. Thus, the monitoring technology must simultaneously detect many organisms of interest, be subject to miniaturization and be highly automated The long range goal of project is to develop such monitoring systems.

Role of Plastics on Human Health.

PubMed

Kumar, Pramod

2018-05-01

Plastics, currently the universal workhorse materials of modern economy, because of their low cost and varied functional properties are posing serious threat to environment and consumer's health in many direct and indirect ways. Rising concern about the impact of plastics on environment and human health, has forced the industry to look for alternatives. This review studies current understanding of benefits and concerns surrounding use of plastics, reviews literature about health effects in humans and discusses the current state of evidence, as well as future research trends. There is increasing concern regarding additives in plastics to which most people are exposed, such as phthalates, bisphenol A or polybrominated diphenyl ethers (PBDE), and their detection in humans, leading to harmful impact on health. The studies are divided, among many other issues on the fact of considering these additives as carcinogens or toxicants, but there is a consensus that these chemicals have the ability to alter the endocrine system. Human data are limited compared to large body of experimental evidence documenting reproductive or developmental toxicity in relation to these compounds in animals. The concentrations of these additives in young children, a segment particularly sensitive to exogenous insults, are typically higher, indicating the need to decrease exposure to these compounds. The rapid increase in usage of plastics and increased awareness about its health hazard has lent urgency to the whole issue.

48 CFR 206.203 - Set-asides for small business concerns.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Competition After Exclusion of Sources 206.203 Set-asides for small business concerns. (b) Also no separate... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Set-asides for small business concerns. 206.203 Section 206.203 Federal Acquisition Regulations System DEFENSE ACQUISITION...

48 CFR 206.203 - Set-asides for small business concerns.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Competition After Exclusion of Sources 206.203 Set-asides for small business concerns. (b) Also no separate... 48 Federal Acquisition Regulations System 3 2012-10-01 2012-10-01 false Set-asides for small business concerns. 206.203 Section 206.203 Federal Acquisition Regulations System DEFENSE ACQUISITION...

48 CFR 206.203 - Set-asides for small business concerns.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Competition After Exclusion of Sources 206.203 Set-asides for small business concerns. (b) Also no separate... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Set-asides for small business concerns. 206.203 Section 206.203 Federal Acquisition Regulations System DEFENSE ACQUISITION...

48 CFR 206.203 - Set-asides for small business concerns.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Competition After Exclusion of Sources 206.203 Set-asides for small business concerns. (b) Also no separate... 48 Federal Acquisition Regulations System 3 2013-10-01 2013-10-01 false Set-asides for small business concerns. 206.203 Section 206.203 Federal Acquisition Regulations System DEFENSE ACQUISITION...

Collaborating with Autonomous Agents

NASA Technical Reports Server (NTRS)

Trujillo, Anna C.; Cross, Charles D.; Fan, Henry; Hempley, Lucas E.; Motter, Mark A.; Neilan, James H.; Qualls, Garry D.; Rothhaar, Paul M.; Tran, Loc D.; Allen, B. Danette

2015-01-01

With the anticipated increase of small unmanned aircraft systems (sUAS) entering into the National Airspace System, it is highly likely that vehicle operators will be teaming with fleets of small autonomous vehicles. The small vehicles may consist of sUAS, which are 55 pounds or less that typically will y at altitudes 400 feet and below, and small ground vehicles typically operating in buildings or defined small campuses. Typically, the vehicle operators are not concerned with manual control of the vehicle; instead they are concerned with the overall mission. In order for this vision of high-level mission operators working with fleets of vehicles to come to fruition, many human factors related challenges must be investigated and solved. First, the interface between the human operator and the autonomous agent must be at a level that the operator needs and the agents can understand. This paper details the natural language human factors e orts that NASA Langley's Autonomy Incubator is focusing on. In particular these e orts focus on allowing the operator to interact with the system using speech and gestures rather than a mouse and keyboard. With this ability of the system to understand both speech and gestures, operators not familiar with the vehicle dynamics will be able to easily plan, initiate, and change missions using a language familiar to them rather than having to learn and converse in the vehicle's language. This will foster better teaming between the operator and the autonomous agent which will help lower workload, increase situation awareness, and improve performance of the system as a whole.

AN ADVANCED CALIBRATION PROCEDURE FOR COMPLEX IMPEDANCE SPECTRUM MEASUREMENTS OF ADVANCED ENERGY STORAGE DEVICES

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

William H. Morrison; Jon P. Christophersen; Patrick Bald

With the increasing demand for electric and hybrid electric vehicles and the explosion in popularity of mobile and portable electronic devices such as laptops, cell phones, e-readers, tablet computers and the like, reliance on portable energy storage devices such as batteries has likewise increased. The concern for the availability of critical systems in turn drives the availability of battery systems and thus the need for accurate battery health monitoring has become paramount. Over the past decade the Idaho National Laboratory (INL), Montana Tech of the University of Montana (Tech), and Qualtech Systems, Inc. (QSI) have been developing the Smart Batterymore » Status Monitor (SBSM), an integrated battery management system designed to monitor battery health, performance and degradation and use this knowledge for effective battery management and increased battery life. Key to the success of the SBSM is an in-situ impedance measurement system called the Impedance Measurement Box (IMB). One of the challenges encountered has been development of an accurate, simple, robust calibration process. This paper discusses the successful realization of this process.« less

Climate trends and projections for the Andean Altiplano and strategies for adaptation

NASA Astrophysics Data System (ADS)

Valdivia, C.; Thibeault, J.; Gilles, J. L.; García, M.; Seth, A.

2013-04-01

Climate variability and change impact production in rainfed agricultural systems of the Bolivian highlands. Maximum temperature trends are increasing for the Altiplano. Minimum temperature increases are significant in the northern region, and decreases are significant in the southern region. Producers' perceptions of climate hazards are high in the central region, while concerns with changing climate and unemployment are high in the north. Similar high-risk perceptions involve pests and diseases in both regions. Altiplano climate projections for end-of-century highlights include increases in temperature, extreme event frequency, change in the timing of rainfall, and reduction of soil humidity. Successful adaptation to these changes will require the development of links between the knowledge systems of producers and scientists. Two-way participatory approaches to develop capacity and information that involve decision makers and scientists are appropriate approaches in this context of increased risk, uncertainty and vulnerability.

OAST Space Theme Workshop. Volume 3: Working group summary. 4: Software (E-4). A. Summary. B. Technology needs (form 1). C. Priority assessment (form 2)

NASA Technical Reports Server (NTRS)

1976-01-01

Only a few efforts are currently underway to develop an adequate technology base for the various themes. Particular attention must be given to software commonality and evolutionary capability, to increased system integrity and autonomy; and to improved communications among the program users, the program developers, and the programs themselves. There is a need for quantum improvement in software development methods and increasing the awareness of software by all concerned. Major thrusts identified include: (1) data and systems management; (2) software technology for autonomous systems; (3) technology and methods for improving the software development process; (4) advances related to systems of software elements including their architecture, their attributes as systems, and their interfaces with users and other systems; and (5) applications of software including both the basic algorithms used in a number of applications and the software specific to a particular theme or discipline area. The impact of each theme on software is assessed.

Thermal performance and heat transport in aquifer thermal energy storage

NASA Astrophysics Data System (ADS)

Sommer, W. T.; Doornenbal, P. J.; Drijver, B. C.; van Gaans, P. F. M.; Leusbrock, I.; Grotenhuis, J. T. C.; Rijnaarts, H. H. M.

2014-01-01

Aquifer thermal energy storage (ATES) is used for seasonal storage of large quantities of thermal energy. Due to the increasing demand for sustainable energy, the number of ATES systems has increased rapidly, which has raised questions on the effect of ATES systems on their surroundings as well as their thermal performance. Furthermore, the increasing density of systems generates concern regarding thermal interference between the wells of one system and between neighboring systems. An assessment is made of (1) the thermal storage performance, and (2) the heat transport around the wells of an existing ATES system in the Netherlands. Reconstruction of flow rates and injection and extraction temperatures from hourly logs of operational data from 2005 to 2012 show that the average thermal recovery is 82 % for cold storage and 68 % for heat storage. Subsurface heat transport is monitored using distributed temperature sensing. Although the measurements reveal unequal distribution of flow rate over different parts of the well screen and preferential flow due to aquifer heterogeneity, sufficient well spacing has avoided thermal interference. However, oversizing of well spacing may limit the number of systems that can be realized in an area and lower the potential of ATES.

Disease epidemics: Lessons for resilience in an increasingly connected world

USGS Publications Warehouse

Allen, Craig R.; DeWitte, S.N.; Kurth, M.H.; Linkov, I.

2016-01-01

In public health, the term resilience often refers to the personality traits that individuals possess which help them endure and recover from stressors. However, resilience as a system characteristic, especially in regards to complex social-ecological systems, can be informative for public health at scales larger than the individual. Acute shocks to systems occur against a background of existing conditions, which are crucial determinants of the eventual public health outcomes of those shocks, and in the context of complex dependencies among and between ecological and societal elements. Many components of a system's baseline condition are chronic public health concerns themselves and diminish the capacity of the system to perform in the face of acute shocks. The emerging field of resilience management is concerned with holistically assessing and improving a system's ability to prepare for and absorb disruption, and then recover and adapt across physical, information, environmental and social domains. Integrating resilience considerations into current risk- and evidence-based approaches to disease control and prevention1 can move public health efforts toward more proactive and comprehensive solutions for protecting and improving the health of communities. Here, we look to the case of the Black Death as an illustrative case of a dramatic transformation in human history, an acute shock to a system that was underlain by chronic social maladies, to derive lessons about resilience management for public health in contemporary systems.

Extensive human suffering: a point prevalence survey of patients' most distressing concerns during inpatient care.

PubMed

Fridh, Isabell; Kenne Sarenmalm, Elisabeth; Falk, Kristin; Henoch, Ingela; Öhlén, Joakim; Ozanne, Anneli; Jakobsson Ung, Eva

2015-09-01

To explore patients' most distressing concerns during a hospital stay. The characteristics of hospitalised patients have changed. Care is provided at a higher age, lengths of stay have fallen and the nursing workload is increasing. It is presumed that hospitalised patients are more seriously ill and have more palliative needs than previously. Studies show that inpatients suffer from more distress than similar outpatients although there is a lack of overall knowledge about inpatients' distress and major concerns, regardless of age, diagnosis or care setting. This study was part of a point prevalence survey (PPS) concerning symptom prevalence. Of the 710 patients who participated in the PPS, 678 (95%) answered an open-ended question in a questionnaire: What is your main concern or what is most distressing or troublesome for you at present? Using a life-world approach, the text was analysed qualitatively and patients' concerns were interpreted in two main dimensions, an intersubjective dimension and a temporal dimension. The patients reported extensive suffering due to illness, symptoms and failing health. Patients were concerned about family members, existential issues and the future. Three aspects of the patients' most distressing concerns were interpreted: The suffering self, The suffering person in close relations and The suffering person in a threatening world. Hospitalised patients are affected by severe illness, distressing symptoms and existential quandaries, revealing extensive human suffering in the midst of the demanding activities that take place during an ordinary day in a hospital. To support patients and alleviate suffering, hospital staff need to be more sensitive to patients' most distressing concerns. This presupposes a hospital environment in which the value system supports caring and comforting behaviour. © 2014 Nordic College of Caring Science.

Mapping epistemic cultures and learning potential of participants in citizen science projects.

PubMed

Vallabh, Priya; Lotz-Sisitka, Heila; O'Donoghue, Rob; Schudel, Ingrid

2016-06-01

The ever-widening scope and range of global change and interconnected systemic risks arising from people-environment relationships (social-ecological risks) appears to be increasing concern among, and involvement of, citizens in an increasingly diversified number of citizen science projects responding to these risks. We examined the relationship between epistemic cultures in citizen science projects and learning potential related to matters of concern. We then developed a typology of purposes and a citizen science epistemic-cultures heuristic and mapped 56 projects in southern Africa using this framework. The purpose typology represents the range of knowledge-production purposes, ranging from laboratory science to social learning, whereas the epistemic-cultures typology is a relational representation of scientist and citizen participation and their approach to knowledge production. Results showed an iterative relationship between matters of fact and matters of concern across the projects; the nexus of citizens' engagement in knowledge-production activities varied. The knowledge-production purposes informed and shaped the epistemic cultures of all the sampled citizen science projects, which in turn influenced the potential for learning within each project. Through a historical review of 3 phases in a long-term river health-monitoring project, we found that it is possible to evolve the learning curve of citizen science projects. This evolution involved the development of scientific water monitoring tools, the parallel development of pedagogic practices supporting monitoring activities, and situated engagement around matters of concern within social activism leading to learning-led change. We conclude that such evolutionary processes serve to increase potential for learning and are necessary if citizen science is to contribute to wider restructuring of the epistemic culture of science under conditions of expanding social-ecological risk. © 2016 Society for Conservation Biology.

Differences in Sociocognitive Beliefs between Involved and Noninvolved Employees during the Implementation of an Electronic Health Record System

PubMed Central

Stanczyk, Nicola Esther; Crutzen, Rik; Sewuster, Nikki; Schotanus, Elwin; Mulders, Merijn; Cremers, Henricus Paul

2017-01-01

Background Electronic health records (EHRs) can improve quality and efficiency in patient care. However, the intention to work with such a new system is often relatively low among employees because the work processes of the healthcare organization may change. Involving employees in an EHR implementation may increase their beliefs and perceived capabilities concerning the new system. The current study aimed to assess the role of involvement and its effects on sociocognitive beliefs regarding the implementation of a new EHR system. Methods The study was performed in June 2015 among all eligible employees of a hospital in the Netherlands. Both involved and noninvolved employees were invited to complete a paper-based questionnaire concerning their sociocognitive beliefs (i.e., attitude, social influence, self-efficacy, and intention) related to the EHR implementation. Independent sample t-tests were used to assess potential differences in sociocognitive beliefs between employees who were involved in the implementation process and those who were not. Effect sizes (Cohen's d) were calculated to indicate the standardized difference between the means. Results A total of 359 participants completed the paper-based questionnaire and were included in the analyses. Involved employees (n = 94) reported significantly higher levels of attitude (p < .001, d = .62), perceived self-efficacy (p = .01, d = .31), social support (p < .001, d = .68), and a higher intention to work with the new EHR system (p < .001, d = .60), compared with the group of employees who were not involved in the implementation process (n = 265). Conclusion Involving employees during an EHR implementation appears to enhance employees’ sociocognitive beliefs and increases their intention to work with the new system. PMID:28566986

Differences in Sociocognitive Beliefs between Involved and Noninvolved Employees during the Implementation of an Electronic Health Record System.

PubMed

Stanczyk, Nicola Esther; Crutzen, Rik; Sewuster, Nikki; Schotanus, Elwin; Mulders, Merijn; Cremers, Henricus Paul

2017-01-01

Electronic health records (EHRs) can improve quality and efficiency in patient care. However, the intention to work with such a new system is often relatively low among employees because the work processes of the healthcare organization may change. Involving employees in an EHR implementation may increase their beliefs and perceived capabilities concerning the new system. The current study aimed to assess the role of involvement and its effects on sociocognitive beliefs regarding the implementation of a new EHR system. The study was performed in June 2015 among all eligible employees of a hospital in the Netherlands. Both involved and noninvolved employees were invited to complete a paper-based questionnaire concerning their sociocognitive beliefs (i.e., attitude, social influence, self-efficacy, and intention) related to the EHR implementation. Independent sample t-tests were used to assess potential differences in sociocognitive beliefs between employees who were involved in the implementation process and those who were not. Effect sizes (Cohen's d ) were calculated to indicate the standardized difference between the means. A total of 359 participants completed the paper-based questionnaire and were included in the analyses. Involved employees ( n = 94) reported significantly higher levels of attitude ( p < .001, d = .62), perceived self-efficacy ( p = .01, d = .31), social support ( p < .001, d = .68), and a higher intention to work with the new EHR system ( p < .001, d = .60), compared with the group of employees who were not involved in the implementation process ( n = 265). Involving employees during an EHR implementation appears to enhance employees' sociocognitive beliefs and increases their intention to work with the new system.

Nanotechnology Applications in Functional Foods; Opportunities and Challenges.

PubMed

Singh, Harjinder

2016-03-01

Increasing knowledge on the link between diet and human health has generated a lot of interest in the development of functional foods. However, several challenges, including discovering of beneficial compounds, establishing optimal intake levels, and developing adequate food delivering matrix and product formulations, need to be addressed. A number of new processes and materials derived from nanotechnology have the potential to provide new solutions in many of these fronts. Nanotechnology is concerned with the manipulation of materials at the atomic and molecular scales to create structures that are less than 100 nm in size in one dimension. By carefully choosing the molecular components, it seems possible to design particles with different surface properties. Several food-based nanodelivery vehicles, such as protein-polysaccharide coacervates, multiple emulsions, liposomes and cochleates have been developed on a laboratory scale, but there have been very limited applications in real food systems. There are also public concerns about potential negative effects of nanotechnology-based delivery systems on human health. This paper provides an overview of the new opportunities and challenges for nanotechnology-based systems in future functional food development.

Cyber Security Threats to Safety-Critical, Space-Based Infrastructures

NASA Astrophysics Data System (ADS)

Johnson, C. W.; Atencia Yepez, A.

2012-01-01

Space-based systems play an important role within national critical infrastructures. They are being integrated into advanced air-traffic management applications, rail signalling systems, energy distribution software etc. Unfortunately, the end users of communications, location sensing and timing applications often fail to understand that these infrastructures are vulnerable to a wide range of security threats. The following pages focus on concerns associated with potential cyber-attacks. These are important because future attacks may invalidate many of the safety assumptions that support the provision of critical space-based services. These safety assumptions are based on standard forms of hazard analysis that ignore cyber-security considerations This is a significant limitation when, for instance, security attacks can simultaneously exploit multiple vulnerabilities in a manner that would never occur without a deliberate enemy seeking to damage space based systems and ground infrastructures. We address this concern through the development of a combined safety and security risk assessment methodology. The aim is to identify attack scenarios that justify the allocation of additional design resources so that safety barriers can be strengthened to increase our resilience against security threats.

A quality improvement project to tackle under-reporting of hazards by doctors by using an anonymous telephone hotline.

PubMed

Johnson, Sarah

2016-01-01

An anonymous hazard reporting hotline was established for doctors to use on two general medical wards at Weston General Hospital (WGH) in North Somerset in England during an eight day period in July/August 2014. Doctors were encouraged to report hazards and near misses or just start a conversation about a concern. The existing computer based significant event system remained alongside the hotline and was to be used where actual harm had come to a patient. A team of consultants and quality improvement administrators monitored the hotline on a daily basis, categorized the level of risk being reported and ensured, where possible, that action was taken to address the doctors' concerns. The hotline increased reporting rates from two per month to 25 in eight days. The system identified 13 amber (medium risk) and five red (high risk) hazards which would otherwise not have been known about. This author believes these five high risk reports alone make the case for a new, quicker, easier, and anonymous reporting system for doctors at WGH urgent and irrefutable.

A facile doxorubicin-dichloroacetate conjugate nanomedicine with high drug loading for safe drug delivery.

PubMed

Yang, Conglian; Wu, Tingting; Qin, Yuting; Qi, Yan; Sun, Yu; Kong, Miao; Jiang, Xue; Qin, Xianya; Shen, Yaqi; Zhang, Zhiping

2018-01-01

Doxorubicin (DOX) is an effective chemotherapeutic agent but severe side effects limit its clinical application. Nanoformulations can reduce the toxicity while still have various limitations, such as complexity, low drug loading capability and excipient related concerns. An amphiphilic conjugate, doxorubicin-dichloroacetate, was synthesized and the corresponding nanoparticles were prepared. The in vitro cytotoxicity and intracellular uptake, in vivo imaging, antitumor effects and systemic toxicities of nanoparticles were carried out to evaluate the therapeutic efficiency of tumor. Doxorubicin-dichloroacetate conjugate can self-assemble into nanoparticles with small amount of DSPE-PEG 2000 , leading to high drug loading (71.8%, w/w) and diminished excipient associated concerns. The nanoparticles exhibited invisible systemic toxicity and high maximum tolerated dose of 75 mg DOX equiv./kg, which was 15-fold higher than that of free DOX. It also showed good tumor targeting capability and enhanced antitumor efficacy in murine melanoma model. This work provides a promising strategy to simplify the drug preparation process, increase drug loading content, reduce systemic toxicity as well as enhance antitumor efficiency.

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

Zhang, Jie; Cui, Mingjian; Hodge, Bri-Mathias

The large variability and uncertainty in wind power generation present a concern to power system operators, especially given the increasing amounts of wind power being integrated into the electric power system. Large ramps, one of the biggest concerns, can significantly influence system economics and reliability. The Wind Forecast Improvement Project (WFIP) was to improve the accuracy of forecasts and to evaluate the economic benefits of these improvements to grid operators. This paper evaluates the ramp forecasting accuracy gained by improving the performance of short-term wind power forecasting. This study focuses on the WFIP southern study region, which encompasses most ofmore » the Electric Reliability Council of Texas (ERCOT) territory, to compare the experimental WFIP forecasts to the existing short-term wind power forecasts (used at ERCOT) at multiple spatial and temporal scales. The study employs four significant wind power ramping definitions according to the power change magnitude, direction, and duration. The optimized swinging door algorithm is adopted to extract ramp events from actual and forecasted wind power time series. The results show that the experimental WFIP forecasts improve the accuracy of the wind power ramp forecasting. This improvement can result in substantial costs savings and power system reliability enhancements.« less

The microcomputer in the dental office: a new diagnostic aid.

PubMed

van der Stelt, P F

1985-06-01

The first computer applications in the dental office were based upon standard accountancy procedures. Recently, more and more computer applications have become available to meet the specific requirements of dental practice. This implies not only business procedures, but also facilities to store patient records in the system and retrieve them easily. Another development concerns the automatic calculation of diagnostic data such as those provided in cephalometric analysis. Furthermore, growth and surgical results in the craniofacial area can be predicted by computerized extrapolation. Computers have been useful in obtaining the patient's anamnestic data objectively and for the making of decisions based on such data. Computer-aided instruction systems have been developed for undergraduate students to bridge the gap between textbook and patient interaction without the risks inherent in the latter. Radiology will undergo substantial changes as a result of the application of electronic imaging devices instead of the conventional radiographic films. Computer-assisted electronic imaging will enable image processing, image enhancement, pattern recognition and data transmission for consultation and storage purposes. Image processing techniques will increase image quality whilst still allowing low-dose systems. Standardization of software and system configuration and the development of 'user friendly' programs is the major concern for the near future.

Bioethics for human geneticists: models for reasoning and methods for teaching.

PubMed Central

Parker, L. S.

1994-01-01

The ethical issues raised by the Human Genome Project (HGP) and by human genetics in general are not entirely novel. In fact, the ethical issues surrounding genetic research and the provision of genetic services fit into the evolution of bioethics, a field of inquiry which has its roots in concerns of the 1970s, concerns about the dignity and self-determination of individuals and about the development of medical technologies. Although bioethics has been largely occupied with patient-centered concerns, attention is currently shifting toward socially oriented issues, such as the justice of the existing health-care system. Genetic counseling has already incorporated many of the lessons of early bioethics and, as a profession, adheres to a consultand-centered ethic which reflects the values incorporated into the doctrine of informed consent, which is a cornerstone of bioethics. The mandate of the Ethical, Legal, and Social Implications Program of the HGP--to anticipate ethical problems arising from advances in genetics and to educate the public about genetics--reflects not only the nonpaternalistic approach of early bioethics but also bioethics' increasing attention to the ethical import of systemic and institutional factors, as well as an anticipatory and preventive approach to dealing with ethical concerns. Because bioethics has so much to contribute to current consideration of ethical issues in human genetics, it is important to provide training in ethics to those working in the field. Guidelines for using a case-oriented approach are suggested. PMID:8279464

Willingness of older adults to share data and privacy concerns after exposure to unobtrusive in-home monitoring.

PubMed

Boise, Linda; Wild, Katherine; Mattek, Nora; Ruhl, Mary; Dodge, Hiroko H; Kaye, Jeffrey

2013-01-01

Older adult participants in the Intelligent Systems for Assessment of Aging Changes study (ISAAC) carried out by the Oregon Center for Aging and Technology (ORCATECH) were surveyed regarding their attitudes about unobtrusive home monitoring and computer use at baseline and after one year (n=119). The survey was part of a longitudinal study using in-home sensor technology to detect cognitive changes and other health problems. Our primary objective was to measure willingness to share health or activity data with one's doctor or family members and concerns about privacy or security of monitoring over one year of study participation. Differences in attitudes of participants with Mild Cognitive Impairment (MCI) compared to those with normal cognition were also examined. A high proportion (over 72%) of participants reported acceptance of in-home and computer monitoring and willingness to have data shared with their doctor or family members. However, a majority (60%) reported concerns related to privacy or security; these concerns increased after one year of participation. Few differences between participants with MCI and those with normal cognition were identified. Findings suggest that involvement in this unobtrusive in-home monitoring study may have raised awareness about the potential privacy risks of technology. Still, results show high acceptance, stable over time, of sharing information from monitoring systems with family members and doctors. Our findings have important implications for the deployment of technologies among older adults in research studies as well as in the general community.

Reporter Concerns in 300 Mode-Related Incident Reports from NASA's Aviation Safety Reporting System

NASA Technical Reports Server (NTRS)

McGreevy, Michael W.

1996-01-01

A model has been developed which represents prominent reporter concerns expressed in the narratives of 300 mode-related incident reports from NASA's Aviation Safety Reporting System (ASRS). The model objectively quantifies the structure of concerns which persist across situations and reporters. These concerns are described and illustrated using verbatim sentences from the original narratives. Report accession numbers are included with each sentence so that concerns can be traced back to the original reports. The results also include an inventory of mode names mentioned in the narratives, and a comparison of individual and joint concerns. The method is based on a proximity-weighted co-occurrence metric and object-oriented complexity reduction.

Growth hormone treatment and risk of recurrence or progression of brain tumors in children: a review.

PubMed

Bogarin, Roberto; Steinbok, Paul

2009-03-01

Brain tumors are one of the most common types of solid neoplasm in children. As life expectancy of these patients has increased with new and improved therapies, the morbidities associated with the treatments and the tumor itself have become more important. One of the most common morbidities is growth hormone deficiency, and since recombinant growth hormone (GH) became available, its use has increased exponentially. There is concern that in the population of children with brain tumors, GH treatment might increase the risk of tumor recurrence or progression or the appearance of a second neoplasm. In the light of this ongoing concern, the current literature has been reviewed to provide an update on the risk of tumor recurrence, tumor progression, or new intracranial tumor formation when GH is used to treat GH deficiency in children, who have had or have intracranial tumors. On the basis of this review, the authors conclude that the use of GH in patients with brain tumor is safe. GH therapy is not associated with an increased risk of central nervous system tumor progression or recurrence, leukemia (de novo or relapse), or extracranial non-leukemic neoplasms.

Novel engineered systems for oral, mucosal and transdermal drug delivery.

PubMed

Li, Hairui; Yu, Yuan; Faraji Dana, Sara; Li, Bo; Lee, Chi-Ying; Kang, Lifeng

2013-08-01

Technological advances in drug discovery have resulted in increasing number of molecules including proteins and peptides as drug candidates. However, how to deliver drugs with satisfactory therapeutic effect, minimal side effects and increased patient compliance is a question posted before researchers, especially for those drugs with poor solubility, large molecular weight or instability. Microfabrication technology, polymer science and bioconjugate chemistry combine to address these problems and generate a number of novel engineered drug delivery systems. Injection routes usually have poor patient compliance due to their invasive nature and potential safety concerns over needle reuse. The alternative non-invasive routes, such as oral, mucosal (pulmonary, nasal, ocular, buccal, rectal, vaginal), and transdermal drug delivery have thus attracted many attentions. Here, we review the applications of the novel engineered systems for oral, mucosal and transdermal drug delivery.

River basin management, described for the example of the Emschergenossenschaft.

PubMed

Baumgart, H C; Sperling, F; Stemplewski, J

2003-01-01

Considerable problems concerning drainage capacity made it necessary, at the beginning of the 20th Century, to make a joint public-private effort, because the existence of the Ruhr Area as an industrial location was endangered. By Prussian law a co-operative was established for wastewater and drainage-management of the entire Emscher river system. In the past the Emscher Association and the later founded Lippe Association have proved to be the best instrument to cope with the wastewater problems of a densely-populated industrial area. In recent time, the Emscher area is undergoing fundamental structural changes. To increase its attractiveness increased efforts are needed for a modernisation of the wastewater transport and treatment system. To deal with the various and complex tasks to reshape the Emscher system, the joint association again provides a highly efficient and competent instrument.

Ten Years of Analyzing the Duck Chart: How an NREL Discovery in 2008 Is

Science.gov Websites

examined how to plan for future large-scale integration of solar photovoltaic (PV) generation on the result, PV was deployed more widely, and system operators became increasingly concerned about how solar emerging energy and environmental policy initiatives pushing for higher levels of solar PV deployment. As a

A Descriptive Case Study of a School-Wide Positive Behavior Support (PBS) System in Schools with Principal-Led Planning Teams and Coach-Led Planning Teams

ERIC Educational Resources Information Center

McWilliams, Ellen K.

2011-01-01

Managing disruptive behaviors in schools is a high-ranking concern in communities across the country (Rose & Gallup, 2006). Unfortunately, the practice of instituting tougher and more severe consequences for increased discipline problems has not resulted in a decrease of disruptive behavior (Lewis & Garrison-Harrell, 1999; Safran &…

Multicomponent biocide systems protect wood from decay fungi, mold fungi, and termites for interior applications

Treesearch

Carol A. Clausen; Vina W. Yang

2004-01-01

Concerns about indoor air quality due to mold growth have increased dramatically in the United States. In the absence of proper moisture management, fungicides need to be developed for indoor use to control mold establishment. An ideal fungicide for prevention of indoor mold growth on wood-based materials needs to specifically prevent spore germination and provide long...

Subalpine vegetation pattern three decades after stand-replacing fire: Effects of landscape context and topography on plant community composition, tree regeneration, and diversity

Treesearch

Jonathan D. Coop; Robert T. Massatti; Anna W. Schoettle

2010-01-01

These subalpine wildfires generated considerable, persistent increases in plant species richness at local and landscape scales, and a diversity of plant communities. The findings suggest that fire suppression in such systems must lead to reduced diversity. Concerns about post-fire invasion by exotic plants appear unwarranted in high-elevation wilderness settings.

Biocatalysis engineering: the big picture.

PubMed

Sheldon, Roger A; Pereira, Pedro C

2017-05-22

In this tutorial review we describe a holistic approach to the invention, development and optimisation of biotransformations utilising isolated enzymes. Increasing attention to applied biocatalysis is motivated by its numerous economic and environmental benefits. Biocatalysis engineering concerns the development of enzymatic systems as a whole, which entails engineering its different components: substrate engineering, medium engineering, protein (enzyme) engineering, biocatalyst (formulation) engineering, biocatalytic cascade engineering and reactor engineering.

Year-End Review & FY15 Projections (Naval Supply Systems Command)

DTIC Science & Technology

2014-08-12

Industries  and/or  socio-­‐economic  Concerns   Plan  to  Increase  SB  performance   Knowing our $mall Business SB – 26.0%, SDB ...26.0% SDB – 8.0% SDVOSB – 3.5% WOSB – 6.6% HUBZone – 0.6% Sweetspot – 81% N/A •  Expiring services contract deep-dive analysis initiative

A U.S. Forest Service special forest products appraisal system: background, methods, and assessment.

Treesearch

Jerry Smith; Lisa K. Crone; Susan J. Alexander

2010-01-01

Increasing concern over the management and harvest of special forest products (SFP) from national forest lands has led to the development of new Forest Service policy directives. In this paper, we present a brief history of SFPs in the Western United States, highlighting the issues that necessitated new management direction. The new policy directives that led to the...

A Longitudinal Study of Undergraduate Students' Perceptions and Use Patterns of the University Libraries Web Portal: Does Information Literacy Instruction Play a Role?

ERIC Educational Resources Information Center

Chen, Yu-Hui

2012-01-01

As the availability of digital resources increased exponentially over the last two decades, academic libraries have heavily invested in electronic resources and made them accessible via library Web portals. Yet, underutilization of library Web portals is a common concern among academic libraries. According to the information systems (IS)…

Optimizing Orbital Debris Monitoring with Optical Telescopes

DTIC Science & Technology

2010-09-01

poses an increasing risk to manned space missions and operational satellites ; however, the majority of debris large enough to cause catastrophic...cameras hosted on GEO- based satellites for monitoring GEO. Performance analysis indicates significant potential contributions of these systems as a...concerns over the long term-viability of the space environment and the resulting economic impacts. The 2007 China anti- satellite test and the 2009

Technical fixes and Climate Change: Optimizing for Risks and Consequences

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

Rasch, Philip J.

2010-09-16

Scientists and society in general are becoming increasingly concerned about the risks of climate change from the emission of greenhouse gases [IPCC, 2007]. Yet emissions continue to increase [Raupach et al., 2007], and reductions soon enough to avoid large and undesirable impacts requires a near revolutionary global transformation of energy and transportation systems [Hoffert et al., 1998]. The size of the transformation and lack of an effective societal response has motivated some to explore other quite controversial strategies to mitigate some of the planetary consequences of these emissions.

Utility of an emulation and simulation computer model for air revitalization system hardware design, development, and test

NASA Technical Reports Server (NTRS)

Yanosy, J. L.; Rowell, L. F.

1985-01-01

Efforts to make increasingly use of suitable computer programs in the design of hardware have the potential to reduce expenditures. In this context, NASA has evaluated the benefits provided by software tools through an application to the Environmental Control and Life Support (ECLS) system. The present paper is concerned with the benefits obtained by an employment of simulation tools in the case of the Air Revitalization System (ARS) of a Space Station life support system. Attention is given to the ARS functions and components, a computer program overview, a SAND (solid amine water desorbed) bed model description, a model validation, and details regarding the simulation benefits.

Forecasting Electric Power Generation of Photovoltaic Power System for Energy Network

NASA Astrophysics Data System (ADS)

Kudo, Mitsuru; Takeuchi, Akira; Nozaki, Yousuke; Endo, Hisahito; Sumita, Jiro

Recently, there has been an increase in concern about the global environment. Interest is growing in developing an energy network by which new energy systems such as photovoltaic and fuel cells generate power locally and electric power and heat are controlled with a communications network. We developed the power generation forecast method for photovoltaic power systems in an energy network. The method makes use of weather information and regression analysis. We carried out forecasting power output of the photovoltaic power system installed in Expo 2005, Aichi Japan. As a result of comparing measurements with a prediction values, the average prediction error per day was about 26% of the measured power.

Integration of SPS with utility system networks

NASA Technical Reports Server (NTRS)

Kaupang, B. M.

1980-01-01

The integration of Satellite Power System (SPS) power in electric utility power systems is discussed. Specifically, the nature of the power output variations from the spacecraft to the rectenna, the operational characteristics of the rectenna power, and the impacts on the electric utility system from utilizing SPS power to serve part of the system load are treated. It is concluded that if RF beam control is an acceptable method for power control, and that the site distribution of SPS rectennas do not cause a very high local penetration (40 to 50%), SPS may be integrated into electric utility system with a few negative impacts. Increased regulating duty on the conventional generation, and a potential impact on system reliability for SPS penetration in excess of about 25% appear to be two areas of concern.

Software Reliability Issues Concerning Large and Safety Critical Software Systems

NASA Technical Reports Server (NTRS)

Kamel, Khaled; Brown, Barbara

1996-01-01

This research was undertaken to provide NASA with a survey of state-of-the-art techniques using in industrial and academia to provide safe, reliable, and maintainable software to drive large systems. Such systems must match the complexity and strict safety requirements of NASA's shuttle system. In particular, the Launch Processing System (LPS) is being considered for replacement. The LPS is responsible for monitoring and commanding the shuttle during test, repair, and launch phases. NASA built this system in the 1970's using mostly hardware techniques to provide for increased reliability, but it did so often using custom-built equipment, which has not been able to keep up with current technologies. This report surveys the major techniques used in industry and academia to ensure reliability in large and critical computer systems.

Optimal Design of Wind-PV-Diesel-Battery System using Genetic Algorithm

NASA Astrophysics Data System (ADS)

Suryoatmojo, Heri; Hiyama, Takashi; Elbaset, Adel A.; Ashari, Mochamad

Application of diesel generators to supply the load demand on isolated islands in Indonesia has widely spread. With increases in oil price and the concerns about global warming, the integration of diesel generators with renewable energy systems have become an attractive energy sources for supplying the load demand. This paper performs an optimal design of integrated system involving Wind-PV-Diesel-Battery system for isolated island with CO2 emission evaluation by using genetic algorithm. The proposed system has been designed for the hybrid power generation in East Nusa Tenggara, Indonesia-latitude 09.30S, longitude 122.0E. From simulation results, the proposed system is able to minimize the total annual cost of the system under study and reduce CO2 emission generated by diesel generators.

Integrating physically based simulators with Event Detection Systems: Multi-site detection approach.

PubMed

Housh, Mashor; Ohar, Ziv

2017-03-01

The Fault Detection (FD) Problem in control theory concerns of monitoring a system to identify when a fault has occurred. Two approaches can be distinguished for the FD: Signal processing based FD and Model-based FD. The former concerns of developing algorithms to directly infer faults from sensors' readings, while the latter uses a simulation model of the real-system to analyze the discrepancy between sensors' readings and expected values from the simulation model. Most contamination Event Detection Systems (EDSs) for water distribution systems have followed the signal processing based FD, which relies on analyzing the signals from monitoring stations independently of each other, rather than evaluating all stations simultaneously within an integrated network. In this study, we show that a model-based EDS which utilizes a physically based water quality and hydraulics simulation models, can outperform the signal processing based EDS. We also show that the model-based EDS can facilitate the development of a Multi-Site EDS (MSEDS), which analyzes the data from all the monitoring stations simultaneously within an integrated network. The advantage of the joint analysis in the MSEDS is expressed by increased detection accuracy (higher true positive alarms and fewer false alarms) and shorter detection time. Copyright © 2016 Elsevier Ltd. All rights reserved.

Soyuz 23 Return Samples: Assessment of Air Quality Aboard the International Space Station

NASA Technical Reports Server (NTRS)

James, John T.

2011-01-01

Six mini-grab sample containers (m-GSCs) were returned aboard Soyuz 23 because of concerns that new air pollutants had been present in the air and these were getting into the water recovery system. The Total Organic Carbon Analyzer had been giving increasing readings of total organic carbon (TOC) in the potable water, and it was postulated that an increased load into the system was responsible. The TOC began to decline in late October, 2010. The toxicological assessment of 6 m-GSCs from the ISS is shown in Table 1. The recoveries of 13C-acetone, fluorobenzene, and chlorobenzene from the GSCs averaged 73, 82, and 59%, respectively. We are working to understand the sub-optimal recovery of chlorobenzene.

Abuse Tolerance Improvements

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

Orendorff, Christopher J.; Nagasubramanian, Ganesan; Fenton, Kyle R.

As lithium-ion battery technologies mature, the size and energy of these systems continues to increase (> 50 kWh for EVs); making safety and reliability of these high energy systems increasingly important. While most material advances for lithium-ion chemistries are directed toward improving cell performance (capacity, energy, cycle life, etc.), there are a variety of materials advancements that can be made to improve lithium-ion battery safety. Issues including energetic thermal runaway, electrolyte decomposition and flammability, anode SEI stability, and cell-level abuse tolerance continue to be critical safety concerns. This report highlights work with our collaborators to develop advanced materials to improvemore » lithium-ion battery safety and abuse tolerance and to perform cell-level characterization of new materials.« less

A combined gas cooled nuclear reactor and fuel cell cycle

NASA Astrophysics Data System (ADS)

Palmer, David J.

Rising oil costs, global warming, national security concerns, economic concerns and escalating energy demands are forcing the engineering communities to explore methods to address these concerns. It is the intention of this thesis to offer a proposal for a novel design of a combined cycle, an advanced nuclear helium reactor/solid oxide fuel cell (SOFC) plant that will help to mitigate some of the above concerns. Moreover, the adoption of this proposal may help to reinvigorate the Nuclear Power industry while providing a practical method to foster the development of a hydrogen economy. Specifically, this thesis concentrates on the importance of the U.S. Nuclear Navy adopting this novel design for its nuclear electric vessels of the future with discussion on efficiency and thermodynamic performance characteristics related to the combined cycle. Thus, the goals and objectives are to develop an innovative combined cycle that provides a solution to the stated concerns and show that it provides superior performance. In order to show performance, it is necessary to develop a rigorous thermodynamic model and computer program to analyze the SOFC in relation with the overall cycle. A large increase in efficiency over the conventional pressurized water reactor cycle is realized. Both sides of the cycle achieve higher efficiencies at partial loads which is extremely important as most naval vessels operate at partial loads as well as the fact that traditional gas turbines operating alone have poor performance at reduced speeds. Furthermore, each side of the cycle provides important benefits to the other side. The high temperature exhaust from the overall exothermic reaction of the fuel cell provides heat for the reheater allowing for an overall increase in power on the nuclear side of the cycle. Likewise, the high temperature helium exiting the nuclear reactor provides a controllable method to stabilize the fuel cell at an optimal temperature band even during transients helping to increase performance and reduce degradation of the fuel cell. It also provides the high temperature needed to efficiently produce hydrogen for the fuel cell. Moreover, the inclusion of a highly reliable and electrically independent fuel cell is particularly important as the ship will have the ability to divert large amounts of power from the propulsion system to energize high energy weapon pulse loads without disturbing vital parts of the C4ISR systems or control panels. Ultimately, the thesis shows that the combined cycle is mutually beneficial to each side of the cycle and overall critically needed for our future.

Assessment of formulary development in a small hospital.

PubMed

Holt, R T; Larson, D S; Scheil, E S

1988-07-01

The development of a formulary system in a 138 bed hospital is evaluated. A description of the process used in completing the formulary is provided as well as the assertion that the small hospital has advantages in initiating this process. The results of the study show a 40% decrease in the number of drug line items and a $14,901 (36%) reduction in inventory. Improvement in departmental organization is noted as well as a positive psychological impact. As the prospective payment system increases the need to control costs and improve efficiency, the formulary system is seen as an important step in addressing these concerns.

In the sign of Galileo: pictorial representation in the 17th-century Copernican debate.

PubMed

Remmert, Volker R

2003-03-01

After Galileo had discovered the four moons of Jupiter in 1609 he became increasingly convinced that the Copernican, heliocentric system of the world was correct. However, this ran against the opinions of the Church and a large number of contemporary astronomers and natural philosophers. The ensuing development culminated in the condemnation of the Copernican system by the Church in 1616 and of Galileo himself, who had propagated the Copernican system in his Dialogue Concerning the Two Chief World Systems (1632), in 1633. Nevertheless, there was a constant debate about the right world system during the whole 17th century. Pictorial representation played an important role in it and the illustrations used as book frontispieces were a significant medium for the dispute.

Nanotechnology in food science: Functionality, applicability, and safety assessment.

PubMed

He, Xiaojia; Hwang, Huey-Min

2016-10-01

Rapid development of nanotechnology is expected to transform many areas of food science and food industry with increasing investment and market share. In this article, current applications of nanotechnology in food systems are briefly reviewed. Functionality and applicability of food-related nanotechnology are highlighted in order to provide a comprehensive view on the development and safety assessment of nanotechnology in the food industry. While food nanotechnology offers great potential benefits, there are emerging concerns arising from its novel physicochemical properties. Therefore, the safety concerns and regulatory policies on its manufacturing, processing, packaging, and consumption are briefly addressed. At the end of this article, the perspectives of nanotechnology in active and intelligent packaging applications are highlighted. Copyright © 2016. Published by Elsevier B.V.

The past, the future and the biology of memory storage.

PubMed Central

Kandel, E R; Pittenger, C

1999-01-01

We here briefly review a century of accomplishments in studying memory storage and delineate the two major questions that have dominated thinking in this area: the systems question of memory, which concerns where in the brain storage occurs; and the molecular question of memory, which concerns the mechanisms whereby memories are stored and maintained. We go on to consider the themes that memory research may be able to address in the 21st century. Finally, we reflect on the clinical and societal import of our increasing understanding of the mechanisms of memory, discussing possible therapeutic approaches to diseases that manifest with disruptions of learning and possible ethical implication of the ability, which is on the horizon, to ameliorate or even enhance human memory. PMID:10670023

[Process design in high-reliability organizations].

PubMed

Sommer, K-J; Kranz, J; Steffens, J

2014-05-01

Modern medicine is a highly complex service industry in which individual care providers are linked in a complicated network. The complexity and interlinkedness is associated with risks concerning patient safety. Other highly complex industries like commercial aviation have succeeded in maintaining or even increasing its safety levels despite rapidly increasing passenger figures. Standard operating procedures (SOPs), crew resource management (CRM), as well as operational risk evaluation (ORE) are historically developed and trusted parts of a comprehensive and systemic safety program. If medicine wants to follow this quantum leap towards increased patient safety, it must intensively evaluate the results of other high-reliability industries and seek step-by-step implementation after a critical assessment.

Nutritional Status Assessment During the Phase IIA and Phase III Lunar/Mars Life Support Test Project

NASA Technical Reports Server (NTRS)

Smith, Scott M.; Block, Gladys; Davis-Street, Janis E.; DeKerlegand, Diane E.; Fanselow, Stephanie A.; Fesperman, J. Vernell; Gillman, Patricia L.; Nillen, Jeannie I.; Rice, Barbara L.; Smith, Myra D.

2000-01-01

Nutrition is a critical concern for extended-duration space missions (Smith and Lane, 1999). Loss of body weight is a primary consequence of altered nutrition, and is frequently observed during space flight (Smith and Lane; 1999). Other existing dietary concerns for space flight include excessive intakes of sodium and iron, and insufficient intakes of water and vitamin D (Smith and Lane, 1999). Furthermore, dependence on closed or semi-closed food systems increases the likelihood of inadequate intakes of key nutrients. This is a significant concern for extended-duration space missions. Space nutrition research often necessitates detailed recording of all food consumption. While this yields extremely accurate data, it requires considerable time and effort, and thus is not suitable for routine medical monitoring during space flight. To alleviate this problem, a food frequency questionnaire (FFQ) was designed to provide a quick and easy, yet reasonably accurate, method for crewmembers to provide dietary intake information to the ground. We report here a study which was designed to assess nutritional status before, during, and after the 60-d and 91-d chamber stays. An additional goal of the study was to validate a food frequency questionnaire designed specifically for use with space flight food systems.

DNA Dilemma: A Perspective on Current U.S. Patent and Trademarh Office Philosophy Concerning Life Patents

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

Franz, K.; Faletra, P.

The lack of a solid set of criteria for determining patentability of subject matter - particularly subject matter dealing with life - has recently been of increasing public concern in the United States. Alarm for patent practices related to life systems ranges from patents being granted on biochemical processes and the knowledge of these processes to the patenting of entire organisms. One of the most volatile concerns is the patenting of human genes or parts of genes since this genetic material is the basic informational molecule for all life. Current patent law, legislated in 1952, has been interpreted by themore » U.S. Supreme Court to allow broad patents of DNA, biochemical processes, and what are generally considered 'inventions' of life systems. Several issues are addressed in this paper regarding the unsound reasoning underlying both the interpretation and execution of patent law. Lapses in logic provide a gateway for businesses and individuals to take patenting to an illogical and unworkable extreme. Patent Office disorder of this magnitude is unnecessary and has great potential for harming the mission that the patent office was designed to serve. Recently disclosed patent-granting guidelines suggest the United States Patent and Trademark Office is not upholding its Constitutional responsibility of promoting the progress of science.« less

The influence of medical cost controls implemented by Taiwan's national health insurance program on doctor-patient relationships.

PubMed

Chiu, Jhih-Ling

2015-01-01

To prevent medical costs from rising, the National Health Insurance administration implemented the global budget system for financial reform, effective 1 July 2004. Since the implementation of this system, patients have been required to pay for some medicines to limit costs to the system. More recently, as they have faced constant increases in health insurance fees and also faced an increase in the number of medical expenses they must pay during an economic recession and a rise in unemployment, would the economic burden on the people of Taiwan not be increased? Even though National Health Insurance is a form of social insurance, does it guarantee social equality? The value of the healthcare industry is irreplaceable, so the most critical concern is whether worsening doctor-patient relationships will worsen healthcare quality. In short, while the global budget system saves on National Health Insurance costs, whether its implementation has affected healthcare quality is also worth exploring. This commentary also hopes to serve as a reference for the implementation of national health insurance in the United States. Copyright © 2014 John Wiley & Sons, Ltd.

Future Directions for EC Education: 10 Concerns

ERIC Educational Resources Information Center

Gibbs, Colin

2009-01-01

What are the problems that early childhood educators are trying to answer? In this article, the author presents his ten concerns for early childhood teacher education: (1) A concern about policymakers' pottery wheels; (2) A concern about "white shoe" education evangelists; (3) A concern that increasing control may cripple autonomy and…

Groundwater mining of bedrock aquifers in the Denver Basin - Past, present, and future

USGS Publications Warehouse

Moore, J.E.; Raynolds, R.G.; Barkmann, P.E.

2004-01-01

The Denver Basin bedrock aquifer system is an important source of water for municipal and agricultural uses in the Denver and Colorado Springs metropolitan areas. The Denver area is one of the fastest growing areas in the United States with a population of 1.2 million in 1960 that has increased to over 2.4 million by 2000. This rapid population growth has produced a corresponding increase in demand for potable water. Historically, the Denver area has relied on surface water, however, in the past 10 years new housing and recreation developments have begun to rely on groundwater from the bedrock aquifers as the surface water is fully appropriated and in short supply. The Denver Basin bedrock aquifer system consists of Tertiary and Cretaceous age sedimentary rocks known as the Dawson, Denver, Arapahoe and Laramie-Fox Hills Aquifers. The number of bedrock wells has increased from 12,000 in 1985 to 33,700 in 2001 and the withdrawal of groundwater has caused water level declines of 76 m. Water level declines for the past 10 years have ranged from 3 to 12 m per year. The groundwater supplies were once thought to last 100 years but there is concern that the groundwater supplies may be essentially depleted in 10 to 15 years in areas on the west side of the basin. Extensive development of the aquifer system has occurred in the last 25 years especially near the center of the basin in Douglas and El Paso Counties where rapid urban growth continues and surface water is lacking. Groundwater is being mined from the aquifer system because the discharge by wells exceeds the rate of recharge. Concern is mounting that increased groundwater withdrawal will cause water level declines, increased costs to withdraw groundwater, reduced well yield, and reduced groundwater storage. As the long-term sustainability of the groundwater resource is in doubt, water managers believe that the life of the Denver Basin aquifers can be extended with artificial recharge, water reuse, restrictions on lawn watering, well permit restrictions and conservation measures.

A Teaching and Learning Sequence about the Interplay of Chance and Determinism in Nonlinear Systems

ERIC Educational Resources Information Center

Stavrou, D.; Duit, R.; Komorek, M.

2008-01-01

A teaching and learning sequence aimed at introducing upper secondary school students to the interplay between chance and determinism in nonlinear systems is presented. Three experiments concerning nonlinear systems (deterministic chaos, self-organization and fractals) and one experiment concerning linear systems are introduced. Thirty upper…

Sequential Testing of Hypotheses Concerning the Reliability of a System Modeled by a Two-Parameter Weibull Distribution.

DTIC Science & Technology

1981-12-01

CONCERNING THE RELIABILITY OF A SYSTEM MODELED BY A TWO-PARAMETER WEIBULL DISTRIBUTION THESIS AFIT/GOR/MA/81D-8 Philippe A. Lussier 2nd Lt USAF... MODELED BY A TWO-PARAMETER WEIBULL DISTRIBUTION THESIS Presented to the Faculty of the School of Engineering of the Air Force Institute of Technology...repetitions are used for these test procedures. vi Sequential Testing of Hypotheses Concerning the Reliability of a System Modeled by a Two-Parameter

Impact of musculoskeletal pain on balance and concerns of falling in mobility-limited, community-dwelling Danes over 75 years of age: a cross-sectional study.

PubMed

Kendall, Julie C; Hvid, Lars G; Hartvigsen, Jan; Fazalbhoy, Azharuddin; Azari, Michael F; Skjødt, Mathias; Robinson, Stephen R; Caserotti, Paolo

2017-12-11

In older adults, musculoskeletal pain is associated with increased concerns of falling, reduced balance and increased occurrence of falls. In younger adults, the intensity of neck pain and low back pain is associated with increased postural sway. It is not known if pain further impairs balance and concerns of falling in mobility-limited older adults, and if so, whether this is associated with different intensities of pain. This study examined whether mobility-limited older adults with mild or intense neck pain and/or low back pain have significantly increased postural sway as measured by centre of pressure (COP) changes and concerns of falling compared to those without pain. 48 older adults with a gait speed of < 0.9 m/s from Odense, Denmark were recruited through the public health service. Self-reported neck pain, low back pain, and concerns of falling were recorded on questionnaires. Sway range, velocity and area were recorded on a force plate in a comfortable standing stance. Pain intensity was rated on an 11 point numerical rating scale (0-10). Participants were sub-grouped into mild (0-4) and intense (> 5) neck pain or low back pain. Intense neck pain was associated with increased anterior-posterior sway range and area of sway. Intense low back pain was associated with increased concerns of falling. Intense neck pain in mobility-limited older adults is associated with significant changes in postural balance, and intense low back pain is associated with significantly higher concerns of falling.

Vertical funding, non-governmental organizations, and health system strengthening: perspectives of public sector health workers in Mozambique

PubMed Central

2013-01-01

Background In the rapid scale-up of human immunodeficiency virus (HIV) care and acquired immunodeficiency syndrome (AIDS) treatment, many donors have chosen to channel their funds to non-governmental organizations and other private partners rather than public sector systems. This approach has reinforced a private sector, vertical approach to addressing the HIV epidemic. As progress on stemming the epidemic has stalled in some areas, there is a growing recognition that overall health system strengthening, including health workforce development, will be essential to meet AIDS treatment goals. Mozambique has experienced an especially dramatic increase in disease-specific support over the last eight years. We explored the perspectives and experiences of key Mozambican public sector health managers who coordinate, implement, and manage the myriad donor-driven projects and agencies. Methods Over a four-month period, we conducted 41 individual qualitative interviews with key Ministry workers at three levels in the Mozambique national health system, using open-ended semi-structured interview guides. We also reviewed planning documents. Results All respondents emphasized the value and importance of international aid and vertical funding to the health sector and each highlighted program successes that were made possible by recent increased aid flows. However, three serious concerns emerged: 1) difficulties coordinating external resources and challenges to local control over the use of resources channeled to international private organizations; 2) inequalities created within the health system produced by vertical funds channeled to specific services while other sectors remain under-resourced; and 3) the exodus of health workers from the public sector health system provoked by large disparities in salaries and work. Conclusions The Ministry of Health attempted to coordinate aid by implementing a “sector-wide approach” to bring the partners together in setting priorities, harmonizing planning, and coordinating support. Only 14% of overall health sector funding was channeled through this coordinating process by 2008, however. The vertical approach starved the Ministry of support for its administrative functions. The exodus of health workers from the public sector to international and private organizations emerged as the issue of greatest concern to the managers and health workers interviewed. Few studies have addressed the growing phenomenon of “internal brain drain” in Africa which proved to be of greater concern to Mozambique’s health managers. PMID:23768178

Vertical funding, non-governmental organizations, and health system strengthening: perspectives of public sector health workers in Mozambique.

PubMed

Mussa, Abdul H; Pfeiffer, James; Gloyd, Stephen S; Sherr, Kenneth

2013-06-14

In the rapid scale-up of human immunodeficiency virus (HIV) care and acquired immunodeficiency syndrome (AIDS) treatment, many donors have chosen to channel their funds to non-governmental organizations and other private partners rather than public sector systems. This approach has reinforced a private sector, vertical approach to addressing the HIV epidemic. As progress on stemming the epidemic has stalled in some areas, there is a growing recognition that overall health system strengthening, including health workforce development, will be essential to meet AIDS treatment goals. Mozambique has experienced an especially dramatic increase in disease-specific support over the last eight years. We explored the perspectives and experiences of key Mozambican public sector health managers who coordinate, implement, and manage the myriad donor-driven projects and agencies. Over a four-month period, we conducted 41 individual qualitative interviews with key Ministry workers at three levels in the Mozambique national health system, using open-ended semi-structured interview guides. We also reviewed planning documents. All respondents emphasized the value and importance of international aid and vertical funding to the health sector and each highlighted program successes that were made possible by recent increased aid flows. However, three serious concerns emerged: 1) difficulties coordinating external resources and challenges to local control over the use of resources channeled to international private organizations; 2) inequalities created within the health system produced by vertical funds channeled to specific services while other sectors remain under-resourced; and 3) the exodus of health workers from the public sector health system provoked by large disparities in salaries and work. The Ministry of Health attempted to coordinate aid by implementing a "sector-wide approach" to bring the partners together in setting priorities, harmonizing planning, and coordinating support. Only 14% of overall health sector funding was channeled through this coordinating process by 2008, however. The vertical approach starved the Ministry of support for its administrative functions. The exodus of health workers from the public sector to international and private organizations emerged as the issue of greatest concern to the managers and health workers interviewed. Few studies have addressed the growing phenomenon of "internal brain drain" in Africa which proved to be of greater concern to Mozambique's health managers.

Safety huddles to proactively identify and address electronic health record safety

PubMed Central

Menon, Shailaja; Singh, Hardeep; Giardina, Traber D; Rayburn, William L; Davis, Brenda P; Russo, Elise M

2017-01-01

Objective: Methods to identify and study safety risks of electronic health records (EHRs) are underdeveloped and largely depend on limited end-user reports. “Safety huddles” have been found useful in creating a sense of collective situational awareness that increases an organization’s capacity to respond to safety concerns. We explored the use of safety huddles for identifying and learning about EHR-related safety concerns. Design: Data were obtained from daily safety huddle briefing notes recorded at a single midsized tertiary-care hospital in the United States over 1 year. Huddles were attended by key administrative, clinical, and information technology staff. We conducted a content analysis of huddle notes to identify what EHR-related safety concerns were discussed. We expanded a previously developed EHR-related error taxonomy to categorize types of EHR-related safety concerns recorded in the notes. Results: On review of daily huddle notes spanning 249 days, we identified 245 EHR-related safety concerns. For our analysis, we defined EHR technology to include a specific EHR functionality, an entire clinical software application, or the hardware system. Most concerns (41.6%) involved “EHR technology working incorrectly,” followed by 25.7% involving “EHR technology not working at all.” Concerns related to “EHR technology missing or absent” accounted for 16.7%, whereas 15.9% were linked to “user errors.” Conclusions: Safety huddles promoted discussion of several technology-related issues at the organization level and can serve as a promising technique to identify and address EHR-related safety concerns. Based on our findings, we recommend that health care organizations consider huddles as a strategy to promote understanding and improvement of EHR safety. PMID:28031286

Gender and online privacy among teens: risk perception, privacy concerns, and protection behaviors.

PubMed

Youn, Seounmi; Hall, Kimberly

2008-12-01

Survey data from 395 high school students revealed that girls perceive more privacy risks and have a higher level of privacy concerns than boys. Regarding privacy protection behaviors, boys tended to read unsolicited e-mail and register for Web sites while directly sending complaints in response to unsolicited e-mail. This study found girls to provide inaccurate information as their privacy concerns increased. Boys, however, refrained from registering to Web sites as their concerns increased.

Time-Varying, Multi-Scale Adaptive System Reliability Analysis of Lifeline Infrastructure Networks

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

Gearhart, Jared Lee; Kurtz, Nolan Scot

2014-09-01

The majority of current societal and economic needs world-wide are met by the existing networked, civil infrastructure. Because the cost of managing such infrastructure is high and increases with time, risk-informed decision making is essential for those with management responsibilities for these systems. To address such concerns, a methodology that accounts for new information, deterioration, component models, component importance, group importance, network reliability, hierarchical structure organization, and efficiency concerns has been developed. This methodology analyzes the use of new information through the lens of adaptive Importance Sampling for structural reliability problems. Deterioration, multi-scale bridge models, and time-variant component importance aremore » investigated for a specific network. Furthermore, both bridge and pipeline networks are studied for group and component importance, as well as for hierarchical structures in the context of specific networks. Efficiency is the primary driver throughout this study. With this risk-informed approach, those responsible for management can address deteriorating infrastructure networks in an organized manner.« less

Influence of cadmium on physiological parameters and efficiency of chickens-broilers

NASA Astrophysics Data System (ADS)

Lisunova, L. I.; Tokarev, V. S.; Lisunova, A. V.

2003-05-01

In modern conditions a basis of activity of the person becomes the principle of ecological rationality including development and practical use of systems, technologies and the ways providing reception of ecologically safe production of animal industries. Heavy metals concern to number of the most dangerous objects of an environment The sizes of their distribution and intensity of migration in an environment have got dangerous character for normal functioning and health of people. In this connection there is a real necessity of development of strategy of regulation of a level of heavy metals for system about “ground - an atmosphere - water - a plant - an animal - the person”, basing on the interconnected and mutually conditioned processes of their circulation. Cadmium concerns to group of heavy metals. Its increased contents in an organism of the person reduces ability to resist to illnesses. It has mutagen and cancerogenic properties, negatively influences on a heredity. It also promotes development of diseases of kidneys, and also a gastritis and an anemia.

Finnish physicians' experiences with computer-supported patient information exchange and communication in clinical work.

PubMed

Viitanen, Johanna; Nieminen, Marko; Hypponen, Hannele; Laaveri, Tinja

2011-01-01

Several researchers share the concern of healthcare information systems failing to support communication and collaboration in clinical practices. The objective of this paper is to investigate the current state of computer-supported patient information exchange and associated communication between clinicians. We report findings from a national survey on Finnish physicians? experiences with their currently used clinical information systems with regard to patient information documentation, retrieval, management and exchange-related tasks. The questionnaire study with 3929 physicians indicated the main concern being cross-organisational patient information delivery. In addition, physicians argued computer usage increasingly steals time and attention from caring activities and even disturbs physician?nurse collaboration. Problems in information management were particularly emphasised among those physicians working in hospitals and wards. The survey findings indicated that collaborative applications and mobile or wireless solutions have not been widely adapted in Finnish healthcare and suggested an urgent need for adopting appropriate information and communication technology applications to support information exchange and communication between physicians, and physicians and nurses.

GNAT: A Global Network of Astronomical Telescopes

NASA Astrophysics Data System (ADS)

Crawford, David L.

1995-12-01

Astronomical resources are increasingly directed toward development of very large telescopes, and many facilities are compelled to cease operations of smaller telescopes. A real concern is emerging with respect to issues of access to astronomical imaging systems for the majority of astronomers who will have little or no opportunity to work with the larger telescopes. Further concern is developing with regard to the means for conducting observationally intensive fundamental astronomical imaging programs, such as surveys, monitoring, and standards calibration. One attractive potential solution is a global network of (automated) astronomical telescopes (GNAT). Initial steps have been taken to turn this network into a reality. GNAT has been incorporated as a nonprofit corporation, membership drives have begun and several institutions have joined. The first two open GNAT meetings have now been held to define hardware and software systems, and an order has been placed for the first of the GNAT automated telescopes. In this presentation we discuss the goals and status of GNAT and its implications for astronomical imaging.

A novel comprehensive evaluation platform to assess nanoparticle toxicity in vitro

NASA Astrophysics Data System (ADS)

Hirsch, C.; Kaiser, J.-P.; Wessling, F.; Fischer, K.; Roesslein, M.; Wick, P.; Krug, H. F.

2011-07-01

The amount of engineered nanomaterials (ENM) is constantly increasing. Their unique properties, compared to their bulk counterparts, render them suitable for various applications in many areas of life. Hence, nanomaterials appear in a variety of different consumer products leading to the exposure of human beings and the environment during their lifecycle. Even though results on biological effects of ENM are available, harmonized and validated test systems are still missing. One major problem concerning the reliable and robust toxicity testing arises from interactions of ENM with different assay systems. Modifications or damage to DNA can have fatal consequences, such as the formation of tumor cells and hence carcinogenesis. Therefore we focused on the re-evaluation of two genotoxicity assays concerning their nanomaterial compatibility; namely the cytokinesis-block micronucleus cytome assay (MN-assay) and the alkaline single cell gel electorphoresis assay (comet assay). We demonstrate the interference of ENM agglomerates with the read-out of both assays and discuss possibilities how to acquire relevant genotoxicity data.

Heavy-section welding with very high power laser beams: the challenge

NASA Astrophysics Data System (ADS)

Goussain, Jean-Claude; Becker, Ahim; Chehaibou, A.; Leca, P.

1997-08-01

The 45 kW CO2 laser system of Institut de Soudure was used to evaluate and explore the possibilities offered by the high power laser beams for welding different materials in various thickness and in different welding positions. Stainless steels, low carbon steels, aluminum and titanium alloys were studied. Butt joints in 10 to 35 mm thick plates were achieved and evaluated by radiographic, metallurgical and mechanical tests. Gaps and alignment tolerances were determined with and without filler wire in order to obtain acceptable welds concerning the weld geometry, the aspect on front and end root sides. The main problem raised by heavy section welding concerns weld porosity in the weld which increases drastically with the thickness of the weld. Indications are given on their origin and the way to proceed in order to better control them. Lastly some large parts, recently welded on the system, are presented and discussed before drawing some conclusions on the prospects of very high power laser welding.

The identification of living persons on images: A literature review.

PubMed

Gibelli, D; Obertová, Z; Ritz-Timme, S; Gabriel, P; Arent, T; Ratnayake, M; De Angelis, D; Cattaneo, C

2016-03-01

Personal identification in the forensic context commonly concerns unknown decedents. However, recently there has been an increase in cases which require identification of living persons, especially from surveillance systems. These cases bring about a relatively new challenge for forensic anthropologists and pathologists concerning the selection of the most suitable methodological approaches with regard to the limitations of the photographic representation of a given person for individualization and identity. Facial features are instinctively the primary focus for identification approaches. However, other body parts (e.g. hands), and body height and gait (on videos) have been considered in cases of personal identification. This review aims at summarizing the state-of-the-art concerning the identification of the living on images and videos, including a critical evaluation of the advantages and limitations of different methods. Recommendations are given in order to aid forensic practitioners who face cases of identification of living persons. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Environmental accounting for Arctic shipping - a framework building on ship tracking data from satellites.

PubMed

Mjelde, A; Martinsen, K; Eide, M; Endresen, Ø

2014-10-15

Arctic shipping is on the rise, leading to increased concern over the potential environmental impacts. To better understand the magnitude of influence to the Arctic environment, detailed modelling of emissions and environmental risks are essential. This paper describes a framework for environmental accounting. A cornerstone in the framework is the use of Automatic Identification System (AIS) ship tracking data from satellites. When merged with ship registers and other data sources, it enables unprecedented accuracy in modelling and geographical allocation of emissions and discharges. This paper presents results using two of the models in the framework; emissions of black carbon (BC) in the Arctic, which is of particular concern for climate change, and; bunker fuels and wet bulk carriage in the Arctic, of particular concern for oil spill to the environment. Using the framework, a detailed footprint from Arctic shipping with regards to operational emissions and potential discharges is established. Copyright © 2014 Elsevier Ltd. All rights reserved.

An ID Network System to Prepare for Global Environmental/Health Concerns

NASA Astrophysics Data System (ADS)

Asano, Shoichiro; Yoneda, Susumu

Climate change and/or pandemics are global life threatening concerns. For verifying and utilizing monitored data for solving to the Climate Change concerns, a network system based on device ID would be proposed. In this paper, we review the recent standardization initiatives in ITU-T, and propose an ID network that can be used to verify the solutions.

Analysis of the systems of ventilation of residential houses of Ukraine and Estonia

NASA Astrophysics Data System (ADS)

Savchenko, Olena; Zhelykh, Vasyl; Voll, Hendrik

2017-12-01

The most common ventilation system in residential buildings in Ukraine is natural ventilation. In recent years, due to increased tightness of structures, an increase in the content of synthetic finishing materials in them, the quality of microclimate parameters deteriorated. One of the measures to improve the parameters of indoor air in residential buildings is the use of mechanical inflow and exhaust ventilation system. In this article the regulatory documents concerning the design of ventilation systems in Ukraine and Estonia and the requirements for air exchange in residential buildings are considered. It is established that the existing normative documents in Ukraine are analogous to European norms, which allow design the system of ventilation of residential buildings according to European standards. However, the basis for the design of ventilation systems in Ukraine is the national standards, in which mechanical ventilation, unfortunately, is provided only for the design of high-rise buildings. To maintain acceptable microclimate parameters in residential buildings, it is advisable for designers to apply the requirements for designing ventilation systems in accordance with European standards.

Dietitians employed by health care facilities preferred a HACCP system over irradiation or chemical rinses for reducing risk of foodborne disease.

PubMed

Giamalva, J N; Redfern, M; Bailey, W C

1998-08-01

To survey dietitians in health care facilities about the acceptability of alternative meat and poultry processing methods designed to reduce the risk of foodborne disease and their willingness to pay for these processes. A geographically representative sample of 600 members of The American Dietetic Association who work in health care facilities. The response rate was 250 completed questionnaires from 592 eligible subjects (42%). A mail survey was used to gather information on the acceptability of a Hazard Analysis and Critical Control Point (HACCP) system, chemical rinses, and irradiation for increasing the safety of food. Discrete choice contingent valuation was used to determine the acceptability at current prices and at 5, 10, and 25 cents per pound above current prices. Logistic regression was used to estimate mean willingness to pay (the maximum amount respondents are willing to pay) for each process. A simultaneous equations regression model was used to estimate the effects of other variables on acceptability. Respondents expressed a high level of concern for food safety in health care facilities. The estimated mean willingness to pay was highest for a HACCP system and lowest for chemical rinses. The successful adoption of alternative methods to increase food safety depends on their acceptance by foodservice professionals. The professionals sampled were most accepting of a HACCP system, somewhat less accepting of irradiation, and least accepting of new chemical rinses. Poultry and beef processors and government agencies concerned with food safety may want to take into account the attitudes of foodservice professionals.

Outbound medical tourism from Mongolia: a qualitative examination of proposed domestic health system and policy responses to this trend.

PubMed

Snyder, Jeremy; Byambaa, Tsogtbaatar; Johnston, Rory; Crooks, Valorie A; Janes, Craig; Ewan, Melanie

2015-05-03

Medical tourism is the practice of traveling across international boundaries in order to access medical care. Residents of low-to-middle income countries with strained or inadequate health systems have long traveled to other countries in order to access procedures not available in their home countries and to take advantage of higher quality care elsewhere. In Mongolia, for example, residents are traveling to China, Japan, Thailand, South Korea, and other countries for care. As a result of this practice, there are concerns that travel abroad from Mongolia and other countries risks impoverishing patients and their families. In this paper, we present findings from 15 interviews with Mongolian medical tourism stakeholders about the impacts of, causes of, and responses to outbound medical tourism. These findings were developed using a case study methodology that also relied on tours of health care facilities and informal discussions with citizens and other stakeholders during April, 2012. Based on these findings, health policy changes are needed to address the outflow of Mongolian medical tourists. Key areas for reform include increasing funding for the Mongolian health system and enhancing the efficient use of these funds, improving training opportunities and incentives for health workers, altering the local culture of care to be more supportive of patients, and addressing concerns of corruption and favouritism in the health system. While these findings are specific to the Mongolian health system, other low-to-middle income countries experiencing outbound medical tourism will benefit from consideration of how these findings apply to their own contexts. As medical tourism is increasing in visibility globally, continued research on its impacts and context-specific policy responses are needed.

Predicting bird response to alternative management scenarios on a ranch in Campeche, Mexico

USGS Publications Warehouse

Wood, P.A.; Dawson, D.K.; Sauer, J.R.; Wilson, M.H.; Ralph, C. John; Rich, Terrell D.

2005-01-01

We developed models to predict the potential response of wintering Neotropical migrant and resident bird species to alternative management scenarios, using data from point counts of birds along with habitat variables measured or estimated from remotely sensed data in a Geographic Information System. Expected numbers of occurrences at points were calculated for 100 species of birds, under current habitat conditions and under habitat conditions that would result from seven alternative management scenarios for Rancho Sandoval, a cattle ranch and private nature reserve in Campeche, Mexico. Most bird species of conservation concern would benefit from management scenarios that increase the amount of forest, but the highest priority resident species would not. To balance the somewhat conflicting habitat needs of these species and the concerns of ranch managers, we recommend that forest area and connectivity be increased, and pastures be maintained but more efficiently managed to support cattle and the priority resident and migrant birds that require open habitats.

The development of synthetic biology: a patent analysis.

PubMed

van Doren, Davy; Koenigstein, Stefan; Reiss, Thomas

2013-12-01

In the past decades, synthetic biology has gained interest regarding research and development efforts within the biotechnology domain. However, it is unclear to what extent synthetic biology has matured already into being commercially exploitable. By means of a patent analysis, this study shows that there is an increasing trend regarding synthetic biology related patent applications. The majority of retrieved patents relates to innovations facilitating the realisation of synthetic biology through improved understanding of biological systems. In addition, there is increased activity concerning the development of synthetic biology based applications. When looking at potential application areas, the majority of synthetic biology patents seems most relevant for the medical, energy and industrial sector. Furthermore, the analysis shows that most activity has been carried out by the USA, with Japan and a number of European countries considerably trailing behind. In addition, both universities and companies are major patent applicant actor types. The results presented here form a starting point for follow-up studies concerning the identification of drivers explaining the observed patent application trends in synthetic biology.

Information-Theoretic Considerations Concerning the Origin of Life

NASA Astrophysics Data System (ADS)

Adami, Christoph

2015-09-01

Research investigating the origins of life usually either focuses on exploring possible life-bearing chemistries in the pre-biotic Earth, or else on synthetic approaches. Comparatively little work has explored fundamental issues concerning the spontaneous emergence of life using only concepts (such as information and evolution) that are divorced from any particular chemistry. Here, I advocate studying the probability of spontaneous molecular self-replication as a function of the information contained in the replicator, and the environmental conditions that might enable this emergence. I show (under certain simplifying assumptions) that the probability to discover a self-replicator by chance depends exponentially on the relative rate of formation of the monomers. If the rate at which monomers are formed is somewhat similar to the rate at which they would occur in a self-replicating polymer, the likelihood to discover such a replicator by chance is increased by many orders of magnitude. I document such an increase in searches for a self-replicator within the digital life system avida.

Precision digital control systems

NASA Astrophysics Data System (ADS)

Vyskub, V. G.; Rozov, B. S.; Savelev, V. I.

This book is concerned with the characteristics of digital control systems of great accuracy. A classification of such systems is considered along with aspects of stabilization, programmable control applications, digital tracking systems and servomechanisms, and precision systems for the control of a scanning laser beam. Other topics explored are related to systems of proportional control, linear devices and methods for increasing precision, approaches for further decreasing the response time in the case of high-speed operation, possibilities for the implementation of a logical control law, and methods for the study of precision digital control systems. A description is presented of precision automatic control systems which make use of electronic computers, taking into account the existing possibilities for an employment of computers in automatic control systems, approaches and studies required for including a computer in such control systems, and an analysis of the structure of automatic control systems with computers. Attention is also given to functional blocks in the considered systems.

Mental Illness and Juvenile Offenders

PubMed Central

Underwood, Lee A.; Washington, Aryssa

2016-01-01

Within the past decade, reliance on the juvenile justice system to meet the needs of juvenile offenders with mental health concerns has increased. Due to this tendency, research has been conducted on the effectiveness of various intervention and treatment programs/approaches with varied success. Recent literature suggests that because of interrelated problems involved for youth in the juvenile justice system with mental health issues, a dynamic system of care that extends beyond mere treatment within the juvenile justice system is the most promising. The authors provide a brief overview of the extent to which delinquency and mental illness co-occur; why treatment for these individuals requires a system of care; intervention models; and the juvenile justice systems role in providing mental health services to delinquent youth. Current and future advancements and implications for practitioners are provided. PMID:26901213

Optical Amplifier Based Space Solar Power

NASA Technical Reports Server (NTRS)

Fork, Richard L.

2001-01-01

The objective was to design a safe optical power beaming system for use in space. Research was focused on identification of strategies and structures that would enable achievement near diffraction limited optical beam quality, highly efficient electrical to optical conversion, and high average power in combination in a single system. Efforts centered on producing high efficiency, low mass of the overall system, low operating temperature, precision pointing and tracking capability, compatibility with useful satellite orbits, component and system reliability, and long component and system life in space. A system based on increasing the power handled by each individual module to an optimum and the number of modules in the complete structure was planned. We were concerned with identifying the most economical and rapid path to commercially viable safe space solar power.

Importance of relationship quality in the success of data warehouse systems

NASA Astrophysics Data System (ADS)

Almabhouh, Alaaeddin; Saleh, Abdul; Ahmad, Azizah

2011-10-01

Increased organizational dependence on data warehouse (DW) systems drives management attention towards improving DW systems success. However, the successful implementation rate of DW systems is low and many firms did not achieve intended goals. A recent studies show that improves and evaluates DW success is one of the top concerns facing IT/DW executives. Existing information system (IS) research has studied DW success more from information quality and system quality. Researchers argue in this study that we should also take the relationship quality, which has significant research and practical implications in that it connects to IS success directly. As our first attempt, this study, referring to both IS and marketing literature, examines how communication, coordination, cooperation, commitment, and trust can be achieved to some degrees by high quality relationships between DW parties.

Does anxiety sensitivity predict symptoms of panic, depression, and social anxiety?

PubMed

Grant, DeMond M; Beck, J Gayle; Davila, Joanne

2007-09-01

This study examined whether the lower-order factors of the Anxiety Sensitivity Index (ASI) exhibited specificity in predicting symptoms of panic, depression, and social anxiety prospectively. This question was addressed using a sample of undergraduates stratified to represent low, medium, and high levels of anxiety sensitivity (AS). It was hypothesized that the physical concerns, mental concerns, and social concerns subscales of the ASI would predict increases in panic, depression, and social anxiety symptoms, respectively, one year later. Results found that the physical concerns subscale predicted increases in both panic and depressive symptoms. Neither the mental concerns nor the social concerns subscales predicted significant variance in any of the Time 2 symptoms. Theoretical implications of these data for AS are discussed.

An alternative model of free fall

NASA Astrophysics Data System (ADS)

Lattery, Mark

2018-03-01

In Two World Systems (Galileo 1632/1661 Dialogues Concerning Two New Sciences (New York: Prometheus)), Galileo attempted to unify terrestrial and celestial motions using the Aristotelian principle of circularity. The result was a model of free fall that correctly predicts the linear increase of the velocity of an object released from rest near the surface of the Earth. This historical episode provides an opportunity to communicate the nature of science to students.

Report to Congress on Sustainable Ranges, 2013

DTIC Science & Technology

2013-04-01

to renewable energy, particularly wind turbines offshore. DoD and BOEM have assessed over 2,000 lease blocks on the Atlantic Outer Continental Shelf... wind turbines off-range affects the accuracy and reliability of radar systems used on the range. An emerging challenge on ranges is the increased...adversely affect range operations. Concerns are site-specific but often include wind turbine impacts to radar, the impact of excessive lighting on

Operational Energy Metrics: Increasing Flexibility While Reducing Vulnerability

DTIC Science & Technology

2010-03-01

procurement decisions with a greater level of fidelity concerning the cost- benefit analysis for systems lifetime cost of energy. Furthermore, it...or we have to RTB, we’re BINGO -fuel48”? As General Ronald Keys, USAF (RET.) stated when discussing energy efficiency and mission effectiveness...of Defense change to fully value the delivered cost of fuel, the sooner joint force commanders will reap the “strategic benefits of reallocating

EPA and the Army Corps’ Rule to Define Waters of the United States

DTIC Science & Technology

2017-01-05

legal rulings, the agencies’ expertise and experience, and science concerning the interconnectedness of tributaries, wetlands, and other waters and...converted croplands, stormwater management systems , and groundwater). Changes in the final rule would increase the categorical assertion of CWA...the rule’s implementation nationwide. The legal question of which federal court should review the challenges to the rule remains in limbo. EPA and

Artificial intelligence for turboprop engine maintenance

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

NONE

1995-01-01

Long-term maintenance operations, causing the unit to out of action, may seem economical - but they result in reduced operating readiness. Offsetting that concern, careless, hurried maintenance reduces margins of safety and reliability. Any tool that improves maintenance without causing a sharp increase in cost is valuable. Artificial intelligence (AI) is one of the tools. Expert system and neural networks are two different areas of AI that show promise for turboprop engine maintenance.

Mobile Security: A Systems Engineering Framework for Implementing Bring Your Own Device (BYOD) Security through the Combination of Policy Management and Technology

ERIC Educational Resources Information Center

Zahadat, Nima

2016-01-01

With the rapid increase of smartphones and tablets, security concerns have also been on the rise. Traditionally, Information Technology (IT) departments set up devices, apply security, and monitor them. Such approaches do not apply to today's mobile devices due to a phenomenon called Bring Your Own Device or BYOD. Employees find it desirable to…

Contaminants of emerging concern in reverse osmosis brine concentrate from indirect/direct water reuse applications.

PubMed

Romeyn, Travis R; Harijanto, Wesley; Sandoval, Sofia; Delagah, Saied; Sharbatmaleki, Mohamadali

2016-01-01

Water shortage is becoming more common due to droughts and global population increases resulting in the increasing popularity of water reuse to create new water sources. Reverse osmosis (RO) membrane systems are popular in these applications since they can produce drinking water quality effluent. Unfortunately, RO systems have the drawback of generating concentrate streams that contain contaminants rejected by the membrane including chemicals of emerging concern (CECs). CECs are chemicals such as hormones, steroids, pesticides, pharmaceuticals, and personal care products that are used for their intended purpose and then released into wastewater. CECs are believed to be detrimental to aquatic wildlife health and pose an unknown human health risk. This research gathered the existing knowledge on CEC presence in concentrate, available proven concentrate treatment methods, their CEC removal abilities, and current CEC regulations. It was found that 127 CECs have been measured in RO concentrate with 100 being detected at least once. The most potent treatment process available is UV/H2O2 as it offers the highest removal rates for the widest range of chemicals. The less expensive process of ozone/biologically activated carbon offers slightly lower removal abilities. This comprehensive report will provide the groundwork for better understanding, regulating and treating concentrate stream CECs.

Distributed Trajectory Flexibility Preservation for Traffic Complexity Mitigation

NASA Technical Reports Server (NTRS)

Idris, Husni; Wing, David; Delahaye, Daniel

2009-01-01

The growing demand for air travel is increasing the need for mitigation of air traffic congestion and complexity problems, which are already at high levels. At the same time new information and automation technologies are enabling the distribution of tasks and decisions from the service providers to the users of the air traffic system, with potential capacity and cost benefits. This distribution of tasks and decisions raises the concern that independent user actions will decrease the predictability and increase the complexity of the traffic system, hence inhibiting and possibly reversing any potential benefits. In answer to this concern, the authors propose the introduction of decision-making metrics for preserving user trajectory flexibility. The hypothesis is that such metrics will make user actions naturally mitigate traffic complexity. In this paper, the impact of using these metrics on traffic complexity is investigated. The scenarios analyzed include aircraft in en route airspace with each aircraft meeting a required time of arrival in a one-hour time horizon while mitigating the risk of loss of separation with the other aircraft, thus preserving its trajectory flexibility. The experiments showed promising results in that the individual trajectory flexibility preservation induced self-separation and self-organization effects in the overall traffic situation. The effects were quantified using traffic complexity metrics based on Lyapunov exponents and traffic proximity.

Delayed enhancement cardiac computed tomography for the assessment of myocardial infarction: from bench to bedside

PubMed Central

2017-01-01

A large number of studies support the increasingly relevant prognostic value of the presence and extent of delayed enhancement (DE), a surrogate marker of fibrosis, in diverse etiologies. Gadolinium and iodinated based contrast agents share similar kinetics, thus leading to comparable myocardial characterization with cardiac magnetic resonance (CMR) and cardiac computed tomography (CT) at both first-pass perfusion and DE imaging. We review the available evidence of DE imaging for the assessment of myocardial infarction (MI) using cardiac CT (CTDE), from animal to clinical studies, and from 16-slice CT to dual-energy CT systems (DECT). Although both CMR and gadolinium agents have been originally deemed innocuous, a number of concerns (though inconclusive and very rare) have been recently issued regarding safety issues, including DNA double-strand breaks related to CMR, and gadolinium-associated nephrogenic systemic fibrosis and deposition in the skin and certain brain structures. These concerns have to be considered in the context of non-negligible rates of claustrophobia, increasing rates of patients with implantable cardiac devices, and a number of logistic drawbacks compared with CTDE, such as higher costs, longer scanning times, and difficulties to scan patients with impaired breath-holding capabilities. Overall, these issues might encourage the role of CTDE as an alternative for DE-CMR in selected populations. PMID:28540211

Certification Testing Approach for Propulsion System Design

NASA Technical Reports Server (NTRS)

Rodriguez, Henry; Popp, Chris

2005-01-01

The Certification of Propulsion Systems is costly and complex which involves development and qualification testing. The desire of the certification process is to assure all requirements can be demonstrated to be compliant. The purpose of this paper is to address the technical design concerns of certifying a system for flight. The authors of this paper have experience the lessons learned from supporting the Shuttle Program for Main Propulsion and On Orbit Propulsions Systems. They have collaborated design concerns for certifying propulsion systems. Presented are Pressurization, Tankage, Feed System and Combustion Instability concerns. Propulsion System Engineers are challenged with the dilemma for testing new systems to specific levels to reduce risk yet maintain budgetary targets. A methodical approach is presented to define the types of test suitable to address the technical issues for qualifying systems for retiring the risk levels.

Food colors: Existing and emerging food safety concerns.

PubMed

Oplatowska-Stachowiak, Michalina; Elliott, Christopher T

2017-02-11

Food colors are added to different types of commodities to increase their visual attractiveness or to compensate for natural color variations. The use of these additives is strictly regulated in the European Union, the United States, and many other countries worldwide. There is a growing concern about the safety of some commonly used legal food colorants and there is a trend to replace the synthetic forms with natural products. Additionally, a number of dyes with known or suspected genotoxic or carcinogenic properties have been shown to be added illegally to foods. Robust monitoring programs based on reliable detection methods are required to assure the food is free from harmful colors. The aim of this review is to present an up to date status of the various concerns arising from use of color additives in food. The most important food safety concerns in the field of food colors are lack of uniform regulation concerning legal food colors worldwide, possible link of artificial colors to hyperactive behavior, replacement of synthetic colors with natural ones, and the presence of harmful illegal dyes-both known but also new, emerging ones in food. The legal status of food color additives in the EU, United States, and worldwide is summarized. The reported negative health effects of both legal and illegal colors are presented. The European Rapid Alert System for Food and Feed notifications and US import alerts concerning food colors are analyzed and trends in fraudulent use of color additives identified. The detection methods for synthetic colors are also reviewed.

Access to Essential Medicines in Pakistan: Policy and Health Systems Research Concerns

PubMed Central

Zaidi, Shehla; Bigdeli, Maryam; Aleem, Noureen; Rashidian, Arash

2013-01-01

Introduction Inadequate access to essential medicines is a common issue within developing countries. Policy response is constrained, amongst other factors, by a dearth of in-depth country level evidence. We share here i) gaps related to access to essential medicine in Pakistan; and ii) prioritization of emerging policy and research concerns. Methods An exploratory research was carried out using a health systems perspective and applying the WHO Framework for Equitable Access to Essential Medicine. Methods involved key informant interviews with policy makers, providers, industry, NGOs, experts and development partners, review of published and grey literature, and consultative prioritization in stakeholder’s Roundtable. Findings A synthesis of evidence found major gaps in essential medicine access in Pakistan driven by weaknesses in the health care system as well as weak pharmaceutical regulation. 7 major policy concerns and 11 emerging research concerns were identified through consultative Roundtable. These related to weaknesses in medicine registration and quality assurance systems, unclear and counterproductive pricing policies, irrational prescribing and sub-optimal drug availability. Available research, both locally and globally, fails to target most of the identified policy concerns, tending to concentrate on irrational prescriptions. It overlooks trans-disciplinary areas of policy effectiveness surveillance, consumer behavior, operational pilots and pricing interventions review. Conclusion Experience from Pakistan shows that policy concerns related to essential medicine access need integrated responses across various components of the health systems, are poorly addressed by existing evidence, and require an expanded health systems research agenda. PMID:23717442

Container lid gasket protective strip for double door transfer system

DOEpatents

Allen, Jr., Burgess M

2013-02-19

An apparatus and a process for forming a protective barrier seal along a "ring of concern" of a transfer container used with double door systems is provided. A protective substrate is supplied between a "ring of concern" and a safety cover in which an adhesive layer of the substrate engages the "ring of concern". A compressive foam strip along an opposite side of the substrate engages a safety cover such that a compressive force is maintained between the "ring of concern" and the adhesive layer of the substrate.

13 CFR 127.300 - How is a concern certified as an EDWOSB or WOSB?

Code of Federal Regulations, 2014 CFR

2014-01-01

... WOSBs under this Part, it must be registered in the System for Award Management (SAM) (or any successor system), have a current representation posted on SAM (or any successor system) that it qualifies as an... the SAM (or any successor system), the concern must submit a copy of the Women-Owned Small Business...

Increasing body satisfaction of body concerned women through evaluative conditioning using social stimuli.

PubMed

Martijn, Carolien; Vanderlinden, Marlies; Roefs, Anne; Huijding, Jorg; Jansen, Anita

2010-09-01

Many women show weight and body concerns that leave them vulnerable to body dissatisfaction, lowered self-esteem, psychological distress, and eating disorders. This study tested whether body satisfaction could be increased by means of evaluative conditioning. In the experimental condition (n = 26), women with low and high body concern completed a conditioning procedure in which pictures of their bodies were selectively linked to positive social stimuli (pictures of smiling faces). Pictures of control bodies were linked to neutral or negative social stimuli (neutral and frowning faces). In a control condition (n = 28), low and high body concerned women underwent a procedure in which pictures of their own body and of control bodies were randomly followed by positive, neutral, and negative social stimuli. Changes in body satisfaction and self-esteem before and after the conditioning task. Women with high body concern demonstrated an increase in body satisfaction and global self-esteem when pictorial representations of their own bodies were associated with positive stimuli that signaled social acceptance. A simple conditioning procedure increased body satisfaction in healthy, normal weight women who were concerned about their shape and weight. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

Managed care and its impact on American urology.

PubMed

Holtgrewe, H L

1998-05-01

America's health care is undergoing a revolution. A previous private, fee-for-service, delivery system chiefly centered around hospital specialty care is rapidly being replaced by a commercialized system of managed care, controlled by businessmen whose prime motive is profit. Increasing emphasis of these managed care organizations is upon primary physicians who function as gatekeepers. While this new commercialized method of health care has been attended with reductions in the previous omnipresent health care inflation our country has experienced for the past several decades, its impact on quality of care and patient choice of physician remain a great concern. Especially vulnerable in this new system are our nation's academic centers, which, burdened with responsibility for education and research, are at a disadvantage in the competitive cost-based bidding for managed care contracts. Urology work force issues and the number of urologists in our nation remain another concern for urologists as they compete for access to patients in this new highly competitive environment. In a 1995 survey of a cohort of urologists in seven states, the respondents reported 35.8% of gross income came from managed care contracts, 86% reported the need for preservice approval for many diagnostic and therapeutic undertakings, 87% reported an inability to refer complex cases outside the Managed Care Organization (MCO) network, and 23% reported they were required to retain patients for treatment who they would have otherwise referred to a more qualified urologist. The majority of American urologists are reporting dropping gross revenues and increasing overhead in their dealings with managed care contracts. The advent of managed care is being attended with dropping gross revenues, increasing overhead costs and interference with the practice patterns of American urologists.

Female polysomy-X and systemic lupus erythematosus.

PubMed

Slae, Mordechai; Heshin-Bekenstein, Merav; Simckes, Ari; Heimer, Gali; Engelhard, Dan; Eisenstein, Eli M

2014-02-01

Systemic lupus erythematosus (SLE) occurs more commonly in females than in males. Recent evidence suggests that genetic factors transmitted by the X-chromosome may confer increased risk for autoimmune disease in general, and for SLE in particular. It is therefore possible that X-chromosome polysomy might confer further increased risk for lupus. In addition to describing the clinical and immunologic features of a young woman with polysomy-X and SLE, we sought to review all other published cases associating female or male polysomy-X with SLE or other forms of autoimmunity. We report a case of a prepubertal girl with polysomy-X and SLE. We performed a systemic literature review for cases of polysomy-X and SLE and summarize previously published cases. In addition, we reviewed reports concerning the possible association between SLE and other connective tissue diseases and male polysomy-X. An 11-year-old girl with tetrasomy-X (48 XXXX karyotype) presented with prolonged fever. Workup led to the diagnosis of SLE, and subsequent renal biopsy revealed mild diffuse mesangial proliferative glomerulonephritis. Two additional cases of SLE in women with 47 XXX and one of 48 XXXX karyotype were found in a literature review and compared to the present case. We identified studies that found X-chromosome polysomy to be over-represented in male patients with SLE and case descriptions of connective tissue diseases occurring in patients with polysomy-X. No consistent pattern of disease was observed in female polysomy patients with SLE. Taken together with the data concerning the frequency of polysomy-X among males with SLE, our findings provide additional support for the hypothesis that X-chromosome polysomy may confer increased susceptibility to SLE. Molecular mechanisms that might account for this phenomenon are discussed. Copyright © 2014 Elsevier Inc. All rights reserved.

Effect of overtime work on 24-hour ambulatory blood pressure.

PubMed

Hayashi, T; Kobayashi, Y; Yamaoka, K; Yano, E

1996-10-01

Recently, the adverse effects of long working hours on the cardiovascular systems of workers in Japan, including "Karoshi" (death from overwork), have been the focus of social concern. However, conventional methods of health checkups are often unable to detect the early signs of such adverse effects. To evaluate the influence of overtime work on the cardiovascular system, we compared 24-hour blood pressure measurements among several groups of male white-collar workers. As a result, for those with normal blood pressure and those with mild hypertension, the 24-hour average blood pressure of the overtime groups was higher than that of the control groups; for those who periodically did overtime work, the 24-hour average blood pressure and heart rate during the busy period increased. These results indicate that the burden on the cardiovascular system of white-collar workers increases with overtime work.

Design and implementation of website information disclosure assessment system.

PubMed

Cho, Ying-Chiang; Pan, Jen-Yi

2015-01-01

Internet application technologies, such as cloud computing and cloud storage, have increasingly changed people's lives. Websites contain vast amounts of personal privacy information. In order to protect this information, network security technologies, such as database protection and data encryption, attract many researchers. The most serious problems concerning web vulnerability are e-mail address and network database leakages. These leakages have many causes. For example, malicious users can steal database contents, taking advantage of mistakes made by programmers and administrators. In order to mitigate this type of abuse, a website information disclosure assessment system is proposed in this study. This system utilizes a series of technologies, such as web crawler algorithms, SQL injection attack detection, and web vulnerability mining, to assess a website's information disclosure. Thirty websites, randomly sampled from the top 50 world colleges, were used to collect leakage information. This testing showed the importance of increasing the security and privacy of website information for academic websites.

Patient, staff, and clinician perspectives on implementing electronic communications in an interdisciplinary rural family health practice.

PubMed

Chang, Feng; Paramsothy, Thivaher; Roche, Matthew; Gupta, Nishi S

2017-03-01

Aim To conduct an environmental scan of a rural primary care clinic to assess the feasibility of implementing an e-communications system between patients and clinic staff. Increasing demands on healthcare require greater efficiencies in communications and services, particularly in rural areas. E-communications may improve clinic efficiency and delivery of healthcare but raises concerns about patient privacy and data security. We conducted an environmental scan at one family health team clinic, a high-volume interdisciplinary primary care practice in rural southwestern Ontario, Canada, to determine the feasibility of implementing an e-communications system between its patients and staff. A total of 28 qualitative interviews were conducted (with six physicians, four phone nurses, four physicians' nurses, five receptionists, one business office attendant, five patients, and three pharmacists who provide care to the clinic's patients) along with quantitative surveys of 131 clinic patients. Findings Patients reported using the internet regularly for multiple purposes. Patients indicated they would use email to communicate with their family doctor for prescription refills (65% of respondents), appointment booking (63%), obtaining lab results (60%), and education (50%). Clinic staff expressed concerns about patient confidentiality and data security, the timeliness, complexity and responsibility of responses, and increased workload. Clinic staff members are willing to use an e-communications system but clear guidelines are needed for successful adoption and to maintain privacy of patient health data. E-communications might improve access to and quality of care in rural primary care practices.

Measuring surgical performance: A risky game?

PubMed

Kiernan, F; Rahman, F

2015-08-01

Interest in performance measurement has been driven by increased demand for better indicators of hospital quality of care. This is due in part to policy makers wishing to benchmark standards of care and implement quality improvements, and also by an increased demand for transparency and accountability. We describe the role of performance measurement, which is not only about quality improvement, but also serves as a guide in allocating resources within health systems, and between health, education, and social welfare systems. As hospital based healthcare is responsible for the most cost within the healthcare system, and treats the most severely ill of patients, it is no surprise that performance measurement has focused attention on hospital based care, and in particular on surgery, as an important means of improving quality and accountability. We are particularly concerned about the choice of mortality as an outcome measure in surgery, as this choice assumes that all mortality in surgery is preventable. In reality, as a low quality indicator of care it risks both gaming, and cream-skimming, unless accurate risk adjustment exists. Further concerns relate to the public reporting of this outcome measure. As mortality rates are an imperfect measure of quality, the reputation of individual surgeons will be threatened by the public release of this data. Significant effort should be made to communicate the results to the public in an appropriate manner. Copyright © 2015 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

Consumer health information seeking on the Internet: the state of the art.

PubMed

Cline, R J; Haynes, K M

2001-12-01

Increasingly, consumers engage in health information seeking via the Internet. Taking a communication perspective, this review argues why public health professionals should be concerned about the topic, considers potential benefits, synthesizes quality concerns, identifies criteria for evaluating online health information and critiques the literature. More than 70 000 websites disseminate health information; in excess of 50 million people seek health information online, with likely consequences for the health care system. The Internet offers widespread access to health information, and the advantages of interactivity, information tailoring and anonymity. However, access is inequitable and use is hindered further by navigational challenges due to numerous design features (e.g. disorganization, technical language and lack of permanence). Increasingly, critics question the quality of online health information; limited research indicates that much is inaccurate. Meager information-evaluation skills add to consumers' vulnerability, and reinforce the need for quality standards and widespread criteria for evaluating health information. Extant literature can be characterized as speculative, comprised of basic 'how to' presentations, with little empirical research. Future research needs to address the Internet as part of the larger health communication system and take advantage of incorporating extant communication concepts. Not only should research focus on the 'net-gap' and information quality, it also should address the inherently communicative and transactional quality of Internet use. Both interpersonal and mass communication concepts open avenues for investigation and understanding the influence of the Internet on health beliefs and behaviors, health care, medical outcomes, and the health care system.

Data Privacy in Cloud-assisted Healthcare Systems: State of the Art and Future Challenges.

PubMed

Sajid, Anam; Abbas, Haider

2016-06-01

The widespread deployment and utility of Wireless Body Area Networks (WBAN's) in healthcare systems required new technologies like Internet of Things (IoT) and cloud computing, that are able to deal with the storage and processing limitations of WBAN's. This amalgamation of WBAN-based healthcare systems to cloud-based healthcare systems gave rise to serious privacy concerns to the sensitive healthcare data. Hence, there is a need for the proactive identification and effective mitigation mechanisms for these patient's data privacy concerns that pose continuous threats to the integrity and stability of the healthcare environment. For this purpose, a systematic literature review has been conducted that presents a clear picture of the privacy concerns of patient's data in cloud-assisted healthcare systems and analyzed the mechanisms that are recently proposed by the research community. The methodology used for conducting the review was based on Kitchenham guidelines. Results from the review show that most of the patient's data privacy techniques do not fully address the privacy concerns and therefore require more efforts. The summary presented in this paper would help in setting research directions for the techniques and mechanisms that are needed to address the patient's data privacy concerns in a balanced and light-weight manner by considering all the aspects and limitations of the cloud-assisted healthcare systems.

"A world crazier than us": Vanishing social contexts and the consequences for psychiatric practice in contemporary Romania.

PubMed

Friedman, Jack R

2016-04-01

Since the end of Communism, mental health care in Romania has increasingly sought to align its practices with idealized models of Western psychiatric practice. Much of this realignment has been made possible by accessing and integrating new pharmaceuticals into psychiatric hospital settings. Less straightforward have been the painful attempts to create a system modeled on international standards for training and certifying psychotherapists. Unfortunately, the political, economic, infrastructural, and epistemological environment of the Romanian mental health care system has prevented many other reforms. This paper examines the ironic trajectory that Romanian psychiatry has taken since the end of state socialism. Specifically, this paper shows how psychiatric practice in most places (outside of university-training hospitals) is increasingly disconnected from a concern with the social conditions that surround mental illness during a period when social upheaval is profoundly impacting the lives of many people who receive mental health care. Thus, as the contribution of social problems to the suffering of those with mental illnesses has increased, some Romanian mental health practitioners have moved away from a concern with these social problems under the guise of aligning their psychiatric practices with (imagined) Western standards of biomedical care. The paper provides a brief history of Romanian psychiatry and explores contemporary challenges and contradictions in many Romanian psychiatric treatment settings through the case study of a 31-year-old Romanian female diagnosed with paranoid schizophrenia. © The Author(s) 2015.

75 FR 65614 - Availability for Non-Exclusive or Partially-Exclusive Licensing of Invention Concerning...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-26

... Licensing of Invention Concerning Obstetrics Simulation and Training Method System AGENCY: Department of the... invention set forth in U.S. Patent Application Serial No. 12/670,250, entitled ``Obstetrics Simulation and... simulation system. An embodiment of the invention provides an obstetrics simulation system compromising an...

Public and physician's expectations and ethical concerns about electronic health record: Benefits outweigh risks except for information security.

PubMed

Entzeridou, Eleni; Markopoulou, Evgenia; Mollaki, Vasiliki

2018-02-01

Electronic Health Record systems (EHRs) offer numerous benefits in health care but also pose certain risks. As we progress toward the implementation of EHRs, a more in-depth understanding of attitudes that influence overall levels of EHR support is required. To record public and physicians' awareness, expectations for, and ethical concerns about the use of EHRs. A convenience sample was surveyed for both the public and physicians. The Public's Questionnaire was distributed to the public in a printed and an online version. The Physicians' Questionnaire was distributed to physicians in an online version. The questionnaires requested demographic characteristics followed by close-ended questions enquiring about awareness, perceived impact, perceived risks, and ethical issues raised by EHR use. In total, 46% of the public and 91% of physicians were aware of EHRs. Physicians' and public opinions were comparable concerning the positive impact of EHRs on better, more effective, and faster decisions on the patients' health, on better coordination between hospitals/clinics and on quality and reduced cost of health care. However, physicians were concerned that an EHR system would be a burden for their finances, for their time concerning training on the system, for their everyday workload and workflow. The majority of the public generally agreed that they would worry about the possibility that a non-authorized, third party might gain access to their personal health information (48.8%), and that they would worry about future discriminations due to possible disclosure of their health information (48.8%). Most physicians disagreed that EHRs will disrupt the doctor-patient relationship (58.1%) but they would worry about the safety of their patients' information (53.1%). Overall, both the public and physicians were in favor of the implementation of an EHR system, evaluating that possible benefits are more important than possible risks. The majority of the public believed that physicians should have full access to an EHR (90.9%), whereas nursing staff, pharmacists, laboratory staff, and other healthcare professional should have partial access. The factors identified in the present study present actionable insights that may increase awareness about EHRs. The survey illustrates that both the public and physicians acknowledge the benefits and support EHRs on the condition that sufficient guarantees are provided about privacy and security. Copyright © 2017 Elsevier B.V. All rights reserved.

Optimal Transmission Line Switching under Geomagnetic Disturbances

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

Lu, Mowen; Nagarajan, Harsha; Yamangil, Emre

Recently, there have been increasing concerns about how geomagnetic disturbances (GMDs) impact electrical power systems. Geomagnetically-induced currents (GICs) can saturate transformers, induce hot spot heating and increase reactive power losses. These effects can potentially cause catastrophic damage to transformers and severely impact the ability of a power system to deliver power. To address this problem, we develop a model of GIC impacts to power systems that includes 1) GIC thermal capacity of transformers as a function of normal Alternating Current (AC) and 2) reactive power losses as a function of GIC. We also use this model to derive an optimizationmore » problem that protects power systems from GIC impacts through line switching, generator dispatch, and load shedding. We then employ state-of-the-art convex relaxations of AC power flow equations to lower bound the objective. We demonstrate the approach on a modified RTS96 system and UIUC 150-bus system and show that line switching is an effective means to mitigate GIC impacts. We also provide a sensitivity analysis of decisions with respect to GMD direction.« less

Optimal Transmission Line Switching under Geomagnetic Disturbances

DOE PAGES

Lu, Mowen; Nagarajan, Harsha; Yamangil, Emre; ...

2017-10-11

Recently, there have been increasing concerns about how geomagnetic disturbances (GMDs) impact electrical power systems. Geomagnetically-induced currents (GICs) can saturate transformers, induce hot spot heating and increase reactive power losses. These effects can potentially cause catastrophic damage to transformers and severely impact the ability of a power system to deliver power. To address this problem, we develop a model of GIC impacts to power systems that includes 1) GIC thermal capacity of transformers as a function of normal Alternating Current (AC) and 2) reactive power losses as a function of GIC. We also use this model to derive an optimizationmore » problem that protects power systems from GIC impacts through line switching, generator dispatch, and load shedding. We then employ state-of-the-art convex relaxations of AC power flow equations to lower bound the objective. We demonstrate the approach on a modified RTS96 system and UIUC 150-bus system and show that line switching is an effective means to mitigate GIC impacts. We also provide a sensitivity analysis of decisions with respect to GMD direction.« less

Analysis Report for Exascale Storage Requirements for Scientific Data.

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

Ruwart, Thomas M.

Over the next 10 years, the Department of Energy will be transitioning from Petascale to Exascale Computing resulting in data storage, networking, and infrastructure requirements to increase by three orders of magnitude. The technologies and best practices used today are the result of a relatively slow evolution of ancestral technologies developed in the 1950s and 1960s. These include magnetic tape, magnetic disk, networking, databases, file systems, and operating systems. These technologies will continue to evolve over the next 10 to 15 years on a reasonably predictable path. Experience with the challenges involved in transitioning these fundamental technologies from Terascale tomore » Petascale computing systems has raised questions about how these will scale another 3 or 4 orders of magnitude to meet the requirements imposed by Exascale computing systems. This report is focused on the most concerning scaling issues with data storage systems as they relate to High Performance Computing- and presents options for a path forward. Given the ability to store exponentially increasing amounts of data, far more advanced concepts and use of metadata will be critical to managing data in Exascale computing systems.« less

Stages of Adoption Concern and Technology Acceptance in a Critical Care Nursing Unit.

PubMed

Berg, Gina M; LoCurto, Jamie; Lippoldt, Diana

2017-09-01

The aim of this study is to examine the stages of concern (self, task, and impact) and usability (trust, perceived usefulness, and ease of use) shifts experienced by nurses adopting new technology. Patient care processes in critical care units can be disrupted with the incorporation of information technology. New users of technology typically transition through stages of concern and experience shifts in acceptance during assimilation. Critical care nurses (N = 41) were surveyed twice: (1) pre, immediately after training, and (2) post, 3 months after implementation of technology. From presurvey to postsurvey, self-concerns decreased 14%, whereas impact concerns increased 22%. Furthermore, there was a 30% increase in trust and a 17% increase in perceived usefulness, even with a 27% decrease in ease of use. Adoption of new technology requires critical care nurses to adapt current practices, which may improve trust and perceived usefulness yet decrease perceptions of ease of use.

Large horizontal axis wind turbine development

NASA Technical Reports Server (NTRS)

Robbins, W. H.; Thomas, R. L.

1979-01-01

An overview of the NASA activities concerning ongoing wind systems oriented toward utility application is presented. First-generation-technology large wind turbines were designed and are in operation at selected utility sites. In order to make a significant energy impact, costs of 2 to 3 cents per kilowatt hour must be achieved. The federal program continues to fund the development by industry of wind turbines which can meet the cost goals of 2 to 3 cents per kilowatt hour. Lower costs are achieved through the incorporation of new technology and innovative system design to reduce weight and increase energy capture.

Suggested approach for establishing a rehabilitation engineering information service for the state of California

NASA Technical Reports Server (NTRS)

Christy, L. F.; Kelton-Fogg, G.; Lizak, R.; Vahlkamp, C.

1978-01-01

An ever expanding body of rehabilitation engineering technology is developing in this country, but it rarely reaches the people for whom it is intended. The increasing concern of state and federal departments of rehabilitation for this technology lag was the stimulus for a series of problem-solving workshops held in California during 1977. As a result of the workshops, the recommendation emerged that the California Department of Rehabilitation take the lead in the development of a coordinated delivery system that would eventually serve the entire state and be a model for similar systems across the nation.

The relationship between impaired driving crashes and beliefs about impaired driving: do residents in high crash rate counties have greater concerns about impaired driving?

PubMed

Beck, Kenneth H; Yan, Alice F; Wang, Min Qi; Kerns, Timothy J; Burch, Cynthia A

2009-04-01

The purpose of this investigation was to examine the relationship between impaired driving crashes and public beliefs and concerns about impaired driving across each of Maryland's twenty-four counties (including Baltimore City). It was hypothesized that residents of counties that experience higher impaired driving crashes would express more concerns about impaired driving and perceive more risks about driving impaired than residents of counties that have lower rates of impaired driving. Data for alcohol impaired driving crashes were obtained for the years 2004-2006. These data were compared to public opinion data that was obtained annually by random-digit-dial telephone surveys from 2004 to 2007. Concerns about drunk driving as well as perceptions of the likelihood of being stopped by the police if one were to drive after having too much to drink were related to counties with higher serious impaired driving crash rates, as were perceptions that the police and the legal system were too lenient. Perceptions about the likelihood of being stopped by the police were higher in those counties with more impaired driving enforcement activity. Perceptions of concern appear to be shaped more by crash exposure than enforcement activity. Campaigns that address impaired driving prevention should substantially increase enforcement, strengthen the adjudication process of impaired drivers, and emphasize the potential seriousness of drinking-driving crashes in their promotional activities.

Joint Decision-Making and the Coordination of a Sustainable Supply Chain in the Context of Carbon Tax Regulation and Fairness Concerns

PubMed Central

Liu, Zhi; Zheng, Xiao-Xue; Gong, Ben-Gang; Gui, Yun-Miao

2017-01-01

Carbon tax regulation and consumers’ low-carbon preference act as incentives for firms to abate emissions. Manufacturers can improve product sustainability and retailers can strengthen the promotion of low-carbon products as part of such abatement. Current incomplete rationality also affects product sustainability and low-carbon promotion level. In this context, we consider a supply chain with a manufacturer and a retailer and investigate the impacts of the manufacturer’s and the retailer’s fairness concerns on their production sustainability level, low-carbon promotion level and profitability. We also explore the coordination contract. The results show that the manufacturer’s and the retailer’s fairness concerns decrease their product sustainability and low-carbon promotion level, together with the profits of the system and the manufacturer. With regard to the retailer’s fairness concern, the product sustainability level and the manufacturer’s profit are lower; moreover, the low-carbon promotion level and the profits of the supply chain and the retailer are higher. A revenue-sharing contract can coordinate the supply chain perfectly; however, members’ fairness concerns increase the difficulty of coordination. Finally, the numerical results reveal that carbon tax regulation can encourage the manufacturer to enhance the product sustainability level. Further, the impacts on the low-carbon promotion level and firms’ profitability are related to the cost coefficients of product sustainability. PMID:29186934

Joint Decision-Making and the Coordination of a Sustainable Supply Chain in the Context of Carbon Tax Regulation and Fairness Concerns.

PubMed

Liu, Zhi; Zheng, Xiao-Xue; Gong, Ben-Gang; Gui, Yun-Miao

2017-11-27

Carbon tax regulation and consumers' low-carbon preference act as incentives for firms to abate emissions. Manufacturers can improve product sustainability and retailers can strengthen the promotion of low-carbon products as part of such abatement. Current incomplete rationality also affects product sustainability and low-carbon promotion level. In this context, we consider a supply chain with a manufacturer and a retailer and investigate the impacts of the manufacturer's and the retailer's fairness concerns on their production sustainability level, low-carbon promotion level and profitability. We also explore the coordination contract. The results show that the manufacturer's and the retailer's fairness concerns decrease their product sustainability and low-carbon promotion level, together with the profits of the system and the manufacturer. With regard to the retailer's fairness concern, the product sustainability level and the manufacturer's profit are lower; moreover, the low-carbon promotion level and the profits of the supply chain and the retailer are higher. A revenue-sharing contract can coordinate the supply chain perfectly; however, members' fairness concerns increase the difficulty of coordination. Finally, the numerical results reveal that carbon tax regulation can encourage the manufacturer to enhance the product sustainability level. Further, the impacts on the low-carbon promotion level and firms' profitability are related to the cost coefficients of product sustainability.

Aspect-Oriented Programming

NASA Technical Reports Server (NTRS)

Elrad, Tzilla (Editor); Filman, Robert E. (Editor); Bader, Atef (Editor)

2001-01-01

Computer science has experienced an evolution in programming languages and systems from the crude assembly and machine codes of the earliest computers through concepts such as formula translation, procedural programming, structured programming, functional programming, logic programming, and programming with abstract data types. Each of these steps in programming technology has advanced our ability to achieve clear separation of concerns at the source code level. Currently, the dominant programming paradigm is object-oriented programming - the idea that one builds a software system by decomposing a problem into objects and then writing the code of those objects. Such objects abstract together behavior and data into a single conceptual and physical entity. Object-orientation is reflected in the entire spectrum of current software development methodologies and tools - we have OO methodologies, analysis and design tools, and OO programming languages. Writing complex applications such as graphical user interfaces, operating systems, and distributed applications while maintaining comprehensible source code has been made possible with OOP. Success at developing simpler systems leads to aspirations for greater complexity. Object orientation is a clever idea, but has certain limitations. We are now seeing that many requirements do not decompose neatly into behavior centered on a single locus. Object technology has difficulty localizing concerns invoking global constraints and pandemic behaviors, appropriately segregating concerns, and applying domain-specific knowledge. Post-object programming (POP) mechanisms that look to increase the expressiveness of the OO paradigm are a fertile arena for current research. Examples of POP technologies include domain-specific languages, generative programming, generic programming, constraint languages, reflection and metaprogramming, feature-oriented development, views/viewpoints, and asynchronous message brokering. (Czarneclu and Eisenecker s book includes a good survey of many of these technologies).

A tale of two cultures: specialists and generalists sharing the load.

PubMed

Manca, Donna P; Breault, Lorraine; Wishart, Paul

2011-05-01

To understand what contributes to good collaborative physician working relationships through identifying the factors that affect working relationships between generalist physicians and specialists. Qualitative study using in-depth interviews. University and community hospital inpatient family practice settings in Edmonton, Alta. Eleven physicians from various specialties who graduated between 1977 and 2001. A grounded-theory approach, including constant comparison and creation of memorandums, helped to conceptualize the main concern and generated a framework for how the main concern was being resolved. A semistructured interview guide was developed and individual, in-depth interviews were audiotaped. Purposeful and theoretical sampling techniques were used. Three researchers participated in the analysis. The findings suggested that when generalist physicians perceived that work had been imposed on them by specialists without negotiation, they felt overwhelmed by the workload. Differing priorities determined whether physicians were left holding the bag or sharing the load. In a system that valued technology and specialized knowledge and skills, the specialists were better able to control resources, set boundaries, and influence learners. This precipitated a culture of protecting valuable specialty resources, increasing physician isolation, and generalists feeling that they were left holding the bag. In order to reverse this cycle, it was important for physicians to develop good working relationships based on accessibility to needed expertise and tests, with negotiated agreements on how to share resources; mutual empowerment, including negotiation of roles and responsibilities to develop flexible relationships with a clear understanding of roles; and concern for fairness by sharing the load. Medical systems that value technology and focused interests might lead to someone being left holding the bag, contributing to generalists feeling overwhelmed and isolated within the system. A comprehensive system that values relationships might help to resolve issues created through perceived inequities in workload, disempowerment, and lack of understanding of roles.

Simulation and animation of sensor-driven robots.

PubMed

Chen, C; Trivedi, M M; Bidlack, C R

1994-10-01

Most simulation and animation systems utilized in robotics are concerned with simulation of the robot and its environment without simulation of sensors. These systems have difficulty in handling robots that utilize sensory feedback in their operation. In this paper, a new design of an environment for simulation, animation, and visualization of sensor-driven robots is presented. As sensor technology advances, increasing numbers of robots are equipped with various types of sophisticated sensors. The main goal of creating the visualization environment is to aid the automatic robot programming and off-line programming capabilities of sensor-driven robots. The software system will help the users visualize the motion and reaction of the sensor-driven robot under their control program. Therefore, the efficiency of the software development is increased, the reliability of the software and the operation safety of the robot are ensured, and the cost of new software development is reduced. Conventional computer-graphics-based robot simulation and animation software packages lack of capabilities for robot sensing simulation. This paper describes a system designed to overcome this deficiency.

Comparative study of heavy metals in "soil-wheat" systems between sewage-irrigated areas and clean-water-irrigated areas in suburban Beijing.

PubMed

Zhao, Ye; Han, Sha-Sha; Chen, Zhi-Fan; Liu, Jing; Hu, Honq-Xia

2015-01-01

After years of irrigating farmland with wastewater, concern is increasing about health risks from heavy metals contaminating wheat grown in sewage-irrigated soils in suburban areas of Beijing, China. The study discussed in this article aimed to compare the characteristics of heavy metal distribution in a sewage-irrigated "soil-wheat" system with those from a clean-water-irrigated area by collecting and analyzing samples from both areas. The results indicated that the average concentrations of copper, chromium, lead, and zinc in sewage-irrigated soil were higher than the values in the clean-water-irrigated region. Irrigation with wastewater could lead to increased bioconcentration factors. Therefore, issues of food contamination caused by sewage irrigation deserve more attention.

A model for dental hygiene education concerning the relationship between periodontal health and systemic health.

PubMed

Bush, Barbara Crafton; Donley, Timothy G

2002-01-01

To develop a format for educating the appropriate health care professionals as to the relationships between periodontal inflammation and increased risks for poor diabetes control, cardiovascular disease, cerebrovascular disease, pre-term low birth weight, pneumonia and gastric ulcer reinfection. Dental hygiene students in the Advanced Periodontology curriculum were instructed to review current literature regarding the increased risk for systemic health problems when periodontal inflammation is present. Abstracts of the reviewed material were then presented in group setting to all course participants. For each systemic entity (diabetes, cardio/cerebrovascular disease, adverse pregnancy outcome, pneumonia, gastric ulcer) literature-based evidence of periodontal disease's association, affect, pathogenesis, validity and clinical significance was determined. Consensus statements for each entity were developed and used as a basis for clinical interpretation. Following this, patient health-history materials were developed to obtain the necessary information from patients while educating them about the increased risk for systemic health problems when periodontal inflammation is present. Lastly, correspondence materials were developed to alert managing physicians and medical auxiliaries about the increased risk for systemic problems in their patients who may present with periodontal inflammation. A methodology which medical personnel can use to quickly screen for the presence of periodontal inflammation in at-risk patients was also developed in these correspondences. An educational model and clinical materials were developed which are aimed at alerting patients, dental and medical personnel to the increased risk for systemic health problems when inflammatory periodontal disease is present.

Adaptive change in corporate control practices.

PubMed

Alexander, J A

1991-03-01

Multidivisional organizations are not concerned with what structure to adopt but with how they should exercise control within the divisional form to achieve economic efficiencies. Using an information-processing framework, I examined control arrangements between the headquarters and operating divisions of such organizations and how managers adapted control practices to accommodate increasing environmental uncertainty. Also considered were the moderating effects of contextual attributes on such adaptive behavior. Analyses of panel data from 97 multihospital systems suggested that organizations generally practice selective decentralization under conditions of increasing uncertainty but that organizational age, dispersion, and initial control arrangements significantly moderate the direction and magnitude of such changes.

Entitlement to hospital treatment in the NHS.

PubMed

Edwards, Duncan; Barr, David A

2011-03-01

In 1977 powers to charge those not 'ordinarily resident' in the UK for NHS care were first introduced, and rules governing eligibility for free NHS care have become increasingly complex since. In this issue (p. 156), Dubrey et al present an interpretation of the current regulations and express concern that the treatment of ineligible patients presents a threat to the UK health system. Here we suggest the opposite: increasing attempts to restrict the access of vulnerable humans to health care present a threat both to individual and public health. We challenge all clinicians to provide immediately necessary care and to protect public health.

Reinforcement learning improves behaviour from evaluative feedback

NASA Astrophysics Data System (ADS)

Littman, Michael L.

2015-05-01

Reinforcement learning is a branch of machine learning concerned with using experience gained through interacting with the world and evaluative feedback to improve a system's ability to make behavioural decisions. It has been called the artificial intelligence problem in a microcosm because learning algorithms must act autonomously to perform well and achieve their goals. Partly driven by the increasing availability of rich data, recent years have seen exciting advances in the theory and practice of reinforcement learning, including developments in fundamental technical areas such as generalization, planning, exploration and empirical methodology, leading to increasing applicability to real-life problems.

Reinforcement learning improves behaviour from evaluative feedback.

PubMed

Littman, Michael L

2015-05-28

Reinforcement learning is a branch of machine learning concerned with using experience gained through interacting with the world and evaluative feedback to improve a system's ability to make behavioural decisions. It has been called the artificial intelligence problem in a microcosm because learning algorithms must act autonomously to perform well and achieve their goals. Partly driven by the increasing availability of rich data, recent years have seen exciting advances in the theory and practice of reinforcement learning, including developments in fundamental technical areas such as generalization, planning, exploration and empirical methodology, leading to increasing applicability to real-life problems.

Rainfed Areas and Animal Agriculture in Asia: The Wanting Agenda for Transforming Productivity Growth and Rural Poverty

PubMed Central

Devendra, C.

2012-01-01

The importance of rainfed areas and animal agriculture on productivity enhancement and food security for economic rural growth in Asia is discussed in the context of opportunities for increasing potential contribution from them. The extent of the rainfed area of about 223 million hectares and the biophysical attributes are described. They have been variously referred to inter alia as fragile, marginal, dry, waste, problem, threatened, range, less favoured, low potential lands, forests and woodlands, including lowlands and uplands. Of these, the terms less favoured areas (LFAs), and low or high potential are quite widely used. The LFAs are characterised by four key features: i) very variable biophysical elements, notably poor soil quality, rainfall, length of growing season and dry periods, ii) extreme poverty and very poor people who continuously face hunger and vulnerability, iii) presence of large populations of ruminant animals (buffaloes, cattle, goats and sheep), and iv) have had minimum development attention and an unfinished wanting agenda. The rainfed humid/sub-humid areas found mainly in South East Asia (99 million ha), and arid/semi-arid tropical systems found in South Asia (116 million ha) are priority agro-ecological zones (AEZs). In India for example, the ecosystem occupies 68% of the total cultivated area and supports 40% of the human and 65% of the livestock populations. The area also produces 4% of food requirements. The biophysical and typical household characteristics, agricultural diversification, patterns of mixed farming and cropping systems are also described. Concerning animals, their role and economic importance, relevance of ownership, nomadic movements, and more importantly their potential value as the entry point for the development of LFAs is discussed. Two examples of demonstrated success concern increasing buffalo production for milk and their expanded use in semi-arid AEZs in India, and the integration of cattle and goats with oil palm in Malaysia. Revitalised development of the LFAs is justified by the demand for agricultural land to meet human needs e.g. housing, recreation and industrialisation; use of arable land to expand crop production to ceiling levels; increasing and very high animal densities; increased urbanisation and pressure on the use of available land; growing environmental concerns of very intensive crop production e.g. acidification and salinisation with rice cultivation; and human health risks due to expanding peri-urban poultry and pig production. The strategies for promoting productivity growth will require concerted R and D on improved use of LFAs, application of systems perspectives for technology delivery, increased investments, a policy framework and improved farmer-researcher-extension linkages. These challenges and their resolution in rainfed areas can forcefully impact on increased productivity, improved livelihoods and human welfare, and environmental sustainability in the future. PMID:25049487

Study on launch scheme of space-net capturing system.

PubMed

Gao, Qingyu; Zhang, Qingbin; Feng, Zhiwei; Tang, Qiangang

2017-01-01

With the continuous progress in active debris-removal technology, scientists are increasingly concerned about the concept of space-net capturing system. The space-net capturing system is a long-range-launch flexible capture system, which has great potential to capture non-cooperative targets such as inactive satellites and upper stages. In this work, the launch scheme is studied by experiment and simulation, including two-step ejection and multi-point-traction analyses. The numerical model of the tether/net is based on finite element method and is verified by full-scale ground experiment. The results of the ground experiment and numerical simulation show that the two-step ejection and six-point traction scheme of the space-net system is superior to the traditional one-step ejection and four-point traction launch scheme.

Assessing Requirements Volatility and Risk Using Bayesian Networks

NASA Technical Reports Server (NTRS)

Russell, Michael S.

2010-01-01

There are many factors that affect the level of requirements volatility a system experiences over its lifecycle and the risk that volatility imparts. Improper requirements generation, undocumented user expectations, conflicting design decisions, and anticipated / unanticipated world states are representative of these volatility factors. Combined, these volatility factors can increase programmatic risk and adversely affect successful system development. This paper proposes that a Bayesian Network can be used to support reasonable judgments concerning the most likely sources and types of requirements volatility a developing system will experience prior to starting development and by doing so it is possible to predict the level of requirements volatility the system will experience over its lifecycle. This assessment offers valuable insight to the system's developers, particularly by providing a starting point for risk mitigation planning and execution.

Study on launch scheme of space-net capturing system

PubMed Central

Zhang, Qingbin; Feng, Zhiwei; Tang, Qiangang

2017-01-01

With the continuous progress in active debris-removal technology, scientists are increasingly concerned about the concept of space-net capturing system. The space-net capturing system is a long-range-launch flexible capture system, which has great potential to capture non-cooperative targets such as inactive satellites and upper stages. In this work, the launch scheme is studied by experiment and simulation, including two-step ejection and multi-point-traction analyses. The numerical model of the tether/net is based on finite element method and is verified by full-scale ground experiment. The results of the ground experiment and numerical simulation show that the two-step ejection and six-point traction scheme of the space-net system is superior to the traditional one-step ejection and four-point traction launch scheme. PMID:28877187

Tobacco Taxes in the Southeastern US States: Views from Former Legislators

PubMed Central

Berg, Carla J.; Solomon, Madeleine; Barkley, Amy; Bailey, Eric; Goodwin, Sherell Brown; Kegler, Michelle C.

2015-01-01

Objectives We examine influences on southeastern state legislators’ actions related to tobacco tax increases. Methods In 2014, we interviewed 26 former state legislators in southeastern states via phone. Results Themes regarding factors impeding increasing tobacco taxes included: tobacco's legacy in the South, protecting vulnerable populations from increased cigarette costs, concern about economic impact, opposing “sin” taxes, concern about impact on reelection, and perceptions that constituents oppose all taxes. The major theme in support of increasing tobacco taxes was health concern. Prior attempts at passing legislation resulted in political leveraging, deal-making, or compromising. Conclusions Legislators’ misperceptions of constituent opposition and impact on economy, among other impediments to increased tobacco taxes, must be addressed. PMID:26236755

Costs and Operating Dynamics of Integrating Distributed Energy Resources in Commercial and Industrial Buildings with Electric Vehicle Charging

NASA Astrophysics Data System (ADS)

Flores, Robert Joseph

Growing concerns over greenhouse gas and pollutant emissions have increased the pressure to shift energy conversion paradigms from current forms to more sustainable methods, such as through the use of distributed energy resources (DER) at industrial and commercial buildings. This dissertation is concerned with the optimal design and dispatch of a DER system installed at an industrial or commercial building. An optimization model that accurately captures typical utility costs and the physical constraints of a combined cooling, heating, and power (CCHP) system is designed to size and operate a DER system at a building. The optimization model is then used with cooperative game theory to evaluate the financial performance of a CCHP investment. The CCHP model is then modified to include energy storage, solar powered generators, alternative fuel sources, carbon emission limits, and building interactions with public and fleet PEVs. Then, a separate plugin electric vehicle (PEV) refueling model is developed to determine the cost to operate a public Level 3 fast charging station. The CCHP design and dispatch results show the size of the building load and consistency of the thermal loads are critical to positive financial performance. While using the CCHP system to produce cooling can provide savings, heat production drives positive financial performance. When designing the DER system to reduce carbon emissions, the use of renewable fuels can allow for a gas turbine system with heat recovery to reduce carbon emissions for a large university by 67%. Further reductions require large photovoltaic installations coupled with energy storage or the ability to export electricity back to the grid if costs are to remain relatively low. When considering Level 3 fast charging equipment, demand charges at low PEV travel levels are sufficiently high to discourage adoption. Integration of the equipment can reduce demand charge costs only if the building maximum demand does not coincide with PEV refueling. Electric vehicle refueling does not typically affect DER design at low PEV travel levels, but can as electric vehicle travel increases. However, as PEV travel increases, the stochastic nature of PEV refueling disappears, and the optimization problem may become deterministic.

Do prescription stimulants increase the risk of adverse cardiovascular events?: A systematic review

PubMed Central

2012-01-01

Background There is increasing concern that prescription stimulants may be associated with adverse cardiovascular events such as stroke, myocardial infarction, and sudden death. Public health concerns are amplified by increasing use of prescription stimulants among adults. Methods The objective of this study was to conduct a systematic review of the evidence of an association between prescription stimulant use and adverse cardiovascular outcomes. PUBMED, MEDLINE, EMBASE and Google Scholar searches were conducted using key words related to these topics (MESH): ADHD; Adults; Amphetamine; Amphetamines; Arrhythmias, Cardiac; Cardiovascular Diseases; Cardiovascular System; Central Nervous Stimulants; Cerebrovascular; Cohort Studies; Case–control Studies; Death; Death, Sudden, Cardiac; Dextroamphetamine; Drug Toxicity; Methamphetamine; Methylphenidate; Myocardial Infarction; Stimulant; Stroke; Safety. Eligible studies were population-based studies of children, adolescents, or adults using prescription stimulant use as the independent variable and a hard cardiovascular outcome as the dependent variable. Results Ten population-based observational studies which evaluated prescription stimulant use with cardiovascular outcomes were reviewed. Six out of seven studies in children and adolescents did not show an association between stimulant use and adverse cardiovascular outcomes. In contrast, two out of three studies in adults found an association. Conclusions Findings of an association between prescription stimulant use and adverse cardiovascular outcomes are mixed. Studies of children and adolescents suggest that statistical power is limited in available study populations, and the absolute risk of an event is low. More suggestive of a safety signal, studies of adults found an increased risk for transient ischemic attack and sudden death/ventricular arrhythmia. Interpretation was limited due to differences in population, cardiovascular outcome selection/ascertainment, and methodology. Accounting for confounding and selection biases in these studies is of particular concern. Future studies should address this and other methodological issues. PMID:22682429

Capturing the essence of a metabolic network: a flux balance analysis approach.

PubMed

Murabito, Ettore; Simeonidis, Evangelos; Smallbone, Kieran; Swinton, Jonathan

2009-10-07

As genome-scale metabolic reconstructions emerge, tools to manage their size and complexity will be increasingly important. Flux balance analysis (FBA) is a constraint-based approach widely used to study the metabolic capabilities of cellular or subcellular systems. FBA problems are highly underdetermined and many different phenotypes can satisfy any set of constraints through which the metabolic system is represented. Two of the main concerns in FBA are exploring the space of solutions for a given metabolic network and finding a specific phenotype which is representative for a given task such as maximal growth rate. Here, we introduce a recursive algorithm suitable for overcoming both of these concerns. The method proposed is able to find the alternate optimal patterns of active reactions of an FBA problem and identify the minimal subnetwork able to perform a specific task as optimally as the whole. Our method represents an alternative to and an extension of other approaches conceived for exploring the space of solutions of an FBA problem. It may also be particularly helpful in defining a scaffold of reactions upon which to build up a dynamic model, when the important pathways of the system have not yet been well-defined.

Reframing and addressing horizontal violence as a workplace quality improvement concern.

PubMed

Taylor, Rosemary A; Taylor, Steven S

2018-06-27

To reframe horizontal violence as a quality improvement concern. Although the number of studies exploring horizontal violence has increased, evidence supporting the effectiveness of current interventions is weak and the problem persists. Often framed as an individual or interpersonal issue, horizontal violence has been recognized as a complex phenomenon that can only be understood through an examination of social, individual and organizational factors. As such, interventions to address horizontal violence must be applied systemically and address contributions from all sources. This is a discussion paper. This discussion is based on results of a study of nurses' perceptions of horizontal violence and review of the literature. Context is recognized as a contributing factor in human behavior, yet often overlooked in interventions to address horizontal violence. Moving the focus away from the individual and investigating systems contributions to horizontal violence using existing quality improvement frameworks is suggested. To date, efforts to address horizontal violence have not been proven effective. There is a call for a wider application and investigation of interventions. This reframing provides the system level application suggested and would address a broader range of factors contributing to the perpetuation of the phenomenon. © 2018 Wiley Periodicals, Inc.

The inflammatory protein Pentraxin 3 in cardiovascular disease.

PubMed

Fornai, Francesco; Carrizzo, Albino; Forte, Maurizio; Ambrosio, Mariateresa; Damato, Antonio; Ferrucci, Michela; Biagioni, Francesca; Busceti, Carla; Puca, Annibale A; Vecchione, Carmine

2016-01-01

The acute phase protein Pentraxin 3 (PTX3) plays a non-redundant role as a soluble pattern recognition receptor for selected pathogens and it represents a rapid biomarker for primary local activation of innate immunity and inflammation. Recent evidence indicates that PTX3 exerts an important role in modulating the cardiovascular system in humans and experimental models. In particular, there are conflicting points concerning the effects of PTX3 in cardiovascular diseases (CVD) since several observations indicate a cardiovascular protective effect of PTX3 while others speculate that the increased plasma levels of PTX3 in subjects with CVD correlate with disease severity and with poor prognosis in elderly patients. In the present review, we discuss the multifaceted effects of PTX3 on the cardiovascular system focusing on its involvement in atherosclerosis, endothelial function, hypertension, myocardial infarction and angiogenesis. This may help to explain how the specific modulation of PTX3 such as the use of different dosing, time, and target organs could help to contain different vascular diseases. These opposite actions of PTX3 will be emphasized concerning the modulation of cardiovascular system where potential therapeutic implications of PTX3 in humans are discussed.

Responsive materials for self-regulated insulin delivery.

PubMed

Wu, Weitai; Zhou, Shuiqin

2013-11-01

With diabetes mellitus becoming an important public health concern, insulin-delivery systems are attracting increasing interest from both scientific and technological researchers. This feature article covers the present state-of-the-art glucose-responsive insulin-delivery system (denoted as GRIDS), based on responsive polymer materials, a promising system for self-regulated insulin delivery. Three types of GRIDS are discussed, based on different fundamental mechanisms of glucose-recognition, with: a) glucose enzyme, b) glucose binding protein, and c) synthetic boronic acid as the glucose-sensitive component. At the end, a personal perspective on the major issues yet to be worked out in future research is provided. © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Incentives for Organ Donation: Proposed Standards for an Internationally Acceptable System

PubMed Central

2012-01-01

Incentives for organ donation, currently prohibited in most countries, may increase donation and save lives. Discussion of incentives has focused on two areas: (1) whether or not there are ethical principles that justify the current prohibition and (2) whether incentives would do more good than harm. We herein address the second concern and propose for discussion standards and guidelines for an acceptable system of incentives for donation. We believe that if systems based on these guidelines were developed, harms would be no greater than those to today’s conventional donors. Ultimately, until there are trials of incentives, the question of benefits and harms cannot be satisfactorily answered. PMID:22176925

JP3D compressed-domain watermarking of volumetric medical data sets

NASA Astrophysics Data System (ADS)

Ouled Zaid, Azza; Makhloufi, Achraf; Olivier, Christian

2010-01-01

Increasing transmission of medical data across multiple user systems raises concerns for medical image watermarking. Additionaly, the use of volumetric images triggers the need for efficient compression techniques in picture archiving and communication systems (PACS), or telemedicine applications. This paper describes an hybrid data hiding/compression system, adapted to volumetric medical imaging. The central contribution is to integrate blind watermarking, based on turbo trellis-coded quantization (TCQ), to JP3D encoder. Results of our method applied to Magnetic Resonance (MR) and Computed Tomography (CT) medical images have shown that our watermarking scheme is robust to JP3D compression attacks and can provide relative high data embedding rate whereas keep a relative lower distortion.

[Smoking and low socio-economic status].

PubMed

Haustein, K-O

2005-01-01

People of lower socio-economic strata increasingly use legal as well as illegal drugs. Tobacco and alcohol are legal drugs that cause particular concern. Both drugs are widely abused in Germany by people attempting to escape their everyday problems. For decades it has been known that tobacco and alcohol use are more prevalent in lower socio-economic strata of society (those with low educational achievement, compared to people with further or higher education qualifications). Tobacco and alcohol abuse is particularly high among the unemployed, either temporarily or longterm, as well as among persons living alone. Children and women are more concerned about smoking than men. Male loneliness, often accompanied by the appearance of depressive reactions or of depression, increases the likelihood of cigarette smoking. Poor people spend up to 20 % of their income on tobacco. In many industrialised countries, the age of onset of smoking is becoming younger and younger, increasing the risk of development of avoidable tobacco-related illnesses at an earlier age. This means that young smokers who develop chronic tobacco-related illnesses require medical care for many years, increasing the cost of treating tobacco-related disease. Within the next few years, effective prevention programmes against smoking must be developed, particularly for the lower socio-economic populations, to prevent the cost of health care systems spiralling during the next few decades.

Smoking and poverty.

PubMed

Haustein, Knut-Olaf

2006-06-01

The problem of poverty leads to increased use of both legal and illegal drugs. Tobacco and alcohol are legal drugs that cause particular concern. Both drugs are widely abused in Germany by people attempting to escape their everyday problems. For decades it has been known that tobacco and alcohol use are more prevalent in lower socio-economic groups of society (those with low educational achievement, compared with people with further or higher education qualifications). Tobacco and alcohol use is particularly high among the unemployed, either temporarily or long-term, as well as people living alone. Children and women are more concerned about smoking than men. Female loneliness, often accompanied by the appearance of depressive reactions or of depression, increases the likelihood of cigarette smoking. Poor people spend up to 20% of their income on tobacco. In many industrialized countries, the age of onset of smoking is becoming younger and younger, increasing the risk of development of avoidable tobacco-related illnesses at an earlier age. This means that young smokers who develop chronic tobacco-related illnesses will require medical care over many years, increasing the cost of treating tobacco-related disease. Within the next few years, effective prevention programs against smoking must be developed, particularly for the lower socio-economic populations, in order to stop the cost of healthcare systems spiraling over the coming decades.

48 CFR 52.222-14 - Disputes Concerning Labor Standards.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Disputes Concerning Labor....222-14 Disputes Concerning Labor Standards. As prescribed in 22.407(a), insert the following clause: Disputes Concerning Labor Standards (FEB 1988) The United States Department of Labor has set forth in 29...

12 CFR 202.6 - Rules concerning evaluation of applications.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 2 2010-01-01 2010-01-01 false Rules concerning evaluation of applications... SYSTEM EQUAL CREDIT OPPORTUNITY ACT (REGULATION B) § 202.6 Rules concerning evaluation of applications. (a) General rule concerning use of information. Except as otherwise provided in the Act and this...

48 CFR 6.205 - Set-asides for HUBZone small business concerns.

Code of Federal Regulations, 2012 CFR

2012-10-01

... small business concerns. 6.205 Section 6.205 Federal Acquisition Regulations System FEDERAL ACQUISITION... 6.205 Set-asides for HUBZone small business concerns. (a) To fulfill the statutory requirements... (see 19.1302) may set aside solicitations to allow only qualified HUBZone small business concerns to...

48 CFR 6.205 - Set-asides for HUBZone small business concerns.

Code of Federal Regulations, 2014 CFR

2014-10-01

... small business concerns. 6.205 Section 6.205 Federal Acquisition Regulations System FEDERAL ACQUISITION... 6.205 Set-asides for HUBZone small business concerns. (a) To fulfill the statutory requirements... (see 19.1302) may set aside solicitations to allow only qualified HUBZone small business concerns to...

48 CFR 6.205 - Set-asides for HUBZone small business concerns.

Code of Federal Regulations, 2013 CFR

2013-10-01

... small business concerns. 6.205 Section 6.205 Federal Acquisition Regulations System FEDERAL ACQUISITION... 6.205 Set-asides for HUBZone small business concerns. (a) To fulfill the statutory requirements... (see 19.1302) may set aside solicitations to allow only qualified HUBZone small business concerns to...

48 CFR 6.205 - Set-asides for HUBZone small business concerns.

Code of Federal Regulations, 2011 CFR

2011-10-01

... small business concerns. 6.205 Section 6.205 Federal Acquisition Regulations System FEDERAL ACQUISITION... 6.205 Set-asides for HUBZone small business concerns. (a) To fulfill the statutory requirements... (see 19.1302) may set aside solicitations to allow only qualified HUBZone small business concerns to...

Dynamic hydrologic economic modeling of tradeoffs in hydroelectric systems

NASA Astrophysics Data System (ADS)

Kern, Jordan D.

Hydropower producers face a future beset by unprecedented changes in the electric power industry, including the rapid growth of installed wind power capacity and a vastly increased supply of natural gas due to horizontal hydraulic fracturing (or "fracking"). There is also increased concern surrounding the potential for climate change to impact the magnitude and frequency of droughts. These developments may significantly alter the financial landscape for hydropower producers and have important ramifications for the environmental impacts of dams. Incorporating wind energy into electric power systems has the potential to affect price dynamics in electricity markets and, in so doing, alter the short-term financial signals on which dam operators rely to schedule reservoir releases. Chapter 1 of this doctoral dissertation develops an integrated reservoir-power system model for assessing the impact of large scale wind power integration of hydropower resources. Chapter 2 explores how efforts to reduce the carbon footprint of electric power systems by using wind energy to displace fossil fuel-based generation may inadvertently yield further impacts to river ecosystems by disrupting downstream flow patterns. Increased concern about the potential for climate change to alter the frequency and magnitude of droughts has led to growing interest in "index insurance" that compensates hydropower producers when values of an environmental variable (or index), such as reservoir inflows, crosses an agreed upon threshold (e.g., low flow conditions). Chapter 3 demonstrates the need for such index insurance contracts to also account for changes in natural gas prices in order to be cost-effective. Chapter 4 of this dissertation analyzes how recent low natural gas prices (partly attributable to fracking) have reduced the cost of implementing ramp rate restrictions at dams, which help restore sub-daily variability in river flows by limiting the flexibility of dam operators in scheduling reservoir releases concurrent with peak electricity demand.

A Follow-Up Study of Medical Students' Biomedical Understanding and Clinical Reasoning Concerning the Cardiovascular System

ERIC Educational Resources Information Center

Ahopelto, Ilona; Mikkila-Erdmann, Mirjamaija; Olkinuora, Erkki; Kaapa, Pekka

2011-01-01

Novice medical students usually hold initial conceptions concerning medical domains, such as the cardiovascular system, which may contradict scientific explanations and thus hinder learning. The purpose of this study was to investigate which kinds of biomedical representations medical students constructed of the central cardiovascular system in…

77 FR 11589 - Advice Concerning Possible Modifications to the U.S. Generalized System of Preferences, 2011...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-27

... Modifications to the U.S. Generalized System of Preferences, 2011 Review of Additions and Competitive Need..., Advice Concerning Possible Modifications to the U.S. Generalized System of Preferences, 2011 Review of... electronic docket (EDIS) at http://edis.usitc.gov . FOR FURTHER INFORMATION CONTACT: Information specific to...

Impact of Barcode Medication Administration Technology on How Nurses Spend Their Time On Clinical Care

PubMed Central

Poon, Eric G; Keohane, Carol; Featherstone, Erica; Hays, Brandon; Dervan, Andrew; Woolf, Seth; Hayes, Judy; Bane, Anne; Newmark, Lisa; Gandhi, Tejal K

2006-01-01

In a time-motion study conducted in a hospital that recently implemented barcode medication administration (BCMA) technology, we found that the BCMA system did not increase the amount of time nurses spend on medication administration activities, and did not compromise the amount of time nurses spent on direct care of patients. Our results should allay concerns regarding the impact of BCMA on nursing workflow. PMID:17238684