Allocating Practice Expense Under the Medicare Fee Schedule

PubMed Central

Pope, Gregory C.; Burge, Russel T.

1993-01-01

Currently, relative value units for practice expense are determined under the Medicare fee schedule (MFS) using historical physician charges. This seems inconsistent with the goal of a resource-based fee schedule. A specialty resource-based method of determining practice expense payments is presented and simulated here. The method assumes that, for each service, the payment for practice expense should be the same proportion of the total payment as actual physician practice expenses are of total practice revenues. A comparison with the approach developed by the Physician Payment Review Commission (PPRC) shows similar fees, but the specialty-based method proposed here requires no data beyond what is already employed in the MFS. PMID:10130574

Petroleum Systems and Geologic Assessment of Undiscovered Oil and Gas, Navarro and Taylor Groups, Western Gulf Province, Texas

USGS Publications Warehouse

,

2006-01-01

The purpose of the U.S. Geological Survey's (USGS) National Oil and Gas Assessment is to develop geologically based hypotheses regarding the potential for additions to oil and gas reserves in priority areas of the United States. The USGS recently completed an assessment of undiscovered oil and gas potential of the Late Cretaceous Navarro and Taylor Groups in the Western Gulf Province in Texas (USGS Province 5047). The Navarro and Taylor Groups have moderate potential for undiscovered oil resources and good potential for undiscovered gas resources. This assessment is based on geologic principles and uses the total petroleum system concept. The geologic elements of a total petroleum system include hydrocarbon source rocks (source rock maturation, hydrocarbon generation and migration), reservoir rocks (sequence stratigraphy and petrophysical properties), and hydrocarbon traps (trap formation and timing). The USGS used this geologic framework to define one total petroleum system and five assessment units. Five assessment units were quantitatively assessed for undiscovered oil and gas resources.

Assessment of undiscovered hydrocarbon resources of sub-Saharan Africa

USGS Publications Warehouse

Brownfield, Michael E.

2016-01-01

The assessment was geology-based and used the total petroleum system (TPS) concept. The geologic elements of a TPS are hydrocarbon source rocks (source rock maturation and hydrocarbon generation and migration), reservoir rocks (quality and distribution), and traps where hydrocarbon accumulates. Using these geologic criteria, 16 conventional total petroleum systems and 18 assessment units in the 13 provinces were defined. The undiscovered, technically recoverable oil and gas resources were assessed for all assessment units.

Improving Evidence Dissemination and Accessibility through a Mobile-based Resource Platform.

PubMed

Zhu, Zheng; Xing, Weijie; Hu, Yan; Zhou, Yingfeng; Gu, Ying

2018-05-28

Current mobile information technologies fundamentally influence evidence dissemination from the perspective of both evidence seekers and evidence providers. However, there is no related study which tried using a mobile-based platform to disseminate evidence in China. The main object of this study is to develop a mobile-based evidence resource platform and to evaluate its effects of improving nurses' access to evidence-based practice resources and meeting users' demands. The mobile-based evidence resource platform was developed in 2014. A cross-sectional study was conducted over a period of 2 months between December 2015 and January 2016 to evaluate user experiences of and preferences regarding the platform. Descriptive analysis was adopted to analyze information and its communication effects from December 2014 to March 2017. A total of 472 participants met the inclusion criteria and responded to the survey. High scores were received for the overall rating (4.34 ± 0.67), evidence section (4.30 ± 0.63), learning materials section (4.26 ± 0.65), news section (4.27 ± 0.66), readability (4.38 ± 0.63), design and structure (4.38 ± 0.63), and interactivity (3.58 ± 0.84). As of March 31, 2017, the total number of followers was 28,954. The total number of readings was 584,834. The most current WCI value was 388.72. Our study demonstrated that the mobile-based platform for evidence transfer can promote the accessibility of evidence and meet users' demands. This mobile-based platform is currently available in the WeChat application environment. It will be a wise option for healthcare professionals for the purposes of learning about EBP and disseminating evidence in China.

Access to environmental resources and physical activity levels of adults in Hawaii.

PubMed

Geller, Karly S; Nigg, Claudio R; Ollberding, Nicholas J; Motl, Robert W; Horwath, Caroline; Dishman, Rodney K

2015-03-01

Examine associations between physical activity (PA) and spatial accessibility to environmental PA resources in Hawaii. Metabolic equivalents (METs) of mild, moderate, and strenuous PA were compared for accessibility with environmental PA resources within a population-based sample of Hawaiian adults (n = 381). Multiple linear regression estimated differences in PA levels for residing further from a PA resource or residing in an area with a greater number of resources. No associations were found in the total sample. Analyses within subsamples stratified by ethnicity revealed that greater spatial accessibility to a PA resource was positively associated with strenuous PA among Caucasians (P = .04) but negatively associated with moderate PA among Native Hawaiians (P = .00). The lack of association in the total sample may be a consequence of Hawaii's unique environment. Results of stratified sample analyses are unique, providing groundwork for future examinations within parallel environments and among similar ethnic groups. © 2012 APJPH.

Family resources for families of children with cerebral palsy in Jordan: psychometric properties of the Arabic-family resources scale.

PubMed

Almasri, N A; Saleh, M; Dunst, C J

2014-05-01

Resource-based, family-centred practices are associated with better health, emotional, and social well-being of children with disabilities. The adequacy of resources available for families of children with disabilities in Middle Eastern countries has not been described adequately in part because of lack of measures that are culturally adapted to be used in Arabic countries. Therefore, this study aims to (1) to evaluate the psychometric properties of the Arabic-Family Resource Scale (A-FRS) on a sample of families of children cerebral palsy (CP); (2) examine the adequacy of family resources as perceived by parents of children with CP in Jordan; and (3) examine the influence of child and family demographic variables on how parents report resources available to their families. A cross-section design was applied. One-hundred fifteen parents of children with CP with mean age 4.6 years (SD = 4.4) and their parents participated in the study. Research assistants interviewed the participants to complete the A-FRS, and family and child demographic questionnaire, and determined the Gross Motor Function Classification System level of children. The principal axis factoring of the A-FRS yielded a six-factor solution that accounted for 67.39% of the variance and that is different than the factor structure reported by the developers of the FRS. Cronbach’s coefficient alpha of the total score of family resources was 0.86 indicating a good internal consistency and the test–retest reliability for the total scale score was r = 0.92 (P = 0.000) indicating excellent test–retest reliability. Child health and family income were significantly associated with the total score of the A-FRS. The A-FRS is a valid and reliable measure of family resources for Jordanian families of children with CP. Service providers are encouraged to use A-FRS with families to plan resource-based interventions in which family resources are mobilized to meet family needs.

The economic impact of chronic prostatitis.

PubMed

Calhoun, Elizabeth A; McNaughton Collins, Mary; Pontari, Michel A; O'Leary, Michael; Leiby, Benjamin E; Landis, J Richard; Kusek, John W; Litwin, Mark S

2004-06-14

Little information exists on the economic impact of chronic prostatitis. The objective of this study was to determine the direct and indirect costs associated with chronic prostatitis. Outcomes were assessed using a questionnaire designed to capture health care resource utilization. Resource estimates were converted into unit costs with direct medical cost estimates based on hospital cost-accounting data and indirect costs based on modified labor force, employment, and earnings data from the US Census Bureau. The total direct costs for the 3 months prior to entry into the cohort, excluding hospitalization, were $126 915 for the 167 study participants for an average of $954 per person among the 133 consumers. Of the men, 26% reported work loss valued at an average of $551. The average total costs (direct and indirect) for the 3 months was $1099 per person for those 137 men who had resource consumption with an expected annual total cost per person of $4397. For those study participants with any incurred costs, tests for association revealed that the National Institutes of Health Chronic Prostatitis Symptom Index (P<.001) and each of the 3 subcategories of pain (P =.003), urinary function (P =.03), and quality-of-life (P =.002) were significantly associated with resource use, although the quality-of-life subscale score from the National Institutes of Health Chronic Prostatitis Symptom Index was the only predictor of resource consumption. Chronic prostatitis is associated with substantial costs and lower quality-of-life scores, which predicted resource consumption. The economic impact of chronic prostatitis warrants increased medical attention and resources to identify and test effective treatment strategies.

Coal resources of the Sonda coal field, Sindh Province, Pakistan

USGS Publications Warehouse

Thomas, R.E.; Riaz, Khan M.; Ahmed, Khan S.

1993-01-01

Approximately 4.7 billion t of original coal resources, ranging from lignite A to subbituminous C in rank, are estimated to be present in the Sonda coal field. These resources occur in 10 coal zones in the Bara Formation of Paleocene age. The Bara Formation does not out crop in the area covered by this report. Thin discontinuous coal beds also occur in the Sonhari Member of the Laki Formation, of Paleocene and Eocene age, but they are unimportant as a resource of the Sonda coal field. The coal resource assessment was based on 56 exploratory drill holes that were completed in the Sonda field between April 1986 and February 1988. The Sonda coal field is split into two, roughly equal, areas by the southwestward flowing Indus River, a major barrier to the logistics of communications between the two halves. As a result the two halves, called the Sonda East and Sonda West areas, were evaluated at different times by slightlydifferent techniques; but, because the geology is consistent between the two areas, the results of both evaluations have been summarized in this report. The resource estimates for the Sonda East area, approximately 1,700 million t, were based on the thickest coal bed in each zone at each drill hole. This method gives a conservative estimate of the total amount of coal in the Sonda East area. The resource estimates for the Sonda West area, approximately 3,000 million t, were based on cumulative coal bed thicknesses within each coal zone, resulting in a more liberal estimate. In both cases, minimum parameters for qualifying coal were a thickness of 30 cm or greater and no more than 50% ash; partings thicker than 1 cm were excluded. The three most important coal zones in the Sonda field are the Inayatabad, the Middle Sonda and the Lower Sonda. Together, these three coal zones contain 50% of the total resources. Isopachs were constructed for the thickest coal beds in these three coal zones and indicate large variations in thickness over relatively small distances. Coal beds in the Sonda coal field were difficult to correlate because of poor core recovery in some intervals and abrupt lateral thinning and thickening. Most coal zones are separated by 5-10 m of interburden, although in some places the interburden between zones is over 100 m thick. More closely spaced drill holes should clarify and significantly improve coal zone correlations in the Bara Formation. Coal resources in the Sonda coal field were calculated for three reliability categories; measured, indicated, and inferred. The most reliable estimates are those for the measured category. Measured coal resources are approximately 91 million t, or about 2% of the total resource; indicated resources are 681 million t, or about 14% of the total; and inferred resources, the least reliable resource category, are 3,931 million t, or 84% of the total resources. The distribution of resources by reliability category is due to the relatively wide spacing (approximately 5 km) between core holes. Analyses of 90 coal samples, on an as-received basis, indicate average ash and sulfur contents of 13.7% and 3.6%, respectively, and a range in rank from lignite A to subbituminous C. Calorific values for these samples range from 6,000 to 8,000 Btu/lb (1 Btu = 1055J; 1 lb = 4536 kg). ?? 1993.

Elephant Dung and Ferro Fluid

ERIC Educational Resources Information Center

Andrews, Jackie

2007-01-01

Over the last couple of years, the author has produced six series of 15-minute studio-based programmes for Teachers' TV (the government-funded digital channel for UK teachers) entitled "Resource Review", totalling about 100 programmes. Each consists of three panellists evaluating three teaching resources for primary or secondary level…

Planning for Retirement: Longitudinal Effect on Retirement Resources and Post-retirement Well-being

PubMed Central

Yeung, Dannii Y.; Zhou, Xiaoyu

2017-01-01

Retirement is a major life event, and a positive adjustment to retirement is essential for maintaining physical and psychological well-being in later life. Previous research demonstrates that pre-retirement planning predicts post-retirement well-being. This study further explores the underlying mechanism between planning activities and post-retirement well-being. By applying the resource-based dynamic model (Wang et al., 2011), the present longitudinal study examines whether pre-retirement planning activities can increase the total resources of retirees, including tangible, mental and social resources, and consequently contribute to better psychological and physical well-being 1 year after actual retirement. A total of 118 Hong Kong Chinese retirees completed three assessments: Time 1 assessment was conducted 6 months before retirement, and Times 2 and 3 assessments were carried out 6 and 12 months, respectively, after retirement. Latent growth models were employed to examine changes in retirement resources and post-retirement well-being over time. Consistent with the proposition of the resource-based dynamic model, positive changes in well-being were observed in the retirees with increases in retirement resources between pre- and post-retirement phases. The results of the latent growth mediation models also support our prediction: retirees with more preparatory activities before retirement acquire greater resources at the initial stage, which contribute to positive changes in post-retirement well-being over time. PMID:28798716

Planning for Retirement: Longitudinal Effect on Retirement Resources and Post-retirement Well-being.

PubMed

Yeung, Dannii Y; Zhou, Xiaoyu

2017-01-01

Retirement is a major life event, and a positive adjustment to retirement is essential for maintaining physical and psychological well-being in later life. Previous research demonstrates that pre-retirement planning predicts post-retirement well-being. This study further explores the underlying mechanism between planning activities and post-retirement well-being. By applying the resource-based dynamic model (Wang et al., 2011), the present longitudinal study examines whether pre-retirement planning activities can increase the total resources of retirees, including tangible, mental and social resources, and consequently contribute to better psychological and physical well-being 1 year after actual retirement. A total of 118 Hong Kong Chinese retirees completed three assessments: Time 1 assessment was conducted 6 months before retirement, and Times 2 and 3 assessments were carried out 6 and 12 months, respectively, after retirement. Latent growth models were employed to examine changes in retirement resources and post-retirement well-being over time. Consistent with the proposition of the resource-based dynamic model, positive changes in well-being were observed in the retirees with increases in retirement resources between pre- and post-retirement phases. The results of the latent growth mediation models also support our prediction: retirees with more preparatory activities before retirement acquire greater resources at the initial stage, which contribute to positive changes in post-retirement well-being over time.

[Determination of podophyllotoxin and total lignans in Sinopodophyllum emodi].

PubMed

Huang, Kun; Jiang, Wei; Zhao, Jifeng; Wang, Changhua; Liu, Xiang; Zhang, Zhiwei; Qin, Songyun; Zhong, Guoyue

2012-05-01

To determine the content of podophyllotoxin and total lignans in Sinopodophyllum emodi Ying from different areas and evaluate the resource utilization of this endangered medicinal plant. HPLC and UV spectrophotometry were used to determine the content of podophyllotoxin and total lignans in 126 samples from different habitats and the total lignans content was determined by the reference wavelength method. According to the results, the highest content was determined from the samples from Yongdeng Nature Reserve in Gansu province, and the lowest ones was found in the samples from Tibet. The former's podophyllotoxin and total lignans contents were 7.40% and 20.66%, respectively, which were 19 times and 4 times more than those of the latter. The content of podophyllotoxin and total lignans in S. emodi were significantly positively related, meanwhile, samples from both low altitude and high latitude showed the higher content. The two determination methods are simple, rapid, accurate and repeatable. It is more scientific and rational to evaluate the resource utilization of S. emodi with two indicators, those are the content of podophyllotoxin and the content of total lignans. This paper is instructive to the collection of wild resources and the establishment of production bases.

Assessment of Undiscovered Oil and Gas Resources of the Uinta-Piceance Province of Colorado and Utah, 2002

USGS Publications Warehouse

,

2002-01-01

The U.S. Geological Survey (USGS) recently completed an assessment of the undiscovered oil and gas potential of the UintaPiceance Province of northwestern Colorado and northeastern Utah (fig. 1). The assessment of the Uinta-Piceance Province is geology based and uses the Total Petroleum System concept. The geologic elements of Total Petroleum Systems include hydrocarbon source rocks (source rock maturation, hydrocarbon generation and migration), reservoir rocks (sequence stratigraphy, petrophysical properties), and hydrocarbon traps (trap formation and timing). Using this geologic framework, the USGS defined five Total Petroleum Systems and 20 Assessment Units within these Total Petroleum Systems, and quantitatively estimated the undiscovered oil and gas resources within each Assessment Unit (table 1).

Total Force Fitness in units part 1: military demand-resource model.

PubMed

Bates, Mark J; Fallesen, Jon J; Huey, Wesley S; Packard, Gary A; Ryan, Diane M; Burke, C Shawn; Smith, David G; Watola, Daniel J; Pinder, Evette D; Yosick, Todd M; Estrada, Armando X; Crepeau, Loring; Bowles, Stephen V

2013-11-01

The military unit is a critical center of gravity in the military's efforts to enhance resilience and the health of the force. The purpose of this article is to augment the military's Total Force Fitness (TFF) guidance with a framework of TFF in units. The framework is based on a Military Demand-Resource model that highlights the dynamic interactions across demands, resources, and outcomes. A joint team of subject-matter experts identified key variables representing unit fitness demands, resources, and outcomes. The resulting framework informs and supports leaders, support agencies, and enterprise efforts to strengthen TFF in units by (1) identifying TFF unit variables aligned with current evidence and operational practices, (2) standardizing communication about TFF in units across the Department of Defense enterprise in a variety of military organizational contexts, (3) improving current resources including evidence-based actions for leaders, (4) identifying and addressing of gaps, and (5) directing future research for enhancing TFF in units. These goals are intended to inform and enhance Service efforts to develop Service-specific TFF models, as well as provide the conceptual foundation for a follow-on article about TFF metrics for units. Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.

TERSSE. Definition of the total earth resources system for the shuttle era. Volume 10: (TOSS) TERSSE operational system study

NASA Technical Reports Server (NTRS)

Stow, W. K.; Cheeseman, C.; Dallam, W.; Dietrich, D.; Dorfman, G.; Fleming, R.; Fries, R.; Guard, W.; Jackson, F.; Jankowski, H.

1975-01-01

Economic benefits studies regarding the application of remote sensing to resource management and the Total Earth Resources for the Shuttle Era (TERSSE) study to outline the structure and development of future systems are used, along with experience from LANDSAT and LACIE, to define the system performance and economics of an operational Earth Resources system. The system is to be based on current (LANDSAT follow-on) technology and its application to high priority resource management missions, such as global crop inventory. The TERSSE Operational System Study (TOSS) investigated system-level design alternatives using economic performance as the evaluation criterion. As such, the TOSS effort represented a significant step forward in the systems engineering and economic analysis of Earth Resources programs. By parametrically relating engineering design parameters, such as sensor performance details, to the economic benefit mechanisms a new level of confidence in the conclusions concerning the implementation of such systems can be reached.

A Two-stage Approach for Water Demand Prediction under Constrained total water use and Water Environmental Capacity

NASA Astrophysics Data System (ADS)

He, Y.; Xiaohong, C.; Lin, K.; Wang, Z.

2016-12-01

Water demand (WD) is the basis for water allocation (WA) because it can fully reflect the pressure on water resources from population and socioeconomic development. To deal with the great uncertainties and the absence of consideration of water environmental capacity (WEC) in traditional water demand prediction methods, e.g. Statistical models, System Dynamics and quota method, this study develops a two-stage approach to predict WD under constrained total water use from the perspective of ecological restraint. Regional total water demand (RTWD) is constrained by WEC, available water resources amount and total water use quota. Based on RTWD, WD is allocated in two stages according to the game theory, including predicting sub regional total water demand (SRWD) by calculating the sub region weights based on the selected indicators of socioeconomic development and predicting industrial water demand (IWD) according to the game theory. Taking the Dongjiang river basin, South China as an example of WD prediction, according to its constrained total water use quota and WEC, RTWD in 2020 is 9.83 billion m3, and IWD for agriculture, industry, service, ecology (off-stream), and domesticity are 2.32 billion m3, 3.79 billion m3, 0.75 billion m3 , 0.18 billion m3and 1.79 billion m3 respectively. The results from this study provide useful insights for effective water allocation under climate change and the strict policy of water resources management.

Comparison of typical mega cities in China using emergy synthesis

NASA Astrophysics Data System (ADS)

Zhang, L. X.; Chen, B.; Yang, Z. F.; Chen, G. Q.; Jiang, M. M.; Liu, G. Y.

2009-06-01

An emergy-based comparison analysis is conducted for three typical mega cities in China, i.e., Beijing, Shanghai and Guangzhou, from 1990 to 2005 in four perspectives including emergy intensity, resource structure, environmental pressure and resource use efficiency. A new index of non-renewable emergy/money ratio is established to indicate the utilization efficiency of the non-renewable resources. The results show that for the three mega urban systems, Beijing, Shanghai and Guangzhou, the total emergy inputs were 3.76E+23, 3.54E+23, 2.52E+23 sej in 2005, of which 64.88%, 91.45% and 72.28% were imported from the outsides, respectively. As to the indicators of emergy intensity involving the total emergy use, emergy density and emergy use per cap, three cities exhibited similar overall increase trends with annual fluctuations from 1990 to 2005. Shanghai achieved the highest level of economic development and non-renewable resource use efficiency, and meanwhile, lower proportion of renewable resource use and higher environmental pressure compared to those of Beijing and Guangzhou. Guangzhou has long term sustainability considering an amount of local renewable resources used, per capita emergy used, energy consumption per unit GDP and the ratio of waste to renewable emergy. It can be concluded that different emergy-based evaluation results arise from different geographical locations, resources endowments, industrial structures and urban orientations of the concerned mega cities.

Urban Education in Distress: South Africa and the United States--Mutual Dilemmas for Two Democratic Societies.

ERIC Educational Resources Information Center

Uchitelle, Susan

2000-01-01

South Africa and the United States face similar problems: teachers' inadequacies in educating an increasingly diverse population; a culture of poverty undermining public support; urban decay and declining tax bases; insufficient resources; totally inadequate school facilities; and unrealistic expectations, considering allotted resources, faculty,…

Potential Impacts of Spilled Hydraulic Fracturing Fluid Chemicals on Water Resources: Types, volumes, and physical-chemical properties of chemicals

EPA Science Inventory

Hydraulic fracturing (HF) fluid chemicals spilled on-site may impact drinking water resources. While chemicals generally make up <2% of the total injected fluid composition by mass, spills may have undiluted concentrations. HF fluids typically consist of a mixture of base flui...

Perceived Family Resources Based on Number of Members with ADHD

ERIC Educational Resources Information Center

Corwin, Melinda; Mulsow, Miriam; Feng, Du

2012-01-01

Objective: This study examines how the number of family members with ADHD affects other family members' perceived resources. Method: A total of 40 adolescents diagnosed with ADHD and their mothers, fathers, and adolescent siblings living in the household participated. Hierarchical linear modeling was used to analyze family-level data from a total…

The Impact of Personal Resources on Turnover Intention: The Mediating Effects of Work Engagement

ERIC Educational Resources Information Center

Kim, Woocheol; Hyun, Young Sup

2017-01-01

Purpose: This paper aims to investigate mediating effects of employees' work engagement in the relationships between their personal resources (i.e. self-efficacy, organizational-based self-esteem and optimism) and turnover intention within Korean organizations. Design/methodology/approach: A total of 571 survey responses collected from Korean…

Testing a computer-based ostomy care training resource for staff nurses.

PubMed

Bales, Isabel

2010-05-01

Fragmented teaching and ostomy care provided by nonspecialized clinicians unfamiliar with state-of-the-art care and products have been identified as problems in teaching ostomy care to the new ostomate. After conducting a literature review of theories and concepts related to the impact of nurse behaviors and confidence on ostomy care, the author developed a computer-based learning resource and assessed its effect on staff nurse confidence. Of 189 staff nurses with a minimum of 1 year acute-care experience employed in the acute care, emergency, and rehabilitation departments of an acute care facility in the Midwestern US, 103 agreed to participate and returned completed pre- and post-tests, each comprising the same eight statements about providing ostomy care. F and P values were computed for differences between pre- and post test scores. Based on a scale where 1 = totally disagree and 5 = totally agree with the statement, baseline confidence and perceived mean knowledge scores averaged 3.8 and after viewing the resource program post-test mean scores averaged 4.51, a statistically significant improvement (P = 0.000). The largest difference between pre- and post test scores involved feeling confident in having the resources to learn ostomy skills independently. The availability of an electronic ostomy care resource was rated highly in both pre- and post testing. Studies to assess the effects of increased confidence and knowledge on the quality and provision of care are warranted.

Solar Resource Assessment for Sri Lanka and Maldives

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

Renne, D.; George, R.; Marion, B.

2003-08-01

The countries of Sri Lanka and the Maldives lie within the equatorial belt, a region where substantial solar energy resources exist throughout much of the year in adequate quantities for many applications, including solar water heating, solar electricity, and desalination. The extent of solar resources in Sri Lanka has been estimated in the past based on a study of the daily total direct sunshine hours recorded at a number of weather and agricultural stations throughout the country. These data have been applied to the well-known Angstrom relationship in order to obtain an estimate of the distribution of monthly average dailymore » total solar resources at these stations. This study is an effort in improve on these estimates in two ways: (1) to apply a gridded cloud cover database at a 40-km resolution to produce updated monthly average daily total estimates of all solar resources (global horizontal, DNI, and diffuse) for the country, and (2) to input hourly or three-hourly cloud cover observations made at nine weather stations in Sri Lanka and two in the Maldives into a solar model that produces estimates of hourly solar radiation values of the direct normal, global, and diffuse resource covering the length of the observational period. Details and results of these studies are summarized in this report.« less

Jurassic-Cretaceous Composite Total Petroleum System and Geologic Assessment of Oil and Gas Resources of the North Cuba Basin, Cuba

USGS Publications Warehouse

,

2008-01-01

The purpose of the U.S. Geological Survey's (USGS) World Oil and Gas Assessment is to develop geologically based hypotheses regarding the potential for additions to oil and gas reserves in priority areas of the world. The U.S. Geological Survey (USGS) completed an assessment of the undiscovered oil and gas potential of the North Cuba Basin. The assessment is based on the geologic elements of the total petroleum system (TPS) defined in the province, including petroleum source rocks (source-rock maturation, generation, and migration), reservoir rocks (sequence stratigraphy and petrophysical properties), and petroleum traps (Trap formation and timing). Using this geologic framework, the USGS defined a Jurassic-Cretaceous Total Petroleum System in the North Cuba Basin Province. Within this TPS, three assessment units were defined and assessed for undiscovered oil and gas resources.

Reutilisation-extended material flows and circular economy in China.

PubMed

Li, Nan; Zhang, Tianzhu; Liang, Sai

2013-06-01

Circular economy (CE), with its basic principle of Reduce, Reuse, and Recycle, has been determined as the key strategy for the national development plan by the Chinese government. Given the economy-wide material flow analysis (EW-MFA) that leaves the inner flow of resource reutilisation unidentified, the reutilisation-extended EW-MFA is first introduced to evaluate and analyse the material input, solid waste generation, and reutilisation simultaneously. The total amount of comprehensive reutilisation (CR) is divided into three sub-flows, namely, reutilisation, recycle, and reuse. Thus, this model is used to investigate the resource CR in China from 2000 to 2010. China's total amount of CR and its sub-flows, as well as the CR rate, remain to have a general upward trend. By the year 2010, about 60% of the overall solid waste generation had already been reutilised, and more than 20% of the total resource requirement was reutilised resource. Moreover, the growth patterns of the CR sub flows show different characteristics. Interpretations of resource reutilisation-related laws and regulations of CE and the corresponding policy suggestions are proposed based on the results. Copyright © 2013 Elsevier Ltd. All rights reserved.

An agent-based simulation combined with group decision-making technique for improving the performance of an emergency department.

PubMed

Yousefi, M; Ferreira, R P M

2017-03-30

This study presents an agent-based simulation modeling in an emergency department. In a traditional approach, a supervisor (or a manager) allocates the resources (receptionist, nurses, doctors, etc.) to different sections based on personal experience or by using decision-support tools. In this study, each staff agent took part in the process of allocating resources based on their observation in their respective sections, which gave the system the advantage of utilizing all the available human resources during the workday by being allocated to a different section. In this simulation, unlike previous studies, all staff agents took part in the decision-making process to re-allocate the resources in the emergency department. The simulation modeled the behavior of patients, receptionists, triage nurses, emergency room nurses and doctors. Patients were able to decide whether to stay in the system or leave the department at any stage of treatment. In order to evaluate the performance of this approach, 6 different scenarios were introduced. In each scenario, various key performance indicators were investigated before and after applying the group decision-making. The outputs of each simulation were number of deaths, number of patients who leave the emergency department without being attended, length of stay, waiting time and total number of discharged patients from the emergency department. Applying the self-organizing approach in the simulation showed an average of 12.7 and 14.4% decrease in total waiting time and number of patients who left without being seen, respectively. The results showed an average increase of 11.5% in total number of discharged patients from emergency department.

An agent-based simulation combined with group decision-making technique for improving the performance of an emergency department

PubMed Central

Yousefi, M.; Ferreira, R.P.M.

2017-01-01

This study presents an agent-based simulation modeling in an emergency department. In a traditional approach, a supervisor (or a manager) allocates the resources (receptionist, nurses, doctors, etc.) to different sections based on personal experience or by using decision-support tools. In this study, each staff agent took part in the process of allocating resources based on their observation in their respective sections, which gave the system the advantage of utilizing all the available human resources during the workday by being allocated to a different section. In this simulation, unlike previous studies, all staff agents took part in the decision-making process to re-allocate the resources in the emergency department. The simulation modeled the behavior of patients, receptionists, triage nurses, emergency room nurses and doctors. Patients were able to decide whether to stay in the system or leave the department at any stage of treatment. In order to evaluate the performance of this approach, 6 different scenarios were introduced. In each scenario, various key performance indicators were investigated before and after applying the group decision-making. The outputs of each simulation were number of deaths, number of patients who leave the emergency department without being attended, length of stay, waiting time and total number of discharged patients from the emergency department. Applying the self-organizing approach in the simulation showed an average of 12.7 and 14.4% decrease in total waiting time and number of patients who left without being seen, respectively. The results showed an average increase of 11.5% in total number of discharged patients from emergency department. PMID:28380196

Minnesota's forest resources in 2005

Treesearch

Patrick D. Miles; Gary J. Brand

2007-01-01

Reports forest statistics for Minnesota based on five annual inventories from 2001 through 2005. Minnesota's total forest area is estimated at 16.3 million acres or 32 percent of the total land area of the State. The estmated total live-tree volume on forest land is 17.7 billion cubic feet or 1,085 cubic feet per acre. The estimated aboveground live-tree biomass...

Quantification of the resource recovery potential of municipal solid waste incineration bottom ashes

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

Allegrini, Elisa, E-mail: elia@env.dtu.dk; Maresca, Alberto; Olsson, Mikael Emil

2014-09-15

Highlights: • Ferrous and non-ferrous metals were quantified in MSWI bottom ashes. • Metal recovery system efficiencies for bottom ashes were estimated. • Total content of critical elements was determined in bottom ash samples. • Post-incineration recovery is not viable for most critical elements. - Abstract: Municipal solid waste incineration (MSWI) plays an important role in many European waste management systems. However, increasing focus on resource criticality has raised concern regarding the possible loss of critical resources through MSWI. The primary form of solid output from waste incinerators is bottom ashes (BAs), which also have important resource potential. Based onmore » a full-scale Danish recovery facility, detailed material and substance flow analyses (MFA and SFA) were carried out, in order to characterise the resource recovery potential of Danish BA: (i) based on historical and experimental data, all individual flows (representing different grain size fractions) within the recovery facility were quantified, (ii) the resource potential of ferrous (Fe) and non-ferrous (NFe) metals as well as rare earth elements (REE) was determined, (iii) recovery efficiencies were quantified for scrap metal and (iv) resource potential variability and recovery efficiencies were quantified based on a range of ashes from different incinerators. Recovery efficiencies for Fe and NFe reached 85% and 61%, respectively, with the resource potential of metals in BA before recovery being 7.2%ww for Fe and 2.2%ww for NFe. Considerable non-recovered resource potential was found in fine fraction (below 2 mm), where approximately 12% of the total NFe potential in the BA were left. REEs were detected in the ashes, but the levels were two or three orders of magnitude lower than typical ore concentrations. The lack of REE enrichment in BAs indicated that the post-incineration recovery of these resources may not be a likely option with current technology. Based on these results, it is recommended to focus on limiting REE-containing products in waste for incineration and improving pre-incineration sorting initiatives for these elements.« less

TERSSE: Definition of the Total Earth Resources System for the Shuttle Era. Volume 8: User's Mission and System Requirements Data (appendix A of Volume 3)

NASA Technical Reports Server (NTRS)

1974-01-01

A computer printout is presented of the mission requirement for the TERSSE missions and their associated user tasks. The data included in the data base represents a broad-based attempt to define the amount, extent, and type of information needed for an earth resources management program in the era of the space shuttle. An effort was made to consider all aspects of remote sensing and resource management; because of its broad scope, it is not intended that the data be used without verification for in-depth studies of particular missions and/or users. The data base represents the quantitative structure necessary to define the TERSSE architecture and requirements, and to an overall integrated view of the earth resources technology requirements of the 1980's.

Kansas coal distribution, resources, and potential for coalbed methane

USGS Publications Warehouse

Brady, L.L.

2000-01-01

100 ft (>30 m)] determined from 32 different coal beds. Strippable coal resources at a depth Kansas has large amounts of bituminous coal both at the surface and in the subsurface of eastern Kansas. Preliminary studies indicate at least 53 billion tons (48 billion MT) of deep coal [>100 ft (>30 m)] determined from 32 different coal beds. Strippable coal resources at a depth < 100 ft (<30 m) total 2.8 billion tons (2.6 billion MT), and this total is determined from 17 coals. Coal beds present in the Cherokee Group (Middle Pennsylvanian) represent most of these coal resource totals. Deep coal beds with the largest resource totals include the Bevier, Mineral, "Aw" (unnamed coal bed), Riverton, and Weir-Pittsburg coals, all within the Cherokee Group. Based on chemical analyses, coals in the southeastern part of the state are generally high volatile A bituminous, whereas coals in the east-central and northeastern part of the state are high-volatile B bituminous coals. The primary concern of coal beds in Kansas for deep mining or development of coalbed methane is the thin nature [<2 ft (0.6 m)] of most coal beds. Present production of coalbed methane is centered mainly in the southern Wilson/northern Montgomery County area of southeastern Kansas where methane is produced from the Mulky, Weir-Pittsburg, and Riverton coals.

A microcosting study of immunogenicity and tumour necrosis factor alpha inhibitor drug level tests for therapeutic drug monitoring in clinical practice.

PubMed

Jani, Meghna; Gavan, Sean; Chinoy, Hector; Dixon, William G; Harrison, Beverley; Moran, Andrew; Barton, Anne; Payne, Katherine

2016-12-01

To identify and quantify resource required and associated costs for implementing TNF-α inhibitor (TNFi) drug level and anti-drug antibody (ADAb) tests in UK rheumatology practice. A microcosting study, assuming the UK National Health Service perspective, identified the direct medical costs associated with providing TNFi drug level and ADAb testing in clinical practice. Resource use and costs per patient were identified via four stages: identification of a patient pathway with resource implications; estimation of the resources required; identification of the cost per unit of resource (2015 prices); and calculation of the total costs per patient. Univariate and multiway sensitivity analyses were performed using the variation in resource use and unit costs. Total costs for TNFi drug level and concurrent ADAb testing, assessed using ELISAs on trough serum levels, were £152.52/patient (range: £147.68-159.24) if 40 patient samples were tested simultaneously. For the base-case analysis, the pre-testing phase incurred the highest costs, which included booking an additional appointment to acquire trough blood samples. The additional appointment was the key driver of costs per patient (67% of the total cost), and labour accounted for 10% and consumables 23% of the total costs. Performing ELISAs once per patient (rather than in duplicate) reduced the total costs to £133.78/patient. This microcosting study is the first assessing the cost of TNFi drug level and ADAb testing. The results could be used in subsequent cost-effectiveness analyses of TNFi pharmacological tests to target treatments and inform future policy recommendations. © The Author 2016. Published by Oxford University Press on behalf of the British Society for Rheumatology.

Remote sensing: The application of space technology to the survey of the earth and its environment

NASA Technical Reports Server (NTRS)

Schertler, R. J.

1973-01-01

Research in the earth sciences and management of both natural and man-made resources has been hindered by the difficulty of obtaining accurate and timely information on regional and global scale. Space surveys with remote sensing instruments are simply another means of attempting to attain the total knowledge of the resources needed for sound planning, development, and conservation. The use of earth orbiting satellites will greatly expand the ability to collect this information. The collection and use of these data and imagery, however, are now an end in itself, but only the means to an end, that of achieving total resource knowledge. Satellite systems will provide a valuable supplement to existing aerial and ground based observation techniques.

Total Quality Management in Higher Education.

ERIC Educational Resources Information Center

Sherr, Lawrence A.; Lozier, G. Gredgory

1991-01-01

Total Quality Management, based on theories of W. Edward Deming and others, is a style of management using continuous process improvement characterized by mission and customer focus, a systematic approach to operations, vigorous development of human resources, long-term thinking, and a commitment to ensuring quality. The values espoused by this…

Focus on Hinduism: Audio-Visual Resources for Teaching Religion. Occasional Publication No. 23.

ERIC Educational Resources Information Center

Dell, David; And Others

The guide presents annotated lists of audio and visual materials about the Hindu religion. The authors point out that Hinduism cannot be comprehended totally by reading books; thus the resources identified in this guide will enhance understanding based on reading. The guide is intended for use by high school and college students, teachers,…

Validating the WHO maternal near miss tool: comparing high- and low-resource settings.

PubMed

Witteveen, Tom; Bezstarosti, Hans; de Koning, Ilona; Nelissen, Ellen; Bloemenkamp, Kitty W; van Roosmalen, Jos; van den Akker, Thomas

2017-06-19

WHO proposed the WHO Maternal Near Miss (MNM) tool, classifying women according to several (potentially) life-threatening conditions, to monitor and improve quality of obstetric care. The objective of this study is to analyse merged data of one high- and two low-resource settings where this tool was applied and test whether the tool may be suitable for comparing severe maternal outcome (SMO) between these settings. Using three cohort studies that included SMO cases, during two-year time frames in the Netherlands, Tanzania and Malawi we reassessed all SMO cases (as defined by the original studies) with the WHO MNM tool (five disease-, four intervention- and seven organ dysfunction-based criteria). Main outcome measures were prevalence of MNM criteria and case fatality rates (CFR). A total of 3172 women were studied; 2538 (80.0%) from the Netherlands, 248 (7.8%) from Tanzania and 386 (12.2%) from Malawi. Total SMO detection was 2767 (87.2%) for disease-based criteria, 2504 (78.9%) for intervention-based criteria and 1211 (38.2%) for organ dysfunction-based criteria. Including every woman who received ≥1 unit of blood in low-resource settings as life-threatening, as defined by organ dysfunction criteria, led to more equally distributed populations. In one third of all Dutch and Malawian maternal death cases, organ dysfunction criteria could not be identified from medical records. Applying solely organ dysfunction-based criteria may lead to underreporting of SMO. Therefore, a tool based on defining MNM only upon establishing organ failure is of limited use for comparing settings with varying resources. In low-resource settings, lowering the threshold of transfused units of blood leads to a higher detection rate of MNM. We recommend refined disease-based criteria, accompanied by a limited set of intervention- and organ dysfunction-based criteria to set a measure of severity.

Conducting an inventory of informal community-based resources for children with physical disabilities: enhancing access and creating professional linkages.

PubMed

Rosenberg, A E

2000-01-01

This article describes the process involved in conducting a sample inventory of community-based sports, recreation/leisure, and arts resources that include children with physical disabilities in Monroe County, New York. The inventory instrument, Community Resource Inventory for Children with Physical Disabilities, was designed to examine organizational or group capacity to provide activities for children with physical disabilities. The inventory was administered by phone to organizations and groups identified as meeting the definition of a community-based resource. One hundred and six CBR informants were interviewed, each reporting one or two recreational activities provided at their site. The activities included arts, sports, or leisure offerings, with a total of 127 activities identified in the sample. The results of the study support the premise that community-based resources are receptive to providing activities for children with physical disabilities and to potential collaboration with therapists. Numerous barriers exixts, however, including environmental inaccessibility, lack of personnel training, and including environmental inaccesssbility, lack of personnel training, and costs of participation. The results suggest several educational and system-based changes that may promote future collaborative efforts between therapists and community-based organizations.

Cost of schizophrenia: direct costs and use of resources in the State of São Paulo.

PubMed

Leitão, Raquel Jales; Ferraz, Marcos Bosi; Chaves, Ana Cristina; Mari, Jair J

2006-04-01

To estimate the direct costs of schizophrenia for the public sector. A study was carried out in the state of São Paulo, Brazil, during 1998. Data from the medical literature and governmental research bodies were gathered for estimating the total number of schizophrenia patients covered by the Brazilian Unified Health System. A decision tree was built based on an estimated distribution of patients under different types of psychiatric care. Medical charts from public hospitals and outpatient services were used to estimate the resources used over a one-year period. Direct costs were calculated by attributing monetary values for each resource used. Of all patients, 81.5% were covered by the public sector and distributed as follows: 6.0% in psychiatric hospital admissions, 23.0% in outpatient care, and 71.0% without regular treatment. The total direct cost of schizophrenia was US $191,781,327 (2.2% of the total health care expenditure in the state). Of this total, 11.0% was spent on outpatient care and 79.2% went for inpatient care. Most schizophrenia patients in the state of São Paulo receive no regular treatment. The study findings point out to the importance of investing in research aimed at improving the resource allocation for the treatment of mental disorders in Brazil.

An analysis of the federal funding for mental health care in Brazil.

PubMed

Garcia, Maria Lúcia Teixeira; Oliveira, Edineia Figueira Dos Anjos

2017-03-01

This article analyzes spending on mental health by the Brazilian Ministry of Health between 2001 and 2014. It is documental research of the Brazilian Ministry of Health's databases. It analyzes the data using descriptive statistical analysis. Total spending on mental health for the period 2001 to 2014 shows a percentage increase in resources destined for outpatient care, but this increase is a reallocation from hospital services to community-based services and total resources for the mental health program remain at an average of 2.54% of the total health budget. Within outpatient expenditure, spending on medications remains high. Professionals committed to psychiatric reform fight to guarantee that a small fraction of the surplus appropriated by the state is directed towards social policies.

Assessment of undiscovered conventional oil and gas resources of the Western Canada Sedimentary Basin, Canada, 2012

USGS Publications Warehouse

Higley, Debra K.

2013-01-01

The U.S. Geological Survey recently completed a geoscience-based assessment of undiscovered oil and gas resources of provinces within the Western Canada Sedimentary Basin. The Western Canada Sedimentary Basin primarily comprises the (1) Alberta Basin Province of Alberta, eastern British Columbia, and the southwestern Northwest Territories; (2) the Williston Basin Province of Saskatchewan, southeastern Alberta, and southern Manitoba; and (3) the Rocky Mountain Deformed Belt Province of western Alberta and eastern British Columbia. This report is part of the U.S. Geological Survey World Petroleum Resources Project assessment of priority geologic provinces of the world. The assessment was based on geoscience elements that define a total petroleum system (TPS) and associated assessment unit(s). These elements include petroleum source rocks (geochemical properties and petroleum generation, migration, and accumulation), reservoir description (reservoir presence, type, and quality), and petroleum traps (trap and seal types, and timing of trap and seal formation relative to petroleum migration). Using this framework, the Elk Point-Woodbend Composite TPS, Exshaw-Fernie-Mannville Composite TPS, and Middle through Upper Cretaceous Composite TPS were defined, and four conventional assessment units within the total petroleum systems were quantitatively assessed for undiscovered resources in the Western Canada Sedimentary Basin.

Cumulative exergy extraction from the natural environment (CEENE): a comprehensive life cycle impact assessment method for resource accounting.

PubMed

Dewulf, J; Bösch, M E; De Meester, B; Van der Vorst, G; Van Langenhove, H; Hellweg, S; Huijbregts, M A J

2007-12-15

The objective of the paper is to establish a comprehensive resource-based life cycle impact assessment (LCIA) method which is scientifically sound and that enables to assess all kinds of resources that are deprived from the natural ecosystem, all quantified on one single scale, free of weighting factors. The method is based on the exergy concept. Consistent exergy data on fossils, nuclear and metal ores, minerals, air, water, land occupation, and renewable energy sources were elaborated, with well defined system boundaries. Based on these data, the method quantifies the exergy "taken away" from natural ecosystems, and is thus called the cumulative exergy extraction from the natural environment (CEENE). The acquired data set was coupled with a state-of-the art life cycle inventory database, ecoinvent. In this way, the method is able to quantitatively distinguish eight categories of resources withdrawn from the natural environment: renewable resources, fossil fuels, nuclear energy, metal ores, minerals, water resources, land resources, and atmospheric resources. Third, the CEENE method is illustrated for a number of products that are available in ecoinvent, and results are compared with common resource oriented LCIA methods. The application to the materials in the ecoinvent database showed that fossil resources and land use are of particular importance with regard to the total CEENE score, although the other resource categories may also be significant.

Stagnant surface water bodies (SSWBs) as an alternative water resource for the Chittagong metropolitan area of Bangladesh: physicochemical characterization in terms of water quality indices.

PubMed

Rahman, Ismail Md Mofizur; Islam, M Monirul; Hossain, M Mosharraf; Hossain, M Shahadat; Begum, Zinnat A; Chowdhury, Didarul A; Chakraborty, Milan K; Rahman, M Azizur; Nazimuddin, M; Hasegawa, Hiroshi

2011-02-01

The concern over ensuing freshwater scarcity has forced the developing countries to delve for alternative water resources. In this study, we examined the potential of stagnant surface water bodies (SSWBs) as alternative freshwater resources in the densely populated Chittagong metropolitan area (CMPA) of Bangladesh--where there is an acute shortage of urban freshwater supply. Water samples were collected at 1-month intervals for a period of 1 year from 12 stations distributed over the whole metropolis. Samples were analyzed for pH, water temperature (WTemp), turbidity, electrical conductivity (EC), total dissolved solids, total solids, total hardness, dissolved oxygen (DO), chloride, orthophosphates, ammonia, total coliforms (TC), and trace metal (Cd, Cr, Cu, Pb, As, and Fe) concentrations. Based on these parameters, different types of water quality indices (WQIs) were deduced. WQIs showed most of CMPA-SSWBs as good or medium quality water bodies, while none were categorized as bad. Moreover, it was observed that the minimal water quality index (WQIm), computed using five parameters: WTemp, pH, DO, EC, and turbidity, gave a reliable estimate of water quality. The WQIm gave similar results in 72% of the cases compared with other WQIs that were based on larger set of parameters. Based on our finding, we suggest the wider use WQIm in developing countries for assessing health of SSWBs, as it will minimize the analytical cost to overcome the budget constraints involved in this kind of evaluations. It was observed that except turbidity and TC content, all other quality parameters fluctuated within the limit of the World Health Organization suggested standards for drinking water. From our findings, we concluded that if the turbidity and TC content of water from SSWBs in CMPA are taken care of, they will become good candidates as alternative water resources all round the year.

Projections of costs, financing, and additional resource requirements for low- and lower middle-income country immunization programs over the decade, 2011-2020.

PubMed

Gandhi, Gian; Lydon, Patrick; Cornejo, Santiago; Brenzel, Logan; Wrobel, Sandra; Chang, Hugh

2013-04-18

The Decade of Vaccines Global Vaccine Action Plan has outlined a set of ambitious goals to broaden the impact and reach of immunization across the globe. A projections exercise has been undertaken to assess the costs, financing availability, and additional resource requirements to achieve these goals through the delivery of vaccines against 19 diseases across 94 low- and middle-income countries for the period 2011-2020. The exercise draws upon data from existing published and unpublished global forecasts, country immunization plans, and costing studies. A combination of an ingredients-based approach and use of approximations based on past spending has been used to generate vaccine and non-vaccine delivery costs for routine programs, as well as supplementary immunization activities (SIAs). Financing projections focused primarily on support from governments and the GAVI Alliance. Cost and financing projections are presented in constant 2010 US dollars (US$). Cumulative total costs for the decade are projected to be US$57.5 billion, with 85% for routine programs and the remaining 15% for SIAs. Delivery costs account for 54% of total cumulative costs, and vaccine costs make up the remainder. A conservative estimate of total financing for immunization programs is projected to be $34.3 billion over the decade, with country governments financing 65%. These projections imply a cumulative funding gap of $23.2 billion. About 57% of the total resources required to close the funding gap are needed just to maintain existing programs and scale up other currently available vaccines (i.e., before adding in the additional costs of vaccines still in development). Efforts to mobilize additional resources, manage program costs, and establish mutual accountability between countries and development partners will all be necessary to ensure the goals of the Decade of Vaccines are achieved. Establishing or building on existing mechanisms to more comprehensively track resources and commitments for immunization will help facilitate these efforts. Copyright © 2013 Elsevier Ltd. All rights reserved.

National Assessment of Oil and Gas Project: Geologic Assessment of Undiscovered Oil and Gas Resources of the Eastern Great Basin Province, Nevada, Utah, Idaho, and Arizona

USGS Publications Warehouse

,

2007-01-01

Introduction The purpose of the U.S. Geological Survey's (USGS) National Oil and Gas Assessment is to develop geologically based hypotheses regarding the potential for additions to oil and gas reserves in priority areas of the United States. The U.S. Geological Survey (USGS) recently completed an assessment of the undiscovered oil and gas potential of the Eastern Great Basin Province of eastern Nevada, western Utah, southeastern Idaho, and northwestern Arizona. This assessment is based on geologic principles and uses the total petroleum system concept. The geologic elements of a total petroleum system include hydrocarbon source rocks (source rock maturation, hydrocarbon generation and migration), reservoir rocks (sequence stratigraphy and petrophysical properties), and hydrocarbon traps (trap formation and timing). The USGS used this geologic framework to define one total petroleum system and three assessment units. All three assessment units were quantitatively assessed for undiscovered oil and gas resources.

National Assessment of Oil and Gas Project: Petroleum systems and assessment of undiscovered oil and gas in the Denver Basin Province, Colorado, Kansas, Nebraska, South Dakota, and Wyoming - USGS Province 39

USGS Publications Warehouse

Higley, Debra K.

2007-01-01

The purpose of the U.S. Geological Survey's (USGS) National Oil and Gas Assessment is to develop geologically based hypotheses regarding the potential for additions to oil and gas reserves in priority areas of the United States. The USGS recently completed an assessment of undiscovered oil and gas resources of the Denver Basin Province (USGS Province 39), Colorado, Kansas, Nebraska, South Dakota, and Wyoming. Petroleum is produced in the province from sandstone, shale, and limestone reservoirs that range from Pennsylvanian to Upper Cretaceous in age. This assessment is based on geologic principles and uses the total petroleum system concept. The geologic elements of a total petroleum system include hydrocarbon source rocks (source rock maturation, hydrocarbon generation and migration), reservoir rocks (sequence stratigraphy and petrophysical properties), and hydrocarbon traps (trap formation and timing). The USGS used this geologic framework to define seven total petroleum systems and twelve assessment units. Nine of these assessment units were quantitatively assessed for undiscovered oil and gas resources. Gas was not assessed for two coal bed methane assessment units due to lack of information and limited potential; oil resources were not assessed for the Fractured Pierre Shale Assessment Unit due to its mature development status.

Assessment of undiscovered oil and gas resources of the Mississippian Sunbury shale and Devonian–Mississippian Chattanooga shale in the Appalachian Basin Province, 2016

USGS Publications Warehouse

Higley, Debra K.; Rouse, William A.; Enomoto, Catherine B.; Trippi, Michael H.; Klett, Timothy R.; Mercier, Tracey J.; Brownfield, Michael E.; Tennyson, Marilyn E.; Drake, Ronald M.; Finn, Thomas M.; Gianoutsos, Nicholas J.; Pearson, Ofori N.; Doolan, Colin A.; Le, Phuong A.; Schenk, Christopher J.

2016-11-08

Using a geology-based assessment methodology, the U.S. Geological Survey estimated mean undiscovered, technically recoverable continuous resources that total 464 million barrels of oil and 4.08 trillion cubic feet of gas in the Lower Mississippian Sunbury Shale and Middle Devonian–Lower Mississippian Chattanooga Shale of the Appalachian Basin Province.

TERSSE. Definition of the total earth resources system for the shuttle era. Volume 9: Earth resources shuttle applications

NASA Technical Reports Server (NTRS)

Alverado, U.

1975-01-01

The use of the space shuttle for the Earth Resources Program is discussed. Several problems with respect to payload selection, integration, and mission planning were studied. Each of four shuttle roles in the sortie mode were examined and projected into an integrated shuttle program. Several representative Earth Resources missions were designed which would use the shuttle sortie as a platform and collectively include the four shuttle roles. An integrated flight program based on these missions was then developed for the first two years of shuttle flights. A set of broad implications concerning the uses of the shuttle for Earth Resources studies resulted.

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

Jacobson, Paul T; Hagerman, George; Scott, George

This project estimates the naturally available and technically recoverable U.S. wave energy resources, using a 51-month Wavewatch III hindcast database developed especially for this study by National Oceanographic and Atmospheric Administration's (NOAA's) National Centers for Environmental Prediction. For total resource estimation, wave power density in terms of kilowatts per meter is aggregated across a unit diameter circle. This approach is fully consistent with accepted global practice and includes the resource made available by the lateral transfer of wave energy along wave crests, which enables wave diffraction to substantially reestablish wave power densities within a few kilometers of a linear array,more » even for fixed terminator devices. The total available wave energy resource along the U.S. continental shelf edge, based on accumulating unit circle wave power densities, is estimated to be 2,640 TWh/yr, broken down as follows: 590 TWh/yr for the West Coast, 240 TWh/yr for the East Coast, 80 TWh/yr for the Gulf of Mexico, 1570 TWh/yr for Alaska, 130 TWh/yr for Hawaii, and 30 TWh/yr for Puerto Rico. The total recoverable wave energy resource, as constrained by an array capacity packing density of 15 megawatts per kilometer of coastline, with a 100-fold operating range between threshold and maximum operating conditions in terms of input wave power density available to such arrays, yields a total recoverable resource along the U.S. continental shelf edge of 1,170 TWh/yr, broken down as follows: 250 TWh/yr for the West Coast, 160 TWh/yr for the East Coast, 60 TWh/yr for the Gulf of Mexico, 620 TWh/yr for Alaska, 80 TWh/yr for Hawaii, and 20 TWh/yr for Puerto Rico.« less

Health care resource use, health care expenditures and absenteeism costs associated with osteoarthritis in US healthcare system.

PubMed

Menon, J; Mishra, P

2018-04-01

We determined incremental health care resource utilization, incremental health care expenditures, incremental absenteeism, and incremental absenteeism costs associated with osteoarthritis. Medical Expenditure Panel Survey (MEPS) for 2011 was used as data source. Individuals 18 years or older and employed during 2011 were eligible for inclusion in the sample for analyses. Individuals with osteoarthritis were identified based on ICD-9-CM codes. Incremental health care resource utilization included annual hospitalization, hospital days, emergency room visits and outpatient visits. Incremental health expenditures included annual inpatient, outpatient, emergency room, medications, miscellaneous and annual total expenditures. Of the total sample, 1354 were diagnosed with osteoarthritis, and compared to non osteoarthritis individuals. Incremental resource utilization, expenditures, absenteeism and absenteeism costs were estimated using regression models, adjusting for age, gender, sex, region, marital status, insurance coverage, comorbidities, anxiety, asthma, hypertension and hyperlipidemia. Regression models revealed incremental mean annual resource use associated with osteoarthritis of 0.07 hospitalizations, equal to 70 additional hospitalizations per 100 osteoarthritic patients annually, and 3.63 outpatient visits, equal to 363 additional visits per 100 osteoarthritic patients annually. Mean annual incremental total expenditures associated with osteoarthritis were $2046. Annually, mean incremental expenditures were largest for inpatient expenditures at $826, followed by mean incremental outpatient expenditures of $659, and mean incremental medication expenditures of $325. Mean annual incremental absenteeism was 2.2 days and mean annual incremental absenteeism costs were $715.74. Total direct expenditures were estimated at $41.7 billion. Osteoarthritis was associated with significant incremental health care resource utilization, expenditures, absenteeism and absenteeism costs. Copyright © 2017 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

A preliminary analysis of library holdings as compared to the basic resources for pharmacy education list.

PubMed

Vaughan, K T L V; Lerner, Rachel C

2013-01-01

The catalogs of 11 university libraries were analyzed against the Basic Resources for Pharmaceutical Education (BRPE) to measure the percent coverage of the core total list as well as the core sublist. There is no clear trend in this data to link school age, size, or rank with percentage of coverage of the total list or the "First Purchase" core list when treated as independent variables. Approximately half of the schools have significantly higher percentages of core titles than statistically expected. Based on this data, it is difficult to predict what percentage of titles on the BRPE a library will contain.

Groundwater resources of the Birim basin in Ghana

NASA Astrophysics Data System (ADS)

Asomaning, G.

1992-11-01

An attempt to assess ground water resources of a medium size (4775 km 2) drainage basin located on the Crystalline Complex in southern Ghana is presented. Mean annual rainfall 1578 mm, total river discharge 1,886,588 064 m 3 a -1, surface runoff 1,320,611,645 m 3 a -1, base flow 565,976,419 m 3 a -1, were determined from 13 meteorological and 1 river gauging stations located within the basin. From these data, the total runoff coefficient was 36%, surface runoff coefficient was 25% and the base flow coefficient was 11%. Then, Permanent Water Reserve, Qt = 5,333.20 × 106 m 3 and Recoverable Water Reserve, 2,133.28 × 10 6 m 3 a -1 for the aquifer of the basement complex aquifer of the basin were calculated from 42 boreholes.

Porphyry copper assessment of British Columbia and Yukon Territory, Canada: Chapter C in Global mineral resource assessment

USGS Publications Warehouse

Mihalasky, Mark J.; Bookstrom, Arthur A.; Frost, Thomas P.; Ludington, Steve

2011-01-01

Western Canada has been thoroughly explored for porphyry copper deposits. The total estimated copper contained in known deposits is about 66.8 Mt (based on 2010 data), as compared to a 49 Mt mean of estimated copper in undiscovered deposits and a 34 Mt median of estimated copper in undiscovered deposits. The copper contained in known porphyry copper deposits represents about 58 percent of the total of known and undiscovered porphyry copper deposits (based on mean values). About 86 percent of the increase in estimated copper resources between 1993 and 2009 resulted from the discovery of extensions to known deposits. Nevertheless, exploration for undiscovered deposits continues, especially in and around significant prospects and in parts of permissive tracts that are mostly hidden beneath younger volcanic, sedimentary, or vegetated surficial cover.

Geothermal direct heat use: Market potential/penetration analysis for Federal Region 9

NASA Technical Reports Server (NTRS)

Powell, W. (Editor); Tang, K. (Editor)

1980-01-01

A preliminary study was made of the potential for geothermal direct heat use in Arizona, California, Hawaii, and Nevada (Federal Region 9). An analysis was made of each state to: (1) define the resource, based on the latest available data; (2) assess the potential market growth for geothermal energy; and (3) estimate the market penetration, projected to 2020. Findings of the study include the following: (1) Potentially economical hydrothermal resources exist in all four states of the Region: however, the resource data base is largely incomplete, particularly for low to moderate temperature resources. (2) In terms of beneficial heat, the total hydrothermal resource identified so far for the four states is on the order of 43 Quads, including an estimated 34 Quads of high temperature resources which are suitable for direct as well as electrical applications. (3) In California, Hawaii, and Nevada, the industrial market sector has somewhat greater potential for penetration than the residential/commercial sector. In Arizona, however, the situation is reversed, due to the collocation of two major metropolitan areas (Phoenix and Tucson) with potential geothermal resources.

Resource Utilization for Initial Hospitalization in Pediatric Heart Transplantation in the United States.

PubMed

Boucek, Dana M; Lal, Ashwin K; Eckhauser, Aaron W; Weng, Hsin-Yi Cindy; Sheng, Xiaoming; Wilkes, Jacob F; Pinto, Nelangi M; Menon, Shaji C

2018-04-15

Pediatric heart transplantation (HT) is resource intensive. Event-driven pediatric databases do not capture data on resource use. The objective of this study was to evaluate resource utilization and identify associated factors during initial hospitalization for pediatric HT. This multicenter retrospective cohort study utilized the Pediatric Health Information Systems database (43 children's hospitals in the United States) of children ≤19 years of age who underwent transplant between January 2007 and July 2013. Demographic variables including site, payer, distance and time to center, clinical pre- and post-transplant variables, mortality, cost, and charge were the data collected. Total length of stay (LOS) and charge for the initial hospitalization were used as surrogates for resource use. Charges were inflation adjusted to 2013 dollars. Of 1,629 subjects, 54% were male, and the median age at HT was 5 years (IQR [interquartile range] 0 to 13). The median total and intensive care unit LOS were 51 (IQR 23 to 98) and 23 (IQR 9 to 58) days, respectively. Total charge and cost for hospitalization were $852,713 ($464,900 to $1,609,300) and $383,600 ($214,900 to $681,000) respectively. Younger age, lower volume center, southern region, and co-morbidities before transplant were associated with higher resource use. In later years, charges increased despite shorter LOS. In conclusion, this large multicenter study provides novel insight into factors associated with resource use in pediatric patients having HT. Peritransplant morbidities are associated with increased cost and LOS. Reducing costs in line with LOS will improve health-care value. Regional and center volume differences need further investigation for optimizing value-based care and efficient use of scarce resources. Copyright © 2018 Elsevier Inc. All rights reserved.

Evaluation of Delivery Costs for External Beam Radiation Therapy and Brachytherapy for Locally Advanced Cervical Cancer Using Time-Driven Activity-Based Costing.

PubMed

Bauer-Nilsen, Kristine; Hill, Colin; Trifiletti, Daniel M; Libby, Bruce; Lash, Donna H; Lain, Melody; Christodoulou, Deborah; Hodge, Constance; Showalter, Timothy N

2018-01-01

To evaluate the delivery costs, using time-driven activity-based costing, and reimbursement for definitive radiation therapy for locally advanced cervical cancer. Process maps were created to represent each step of the radiation treatment process and included personnel, equipment, and consumable supplies used to deliver care. Personnel were interviewed to estimate time involved to deliver care. Salary data, equipment purchasing information, and facilities costs were also obtained. We defined the capacity cost rate (CCR) for each resource and then calculated the total cost of patient care according to CCR and time for each resource. Costs were compared with 2016 Medicare reimbursement and relative value units (RVUs). The total cost of radiation therapy for cervical cancer was $12,861.68, with personnel costs constituting 49.8%. Brachytherapy cost $8610.68 (66.9% of total) and consumed 423 minutes of attending radiation oncologist time (80.0% of total). External beam radiation therapy cost $4055.01 (31.5% of total). Personnel costs were higher for brachytherapy than for the sum of simulation and external beam radiation therapy delivery ($4798.73 vs $1404.72). A full radiation therapy course provides radiation oncologists 149.77 RVUs with intensity modulated radiation therapy or 135.90 RVUs with 3-dimensional conformal radiation therapy, with total reimbursement of $23,321.71 and $16,071.90, respectively. Attending time per RVU is approximately 4-fold higher for brachytherapy (5.68 minutes) than 3-dimensional conformal radiation therapy (1.63 minutes) or intensity modulated radiation therapy (1.32 minutes). Time-driven activity-based costing was used to calculate the total cost of definitive radiation therapy for cervical cancer, revealing that brachytherapy delivery and personnel resources constituted the majority of costs. However, current reimbursement policy does not reflect the increased attending physician effort and delivery costs of brachytherapy. We hypothesize that the significant discrepancy between treatment costs and physician effort versus reimbursement may be a potential driver of reported national trends toward poor compliance with brachytherapy, and we suggest re-evaluation of payment policies to incentivize quality care. Copyright © 2017 Elsevier Inc. All rights reserved.

Assessment of undiscovered oil and gas resources of the Anadarko Basin Province of Oklahoma, Kansas, Texas, and Colorado, 2010

USGS Publications Warehouse

Higley, D.K.; Gaswirth, S.B.; Abbott, M.M.; Charpentier, R.R.; Cook, T.A.; Ellis, G.S.; Gianoutsos, N.J.; Hatch, J.R.; Klett, T.R.; Nelson, Philip H.; Pawlewicz, M.J.; Pearson, O.N.; Pollastro, R.M.; Schenk, C.J.

2011-01-01

The U.S. Geological Survey, using a geoscience-based assessment methodology, estimated mean technically-recoverable undiscovered continuous and conventional resources that total 495 million barrels of oil, 27.5 trillion cubic feet of natural gas, and 410 million barrels of natural gas liquids in the Anadarko Basin Province; this assessment includes the Las Animas arch area of southeastern Colorado. The province is at a mature stage of exploration and development for conventional resources. Mean undiscovered continuous resources are estimated at 79 percent of oil, 90 percent of natural gas, and 81 percent of natural gas liquids in the province.

Self-perceived coping resources of middle-aged and older adults - results of a large population-based study.

PubMed

Boehlen, Friederike H; Herzog, Wolfgang; Schellberg, Dieter; Maatouk, Imad; Saum, Kai-Uwe; Brenner, Hermann; Wild, Beate

2017-12-01

Psychosocial resources (personal resources, social resources, and other) are important for coping with aging and impairment. The aim of this study was to describe the resources of older adults and to compare subgroups with frailty, complex health care needs, and/or mental disorders. At the third follow-up of the large population-based German ESTHER study, 3124 elderly persons (aged 55-85) were included. Psychosocial resources were assessed during a home visit by trained study doctors by using a list of 26 different items. Resources were described for the total group, separated by sex, and for the three subgroups of persons with frailty, complex health care needs, and mental disorders. Family, self-efficacy, and financial security were the most frequently reported resources of older adults. Women and men showed significant differences in their self-perceived resources. Personal resources (self-efficacy, optimism, mastery), social resources, and financial security were reported significantly less frequently by frail persons, persons with complex health care needs, and mentally ill older adults compared to non-impaired participants. Apart from external support, patients who experienced complex health care needs reported resources less frequently compared to frail and mentally ill patients. Coping resources in older adults are associated with sex and impairment. Evaluation and support of personal resources of frail or mentally ill persons or individuals with complex health care needs should be integrated in the therapeutic process.

Health care and nonhealth care costs in the treatment of patients with symptomatic chronic heart failure in Spain.

PubMed

Delgado, Juan F; Oliva, Juan; Llano, Miguel; Pascual-Figal, Domingo; Grillo, José J; Comín-Colet, Josep; Díaz, Beatriz; Martínez de La Concha, León; Martí, Belén; Peña, Luz M

2014-08-01

Chronic heart failure is associated with high mortality and utilization of health care and social resources. The objective of this study was to quantify the use of health care and nonhealth care resources and identify variables that help to explain variability in their costs in Spain. This prospective, multicenter, observational study with a 12-month follow-up period included 374 patients with symptomatic heart failure recruited from specialized cardiology clinics. Information was collected on the socioeconomic characteristics of patients and caregivers, health status, health care resources, and professional and nonprofessional caregiving. The monetary cost of the resources used in caring for the health of these patients was evaluated, differentiating among functional classes. The estimated total cost for the 1-year follow-up ranged from € 12,995 to € 18,220, depending on the scenario chosen (base year, 2010). The largest cost item was informal caregiving (59.1%-69.8% of the total cost), followed by health care costs (26.7%- 37.4%), and professional care (3.5%). Of the total health care costs, the largest item corresponded to hospital costs, followed by medication. Total costs differed significantly between patients in functional class II and those in classes III or IV. Heart failure is a disease that requires the mobilization of a considerable amount of resources. The largest item corresponds to informal care. Both health care and nonhealth care costs are higher in the population with more advanced disease. Copyright © 2013 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

Gas Resource Potential of Volcanic Reservoir in Yingtai Fault Depression of Southern Songliao Basin,China

NASA Astrophysics Data System (ADS)

Zheng, M.

2016-12-01

There are 2 kinds of volcanic reservoir of gas resource in the Yingtai fault depression, southern Songliao basin,China: volcanic lava reservoir in the Yingcheng-1formation and sedimentary pryoclastics rock of the Yingcheng-2 formation. Based on analysis of the 2 kinds of gas pool features and controlling factors, distribution of each kind has been studied. The resources of these gas reservoirs have been estimated by Delphi method and volumetric method, respectively. The results of resources assessment show the total volcanic gas resources of the Yingtai depression is rich, and the resource proving rate is low, with the remaining gas resource in volcanic reservoir accounting for more than 70%. Thus there will be great exploration potential in the volcanic reservoir in the future gas exploration of this area.

A Preview of "Florida's Timber, 1970"

Treesearch

Herbert A. Knight

1970-01-01

The fourth survey of Fiorida's timber resources shows that area of commercial forest land totals 16.2 million acres, or 46 percent of the total land. Erosion of the fores: base has continued with an actual decrease of 940,400 acres, or almost 5 percent, since 1959. Most of this decrease was the result of land clearing for agricultural use and urban development...

Mapping trees outside forests using high-resolution aerial imagery: a comparison of pixel- and object-based classification approaches.

PubMed

Meneguzzo, Dacia M; Liknes, Greg C; Nelson, Mark D

2013-08-01

Discrete trees and small groups of trees in nonforest settings are considered an essential resource around the world and are collectively referred to as trees outside forests (ToF). ToF provide important functions across the landscape, such as protecting soil and water resources, providing wildlife habitat, and improving farmstead energy efficiency and aesthetics. Despite the significance of ToF, forest and other natural resource inventory programs and geospatial land cover datasets that are available at a national scale do not include comprehensive information regarding ToF in the United States. Additional ground-based data collection and acquisition of specialized imagery to inventory these resources are expensive alternatives. As a potential solution, we identified two remote sensing-based approaches that use free high-resolution aerial imagery from the National Agriculture Imagery Program (NAIP) to map all tree cover in an agriculturally dominant landscape. We compared the results obtained using an unsupervised per-pixel classifier (independent component analysis-[ICA]) and an object-based image analysis (OBIA) procedure in Steele County, Minnesota, USA. Three types of accuracy assessments were used to evaluate how each method performed in terms of: (1) producing a county-level estimate of total tree-covered area, (2) correctly locating tree cover on the ground, and (3) how tree cover patch metrics computed from the classified outputs compared to those delineated by a human photo interpreter. Both approaches were found to be viable for mapping tree cover over a broad spatial extent and could serve to supplement ground-based inventory data. The ICA approach produced an estimate of total tree cover more similar to the photo-interpreted result, but the output from the OBIA method was more realistic in terms of describing the actual observed spatial pattern of tree cover.

Air Force Integrated Readiness Measurement System (AFIRMS). Data Requirements Document.

DTIC Science & Technology

1985-09-30

Task Type 3-47 3.2.7 Task Type 3-57 3.2.8 Aircraft 3-65 3.2.9 Airman 3-81 3.2.10 Unit’s Supply of Resource 3-97 3.2.11 Mission 3-129 3.2.12 Resource ... Supply at One Location 3-149 3.2.13 Resource Relationship Order 3-161 3.2.14 Sortie 3-167 3.2.15 Base 3-187 3.2.16 Order Identification 3-199 3.2.17...Unit’s Piece of Order 3-269 3.2.23 Role of Resource Type on Unit’s Piece’s Task Type 3-283 3.2.24 Unit’s Total Supply of Resource Type in a Given

Cancer Diagnosis Epigenomics Scientific Workflow Scheduling in the Cloud Computing Environment Using an Improved PSO Algorithm

PubMed

N, Sadhasivam; R, Balamurugan; M, Pandi

2018-01-27

Objective: Epigenetic modifications involving DNA methylation and histone statud are responsible for the stable maintenance of cellular phenotypes. Abnormalities may be causally involved in cancer development and therefore could have diagnostic potential. The field of epigenomics refers to all epigenetic modifications implicated in control of gene expression, with a focus on better understanding of human biology in both normal and pathological states. Epigenomics scientific workflow is essentially a data processing pipeline to automate the execution of various genome sequencing operations or tasks. Cloud platform is a popular computing platform for deploying large scale epigenomics scientific workflow. Its dynamic environment provides various resources to scientific users on a pay-per-use billing model. Scheduling epigenomics scientific workflow tasks is a complicated problem in cloud platform. We here focused on application of an improved particle swam optimization (IPSO) algorithm for this purpose. Methods: The IPSO algorithm was applied to find suitable resources and allocate epigenomics tasks so that the total cost was minimized for detection of epigenetic abnormalities of potential application for cancer diagnosis. Result: The results showed that IPSO based task to resource mapping reduced total cost by 6.83 percent as compared to the traditional PSO algorithm. Conclusion: The results for various cancer diagnosis tasks showed that IPSO based task to resource mapping can achieve better costs when compared to PSO based mapping for epigenomics scientific application workflow. Creative Commons Attribution License

Executive Summary -- assessment of undiscovered oil and gas resources of the San Joaquin Basin Province of California, 2003: Chapter 1 in Petroleum systems and geologic assessment of oil and gas in the San Joaquin Basin Province, California

USGS Publications Warehouse

Gautier, Donald L.; Scheirer, Allegra Hosford; Tennyson, Marilyn E.; Peters, Kenneth E.; Magoon, Leslie B.; Lillis, Paul G.; Charpentier, Ronald R.; Cook, Troy A.; French, Christopher D.; Klett, Timothy R.; Pollastro, Richard M.; Schenk, Christopher J.

2007-01-01

In 2003, the U.S. Geological Survey (USGS) completed an assessment of the oil and gas resource potential of the San Joaquin Basin Province of California (fig. 1.1). The assessment is based on the geologic elements of each Total Petroleum System defined in the province, including hydrocarbon source rocks (source-rock type and maturation and hydrocarbon generation and migration), reservoir rocks (sequence stratigraphy and petrophysical properties), and hydrocarbon traps (trap formation and timing). Using this geologic framework, the USGS defined five total petroleum systems and ten assessment units within these systems. Undiscovered oil and gas resources were quantitatively estimated for the ten assessment units (table 1.1). In addition, the potential was estimated for further growth of reserves in existing oil fields of the San Joaquin Basin.

[Costs of chronic obstructive pulmonary disease in patients treated in ambulatory care in Poland].

PubMed

Jahnz-Różyk, Karina; Targowski, Tomasz; From, Sławomir; Faluta, Tomasz; Borowiec, Lukasz

2011-01-01

Chronic obstructive pulmonary disease (COPD) is a leading cause of death worldwide. A cost-of-illness study aims to determine the total economic impact of a disease or health condition on society through the identification, measurement, and valuation of all direct and indirect costs. Exacerbations are believed to be a major cost driver in COPD. The aim of this study was to examine direct, mean costs of COPD in Poland under usual clinical practice form societal perspective. It was an observational bottom-up-cost-of-illness study, based on a retrospective sample of patients presenting with COPD in pulmonary ambulatory care facilities in Poland. Total medical resources consumption of a sample were collected in 2007/2008 year by physician - lung specialists. Direct costs of COPD were evaluated based on data from different populations of five clinical hospitals and eight out-patient clinics. Resources utilisation and cost data are summarised as mean values per patient per year. 95% confidence intervals were derived using percentile bootstrapping. Total medicals resources consumption of a COPD patient per year was 1007 EURO (EUR 1 = PLN 4.0; year 2008). Among this cost 606 EURO was directly related to COPD follow up, 105 EURO was related to ambulatory exacerbation, and 296 EURO was related to exacerbation treated in hospital. The burden of COPD itself appeared to be considerable magnitude for society in Poland.

Estimated annual cost of arterial hypertension treatment in Brazil.

PubMed

Dib, Murilo W; Riera, Rachel; Ferraz, Marcos B

2010-02-01

To estimate the direct annual cost of systemic arterial hypertension (SAH) treatment in Brazil's public and private health care systems, assess its economic impact on the total health care budget, and determine its proportion of the 2005 gross domestic product (GDP). A decision tree model was used to determine direct costs based on estimated use of various resources in SAH diagnosis and care, including treatment (medication and non-medication), complementary exams, doctor visits, nutritional assessments, and emergency room visits. Estimated direct annual cost of SAH treatment was approximately US$ 398.9 million for the public health care system and US$ 272.7 million for the private system, representing 0.08% of the 2005 GDP (ranging from 0.05% to 0.16%). With total health care expenses comprising about 7.6% of Brazil's GDP, this cost represented 1.11% of overall health care costs (0.62% to 2.06%)-1.43% of total expenses for the Unified Healthcare System (Sistema Unico de Saúde, SUS) (0.79% to 2.75%) and 0.83% of expenses for the private health care system (0.47% to 1.48%). Conclusion. To guarantee public or private health care based on the principles of universality and equality, with limited available resources, efforts must be focused on educating the population on prevention and treatment compliance in diseases such as SAH that require significant health resources.

Quantification of the resource recovery potential of municipal solid waste incineration bottom ashes.

PubMed

Allegrini, Elisa; Maresca, Alberto; Olsson, Mikael Emil; Holtze, Maria Sommer; Boldrin, Alessio; Astrup, Thomas Fruergaard

2014-09-01

Municipal solid waste incineration (MSWI) plays an important role in many European waste management systems. However, increasing focus on resource criticality has raised concern regarding the possible loss of critical resources through MSWI. The primary form of solid output from waste incinerators is bottom ashes (BAs), which also have important resource potential. Based on a full-scale Danish recovery facility, detailed material and substance flow analyses (MFA and SFA) were carried out, in order to characterise the resource recovery potential of Danish BA: (i) based on historical and experimental data, all individual flows (representing different grain size fractions) within the recovery facility were quantified, (ii) the resource potential of ferrous (Fe) and non-ferrous (NFe) metals as well as rare earth elements (REE) was determined, (iii) recovery efficiencies were quantified for scrap metal and (iv) resource potential variability and recovery efficiencies were quantified based on a range of ashes from different incinerators. Recovery efficiencies for Fe and NFe reached 85% and 61%, respectively, with the resource potential of metals in BA before recovery being 7.2%ww for Fe and 2.2%ww for NFe. Considerable non-recovered resource potential was found in fine fraction (below 2mm), where approximately 12% of the total NFe potential in the BA were left. REEs were detected in the ashes, but the levels were two or three orders of magnitude lower than typical ore concentrations. The lack of REE enrichment in BAs indicated that the post-incineration recovery of these resources may not be a likely option with current technology. Based on these results, it is recommended to focus on limiting REE-containing products in waste for incineration and improving pre-incineration sorting initiatives for these elements. Copyright © 2014 Elsevier Ltd. All rights reserved.

CO2 storage resources, reserves, and reserve growth: Toward a methodology for integrated assessment of the storage capacity of oil and gas reservoirs and saline formations

USGS Publications Warehouse

Burruss, Robert

2009-01-01

Geologically based methodologies to assess the possible volumes of subsurface CO2 storage must apply clear and uniform definitions of resource and reserve concepts to each assessment unit (AU). Application of the current state of knowledge of geologic, hydrologic, geochemical, and geophysical parameters (contingencies) that control storage volume and injectivity allows definition of the contingent resource (CR) of storage. The parameters known with the greatest certainty are based on observations on known traps (KTs) within the AU that produced oil, gas, and water. The aggregate volume of KTs within an AU defines the most conservation volume of contingent resource. Application of the concept of reserve growth to CR volume provides a logical path for subsequent reevaluation of the total resource as knowledge of CO2 storage processes increases during implementation of storage projects. Increased knowledge of storage performance over time will probably allow the volume of the contingent resource of storage to grow over time, although negative growth is possible.

CO2 storage resources, reserves, and reserve growth: Toward a methodology for integrated assessment of the storage capacity of oil and gas reservoirs and saline formations

USGS Publications Warehouse

Burruss, R.C.

2009-01-01

Geologically based methodologies to assess the possible volumes of subsurface CO2 storage must apply clear and uniform definitions of resource and reserve concepts to each assessment unit (AU). Application of the current state of knowledge of geologic, hydrologic, geochemical, and geophysical parameters (contingencies) that control storage volume and injectivity allows definition of the contingent resource (CR) of storage. The parameters known with the greatest certainty are based on observations on known traps (KTs) within the AU that produced oil, gas, and water. The aggregate volume of KTs within an AU defines the most conservation volume of contingent resource. Application of the concept of reserve growth to CR volume provides a logical path for subsequent reevaluation of the total resource as knowledge of CO2 storage processes increases during implementation of storage projects. Increased knowledge of storage performance over time will probably allow the volume of the contingent resource of storage to grow over time, although negative growth is possible. ?? 2009 Elsevier Ltd. All rights reserved.

Factors driving deforestation in common-pool resources in northern Mexico.

PubMed

Perez-Verdin, Gustavo; Kim, Yeon-Su; Hospodarsky, Denver; Tecle, Aregai

2009-01-01

The theory of collective action has been extensively used to explain the relationship between common-based property regimes and the conservation of natural resources. However, there are two key components of the theory that literature reports as puzzles in which no consensus exists about their effect on the performance of common-pool resources. These are group size and heterogeneity. This study analyzes the effects of these two key components on the effectiveness of community-based forestry, called ejidos, to protect their forest resources in northern Mexico. We used a multinomial logit model to determine the contribution of 16 explanatory variables to the dependent variable, a measure of success of ejidos defined by the presence of deforested, degraded, or forested conditions. The results show that corn yield, marginality, percent of forest area, total population, a forest value index, distance to markets, roads and towns, were all statistically significant in driving deforested conditions. Deforestation becomes more attractive for poor communities and as corn yield and distance to towns, roads, and markets decrease. In general, group size and heterogeneity had no significant effects on the presence of deforested conditions. Deforestation is driven by resource-specific characteristics, such as location and soil productivity, not by ejidos' attributes, such as total area or number of members. We argue that current institutional policies focusing on the structure of property right arrangements should be shifted (1) to provide better technology for land cultivation; (2) to reduce the marginality problem in poor communities; and (3) to strengthen local institutions.

Estuarine water-quality and sediment data, and surface-water and ground-water-quality data, Naval Submarine Base Kings Bay, Camden County, Georgia, January 1999

USGS Publications Warehouse

Leeth, David C.; Holloway, Owen G.

2000-01-01

In January 1999, the U.S. Geological Survey collected estuarine-water, estuarine-sediment, surface-water, and ground-water quality samples in the vicinity of Naval Submarine Base Kings Bay, Camden County, Georgia. Data from these samples are used by the U.S. Navy to monitor the impact of submarine base activities on local water resources. Estuarine water and sediment data were collected from five sites on the Crooked River, Kings Bay, and Cumberland Sound. Surface-water data were collected from seven streams that discharge from Naval Submarine Base, Kings Bay. Ground-water data were collected from six ground-water monitoring wells completed in the water-table zone of the surficial aquifer at Naval Submarine Base Kings Bay. Samples were analyzed for nutrients, total and dissolved trace metals, total and dissolved organic carbon, oil and grease, total organic halogens, biological and chemical oxygen demand, and total and fecal coliform. Trace metals in ground and surface waters did not exceed U.S. Environmental Protection Agency Drinking Water Standards; and trace metals in surface water also did not exceed U.S. Environmental Protection Agency Surface Water Standards. These trace metals included arsenic, barium, cadmium, chromium, copper, lead, mercury, selenium, silver, tin, and zinc. Barium was detected in relatively high concentrations in ground water (concentrations ranged from 18 to 264 micrograms per liter). Two estuarine water samples exceeded the Georgia Department of Natural Resources, Environmental Protection Division standards for copper (concentrations of 6.2 and 3.0 micrograms per liter).

Network Information Management Subsystem

NASA Technical Reports Server (NTRS)

Chatburn, C. C.

1985-01-01

The Deep Space Network is implementing a distributed data base management system in which the data are shared among several applications and the host machines are not totally dedicated to a particular application. Since the data and resources are to be shared, the equipment must be operated carefully so that the resources are shared equitably. The current status of the project is discussed and policies, roles, and guidelines are recommended for the organizations involved in the project.

Activity-based costing: a practical model for cost calculation in radiotherapy.

PubMed

Lievens, Yolande; van den Bogaert, Walter; Kesteloot, Katrien

2003-10-01

The activity-based costing method was used to compute radiotherapy costs. This report describes the model developed, the calculated costs, and possible applications for the Leuven radiotherapy department. Activity-based costing is an advanced cost calculation technique that allocates resource costs to products based on activity consumption. In the Leuven model, a complex allocation principle with a large diversity of cost drivers was avoided by introducing an extra allocation step between activity groups and activities. A straightforward principle of time consumption, weighed by some factors of treatment complexity, was used. The model was developed in an iterative way, progressively defining the constituting components (costs, activities, products, and cost drivers). Radiotherapy costs are predominantly determined by personnel and equipment cost. Treatment-related activities consume the greatest proportion of the resource costs, with treatment delivery the most important component. This translates into products that have a prolonged total or daily treatment time being the most costly. The model was also used to illustrate the impact of changes in resource costs and in practice patterns. The presented activity-based costing model is a practical tool to evaluate the actual cost structure of a radiotherapy department and to evaluate possible resource or practice changes.

Modeling the predictive value of pain intensity on costs and resources utilization in patients with peripheral neuropathic pain.

PubMed

Pérez, Concepción; Navarro, Ana; Saldaña, María T; Wilson, Koo; Rejas, Javier

2015-03-01

The aim of the present analysis was to model the association and predictive value of pain intensity on cost and resource utilization in patients with chronic peripheral neuropathic pain (PNP) treated in routine clinical practice settings in Spain. We performed a secondary economic analysis based on data from a multicenter, observational, and prospective cost-of-illness study in patients with chronic PNP that is refractory to prior treatment. Pain intensity was measured using the Short-Form McGill Pain Questionnaire. Univariate and multivariate linear regression models were fitted to identify independent predictors of cost and health care/non-health care resource utilization. A total of 1703 patients were included in the current analysis. Pain intensity was an independent predictor of total costs ([total costs]=35.6 [pain intensity]+214.5; coefficient of determination [R(2)]=0.19, P<0.001), direct costs ([direct costs]=10.8 [pain intensity]+257.7; R=0.06, P<0.001), and indirect costs ([indirect costs]=24.8 [pain intensity]-43.4; R(2)=0.20, P<0.001) related to chronic PNP in the univariate analysis. Pain intensity remains significantly associated with total costs, direct costs, and indirect costs after adjustment by other covariates in the multivariate analysis (P<0.001). None of the other variables considered in the multivariate analysis were predictors of resource utilization. Pain intensity predicts the health care and non-health care resource utilization, and costs related to chronic PNP. Management of patients with drugs associated with a higher reduction of pain intensity may have a greater impact on the economic burden of that condition.

Site Selection and Resource Allocation of Oil Spill Emergency Base for Offshore Oil Facilities

NASA Astrophysics Data System (ADS)

Li, Yunbin; Liu, Jingxian; Wei, Lei; Wu, Weihuang

2018-02-01

Based on the analysis of the historical data about oil spill accidents in the Bohai Sea, this paper discretizes oil spilled source into a limited number of spill points. According to the probability of oil spill risk, the demand for salvage forces at each oil spill point is evaluated. Aiming at the specific location of the rescue base around the Bohai Sea, a cost-benefit analysis is conducted to determine the total cost of disasters for each rescue base. Based on the relationship between the oil spill point and the rescue site, a multi-objective optimization location model for the oil spill rescue base in the Bohai Sea region is established. And the genetic algorithm is used to solve the optimization problem, and determine the emergency rescue base optimization program and emergency resources allocation ratio.

Sustainability of meat-based and plant-based diets and the environment.

PubMed

Pimentel, David; Pimentel, Marcia

2003-09-01

Worldwide, an estimated 2 billion people live primarily on a meat-based diet, while an estimated 4 billion live primarily on a plant-based diet. The US food production system uses about 50% of the total US land area, 80% of the fresh water, and 17% of the fossil energy used in the country. The heavy dependence on fossil energy suggests that the US food system, whether meat-based or plant-based, is not sustainable. The use of land and energy resources devoted to an average meat-based diet compared with a lactoovovegetarian (plant-based) diet is analyzed in this report. In both diets, the daily quantity of calories consumed are kept constant at about 3533 kcal per person. The meat-based food system requires more energy, land, and water resources than the lactoovovegetarian diet. In this limited sense, the lactoovovegetarian diet is more sustainable than the average American meat-based diet.

Far-from-equilibrium bidirectional transport system with constrained entrances competing for pool of limited resources

NASA Astrophysics Data System (ADS)

Verma, Atul Kumar; Sharma, Natasha; Gupta, Arvind Kumar

2018-02-01

Motivated by the wide occurrence of limited resources in many real-life systems, we investigate two-lane totally asymmetric simple exclusion process with constrained entrances under finite supply of particles. We analyze the system within the framework of mean-field theory and examine various complex phenomena, including phase separation, phase transition, and symmetry breaking. Based on the theoretical analysis, we analytically derive the phase boundaries for various symmetric as well as asymmetric phases. It has been observed that the symmetry-breaking phenomenon initiates even for very small number of particles in the system. The phases with broken symmetry originates as shock-low density phase under limited resources, which is in contrast to the scenario with infinite number of particles. As expected, the symmetry breaking continues to persist even for higher values of system particles. Seven stationary phases are observed, with three of them exhibiting symmetry-breaking phenomena. The critical values of a total number of system particles, beyond which various symmetrical and asymmetrical phases appear and disappear are identified. Theoretical outcomes are supported by extensive Monte Carlo simulations. Finally, the size-scaling effect and symmetry-breaking phenomenon on the simulation results have also been examined based on particle density histograms.

Total Water Management: The New Paradigm for Urban Water Resources Planning

EPA Science Inventory

There is a growing need for urban water managers to take a more holistic view of their water resource systems as population growth, urbanization, and current resource management practices put different stresses on local water resources and urban infrastructure. Total Water Manag...

Utilizing Technology to Examine the Impacts of Academic Program Plans on Faculty Staffing Levels. AIR 1984 Annual Forum Paper.

ERIC Educational Resources Information Center

Spiro, Louis M.; Campbell, Jill F.

The development and use of a campus-based computerized faculty staffing model is described. In addition to considering market demands for current and proposed programs, decisionmakers need to consider how program development, modification, and elimination affect the total college faculty resource base. The application of computer technology,…

Exploring the Solar System: A Literature Unit within a Whole Language Context.

ERIC Educational Resources Information Center

Sandel, Lenore

A useful framework for literature-based instruction is the curriculum related literature unit which provides a total resource for content area teaching. Such a unit could be based on the science curriculum, "Exploring the Solar System," and could be developed thematically through topics of space or the solar system. The teacher's initial…

Seedling growth responses to soil resources in the understory of a wet tropical forest.

PubMed

Holste, Ellen K; Kobe, Richard K; Vriesendorp, Corine F

2011-09-01

Plant growth responses to resources may be an important mechanism that influences species' distributions, coexistence, and community structure. Irradiance is considered the most important resource for seedling growth in the understory of wet tropical forests, but multiple soil nutrients and species have yet to be examined simultaneously with irradiance under field conditions. To identify potentially limiting resources, we modeled tree seedling growth as a function of irradiance and soil nutrients across five sites, spanning a soil fertility gradient in old-growth, wet tropical forests at La Selva Biological Station, Costa Rica. We measured an array of soil nutrients including total nitrogen (total N), inorganic N (nitrate [NO3-] and ammonium [NH4+]), phosphate (PO4-), and sum of base cations (SBC; potassium, magnesium, and calcium). Shade in the forest understory did not preclude seedling growth correlations with soil nutrients. Irradiance was a significant predictor of growth in 52% of the species, inorganic N in 54% (NO3- in 32%; NH4+ in 34%), total N in 47%, SBC in 39%, and PO4- in 29%. Overall, growth was correlated with both irradiance and soil nutrients in 45% of species and with soil nutrients only in an additional 48%; rarely was irradiance alone correlated with growth. Contrary to expectations, the magnitudes of growth effects, assessed as the maximum growth response to significant resources for each species, were similar for irradiance and most soil nutrients. Among species whose growth correlated with soil nutrients, the rank importance of nutrient effects was SBC, followed by N (total N, NO3-, and/or NH4+) and PO4-. Species' growth responsiveness (i.e., magnitudes of effect) to irradiance and soil nutrients was negatively correlated with species' shade tolerance (survival under 1% full sun). In this broad survey of species and resources, the nearly ubiquitous effects of soil nutrients on seedling growth challenge the idea that soil nutrients are less important than irradiance in the light-limited understory of wet tropical forests.

A framework for unravelling the complexities of unsustainable water resource use

NASA Astrophysics Data System (ADS)

Dermody, Brian; Bierkens, Marc; Wassen, Martin; Dekker, Stefan

2016-04-01

The majority of unsustainable water resource use is associated with food production, with the agricultural sector accounting for up to 70% of total freshwater use by humans. Water resource use in food production emerges as a result of dynamic interactions between humans and their environment in importing and exporting regions as well as the physical and socioeconomic trade infrastructure linking the two. Thus in order to understand unsustainable water resource use, it is essential to understand the complex socioecological food production and trade system. We present a modelling framework of the food production and trade system that facilitates an understanding of complex socioenvironmental processes that lead to unsustainable water resource use. Our framework is based on a coupling of the global hydrological model PC Raster Global Water Balance (PCR-GLOBWB) with a multi-agent socioeconomic food production and trade network. In our framework, agents perceive environmental conditions. They make food supply decisions based upon those perceptions and the heterogeneous socioeconomic conditions in which they exist. Agent decisions modify land and water resources. Those environmental changes feedback to influence decision making further. The framework presented has the potential to go beyond a diagnosis of the causes of unsustainable water resource and provide pathways towards a sustainable food system in terms of water resources.

The Legnaro-Padova distributed Tier-2: challenges and results

NASA Astrophysics Data System (ADS)

Badoer, Simone; Biasotto, Massimo; Costa, Fulvia; Crescente, Alberto; Fantinel, Sergio; Ferrari, Roberto; Gulmini, Michele; Maron, Gaetano; Michelotto, Michele; Sgaravatto, Massimo; Toniolo, Nicola

2014-06-01

The Legnaro-Padova Tier-2 is a computing facility serving the ALICE and CMS LHC experiments. It also supports other High Energy Physics experiments and other virtual organizations of different disciplines, which can opportunistically harness idle resources if available. The unique characteristic of this Tier-2 is its topology: the computational resources are spread in two different sites, about 15 km apart: the INFN Legnaro National Laboratories and the INFN Padova unit, connected through a 10 Gbps network link (it will be soon updated to 20 Gbps). Nevertheless these resources are seamlessly integrated and are exposed as a single computing facility. Despite this intrinsic complexity, the Legnaro-Padova Tier-2 ranks among the best Grid sites for what concerns reliability and availability. The Tier-2 comprises about 190 worker nodes, providing about 26000 HS06 in total. Such computing nodes are managed by the LSF local resource management system, and are accessible using a Grid-based interface implemented through multiple CREAM CE front-ends. dCache, xrootd and Lustre are the storage systems in use at the Tier-2: about 1.5 PB of disk space is available to users in total, through multiple access protocols. A 10 Gbps network link, planned to be doubled in the next months, connects the Tier-2 to WAN. This link is used for the LHC Open Network Environment (LHCONE) and for other general purpose traffic. In this paper we discuss about the experiences at the Legnaro-Padova Tier-2: the problems that had to be addressed, the lessons learned, the implementation choices. We also present the tools used for the daily management operations. These include DOCET, a Java-based webtool designed, implemented and maintained at the Legnaro-Padova Tier-2, and deployed also in other sites, such as the LHC Italian T1. DOCET provides an uniform interface to manage all the information about the physical resources of a computing center. It is also used as documentation repository available to the Tier-2 operations team. Finally we discuss about the foreseen developments of the existing infrastructure. This includes in particular the evolution from a Grid-based resource towards a Cloud-based computing facility.

Use of traditional versus electronic medical-information resources by residents and interns.

PubMed

Phua, Jason; Lim, T K

2007-05-01

Little is known about the information-seeking behaviour of junior doctors, with regard to their use of traditional versus electronic sources of information. To evaluate the amount of time junior doctors spent using various medical-information resources and how useful they perceived these resources to be. A questionnaire study of all residents and interns in a tertiary teaching hospital in July and August 2004. In total, 134 doctors returned the completed questionnaires (response rate 79.8%). They spent the most time using traditional resources like teaching sessions and print textbooks, rating them as most useful. However, electronic resources like MEDLINE, UpToDate, and online review articles also ranked highly. Original research articles were less popular. Residents and interns prefer traditional sources of medical information. Meanwhile, though some electronic resources are rated highly, more work is required to remove the barriers to evidence-based medicine.

The importance of incorporating functional habitats into conservation planning for highly mobile species in dynamic systems.

PubMed

Webb, Matthew H; Terauds, Aleks; Tulloch, Ayesha; Bell, Phil; Stojanovic, Dejan; Heinsohn, Robert

2017-10-01

The distribution of mobile species in dynamic systems can vary greatly over time and space. Estimating their population size and geographic range can be problematic and affect the accuracy of conservation assessments. Scarce data on mobile species and the resources they need can also limit the type of analytical approaches available to derive such estimates. We quantified change in availability and use of key ecological resources required for breeding for a critically endangered nomadic habitat specialist, the Swift Parrot (Lathamus discolor). We compared estimates of occupied habitat derived from dynamic presence-background (i.e., presence-only data) climatic models with estimates derived from dynamic occupancy models that included a direct measure of food availability. We then compared estimates that incorporate fine-resolution spatial data on the availability of key ecological resources (i.e., functional habitats) with more common approaches that focus on broader climatic suitability or vegetation cover (due to the absence of fine-resolution data). The occupancy models produced significantly (P < 0.001) smaller (up to an order of magnitude) and more spatially discrete estimates of the total occupied area than climate-based models. The spatial location and extent of the total area occupied with the occupancy models was highly variable between years (131 and 1498 km 2 ). Estimates accounting for the area of functional habitats were significantly smaller (2-58% [SD 16]) than estimates based only on the total area occupied. An increase or decrease in the area of one functional habitat (foraging or nesting) did not necessarily correspond to an increase or decrease in the other. Thus, an increase in the extent of occupied area may not equate to improved habitat quality or function. We argue these patterns are typical for mobile resource specialists but often go unnoticed because of limited data over relevant spatial and temporal scales and lack of spatial data on the availability of key resources. Understanding changes in the relative availability of functional habitats is crucial to informing conservation planning and accurately assessing extinction risk for mobile resource specialists. © 2017 Society for Conservation Biology.

Estimating the required logistical resources to support the development of a sustainable corn stover bioeconomy in the USA

DOE PAGES

Ebadian, Mahmood; Sokhansanj, Shahabaddine; Webb, Erin

2016-11-23

In this paper, the logistical resources required to develop a bioeconomy based on corn stover in the USA are quantified, including field equipment, storage sites, transportation and handling equipment, workforce, corn growers, and corn lands. These resources are essential to mobilize large quantities of corn stover from corn fields to biorefineries. The logistical resources are estimated over the lifetime of the biorefineries. Seventeen corn-growing states are considered for the logistical resource assessment. Over 6.8 billion gallons of cellulosic ethanol can be produced annually from 108 million dry tons of corn stover in these states. The maximum number of required fieldmore » equipment (i.e., choppers, balers, collectors, loaders, and tractors) is estimated to be 194 110 units with a total economic value of about 26 billion dollars. In addition, 40 780 trucks and flatbed trailers would be required to transport bales from corn fields and storage sites to biorefineries with a total economic value of 4.0 billion dollars. About 88 899 corn growers need to be contracted with an annual net income of over 2.1 billion dollars. About 1903 storage sites would be required to hold 53.1 million dry tons of inventory after the harvest season. These storage sites would take up about 35 320.2 acres and 4077 loaders with an economic value of 0.4 billion dollars would handle this inventory. The total required workforce to run the logistics operations is estimated to be 50 567. Furthermore, the magnitude of the estimated logistical resources demonstrates the economic and social significance of the corn stover bioeconomy in rural areas in the USA.« less

Estimating the required logistical resources to support the development of a sustainable corn stover bioeconomy in the USA

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

Ebadian, Mahmood; Sokhansanj, Shahabaddine; Webb, Erin

In this paper, the logistical resources required to develop a bioeconomy based on corn stover in the USA are quantified, including field equipment, storage sites, transportation and handling equipment, workforce, corn growers, and corn lands. These resources are essential to mobilize large quantities of corn stover from corn fields to biorefineries. The logistical resources are estimated over the lifetime of the biorefineries. Seventeen corn-growing states are considered for the logistical resource assessment. Over 6.8 billion gallons of cellulosic ethanol can be produced annually from 108 million dry tons of corn stover in these states. The maximum number of required fieldmore » equipment (i.e., choppers, balers, collectors, loaders, and tractors) is estimated to be 194 110 units with a total economic value of about 26 billion dollars. In addition, 40 780 trucks and flatbed trailers would be required to transport bales from corn fields and storage sites to biorefineries with a total economic value of 4.0 billion dollars. About 88 899 corn growers need to be contracted with an annual net income of over 2.1 billion dollars. About 1903 storage sites would be required to hold 53.1 million dry tons of inventory after the harvest season. These storage sites would take up about 35 320.2 acres and 4077 loaders with an economic value of 0.4 billion dollars would handle this inventory. The total required workforce to run the logistics operations is estimated to be 50 567. Furthermore, the magnitude of the estimated logistical resources demonstrates the economic and social significance of the corn stover bioeconomy in rural areas in the USA.« less

Remuneration of Graduates, as at 1 July 1994. Human Resources, Financial, and Economic Occupations = Vergoeding van Gegradueerdes, soos op 1 Julie 1994. Menslike Hulpbronne, Finansiele en Ekonomiese Beroepe.

ERIC Educational Resources Information Center

Jacobs, Johan

This report, in both English and Afrikaans, is based on data gathered during a September 1994 mail survey of 215,284 South African graduates that elicited a total response rate of 18.3%. It details the remuneration of graduates (as of July 1, 1994) in a wide range of human resources, accounting and financial, economic, and sales occupations in the…

Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients.

PubMed

Farré, Nuria; Vela, Emili; Clèries, Montse; Bustins, Montse; Cainzos-Achirica, Miguel; Enjuanes, Cristina; Moliner, Pedro; Ruiz, Sonia; Verdú-Rotellar, Jose Maria; Comín-Colet, Josep

2016-09-01

Heart failure (HF) is one of the diseases with greater healthcare expenditure. However, little is known about the cost of HF at a population level. Hence, our aim was to study the population-level distribution and predictors of healthcare expenditure in patients with HF. This was a population-based longitudinal study including all prevalent HF cases in Catalonia (Spain) on 31 December 2012 (n = 88 195). We evaluated 1-year healthcare resource use and expenditure using the Health Department (CatSalut) surveillance system that collects detailed information on healthcare usage for the entire population. Mean age was 77.4 (12) years; 55% were women. One-year mortality rate was 14%. All-cause emergency department visits and unplanned hospitalizations were required at least once in 53.4% and 30.8% of patients, respectively. During 2013, a total of €536.2 million were spent in the care of HF patients (7.1% of the total healthcare budget). The main source of expenditure was hospitalization (39% of the total) whereas outpatient care represented 20% of the total expenditure. In the general population, outpatient care and hospitalization were the main expenses. In multivariate analysis, younger age, higher presence of co-morbidities, and a recent HF or all-cause hospitalization were independently associated with higher healthcare expenditure. In Catalonia, a large portion of the annual healthcare budget is devoted to HF patients. Unplanned hospitalization represents the main source of healthcare-related expenditure. The knowledge of how expenditure is distributed in a non-selected HF population might allow health providers to plan the distribution of resources in patients with HF. © 2016 The Authors. European Journal of Heart Failure © 2016 European Society of Cardiology.

Emergy-based assessment on industrial symbiosis: a case of Shenyang Economic and Technological Development Zone.

PubMed

Geng, Yong; Liu, Zuoxi; Xue, Bing; Dong, Huijuan; Fujita, Tsuyoshi; Chiu, Anthony

2014-12-01

Industrial symbiosis is the sharing of services, utility, and by-product resources among industries. This is usually made in order to add value, reduce costs, and improve the environment, and therefore has been taken as an effective approach for developing an eco-industrial park, improving resource efficiency, and reducing pollutant emission. Most conventional evaluation approaches ignored the contribution of natural ecosystem to the development of industrial symbiosis and cannot reveal the interrelations between economic development and environmental protection, leading to a need of an innovative evaluation method. Under such a circumstance, we present an emergy analysis-based evaluation method by employing a case study at Shenyang Economic and Technological Development Zone (SETDZ). Specific emergy indicators on industrial symbiosis, including emergy savings and emdollar value of total emergy savings, were developed so that the holistic picture of industrial symbiosis can be presented. Research results show that nonrenewable inputs, imported resource inputs, and associated services could be saved by 89.3, 32.51, and 15.7 %, and the ratio of emergy savings to emergy of the total energy used would be about 25.58 %, and the ratio of the emdollar value of total emergy savings to the total gross regional product (GRP) of SETDZ would be 34.38 % through the implementation of industrial symbiosis. In general, research results indicate that industrial symbiosis could effectively reduce material and energy consumption and improve the overall eco-efficiency. Such a method can provide policy insights to industrial park managers so that they can raise appropriate strategies on developing eco-industrial parks. Useful strategies include identifying more potential industrial symbiosis opportunities, optimizing energy structure, increasing industrial efficiency, recovering local ecosystems, and improving public and industrial awareness of eco-industrial park policies.

Patterns of rural household energy use: a study in the White Nile province - the Sudan

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

Abdu, A.S.E.

1985-01-01

The study investigates rural household domestic energy consumption patterns in a semiarid area of the Sudan. It describes the socioeconomic and evironmental context of energy use, provides an estimation of local woody biomass production and evaluates ecological impacts of increased energy demand on the local resource base. It is based on findings derived from field surveys, a systematic questionnaire and participant observations. Findings indicate that households procure traditional fuels by self-collection and purchases. Household members spent on average 20% of their working time gathering fuels. Generally per caput and total annual expenditure and consumption of domestic fuels are determined bymore » household size, physical availability, storage, prices, income, conservation, substitution and competition among fuel resource uses. Households spend on average 16% of their annual income on traditional fuels. Aggregation of fuels on heat equivalent basis and calculation of their contribution shows that on average firewood provides 63%, charcoal 20.7%, dung 10.4%, crop residues 3.4% and kerosene/diesel 2.5% of the total demand for domestic purposes. Estimated total household woodfuel demand exceeds woody biomass available from the local forests. This demand is presently satisfied by a net depletion of the local forests and purchases from other areas. Degradation of the resource base is further exacerbated by development of irrigation along the White Nile River, increasing livestock numbers (overgrazing) and forest clearance for rainfed cultivation. The most promising relevant and appropriate strategies to alleviate rural household domestic energy problems include: conservation of the existing forest, augmentation through village woodlots and community forestry programmes and improvements in end-use (stoves) and conversion (wood to charcoal) technologies.« less

Development of a case-mix funding system for adults with combined vision and hearing loss.

PubMed

Guthrie, Dawn M; Poss, Jeffrey W

2013-04-15

Adults with vision and hearing loss, or dual sensory loss (DSL), present with a wide range of needs and abilities. This creates many challenges when attempting to set the most appropriate and equitable funding levels. Case-mix (CM) funding models represent one method for understanding client characteristics that correlate with resource intensity. A CM model was developed based on a derivation sample (n = 182) and tested with a replication sample (n = 135) of adults aged 18+ with known DSL who were living in the community. All items within the CM model came from a standardized, multidimensional assessment, the interRAI Community Health Assessment and the Deafblind Supplement. The main outcome was a summary of formal and informal service costs which included intervenor and interpreter support, in-home nursing, personal support and rehabilitation services. Informal costs were estimated based on a wage rate of half that for a professional service provider ($10/hour). Decision-tree analysis was used to create groups with homogeneous resource utilization. The resulting CM model had 9 terminal nodes. The CM index (CMI) showed a 35-fold range for total costs. In both the derivation and replication sample, 4 groups (out of a total of 18 or 22.2%) had a coefficient of variation value that exceeded the overall level of variation. Explained variance in the derivation sample was 67.7% for total costs versus 28.2% in the replication sample. A strong correlation was observed between the CMI values in the two samples (r = 0.82; p = 0.006). The derived CM funding model for adults with DSL differentiates resource intensity across 9 main groups and in both datasets there is evidence that these CM groups appropriately identify clients based on need for formal and informal support.

Health Care Cost Analysis in a Population-based Inception Cohort of Inflammatory Bowel Disease Patients in the First Year of Diagnosis.

PubMed

Niewiadomski, Olga; Studd, Corrie; Hair, Christopher; Wilson, Jarrad; McNeill, John; Knight, Ross; Prewett, Emily; Dabkowski, Paul; Dowling, Damian; Alexander, Sina; Allen, Benjamin; Tacey, Mark; Connell, William; Desmond, Paul; Bell, Sally

2015-11-01

There are limited prospective population-based data on the health care cost of IBD in the post-biologicals era. A prospective registry that included all incident cases of inflammatory bowel disease [IBD] was established to study disease progress and health cost. To prospectively assess health care costs in the first year of diagnosis among a well-characterised cohort of newly diagnosed IBD patients. Incident cases of IBD were prospectively identified in 2007-2008 and 2010-2013 from multiple health care providers, and enrolled into the population-based registry. Health care resource utilisation for each patient was collected through active surveillance of case notes and investigations including specialist visits, diagnostic tests, medications, medical hospitalisation, and surgery. Off 276 incident cases of IBD, 252 [91%] were recruited to the registry, and health care cost was calculated for 242 (146 Crohn's disease [CD] and 96 ulcerative colitis [UC] patients). The median cost in CD was higher at A$5905 per patient (interquartile range [IQR]: A$1571-$91,324) than in UC at A$4752 [IQR: A$1488-A$58,072]. In CD, outpatient resources made up 55% of all cost, with medications accounting for 32% of total cost [15% aminosalicylates, 15% biological therapy], followed by surgery [31%], and diagnostic testing [21%]. In UC, medications accounted for 39% of total cost [of which 37% was due to 5-aminosalicylates, and diagnostics 29%; outpatient cost contributed 71% to total cost. In the first year of diagnosis, outpatient resources account for the majority of cost in both CD and UC. Medications are the main cost driver in IBD. Copyright © 2015 European Crohn’s and Colitis Organisation (ECCO). Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Does classroom-based Crew Resource Management training improve patient safety culture? A systematic review

PubMed Central

de Bruijne, Martine C; Zwijnenberg, Nicolien C; Jansma, Elise P; van Dyck, Cathy; Wagner, Cordula

2014-01-01

Aim: To evaluate the evidence of the effectiveness of classroom-based Crew Resource Management training on safety culture by a systematic review of literature. Methods: Studies were identified in PubMed, Cochrane Library, PsycINFO, and Educational Resources Information Center up to 19 December 2012. The Methods Guide for Comparative Effectiveness Reviews was used to assess the risk of bias in the individual studies. Results: In total, 22 manuscripts were included for review. Training settings, study designs, and evaluation methods varied widely. Most studies reporting only a selection of culture dimensions found mainly positive results, whereas studies reporting all safety culture dimensions of the particular survey found mixed results. On average, studies were at moderate risk of bias. Conclusion: Evidence of the effectiveness of Crew Resource Management training in health care on safety culture is scarce and the validity of most studies is limited. The results underline the necessity of more valid study designs, preferably using triangulation methods. PMID:26770720

Carboniferous-Rotliegend total petroleum system; description and assessment results summary

USGS Publications Warehouse

Gautier, Donald L.

2003-01-01

The Anglo-Dutch Basin and the Northwest German Basin are two of the 76 priority basins assessed by the U.S. Geological Survey World Energy Project. The basins were assessed together because most of the resources occur within a single petroleum system (the Carboniferous-Rotliegend Total Petroleum System) that transcends the combined Anglo-Dutch Basin and Northwest German Basin boundary. The juxtaposition of thermally mature coals and carbonaceous shales of the Carboniferous Coal Measures (source rock), sandstones of the Rotliegend sedimentary systems (reservoir rock), and the Zechstein evaporites (seal) define the total petroleum system (TPS). Three assessment units were defined, based upon technological and geographic (rather than geological) criteria, that subdivide the Carboniferous-Rotliegend Total Petroleum System. These assessment units are (1) the Southern Permian Basin-Offshore Europe Assessment Unit, (2) the Southern Permian Basin Onshore Europe Assessment Unit, and (3) the Southern Permian Basin Onshore United Kingdom Assessment Unit. Although the Carboniferous-Rotliegend Total Petroleum System is one of the most intensely explored volumes of rock in the world, potential remains for undiscovered resources. Undiscovered conventional resources associated with the TPS range from 22 to 184 million barrels of oil, and from 3.6 to 14.9 trillion cubic feet of natural gas. Of these amounts, approximately 62 million barrels of oil and 13 trillion cubic feet of gas are expected in offshore areas, and 26 million barrels of oil and 1.9 trillion cubic feet of gas are predicted in onshore areas.

Petroleum systems and geologic assessment of undiscovered oil and gas, Cotton Valley group and Travis Peak-Hosston formations, East Texas basin and Louisiana-Mississippi salt basins provinces of the northern Gulf Coast region. Chapters 1-7.

USGS Publications Warehouse

,

2006-01-01

The purpose of the U.S. Geological Survey's (USGS) National Oil and Gas Assessment is to develop geologically based hypotheses regarding the potential for additions to oil and gas reserves in priority areas of the United States. The USGS recently completed an assessment of undiscovered oil and gas potential of the Cotton Valley Group and Travis Peak and Hosston Formations in the East Texas Basin and Louisiana-Mississippi Salt Basins Provinces in the Gulf Coast Region (USGS Provinces 5048 and 5049). The Cotton Valley Group and Travis Peak and Hosston Formations are important because of their potential for natural gas resources. This assessment is based on geologic principles and uses the total petroleum system concept. The geologic elements of a total petroleum system include hydrocarbon source rocks (source rock maturation, hydrocarbon generation and migration), reservoir rocks (sequence stratigraphy and petrophysical properties), and hydrocarbon traps (trap formation and timing). The USGS used this geologic framework to define one total petroleum system and eight assessment units. Seven assessment units were quantitatively assessed for undiscovered oil and gas resources.

[Comprehensive evaluation of eco-tourism resources in Yichun forest region of Northeast China].

PubMed

Huang, Maozhu; Hu, Haiqing; Zhang, Jie; Chen, Lijun

2006-11-01

By using analytical hierarchy process (AHP) and Delphi method, a total of 30 representative evaluation factors in the aspects of tourism resources quantity, environmental quantity, tourism conditions, and tourism functions were chosen to build up a comprehensive quantitative evaluation model to evaluate the eco-tourism resources of Yichun forest region in Northeast China. The results showed that in Yichun forest region, the natural eco-tourism resources were superior to the humanity resources. On the regional distribution of favorable level eco-tourism resources quantity, 4 sites were very prominent, i.e., north (Jiayin) -center (Yichun) -east (Jinshantun) -south (Tieli). As for the distribution of eco-tourism resources type, it was basically in the sequence of north (Jiayin, Tangwang River, Wuying) -center (Yichun, Shangganling) -east (Jinshantun, Meixi) -south (Teli, Dailing). Based on the above analyses, Yichun forest region could be divided into four tourism areas, i.e., the south, the east, the central, and the north. Aimed at the special features of each area, the initial development directions were introduced.

An improved global wind resource estimate for integrated assessment models

DOE PAGES

Eurek, Kelly; Sullivan, Patrick; Gleason, Michael; ...

2017-11-25

This study summarizes initial steps to improving the robustness and accuracy of global renewable resource and techno-economic assessments for use in integrated assessment models. We outline a method to construct country-level wind resource supply curves, delineated by resource quality and other parameters. Using mesoscale reanalysis data, we generate estimates for wind quality, both terrestrial and offshore, across the globe. Because not all land or water area is suitable for development, appropriate database layers provide exclusions to reduce the total resource to its technical potential. We expand upon estimates from related studies by: using a globally consistent data source of uniquelymore » detailed wind speed characterizations; assuming a non-constant coefficient of performance for adjusting power curves for altitude; categorizing the distance from resource sites to the electric power grid; and characterizing offshore exclusions on the basis of sea ice concentrations. The product, then, is technical potential by country, classified by resource quality as determined by net capacity factor. Additional classifications dimensions are available, including distance to transmission networks for terrestrial wind and distance to shore and water depth for offshore. We estimate the total global wind generation potential of 560 PWh for terrestrial wind with 90% of resource classified as low-to-mid quality, and 315 PWh for offshore wind with 67% classified as mid-to-high quality. These estimates are based on 3.5 MW composite wind turbines with 90 m hub heights, 0.95 availability, 90% array efficiency, and 5 MW/km 2 deployment density in non-excluded areas. We compare the underlying technical assumption and results with other global assessments.« less

An improved global wind resource estimate for integrated assessment models

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

Eurek, Kelly; Sullivan, Patrick; Gleason, Michael

This study summarizes initial steps to improving the robustness and accuracy of global renewable resource and techno-economic assessments for use in integrated assessment models. We outline a method to construct country-level wind resource supply curves, delineated by resource quality and other parameters. Using mesoscale reanalysis data, we generate estimates for wind quality, both terrestrial and offshore, across the globe. Because not all land or water area is suitable for development, appropriate database layers provide exclusions to reduce the total resource to its technical potential. We expand upon estimates from related studies by: using a globally consistent data source of uniquelymore » detailed wind speed characterizations; assuming a non-constant coefficient of performance for adjusting power curves for altitude; categorizing the distance from resource sites to the electric power grid; and characterizing offshore exclusions on the basis of sea ice concentrations. The product, then, is technical potential by country, classified by resource quality as determined by net capacity factor. Additional classifications dimensions are available, including distance to transmission networks for terrestrial wind and distance to shore and water depth for offshore. We estimate the total global wind generation potential of 560 PWh for terrestrial wind with 90% of resource classified as low-to-mid quality, and 315 PWh for offshore wind with 67% classified as mid-to-high quality. These estimates are based on 3.5 MW composite wind turbines with 90 m hub heights, 0.95 availability, 90% array efficiency, and 5 MW/km 2 deployment density in non-excluded areas. We compare the underlying technical assumption and results with other global assessments.« less

TERSSE: Definition of the Total Earth Resources System for the Shuttle Era. Volume 4: The Role of the Shuttle in the Earth Resources Program

NASA Technical Reports Server (NTRS)

1974-01-01

The potential of the space shuttle as a platform for captive earth resources payloads in the sortie mode, and as a launch and services vehicle for automated earth resources spacecraft is examined. The capabilities of the total space transportation system which are pertinent to earth resources sorties and automated spacecraft are included.

Assssment and Mapping of the Riverine Hydrokinetic Resource in the Continental United States

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

Jacobson, Paul T.; Ravens, Thomas M.; Cunningham, Keith W.

2012-12-14

The U.S. Department of Energy (DOE) funded the Electric Power Research Institute and its collaborative partners, University of Alaska ? Anchorage, University of Alaska ? Fairbanks, and the National Renewable Energy Laboratory, to provide an assessment of the riverine hydrokinetic resource in the continental United States. The assessment benefited from input obtained during two workshops attended by individuals with relevant expertise and from a National Research Council panel commissioned by DOE to provide guidance to this and other concurrent, DOE-funded assessments of water based renewable energy. These sources of expertise provided valuable advice regarding data sources and assessment methodology. Themore » assessment of the hydrokinetic resource in the 48 contiguous states is derived from spatially-explicit data contained in NHDPlus ?a GIS-based database containing river segment-specific information on discharge characteristics and channel slope. 71,398 river segments with mean annual flow greater than 1,000 cubic feet per second (cfs) mean discharge were included in the assessment. Segments with discharge less than 1,000 cfs were dropped from the assessment, as were river segments with hydroelectric dams. The results for the theoretical and technical resource in the 48 contiguous states were found to be relatively insensitive to the cutoff chosen. Raising the cutoff to 1,500 cfs had no effect on estimate of the technically recoverable resource, and the theoretical resource was reduced by 5.3%. The segment-specific theoretical resource was estimated from these data using the standard hydrological engineering equation that relates theoretical hydraulic power (Pth, Watts) to discharge (Q, m3 s-1) and hydraulic head or change in elevation (??, m) over the length of the segment, where ? is the specific weight of water (9800 N m-3): ??? = ? ? ?? For Alaska, which is not encompassed by NPDPlus, hydraulic head and discharge data were manually obtained from Idaho National Laboratory?s Virtual Hydropower Prospector, Google Earth, and U.S. Geological Survey gages. Data were manually obtained for the eleven largest rivers with average flow rates greater than 10,000 cfs and the resulting estimate of the theoretical resource was expanded to include rivers with discharge between 1,000 cfs and 10,000 cfs based upon the contribution of rivers in the latter flow class to the total estimate in the contiguous 48 states. Segment-specific theoretical resource was aggregated by major hydrologic region in the contiguous, lower 48 states and totaled 1,146 TWh/yr. The aggregate estimate of the Alaska theoretical resource is 235 TWh/yr, yielding a total theoretical resource estimate of 1,381 TWh/yr for the continental US. The technically recoverable resource in the contiguous 48 states was estimated by applying a recovery factor to the segment-specific theoretical resource estimates. The recovery factor scales the theoretical resource for a given segment to take into account assumptions such as minimum required water velocity and depth during low flow conditions, maximum device packing density, device efficiency, and flow statistics (e.g., the 5 percentile flow relative to the average flow rate). The recovery factor also takes account of ?back effects? ? feedback effects of turbine presence on hydraulic head and velocity. The recovery factor was determined over a range of flow rates and slopes using the hydraulic model, HEC-RAS. In the hydraulic modeling, presence of turbines was accounted for by adjusting the Manning coefficient. This analysis, which included 32 scenarios, led to an empirical function relating recovery factor to slope and discharge. Sixty-nine percent of NHDPlus segments included in the theoretical resource estimate for the contiguous 48 states had an estimated recovery factor of zero. For Alaska, data on river slope was not readily available; hence, the recovery factor was estimated based on the flow rate alone. Segment-specific estimates of the theoretical resource were multiplied by the corresponding recovery factor to estimate the technically recoverable resource. The resulting technically recoverable resource estimate for the continental United States is 120 TWh/yr.« less

A National Research Council Evaluation of the Department of Energy's Marine and Hydrokinetic Resource Assessments

NASA Astrophysics Data System (ADS)

Glickson, D.; Holmes, K. J.; Cooke, D.

2012-12-01

Marine and hydrokinetic (MHK) resources are increasingly becoming part of energy regulatory, planning, and marketing activities in the U.S. and elsewhere. In particular, state-based renewable portfolio standards and federal production and investment tax credits have led to an increased interest in the possible deployment of MHK technologies. The Energy Policy Act of 2005 (Public Law 109-58) directed the Department of Energy (DOE) to estimate the size of the MHK resource base. In order to help DOE prioritize its overall portfolio of future research, increase the understanding of the potential for MHK resource development, and direct MHK device and/or project developers to locations of greatest promise, the DOE Wind and Water Power Program requested that the National Research Council (NRC) provide an evaluation of the detailed assessments being conducted by five individual resource assessment groups. These resource assessment groups were contracted to estimate the amount of extractable energy from wave, tidal, ocean current, ocean thermal energy conversion, and riverine resources. Performing these assessments requires that each resource assessment group estimate the average power density of the resource base, as well as the basic technology characteristics and spatial and temporal constituents that convert power into electricity for that resource. The NRC committee evaluated the methodologies, technologies, and assumptions associated with each of these resource assessments. The committee developed a conceptual framework for delineating the processes used to develop the assessment results requested by the DOE, with definitions of the theoretical, technical, and practical resource to clarify elements of the overall resource assessment process. This allowed the NRC committee to make a comparison of different methods, terminology, and processes among the five resource assessment groups. The committee concluded that the overall approach taken by the wave resource and tidal resource assessment groups is a useful contribution to understanding the distribution and possible magnitude of energy sources from waves and tides in U.S. waters, but had concerns regarding the usefulness of aggregating the analysis to produce a "single number" estimate of the total national or regional theoretical and technical resource base. The committee had further concerns about the methodologies and assumptions within each assessment, as well as the limited scope of validation exercises. An interim report was released in July 2011, and the committee's final report will be released in Fall 2012.;

North-East Asian Super Grid: Renewable energy mix and economics

NASA Astrophysics Data System (ADS)

Breyer, Christian; Bogdanov, Dmitrii; Komoto, Keiichi; Ehara, Tomoki; Song, Jinsoo; Enebish, Namjil

2015-08-01

Further development of the North-East Asian energy system is at a crossroads due to severe limitations of the current conventional energy based system. For North-East Asia it is proposed that the excellent solar and wind resources of the Gobi desert could enable the transformation towards a 100% renewable energy system. An hourly resolved model describes an energy system for North-East Asia, subdivided into 14 regions interconnected by high voltage direct current (HVDC) transmission grids. Simulations are made for highly centralized, decentralized and country-wide grids scenarios. The results for total system levelized cost of electricity (LCOE) are 0.065 and 0.081 €/(kW·h) for the centralized and decentralized approaches for 2030 assumptions. The presented results for 100% renewable resources-based energy systems are lower in LCOE by about 30-40% than recent findings in Europe for conventional alternatives. This research clearly indicates that a 100% renewable resources-based energy system is THE real policy option.

Accounting utility for determining individual usage of production level software systems

NASA Technical Reports Server (NTRS)

Garber, S. C.

1984-01-01

An accounting package was developed which determines the computer resources utilized by a user during the execution of a particular program and updates a file containing accumulated resource totals. The accounting package is divided into two separate programs. The first program determines the total amount of computer resources utilized by a user during the execution of a particular program. The second program uses these totals to update a file containing accumulated totals of computer resources utilized by a user for a particular program. This package is useful to those persons who have several other users continually accessing and running programs from their accounts. The package provides the ability to determine which users are accessing and running specified programs along with their total level of usage.

Primary vs Conversion Total Hip Arthroplasty: A Cost Analysis

PubMed Central

Chin, Garwin; Wright, David J.; Snir, Nimrod; Schwarzkopf, Ran

2018-01-01

Introduction Increasing hip fracture incidence in the United States is leading to higher occurrences of conversion total hip arthroplasty (THA) for failed surgical treatment of the hip. In spite of studies showing higher complication rates in conversion THA, the Centers for Medicare and Medicaid services currently bundles conversion and primary THA under the same diagnosis-related group. We examined the cost of treatment of conversion THA compared with primary THA. Our hypothesis is that conversion THA will have higher cost and resource use than primary THA. Methods Fifty-one consecutive conversion THA patients (Current Procedure Terminology code 27132) and 105 matched primary THA patients (Current Procedure Terminology code 27130) were included in this study. The natural log-transformed costs for conversion and primary THA were compared using regression analysis. Age, gender, body mass index, American Society of Anesthesiologist, Charlson comorbidity score, and smoker status were controlled in the analysis. Conversion THA subgroups formed based on etiology were compared using analysis of variance analysis. Results Conversion and primary THAs were determined to be significantly different (P < .05) and greater in the following costs: hospital operating direct cost (29.2% greater), hospital operating total cost (28.8% greater), direct hospital cost (24.7% greater), and total hospital cost (26.4% greater). Conclusions Based on greater hospital operating direct cost, hospital operating total cost, direct hospital cost, and total hospital cost, conversion THA has significantly greater cost and resource use than primary THA. In order to prevent disincentives for treating these complex surgical patients, reclassification of conversion THA is needed, as they do not fit together with primary THA. PMID:26387923

Water resources of Claiborne Parish, Louisiana

USGS Publications Warehouse

Fendick, Robert B.; Prakken, Lawrence B.; Griffith, Jason M.

2013-01-01

This fact sheet summarizes basic information on the water resources of Claiborne Parish. Information on groundwater and surface-water availability, quality, development, use, and trends is based on previously published reports listed in the Cited References section. In 2010, about 2.60 million gallons per day (Mgal/d) of water were withdrawn in Claiborne Parish, Louisiana, including about 2.42 Mgal/d from groundwater sources and 0.18 Mgal/d from surface-water sources. Public-supply use accounted for about 84 percent of the total water withdrawn. Other categories of use included industrial, rural domestic, livestock, and general irrigation. Water-use data collected at 5-year intervals from 1960 to 2010 indicated that total water withdrawals in the parish have ranged from about 2.6 to 3.9 Mgal/d.

Assessment of coal geology, resources, and reserves in the Southwestern Powder River Basin, Wyoming

USGS Publications Warehouse

Osmonson, Lee M.; Scott, David C.; Haacke, Jon E.; Luppens, James A.; Pierce, Paul E.

2011-01-01

A total of 37 coal beds were identified during this assessment, 23 of which were modeled and evaluated to determine in-place coal resources. The total original coal resource in the Southwestern Powder River Basin assessment area for these 23 coal beds, with no restrictions applied was calculated to be 369 billion short tons. Available coal resources, which are part of the original resource that is accessible for potential mine development after subtracting all restrictions, are about 341 billion short tons (92.4 percent of the total original resource). Approximately 61 percent are at depths between 1,000 and 2,000 ft, with a modeled price of about $30 per short ton. Therefore, the majority of coal resources in the South-western Powder River Basin assessment area are considered sub-economic.

Geologic assessment of undiscovered hydrocarbon resources of the Western Oregon and Washington Province

USGS Publications Warehouse

,; Brownfield, Michael E.; Charpentier, Ronald R.; Cook, Troy A.; Klett, Timothy R.; Pollastro, Richard M.; Schenk, Christopher J.; Le, P.A.; ,

2011-01-01

The purpose of the U.S. Geological Survey (USGS) National Oil and Gas Assessment is to develop geology-based hypotheses regarding the potential for additions to oil and gas reserves in priority areas of the United States, focusing on the distribution, quantity, and availability of oil and natural gas resources. The USGS has completed an assessment of the undiscovered, technically recoverable oil and gas resources in western Oregon and Washington (USGS Western Oregon and Washington Province 5004). The province includes all of Oregon and Washington north of the Klamath Mountains and west of the crest of the Cascade Range, and extends offshore to the 3-mi limit of State waters on the west and to the International Boundary in the Straits of Juan de Fuca and Canada on the north. It measures about 450 mi north-south and 50 to 160 mi east-west, encompassing more than 51,000 mi2. The assessment of the Western Oregon and Washington Province is geology based and used the total petroleum system (TPS) concept. The geologic elements of a TPS include hydrocarbon source rocks (source rock maturation and hydrocarbon generation and migration), reservoir rocks (quality and distribution), and traps for hydrocarbon accumulation. Using these geologic criteria, two conventional and one unconventional (continuous) total petroleum systems were defined, with one assessment unit (AU) in each TPS: (1) the Cretaceous-Tertiary Composite TPS and the Western Oregon and Washington Conventional Gas AU, (2) the Tertiary Marine TPS and the Tertiary-Marine Gas AU, and (3) the Tertiary Coalbed Gas TPS and the Eocene Coalbed Gas AU, in which a cell-based methodology was used to estimate coalbed-gas resources.

Minnesota's forest resources in 2004

Treesearch

Patrick D. Miles; Gary J. Brand; Manfred E. Mielke

2006-01-01

This report presents forest statistics based on the five annual inventory panels measured from 2000 through 2004. Forest area is estimated at 16.2 million acres or 32 percent of the total land area in the State. Important pests in Minnesota forests include the forest tent caterpillar and spruce budworm.

Study on characteristics of water resources in Beijing in recent 15 years

NASA Astrophysics Data System (ADS)

Chuan, L. M.; Zheng, H. G.; Zhao, J. J.; Wang, A. L.; Zhang, X. J.

2018-02-01

In order to understand the characteristics of water supply and water usage in Beijing in recent 15 years, a variety of statistical datasets were collected and field investigations were carried out, to analyze the total water resource, the characteristics and trends of water resource supply, utilization and distribution during 2000-2014. The results showed that the total amount of water resources in Beijing is maintained at 1.61~3.95 billion m3, and the surface water accounts for about 1/3, and the groundwater accounts for 2/3. Agricultural water and living water were the dominated consumption in the past 15 years in Beijing, accounted for 35.3% and 38.9% of the total amount, followed by industrial water, which accounting for 17.9% of total water consumption, and water used in environment is relatively small, only accounting for 7.8% of the total amount. This study can provide theoretical support for the establishment and management of water conservation policies and the rational utilization of water resources in Beijing.

78 FR 14838 - Proposed Information Collection Request of the Resource Justification Model (RJM); Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-07

... submissions of responses. III. Current Actions Type of Review: Extension without change. Title: Resource... hours........ 424 hours. TOTALS 212 6,519 hrs Total Burden Cost (capital/startup): $0. Total Burden Cost...

Evidence-based speech-language pathology practices in schools: findings from a national survey.

PubMed

Hoffman, Lavae M; Ireland, Marie; Hall-Mills, Shannon; Flynn, Perry

2013-07-01

This study documented evidence-based practice (EBP) patterns as reported by speech-language pathologists (SLPs) employed in public schools during 2010-2011. Using an online survey, practioners reported their EBP training experiences, resources available in their workplaces, and the frequency with which they engage in specific EBP activities, as well as their resource needs and future training format preferences. A total of 2,762 SLPs in 28 states participated in the online survey, 85% of whom reported holding the Certificate of Clinical Competence in Speech-Language Pathology credential. Results revealed that one quarter of survey respondents had no formal training in EBP, 11% of SLPs worked in school districts with official EBP procedural guidelines, and 91% had no scheduled time to support EBP activities. The majority of SLPs posed and researched 0 to 2 EBP questions per year and read 0 to 4 American Speech-Language-Hearing Association (ASHA) journal articles per year on either assessment or intervention topics. Use of ASHA online resources and engagement in EBP activities were documented to be low. However, results also revealed that school-based SLPs have high interest in additional training and resources to support scientifically based practices. Suggestions for enhancing EBP support in public schools and augmenting knowledge transfer are provided.

Healthcare costs and resource utilization of asthma in Germany: a claims data analysis.

PubMed

Jacob, Christian; Bechtel, Benno; Engel, Susanne; Kardos, Peter; Linder, Roland; Braun, Sebastian; Greiner, Wolfgang

2016-03-01

Asthma is associated with a substantial economic burden on the German Statutory Health Insurance. To determine costs and resource utilization associated with asthma and to analyze the impact of disease severity on subgroups based on age and gender. A claims database analysis from the statutory health insurance perspective was conducted. Patients with an ICD-10-GM code of asthma were extracted from a 10% sample of a large German sickness fund. Five controls for each asthma patient matched by age and gender were randomly selected from the same database. Costs and resource utilization were calculated for each individual in the asthma and control group. Incremental asthma-related costs were calculated as the mean cost difference. Based on prescribed asthma medication, patients were classified as intermittent or persistent. In addition, age groups of ≤ 5, 6-18, and >18 years were analyzed separately and gender differences were investigated. Overall, 49,668 individuals were included in the asthma group. On average, total annual costs per patient were €753 higher (p = 0.000) compared to the control group (€2,168 vs. €1,415). Asthma patients had significantly higher (p = 0.000) outpatient (€217), inpatient (€176), and pharmacy costs (€259). Incremental asthma-related total costs were higher for patients with persistent asthma compared to patients with intermittent asthma (€1,091 vs. €408). Women aged >18 years with persistent asthma had the highest difference in costs compared to their controls (€1,207; p < 0.0001). Corresponding healthcare resource utilization was significantly higher in the asthma group (p = 0.000). The treatment of asthma is associated with an increased level of healthcare resource utilization and significantly higher healthcare costs. Asthma imposes a substantial economic burden on sickness funds.

Total Water Management, the New Paradigm for Urban Water Systems

EPA Science Inventory

There is a growing need for urban water managers to take a more holistic view of their water resource systems as population growth, urbanization, and current resource management practices put different stresses on local water resources and urban infrastructure. Total Water Manag...

Use of Electronic Resources for Psychiatry Clerkship Learning: A Medical Student Survey.

PubMed

Snow, Caitlin E; Torous, John; Gordon-Elliott, Janna S; Penzner, Julie B; Meyer, Fermonta; Boland, Robert

2017-10-01

The primary aim of this study is to examine medical students' use patterns, preferences, and perceptions of electronic educational resources available for psychiatry clerkship learning. Eligible participants included medical students who had completed the psychiatry clerkship during a 24-month period. An internet-based questionnaire was used to collect information regarding the outcomes described above. A total of 68 medical students responded to the survey. Most respondents reported high utilization of electronic resources on an array of devices for psychiatry clerkship learning and indicated a preference for electronic over print resources. The most commonly endorsed barriers to the use of electronic resources were that the source contained irrelevant and non-specific content, access was associated with a financial cost, and faculty guidance on recommended resources was insufficient. Respondents indicated a wish for more psychiatry-specific electronic learning resources. The authors' results suggest that a demand exists for high-quality electronic and portable learning tools that are relevant to medical student education in psychiatry. Psychiatry educators are usefully positioned to be involved in the development of such resources.

Water Resources of Ouachita Parish

USGS Publications Warehouse

Tomaszewski, Dan J.; Lovelace, John K.; Griffith, Jason M.

2009-01-01

Ouachita Parish, located in north-central Louisiana, contains fresh groundwater and surface-water resources. In 2005, about 152 million gallons per day (Mgal/d) were withdrawn from water sources in Ouachita Parish. About 84 percent (128 Mgal/d) was withdrawn from surface water, and 16 percent (24 Mgal/d) was withdrawn from groundwater. Power generation (87 Mgal/d) accounted for 58 percent of the total water withdrawn. Withdrawals for other uses included public supply (22 Mgal/d), industrial (24 Mgal/d), and irrigation (18 Mgal/d). This fact sheet summarizes basic information on the water resources of Ouachita Parish, La. Information on groundwater and surface-water availability, quality, development, use, and trends is based on previously published reports.

A holistic water balance of Austria - how does the quantitative proportion of urban water requirements relate to other users?

PubMed

Vanham, D

2012-01-01

Traditional water use statistics only include the blue water withdrawal/consumption of municipalities, industry and irrigated agriculture. When, however, green water use of the agricultural sector is included as well as the virtual water use/water footprint (WF), water use quantity statistics become very different. In common water use statistics, Austria withdraws in total about 2.5 km(3) per year, only 3% of available resources (total discharge 81.4 km(3) = surface and ground water). The total water consumption (0.5 km(3)) is less than 1% of available resources. Urban (municipal) water requirements account for 27% of total withdrawal or 33% of consumption. When agricultural green water use (cropland) is included in statistics, the fraction of municipal water requirements diminishes to 7.6% of total withdrawal and 2.5% of total consumption. If the evapotranspiration of grassland and alpine meadows is also included in agricultural green water use, this fraction decreases to 3.2% and 0.9% respectively. When the WF is assessed as base value for water use in Austria, the municipal water use represents 5.8% of this value. In this globalized world, these traditional water use statistics are no longer recommendable. Only a holistic water balance approach really represents water use statistics.

Influence of Internet Accessibility and Demographic factors on utilization of Web-based Health Information Resources by Resident Doctors in Nigeria

PubMed Central

Ajuwon, GA; Popoola, SO

2015-01-01

Background The internet is a huge library with avalanche of information resources including healthcare information. There are numerous studies on use of electronic resources by healthcare providers including medical practitioners however, there is a dearth of information on the patterns of use of web-based health information resource by resident doctors in Nigeria. This study therefore investigates the influence of internet accessibility and demographic factors on utilization of web-based health information resources by resident doctors in tertiary healthcare institutions in Nigeria. Methods Descriptive survey design was adopted for this study. The population of study consisted of medical doctors undergoing residency training in 13 tertiary healthcare institutions in South-West Nigeria. The tertiary healthcare institutions were Federal Medical Centres, University Teaching Hospitals and Specialist Hospitals (Neuropsychiatric and Orthopaedic). A pre-tested, self-administered questionnaire was used for data collection. The Statistical Package for the Social Sciences (SPSS) was used for data analysis. Data were analyzed using descriptive statistics, Pearson Product Moment correlation and multiple regression analysis. Results The mean age of the respondents was 34 years and males were in the majority (69.0%). A total of 96.1% respondents had access to the Internet. E-mail (X̄=5.40, SD=0.91), Google (X̄=5.26, SD=1.38), Yahoo (X̄=5.15, SD=4.44) were used weekly by the respondents. Preparation for Seminar/Grand Round presentation (X̄=8.4, SD=1.92), research (X̄=7.8, SD=2.70) and communication (X̄=7.6, SD=2.60) were ranked high as purposes for use of web-based information resources. There is a strong, positive and significant relationship between internet accessibility and utilization of web-based health information resources (r=0.628, p<0.05). Internet accessibility (B=0.911) and demographic factors: gender (B=−2.027), designation (B=−0.343) educational qualification (B=2.411) significantly influence utilization of web-based health information resources of the respondents. Conclusion A great majority of the respondents have access to the Internet and used web-based health information resources more for academic purposes than patient care. Training is required to promote use of internet health information resources among resident doctors. The findings of this study will be useful to the management of the 13 healthcare institutions regarding provision of appropriate internet facilities that will enhance access and use of web-based health information resources by resident doctors. PMID:26681825

Influence of Internet Accessibility and Demographic factors on utilization of Web-based Health Information Resources by Resident Doctors in Nigeria.

PubMed

Ajuwon, G A; Popoola, S O

2014-09-01

The internet is a huge library with avalanche of information resources including healthcare information. There are numerous studies on use of electronic resources by healthcare providers including medical practitioners however, there is a dearth of information on the patterns of use of web-based health information resource by resident doctors in Nigeria. This study therefore investigates the influence of internet accessibility and demographic factors on utilization of web-based health information resources by resident doctors in tertiary healthcare institutions in Nigeria. Descriptive survey design was adopted for this study. The population of study consisted of medical doctors undergoing residency training in 13 tertiary healthcare institutions in South-West Nigeria. The tertiary healthcare institutions were Federal Medical Centres, University Teaching Hospitals and Specialist Hospitals (Neuropsychiatric and Orthopaedic). A pre-tested, self-administered questionnaire was used for data collection. The Statistical Package for the Social Sciences (SPSS) was used for data analysis. Data were analyzed using descriptive statistics, Pearson Product Moment correlation and multiple regression analysis. The mean age of the respondents was 34 years and males were in the majority (69.0%). A total of 96.1% respondents had access to the Internet. E-mail (X̄=5.40, SD=0.91), Google (X̄=5.26, SD=1.38), Yahoo (X̄=5.15, SD=4.44) were used weekly by the respondents. Preparation for Seminar/Grand Round presentation (X̄=8.4, SD=1.92), research (X̄=7.8, SD=2.70) and communication (X̄=7.6, SD=2.60) were ranked high as purposes for use of web-based information resources. There is a strong, positive and significant relationship between internet accessibility and utilization of web-based health information resources (r=0.628, p<0.05). Internet accessibility (B=0.911) and demographic factors: gender (B=-2.027), designation (B=-0.343) educational qualification (B=2.411) significantly influence utilization of web-based health information resources of the respondents. A great majority of the respondents have access to the Internet and used web-based health information resources more for academic purposes than patient care. Training is required to promote use of internet health information resources among resident doctors. The findings of this study will be useful to the management of the 13 healthcare institutions regarding provision of appropriate internet facilities that will enhance access and use of web-based health information resources by resident doctors.

Costs of colorectal cancer in different states of the disease.

PubMed

Färkkilä, Niilo; Torvinen, Saku; Sintonen, Harri; Saarto, Tiina; Järvinen, Heikki; Hänninen, Juha; Taari, Kimmo; Roine, Risto P

2015-04-01

This cross-sectional study estimates the resource use and costs among prevalent colorectal cancer (CRC) patients in different states of the disease. Altogether 508 Finnish CRC patients (aged 26-96; colon cancer 56%; female 47%) answered a questionnaire enquiring about informal care, work capacity, and demographic factors. Furthermore, data on direct medical resource use and productivity costs were obtained from registries. Patients were divided into five mutually exclusive groups based on the disease state and the time from diagnosis: primary treatments (the first six months after the diagnosis), rehabilitation, remission, metastatic disease, and palliative care. The costs were calculated for a six-month period. Multivariate modeling was performed to find the cost drivers. The costs were highest during the primary treatment state and the advanced disease states. The total costs for the cross-sectional six-month period were €22 200 in the primary treatment state, €2106 in the rehabilitation state, €2812 in the remission state, €20 540 in the metastatic state, and €21 146 in the palliative state. Most of the costs were direct medical costs. The informal care cost was highest per patient in the palliative care state, amounting to 33% of the total costs. The productivity costs varied between disease states, constituting 19-40% of the total costs, and were highest in the primary treatment state. The first six months after the diagnosis of CRC are resource intensive, but compared with the metastatic disease state, which lasts on average for 2-3 years, the costs are rather modest. Informal care constitutes a remarkable share of the total costs, especially in the palliative state. These results form a basis for the evaluation of the cost effectiveness of new treatments when allocating resources in CRC treatment.

Assessment of Appalachian basin oil and gas resources: Devonian gas shales of the Devonian Shale-Middle and Upper Paleozoic Total Petroleum System: Chapter G.9 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

USGS Publications Warehouse

Milici, Robert C.; Swezey, Christopher S.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

This report presents the results of a U.S. Geological Survey (USGS) assessment of the technically recoverable undiscovered natural gas resources in Devonian shale in the Appalachian Basin Petroleum Province of the eastern United States. These results are part of the USGS assessment in 2002 of the technically recoverable undiscovered oil and gas resources of the province. This report does not use the results of a 2011 USGS assessment of the Devonian Marcellus Shale because the area considered in the 2011 assessment is much greater than the area of the Marcellus Shale described in this report. The USGS assessment in 2002 was based on the identification of six total petroleum systems, which include strata that range in age from Cambrian to Pennsylvanian. The Devonian gas shales described in this report are within the Devonian Shale-Middle and Upper Paleozoic Total Petroleum System, which extends generally from New York to Tennessee. This total petroleum system is divided into ten assessment units (plays), four of which are classified as conventional and six as continuous. The Devonian shales described in this report make up four of these continuous assessment units. The assessment results are reported as fully risked fractiles (F95, F50, F5, and the mean); the fractiles indicate the probability of recovery of the assessment amount. The products reported are oil, gas, and natural gas liquids. The mean estimates for technically recoverable undiscovered hydrocarbons in the four gas shale assessment units are 12,195.53 billion cubic feet (12.20 trillion cubic feet) of gas and 158.91 million barrels of natural gas liquids

Use of health resources and healthcare costs associated with nutritional risk: The FRADEA study.

PubMed

Martínez-Reig, Marta; Aranda-Reneo, Isaac; Peña-Longobardo, Luz M; Oliva-Moreno, Juan; Barcons-Vilardell, Núria; Hoogendijk, Emiel O; Abizanda, Pedro

2018-08-01

In spite of its high prevalence and its clinical relevance, the economic impact of malnutrition has not been sufficiently explored. To study whether malnutrition predicts total hospital healthcare costs and costs related to specialist visits, emergency department visits and hospitalization in older adults. Concurrent cohort study in Albacete City, Spain. The study sample included 827 subjects aged 70 and over from the FRADEA Study. Mini Nutritional Assessment ® -Short Form (MNA ® -SF) was recorded at baseline. Use of hospital resources (hospital admissions, emergency visits, and specialist visits), and hospital healthcare costs were recorded at follow-up. Generalized linear models (GLM) adjusted for age, sex, comorbidity, polypharmacy, and disability in basic activities of daily living were used to estimate the impact of nutritional factors on total healthcare costs per person/year (€ base year 2013) as well as specialist visit costs, emergency department visit costs and hospitalization costs. The average cost associated with the use of health resources was 1922€/year. Subjects with MNA ® -SF between 0 and 7 had an average total health cost of 3492€/year, 2744€/year in those with MNA ® -SF between 8 and 11, and 1542€/year in those with MNA ® -SF between 12 and 14. Of the total health cost, 67.2% was associated with hospital admission costs. Adjusted healthcare costs were 714€/year greater in subjects with malnutrition or nutritional risk. Subjects with malnutrition or nutritional risk presented an increased adjusted risk of hospitalization (OR1.72, 95% CI 1.22-2.43). Malnutrition assessed by MNA ® -SF is a prognostic factor of high healthcare cost and use of resources in older adults. Copyright © 2017 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

Water Footprint Assessment in the Agro-industry: A Case Study of Soy Sauce Production

NASA Astrophysics Data System (ADS)

Firda, Alfiana Aulia; Purwanto

2018-02-01

In terms of global water scarcity, the water footprint is an indicator of the use of water resources that given knowledge about the environmental impact of consuming a product. The sustainable use of water resources nowadays bring challenges related to the production and consumption phase of water intensive related goods such as in the agro-industry. The objective of the study was to assessment the total water footprint from soy sauce production in Grobogan Regency. The total water footprint is equal to the sum of the supply chain water footprint and the operational water footprint. The assessment is based on the production chain diagram of soy sauce production which presenting the relevant process stages from the source to the final product. The result of this research is the total water footprint of soy sauce production is 1.986,35 L/kg with fraction of green water 78,43%, blue water 21,4% and gray water 0,17%.

Potential capacity of endoscopic screening for gastric cancer in Japan.

PubMed

Hamashima, Chisato; Goto, Rei

2017-01-01

In 2016, the Japanese government decided to introduce endoscopic screening for gastric cancer as a national program. To provide endoscopic screening nationwide, we estimated the proportion of increase in the number of endoscopic examinations with the introduction of endoscopic screening, based on a national survey. The total number of endoscopic examinations has increased, particularly in clinics. Based on the national survey, the total number of participants in gastric cancer screening was 3 784 967. If 30% of the participants are switched from radiographic screening to endoscopic screening, approximately 1 million additional endoscopic examinations are needed. In Japan, the participation rates in gastric cancer screening and the number of hospitals and clinics offering upper gastrointestinal endoscopy vary among the 47 prefectures. If the participation rates are high and the numbers of hospitals and clinics are small, the proportion of increase becomes larger. Based on the same assumption, 50% of big cities can provide endoscopic screening with a 5% increase in the total number of endoscopic examinations. However, 16.7% of the medical districts are available for endoscopic screening within a 5% increase in the total number of endoscopic examinations. Despite the Japanese government's decision to introduce endoscopic screening for gastric cancer nationwide, its immediate introduction remains difficult because of insufficient medical resources in rural areas. This implies that endoscopic screening will be initially introduced to big cities. To promote endoscopic screening for gastric cancer nationwide, the disparity of medical resources must first be resolved. © 2016 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.

Time-driven Activity-based Costing More Accurately Reflects Costs in Arthroplasty Surgery.

PubMed

Akhavan, Sina; Ward, Lorrayne; Bozic, Kevin J

2016-01-01

Cost estimates derived from traditional hospital cost accounting systems have inherent limitations that restrict their usefulness for measuring process and quality improvement. Newer approaches such as time-driven activity-based costing (TDABC) may offer more precise estimates of true cost, but to our knowledge, the differences between this TDABC and more traditional approaches have not been explored systematically in arthroplasty surgery. The purposes of this study were to compare the costs associated with (1) primary total hip arthroplasty (THA); (2) primary total knee arthroplasty (TKA); and (3) three surgeons performing these total joint arthroplasties (TJAs) as measured using TDABC versus traditional hospital accounting (TA). Process maps were developed for each phase of care (preoperative, intraoperative, and postoperative) for patients undergoing primary TJA performed by one of three surgeons at a tertiary care medical center. Personnel costs for each phase of care were measured using TDABC based on fully loaded labor rates, including physician compensation. Costs associated with consumables (including implants) were calculated based on direct purchase price. Total costs for 677 primary TJAs were aggregated over 17 months (January 2012 to May 2013) and organized into cost categories (room and board, implant, operating room services, drugs, supplies, other services). Costs derived using TDABC, based on actual time and intensity of resources used, were compared with costs derived using TA techniques based on activity-based costing and indirect costs calculated as a percentage of direct costs from the hospital decision support system. Substantial differences between cost estimates using TDABC and TA were found for primary THA (USD 12,982 TDABC versus USD 23,915 TA), primary TKA (USD 13,661 TDABC versus USD 24,796 TA), and individually across all three surgeons for both (THA: TDABC = 49%-55% of TA total cost; TKA: TDABC = 53%-55% of TA total cost). Cost categories with the most variability between TA and TDABC estimates were operating room services and room and board. Traditional hospital cost accounting systems overestimate the costs associated with many surgical procedures, including primary TJA. TDABC provides a more accurate measure of true resource use associated with TJAs and can be used to identify high-cost/high-variability processes that can be targeted for process/quality improvement. Level III, therapeutic study.

Assessment of In-Place Oil Shale Resources of the Green River Formation, Uinta Basin, Utah and Colorado

USGS Publications Warehouse

Johnson, Ronald C.; Mercier, Tracey J.; Brownfield, Michael E.; Self, Jesse G.

2010-01-01

Using a geology-based assessment methodology, the U.S. Geological Survey estimated a total of 1.32 trillion barrels of oil in place in 18 oil shale zones in the Eocene Green River Formation in the Uinta Basin, Utah and Colorado.

The Digital School Library: A World-Wide Development and a Fascinating Challenge.

ERIC Educational Resources Information Center

Loertscher, David

2003-01-01

Explores the academic environment of a total information system for school libraries based on the idea of a digital intranet. Discusses safety; customization; the core library collection; curriculum-specific collections; access to short-term resources; Internet access; personalized features; search engines; equity issues; and staffing. (LRW)

Scheduling Jobs with Variable Job Processing Times on Unrelated Parallel Machines

PubMed Central

Zhang, Guang-Qian; Wang, Jian-Jun; Liu, Ya-Jing

2014-01-01

m unrelated parallel machines scheduling problems with variable job processing times are considered, where the processing time of a job is a function of its position in a sequence, its starting time, and its resource allocation. The objective is to determine the optimal resource allocation and the optimal schedule to minimize a total cost function that dependents on the total completion (waiting) time, the total machine load, the total absolute differences in completion (waiting) times on all machines, and total resource cost. If the number of machines is a given constant number, we propose a polynomial time algorithm to solve the problem. PMID:24982933

In-place oil shale resources examined by grade in the major basins of the Green River Formation, Colorado, Utah, and Wyoming

USGS Publications Warehouse

Birdwell, Justin E.; Mercier, Tracey J.; Johnson, Ronald C.; Brownfield, Michael E.

2013-01-01

Using a geology-based assessment methodology, the U.S. Geological Survey estimated a total of 4.285 trillion barrels of oil in-place in the oil shale of the three principal basins of the Eocene Green River Formation. Using oil shale cutoffs of potentially viable (15 gallons per ton) and high grade (25 gallons per ton), it is estimated that between 353 billion and 1.146 trillion barrels of the in-place resource have a high potential for development.

Adequacy of Online Patient Information Resources on Gout and Potentially Curative Urate-Lowering Treatment.

PubMed

Jimenez-Liñan, L M; Edwards, L; Abhishek, A; Doherty, Michael

2017-05-01

To assess the content and readability of online patient information resources against the current understanding of gout. An online survey was undertaken using Google UK, USA, Australia, and Canada. Information was assessed for content and accuracy on 19 key points regarding core content for gout patient information resources. Readability was assessed using the Flesch-Kincaid Reading Ease score. Fifteen randomly selected websites were reviewed by a blinded second observer. A total of 85 websites were selected. More than 50% of the websites provided no information or had inaccuracies regarding the pathogenesis of gout. Most websites contained information on dietary and lifestyle modifications for treating gout and did not emphasize urate-lowering therapy (ULT) and its potential for cure. Over 75% of the websites had no/inaccurate information on the role of ULT or prophylaxis for preventing gout attacks on starting ULT. The majority of websites were difficult to read, with information in 68% of the websites rated at least fairly difficult. Only a few web-based patient information resources provide accurate and easy-to-read information on gout. This study will help physicians direct patients to currently reliable resources, but there is a need to improve many web-based patient information resources, which at present act as barriers to care. © 2016, American College of Rheumatology.

The average cost of pressure ulcer management in a community dwelling spinal cord injury population.

PubMed

Chan, Brian C; Nanwa, Natasha; Mittmann, Nicole; Bryant, Dianne; Coyte, Peter C; Houghton, Pamela E

2013-08-01

Pressure ulcers (PUs) are a common secondary complication experienced by community dwelling individuals with spinal cord injury (SCI). There is a paucity of literature on the health economic impact of PU in SCI population from a societal perspective. The objective of this study was to determine the resource use and costs in 2010 Canadian dollars of a community dwelling SCI individual experiencing a PU from a societal perspective. A non-comparative cost analysis was conducted on a cohort of community dwelling SCI individuals from Ontario, Canada. Medical resource use was recorded over the study period. Unit costs associated with these resources were collected from publicly available sources and published literature. Average monthly cost was calculated based on 7-month follow-up. Costs were stratified by age, PU history, severity level, location of SCI, duration of current PU and PU surface area. Sensitivity analyses were also carried out. Among the 12 study participants, total average monthly cost per community dwelling SCI individual with a PU was $4745. Hospital admission costs represented the greatest percentage of the total cost (62%). Sensitivity analysis showed that the total average monthly costs were most sensitive to variations in hospitalisation costs. © 2012 The Authors. International Wound Journal © 2012 John Wiley & Sons Ltd and Medicalhelplines.com Inc.

An Improved Global Wind Resource Estimate for Integrated Assessment Models: Preprint

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

Eurek, Kelly; Sullivan, Patrick; Gleason, Michael

This paper summarizes initial steps to improving the robustness and accuracy of global renewable resource and techno-economic assessments for use in integrated assessment models. We outline a method to construct country-level wind resource supply curves, delineated by resource quality and other parameters. Using mesoscale reanalysis data, we generate estimates for wind quality, both terrestrial and offshore, across the globe. Because not all land or water area is suitable for development, appropriate database layers provide exclusions to reduce the total resource to its technical potential. We expand upon estimates from related studies by: using a globally consistent data source of uniquelymore » detailed wind speed characterizations; assuming a non-constant coefficient of performance for adjusting power curves for altitude; categorizing the distance from resource sites to the electric power grid; and characterizing offshore exclusions on the basis of sea ice concentrations. The product, then, is technical potential by country, classified by resource quality as determined by net capacity factor. Additional classifications dimensions are available, including distance to transmission networks for terrestrial wind and distance to shore and water depth for offshore. We estimate the total global wind generation potential of 560 PWh for terrestrial wind with 90% of resource classified as low-to-mid quality, and 315 PWh for offshore wind with 67% classified as mid-to-high quality. These estimates are based on 3.5 MW composite wind turbines with 90 m hub heights, 0.95 availability, 90% array efficiency, and 5 MW/km2 deployment density in non-excluded areas. We compare the underlying technical assumption and results with other global assessments.« less

Use of Health Resources and Healthcare Costs associated with Frailty: The FRADEA Study.

PubMed

García-Nogueras, I; Aranda-Reneo, I; Peña-Longobardo, L M; Oliva-Moreno, J; Abizanda, P

2017-01-01

Frailty is associated with adverse health outcomes, but its association with hospital healthcare costs has not been analyzed. The main objective was to estimate the adjusted annual costs and use of hospital healthcare resources in frail older adults compared to non frail ones. FRADEA Study. Mean follow-up 1044 days (SD 314). Albacete city, Spain. 830 adults ≥70 years. Age, sex, comorbidity measured with the Charlson index and Fried´s Frailty phenotype as independent variables, and use of hospital resources (hospital admissions, emergency visits, and specialist visits), and hospital healthcare costs as outcome variables. Outcome data were collected from Minimum Data Set of the Complejo Hospitalario Universitario Albacete. The cost base year was 2013. Logistic regression and two-part models were used to analyze the association between frailty and the use of healthcare resources. Generalized Linear Models were applied to estimate the impact of frailty and comorbidity on the healthcare costs. The average cost associated with the use of health resources was 1,922€/year. Frail participants had an average total cost of health resources of 2,476€/year, pre-frail 2,056€/year, and non-frail 1,217€/year. 67% of the total health cost was associated with hospital admission cost, 29% with specialist visits cost and 4% with emergency visits cost. Frailty and comorbidity were the most important factors associated with the use of hospital healthcare resources. Adjusted healthcare costs were 592€/year and 458€/year greater in frail and pre-frail participants respectively, compared to non-frail ones, and having a Charlson index ≥ 3, was associated with an increased costs of 2,289€/year. Frailty and comorbidity are meaningful and complementary associated with increased hospital healthcare resources use, and related costs.

76 FR 29274 - Interstate Electronics Corp., a Subsidiary of L-3 Communications Including On-Site Leased Workers...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-20

... Resources, Systems Pros, Total Tech Services, Triple Crown Consulting, and Ingenium Technology, Inc... Resources, PDS Technical Service, Superior Technical Resources, Systems Pros, Total Tech Services, and... subject firm. The company reports that workers leased from Ingenium Technology, Inc. were employed on-site...

Three-year breeding cycle of rainbow trout (Oncorhynchus mykiss) fed a plant-based diet, totally free of marine resources: consequences for reproduction, fatty acid composition and progeny survival.

PubMed

Lazzarotto, Viviana; Corraze, Geneviève; Leprevost, Amandine; Quillet, Edwige; Dupont-Nivet, Mathilde; Médale, Françoise

2015-01-01

Terrestrial plant resources are increasingly used as substitutes for fish meal and fish oil in fish feed in order to reduce the reliance of aquaculture on marine fishery resources. Although many studies have been conducted to assess the effects of such nutritional transition, no whole breeding cycles of fish fed diets free from marine resources has been reported to date. We therefore studied the reproductive performance of trout after a complete cycle of breeding while consuming a diet totally devoid of marine ingredients and thus of n-3 long chain polyunsaturated fatty acids (n-3 LC-PUFAs) that play a major role in the formation of ova. Two groups of female rainbow trout were fed from first feeding either a commercial diet (C, marine and plant ingredients), or a 100% plant-based diet (V, blend of plant proteins and vegetable oils). Livers, viscera, carcasses and ova were sampled at spawning and analyzed for lipids and fatty acids. Although the V-diet was devoid of n-3 LC-PUFAs, significant amounts of EPA and DHA were found in livers and ova, demonstrating efficient bioconversion of linolenic acid and selective orientation towards the ova. Some ova were fertilized to assess the reproductive performance and offspring survival. We observed for the first time that trout fed a 100% plant-based diet over a 3-year breeding cycle were able to produce ova and viable alevins, although the ova were smaller. The survival of offspring from V-fed females was lower (-22%) at first spawning, but not at the second. Our study showed that, in addition to being able to grow on a plant-based diet, rainbow trout reared entirely on such a diet can successfully produce ova in which neo-synthesized n-3 LC-PUFAs are accumulated, leading to viable offspring. However, further adjustment of the feed formula is still needed to optimize reproductive performance.

Three-Year Breeding Cycle of Rainbow Trout (Oncorhynchus mykiss) Fed a Plant-Based Diet, Totally Free of Marine Resources: Consequences for Reproduction, Fatty Acid Composition and Progeny Survival

PubMed Central

Lazzarotto, Viviana; Corraze, Geneviève; Leprevost, Amandine; Quillet, Edwige; Dupont-Nivet, Mathilde; Médale, Françoise

2015-01-01

Terrestrial plant resources are increasingly used as substitutes for fish meal and fish oil in fish feed in order to reduce the reliance of aquaculture on marine fishery resources. Although many studies have been conducted to assess the effects of such nutritional transition, no whole breeding cycles of fish fed diets free from marine resources has been reported to date. We therefore studied the reproductive performance of trout after a complete cycle of breeding while consuming a diet totally devoid of marine ingredients and thus of n-3 long chain polyunsaturated fatty acids (n-3 LC-PUFAs) that play a major role in the formation of ova. Two groups of female rainbow trout were fed from first feeding either a commercial diet (C, marine and plant ingredients), or a 100% plant-based diet (V, blend of plant proteins and vegetable oils). Livers, viscera, carcasses and ova were sampled at spawning and analyzed for lipids and fatty acids. Although the V-diet was devoid of n-3 LC-PUFAs, significant amounts of EPA and DHA were found in livers and ova, demonstrating efficient bioconversion of linolenic acid and selective orientation towards the ova. Some ova were fertilized to assess the reproductive performance and offspring survival. We observed for the first time that trout fed a 100% plant-based diet over a 3-year breeding cycle were able to produce ova and viable alevins, although the ova were smaller. The survival of offspring from V-fed females was lower (-22%) at first spawning, but not at the second. Our study showed that, in addition to being able to grow on a plant-based diet, rainbow trout reared entirely on such a diet can successfully produce ova in which neo-synthesized n-3 LC-PUFAs are accumulated, leading to viable offspring. However, further adjustment of the feed formula is still needed to optimize reproductive performance. PMID:25658483

The relationship between budget allocated and budget utilized of faculties in an academic institution

NASA Astrophysics Data System (ADS)

Aziz, Wan Noor Hayatie Wan Abdul; Aziz, Rossidah Wan Abdul; Shuib, Adibah; Razi, Nor Faezah Mohamad

2014-06-01

Budget planning enables an organization to set priorities towards achieving certain goals and to identify the highest priorities to be accomplished with the available funds, thus allowing allocation of resources according to the set priorities and constraints. On the other hand, budget execution and monitoring enables allocated funds or resources to be utilized as planned. Our study concerns with investigating the relationship between budget allocation and budget utilization of faculties in a public university in Malaysia. The focus is on the university's operations management financial allocation and utilization based on five categories which are emolument expenditure, academic or services and supplies expenditure, maintenance expenditure, student expenditure and others expenditure. The analysis on financial allocation and utilization is performed based on yearly quarters. Data collected include three years faculties' budget allocation and budget utilization performance involving a sample of ten selected faculties of a public university in Malaysia. Results show that there are positive correlation and significant relationship between quarterly budget allocation and quarterly budget utilization. This study found that emolument give the highest contribution to the total allocation and total utilization for all quarters. This paper presents some findings based on statistical analysis conducted which include descriptive statistics and correlation analysis.

Modelling the resource implications and budget impact of managing cow milk allergy in Australia.

PubMed

Guest, J F; Nagy, E

2009-02-01

To estimate the resource implications and budget impact of current clinical practice for managing cow milk allergy (CMA) in Australia, from the perspective of the publicly funded healthcare system. A decision model was constructed using published clinical outcomes and clinician-derived resource utilisation estimates. The model was used to estimate the expected 6-monthly levels of healthcare resource use and corresponding costs attributable to managing 6150 new CMA sufferers following referral to a specialist. The expected 6-monthly costs of managing 6150 newly-diagnosed infants with CMA following referral to a specialist was an estimated (Australian dollars, AU$) AU$6.5 million at 2006/07 prices. Clinical nutrition preparations were found to be the primary cost driver accounting for 62% of the total 6-monthly cost and clinician visits were the secondary cost driver accounting for up to a further 28% of the total 6-monthly cost. Sensitivity analysis showed there would be fewer visits to hospital-based paediatric gastroenterologists and paediatric immunologists/allergists if all newly-diagnosed patients were prescribed an amino acid formula (AAF) following referral to a specialist, instead of being managed according to current practice. CMA imposes a substantial burden on the publicly funded healthcare system in Australia. However, using an AAF as the initial treatment for CMA can potentially release limited hospital resources for alternative use within the paediatric healthcare system.

Best Practices of Uncertainty Estimation for the National Solar Radiation Database (NSRDB 1998-2015): Preprint

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

Habte, Aron M; Sengupta, Manajit

It is essential to apply a traceable and standard approach to determine the uncertainty of solar resource data. Solar resource data are used for all phases of solar energy conversion projects, from the conceptual phase to routine solar power plant operation, and to determine performance guarantees of solar energy conversion systems. These guarantees are based on the available solar resource derived from a measurement station or modeled data set such as the National Solar Radiation Database (NSRDB). Therefore, quantifying the uncertainty of these data sets provides confidence to financiers, developers, and site operators of solar energy conversion systems and ultimatelymore » reduces deployment costs. In this study, we implemented the Guide to the Expression of Uncertainty in Measurement (GUM) 1 to quantify the overall uncertainty of the NSRDB data. First, we start with quantifying measurement uncertainty, then we determine each uncertainty statistic of the NSRDB data, and we combine them using the root-sum-of-the-squares method. The statistics were derived by comparing the NSRDB data to the seven measurement stations from the National Oceanic and Atmospheric Administration's Surface Radiation Budget Network, National Renewable Energy Laboratory's Solar Radiation Research Laboratory, and the Atmospheric Radiation Measurement program's Southern Great Plains Central Facility, in Billings, Oklahoma. The evaluation was conducted for hourly values, daily totals, monthly mean daily totals, and annual mean monthly mean daily totals. Varying time averages assist to capture the temporal uncertainty of the specific modeled solar resource data required for each phase of a solar energy project; some phases require higher temporal resolution than others. Overall, by including the uncertainty of measurements of solar radiation made at ground stations, bias, and root mean square error, the NSRDB data demonstrated expanded uncertainty of 17 percent - 29 percent on hourly and an approximate 5 percent - 8 percent annual bases.« less

Budgeting in health care systems.

PubMed

Maynard, A

1984-01-01

During the last decade there has been a recognition that all health care systems, public and private, are characterised by perverse incentives (especially moral hazard and third party pays) which generate inefficiency in the use of scarce economic resources. Inefficiency is unethical: doctors who use resources inefficiently deprive potential patients of care from which they could benefit. To eradicate unethical and inefficient practices two economic rules have to be followed: (i) no service should be provided if its total costs exceed its total benefits; (ii) if total benefits exceed total costs, the level of provision should be at that level at which the additional input cost (marginal cost) is equal to the additional benefits (marginal benefit). This efficiency test can be applied to health care systems, their component parts and the individuals (especially doctors) who control resource allocation within them. Unfortunately, all health care systems neither generate this relevant decision making data nor are they flexible enough to use it to affect health care decisions. There are two basic varieties of budgeting system: resource based and production targeted. The former generates obsession with cash limits and too little regard of the benefits, particularly at the margins, of alternative patterns of resource allocation. The latter generates undue attention to the production of processes of care and scant regard for costs, especially at the margins. Consequently, one set of budget rules may lead to cost containment regardless of benefits and the other set of budget rules may lead to output maximization regardless of costs. To close this circle of inefficiency it is necessary to evolve market-like structures. To do this a system of client group (defined broadly across all existing activities public and private) budgets is advocated with an identification of the budget holder who has the capacity to shift resources and seek out cost effective policies. Negotiated output targets with defined budgets and incentives for decision makers to economise in their use of resources are being incorporated into experiments in the health care systems of Western Europe and the United States. Undue optimism about the success of these experiments must be avoided because these problems have existed in the West and in the Soviet bloc for decades and efficient solutions are noticeable by their absence.

TERSSE: Definition of the Total Earth Resources System for the Shuttle Era. Volume 3: Mission and System Requirements for the Total Earth Resources System

NASA Technical Reports Server (NTRS)

1974-01-01

Resource management missions to be performed by TERSSE are described. Mission and user requirements are defined along with information flows developed for each major resource management mission. Other topics discussed include: remote sensing platforms, remote sensor requirements, ground system architecture, and such related issues as cloud cover, resolution, orbit mechanics, and aircraft versus satellite.

Effect of feeding palm oil by-products based diets on total bacteria, cellulolytic bacteria and methanogenic archaea in the rumen of goats.

PubMed

Abubakr, Abdelrahim; Alimon, Abdul Razak; Yaakub, Halimatun; Abdullah, Norhani; Ivan, Michael

2014-01-01

Rumen microorganisms are responsible for digestion and utilization of dietary feeds by host ruminants. Unconventional feed resources could be used as alternatives in tropical areas where feed resources are insufficient in terms of quality and quantity. The objective of the present experiment was to evaluate the effect of diets based on palm oil (PO), decanter cake (DC) or palm kernel cake (PKC) on rumen total bacteria, selected cellulolytic bacteria, and methanogenic archaea. Four diets: control diet (CD), decanter cake diet (DCD), palm kernel cake diet (PKCD) and CD plus 5% PO diet (CPOD) were fed to rumen cannulated goats and rumen samples were collected at the start of the experimental diets (day 0) and on days 4, 6, 8, 12, 18, 24 and 30 post dietary treatments. Feeding DCD and PKCD resulted in significantly higher (P<0.05) DNA copy number of total bacteria, Fibrobacter succinogenes, Ruminococcus flavefeciens, and Ruminococcus albus. Rumen methanogenic archaea was significantly lower (P<0.05) in goats fed PKCD and CPOD and the trend showed a severe reduction on days 4 and 6 post experimental diets. In conclusion, results indicated that feeding DCD and PKC increased the populations of cellulolytic bacteria and decreased the density of methanogenic archaea in the rumen of goats.

National assessment of geologic carbon dioxide storage resources: results

USGS Publications Warehouse

,

2013-01-01

In 2012, the U.S. Geological Survey (USGS) completed an assessment of the technically accessible storage resources (TASR) for carbon dioxide (CO2) in geologic formations underlying the onshore and State waters area of the United States. The formations assessed are at least 3,000 feet (914 meters) below the ground surface. The TASR is an estimate of the CO2 storage resource that may be available for CO2 injection and storage that is based on present-day geologic and hydrologic knowledge of the subsurface and current engineering practices. Individual storage assessment units (SAUs) for 36 basins were defined on the basis of geologic and hydrologic characteristics outlined in the assessment methodology of Brennan and others (2010, USGS Open-File Report 2010–1127) and the subsequent methodology modification and implementation documentation of Blondes, Brennan, and others (2013, USGS Open-File Report 2013–1055). The mean national TASR is approximately 3,000 metric gigatons (Gt). The estimate of the TASR includes buoyant trapping storage resources (BSR), where CO2 can be trapped in structural or stratigraphic closures, and residual trapping storage resources, where CO2 can be held in place by capillary pore pressures in areas outside of buoyant traps. The mean total national BSR is 44 Gt. The residual storage resource consists of three injectivity classes based on reservoir permeability: residual trapping class 1 storage resource (R1SR) represents storage in rocks with permeability greater than 1 darcy (D); residual trapping class 2 storage resource (R2SR) represents storage in rocks with moderate permeability, defined as permeability between 1 millidarcy (mD) and 1 D; and residual trapping class 3 storage resource (R3SR) represents storage in rocks with low permeability, defined as permeability less than 1 mD. The mean national storage resources for rocks in residual trapping classes 1, 2, and 3 are 140 Gt, 2,700 Gt, and 130 Gt, respectively. The known recovery replacement storage resource (KRRSR) is a conservative estimate that represents only the amount of CO2 at subsurface conditions that could replace the volume of known hydrocarbon production. The mean national KRRSR, determined from production volumes rather than the geologic model of buoyant and residual traps that make up TASR, is 13 Gt. The estimated storage resources are dominated by residual trapping class 2, which accounts for 89 percent of the total resources. The Coastal Plains Region of the United States contains the largest storage resource of any region. Within the Coastal Plains Region, the resources from the U.S. Gulf Coast area represent 59 percent of the national CO2 storage capacity.

Total quality management: managing the human dimension in natural resource agencies

Treesearch

Denzil Verardo

1995-01-01

Stewardship in an era of dwindling human resources requires new approaches to the way business is conducted in the public sector, and Total Quality Management (TQM) can be the avenue for this transformation. Resource agencies are no exception to this requirement, although modifications to "traditional" private enterprise versions of TQM implementation...

Method for optimizing resource allocation in a government organization. Ph.D. Thesis

NASA Technical Reports Server (NTRS)

Afarin, James

1994-01-01

The managers in Federal agencies are challenged to control the extensive activities in government and still provide high-quality products and services to the American taxpayers. Considering today's complex social and economic environment and the $3.8 billion daily cost of operating the Federal Government, it is evident that there is a need to develop decision-making tools for accurate resource allocation and total quality management. The goal of this thesis is to provide a methodical process that will aid managers in Federal Government to make budgetary decisions based on the cost of services, the agency's objectives, and the customers' perception of the agency's product. A general resource allocation procedure was developed in this study that can be applied to any government organization. A government organization, hereafter the 'organization,' is assumed to be a multidivision enterprise. This procedure was applied to a small organization for the proof of the concept. This organization is the Technical Services Directorate (TSD) at the NASA Lewis Research Center in Cleveland, Ohio. As part of the procedure, a nonlinear programming model was developed to account for the resources of the organization, the outputs produced by the organization, the decision-maker's views, and the customers' satisfaction with the organization. The information on the resources of the organization was acquired from current budget levels of the organization and the human resources assigned to the divisions. The outputs of the organization were defined and measured by identifying metrics that assess the outputs, the most challenging task in this study. The decision-maker's views are represented in the model as weights assigned to the various outputs and were quantified by using the analytic hierarchy process. The customer's opinions regarding the outputs of the organization were collected through questionnaires that were designed for each division individually. Following the philosophy of total quality management, information on customers' satisfaction is presented in the model as the quality of output. The model is a nonlinear one whose objective is to maximize customers' satisfaction such that the total cost of operation does not exceed the organization's budget. This model represents a structured approach or policy mechanism, at the agency level, to make capital investment decisions based on the priorities of the agency and the quality of outputs. This procedure applied to TSD resulted in a resources allocation scheme that was reasonable and acceptable to the decision-makers and, as expected, dependent on the assumptions and accuracy of the data used in the model.

Summary of the reconnaissance investigation of the diamond resource potential and production capacity of Côte d’Ivoire

USGS Publications Warehouse

Chirico, Peter G.; Malpeli, Katherine C.

2012-01-01

This study presents the results of a multiyear effort to monitor the diamond mining activities of Côte d’Ivoire’s two main diamond regions, Séguéla and Tortiya. The innovative approach developed for this study integrates archival reports and maps, high-resolution satellite imagery, and terrain modeling to assess the diamond resource potential and production capacity of the Séguéla and Tortiya deposits. A geologic resource assessment was conducted to calculate the remaining diamond reserves for Séguéla and Tortiya using archival geologic data, including gravel grade and thickness recorded by the Ivorian mining company Société pour le Développement Minier (SODEMI). These data were combined with terrain analysis and geomorphological maps in a geological process-driven model. After accounting for previous production, a total of 10,100,000 carats are estimated to be remaining in Séguéla and a total of 1,100,000 carats are estimated to be remaining in Tortiya, based on currently known deposits.

A cost-based comparison of quarantine strategies for new emerging diseases.

PubMed

Mubayi, Anuj; Zaleta, Christopher Kribs; Martcheva, Maia; Castillo-Chávez, Carlos

2010-07-01

A classical epidemiological framework is used to provide a preliminary cost analysis of the effects of quarantine and isolation on the dynamics of infectious diseases for which no treatment or immediate diagnosis tools are available. Within this framework we consider the cost incurred from the implementation of three types of dynamic control strategies. Taking the context of the 2003 SARS outbreak in Hong Kong as an example, we use a simple cost function to compare the total cost of each mixed (quarantine and isolation) control strategy from a public health resource allocation perspective. The goal is to extend existing epi-economics methodology by developing a theoretical framework of dynamic quarantine strategies aimed at emerging diseases, by drawing upon the large body of literature on the dynamics of infectious diseases. We find that the total cost decreases with increases in the quarantine rates past a critical value, regardless of the resource allocation strategy. In the case of a manageable outbreak resources must be used early to achieve the best results whereas in case of an unmanageable outbreak, a constant-effort strategy seems the best among our limited plausible sets.

Use of the method for addressing the challenges of resources procurement management at a mining enterprise

NASA Astrophysics Data System (ADS)

Petrova, T. V.; Strekalov, S. V.; Novichikhin, A. V.

2017-09-01

The article is devoted to the analysis of possible application of the total cost of ownership method for the purchase of resources at a mining enterprise. The description of the total cost of ownership method and experience of using this method in other spheres is provided. The article identifies the essential components needed to calculate the total cost of ownership of a resource. Particular attention is paid to the ratio of the price of the purchased resource and the total cost of ownership. To justify the relevance of application of this method at a mining enterprise for resources purchase, the technical and economic conditions of mining enterprises have been analyzed, which are quite specific and force to introduce certain adjustments to the application of the considered method and opens up new possibilities for its use. Specific spheres for application of this method at a mining enterprise are determined. The main result of the study is the proposed practical recommendations for the introduction and extension of the practice of using the method when a mining enterprise purchases resources.

Cost analysis and cost determinants in a European inflammatory bowel disease inception cohort with 10 years of follow-up evaluation.

PubMed

Odes, Selwyn; Vardi, Hillel; Friger, Michael; Wolters, Frank; Russel, Maurice G; Riis, Lene; Munkholm, Pia; Politi, Patrizia; Tsianos, Epameinondas; Clofent, Juan; Vermeire, Severine; Monteiro, Estela; Mouzas, Iannis; Fornaciari, Giovanni; Sijbrandij, Jildou; Limonard, Charles; Van Zeijl, Gilbert; O'morain, Colm; Moum, Bjørn; Vatn, Morten; Stockbrugger, Reinhold

2006-09-01

Economic analysis in chronic diseases is a prerequisite for planning a proper distribution of health care resources. We aimed to determine the cost of inflammatory bowel disease, a lifetime illness with considerable morbidity. We studied 1321 patients from an inception cohort in 8 European countries and Israel over 10 years. Data on consumption of resources were obtained retrospectively. The cost of health care was calculated from the use of resources and their median prices. Data were analyzed using regression models based on the generalized estimating equations approach. The mean annual total expenditure on health care was 1871 Euro/patient-year for inflammatory bowel disease, 1524 Euro/patient-year for ulcerative colitis, and 2548 Euro/patient-year for Crohn's disease (P < .001). The most expensive resources were medical and surgical hospitalizations, together accounting for 63% of the cost in Crohn's disease and 45% in ulcerative colitis. Total and hospitalization costs were much higher in the first year after diagnosis than in subsequent years. Differences in medical and surgical hospitalizations were the primary cause of substantial intercountry variations of cost; the mean cost of health care was 3705 Euro/patient-year in Denmark and 888 Euro/patient-year in Norway. The outlay for mesalamine, a costly medication with extensive use, was greater than for all other drugs combined. Patient age at diagnosis and sex did not affect costs. In this multinational, population-based, time-dependent characterization of the health care cost of inflammatory bowel disease, increased expenditure was driven largely by country, diagnosis, hospitalization, and follow-up year.

Wetland resources investigation based on 3S technology

NASA Astrophysics Data System (ADS)

Lin, Hui; Jing, Haitao; Zhang, Lianpeng

2008-10-01

Wetland is a special ecosystem between land and water . It can provide massive foods, raw material, water resources and habitat for human being, animals and plants, Wetlands are so important that wetlands' development, management and protection have become the focus of public attention ."3S" integration technology was applied to investigate wetland resources in Shandong Province ,the investigation is based on remote sensing(RS) information, combining wetlandrelated geographic information system(GIS) data concerning existing geology, hydrology, land, lakes, rivers, oceans and environmental protection, using the Global Positioning System (GPS) to determine location accurately and conveniently , as well as multi-source information to demonstrate each other based on "3S" integration technology. In addition, the remote sensing(RS) interpretation shall be perfected by combining house interpretation with field survey and combining interpretation results with known data.By contrasting various types of wetland resources with the TM, ETM, SPOT image and combining with the various types of information, remote sensing interpretation symbols of various types of wetland resources are established respectively. According to the interpretation symbols, we systematically interpret the wetland resources of Shandong Province. In accordance with the purpose of different work, we interpret the image of 1987, 1996 and 2000. Finally, various interpretation results are processed by computer scanning, Vectored, projection transformation and image mosaic, wetland resources distribution map is worked out and wetland resources database of Shandong Province is established in succession. Through the investigation, wetland resource in Shandong province can be divided into 4 major categories and 17 sub-categories. we have ascertained the range and area of each category as well as their present utilization status.. By investigating and calculating, the total area of wetland in Shandong Province is 1,712,200 hm2,which accounts for 7.58% of the total area of land in Shandong Province (not including the wetland in the shallow waters along the coast). Among them, area of river wetland is 286,746 hm2, area of lakes wetland is143,490 hm2, area of reservoir and pond wetland is 118,693 hm2, area of offshore and coastal wetland is 994,100 hm2, and area of other wetland is 169,171 hm2. On the basis of this, we can analyze the dynamic changes trend and the reasons: steady degenerating for natural wetlands, increasing year by year for artificial wetland, and the distribution pattern takes shape that the existing natural wetlands are being protected and the increase of new artificial wetlands is in conformity with the social development, so the situation of the wetland resources is developing towards a virtuous circle direction.

Time-based management of patient processes.

PubMed

Kujala, Jaakko; Lillrank, Paul; Kronström, Virpi; Peltokorpi, Antti

2006-01-01

The purpose of this paper is to present a conceptual framework that would enable the effective application of time based competition (TBC) and work in process (WIP) concepts in the design and management of effective and efficient patient processes. This paper discusses the applicability of time-based competition and work-in-progress concepts to the design and management of healthcare service production processes. A conceptual framework is derived from the analysis of both existing research and empirical case studies. The paper finds that a patient episode is analogous to a customer order-to-delivery chain in industry. The effective application of TBC and WIP can be achieved by focusing on through put time of a patient episode by reducing the non-value adding time components and by minimizing time categories that are main cost drivers for all stakeholders involved in the patient episode. The paper shows that an application of TBC in managing patient processes can be limited if there is no consensus about optimal care episode in the medical community. In the paper it is shown that managing patient processes based on time and cost analysis enables one to allocate the optimal amount of resources, which would allow a healthcare system to minimize the total cost of specific episodes of illness. Analysing the total cost of patient episodes can provide useful information in the allocation of limited resources among multiple patient processes. This paper introduces a framework for health care managers and researchers to analyze the effect of reducing through put time to the total cost of patient episodes.

The woody biomass resource of Alabama

Treesearch

James F. Jr. Rosson; Charles E. Thomas

1986-01-01

Presents findings and analysis of woody biomass based on the fifth forest survey of Alabama (1982). The green weights by component-total, merchantable, residual, sapling, and rough and rotten-are presented by various categories such as ownership, forest type, physiographic class, size class, basal area, species, and age. After-harvest residual is also presented and...

78 FR 19335 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-29

... disapproving the application. The total annual burden imposed by Rule 15a-4 is approximately 8.46 hours, based... of the Exchange Act; (2) to develop a central information resource where members of the public may... the PRA that does not display a valid OMB control number. The public may view background documentation...

A Quest for Efficiencies: Total System Performance Responsibility

DTIC Science & Technology

2002-04-01

Program Office................................ 22 Contract Law Comments...resources and suppliers. 25 Contract Law Comments An integral member of any acquisition team is the legal expert(s) from the Staff Judge...Eglin AFB and Hanscom AFB were sent surveys in order to determine what cautions and concerns exist based on their contract law experiences. Getting

Models of resource allocation optimization when solving the control problems in organizational systems

NASA Astrophysics Data System (ADS)

Menshikh, V.; Samorokovskiy, A.; Avsentev, O.

2018-03-01

The mathematical model of optimizing the allocation of resources to reduce the time for management decisions and algorithms to solve the general problem of resource allocation. The optimization problem of choice of resources in organizational systems in order to reduce the total execution time of a job is solved. This problem is a complex three-level combinatorial problem, for the solving of which it is necessary to implement the solution to several specific problems: to estimate the duration of performing each action, depending on the number of performers within the group that performs this action; to estimate the total execution time of all actions depending on the quantitative composition of groups of performers; to find such a distribution of the existing resource of performers in groups to minimize the total execution time of all actions. In addition, algorithms to solve the general problem of resource allocation are proposed.

Total petroleum systems and geologic assessment of undiscovered oil and gas resources in the San Juan Basin Province, exclusive of Paleozoic rocks, New Mexico and Colorado

USGS Publications Warehouse

,

2013-01-01

In 2002, the U.S. Geological Survey (USGS) estimated undiscovered oil and gas resources that have the potential for additions to reserves in the San Juan Basin Province, New Mexico and Colorado. Paleozoic rocks were not appraised. The last oil and gas assessment for the province was in 1995. There are several important differences between the 1995 and 2002 assessments. The area assessed is smaller than that in the 1995 assessment. This assessment of undiscovered hydrocarbon resources in the San Juan Basin Province also used a slightly different approach in the assessment, and hence a number of the plays defined in the 1995 assessment are addressed differently in this report. After 1995, the USGS has applied a total petroleum system (TPS) concept to oil and gas basin assessments. The TPS approach incorporates knowledge of the source rocks, reservoir rocks, migration pathways, and time of generation and expulsion of hydrocarbons; thus the assessments are geologically based. Each TPS is subdivided into one or more assessment units, usually defined by a unique set of reservoir rocks, but which have in common the same source rock. Four TPSs and 14 assessment units were geologically evaluated, and for 13 units, the undiscovered oil and gas resources were quantitatively assessed.

An imperialist competitive algorithm for virtual machine placement in cloud computing

NASA Astrophysics Data System (ADS)

Jamali, Shahram; Malektaji, Sepideh; Analoui, Morteza

2017-05-01

Cloud computing, the recently emerged revolution in IT industry, is empowered by virtualisation technology. In this paradigm, the user's applications run over some virtual machines (VMs). The process of selecting proper physical machines to host these virtual machines is called virtual machine placement. It plays an important role on resource utilisation and power efficiency of cloud computing environment. In this paper, we propose an imperialist competitive-based algorithm for the virtual machine placement problem called ICA-VMPLC. The base optimisation algorithm is chosen to be ICA because of its ease in neighbourhood movement, good convergence rate and suitable terminology. The proposed algorithm investigates search space in a unique manner to efficiently obtain optimal placement solution that simultaneously minimises power consumption and total resource wastage. Its final solution performance is compared with several existing methods such as grouping genetic and ant colony-based algorithms as well as bin packing heuristic. The simulation results show that the proposed method is superior to other tested algorithms in terms of power consumption, resource wastage, CPU usage efficiency and memory usage efficiency.

Development of a case-mix funding system for adults with combined vision and hearing loss

PubMed Central

2013-01-01

Background Adults with vision and hearing loss, or dual sensory loss (DSL), present with a wide range of needs and abilities. This creates many challenges when attempting to set the most appropriate and equitable funding levels. Case-mix (CM) funding models represent one method for understanding client characteristics that correlate with resource intensity. Methods A CM model was developed based on a derivation sample (n = 182) and tested with a replication sample (n = 135) of adults aged 18+ with known DSL who were living in the community. All items within the CM model came from a standardized, multidimensional assessment, the interRAI Community Health Assessment and the Deafblind Supplement. The main outcome was a summary of formal and informal service costs which included intervenor and interpreter support, in-home nursing, personal support and rehabilitation services. Informal costs were estimated based on a wage rate of half that for a professional service provider ($10/hour). Decision-tree analysis was used to create groups with homogeneous resource utilization. Results The resulting CM model had 9 terminal nodes. The CM index (CMI) showed a 35-fold range for total costs. In both the derivation and replication sample, 4 groups (out of a total of 18 or 22.2%) had a coefficient of variation value that exceeded the overall level of variation. Explained variance in the derivation sample was 67.7% for total costs versus 28.2% in the replication sample. A strong correlation was observed between the CMI values in the two samples (r = 0.82; p = 0.006). Conclusions The derived CM funding model for adults with DSL differentiates resource intensity across 9 main groups and in both datasets there is evidence that these CM groups appropriately identify clients based on need for formal and informal support. PMID:23587314

Curriculum & Instruction: Curriculum Outcomes, Learning Plan Negotiation, Career Explorations, Projects, Learning & Skill Building Levels, Competencies, Student Journals, Employer Seminars, Learning Resources. Handbook for Experience-Based Career Education.

ERIC Educational Resources Information Center

Anderson, Nancy; And Others

This is one of a set of five handbooks compiled by the Northwest Regional Educational Laboratory which describes the processes for planning and operating a total Experience-Based Career Education (EBCE) program. Processes and material are those developed by the original EBCE model--Community Experiences in Career Education or (CE)2. The area of…

Study on the techniques of valuation of ecosystem services based on remote sensing in Anxin County

NASA Astrophysics Data System (ADS)

Wang, Hongyan; Li, Zengyuan; Gao, Zhihai; Wang, Bengyu; Bai, Lina; Wu, Junjun; Sun, Bin; Wang, Zhibo

2014-05-01

The farmland ecosystem is an important component of terrestrial ecosystems and has a fundamental role in the human life. The wetland is an unique and versatile ecological system. It is important for rational development and sustainable utilization of farmland and wetland resources to study on the measurement of valuation of farmland and wetland ecosystem services. It also has important significance for improving productivity. With the rapid development of remote sensing technology, it has become a powerful tool for evaluation of the value of ecosystem services. The land cover types in Anxin County mainly was farmland and wetland, the indicator system for ecosystem services valuation was brought up based on the remote sensing data of high spatial resolution ratio(Landsat-5 TM data and SPOT-5 data), the technology system for measurement of ecosystem services value was established. The study results show that the total ecosystem services value in 2009 in Anxin was 4.216 billion yuan, and the unit area value was between 8489 yuan/hm2 and 329535 yuan/hm2. The value of natural resources, water conservation value in farmland ecosystem and eco-tourism value in wetland ecosystem were higher than the other, total of the three values reached 2.858 billion yuan, and the percentage of the total ecosystem services values in Anxin was 67.79%. Through the statistics in the nine towns and three villages of Anxin County, the juantou town has the highest services value, reached 0.736 billion yuan. Scientific and comprehensive evaluation of the ecosystem services can conducive to promoting the understanding of the importance of the ecosystem. The research results had significance to ensure the sustainable use of wetland resources and the guidance of ecological construction in Anxin County.

a Study on the Introduction of Total Natural Resources Management System Using the Environmental Conservation Value Assessment Map

NASA Astrophysics Data System (ADS)

Hwang, J.; Lee, K.; Jang, R.; Jeon, S.

2018-04-01

The environmental impact assessment system and the environmental plan for the preservation of the land environment are carried out with the aim of preventing damage to the environment caused by human activities, improving the quality of life and creating a pleasant environment. However, despite these various systems, the natural resources have been continuously damaged, and the system to cope with them has been advanced, but there has been a limit to fully conserve natural resources from development. The total amount of natural resources is being promoted as a part of the purpose of supplementing the system, but the evaluation method of the total amount of natural resources suitable for domestic situation is not presented yet. Natural resources are diverse and complicated in their categories and elements, and their measurement units are also diverse, making it difficult to synthesize them into one unit. Therefore, in this study, we proposed a method to calculate the total amount by using the evaluation map of the Environmental Conservation Value Assessment Map (ECVAM) which derives the final achievement with 5 grades using 65 evaluation items. However, we consistently applied the weight twice as much as the grade and did not utilize any information other than the map of ECVAM. The results of this study can be applied to the Total Natural Resources Management System through follow-up study such as application of various environmental information and weighting method.

Youth Physical Activity Resources Use and Activity Measured by Accelerometry

PubMed Central

Maslow, Andréa L.; Colabianchi, Natalie

2014-01-01

Objectives To examine whether utilization of physical activity resources (eg, parks) was associated with daily physical activity measured by accelerometry. Methods 111 adolescents completed a travel diary with concurrent accelerometry. The main exposure was self-reported utilization of a physical activity resource (none/1+ resources). The main outcomes were total minutes spent in daily 1) moderate-vigorous physical activity and 2) vigorous physical activity. Results Utilizing a physical activity resource was significantly associated with total minutes in moderate-vigorous physical activity. African-Americans and males had significantly greater moderate-vigorous physical activity. Conclusions Results from this study support the development and use of physical activity resources. PMID:21204684

Youth physical activity resource use and activity measured by accelerometry.

PubMed

Maslow, Andréa L; Colabianchi, Natalie

2011-01-01

To examine whether use of physical activity resources (eg, parks) was associated with daily physical activity measured by accelerometry. One hundred eleven adolescents completed a travel diary with concurrent accelerometry. The main exposure was self-reported use of a physical activity resource (none /1+ resources). The main outcomes were total minutes spent in daily (1) moderate-vigorous physical activity and (2) vigorous physical activity. Using a physical activity resource was significantly associated with total minutes in moderate-vigorous physical activity. African Americans and males had significantly greater moderate-vigorous physical activity. Results from this study support the development and use of physical activity resources.

The increased cost of ventral hernia recurrence: a cost analysis.

PubMed

Davila, D G; Parikh, N; Frelich, M J; Goldblatt, M I

2016-12-01

Over 300,000 ventral hernia repairs (VHRs) are performed each year in the US. We sought to assess the economic burden related to ventral hernia recurrences with a focused comparison of those with the initial open versus laparoscopic surgery. The Premier Alliance database from 2009 to 2014 was utilized to obtain patient demographics and comorbid indices, including the Charlson comorbidity index (CCI). Total hospital cost and resource expenses during index laparoscopic and open VHRs and subsequent recurrent repairs were also obtained. The sample was separated into laparoscopic and open repair groups from the initial operation. Adjusted and propensity score matched cost outcome data were then compared amongst groups. One thousand and seventy-seven patients were used for the analysis with a recurrence rate of 3.78 %. For the combined sample, costs were significantly higher during recurrent hernia repair hospitalization ($21,726 versus $19,484, p < 0.0001). However, for index laparoscopic repairs, both the adjusted total hospital cost and department level costs were similar during the index and the recurrent visit. The costs and resource utilization did not go up due to recurrence, even though these patients had greater severity during the recurrent visit (CCI score 0.92 versus 1.06; p = 0.0092). Using a matched sample, the total hospital recurrence cost was higher for the initial open group compared to laparoscopic group ($14,520 versus $12,649; p = 0.0454). Based on our analysis, need for recurrent VHR adds substantially to total hospital costs and resource utilization. Following initial laparoscopic repair, however, the total cost of recurrent repair is not significantly increased, as it is following initial open repair. When comparing the initial laparoscopic repair versus open, the cost of recurrence was higher for the prior open repair group.

Data for distribution of various species of fecal coliforms in urban, rural and private drinking water sources in ten years period - A case study: Kermanshah, Iran.

PubMed

Davoodi, Reza; Pirsaheb, Meghdad; Karimyan, Kamaladdin; Gupta, Vinod Kumar; Takhtshahi, Ali Reza; Sharafi, Hooshmand; Moradi, Masoud

2018-06-01

This study was aimed to investigate the distribution of various species of fecal coliform in urban, rural and private drinking water sources of Kermanshah, in the west of Iran. For this study, data of ten years period (2006-2016) assessments of microbial quality regarding various species of Fecal coliforms was taken from health centers associated with urban, rural and private resources of Kermanshah city. A total number of 8643 samples were taken, 1851 samples from rural, 365 from urban and 4834 from private resources. The results showed that Fecal coliforms , Escherichia coli ( E. coli ) had the widest distribution in all urban, rural and private water resources (22.3%, 45.9% and 34%, respectively). Moreover, E. coli (47.5%) and Klebsiella (0.4%) had, respectively, the highest and lowest distribution in all months considered. Based on the results, E.coli exists mostly in water resources; it is therefore of particular importance in the monitoring of water resources.

Health Resources and Strategies among Employed Women in Norway during Pregnancy and Early Motherhood

PubMed Central

Alstveit, Marit; Karlsen, Bjørg

2015-01-01

The number of women in paid employment is increasing. However, when becoming a mother for the first time, many seem unprepared for the challenge of balancing motherhood and work as well as for the impact on their health. The aim of this study was to investigate the health resources and strategies of employed women in Norway during pregnancy and early motherhood by means of salutogenic theory. A hypothetical-deductive interpretive approach based on Antonovsky's salutogenic theory was applied in a secondary analysis. A total of six themes were identified; three were classified as health resources when experiencing tension and three as health strategies. Salutogenic theory seems to be a useful framework for illuminating the health resources and strategies adopted by employed women who become mothers. The identified health resources when experiencing tension and the health strategies applied may have implications for maternity care professionals and employers in promoting the health of such women and supporting them to combine work and family life. PMID:25945258

77 FR 52322 - Agency Information Collection Activities; Submission to OMB for Review and Approval; Comment...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-29

... under the Resource Conservation and recovery Act (RCRA); employees working at routine hazardous waste... 10.69 hours per response. Burden means the total time, effort, or financial resources expended by...: Annually. Estimated Total Average Number of Responses for Each Respondent: 1. Estimated Total Annual Hour...

Resource-constrained scheduling with hard due windows and rejection penalties

NASA Astrophysics Data System (ADS)

Garcia, Christopher

2016-09-01

This work studies a scheduling problem where each job must be either accepted and scheduled to complete within its specified due window, or rejected altogether. Each job has a certain processing time and contributes a certain profit if accepted or penalty cost if rejected. There is a set of renewable resources, and no resource limit can be exceeded at any time. Each job requires a certain amount of each resource when processed, and the objective is to maximize total profit. A mixed-integer programming formulation and three approximation algorithms are presented: a priority rule heuristic, an algorithm based on the metaheuristic for randomized priority search and an evolutionary algorithm. Computational experiments comparing these four solution methods were performed on a set of generated benchmark problems covering a wide range of problem characteristics. The evolutionary algorithm outperformed the other methods in most cases, often significantly, and never significantly underperformed any method.

Resource Provisioning in SLA-Based Cluster Computing

NASA Astrophysics Data System (ADS)

Xiong, Kaiqi; Suh, Sang

Cluster computing is excellent for parallel computation. It has become increasingly popular. In cluster computing, a service level agreement (SLA) is a set of quality of services (QoS) and a fee agreed between a customer and an application service provider. It plays an important role in an e-business application. An application service provider uses a set of cluster computing resources to support e-business applications subject to an SLA. In this paper, the QoS includes percentile response time and cluster utilization. We present an approach for resource provisioning in such an environment that minimizes the total cost of cluster computing resources used by an application service provider for an e-business application that often requires parallel computation for high service performance, availability, and reliability while satisfying a QoS and a fee negotiated between a customer and the application service provider. Simulation experiments demonstrate the applicability of the approach.

Agricultural implications of providing soil-based constraints on urban expansion: Land use forecasts to 2050.

PubMed

Smidt, Samuel J; Tayyebi, Amin; Kendall, Anthony D; Pijanowski, Bryan C; Hyndman, David W

2018-07-01

Urbanization onto adjacent farmlands directly reduces the agricultural area available to meet the resource needs of a growing society. Soil conservation is a common objective in urban planning, but little focus has been placed on targeting soil value as a metric for conservation. This study assigns commodity and water storage values to the agricultural soils across all of the watersheds in Michigan's Lower Peninsula to evaluate how cities might respond to a soil conservation-based urbanization strategy. Land Transformation Model (LTM) simulations representing both traditional and soil conservation-based urbanization, are used to forecast urban area growth from 2010 to 2050 at five year intervals. The expansion of urban areas onto adjacent farmland is then evaluated to quantify the conservation effects of soil-based development. Results indicate that a soil-based protection strategy significantly conserves total farmland, especially more fertile soils within each soil type. In terms of revenue, ∼$88 million (in current dollars) would be conserved in 2050 using soil-based constraints, with the projected savings from 2011 to 2050 totaling more than $1.5 billion. Soil-based urbanization also increased urban density for each major metropolitan area. For example, there were 94,640 more acres directly adjacent to urban land by 2050 under traditional development compared to the soil-based urbanization strategy, indicating that urban sprawl was more tightly contained when including soil value as a metric to guide development. This study indicates that implementing a soil-based urbanization strategy would better satisfy future agricultural resource needs than traditional urban planning. Copyright © 2018. Published by Elsevier Ltd.

In search for instructional techniques to maximize the use of germane cognitive resources: A case of teaching complex tasks in physics

NASA Astrophysics Data System (ADS)

Sliva, Yekaterina

The purpose of this study was to introduce an instructional technique for teaching complex tasks in physics, test its effectiveness and efficiency, and understand cognitive processes taking place in learners' minds while they are exposed to this technique. The study was based primarily on cognitive load theory (CLT). CLT determines the amount of total cognitive load imposed on a learner by a learning task as combined intrinsic (invested in comprehending task complexity) and extraneous (wasteful) cognitive load. Working memory resources associated with intrinsic cognitive load are defined as germane resources caused by element interactivity that lead to learning, in contrast to extraneous working memory resources that are devoted to dealing with extraneous cognitive load. However, the amount of learner's working memory resources actually devoted to a task depends on how well the learner is engaged in the learning environment. Since total cognitive load has to stay within limits of working memory capacity, both extraneous and intrinsic cognitive load need to be reduced. In order for effective learning to occur, the use of germane cognitive resources should be maximized. In this study, the use of germane resources was maximized for two experimental groups by providing a learning environment that combined problem-solving procedure with prompts to self-explain with and without completion problems. The study tested three hypotheses and answered two research questions. The first hypothesis predicting that experimental treatments would reduce total cognitive load was not supported. The second hypothesis predicting that experimental treatments would increase performance was supported for the self-explanation group only. The third hypothesis that tested efficiency measure as adopted from Paas and van Merrienboer (1993) was not supported. As for the research question of whether the quality of self-explanations would change with time for the two experimental conditions, it was determined that time had a positive effect on such quality. The research question that investigated learners' attitudes towards the instructions revealed that experimental groups understood the main idea behind the suggested technique and positively reacted to it. The results of the study support the conclusions that (a) prompting learners to self-explain while independently solving problems can increase performance, especially on far transfer questions; (b) better performance is achieved in combination with increased mental effort; (c) self-explanations do not increase time on task; and (d) quality of self-explanations can be improved with time. Results based on the analyses of learners' attitudes further support that learners in the experimental groups understood the main idea behind the suggested techniques and positively reacted to them. The study also raised concern about application of efficiency formula for instructional conditions that increase both performance and mental effort in CLT. As a result, an alternative model was suggested to explain the relationship between performance and mental effort based on Yerkes-Dodson law (1908). Keywords: instructional design, cognitive load, complex tasks, problem-solving, self-explanation.

Scenario planning for water resource management in semi arid zone

NASA Astrophysics Data System (ADS)

Gupta, Rajiv; Kumar, Gaurav

2018-06-01

Scenario planning for water resource management in semi arid zone is performed using systems Input-Output approach of time domain analysis. This approach derived the future weights of input variables of the hydrological system from their precedent weights. Input variables considered here are precipitation, evaporation, population and crop irrigation. Ingles & De Souza's method and Thornthwaite model have been used to estimate runoff and evaporation respectively. Difference between precipitation inflow and the sum of runoff and evaporation has been approximated as groundwater recharge. Population and crop irrigation derived the total water demand. Compensation of total water demand by groundwater recharge has been analyzed. Further compensation has been evaluated by proposing efficient methods of water conservation. The best measure to be adopted for water conservation is suggested based on the cost benefit analysis. A case study for nine villages in Chirawa region of district Jhunjhunu, Rajasthan (India) validates the model.

Analytical resource assessment method for continuous (unconventional) oil and gas accumulations - The "ACCESS" Method

USGS Publications Warehouse

Crovelli, Robert A.; revised by Charpentier, Ronald R.

2012-01-01

The U.S. Geological Survey (USGS) periodically assesses petroleum resources of areas within the United States and the world. The purpose of this report is to explain the development of an analytic probabilistic method and spreadsheet software system called Analytic Cell-Based Continuous Energy Spreadsheet System (ACCESS). The ACCESS method is based upon mathematical equations derived from probability theory. The ACCESS spreadsheet can be used to calculate estimates of the undeveloped oil, gas, and NGL (natural gas liquids) resources in a continuous-type assessment unit. An assessment unit is a mappable volume of rock in a total petroleum system. In this report, the geologic assessment model is defined first, the analytic probabilistic method is described second, and the spreadsheet ACCESS is described third. In this revised version of Open-File Report 00-044 , the text has been updated to reflect modifications that were made to the ACCESS program. Two versions of the program are added as appendixes.

Community-Based Research among Marginalized HIV Populations: Issues of Support, Resources, and Empowerment

PubMed Central

Brondani, Mario; Moniri, Nardin R.; Kerston, R. Paul

2012-01-01

A research question was posed to us by a local HIV-resource organization interested in exploring the educational and service needs of those unreached. In order to properly address this inquiry, we developed a community-based participatory research by training peer-led volunteers to facilitate focus-group discussions within Aboriginal and refugees participants following an interview guide. We gathered Aboriginal people and refugees separated into three focus groups each, enrolling a total of 41 self-identified HIV-positive, 38 males. The discussions were tape recorded upon consent and lasted between 59 and 118 minutes. We analyzed the thematic information collected interactively through constant comparison. The qualitative data leading to categories, codes, and themes formed the basis for the spatial representation of a conceptual mapping. Both groups shared similar struggles in living with HIV and in properly accessing local nonmedical HIV resources and discussed their concerns towards the need for empowerment and support to take control of their health. PMID:22997513

The arctic water resource vulnerability index: An integrated assessment tool for community resilience and vulnerability with respect to freshwater

USGS Publications Warehouse

Alessa, L.; Kliskey, A.; Lammers, R.; Arp, C.; White, D.; Hinzman, L.; Busey, R.

2008-01-01

People in the Arctic face uncertainty in their daily lives as they contend with environmental changes at a range of scales from local to global. Freshwater is a critical resource to people, and although water resource indicators have been developed that operate from regional to global scales and for midlatitude to equatorial environments, no appropriate index exists for assessing the vulnerability of Arctic communities to changing water resources at the local scale. The Arctic Water Resource Vulnerability Index (AWRVI) is proposed as a tool that Arctic communities can use to assess their relative vulnerability-resilience to changes in their water resources from a variety of biophysical and socioeconomic processes. The AWRVI is based on a social-ecological systems perspective that includes physical and social indicators of change and is demonstrated in three case study communities/watersheds in Alaska. These results highlight the value of communities engaging in the process of using the AWRVI and the diagnostic capability of examining the suite of constituent physical and social scores rather than the total AWRVI score alone. ?? 2008 Springer Science+Business Media, LLC.

The arctic water resource vulnerability index: an integrated assessment tool for community resilience and vulnerability with respect to freshwater.

PubMed

Alessa, Lilian; Kliskey, Andrew; Lammers, Richard; Arp, Chris; White, Dan; Hinzman, Larry; Busey, Robert

2008-09-01

People in the Arctic face uncertainty in their daily lives as they contend with environmental changes at a range of scales from local to global. Freshwater is a critical resource to people, and although water resource indicators have been developed that operate from regional to global scales and for midlatitude to equatorial environments, no appropriate index exists for assessing the vulnerability of Arctic communities to changing water resources at the local scale. The Arctic Water Resource Vulnerability Index (AWRVI) is proposed as a tool that Arctic communities can use to assess their relative vulnerability-resilience to changes in their water resources from a variety of biophysical and socioeconomic processes. The AWRVI is based on a social-ecological systems perspective that includes physical and social indicators of change and is demonstrated in three case study communities/watersheds in Alaska. These results highlight the value of communities engaging in the process of using the AWRVI and the diagnostic capability of examining the suite of constituent physical and social scores rather than the total AWRVI score alone.

Measuring the wealth of nations.

PubMed

Hamilton, Kirk; Dixon, John A

2003-01-01

The sustainability of development is closely linked to changes in total per capita wealth. This paper presents estimates of the wealth of nations for nearly 100 countries, broken down into produced assets, natural resources and human resources. While the latter is the dominant form of wealth in virtually all countries, in low income natural resource exporters the share of natural resources in total wealth is equal to the share of produced assets. For low income countries in general, cropland forms the vast majority of natural wealth. The analysis suggests the process of development can be viewed as one of portfolio management: sustainable development entails saving the rents from exhaustible resources, managing renewable resources sustainably, and investing savings in both produced assets and human resources.

Percentile Distributions of Median Nitrite Plus Nitrate as Nitrogen, Total Nitrogen, and Total Phosphorus Concentrations in Oklahoma Streams, 1973-2001

USGS Publications Warehouse

Haggard, Brian E.; Masoner, Jason R.; Becker, Carol J.

2003-01-01

Nutrients are one of the primary causes of water-quality impairments in streams, lakes, reservoirs, and estuaries in the United States. The U.S. Environmental Protection Agency has developed regional-based nutrient criteria using ecoregions to protect streams in the United States from impairment. However, nutrient criteria were based on nutrient concentrations measured in large aggregated nutrient ecoregions with little relevance to local environmental conditions in states. The Oklahoma Water Resources Board is using a dichotomous process known as Use Support Assessment Protocols to define nutrient criteria in Oklahoma streams. The Oklahoma Water Resources Board is modifying the Use Support Assessment Protocols to reflect nutrient informa-tion and environmental characteristics relevant to Oklahoma streams, while considering nutrient information grouped by geographic regions based on level III ecoregions and state boundaries. Percentile distributions of median nitrite plus nitrate as nitrogen, total nitrogen, and total phosphorous concentrations were calculated from 563 sites in Oklahoma and 4 sites in Arkansas near the Oklahoma and Arkansas border to facilitate development of nutrient criteria for Oklahoma streams. Sites were grouped into four geographic regions and were categorized into eight stream categories by stream slope and stream order. The 50th percentiles of median nitrite plus nitrate as nitrogen, total nitrogen, and total phosphorus concentrations were greater in the Ozark Highland ecoregion and were less in the Ouachita Mountains ecoregion when compared to other geographic areas used to group sites. The 50th percentiles of median concentrations of nitrite plus nitrate as nitrogen, total nitrogen, and total phosphorus were least in first, second, and third order streams. The 50th percentiles of median nitrite plus nitrate as nitrogen, total nitrogen and total phosphorus concentrations in the Ozark Highland and Ouachita Mountains ecoregions were least in first, second, and third order streams with streams slopes greater than 17 feet per mile. Nitrite plus nitrate as nitrogen and total nitrogen criteria determined by the U.S. Environmental Protection Agency for the Ozark Highland ecoregion were less than the 25th percentiles of median nitrite plus nitrate as nitrogen, total nitrogen, and total phosphorus concentrations in the Ozark Highland ecoregion calculated for this report. Nitrite plus nitrate as nitrogen and total nitrogen criteria developed by the U.S. Environmental Protection Agency for the Ouachita Mountains ecoregion were similar to the 25th percentiles of median nitrite plus nitrate as nitrogen and total nitrogen concentrations in the Ouachita Mountains ecoregion calculated for this report. Nitrate as nitrogen and total phosphorus concentrations currently (2002) used in the Use Support Assessment Protocols for Oklahoma were greater than the 75th percentiles of median nitrite plus nitrate as nitrogen and total phosphorus concentrations calculated for this report.

Cost and implementation analysis of a personal digital assistant system for laboratory data collection.

PubMed

Blaya, J A; Gomez, W; Rodriguez, P; Fraser, H

2008-08-01

One hundred and twenty-six public health centers and laboratories in Lima, Peru, without internet. We have previously shown that a personal digital assistant (PDA) based system reduces data collection delays and errors for tuberculosis (TB) laboratory results when compared to a paper system. To assess the data collection efficiency of each system and the resources required to develop, implement and transfer the PDA-based system to a resource-poor setting. Time-motion study of data collectors using the PDA-based and paper systems. Cost analysis of developing, implementing and transferring the PDA-based system to a local organization and their redeployment of the system. Work hours spent collecting and processing results decreased by 60% (P < 0.001). Users perceived this decrease to be 70% and had no technical problems they failed to fix. The total cost and time to develop and implement the intervention was US$26092 and 22 weeks. The cost to extend the system to cover nine more districts was $1125 and to implement collecting patient weights was $4107. A PDA-based system drastically reduced the effort required to collect TB laboratory results from remote locations. With the framework described, open-source software and local development, organizations in resource-poor settings could reap the benefits of this technology.

[Transanal total mesorectal excision for rectal cancer - just a fashion trend?].

PubMed

Kala, Z; Skrovina, M; Procházka, V; Grolich, T; Klos, K

2014-12-01

Transanal total mesorectal excision performed using equipment for transanal minimally invasive surgery is an innovative surgical technique introduced to facilitate this procedure and to reach better oncosurgical outcomes in patients with low rectal cancer. This article presents a brief summary of guidelines for treatment of patients with low rectal carcinoma. Up-to-date information about the principles of this new method, its modifications and contemporary indications is presented. Based on their own experience and literature resources, the authors inform about the advantages, limitations and unresolved issues of minimally invasive transanal mesorectal excision.

ART TEACHING GUIDE--HAWAII, KINDERGARTEN THROUGH GRADE 12.

ERIC Educational Resources Information Center

VAN PIERA, LURENE H.; AND OTHERS

ART IS AN IMPORTANT PART OF A BALANCED PROGRAM FOR THE TOTAL CULTURAL DEVELOPMENT OF EVERY STUDENT. THIS MANUAL SUGGESTS RESOURCES FOR DEVELOPING AN EFFECTIVE ART PROGRAM. AN ART PROGRAM SHOULD BE BASED ON THE NEEDS, INTERESTS, AND EXPERIENCES OF THE PUPIL, THEREFORE, THIS GUIDE IS ORGANIZED BY ART AREAS RATHER THAN BY GRADE LEVEL. THIS MANUAL CAN…

Prevention of Addictive Behavior Based on the Formation of Teenagers' Resilience

ERIC Educational Resources Information Center

Zeleeva, Vera P.; Shubnikova, Ekaterina G.

2016-01-01

The relevance of the study is due to the development of a new stage of prevention and the need to justify new educational goals and objectives of the pedagogical prevention of addictive behavior in the educational environment. The purpose of this article is to examine the totality of the necessary and sufficient individual resources, that are…

Using a Recommender System and Hyperwave Attributes To Augment an Electronic Resource Library.

ERIC Educational Resources Information Center

Fenn, B.; Lennon, J.

There has been increasing interest over the past few years in systems that help users exchange recommendations about World Wide Web documents. Programs have ranged from those that rely totally on user pre-selection, to others that are based on artificial intelligence. This paper proposes a system that falls between these two extremes, providing…

Screening, management, and treatment of intimate partner violence among women in low-resource settings.

PubMed

Schwab-Reese, Laura M; Renner, Lynette M

2018-01-01

The prevention of intimate partner violence continues to be a high priority for health practitioners and researchers around the world. Screening practices and intervention efforts utilized within high- and/or middle-income areas may not translate effectively to low-resource areas due to differences in financial, social, and physical context. However, little is known about the evidence-base of intervention efforts in such areas. Using the Arksey and O'Malley framework for scoping reviews, the purpose of this review was to synthesize what is known about intimate partner violence screening, management, and treatment in low-resource areas. A total of 31 programs reported across 34 articles were included in this scoping review. The programs incorporated a range of intervention activities, including group-based education and skill-development combined with microfinance to screening and referral to community resources. Slightly less than half of the studies (n = 14) were randomized controlled trials or clustered randomized controlled trials. Many barriers were common across the programs, including limited financial support, lack of community support, and lack of coordination across programs. Despite considerable barriers related to the limited available resources, the literature base had many strengths, such as strong evaluation methodologies, inclusion of a theoretical or conceptual framework to guide the intervention, and community engagement before and during the intervention implementation. However, insufficient statistical power and barriers related to cultural differences or inadequate cultural sensitivity were also common. With a variety of barriers to program implementation noted within the articles, it is important for researchers and practitioners to consider the geographic, social, cultural, and economic contexts when implementing intimate partner violence programs in low-resource areas. Given the significant differences in context across low-resource areas, additional research to establish effective protocols for tailoring and implementing evidence-based programs using a community-engaged framework would be beneficial to future research and practice.

Cost of traumatic brain injury in New Zealand: evidence from a population-based study.

PubMed

Te Ao, Braden; Brown, Paul; Tobias, Martin; Ameratunga, Shanthi; Barker-Collo, Suzanne; Theadom, Alice; McPherson, Kathryn; Starkey, Nicola; Dowell, Anthony; Jones, Kelly; Feigin, Valery L

2014-10-28

We aimed to estimate from a societal perspective the 1-year and lifetime direct and indirect costs of traumatic brain injury (TBI) for New Zealand (NZ) in 2010 projected to 2020. An incidence-based cost of illness model was developed using data from the Brain Injury Outcomes New Zealand in the Community Study. Details of TBI-related resource use during the first 12 months after injury were obtained for 725 cases using resource utilization information from participant surveys and medical records. Total costs are presented in US dollars year 2010 value. In 2010, 11,301 first-ever TBI cases were estimated to have occurred in NZ; total first-year cost of all new TBI cases was estimated to be US $47.9 million with total prevalence costs of US $101.4 million. The average cost per new TBI case during the first 12 months and over a lifetime was US $5,922 (95% confidence interval [CI] $4,777-$7,858), varying from US $4,636 (95% CI $3,756-$5,561) for mild cases to US $36,648 (95% CI $16,348-$65,350) for moderate/severe cases. Because of the unexpectedly large number of mild TBI cases (95% of all TBI cases), the total cost of treating these cases is nearly 3 times that of moderate/severe. The total lifetime cost of all TBI survivors in 2010 was US $146.5 million and is expected to increase to US $177.1 million in 2020. The results suggest that there is an urgent need to develop effective interventions to prevent both mild and moderate/severe TBI. © 2014 American Academy of Neurology.

An epidemiological approach to mass casualty incidents in the Principality of Asturias (Spain).

PubMed

Castro Delgado, Rafael; Naves Gómez, Cecilia; Cuartas Álvarez, Tatiana; Arcos González, Pedro

2016-02-24

Mass Casualty Incidents (MCI) have been rarely studied from epidemiological approaches. The objective of this study is to establish the epidemiological profile of MCI in the autonomous region of the Principality of Asturias (Spain) and analyse ambulance deployment and severity of patients. This is a population-based prospective study run in 2014. Inclusion criteria for MCI is "every incident with four or more people affected that requires ambulance mobilisation". Thirty-nine MCI have been identified in Asturias in 2014. Thirty-one (79%) were road traffic accidents, three (7.5%) fires and five (12.8%) other types. Twenty-one incidents (56.7%) had four patients, and only three of them (8%) had seven or more patients. An average of 2.41 ambulances per incident were deployed (standard error = 0.18). Most of the patients per incident were minor injured patients (mean = 4; standard error = 0.2), and 0,26 were severe patients (standard error = 0.08). There was a positive significant correlation (p < 0.01) between the total number of patients and the total number of ambulances deployed and between the total number of patients and Advanced Life Support (ALS) ambulances deployed (p < 0.001). The total number of non-ALS ambulances was not related with the total number of patients. Population based research in MCI is essential to define MCI profile. Quantitative definition of MCI, adapted to resources, avoid selection bias and present a more accurate profile of MCI. As espected, road traffic accidents are the most frequent MCI in our region. This aspect is essential to plan training and response to MCI. Analysis of total response to MCI shows that for almost an hour, we should plan extra resources for daily emergencies. This data is an important issue to bear in mind when planning MCI response. The fact that most patients are classified as minor injured and more advanced life support units than needed are deployed shows that analysis of resources deployment and patient severity helps us to better plan future MCI response. Road traffic accidents with minor injured patients are the most frequent MCI in our region. More advanced life support units than needed have been initially deployed, which might compromise response to daily emergencies during an MCI.

Time-driven activity-based costing.

PubMed

Kaplan, Robert S; Anderson, Steven R

2004-11-01

In the classroom, activity-based costing (ABC) looks like a great way to manage a company's limited resources. But executives who have tried to implement ABC in their organizations on any significant scale have often abandoned the attempt in the face of rising costs and employee irritation. They should try again, because a new approach sidesteps the difficulties associated with large-scale ABC implementation. In the revised model, managers estimate the resource demands imposed by each transaction, product, or customer, rather than relying on time-consuming and costly employee surveys. This method is simpler since it requires, for each group of resources, estimates of only two parameters: how much it costs per time unit to supply resources to the business's activities (the total overhead expenditure of a department divided by the total number of minutes of employee time available) and how much time it takes to carry out one unit of each kind of activity (as estimated or observed by the manager). This approach also overcomes a serious technical problem associated with employee surveys: the fact that, when asked to estimate time spent on activities, employees invariably report percentages that add up to 100. Under the new system, managers take into account time that is idle or unused. Armed with the data, managers then construct time equations, a new feature that enables the model to reflect the complexity of real-world operations by showing how specific order, customer, and activity characteristics cause processing times to vary. This Tool Kit uses concrete examples to demonstrate how managers can obtain meaningful cost and profitability information, quickly and inexpensively. Rather than endlessly updating and maintaining ABC data,they can now spend their time addressing the deficiencies the model reveals: inefficient processes, unprofitable products and customers, and excess capacity.

Hot dry rock geothermal energy: status of exploration and assessment. Report No. 1 of the hot dry rock assessment panel

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

Not Available

1977-06-01

The status of knowledge of attempts to utilize hot dry rock (HDR) geothermal energy is summarized. It contains (1) descriptions or case histories of the ERDA-funded projects at Marysville, MT, Fenton Hill, NM, and Coso Hot Springs, CA; (2) a review of the status of existing techniques available for exploration and delineation of HDR; (3) descriptions of other potential HDR sites; (4) definitions of the probable types of HDR resource localities; and (5) an estimate of the magnitude of the HDR resource base in the conterminous United States. The scope is limited to that part of HDR resource assessment relatedmore » to the determination of the extent and character of HDR, with emphasis on the igneous-related type. It is estimated that approximately 74 Q (1 Q = 1,000 Quads) of heat is stored in these sites within the conterminous U.S. at depths less than 10 km and temperatures above 150/sup 0/C, the minimum for power generation. (Q = 10/sup 18/ BTU = 10/sup 21/J; the total U.S. consumption for 1972 was approximately 0.07 Q). Approximately 6300 Q are stored in the conduction-dominated parts of the crust in the western U.S. (23% of the total surface area), again at depths less than 10 km and temperatures above 150/sup 0/C. Nearly 10,000 Q are believed to be contained in crustal rocks underlying the entire conterminous U.S., at temperatures above 150/sup 0/C. The resource base is significantly larger for lower grade heat. (JGB)« less

Video Monitoring a Simulation-Based Quality Improvement Program in Bihar, India.

PubMed

Dyer, Jessica; Spindler, Hilary; Christmas, Amelia; Shah, Malay Bharat; Morgan, Melissa; Cohen, Susanna R; Sterne, Jason; Mahapatra, Tanmay; Walker, Dilys

2018-04-01

Simulation-based training has become an accepted clinical training andragogy in high-resource settings with its use increasing in low-resource settings. Video recordings of simulated scenarios are commonly used by facilitators. Beyond using the videos during debrief sessions, researchers can also analyze the simulation videos to quantify technical and nontechnical skills during simulated scenarios over time. Little is known about the feasibility and use of large-scale systems to video record and analyze simulation and debriefing data for monitoring and evaluation in low-resource settings. This manuscript describes the process of designing and implementing a large-scale video monitoring system. Mentees and Mentors were consented and all simulations and debriefs conducted at 320 Primary Health Centers (PHCs) were video recorded. The system design, number of video recordings, and inter-rater reliability of the coded videos were assessed. The final dataset included a total of 11,278 videos. Overall, a total of 2,124 simulation videos were coded and 183 (12%) were blindly double-coded. For the double-coded sample, the average inter-rater reliability (IRR) scores were 80% for nontechnical skills, and 94% for clinical technical skills. Among 4,450 long debrief videos received, 216 were selected for coding and all were double-coded. Data quality of simulation videos was found to be very good in terms of recorded instances of "unable to see" and "unable to hear" in Phases 1 and 2. This study demonstrates that video monitoring systems can be effectively implemented at scale in resource limited settings. Further, video monitoring systems can play several vital roles within program implementation, including monitoring and evaluation, provision of actionable feedback to program implementers, and assurance of program fidelity.

Selected chemical analyses of water from formations of Mesozoic and Paleozoic age in parts of Oklahoma, northern Texas, and Union County, New Mexico

USGS Publications Warehouse

Parkhurst, R.S.; Christenson, S.C.

1987-01-01

Hydrochemical data were compiled into a data base as part of the Central Midwest Regional Aquifer System Analysis project. The data consist of chemical analyses of water samples collected from wells that are completed in formations of Mesozoic and Paleozoic age. The data base includes data from the National Water Data Storage and Retrieval System, the Petroleum Data System, the National Uranium Resource Evaluation, and selected publications. Chemical analyses were selected for inclusion within the hydrochemical data base if the total concentration of the cations differed from the total 10 percent or less of the total concentration of all ions. Those analyses which lacked the necessary data for an ionic balance were included if the ratios of dissolved-solids concentration to specific conductance were between 0.55 and 0.75. The tabulated chemical analyses, grouped by county, and a statistical summary of the analyses, listed by geologic unit, are presented.

Deep eutectic solvent-based valorization of spent coffee grounds.

PubMed

Yoo, Da Eun; Jeong, Kyung Min; Han, Se Young; Kim, Eun Mi; Jin, Yan; Lee, Jeongmi

2018-07-30

Spent coffee grounds (SCGs) are viewed as a valuable resource for useful bioactive compounds, such as chlorogenic acids and flavonoids, and we suggest an eco-friendly and efficient valorization method. A series of choline chloride-based deep eutectic solvents (DESs) were tested as green extraction solvents for use with ultrasound-assisted extraction. Extraction efficiency was evaluated based on total phenolic content (TPC), total flavonoid content, total chlorogenic acids, and/or anti-oxidant activity. A binary DES named HC-6, which was composed of 1,6-hexanediol:choline chloride (molar ratio 7:1) was designed to produce the highest efficiency. Experimental conditions were screened and optimized for maximized efficiency using a two-level fractional factorial design and a central composite design, respectively. As a result, the proposed method presented significantly enhanced TPC and anti-oxidant activity. In addition, phenolic compounds could be easily recovered from extracts at high recovery yields (>90%) by adsorption chromatography. Copyright © 2018 Elsevier Ltd. All rights reserved.

Effect of Feeding Palm Oil By-Products Based Diets on Total Bacteria, Cellulolytic Bacteria and Methanogenic Archaea in the Rumen of Goats

PubMed Central

Abubakr, Abdelrahim; Alimon, Abdul Razak; Yaakub, Halimatun; Abdullah, Norhani; Ivan, Michael

2014-01-01

Rumen microorganisms are responsible for digestion and utilization of dietary feeds by host ruminants. Unconventional feed resources could be used as alternatives in tropical areas where feed resources are insufficient in terms of quality and quantity. The objective of the present experiment was to evaluate the effect of diets based on palm oil (PO), decanter cake (DC) or palm kernel cake (PKC) on rumen total bacteria, selected cellulolytic bacteria, and methanogenic archaea. Four diets: control diet (CD), decanter cake diet (DCD), palm kernel cake diet (PKCD) and CD plus 5% PO diet (CPOD) were fed to rumen cannulated goats and rumen samples were collected at the start of the experimental diets (day 0) and on days 4, 6, 8, 12, 18, 24 and 30 post dietary treatments. Feeding DCD and PKCD resulted in significantly higher (P<0.05) DNA copy number of total bacteria, Fibrobacter succinogenes, Ruminococcus flavefeciens, and Ruminococcus albus. Rumen methanogenic archaea was significantly lower (P<0.05) in goats fed PKCD and CPOD and the trend showed a severe reduction on days 4 and 6 post experimental diets. In conclusion, results indicated that feeding DCD and PKC increased the populations of cellulolytic bacteria and decreased the density of methanogenic archaea in the rumen of goats. PMID:24756125

Adaptive Management for Climate Change Impact for Water Sector in China

NASA Astrophysics Data System (ADS)

Xia, Jun

2013-04-01

China, as a larger developing country in the world, in facing to bigger challenges than before on wisely managing water resources to support rapidly socio-economic development in 2020 and beyond. China has a vast area of 9.6 million sq. km and relatively abundant water resources with ranked sixth in the world after Brazil, the Russian Federation, Canada, the United States and Indonesia in terms of absolute amount of annual runoff. However, given its large population of over 1.3 billion, China has a very low per capita amount (about one quarter of the world average) of water resources and, is therefore one of the countries with the most severe shortage of water in the world, particular North China. North China is one of very important regions in China. For this region, population has 0.437 billion in 2000 that occupies 35% of total in China, GDP reaches 386 billion US that is also 32% of total in China. Irrigation area of North China is 42% of total in China, and agricultural product has 40% of total in China. However, it is the most water shortage area in China. For instance, water resources per capita in Hai River Basin have only 270 cubic meters, which is only 1/7 of the national average and 1/24 of the world average. Water Resource Vulnerability under impact of both climate change and human activities are rather significantly. This presentation will focus on two issues: (1) how to screening climate changes impact to water sector, and how to quantify water resource vulnerability related to impact of climate change and human activity? (2) how to take adaptation & wisely manage water to changing environment on existing water projects and new water programme & water policy in China? A screening process for climate impact to water sector in North China was proposed. A new study on quantifying water resource vulnerability, based on three practical and workable, i.e., the use to availability ratio, water crowding and per capita water use, were developed. Four case studies in China are given as explanation of this study. The concept on good water governance was discussed. It was shown that: (1) climate change and human activity are two big issues to water sustainable use. Science & technology will play a key role on understanding & reduce risk; (2) Water policy, in China will had to shift from water quantity management into water quality management, and water supply management into water demand management. Improving Water Governance will be a priority on climate change adaptation.

Tridimensional modelling and resource estimation of the mining waste piles of São Domingos mine, Iberian Pyrite Belt, Portugal

NASA Astrophysics Data System (ADS)

Vieira, Alexandre; Matos, João; Lopes, Luis; Martins, Ruben

2016-04-01

Located in the Iberian Pyrite Belt (IPB) northern sector, near the Portuguese/Spanish border, the outcropping São Domingos deposit was mined since Roman time. Between 1854 and 1966 the Mason & Barry Company developed open pit excavation until 120 m depth and underground mining until 420 m depth. The São Domingos subvertical deposit is associated with felsic volcanics and black shales of the IPB Volcano-Sedimentary Complex and is represented by massive sulphide and stockwork ore (py, cpy, sph, ga, tt, aspy) and related supergene enrichment ore (hematite gossan and covellite/chalcocite). Different mine waste classes were mapped around the old open pit: gossan (W1), felsic volcanic and shales (W2), shales (W3) and mining waste landfill (W4). Using the LNEG (Portuguese Geological Survey) CONASA database (company historical mining waste characterization based on 162 shafts and 160 reverse circulation boreholes), a methodology for tridimensional modelling mining waste pile was followed, and a new mining waste resource is presented. Considering some constraints to waste removal, such as the Mina de São Domingos village proximity of the wastes, the industrial and archaeological patrimony (e.g., mining infrastructures, roman galleries), different resource scenarios were considered: unconditioned resources (total estimates) and conditioned resources (only the volumes without removal constraints considered). Using block modelling (SURPAC software) a mineral inferred resource of 2.38 Mt @ 0.77 g/t Au and 8.26 g/t Ag is estimated in unconditioned volumes of waste. Considering all evaluated wastes, including village areas, an inferred resource of 4.0 Mt @ 0.64 g/t Au and 7.30 g/t Ag is presented, corresponding to a total metal content of 82,878 oz t Au and 955,753 oz t Ag. Keywords. São Domingos mine, mining waste resources, mining waste pile modelling, Iberian Pyrite Belt, Portugal

Impact of the 2017 Solar Eclipse on Smart Grid

NASA Astrophysics Data System (ADS)

Reda, I.; Andreas, A.; Sengupta, M.; Habte, A.

2017-12-01

With the increasing interest in using solar energy as a major contributor to renewable energy utilization, and with the focus on using smart grids to optimize the use of electrical energy based on demand and resources from different locations, arises the need to know the Moon position in the sky with respect to the Sun. When a solar eclipse occurs, the Moon disk might totally or partially shade the Sun disk, which can affect the irradiance level from the sun disk, consequently, a resource on the grid is affected. The Moon position can then provide the smart grid users with information about potential total or partial solar eclipse at different locations in the grid, so that other resources on the grid can be directed where this might be needed when such phenomena occurs. At least five solar eclipses occur yearly at different locations on earth, they can last three hours or more depending on the location, which can have devastating effects on the smart grid users. On August 21, 2017 a partial solar eclipse will occur at the National Renewable Energy Laboratory in Golden, Colorado, USA. The solar irradiance will be measured during the eclipse and compared to the data generated by a model for validation.

Meat fatty acid and cholesterol level of free-range broilers fed on grasshoppers on alpine rangeland in the Tibetan Plateau.

PubMed

Sun, Tao; Liu, Zhiyun; Qin, Liping; Long, Ruijun

2012-08-30

Meat safety and nutrition are major concerns of consumers. The development of distinctive poultry production methods based on locally available natural resources is important. Grasshoppers are rich in important nutrients and occur in dense concentrations in most rangelands of northern China. Foraging chickens could be used to suppress grasshopper infestations. However, knowledge of the fatty acid content of meat from free-range broilers reared on alpine rangeland is required. Rearing conditions and diet did not significantly (P > 0.05) affect concentrations of saturated fatty acid (SFA), arachidonic acid, docosahexaenoic acid or the ratio of total n-6 to total n-3 fatty acids. Breast muscle of chickens that had consumed grasshoppers contained significantly (P < 0.05) less monounsaturated fatty acid, but the ratio of polyunsaturated fatty acids (PUFA)/SFA and contents of total n-3, total n-6 and PUFA were significantly (P > 0.05) higher than intensively reared birds. Compared with meat from intensively reared birds, meat from free-range broilers had less cholesterol and higher concentrations of total lipid and phospholipids. Chickens eating grasshoppers in rangeland produce superior quality meat and reduce the grasshopper populations that damage the pastures. This provides an economic system of enhanced poultry-meat production, which derives benefits from natural resources rather than artificial additives. Copyright © 2012 Society of Chemical Industry.

Total Petroleum Systems and Geologic Assessment of Oil and Gas Resources in the Powder River Basin Province, Wyoming and Montana

USGS Publications Warehouse

Anna, L.O.

2009-01-01

The U.S. Geological Survey completed an assessment of the undiscovered oil and gas potential of the Powder River Basin in 2006. The assessment of undiscovered oil and gas used the total petroleum system concept, which includes mapping the distribution of potential source rocks and known petroleum accumulations and determining the timing of petroleum generation and migration. Geologically based, it focuses on source and reservoir rock stratigraphy, timing of tectonic events and the configuration of resulting structures, formation of traps and seals, and burial history modeling. The total petroleum system is subdivided into assessment units based on similar geologic characteristics and accumulation and petroleum type. In chapter 1 of this report, five total petroleum systems, eight conventional assessment units, and three continuous assessment units were defined and the undiscovered oil and gas resources within each assessment unit quantitatively estimated. Chapter 2 describes data used in support of the process being applied by the U.S. Geological Survey (USGS) National Oil and Gas Assessment (NOGA) project. Digital tabular data used in this report and archival data that permit the user to perform further analyses are available elsewhere on this CD-ROM. Computers and software may import the data without transcription from the Portable Document Format files (.pdf files) of the text by the reader. Because of the number and variety of platforms and software available, graphical images are provided as .pdf files and tabular data are provided in a raw form as tab-delimited text files (.tab files).

[Assessment of resource situation of Collichthys lucidus in coastal waters of the Yangtze estuary].

PubMed

Hu, Yan; Zhang, Tao; Yang, Gang; Zhao, Feng; Hou, Jun-li; Zhang, Long-zhen; Zhuang, Ping

2015-09-01

In order to assess the resource status of Collichthys lucidus in coastal waters of Yangtze estuary, the growth and population parameters were studied by the length frequency distribution method based on the bottom trawl investigation data from 2012 to 2013. Von Bertalanffy growth parameters were calculated by using the ELEFAN module in FiSAT II software while the natural mortality rate (M) was estimated via Pauly's empirical equation. Besides, the Beverton-Holt dynamic model was developed to predict the variation trend of C. lucidus resource in coastal waters of Yangtze estuary. The results showed that in 2012-2013, a total of 4201 samples of C. lucidus with body lengths ranging from 18 to 155 mm were collected from the coastal waters of Yangtze estuary. The growth parameter (K) and limit length (L.) were 1.1 and 162.75 mm while the total mortality rate (Z), the natural mortality rate (M) and the fishing mortality rate (F) were 4.040, 1.683 and 2.357, respectively. Moreover, the current exploitation (E) of C. lucidus in coastal waters of Yangtze estuary was 0.583 per year, which was larger than Fopt (0.5). Corresponding to the average stock of 576.02 t, the resource amount of C. lucidus reached up to 1.33 x 10(8) individuals. These indicated that C. lucidus has been overfished in Yangtze estuary area.

Real world cost of human epidermal receptor 2-positive metastatic breast cancer patients: a longitudinal incidence-based observational costing study in the Netherlands and Belgium.

PubMed

Frederix, G W J; Severens, J L; Hövels, A M; van Hasselt, J G C; Hooiveld, M J J; Neven, P; Raaijmakers, J A M; Schellens, J H M

2015-05-01

Currently, no country-specific metastatic breast cancer (MBC) observational costing data are available for the Netherlands and Belgium. Our aim is to describe country-specific resource use and costs of human epidermal receptor 2 (HER-2)-positive MBC in the Netherlands and Belgium, making use of real-world data. The eligibility period for patient selection was from April 2004 to April 2010. Inclusion and retrospective data collection begins at the time of first diagnosis of HER-2-positive MBC during the eligibility period and ends 24 months post-index diagnosis of MBC or at patient death. We identified 88 eligible patients in the Netherlands and 44 patients in Belgium. The total costs of medical treatment and other resource use utilisation per patient was €48,301 in the Netherlands and €37,431 in Belgium. Majority of costs was related to the use of trastuzumab in both countries, which was 50% of the total costs in the Netherlands and 56% in Belgium respectively. Our study provides estimates of resource use and costs for HER-2-positive MBC in the Netherlands and Belgium. We noticed various differences in resource use patterns between both countries demonstrating caution is needed when transferring cost estimates between countries. © 2014 John Wiley & Sons Ltd.

Mineral deposit densities for estimating mineral resources

USGS Publications Warehouse

Singer, Donald A.

2008-01-01

Estimates of numbers of mineral deposits are fundamental to assessing undiscovered mineral resources. Just as frequencies of grades and tonnages of well-explored deposits can be used to represent the grades and tonnages of undiscovered deposits, the density of deposits (deposits/area) in well-explored control areas can serve to represent the number of deposits. Empirical evidence presented here indicates that the processes affecting the number and quantity of resources in geological settings are very general across many types of mineral deposits. For podiform chromite, porphyry copper, and volcanogenic massive sulfide deposit types, the size of tract that geologically could contain the deposits is an excellent predictor of the total number of deposits. The number of mineral deposits is also proportional to the type’s size. The total amount of mineralized rock is also proportional to size of the permissive area and the median deposit type’s size. Regressions using these variables provide a means to estimate the density of deposits and the total amount of mineralization. These powerful estimators are based on analysis of ten different types of mineral deposits (Climax Mo, Cuban Mn, Cyprus massive sulfide, Franciscan Mn, kuroko massive sulfide, low-sulfide quartz-Au vein, placer Au, podiform Cr, porphyry Cu, and W vein) from 108 permissive control tracts around the world therefore generalizing across deposit types. Despite the diverse and complex geological settings of deposit types studied here, the relationships observed indicate universal controls on the accumulation and preservation of mineral resources that operate across all scales. The strength of the relationships (R 2=0.91 for density and 0.95 for mineralized rock) argues for their broad use. Deposit densities can now be used to provide a guideline for expert judgment or used directly for estimating the number of most kinds of mineral deposits.

Online virtual cases to teach resource stewardship.

PubMed

Zhou, Linghong Linda; Tait, Gordon; Sandhu, Sharron; Steiman, Amanda; Lake, Shirley

2018-06-11

As health care costs rise, medical education must focus on high-value clinical decision making. To teach and assess efficient resource use in rheumatology, online virtual interactive cases (VICs) were developed to simulate real patient encounters to increase price transparency and reinforce cost consciousness. To teach and assess efficient resource use in rheumatology, online virtual interactive cases (VICs) were developed METHODS: The VIC modules were distributed to a sample of medical students and internal medicine residents, who were required to assess patients, order appropriate investigations, develop differential diagnoses and formulate management plans. Each action was associated with a time and price, with the totals compared against ideals. Trainees were evaluated not only on their diagnosis and patient management, but also on the total time, cost and value of their selected workup. Trainee responses were tracked anonymously, with opportunity to provide feedback at the end of each case. Seventeen medical trainees completed a total of 48 VIC modules. On average, trainees spent CAN $227.52 and 68 virtual minutes on each case, which was lower than expected. This may have been the result of a low management score of 52.4%, although on average 92.0% of participants in each case achieved the correct diagnosis. In addition, 85.7% felt more comfortable working up similar cases, and 57.1% believed that the modules increased their ability to appropriately order cost-conscious rheumatology investigations. Our initial assessment of the VIC rheumatology modules was positive, supporting their role as an effective tool in teaching an approach to rheumatology patients, with an emphasis on resource stewardship. Future directions include the expansion of cases, based on feedback, wider dissemination and an evaluation of learning retention. © 2018 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Blog and Podcast Watch: Neurologic Emergencies

PubMed Central

Grock, Andrew; Joshi, Nikita; Swaminathan, Anand; Rezaie, Salim; Gaafary, Chris; Lin, Michelle

2016-01-01

Introduction The WestJEM Blog and Podcast Watch presents high quality open-access educational blogs and podcasts in emergency medicine (EM) based on the ongoing ALiEM Approved Instructional Resources (AIR) and AIR-Professional series. Both series critically appraise resources using an objective scoring rubric. This installment of the Blog and Podcast Watch highlights the topic of neurologic emergencies from the AIR series. Methods The AIR series is a continuously building curriculum that follows the Council of Emergency Medicine Residency Director’s (CORD) annual testing schedule. For each module, relevant content is collected from the top 50 Social Media Index sites published within the previous 12 months, and scored by eight board members using five equally weighted measurement outcomes: Best Evidence in Emergency Medicine (BEEM) score, accuracy, educational utility, evidence based, and references. Resources scoring ≥30 out of 35 available points receive an AIR label. Resources scoring 27–29 receive an honorable mention label, if the executive board agrees that the post is accurate and educationally valuable. Results A total of 125 blog posts and podcasts were evaluated. Key educational pearls from the 14 AIR posts are summarized, and the 20 honorable mentions are listed. Conclusion The WestJEM Blog and Podcast Watch series is based on the AIR and AIR-Pro series, which attempts to identify high quality educational content on open-access blogs and podcasts. This series provides an expert-based, post-publication curation of educational social media content for EM clinicians with this installment focusing on neurologic emergencies. PMID:27833680

Blog and Podcast Watch: Neurologic Emergencies.

PubMed

Grock, Andrew; Joshi, Nikita; Swaminathan, Anand; Rezaie, Salim; Gaafary, Chris; Lin, Michelle

2016-11-01

The WestJEM Blog and Podcast Watch presents high quality open-access educational blogs and podcasts in emergency medicine (EM) based on the ongoing ALiEM Approved Instructional Resources (AIR) and AIR-Professional series. Both series critically appraise resources using an objective scoring rubric. This installment of the Blog and Podcast Watch highlights the topic of neurologic emergencies from the AIR series. The AIR series is a continuously building curriculum that follows the Council of Emergency Medicine Residency Director's (CORD) annual testing schedule. For each module, relevant content is collected from the top 50 Social Media Index sites published within the previous 12 months, and scored by eight board members using five equally weighted measurement outcomes: Best Evidence in Emergency Medicine (BEEM) score, accuracy, educational utility, evidence based, and references. Resources scoring ≥30 out of 35 available points receive an AIR label. Resources scoring 27-29 receive an honorable mention label, if the executive board agrees that the post is accurate and educationally valuable. A total of 125 blog posts and podcasts were evaluated. Key educational pearls from the 14 AIR posts are summarized, and the 20 honorable mentions are listed. The WestJEM Blog and Podcast Watch series is based on the AIR and AIR-Pro series, which attempts to identify high quality educational content on open-access blogs and podcasts. This series provides an expert-based, post-publication curation of educational social media content for EM clinicians with this installment focusing on neurologic emergencies.

Blog and Podcast Watch: Orthopedic Emergencies.

PubMed

Grock, Andrew; Rezaie, Salim; Swaminathan, Anand; Min, Alice; Shah, Kaushal H; Lin, Michelle

2017-04-01

The WestJEM Blog and Podcast Watch presents high quality open-access educational blogs and podcasts in emergency medicine (EM) based on the ongoing ALiEM Approved Instructional Resources (AIR) and AIR-Professional series. Both series critically appraise resources using an objective scoring rubric. This installment of the Blog and Podcast Watch highlights the topic of orthopedic emergencies from the AIR series. The AIR series is a continuously building curriculum that follows the Council of Emergency Medicine Residency Directors (CORD) annual testing schedule. For each module, relevant content is collected from the top 50 Social Media Index sites published within the previous 12 months, and scored by eight AIR board members using five equally weighted measurement outcomes: Best Evidence in Emergency Medicine (BEEM) score, accuracy, educational utility, evidence based, and references. Resources scoring ≥30 out of 35 available points receive an AIR label. Resources scoring 27-29 receive an honorable mention label, if the executive board agrees that the post is accurate and educationally valuable. A total of 87 blog posts and podcasts were evaluated. Key educational pearls from the three AIR posts and the 14 honorable mentions are summarized. The WestJEM Blog and Podcast Watch series is based on the AIR and AIR-Pro series, which attempts to identify high quality educational content on open-access blogs and podcasts. This series provides an expert-based, post-publication curation of educational social media content for EM clinicians with this installment focusing on orthopedic emergencies.

Blog and Podcast Watch: Orthopedic Emergencies

PubMed Central

Grock, Andrew; Rezaie, Salim; Swaminathan, Anand; Min, Alice; Shah, Kaushal H.; Lin, Michelle

2017-01-01

Introduction The WestJEM Blog and Podcast Watch presents high quality open-access educational blogs and podcasts in emergency medicine (EM) based on the ongoing ALiEM Approved Instructional Resources (AIR) and AIR-Professional series. Both series critically appraise resources using an objective scoring rubric. This installment of the Blog and Podcast Watch highlights the topic of orthopedic emergencies from the AIR series. Methods The AIR series is a continuously building curriculum that follows the Council of Emergency Medicine Residency Directors (CORD) annual testing schedule. For each module, relevant content is collected from the top 50 Social Media Index sites published within the previous 12 months, and scored by eight AIR board members using five equally weighted measurement outcomes: Best Evidence in Emergency Medicine (BEEM) score, accuracy, educational utility, evidence based, and references. Resources scoring ≥30 out of 35 available points receive an AIR label. Resources scoring 27–29 receive an honorable mention label, if the executive board agrees that the post is accurate and educationally valuable. Results A total of 87 blog posts and podcasts were evaluated. Key educational pearls from the three AIR posts and the 14 honorable mentions are summarized. Conclusion The WestJEM Blog and Podcast Watch series is based on the AIR and AIR-Pro series, which attempts to identify high quality educational content on open-access blogs and podcasts. This series provides an expert-based, post-publication curation of educational social media content for EM clinicians with this installment focusing on orthopedic emergencies. PMID:28435507

A multipurpose computing center with distributed resources

NASA Astrophysics Data System (ADS)

Chudoba, J.; Adam, M.; Adamová, D.; Kouba, T.; Mikula, A.; Říkal, V.; Švec, J.; Uhlířová, J.; Vokáč, P.; Svatoš, M.

2017-10-01

The Computing Center of the Institute of Physics (CC IoP) of the Czech Academy of Sciences serves a broad spectrum of users with various computing needs. It runs WLCG Tier-2 center for the ALICE and the ATLAS experiments; the same group of services is used by astroparticle physics projects the Pierre Auger Observatory (PAO) and the Cherenkov Telescope Array (CTA). OSG stack is installed for the NOvA experiment. Other groups of users use directly local batch system. Storage capacity is distributed to several locations. DPM servers used by the ATLAS and the PAO are all in the same server room, but several xrootd servers for the ALICE experiment are operated in the Nuclear Physics Institute in Řež, about 10 km away. The storage capacity for the ATLAS and the PAO is extended by resources of the CESNET - the Czech National Grid Initiative representative. Those resources are in Plzen and Jihlava, more than 100 km away from the CC IoP. Both distant sites use a hierarchical storage solution based on disks and tapes. They installed one common dCache instance, which is published in the CC IoP BDII. ATLAS users can use these resources using the standard ATLAS tools in the same way as the local storage without noticing this geographical distribution. Computing clusters LUNA and EXMAG dedicated to users mostly from the Solid State Physics departments offer resources for parallel computing. They are part of the Czech NGI infrastructure MetaCentrum with distributed batch system based on torque with a custom scheduler. Clusters are installed remotely by the MetaCentrum team and a local contact helps only when needed. Users from IoP have exclusive access only to a part of these two clusters and take advantage of higher priorities on the rest (1500 cores in total), which can also be used by any user of the MetaCentrum. IoP researchers can also use distant resources located in several towns of the Czech Republic with a capacity of more than 12000 cores in total.

Simulating and predicting snow and glacier meltwater to the runoff of the Upper Mekong River basin in Southwest China

NASA Astrophysics Data System (ADS)

Han, Z.; Long, D.; Hong, Y.

2017-12-01

Snow and glacier meltwater in cryospheric regions replenishes groundwater and reservoir storage and is critical to water supply, hydropower development, agricultural irrigation, and ecological integrity. Accurate simulating and predicting snow and glacier meltwater is therefore fundamental to develop a better understanding of hydrological processes and water resource management for alpine basins and its lower reaches. The Upper Mekong River (or the Lancang River in China) as one of the most important transboundary rivers originating from the Tibetan Plateau (TP), features active dam construction and complicated water resources allocation of the stakeholders. Confronted by both climate change and significant human activities, it is imperative to examine contributions of snow and glacier meltwater to the total runoff and how it will change in the near future. This will greatly benefit hydropower development in the upper reach of the Mekong and better water resources allocation and management across the relevant countries. This study aims to improve snowfall and snow water equivalent (SWE) simulation using improved methods, and combines both modeling skill and remote sensing (i.e., passive microwave-based SWE, and satellite gravimetry-based total water storage) to quantify the contributions of snow and glacier meltwater there. In addition, the runoff of the Lancang River under a range of climate change scenarios is simulated using the improved modeling scheme to evaluate how climate change will impact hydropower development in the upper reaches.

Hamiltonian identifiability assisted by single-probe measurement

NASA Astrophysics Data System (ADS)

Sone, Akira; Cappellaro, Paola; Quantum Engineering Group Team

2017-04-01

We study the Hamiltonian identifiability of a many-body spin- 1 / 2 system assisted by the measurement on a single quantum probe based on the eigensystem realization algorithm (ERA) approach employed in. We demonstrate a potential application of Gröbner basis to the identifiability test of the Hamiltonian, and provide the necessary experimental resources, such as the lower bound in the number of the required sampling points, the upper bound in total required evolution time, and thus the total measurement time. Focusing on the examples of the identifiability in the spin chain model with nearest-neighbor interaction, we classify the spin-chain Hamiltonian based on its identifiability, and provide the control protocols to engineer the non-identifiable Hamiltonian to be an identifiable Hamiltonian.

Educating patients about warfarin therapy using information technology: A survey on healthcare professionals’ perspectives

PubMed Central

Nasser, Sayeed; Mullan, Judy; Bajorek, Beata

Objective To explore healthcare professionals' views about the benefits and challenges of using information technology (IT) resources for educating patients about their warfarin therapy. Methods A cross-sectional survey of both community and hospital-based healthcare professionals (e.g., doctors, pharmacists and nurses) involved using a purpose-designed questionnaire. The questionnaires were distributed using a multi-modal approach to maximise response rates. Results Of the total 300 questionnaires distributed, 109 completed surveys were received (43.3% response rate). Over half (53.2%) of the healthcare participants were aged between 40-59 years, the majority (59.5%) of whom were female. Fifty nine (54.1%) participants reported having had no access to warfarin-specific IT-based patient education resources, and a further 19 (38.0%) of the participants who had IT-access reported that they never used such resources. According to the healthcare participants, the main challenges associated with educating their patients about warfarin therapy included: patient-related factors, such as older age, language barriers, cognitive impairments and/or ethnic backgrounds or healthcare professional factors, such as time constraints. The healthcare professionals reported that there were several aspects about warfarin therapy which they found difficult to educate their patients about which is why they identified computers and interactive touch screen kiosks as preferred IT devices to deliver warfarin education resources in general practices, hospital-based clinics and community pharmacies. At the same time, the healthcare professionals also identified a number of facilitators (e.g., to reinforce warfarin education, to offer reliable and easily comprehensible information) and barriers (e.g., time and costs of using IT resources, difficulty in operating the resources) that could impact on the effective implementation of these devices in educating patients about their warfarin therapy. Conclusions The findings of the study suggest that there is a need for improving healthcare professionals' use of, and access to IT-based warfarin education resources for patients. The study findings also suggest addressing the concerns raised by the healthcare professionals when implementing such IT resources successfully to help educate patients about their warfarin therapy. PMID:24155824

Instructional Media Production for Early Childhood Education: A. B. C. Jig-Saw Puzzle, a Model

ERIC Educational Resources Information Center

Yusuf, Mudashiru Olalere; Olanrewaju, Olatayo Solomon; Soetan, Aderonke K.

2015-01-01

In this paper, a. b. c. jig-saw puzzle was produced for early childhood education using local materials. This study was a production based type of research, to serve as a supplemental or total learning resource. Its production followed four phases of development referred to as information, design, production and evaluation. The storyboard cards,…

Performance Evaluation and Compensation for Public School Principals: Results from a National Survey

ERIC Educational Resources Information Center

Kimball, Steven M.; Heneman, Herbert G., III; Milanowski, Anthony

2007-01-01

This article reports on a national survey designed to learn how medium and large school districts are using standards-based leadership evaluation and related human resource management practices, such as pay for performance. Surveys were sent to all school districts in the United States with student populations 10,000 and over (total n=867).…

The Philippine Bases: Continuing Utility in a Changing Strategic Context,

DTIC Science & Technology

1980-02-01

economy. One study has shown that the total impact of such spending (local purchases , construction, wages to Filipinos, and various US private spending...results of research studies in selected areas of national strategy formulation and management of national security resources. Unless otherwise noted...NTENDINI WSJ.......: .3 Background .. . . . . . . . . . . . . . . . . .3 The Forward Strategy Concept ./..:*....**’* 5 The "Failback" Option to Gua

Appalachian basin oil and natural gas: stratigraphic framework, total petroleum systems, and estimated ultimate recovery: Chapter C.1 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

USGS Publications Warehouse

Ryder, Robert T.; Milici, Robert C.; Swezey, Christopher S.; Trippi, Michael H.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

The most recent U.S. Geological Survey (USGS) assessment of undiscovered oil and gas resources of the Appalachian basin was completed in 2002 (Milici and others, 2003). This assessment was based on the total petroleum system (TPS), a concept introduced by Magoon and Dow (1994) and developed during subsequent studies such as those by the U.S. Geological Survey World Energy Assessment Team (2000) and by Biteau and others (2003a,b). Each TPS is based on specific geologic elements that include source rocks, traps and seals, reservoir rocks, and the generation and migration of hydrocarbons. This chapter identifies the TPSs defined in the 2002 Appalachian basin oil and gas assessment and places them in the context of the stratigraphic framework associated with regional geologic cross sections D–D′ (Ryder and others, 2009, which was re-released in this volume, chap. E.4.1) and E–E′ (Ryder and others, 2008, which was re-released in this volume, chap. E.4.2). Furthermore, the chapter presents a recent estimate of the ultimate recoverable oil and natural gas in the basin.

Self-guaranteed measurement-based quantum computation

NASA Astrophysics Data System (ADS)

Hayashi, Masahito; Hajdušek, Michal

2018-05-01

In order to guarantee the output of a quantum computation, we usually assume that the component devices are trusted. However, when the total computation process is large, it is not easy to guarantee the whole system when we have scaling effects, unexpected noise, or unaccounted for correlations between several subsystems. If we do not trust the measurement basis or the prepared entangled state, we do need to be worried about such uncertainties. To this end, we propose a self-guaranteed protocol for verification of quantum computation under the scheme of measurement-based quantum computation where no prior-trusted devices (measurement basis or entangled state) are needed. The approach we present enables the implementation of verifiable quantum computation using the measurement-based model in the context of a particular instance of delegated quantum computation where the server prepares the initial computational resource and sends it to the client, who drives the computation by single-qubit measurements. Applying self-testing procedures, we are able to verify the initial resource as well as the operation of the quantum devices and hence the computation itself. The overhead of our protocol scales with the size of the initial resource state to the power of 4 times the natural logarithm of the initial state's size.

A game theory approach for assessing risk value and deploying search-and-rescue resources after devastating tsunamis.

PubMed

Wu, Cheng-Kuang

2018-04-01

The current early-warning system and tsunami protection measures tend to fall short because they always underestimate the level of destruction, and it is difficult to predict the level of damage by a devastating tsunami on uncertain targets. As we know, the key to minimizing the total number of fatalities after a disaster is the deployment of search and rescue efforts in the first few hours. However, the resources available to the affected districts for emergency response may be limited. This study proposes two game theoretic models that are designed for search-and-rescue resource allocation. First, the interactions between a compounded disaster and a response agent in the affected district are modelled as a non-cooperative game, after which the risk value is derived for each district from the Nash equilibrium. The risk value represents the threat, vulnerability, and consequence of a specific disaster for the affected district. Second, the risk values for fifteen districts are collected for calculation of each district's Shapley value. Then an acceptable plan for resource deployment among all districts is made based on their expected marginal contribution. The model is verified in a simulation based upon 2011 tsunami data. The experimental results show the proposed approach to be more efficient than the proportional division of rescue resources, for dealing with compounded disaster, and is feasible as a method for planning the mobilization of resources and to improve relief efforts against devastating tsunamis. Copyright © 2017 Elsevier Inc. All rights reserved.

Management of cryotherapy-ineligible women in a “screen-and-treat” cervical cancer prevention program targeting HIV-infected women in Zambia: Lessons from the field

PubMed Central

Pfaendler, Krista S.; Mwanahamuntu, Mulindi H.; Sahasrabuddhe, Vikrant V.; Mudenda, Victor; Stringer, Jeffrey S.A.; Parham, Groesbeck P.

2009-01-01

Objective We demonstrate the feasibility of implementing a referral and management system for cryotherapy-ineligible women in a “screen-and-treat” cervical cancer prevention program targeting HIV-infected women in Zambia. Methods We established criteria for patient referral, developed a training program for loop electrosurgical excision procedure (LEEP) providers, and adapted LEEP to a resource-constrained setting. Results We successfully trained 15 nurses to perform visual inspection with acetic acid (VIA) followed by immediate cryotherapy. Women with positive tests but ineligible for cryotherapy were referred for further evaluation. We trained four Zambian physicians to evaluate referrals, perform punch biopsy, LEEP, and manage intra-operative and post-operative complications. From January 2006 through October 2007, a total of 8823 women (41.5% HIV seropositive) were evaluated by nurses in outlying prevention clinics; of these, 1477 (16.7%) were referred for physician evaluation based on established criteria. Of the 875 (59.2% of 1147 referred) that presented for evaluation, 748 (8.4% of total screened) underwent histologic evaluation in the form of punch biopsy or LEEP. Complications associated with LEEP included anesthesia reaction (n=2) which spontaneously resolved, intra-operative (n=12) and post-operative (n=2) bleeding managed by local measures, and post-operative infection (n=12) managed with antibiotics. Conclusion With adaptations for a resource-constrained environment, we have demonstrated that performing LEEP is feasible and safe, with low rates of complications that can be managed locally. It is important to establish referral and management systems using LEEP-based excisional evaluation for women with cryotherapy-ineligible lesions in VIA-based “screen-and-treat” protocols nested within HIV-care programs in resource-constrained settings. PMID:18556050

Management of cryotherapy-ineligible women in a "screen-and-treat" cervical cancer prevention program targeting HIV-infected women in Zambia: lessons from the field.

PubMed

Pfaendler, Krista S; Mwanahamuntu, Mulindi H; Sahasrabuddhe, Vikrant V; Mudenda, Victor; Stringer, Jeffrey S A; Parham, Groesbeck P

2008-09-01

We demonstrate the feasibility of implementing a referral and management system for cryotherapy-ineligible women in a "screen-and-treat" cervical cancer prevention program targeting HIV-infected women in Zambia. We established criteria for patient referral, developed a training program for loop electrosurgical excision procedure (LEEP) providers, and adapted LEEP to a resource-constrained setting. We successfully trained 15 nurses to perform visual inspection with acetic acid (VIA) followed by immediate cryotherapy. Women with positive tests but ineligible for cryotherapy were referred for further evaluation. We trained four Zambian physicians to evaluate referrals, perform punch biopsy, LEEP, and manage intra-operative and post-operative complications. From January 2006 through October 2007, a total of 8823 women (41.5% HIV seropositive) were evaluated by nurses in outlying prevention clinics; of these, 1477 (16.7%) were referred for physician evaluation based on established criteria. Of the 875 (59.2% of 1147 referred) that presented for evaluation, 748 (8.4% of total screened) underwent histologic evaluation in the form of punch biopsy or LEEP. Complications associated with LEEP included anesthesia reaction (n=2) which spontaneously resolved, intra-operative (n=12) and post-operative (n=2) bleeding managed by local measures, and post-operative infection (n=12) managed with antibiotics. With adaptations for a resource-constrained environment, we have demonstrated that performing LEEP is feasible and safe, with low rates of complications that can be managed locally. It is important to establish referral and management systems using LEEP-based excisional evaluation for women with cryotherapy-ineligible lesions in VIA-based "screen-and-treat" protocols nested within HIV-care programs in resource-constrained settings.

Assessment of evidence-based practice among hospital pharmacists in Saudi Arabia: attitude, awareness, and practice.

PubMed

Al-Jazairi, Abdulrazaq S; Alharbi, Reem

2017-08-01

Background Many studies have previously looked at the perceptions, attitude, and use of Evidence-based Practice (EBP) among healthcare providers. However, limited data is available on the implementation of EBP among pharmacists in general, and Saudi Arabia in particular. Objective To evaluate the awareness, attitude, and practice of EBP among hospital practicing pharmacists in Saudi Arabia. Setting Secondary and tertiary care hospitals in Saudi Arabia with a bed capacity of ≥200 Methods This is a cross sectional, survey-based study where a validated selfadministrated questionnaire was utilized. Pharmacists working in secondary and tertiary care hospitals with a bed capacity of ≥200 were targeted. The descriptive data consisted of percentages for discrete and medians for continuous statistics. Results The survey was distributed to a total of 1136 pharmacists. Total number of respondents is 228 which represent a response rate of 20%. Most of them (75% median score = 8) have a positive attitude toward EBP. In addition to clinical expertise, only 48.6% of them were able to identify EBP resource as the second component of EBP concept, while only 1.7% of the respondents were able to identify patient preference as a third component. Lack of personal time, critical appraisal skills, and resources, (40%, 15.6% and 13.9% respectively) are considered as the major barriers to implementing EBP in pharmacy. Conclusion The majority of pharmacists in Saudi Arabia hold a positive attitude of EBP. Unfortunately, most of pharmacists do not consider patients' values as a component of EBP. The major barriers to practicing EBP are lack of personal time, critical appraisal skills, and resources availability.

Executive summary--2002 assessment of undiscovered oil and gas resources in the San Juan Basin Province, exclusive of Paleozoic rocks, New Mexico and Colorado: Chapter 1 in Total petroleum systems and geologic assessment of undiscovered oil and gas resources in the San Juan Basin Province, exclusive of Paleozoic rocks, New Mexico and Colorado

USGS Publications Warehouse

,

2013-01-01

In 2002, the U.S. Geological Survey (USGS) estimated undiscovered oil and gas resources that have the potential for additions to reserves in the San Juan Basin Province (5022), New Mexico and Colorado (fig. 1). Paleozoic rocks were not appraised. The last oil and gas assessment for the province was in 1995 (Gautier and others, 1996). There are several important differences between the 1995 and 2002 assessments. The area assessed is smaller than that in the 1995 assessment. This assessment of undiscovered hydrocarbon resources in the San Juan Basin Province also used a slightly different approach in the assessment, and hence a number of the plays defined in the 1995 assessment are addressed differently in this report. After 1995, the USGS has applied a total petroleum system (TPS) concept to oil and gas basin assessments. The TPS approach incorporates knowledge of the source rocks, reservoir rocks, migration pathways, and time of generation and expulsion of hydrocarbons; thus the assessments are geologically based. Each TPS is subdivided into one or more assessment units, usually defined by a unique set of reservoir rocks, but which have in common the same source rock. Four TPSs and 14 assessment units were geologically evaluated, and for 13 units, the undiscovered oil and gas resources were quantitatively assessed.

Evolution of complexity in a resource-based model

NASA Astrophysics Data System (ADS)

Fernández, Lenin; Campos, Paulo R. A.

2017-02-01

Through a resource-based modelling the evolution of organismal complexity is studied. In the model, the cells are characterized by their metabolic rates which, together with the availability of resource, determine the rate at which they divide. The population is structured in groups. Groups are also autonomous entities regarding reproduction and propagation, and so they correspond to a higher biological organization level. The model assumes reproductive altruism as there exists a fitness transfer from the cell level to the group level. Reproductive altruism comes about by inflicting a higher energetic cost to cells belonging to larger groups. On the other hand, larger groups are less prone to extinction. The strength of this benefit arising from group augmentation can be tuned by the synergistic parameter γ. Through extensive computer simulations we make a thorough exploration of the parameter space to find out the domain in which the formation of larger groups is allowed. We show that formation of small groups can be obtained for a low level of synergy. Larger group sizes can only be attained as synergistic interactions surpass a given level of strength. Although the total resource influx rate plays a key role in determining the number of groups coexisting at the equilibrium, its function on driving group size is minor. On the other hand, how the resource is seized by the groups matters.

Water Resources of Rapides Parish

USGS Publications Warehouse

Griffith, J.M.

2009-01-01

Rapides Parish, located in central Louisiana, contains fresh groundwater and surface-water resources. In 2005, about 443 million gallons per day (Mgal/d) were withdrawn from water sources in Rapides Parish. About 92 percent (409 Mgal/d) was withdrawn from surface water, and 8 percent (34 Mgal/d) was withdrawn from groundwater. Withdrawals for power generation accounted for 91 percent (403 Mgal/d) of the total water withdrawn. Withdrawals for other uses included public supply (27 Mgal/d), irrigation (9 Mgal/d), and aquaculture (3 Mgal/d). Water withdrawals in the parish generally increased from 1960 to 1995 and decreased from 1995 to 2005. This fact sheet summarizes basic information on the water resources of Rapides Parish, La. Information on groundwater and surface-water availability, quality, development, use, and trends is based on previously published reports listed in the references section.

The role of the U.S. Geological Survey in the lithium industry

USGS Publications Warehouse

Vine, J.D.

1978-01-01

The U.S. Geological Survey has responsibility in the U.S. Department of the Interior to assess the nation's energy and mineral resources. The evaluation of reserves and resources of a commodity such as lithium should be a continuing process in the light of advancing technology and ever-growing knowledge of its geologic occurrence and geochemical behavior. Although reserves of lithium vary with market demand because of the investment required to find, develop, and appraise an ore body, total resources are a function of the geologic occurrence and geochemical behavior of lithium. By studying known deposits and publishing data on their origin and occurrence, the U.S. Geological Survey can aid in the discovery of new deposits and improve the resource base. Resource data are used both by the government and the private sector. Government funding for research on energy-related technologies such as electric vehicle batteries and fusion power requires assurance that there will be enough lithium available in time for commercialization. Questions of availability for all mineral commodities must be answered by the U.S. Geological Survey so that intelligent decisions can be made. ?? 1978.

Blue and green water use of cultivating selected crops in Malaysia

NASA Astrophysics Data System (ADS)

Harun, Siti Norliyana; Hanafiah, Marlia M.

2018-04-01

Sustainability of water resources should be a concern parallel to the fast pace of economic development. This study was conducted to estimate the total water consumption of growing 9 crops in Peninsular Malaysia which divided into two category of crops; fruits and vegetables, i.e. mandarin, banana, mango, pineapple, watermelon, cucumber, eggplant, green bean and lettuce. The water footprint of these crops was estimated based on 9 years data of climate and crop (2005-2013). The crop water use was determined using CROPWAT 8.0 model and Penman-Monteith equation. It was found that the green water footprint for cultivating 9 crops was higher compared to blue water footprint. The blue water footprint ranged from 20.97m3/ton to 197.84m3/ton, whereas the green water footprint ranged from 129.8m3/ton to 1586.2m3/ton. Banana has the highest total water footprint (1717.10m3/ton) and the lowest total water footprint was obtained for cucumber (175.07m3/ton). In conclusion, water consumption for cultivating agricultural crops will accelerate the competition on the consumption of clean water with the other sectors. However, the availability of water resource in Peninsular Malaysia is still sufficient to fulfill the demands for water at the present time. Further study should include grey water as well as an indicator for water quality to help in assessing the sustainable, efficient and equitable use of water resources.

Systematic review of the empirical investigation of resources to support decision-making regarding BRCA1 and BRCA2 genetic testing in women with breast cancer.

PubMed

Grimmett, Chloe; Pickett, Karen; Shepherd, Jonathan; Welch, Karen; Recio-Saucedo, Alejandra; Streit, Elke; Seers, Helen; Armstrong, Anne; Cutress, Ramsey I; Evans, D Gareth; Copson, Ellen; Meiser, Bettina; Eccles, Diana; Foster, Claire

2018-05-01

Identify existing resources developed and/or evaluated empirically in the published literature designed to support women with breast cancer making decisions regarding genetic testing for BRCA1/2 mutations. Systematic review of seven electronic databases. Studies were included if they described or evaluated resources that were designed to support women with breast cancer in making a decision to have genetic counselling or testing for familial breast cancer. Outcome and process evaluations, using any type of study design, as well as articles reporting the development of decision aids, were eligible for inclusion. Total of 9 publications, describing 6 resources were identified. Resources were effective at increasing knowledge or understanding of hereditary breast cancer. Satisfaction with resources was high. There was no evidence that any resource increased distress, worry or decisional conflict. Few resources included active functionalities for example, values-based exercises, to support decision-making. Tailored resources supporting decision-making may be helpful and valued by patients and increase knowledge of hereditary breast cancer, without causing additional distress. Clinicians should provide supportive written information to patients where it is available. However, there is a need for robustly developed decision tools to support decision-making around genetic testing in women with breast cancer. Copyright © 2017 Elsevier B.V. All rights reserved.

Direct medical costs associated with atopic diseases among young children in Thailand.

PubMed

Ngamphaiboon, Jarungchit; Kongnakorn, Thitima; Detzel, Patrick; Sirisomboonwong, Krittawan; Wasiak, Radek

2012-01-01

Allergic diseases are the most common childhood illness in Thailand. Their prevalence has been rising over time, with several studies having revealed substantial economic burden. However, no such study had yet been conducted for Thailand. The aim of this study was to estimate direct medical costs associated with atopic diseases among children aged 0-5 years in Thailand. A cost-of-illness model was constructed to estimate the total direct medical costs of atopic diseases comprising atopic dermatitis, chronic rhinitis, asthma (i.e., recurrent wheeze), and cow's milk allergy. The model employed a prevalence-based approach, considering a total number of atopic cases in 2010. Direct medical costs were estimated using a bottom-up analysis with the estimation of the quantity of healthcare resource use and the unit costs. Epidemiological data were obtained from literature and Thai surveys, whereas treatment unit costs were from either a hospital database or Thai standard cost list. Expert opinion informed type, frequency, and quantity of medical resources utilized. Key limitations included lack of data-driven evidences on severity distribution for this particular age group, indirect costs, and medical resource use associated with each condition. Total direct cost was estimated to be THB 27.8 billion (US$899 million). Treatments contributed largest to the total costs (46%), followed by inpatient care (37%), outpatient care (12%), and monitoring and labs (5%). Costs per treated patient were highest in cow's milk allergy (THB 64,383; US$2077), followed by rhinitis (THB 12,669; US$409), asthma (THB 9633; US$312), and atopic dermatitis (THB 5432; US$175). Atopic diseases in young children are associated with substantial burden in direct medical costs to Thailand. These costs can be diminished through nutritional intervention recognized to effectively decrease the incidence of atopic diseases.

Outcomes of online support and resources for cancer survivors: a systematic literature review.

PubMed

Hong, Yan; Peña-Purcell, Ninfa C; Ory, Marcia G

2012-03-01

This study aims to review systematically the available literature on health outcomes of online cancer support and resources. We searched major databases with the following selection criteria: (1) empirical study on use of online support or resources by cancer survivors, (2) reporting effects or outcomes of online support or resources, (3) focusing on adult cancer survivors, and (4) peer-reviewed articles published by 2010. A total of 24 studies (37 articles) were included in the review. Most studies were focused on breast cancer survivors and had small sample sizes. Fifteen studies employed a cross-sectional design including eight qualitative studies. Only five studies used pre-post design, and four employed RCT design. The outcome measures have focused on psychosocial effects; most studies reported positive effects, although none of the RCT studies reported significant outcomes. Existing studies of online cancer support and resources have demonstrated preliminary but inconclusive evidence for positive outcomes. We call for additional studies with rigorous study designs and the inclusion of more diverse participants and cancer conditions. Connecting diverse cancer survivors to culturally appropriate, evidence-based online support and resources is a strategy to enhance health outcomes. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Adaptive significance of the Indian caste system: an ecological perspective.

PubMed

Gadgil, M; Malhotra, K C

1983-01-01

Indian society is an agglomeration of several thousand endogamous groups or castes each with a restricted geographical range and a hereditarily determined mode of subsistence. These reproductively isolated castes may be compared to biological species, and the society thought of as a biological community with each caste having its specific ecological niche. In this paper we examine the ecological-niche relationships of castes which are directly dependent on natural resources. Evidence is presented to show that castes living together in the same region had so organized their pattern of resource use as to avoid excessive intercaste competition for limiting resources. Furthermore, territorial division of the total range of the caste regulated intra-caste competition. Hence, a particular plant or animal resource in a given locality was used almost exclusively by a given lineage within a caste generation after generation. This favoured the cultural evolution of traditions ensuring sustainable use of natural resources. This must have contributed significantly to the stability of Indian caste society over several thousand years. The collapse of the base of natural resources and increasing monetarization of the economy has, however, destroyed the earlier complementarity between the different castes and led to increasing conflicts between them in recent years.

Exploring nutrition education resources and barriers, and nutrition knowledge in teachers in California.

PubMed

Jones, Anna Marie; Zidenberg-Cherr, Sheri

2015-01-01

To determine barriers to nutrition education, nutrition education resources used, and the relationship between nutrition knowledge and whether public school teachers in California teach nutrition in the classroom. A total of 102 teachers in California participated in a Web-based survey about nutrition education barriers, resources used to plan nutrition lessons, and factors that would encourage inclusion of nutrition. A validated questionnaire was used to assess nutrition knowledge. Analyses included ordinary least-squares regression. Common barriers were lack of instructional time and unrelated subject. Teachers were unaware of many nutrition education resources. Nutrition knowledge was not associated with nutrition lessons but was positively associated with teaching high school (β = 5.13; P < .05) and female gender (β = 6.78; P < .05), and negatively associated with identifying as Hispanic or Latino (β = -15.50; P < .001). Barriers of time and lack of unrelated subject matter are difficult to address but lack of awareness of resources indicates that promotion of existing resources may encourage teachers to provide nutrition education. Larger studies are needed to determine whether this holds true in a broader sample. Copyright © 2015 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

Global-scale modeling of groundwater recharge

NASA Astrophysics Data System (ADS)

Döll, P.; Fiedler, K.

2008-05-01

Long-term average groundwater recharge, which is equivalent to renewable groundwater resources, is the major limiting factor for the sustainable use of groundwater. Compared to surface water resources, groundwater resources are more protected from pollution, and their use is less restricted by seasonal and inter-annual flow variations. To support water management in a globalized world, it is necessary to estimate groundwater recharge at the global scale. Here, we present a best estimate of global-scale long-term average diffuse groundwater recharge (i.e. renewable groundwater resources) that has been calculated by the most recent version of the WaterGAP Global Hydrology Model WGHM (spatial resolution of 0.5° by 0.5°, daily time steps). The estimate was obtained using two state-of-the-art global data sets of gridded observed precipitation that we corrected for measurement errors, which also allowed to quantify the uncertainty due to these equally uncertain data sets. The standard WGHM groundwater recharge algorithm was modified for semi-arid and arid regions, based on independent estimates of diffuse groundwater recharge, which lead to an unbiased estimation of groundwater recharge in these regions. WGHM was tuned against observed long-term average river discharge at 1235 gauging stations by adjusting, individually for each basin, the partitioning of precipitation into evapotranspiration and total runoff. We estimate that global groundwater recharge was 12 666 km3/yr for the climate normal 1961-1990, i.e. 32% of total renewable water resources. In semi-arid and arid regions, mountainous regions, permafrost regions and in the Asian Monsoon region, groundwater recharge accounts for a lower fraction of total runoff, which makes these regions particularly vulnerable to seasonal and inter-annual precipitation variability and water pollution. Average per-capita renewable groundwater resources of countries vary between 8 m3/(capita yr) for Egypt to more than 1 million m3/(capita yr) for the Falkland Islands, the global average in the year 2000 being 2091 m3/(capita yr). Regarding the uncertainty of estimated groundwater resources due to the two precipitation data sets, deviation from the mean is 1.1% for the global value, and less than 1% for 50 out of the 165 countries considered, between 1 and 5% for 62, between 5 and 20% for 43 and between 20 and 80% for 10 countries. Deviations at the grid scale can be much larger, ranging between 0 and 186 mm/yr.

Global-scale modeling of groundwater recharge

NASA Astrophysics Data System (ADS)

Döll, P.; Fiedler, K.

2007-11-01

Long-term average groundwater recharge, which is equivalent to renewable groundwater resources, is the major limiting factor for the sustainable use of groundwater. Compared to surface water resources, groundwater resources are more protected from pollution, and their use is less restricted by seasonal and inter-annual flow variations. To support water management in a globalized world, it is necessary to estimate groundwater recharge at the global scale. Here, we present a best estimate of global-scale long-term average diffuse groundwater recharge (i.e. renewable groundwater resources) that has been calculated by the most recent version of the WaterGAP Global Hydrology Model WGHM (spatial resolution of 0.5° by 0.5°, daily time steps). The estimate was obtained using two state-of-the art global data sets of gridded observed precipitation that we corrected for measurement errors, which also allowed to quantify the uncertainty due to these equally uncertain data sets. The standard WGHM groundwater recharge algorithm was modified for semi-arid and arid regions, based on independent estimates of diffuse groundwater recharge, which lead to an unbiased estimation of groundwater recharge in these regions. WGHM was tuned against observed long-term average river discharge at 1235 gauging stations by adjusting, individually for each basin, the partitioning of precipitation into evapotranspiration and total runoff. We estimate that global groundwater recharge was 12 666 km3/yr for the climate normal 1961-1990, i.e. 32% of total renewable water resources. In semi-arid and arid regions, mountainous regions, permafrost regions and in the Asian Monsoon region, groundwater recharge accounts for a lower fraction of total runoff, which makes these regions particularly vulnerable to seasonal and inter-annual precipitation variability and water pollution. Average per-capita renewable groundwater resources of countries vary between 8 m3/(capita yr) for Egypt to more than 1 million m3/(capita yr) for the Falkland Islands, the global average in the year 2000 being 2091 m3/(capita yr). Regarding the uncertainty of estimated groundwater resources due to the two precipitation data sets, deviation from the mean is less than 1% for 50 out of the 165 countries considered, between 1 and 5% for 62, between 5 and 20% for 43 and between 20 and 80% for 10 countries. Deviations at the grid scale can be much larger, ranging between 0 and 186 mm/yr.

Geologic assessments and characterization of marine sand resources - Gulf of Mexico region

USGS Publications Warehouse

Williams, S. Jeffress; Cichon, Helana A.

1993-01-01

The U.S. Geological Survey conducts geologic surveys and research in marine areas of the United States and its territories and possessions. An objective in some of the investigations is locating and evaluating marine sand and gravel resources and interpretation of the origins of the sand body deposits. Results from such studies over the past 30 years show that many extremely large deposits are located close to expanding metropolitan areas, which have a need for aggregate materials for construction, and near-developed coastal areas, where beach replenishment may be used to mitigate coastal erosion. The Gulf of Mexico continental shelf from the Florida Peninsula to the Mexico border is an enormous area, but little attention has been directed on sand and gravel resources. Based on limited surveys, the total sand and gravel resources for the entire Gulf of Mexico is estimated to be 269 billion cubic meters. However, the sand tends to be fine-grained and is often mixed with mud; gravel deposits, except for shell, are mostly nonexistent.

Warming and Resource Availability Shift Food Web Structure and Metabolism

PubMed Central

O'Connor, Mary I.; Piehler, Michael F.; Leech, Dina M.; Anton, Andrea; Bruno, John F.

2009-01-01

Climate change disrupts ecological systems in many ways. Many documented responses depend on species' life histories, contributing to the view that climate change effects are important but difficult to characterize generally. However, systematic variation in metabolic effects of temperature across trophic levels suggests that warming may lead to predictable shifts in food web structure and productivity. We experimentally tested the effects of warming on food web structure and productivity under two resource supply scenarios. Consistent with predictions based on universal metabolic responses to temperature, we found that warming strengthened consumer control of primary production when resources were augmented. Warming shifted food web structure and reduced total biomass despite increases in primary productivity in a marine food web. In contrast, at lower resource levels, food web production was constrained at all temperatures. These results demonstrate that small temperature changes could dramatically shift food web dynamics and provide a general, species-independent mechanism for ecological response to environmental temperature change. PMID:19707271

Porphyry copper assessment of the Tibetan Plateau, China: Chapter F in Global mineral resource assessment

USGS Publications Warehouse

Ludington, Steve; Hammarstrom, Jane M.; Robinson, Gilpin R.; Mars, John L.; Miller, Robert J.

2012-01-01

Assessment results, presented in tables and graphs, show mean expected amounts of metal and rock in undiscovered deposits at different quantile levels, as well as the arithmetic mean for each tract. This assessment estimated a mean of 39 undiscovered porphyry copper deposits within the assessed permissive tracts on the Tibetan Plateau. This represents nearly four times the number of known deposits (11) already discovered. Predicted mean (arithmetic) resources that could be associated with the undiscovered deposits are about 145,000,000 t of copper and about 4,900 t of gold, as well as byproduct molybdenum and silver. Reliable reports of the identified resources in the 11 known deposits total about 27,000,000 t of copper and about 800 t of gold. Therefore, based on the assessments of undiscovered Tibetan Plateau resources in this report, about six times as much copper may occur in undiscovered porphyry copper deposits as has been identified to date.

Tampa Bay environmental atlas

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

Kunneke, J.T.; Palik, T.F.

1984-12-01

Biological and water resource data for Tampa Bay were compiled and mapped at a scale of 1:24,000. This atlas consists of (1) composited information overlain on 18 biological and 20 water resource base maps and (2) an accompanying map narrative. Subjects mapped on the water resource maps are contours of the mean middepth specific conductivity which can be converted to salinity; bathymetry, sediments, tidal currents, the freshwater/saltwater interface, dredge spoil disposal sites; locations of industrial and municipal point source discharges, tide stations, and water quality sampling stations. The point source discharge locations show permitted capacity and the water quality samplingmore » stations show 5-year averages for chlorophyll, conductivity, turbidity, temperature, and total nitrogen. The subjects shown on the biological resource maps are clam and oyster beds, shellfish harvest areas, colonial bird nesting sites, manatee habitat, seagrass beds and artificial reefs. Spawning seasons, nursery habitats, and adult habitats are identified for major fish species. The atlas will provide useful information for coastal planning and management in Tampa Bay.« less

The socioeconomic costs of mental illness in Spain.

PubMed

Oliva-Moreno, Juan; López-Bastida, Julio; Montejo-González, Angel Luis; Osuna-Guerrero, Rubén; Duque-González, Beatriz

2009-10-01

Mental illness affects a large number of people in the world, seriously impairing their quality of life and resulting in high socioeconomic costs for health care systems and society. Our aim is to estimate the socioeconomic impact of mental illness in Spain for the year 2002, including health care resources, informal care and loss of labour productivity. A prevalence-based approach was used to estimate direct medical costs, direct non-medical costs, and loss of labour productivity. The total costs of mental illness have been estimated at 7,019 million euros. Direct medical costs represented 39.6% of the total costs and 7.3% of total public healthcare expenditure in Spain. Informal care costs represented 17.7% of the total costs. Loss of labour productivity accounted for 42.7% of total costs. In conclusion, the costs of mental illness in Spain make a considerable economic impact from a societal perspective.

Developing web-based training for public health practitioners: what can we learn from a review of five disciplines?

PubMed Central

Ballew, Paula; Castro, Sarah; Claus, Julie; Kittur, Nupur; Brennan, Laura; Brownson, Ross C.

2013-01-01

During a time when governmental funding, resources and staff are decreasing and travel restrictions are increasing, attention to efficient methods of public health workforce training is essential. A literature review was conducted to inform the development and delivery of web-based trainings for public health practitioners. Literature was gathered and summarized from five disciplines: Information Technology, Health, Education, Business and Communications, following five research themes: benefits, barriers, retention, promotion and evaluation. As a result, a total of 138 articles relevant to web-based training design and implementation were identified. Key recommendations emerged, including the need to conduct formative research and evaluation, provide clear design and layout, concise content, interactivity, technical support, marketing and promotion and incentives. We conclude that there is limited application of web-based training in public health. This review offers an opportunity to learn from other disciplines. Web-based training methods may prove to be a key training strategy for reaching our public health workforce in the environment of limited resources. PMID:22987862

Two-stage stochastic unit commitment model including non-generation resources with conditional value-at-risk constraints

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

Huang, Yuping; Zheng, Qipeng P.; Wang, Jianhui

2014-11-01

tThis paper presents a two-stage stochastic unit commitment (UC) model, which integrates non-generation resources such as demand response (DR) and energy storage (ES) while including riskconstraints to balance between cost and system reliability due to the fluctuation of variable genera-tion such as wind and solar power. This paper uses conditional value-at-risk (CVaR) measures to modelrisks associated with the decisions in a stochastic environment. In contrast to chance-constrained modelsrequiring extra binary variables, risk constraints based on CVaR only involve linear constraints and con-tinuous variables, making it more computationally attractive. The proposed models with risk constraintsare able to avoid over-conservative solutions butmore » still ensure system reliability represented by loss ofloads. Then numerical experiments are conducted to study the effects of non-generation resources ongenerator schedules and the difference of total expected generation costs with risk consideration. Sen-sitivity analysis based on reliability parameters is also performed to test the decision preferences ofconfidence levels and load-shedding loss allowances on generation cost reduction.« less

Application-oriented offloading in heterogeneous networks for mobile cloud computing

NASA Astrophysics Data System (ADS)

Tseng, Fan-Hsun; Cho, Hsin-Hung; Chang, Kai-Di; Li, Jheng-Cong; Shih, Timothy K.

2018-04-01

Nowadays Internet applications have become more complicated that mobile device needs more computing resources for shorter execution time but it is restricted to limited battery capacity. Mobile cloud computing (MCC) is emerged to tackle the finite resource problem of mobile device. MCC offloads the tasks and jobs of mobile devices to cloud and fog environments by using offloading scheme. It is vital to MCC that which task should be offloaded and how to offload efficiently. In the paper, we formulate the offloading problem between mobile device and cloud data center and propose two algorithms based on application-oriented for minimum execution time, i.e. the Minimum Offloading Time for Mobile device (MOTM) algorithm and the Minimum Execution Time for Cloud data center (METC) algorithm. The MOTM algorithm minimizes offloading time by selecting appropriate offloading links based on application categories. The METC algorithm minimizes execution time in cloud data center by selecting virtual and physical machines with corresponding resource requirements of applications. Simulation results show that the proposed mechanism not only minimizes total execution time for mobile devices but also decreases their energy consumption.

Uncertainty analysis in geospatial merit matrix–based hydropower resource assessment

DOE PAGES

Pasha, M. Fayzul K.; Yeasmin, Dilruba; Saetern, Sen; ...

2016-03-30

Hydraulic head and mean annual streamflow, two main input parameters in hydropower resource assessment, are not measured at every point along the stream. Translation and interpolation are used to derive these parameters, resulting in uncertainties. This study estimates the uncertainties and their effects on model output parameters: the total potential power and the number of potential locations (stream-reach). These parameters are quantified through Monte Carlo Simulation (MCS) linking with a geospatial merit matrix based hydropower resource assessment (GMM-HRA) Model. The methodology is applied to flat, mild, and steep terrains. Results show that the uncertainty associated with the hydraulic head ismore » within 20% for mild and steep terrains, and the uncertainty associated with streamflow is around 16% for all three terrains. Output uncertainty increases as input uncertainty increases. However, output uncertainty is around 10% to 20% of the input uncertainty, demonstrating the robustness of the GMM-HRA model. Hydraulic head is more sensitive to output parameters in steep terrain than in flat and mild terrains. Furthermore, mean annual streamflow is more sensitive to output parameters in flat terrain.« less

Resource requirements for cancer registration in areas with limited resources: Analysis of cost data from four low- and middle-income countries☆

PubMed Central

Tangka, Florence K.L.; Subramanian, Sujha; Edwards, Patrick; Cole-Beebe, Maggie; Parkin, D. Maxwell; Bray, Freddie; Joseph, Rachael; Mery, Les; Saraiya, Mona

2018-01-01

Background The key aims of this study were to identify sources of support for cancer registry activities, to quantify resource use and estimate costs to operate registries in low- and middle-income countries (LMIC) at different stages of development across three continents. Methods Using the Centers for Disease Control and Prevention’s (CDC’s) International Registry Costing Tool (IntRegCosting Tool), cost and resource use data were collected from eight population-based cancer registries, including one in a low-income country (Uganda [Kampala)]), two in lower to middle-income countries (Kenya [Nairobi] and India [Mumbai]), and five in an upper to middle-income country (Colombia [Pasto, Barranquilla, Bucaramanga, Manizales and Cali cancer registries]). Results Host institution contributions accounted for 30%–70% of total investment in cancer registry activities. Cancer registration involves substantial fixed cost and labor. Labor accounts for more than 50% of all expenditures across all registries. The cost per cancer case registered in low-income and lower-middle-income countries ranged from US $3.77 to US $15.62 (United States dollars). In Colombia, an upper to middle-income country, the cost per case registered ranged from US $41.28 to US $113.39. Registries serving large populations (over 15 million inhabitants) had a lower cost per inhabitant (less than US $0.01 in Mumbai, India) than registries serving small populations (under 500,000 inhabitants) [US $0.22] in Pasto, Colombia. Conclusion This study estimates the total cost and resources used for cancer registration across several countries in the limited-resource setting, and provides cancer registration stakeholders and registries-with opportunities to identify cost savings and efficiency improvements. Our results suggest that cancer registration involve substantial fixed costs and labor, and that partnership with other institutions is critical for the operation and sustainability of cancer registries in limited resource settings. Although we included registries from a variety of limited-resource areas, information from eight registries in four countries may not be large enough to capture all the potential differences among the registries in limited-resource settings. PMID:27793574

Resource requirements for cancer registration in areas with limited resources: Analysis of cost data from four low- and middle-income countries.

PubMed

Tangka, Florence K L; Subramanian, Sujha; Edwards, Patrick; Cole-Beebe, Maggie; Parkin, D Maxwell; Bray, Freddie; Joseph, Rachael; Mery, Les; Saraiya, Mona

2016-12-01

The key aims of this study were to identify sources of support for cancer registry activities, to quantify resource use and estimate costs to operate registries in low- and middle-income countries (LMIC) at different stages of development across three continents. Using the Centers for Disease Control and Prevention's (CDC's) International Registry Costing Tool (IntRegCosting Tool), cost and resource use data were collected from eight population-based cancer registries, including one in a low-income country (Uganda [Kampala)]), two in lower to middle-income countries (Kenya [Nairobi] and India [Mumbai]), and five in an upper to middle-income country (Colombia [Pasto, Barranquilla, Bucaramanga, Manizales and Cali cancer registries]). Host institution contributions accounted for 30%-70% of total investment in cancer registry activities. Cancer registration involves substantial fixed cost and labor. Labor accounts for more than 50% of all expenditures across all registries. The cost per cancer case registered in low-income and lower-middle-income countries ranged from US $3.77 to US $15.62 (United States dollars). In Colombia, an upper to middle-income country, the cost per case registered ranged from US $41.28 to US $113.39. Registries serving large populations (over 15 million inhabitants) had a lower cost per inhabitant (less than US $0.01 in Mumbai, India) than registries serving small populations (under 500,000 inhabitants) [US $0.22] in Pasto, Colombia. This study estimates the total cost and resources used for cancer registration across several countries in the limited-resource setting, and provides cancer registration stakeholders and registries with opportunities to identify cost savings and efficiency improvements. Our results suggest that cancer registration involve substantial fixed costs and labor, and that partnership with other institutions is critical for the operation and sustainability of cancer registries in limited resource settings. Although we included registries from a variety of limited-resource areas, information from eight registries in four countries may not be large enough to capture all the potential differences among the registries in limited-resource settings. Copyright © 2016 Elsevier Ltd. All rights reserved.

Cognitive status is a determinant of health resource utilization among individuals with a history of falls: a 12-month prospective cohort study.

PubMed

Davis, J C; Dian, L; Khan, K M; Bryan, S; Marra, C A; Hsu, C L; Jacova, P; Chiu, B K; Liu-Ambrose, T

2016-03-01

Falls are a costly public health problem worldwide. The literature is devoid of prospective data that identifies factors among fallers that significantly drive health care resource utilization. We found that cognitive function--specifically, executive functions--and cognitive status are significant determinants of health resource utilization among older fallers. Although falls are costly, there are no prospective data examining factors among fallers that drive health care resource utilization. We identified key determinants of health resource utilization (HRU) at 6 and 12 months among older adults with a history of falls. Specifically, with the increasing recognition that cognitive impairment is associated with increased falls risk, we investigated cognition as a potential driver of health resource utilization. This 12-month prospective cohort study at the Vancouver Falls Prevention Clinic (n = 319) included participants with a history of at least one fall in the previous 12 months. Based on their cognitive status, participants were divided into two groups: (1) no mild cognitive impairment (MCI) and (2) MCI. We constructed two linear regression models with HRU at 6 and 12 months as the dependent variables for each model, respectively. Predictors relating to mobility, global cognition, executive functions, and cognitive status (MCI versus no MCI) were examined. Age, sex, comorbidities, depression status, and activities of daily living were included regardless of statistical significance. Global cognition, comorbidities, working memory, and cognitive status (MCI versus no MCI ascertained using the Montreal Cognitive Assessment (MoCA)) were significant determinants of total HRU at 6 months. The number of medical comorbidities and global cognition were significant determinants of total HRU at 12 months. MCI status was a determinant of HRU at 6 months among older adults with a history of falls. As such, efforts to minimize health care resource use related to falls, it is important to tailor future interventions to be effective for people with MCI who fall. ClinicalTrials.gov Identifier: NCT01022866.

Water resources of St. Bernard Parish, Louisiana

USGS Publications Warehouse

Prakken, Larry B.

2013-01-01

In 2010, about 261 million gallons per day (Mgal/d) of water were withdrawn in St. Bernard Parish, Louisiana, almost entirely from surface-water sources. Industrial use accounted for about 97 percent (253 Mgal/d) of the total water withdrawn. Other categories of use included public supply, rural domestic, and livestock. Water-use data collected at 5-year intervals from 1960 to 2010 indicated that total water withdrawals in the parish ranged from about 138 to 720 Mgal/d, with industrial use of surface water making up the bulk of water withdrawals. The large decline in surface-water withdrawals from 1980 to 1985 was largely attributable to a decrease in industrial use from 654 Mgal/d in 1980 to 127 Mgal/d in 1985. This fact sheet summarizes basic information on the water resources of St. Bernard Parish. Information on groundwater and surface-water availability, quality, development, use, and trends is based on previously published reports listed in the Selected References section.

Water resources of Webster Parish

USGS Publications Warehouse

Prakken, Lawrence B.; Griffith, Jason M.

2011-01-01

In 2005, about 9.52 million gallons per day (Mgal/d) of water were withdrawn in Webster Parish, Louisiana (fig. 1), including about 9.33 Mgal/d from groundwater sources and 0.19 Mgal/d from surface-water sources1 (table 1). Publicsupply use accounted for about 70 percent of the total water withdrawn. Other categories of use included industrial, rural domestic, livestock, general irrigation, and aquaculture (table 2). Water-use data collected at 5-year intervals from 1960 to 2005 indicate water withdrawals in Webster Parish decreased substantially from 1970 to 1980; surface-water withdrawals for industrial use decreased from about 37 to 0 Mgal/d because of a paper mill closure in 1979. From 1980 to 2000, total water withdrawals in the parish ranged from 7 to 8 Mgal/d (fig. 2). This fact sheet summarizes basic information on the water resources of Webster Parish, La. Information on groundwater and surface-water availability, quality, development, use, and trends is based on previously published reports listed in the Selected References section.

Water-use data for the Red River of the North Basin, North Dakota, Minnesota, and South Dakota, 1979-2001

USGS Publications Warehouse

Macek-Rowland, Kathleen M.; Arntson, Allan D.; Ryberg, Karen R.; Dahl, Ann L.; Lieb, Amy

2004-01-01

The Red River of the North, located in the north-central plains of the United States, plays an important role in population growth and economic development of the region. Because of recent and projected growth in population, industry, and agriculture in the Red River of the North Basin, alternatives to additional water resources will be needed to supplement future water needs. Past and current water-use data are needed to help select the most viable water-resource alternatives. Withdrawal and return flow data were collected from various sources throughout the Red River of the North Basin from 1979 through 2001. The withdrawal data were aggregated by subbasin, monthly totals, and water-use categories. The return flow data were aggregated by subbasin and monthly totals. The Red River of the North Basin was divided into subbasins based on locations of U.S. Geological Survey streamflow-gaging stations and by specifically-identified reaches. Results of the water-use compilation are provided in this report.

Online Prediction of Health Care Utilization in the Next Six Months Based on Electronic Health Record Information: A Cohort and Validation Study.

PubMed

Hu, Zhongkai; Hao, Shiying; Jin, Bo; Shin, Andrew Young; Zhu, Chunqing; Huang, Min; Wang, Yue; Zheng, Le; Dai, Dorothy; Culver, Devore S; Alfreds, Shaun T; Rogow, Todd; Stearns, Frank; Sylvester, Karl G; Widen, Eric; Ling, Xuefeng

2015-09-22

The increasing rate of health care expenditures in the United States has placed a significant burden on the nation's economy. Predicting future health care utilization of patients can provide useful information to better understand and manage overall health care deliveries and clinical resource allocation. This study developed an electronic medical record (EMR)-based online risk model predictive of resource utilization for patients in Maine in the next 6 months across all payers, all diseases, and all demographic groups. In the HealthInfoNet, Maine's health information exchange (HIE), a retrospective cohort of 1,273,114 patients was constructed with the preceding 12-month EMR. Each patient's next 6-month (between January 1, 2013 and June 30, 2013) health care resource utilization was retrospectively scored ranging from 0 to 100 and a decision tree-based predictive model was developed. Our model was later integrated in the Maine HIE population exploration system to allow a prospective validation analysis of 1,358,153 patients by forecasting their next 6-month risk of resource utilization between July 1, 2013 and December 31, 2013. Prospectively predicted risks, on either an individual level or a population (per 1000 patients) level, were consistent with the next 6-month resource utilization distributions and the clinical patterns at the population level. Results demonstrated the strong correlation between its care resource utilization and our risk scores, supporting the effectiveness of our model. With the online population risk monitoring enterprise dashboards, the effectiveness of the predictive algorithm has been validated by clinicians and caregivers in the State of Maine. The model and associated online applications were designed for tracking the evolving nature of total population risk, in a longitudinal manner, for health care resource utilization. It will enable more effective care management strategies driving improved patient outcomes.

Online Prediction of Health Care Utilization in the Next Six Months Based on Electronic Health Record Information: A Cohort and Validation Study

PubMed Central

Hu, Zhongkai; Hao, Shiying; Jin, Bo; Shin, Andrew Young; Zhu, Chunqing; Huang, Min; Wang, Yue; Zheng, Le; Dai, Dorothy; Culver, Devore S; Alfreds, Shaun T; Rogow, Todd; Stearns, Frank

2015-01-01

Background The increasing rate of health care expenditures in the United States has placed a significant burden on the nation’s economy. Predicting future health care utilization of patients can provide useful information to better understand and manage overall health care deliveries and clinical resource allocation. Objective This study developed an electronic medical record (EMR)-based online risk model predictive of resource utilization for patients in Maine in the next 6 months across all payers, all diseases, and all demographic groups. Methods In the HealthInfoNet, Maine’s health information exchange (HIE), a retrospective cohort of 1,273,114 patients was constructed with the preceding 12-month EMR. Each patient’s next 6-month (between January 1, 2013 and June 30, 2013) health care resource utilization was retrospectively scored ranging from 0 to 100 and a decision tree–based predictive model was developed. Our model was later integrated in the Maine HIE population exploration system to allow a prospective validation analysis of 1,358,153 patients by forecasting their next 6-month risk of resource utilization between July 1, 2013 and December 31, 2013. Results Prospectively predicted risks, on either an individual level or a population (per 1000 patients) level, were consistent with the next 6-month resource utilization distributions and the clinical patterns at the population level. Results demonstrated the strong correlation between its care resource utilization and our risk scores, supporting the effectiveness of our model. With the online population risk monitoring enterprise dashboards, the effectiveness of the predictive algorithm has been validated by clinicians and caregivers in the State of Maine. Conclusions The model and associated online applications were designed for tracking the evolving nature of total population risk, in a longitudinal manner, for health care resource utilization. It will enable more effective care management strategies driving improved patient outcomes. PMID:26395541

Economies in transition: an assessment of trends relevant to management of the Tongass National Forest.

Treesearch

Stewart D. Allen; Julie Schaefers

1998-01-01

This assessment focuses on the regional and community economies of southeast Alaska. A mixed economy composed of subsistence harvest and cash income characterizes the economies of most of the region’s rural communities. Although the share of natural resource-based sectors relative to total employment has remained fairly consistent over the past 10 years, the mix of...

Dietary Fat Intake and Exercise among Two- and Four-Year College Students: Differences in Behavior and Psychosocial Factors

ERIC Educational Resources Information Center

Berg, Carla J.; An, Lawrence C.; Ahluwalia, Jasjit S.

2013-01-01

Given the demographic differences among two-year colleges and four-year universities and the relatively limited access to health education and campus-based health resources, this study compares the frequency of limiting dietary fat intake and exercising among two- and four-year college students. A total of 2,265 undergraduate students aged 18-25…

Relationships between urbanization and the oak resource of the Minneapolis/St. Paul metropolitan area from 1991 to 1998

Treesearch

Kathryn Kromroy; Kathleen Ward; Paul Castillo; Jennifer Juzwik

2006-01-01

Urbanization was associated with loss and transformation of the oak forest in the Twin Cities (Minneapolis and St. Paul) metropolitan area (TCMA) over a recent 7-year interval. Between 1991 and 1998, urbanization increased based on several indicators: population density, area of developed land, and area of impervious surface?total impervious area and area within three...

Tajikistan Country Profile

DTIC Science & Technology

2009-07-01

light industry and therefore was largely an agricultural support base for the economy. Aluminum and uranium production and processing were the major...Tajikistan is not a producer/exporter of energy resources although has oil and natural gas reserves. The country has a pipeline importing natural gas from...Uzbekistan. The country also imports gas from Uzbekistan. The total length of gas pipeline is 549 km and 38 km of oil pipelines. Railroads

Healthcare resource utilization among patients with relapsed multiple myeloma in the UK, France, and Italy.

PubMed

Gonzalez-McQuire, Sebastian; Yong, Kwee; Leleu, Henri; Mennini, Francesco S; Flinois, Alain; Gazzola, Carlotta; Schoen, Paul; Campioni, Marco; DeCosta, Lucy; Fink, Leah

2018-05-01

To assess the real-world healthcare resource utilization (HRU) and costs associated with different treatment regimens used in the management of patients with relapsed multiple myeloma in the UK, France, and Italy. Retrospective medical chart review of characteristics, time to progression, level of response, HRU during treatment, and adverse events (AEs). Data collection started on June 1, 2015 and was completed on July 15, 2015. In the 3 months before record abstraction, eligible patients had either disease progression after receiving one of their country's most commonly prescribed regimens or had received the best supportive care and died. Costs were calculated based on HRU and country-specific diagnosis-related group and/or unit reference costs, amongst other standard resources. Physicians provided data for 1,282 patients (387 in the UK, 502 in France, 393 in Italy) who met the inclusion criteria. Mean [median] total healthcare costs associated with a single line of treatment were €51,717 [35,951] in the UK, €37,009 [32,538] for France, and €34,496 [42,342] for Italy, driven largely by anti-myeloma medications costs (contributing 95.0%, 90.0%, and 94.2% of total cost, respectively). During active treatment, the highest costs were associated with lenalidomide- and pomalidomide-based regimens. Mean cost per month was lowest for patients achieving a very good partial response or better. Unscheduled events (i.e. not considered part of routine management, whether or not related to multiple myeloma, such as unscheduled hospitalization, AEs, fractures) accounted for 1-9% of total costs and were highest for bendamustine. The use of retrospective data means that clinical practice (e.g. use of medical procedures, evaluation of treatment response) is not standardized across participating countries/centers, and some data (e.g. low-grade AEs) may be incomplete or differently adjudicated/reported. The centers involved may not be fully representative of national practice. Drug costs are the main contributor to total HRU costs associated with multiple myeloma. The duration of active treatment may influence the average total costs, as well as response, associated with a single line of therapy. Improved treatment outcomes, and reductions in unscheduled events and concomitant medication use may, therefore, reduce the overall HRU and related costs of care in multiple myeloma.

The role of risk-based prioritization in total quality management

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

Bennett, C.T.

1994-10-01

The climate in which government managers must make decisions grows more complex and uncertain. All stakeholders - the public, industry, and Congress - are demanding greater consciousness, responsibility, and accountability of programs and their budgets. Yet, managerial decisions have become multifaceted, involve greater risk, and operate over much longer time periods. Over the last four or five decades, as policy analysis and decisions became more complex, scientists from psychology, operations research, systems science, and economics have developed a more or less coherent process called decision analysis to aid program management. The process of decision analysis - a systems theoretic approachmore » - provides the backdrop for this paper. The Laboratory Integrated Prioritization System (LIPS) has been developed as a systems analytic and risk-based prioritization tool to aid the management of the Tri-Labs` (Lawrence Livermore, Los Alamos, and Sandia) operating resources. Preliminary analyses of the effects of LIPS has confirmed the practical benefits of decision and systems sciences - the systematic, quantitative reduction in uncertainty. To date, the use of LIPS - and, hence, its value - has been restricted to resource allocation within the Tri-Labs` operations budgets. This report extends the role of risk-based prioritization to the support of DOE Total Quality Management (TQM) programs. Furthermore, this paper will argue for the requirement to institutionalize an evolutionary, decision theoretic approach to the policy analysis of the Department of Energy`s Program Budget.« less

Assessment of Coal Geology, Resources, and Reserves in the Gillette Coalfield, Powder River Basin, Wyoming

USGS Publications Warehouse

Luppens, James A.; Scott, David C.; Haacke, Jon E.; Osmonson, Lee M.; Rohrbacher, Timothy J.; Ellis, Margaret S.

2008-01-01

The Gillette coalfield, within the Powder River Basin in east-central Wyoming, is the most prolific coalfield in the United States. In 2006, production from the coalfield totaled over 431 million short tons of coal, which represented over 37 percent of the Nation's total yearly production. The Anderson and Canyon coal beds in the Gillette coalfield contain some of the largest deposits of low-sulfur subbituminous coal in the world. By utilizing the abundance of new data from recent coalbed methane development in the Powder River Basin, this study represents the most comprehensive evaluation of coal resources and reserves in the Gillette coalfield to date. Eleven coal beds were evaluated to determine the in-place coal resources. Six of the eleven coal beds were evaluated for reserve potential given current technology, economic factors, and restrictions to mining. These restrictions included the presence of railroads, a Federal interstate highway, cities, a gas plant, and alluvial valley floors. Other restrictions, such as thickness of overburden, thickness of coal beds, and areas of burned coal were also considered. The total original coal resource in the Gillette coalfield for all eleven coal beds assessed, and no restrictions applied, was calculated to be 201 billion short tons. Available coal resources, which are part of the original coal resource that is accessible for potential mine development after subtracting all restrictions, are about 164 billion short tons (81 percent of the original coal resource). Recoverable coal, which is the portion of available coal remaining after subtracting mining and processing losses, was determined for a stripping ratio of 10:1 or less. After mining and processing losses were subtracted, a total of 77 billion short tons of coal were calculated (48 percent of the original coal resource). Coal reserves are the portion of the recoverable coal that can be mined, processed, and marketed at a profit at the time of the economic evaluation. With a discounted cash flow at 8 percent rate of return, the coal reserves estimate for the Gillette coalfield is10.1 billion short tons of coal (6 percent of the original resource total) for the 6 coal beds evaluated.

Optimization of β-cyclodextrin-based flavonol extraction from apple pomace using response surface methodology.

PubMed

Parmar, Indu; Sharma, Sowmya; Rupasinghe, H P Vasantha

2015-04-01

The present study investigated five cyclodextrins (CDs) for the extraction of flavonols from apple pomace powder and optimized β-CD based extraction of total flavonols using response surface methodology. A 2(3) central composite design with β-CD concentration (0-5 g 100 mL(-1)), extraction temperature (20-72 °C), extraction time (6-48 h) and second-order quadratic model for the total flavonol yield (mg 100 g(-1) DM) was selected to generate the response surface curves. The optimal conditions obtained were: β-CD concentration, 2.8 g 100 mL(-1); extraction temperature, 45 °C and extraction time, 25.6 h that predicted the extraction of 166.6 mg total flavonols 100 g(-1) DM. The predicted amount was comparable to the experimental amount of 151.5 mg total flavonols 100 g(-1) DM obtained from optimal β-CD based parameters, thereby giving a low absolute error and adequacy of fitted model. In addition, the results from optimized extraction conditions showed values similar to those obtained through previously established solvent based sonication assisted flavonol extraction procedure. To the best of our knowledge, this is the first study to optimize aqueous β-CD based flavonol extraction which presents an environmentally safe method for value-addition to under-utilized bio resources.

Agropastoral Mobility and Rangelands Multiple Uses in the Miombo Frontier Ecozone of Tabora Region, Western Tanzania.

PubMed

Masanja, George Felix

2017-01-01

This study aimed to examine the argument of environmental resource-use conflict as the primary cause of crop farmers and agropastoralists conflicts in Tabora Region, Tanzania. It explored the multiple interdependent phenomena that affect livelihoods relationships between crop farmers and agropastoralists and the nature of their continuing conflicts over the ecozonal resources. A primary dataset of the two groups' conflicts was used. An ex post facto and multistage sampling design was adopted. A total of 252 respondents were interviewed in three separate villages drawn from agroecological zones fringing the miombo woodland where such tensions are high. Data were analyzed using logistic regression. Results indicate that education ( β = -1.215, .297; p = .050), household size ( β = .958, 2.607; p = .017), herd size ( β = 4.276, 7.197; p = 0.001), farm size ( β = -1.734, .048; p = .176), the police ( β = -.912, 4.582; p = .043), and village leaders ( β = -.122, .885; p = .012) were the most potent predictors of causes of conflicts. The study found no support for demographic variables, like age, sex, marital status, income, duration of residence, and distance to resource base. The study recommends population growth control and strengthening of local institutions and recommends local communities to sustain management of natural resources base in the area.

Analysing streamflow variability and water allocation for sustainable management of water resources in the semi-arid Karkheh river basin, Iran

NASA Astrophysics Data System (ADS)

Masih, Ilyas; Ahmad, Mobin-ud-Din; Uhlenbrook, Stefan; Turral, Hugh; Karimi, Poolad

This study provides a comprehensive spatio-temporal assessment of the surface water resources of the semi-arid Karkheh basin, Iran, and consequently enables decision makers to work towards a sustainable water development in that region. The analysis is based on the examination of statistical parameters, flow duration characteristics, base flow separation and trend analysis for which data of seven key gauging stations were used for the period of 1961-2001. Additionally, basin level water accounting was carried out for the water year 1993-94. The study shows that observed daily, monthly and annual streamflows are highly variable in space and time within the basin. The streamflows have not been changed significantly at annual scale, but few months have shown significant trends, most notably a decline during May and June and an increase during December and March. The major causes were related to changes in climate, land use and reservoir operations. The study concludes that the water allocations to different sectors were lower than the totally available resources during the study period. However, looking at the high variability of streamflows, changes in climate and land use and ongoing water resources development planning, it will be extremely difficult to meet the demands of all sectors in the future, particularly during dry years.

Transcriptome sequencing of lentil based on second-generation technology permits large-scale unigene assembly and SSR marker discovery.

PubMed

Kaur, Sukhjiwan; Cogan, Noel O I; Pembleton, Luke W; Shinozuka, Maiko; Savin, Keith W; Materne, Michael; Forster, John W

2011-05-25

Lentil (Lens culinaris Medik.) is a cool-season grain legume which provides a rich source of protein for human consumption. In terms of genomic resources, lentil is relatively underdeveloped, in comparison to other Fabaceae species, with limited available data. There is hence a significant need to enhance such resources in order to identify novel genes and alleles for molecular breeding to increase crop productivity and quality. Tissue-specific cDNA samples from six distinct lentil genotypes were sequenced using Roche 454 GS-FLX Titanium technology, generating c. 1.38 × 106 expressed sequence tags (ESTs). De novo assembly generated a total of 15,354 contigs and 68,715 singletons. The complete unigene set was sequence-analysed against genome drafts of the model legume species Medicago truncatula and Arabidopsis thaliana to identify 12,639, and 7,476 unique matches, respectively. When compared to the genome of Glycine max, a total of 20,419 unique hits were observed corresponding to c. 31% of the known gene space. A total of 25,592 lentil unigenes were subsequently annoated from GenBank. Simple sequence repeat (SSR)-containing ESTs were identified from consensus sequences and a total of 2,393 primer pairs were designed. A subset of 192 EST-SSR markers was screened for validation across a panel 12 cultivated lentil genotypes and one wild relative species. A total of 166 primer pairs obtained successful amplification, of which 47.5% detected genetic polymorphism. A substantial collection of ESTs has been developed from sequence analysis of lentil genotypes using second-generation technology, permitting unigene definition across a broad range of functional categories. As well as providing resources for functional genomics studies, the unigene set has permitted significant enhancement of the number of publicly-available molecular genetic markers as tools for improvement of this species.

A GIS based watershed information system for water resources management and planning in semi-arid areas

NASA Astrophysics Data System (ADS)

Tzabiras, John; Spiliotopoulos, Marios; Kokkinos, Kostantinos; Fafoutis, Chrysostomos; Sidiropoulos, Pantelis; Vasiliades, Lampros; Papaioannou, George; Loukas, Athanasios; Mylopoulos, Nikitas

2015-04-01

The overall objective of this work is the development of an Information System which could be used by stakeholders for the purposes of water management as well as for planning and strategic decision-making in semi-arid areas. An integrated modeling system has been developed and applied to evaluate the sustainability of water resources management strategies in Lake Karla watershed, Greece. The modeling system, developed in the framework of "HYDROMENTOR" research project, is based on a GIS modelling approach which uses remote sensing data and includes coupled models for the simulation of surface water and groundwater resources, the operation of hydrotechnical projects (reservoir operation and irrigation works) and the estimation of water demands at several spatial scales. Lake Karla basin was the region where the system was tested but the methodology may be the basis for future analysis elsewhere. Τwo (2) base and three (3) management scenarios were investigated. In total, eight (8) water management scenarios were evaluated: i) Base scenario without operation of the reservoir and the designed Lake Karla district irrigation network (actual situation) • Reduction of channel losses • Alteration of irrigation methods • Introduction of greenhouse cultivation ii) Base scenario including the operation of the reservoir and the Lake Karla district irrigation network • Reduction of channel losses • Alteration of irrigation methods • Introduction of greenhouse cultivation The results show that, under the existing water resources management, the water deficit of Lake Karla watershed is very large. However, the operation of the reservoir and the cooperative Lake Karla district irrigation network coupled with water demand management measures, like reduction of water distribution system losses and alteration of irrigation methods, could alleviate the problem and lead to sustainable and ecological use of water resources in the study area. Acknowledgements: This study has been supported by the research project "Hydromentor" funded by the Greek General Secretariat of Research and Technology in the framework of the E.U. co-funded National Action "Cooperation"

2010 Perinatal GBS Prevention Guideline and Resource Utilization

PubMed Central

Mukhopadhyay, Sagori; Dukhovny, Dmitry; Mao, Wenyang; Eichenwald, Eric C.

2014-01-01

OBJECTIVES: To quantify differences in early-onset sepsis (EOS) evaluations, evaluation-associated resource utilization, and EOS cases detected, when comparing time periods before and after the implementation of an EOS algorithm based on the Centers for Disease Control and Prevention (CDC) 2010 guidelines for prevention of perinatal Group B Streptococcus (GBS) disease. METHODS: Retrospective cohort study of infants born at ≥36 weeks’ gestation from 2009 to 2012 in a single tertiary care center. One 12-month period during which EOS evaluations were based on the CDC 2002 guideline was compared with a second 12-month period during which EOS evaluations were based on the CDC 2010 guideline. A cost minimization analysis was performed to determine the EOS evaluation-associated costs and resources during each time period. RESULTS: During the study periods, among well-appearing infants ≥36 weeks’ gestation, EOS evaluations for inadequate GBS prophylaxis decreased from 32/1000 to <1/1000 live births; EOS evaluation-associated costs decreased by $6994 per 1000 live births; and EOS evaluation-associated work hours decreased by 29 per 1000 live births. We found no increase in EOS evaluations for other indications, total NICU admissions, frequency of infants evaluated for symptoms before hospital discharge, or incidence of EOS during the 2 study periods. CONCLUSIONS: Implementation of an EOS algorithm based on CDC 2010 GBS guidelines resulted in a 25% decrease in EOS evaluations performed among well-appearing infants ≥36 weeks’ gestation, attributable to decreased evaluation of infants born in the setting of inadequate indicated GBS prophylaxis. This resulted in significant changes in EOS evaluation-associated resource expenditures. PMID:24446442

ALiEM Blog and Podcast Watch: Procedures in Emergency Medicine.

PubMed

Joshi, Nikita; Morley, Eric J; Taira, Taku; Branzetti, Jeremy; Grock, Andrew

2017-10-01

The WestJEM Blog and Podcast Watch presents high-quality, open-access educational blogs and podcasts in emergency medicine (EM) based on the ongoing Academic Life in EM (ALiEM) Approved Instructional Resources (AIR) and AIR-Professional series. Both series critically appraise resources using an objective scoring rubric. This installment of the Blog and Podcast Watch highlights the topic of procedure emergencies from the AIR Series. The AIR Series is a continuously building curriculum that follows the Council of Emergency Medicine Residency Directors' (CORD) annual testing schedule. For each module, relevant content is collected from the top 50 Social Media Index sites published within the previous 12 months, and scored by eight AIR board members using five equally weighted measurement outcomes: Best Evidence in Emergency Medicine (BEEM) score, accuracy, educational utility, evidence based, and references. Resources scoring ≥30 out of 35 available points receive an AIR label. Resources scoring 27-29 receive an "honorable mention" label if the executive board agrees that the post is accurate and educationally valuable. A total of 85 blog posts and podcasts were evaluated in June 2016. This report summarizes key educational pearls from the three AIR posts and the 10 Honorable Mentions. The WestJEM Blog and Podcast Watch series is based on the AIR and AIR-Pro series, which attempts to identify high-quality educational content on open-access blogs and podcasts. This series provides an expert-based, post-publication curation of educational social media content for EM clinicians, with this installment focusing on procedure emergencies within the AIR series.

ALiEM Blog and Podcast Watch: Procedures in Emergency Medicine

PubMed Central

Joshi, Nikita; Morley, Eric J.; Taira, Taku; Branzetti, Jeremy; Grock, Andrew

2017-01-01

Introduction The WestJEM Blog and Podcast Watch presents high-quality, open-access educational blogs and podcasts in emergency medicine (EM) based on the ongoing Academic Life in EM (ALiEM) Approved Instructional Resources (AIR) and AIR-Professional series. Both series critically appraise resources using an objective scoring rubric. This installment of the Blog and Podcast Watch highlights the topic of procedure emergencies from the AIR Series. Methods The AIR Series is a continuously building curriculum that follows the Council of Emergency Medicine Residency Directors’ (CORD) annual testing schedule. For each module, relevant content is collected from the top 50 Social Media Index sites published within the previous 12 months, and scored by eight AIR board members using five equally weighted measurement outcomes: Best Evidence in Emergency Medicine (BEEM) score, accuracy, educational utility, evidence based, and references. Resources scoring ≥30 out of 35 available points receive an AIR label. Resources scoring 27–29 receive an “honorable mention” label if the executive board agrees that the post is accurate and educationally valuable. Results A total of 85 blog posts and podcasts were evaluated in June 2016. This report summarizes key educational pearls from the three AIR posts and the 10 Honorable Mentions. Conclusion The WestJEM Blog and Podcast Watch series is based on the AIR and AIR-Pro series, which attempts to identify high-quality educational content on open-access blogs and podcasts. This series provides an expert-based, post-publication curation of educational social media content for EM clinicians, with this installment focusing on procedure emergencies within the AIR series. PMID:29085547

Blog and Podcast Watch: Cutaneous Emergencies.

PubMed

Grock, Andrew; Morley, Eric J; Roppolo, Lynn; Khadpe, Jay; Ankel, Felix; Lin, Michelle

2017-02-01

The WestJEM Blog and Podcast Watch presents high quality open-access educational blogs and podcasts in emergency medicine (EM) based on the ongoing Academic Life in Emergency Medicine (ALiEM) Approved Instructional Resources (AIR) and AIR-Professional series. Both series critically appraise resources using an objective scoring rubric. This installment of the Blog and Podcast Watch highlights the topic of cutaneous emergencies from the AIR series. The AIR series is a continuously building curriculum that follows the Council of Emergency Medicine Residency Directors (CORD) annual testing schedule. For each module, relevant content is collected from the top 50 most accessed sites per the Social Media Index published within the previous 12 months and scored by eight board members using five equally weighted measurement outcomes: Best Evidence in Emergency Medicine (BEEM) score, accuracy, educational utility, evidence based, and references. Resources scoring ≥30 out of 35 available points receive an AIR label. Resources scoring 27-29 receive an "honorable mention" label, if the editorial board agrees that the post is accurate and educationally valuable. A total of 35 blog posts and podcasts were evaluated. None scored ≥30 points necessary for the AIR label, although four honorable mention posts were identified. Key educational pearls from these honorable mention posts are summarized. This Blog and Podcast Watch series is based on the AIR and AIR-Pro series, which attempts to identify high quality educational content on open-access blogs and podcasts. This series provides an expert-based, post-publication curation of educational social media content for EM clinicians with this installment focusing on cutaneous emergencies.

Blog and Podcast Watch: Cutaneous Emergencies

PubMed Central

Grock, Andrew; Morley, Eric J.; Roppolo, Lynn; Khadpe, Jay; Ankel, Felix; Lin, Michelle

2017-01-01

Introduction The WestJEM Blog and Podcast Watch presents high quality open-access educational blogs and podcasts in emergency medicine (EM) based on the ongoing Academic Life in Emergency Medicine (ALiEM) Approved Instructional Resources (AIR) and AIR-Professional series. Both series critically appraise resources using an objective scoring rubric. This installment of the Blog and Podcast Watch highlights the topic of cutaneous emergencies from the AIR series. Methods The AIR series is a continuously building curriculum that follows the Council of Emergency Medicine Residency Directors (CORD) annual testing schedule. For each module, relevant content is collected from the top 50 most accessed sites per the Social Media Index published within the previous 12 months and scored by eight board members using five equally weighted measurement outcomes: Best Evidence in Emergency Medicine (BEEM) score, accuracy, educational utility, evidence based, and references. Resources scoring ≥30 out of 35 available points receive an AIR label. Resources scoring 27–29 receive an “honorable mention” label, if the editorial board agrees that the post is accurate and educationally valuable. Results A total of 35 blog posts and podcasts were evaluated. None scored ≥30 points necessary for the AIR label, although four honorable mention posts were identified. Key educational pearls from these honorable mention posts are summarized. Conclusion This Blog and Podcast Watch series is based on the AIR and AIR-Pro series, which attempts to identify high quality educational content on open-access blogs and podcasts. This series provides an expert-based, post-publication curation of educational social media content for EM clinicians with this installment focusing on cutaneous emergencies. PMID:28210366

Should general practitioners purchase health care for their patients? The total purchasing experiment in Britain.

PubMed

Wyke, Sally; Mays, Nicholas; Street, Andrew; Bevan, Gwyn; McLeod, Hugh; Goodwin, Nick

2003-09-01

Until relatively recently, general practitioners (GPs) have been allowed to work independently, with no requirement to consider the resource implications of their referral and prescribing decisions. In order to align the interests of GPs with the overall objectives of health systems a number of countries have introduced primary care based capitation, funds pooling and budget holding either as experiments or as an overall policy. Are these experiments and policies likely to work? This paper presents evidence from the UK total purchasing experiment, which was the first major quasi-market development in the NHS to be independently evaluated from the outset. Total purchasing gave volunteer groups of practices freedom to purchase all hospital and community health services for their patients. The evidence suggests that whilst GPs have great potential as purchasers, they also have considerable limitations. The expectation that they will be able to improve the quality of patient experience of care, or to alter the use of resources, may not be generally realised. GP-based purchasing may be more appropriate where the task is to alter the balance or location of care between hospital and extramural settings. However, budgetary incentives are not 'magic potions' which have similar effects on behaviour wherever they are introduced. Holding budgets and having independent contracts, while important pre-requisites for being taken seriously in a quasi-market, were not sufficient for effective total purchasing. The paper concludes that health systems should not only value innovation and experimentation and encourage learning from evaluative research; they should also recognise the importance of supportive circumstances for any innovation to effect real and sustained change.

The Impact of Cryoballoon Versus Radiofrequency Ablation for Paroxysmal Atrial Fibrillation on Healthcare Utilization and Costs: An Economic Analysis From the FIRE AND ICE Trial.

PubMed

Chun, K R Julian; Brugada, Josep; Elvan, Arif; Gellér, Laszlo; Busch, Matthias; Barrera, Alberto; Schilling, Richard J; Reynolds, Matthew R; Hokanson, Robert B; Holbrook, Reece; Brown, Benedict; Schlüter, Michael; Kuck, Karl-Heinz

2017-07-27

This study sought to assess payer costs following cryoballoon or radiofrequency current (RFC) catheter ablation of paroxysmal atrial fibrillation in the randomized FIRE AND ICE trial. A trial period analysis of healthcare costs evaluated the impact of ablation modality (cryoballoon versus RFC) on differences in resource use and associated payer costs. Analyses were based on repeat interventions, rehospitalizations, and cardioversions during the trial, with unit costs based on 3 national healthcare systems (Germany [€], the United Kingdom [£], and the United States [$]). Total payer costs were calculated by applying standard unit costs to hospital stays, using International Classification of Diseases, 10th Revision diagnoses and procedure codes that were mapped to country-specific diagnosis-related groups. Patients (N=750) randomized 1:1 to cryoballoon (n=374) or RFC (n=376) ablation were followed for a mean of 1.5 years. Resource use was lower in the cryoballoon than the RFC group (205 hospitalizations and/or interventions in 122 patients versus 268 events in 154 patients). The cost differences per patient in mean total payer costs during follow-up were €640, £364, and $925 in favor of cryoballoon ablation ( P =0.012, 0.013, and 0.016, respectively). This resulted in trial period total cost savings of €245 000, £140 000, and $355 000. When compared with RFC ablation, cryoballoon ablation was associated with a reduction in resource use and payer costs. In all 3 national healthcare systems analyzed, this reduction resulted in substantial trial period cost savings, primarily attributable to fewer repeat ablations and a reduction in cardiovascular rehospitalizations with cryoballoon ablation. URL: http://www.clinicaltrials.gov. Identifier: NCT01490814. © 2017 The Authors and Medtronic. Published on behalf of the American Heart Association, Inc., by Wiley.

Costing commodity and human resource needs for integrated community case management in thie differing community health strategies of Ethiopia, Kenya and Zambia.

PubMed

Nefdt, Rory; Ribaira, Eric; Diallo, Khassoum

2014-10-01

To ensure correct and appropriate funding is available, there is a need to estimate resource needs for improved planning and implementation of integrated Community Case Management (iCCM). To compare and estimate costs for commodity and human resource needs for iCCM, based on treatment coverage rates, bottlenecks and national targets in Ethiopia, Kenya and Zambia from 2014 to 2016. Resource needs were estimated using Ministry of Health (MoH) targets fronm 2014 to 2016 for implementation of case management of pneumonia, diarrhea and malaria through iCCM based on epidemiological, demographic, economic, intervention coverage and other health system parameters. Bottleneck analysis adjusted cost estimates against system barriers. Ethiopia, Kenya and Zambia were chosen to compare differences in iCCM costs in different programmatic implementation landscapes. Coverage treatment rates through iCCM are lowest in Ethiopia, followed by Kenya and Zambia, but Ethiopia had the greatest increases between 2009 and 2012. Deployment of health extension workers (HEWs) in Ethiopia is more advanced compared to Kenya and Zambia, which have fewer equivalent cadres (called commu- nity health workers (CHWs)) covering a smaller proportion of the population. Between 2014 and 2016, the propor- tion of treatments through iCCM compared to health centres are set to increase from 30% to 81% in Ethiopia, 1% to 18% in Kenya and 3% to 22% in Zambia. The total estimated cost of iCCM for these three years are USD 75,531,376 for Ethiopia, USD 19,839,780 for Kenya and USD 33,667,742 for Zambia. Projected per capita expen- diture for 2016 is USD 0.28 for Ethiopia, USD 0.20 in Kenya and USD 0.98 in Zambia. Commodity costs for pneumonia and diarrhea were a small fraction of the total iCCM budget for all three countries (less than 3%), while around 80% of the costs related to human resources. Analysis of coverage, demography and epidemiology data improves estimates of fimding requirements for iCCM. Bottleneck analysis adjusts cost estimates by including system barriers, thus reflecting a more accurate estimate of potential resource utilization. Adding pneumonia and diarrhea interventions to existing large scale community-based malaria case management programs is likely to require relatively small and nationally affordable investments. iCCM can be implemented for USD 0.09 to 0.98 per capita per annum, depending on the stage of scale-up and targets set by the MoH.

Spatio-temporal patterns and source apportionment of pollution in Qiantang River (China) using neural-based modeling and multivariate statistical techniques

NASA Astrophysics Data System (ADS)

Su, Shiliang; Zhi, Junjun; Lou, Liping; Huang, Fang; Chen, Xia; Wu, Jiaping

Characterizing the spatio-temporal patterns and apportioning the pollution sources of water bodies are important for the management and protection of water resources. The main objective of this study is to describe the dynamics of water quality and provide references for improving river pollution control practices. Comprehensive application of neural-based modeling and different multivariate methods was used to evaluate the spatio-temporal patterns and source apportionment of pollution in Qiantang River, China. Measurement data were obtained and pretreated for 13 variables from 41 monitoring sites for the period of 2001-2004. A self-organizing map classified the 41 monitoring sites into three groups (Group A, B and C), representing different pollution characteristics. Four significant parameters (dissolved oxygen, biochemical oxygen demand, total phosphorus and total lead) were identified by discriminant analysis for distinguishing variations of different years, with about 80% correct assignment for temporal variation. Rotated principal component analysis (PCA) identified four potential pollution sources for Group A (domestic sewage and agricultural pollution, industrial wastewater pollution, mineral weathering, vehicle exhaust and sand mining), five for Group B (heavy metal pollution, agricultural runoff, vehicle exhaust and sand mining, mineral weathering, chemical plants discharge) and another five for Group C (vehicle exhaust and sand mining, chemical plants discharge, soil weathering, biochemical pollution, mineral weathering). The identified potential pollution sources explained 75.6% of the total variances for Group A, 75.0% for Group B and 80.0% for Group C, respectively. Receptor-based source apportionment was applied to further estimate source contributions for each pollution variable in the three groups, which facilitated and supported the PCA results. These results could assist managers to develop optimal strategies and determine priorities for river pollution control and effective water resources management.

Automating NEURON Simulation Deployment in Cloud Resources.

PubMed

Stockton, David B; Santamaria, Fidel

2017-01-01

Simulations in neuroscience are performed on local servers or High Performance Computing (HPC) facilities. Recently, cloud computing has emerged as a potential computational platform for neuroscience simulation. In this paper we compare and contrast HPC and cloud resources for scientific computation, then report how we deployed NEURON, a widely used simulator of neuronal activity, in three clouds: Chameleon Cloud, a hybrid private academic cloud for cloud technology research based on the OpenStack software; Rackspace, a public commercial cloud, also based on OpenStack; and Amazon Elastic Cloud Computing, based on Amazon's proprietary software. We describe the manual procedures and how to automate cloud operations. We describe extending our simulation automation software called NeuroManager (Stockton and Santamaria, Frontiers in Neuroinformatics, 2015), so that the user is capable of recruiting private cloud, public cloud, HPC, and local servers simultaneously with a simple common interface. We conclude by performing several studies in which we examine speedup, efficiency, total session time, and cost for sets of simulations of a published NEURON model.

Automating NEURON Simulation Deployment in Cloud Resources

PubMed Central

Santamaria, Fidel

2016-01-01

Simulations in neuroscience are performed on local servers or High Performance Computing (HPC) facilities. Recently, cloud computing has emerged as a potential computational platform for neuroscience simulation. In this paper we compare and contrast HPC and cloud resources for scientific computation, then report how we deployed NEURON, a widely used simulator of neuronal activity, in three clouds: Chameleon Cloud, a hybrid private academic cloud for cloud technology research based on the Open-Stack software; Rackspace, a public commercial cloud, also based on OpenStack; and Amazon Elastic Cloud Computing, based on Amazon’s proprietary software. We describe the manual procedures and how to automate cloud operations. We describe extending our simulation automation software called NeuroManager (Stockton and Santamaria, Frontiers in Neuroinformatics, 2015), so that the user is capable of recruiting private cloud, public cloud, HPC, and local servers simultaneously with a simple common interface. We conclude by performing several studies in which we examine speedup, efficiency, total session time, and cost for sets of simulations of a published NEURON model. PMID:27655341

Allocation of health resources according to the type and size of Iranian governmental hospitals.

PubMed

Hassani, Sa; Abolhallaje, M; Inanlo, S; Hosseini, H; Pourmohammadi, K; Bastani, P; Ramezanian, M; Marnani, A Barati

2013-01-01

Due to consuming about 50%-80% of health resources, hospitals are the greatest and costly operational units in Iranian Health system. so allocation of resources specially human and space resources as the most expensive ones is really important for further controlling of costs, analysis of costs and making suitable policies for increasing the profitability and allocation of resources and improvement of quality. This paper intends to describe and analyze any allocation of resources in 530 university hospitals in Iran. The final goal of this research is to provide a data bank according which there is a basis for more scientific budget allocation of state's hospitals from the size and type of application points of view. The relevant index of person to bed was 2.04 for human resources. All hospitals more than 300 beds are located in benefiting areas from which 17 cases are educational and 2 cases are therapeutic. This is necessary to mention that the rate of management group forces to total personnel at deprived areas is about 2.5% more than benefiting areas. Because 60-80% of hospital costs are applied for human forces, all managers of hospitals are obliged to revise their policies in attraction and employment of human force in order to benefit from such a valuable resource and prevent from expensive costs. So any employment of personnel should be based upon real needs of hospital.

A cost simulation for mammography examinations taking into account equipment failures and resource utilization characteristics.

PubMed

Coelli, Fernando C; Almeida, Renan M V R; Pereira, Wagner C A

2010-12-01

This work develops a cost analysis estimation for a mammography clinic, taking into account resource utilization and equipment failure rates. Two standard clinic models were simulated, the first with one mammography equipment, two technicians and one doctor, and the second (based on an actually functioning clinic) with two equipments, three technicians and one doctor. Cost data and model parameters were obtained by direct measurements, literature reviews and other hospital data. A discrete-event simulation model was developed, in order to estimate the unit cost (total costs/number of examinations in a defined period) of mammography examinations at those clinics. The cost analysis considered simulated changes in resource utilization rates and in examination failure probabilities (failures on the image acquisition system). In addition, a sensitivity analysis was performed, taking into account changes in the probabilities of equipment failure types. For the two clinic configurations, the estimated mammography unit costs were, respectively, US$ 41.31 and US$ 53.46 in the absence of examination failures. As the examination failures increased up to 10% of total examinations, unit costs approached US$ 54.53 and US$ 53.95, respectively. The sensitivity analysis showed that type 3 (the most serious) failure increases had a very large impact on the patient attendance, up to the point of actually making attendance unfeasible. Discrete-event simulation allowed for the definition of the more efficient clinic, contingent on the expected prevalence of resource utilization and equipment failures. © 2010 Blackwell Publishing Ltd.

[The PAHO Strategic Fund: a mechanism to facilitate access to medicines].

PubMed

de L Horst, Myrza M L; Soler, Orenzio

2010-01-01

To describe the medicine procurement activities of the PAHO Strategic Fund. This is a retrospective study covering the period from 2004 to 2007, based on a bibliographic and document survey of Pan American Health Organization (PAHO) archives in the United States, El Salvador, Guatemala, Honduras, and Brazil. The volume of resources and the types of drugs procured by the fund were determined for the years 2004, 2005, and 2006 and for the period of January to September 2007. The survey revealed a well-structured fund handling increasing resources, from US$ 3,475,043.00 in 2004 to US$ 19,646,634.00 in 2007 (January to September). The participation of antiretroviral drugs in this expenditure has grown from less than 8% of the total in 2004 to 57.89% in 2007. Still, in 2007, 66.63% of the financial resources managed by the Strategic Fund were allocated to the purchase of antiretroviral drugs for nine countries (Brazil, Guatemala, El Salvador, Ecuador, Honduras, Haiti, Belize, Nicaragua, and Bolivia) out of a total of 17 participating countries. Brazil was the country using the most resources through the Strategic Fund, accounting for 63% of the expenditure for the purchase of strategic supplies between January and September 2007. The proposal to unify the purchase of medications for all participating countries to improve pricing and purchasing management will result in large-scale savings. The Strategic Fund can contribute to increasing access to medicines and improving the management of the public health care system in Latin America.

National Assessment of Oil and Gas Project: geologic assessment of undiscovered gas hydrate resources on the North Slope, Alaska

USGS Publications Warehouse

USGS AK Gas Hydrate Assessment Team: Collett, Timothy S.; Agena, Warren F.; Lee, Myung Woong; Lewis, Kristen A.; Zyrianova, Margarita V.; Bird, Kenneth J.; Charpentier, Ronald R.; Cook, Troy A.; Houseknecht, David W.; Klett, Timothy R.; Pollastro, Richard M.

2014-01-01

Scientists with the U.S. Geological Survey have completed the first assessment of the undiscovered, technically recoverable gas hydrate resources beneath the North Slope of Alaska. This assessment indicates the existence of technically recoverable gas hydrate resources—that is, resources that can be discovered, developed, and produced using current technology. The approach used in this assessment followed standard geology-based USGS methodologies developed to assess conventional oil and gas resources. In order to use the USGS conventional assessment approach on gas hydrate resources, three-dimensional industry-acquired seismic data were analyzed. The analyses indicated that the gas hydrates on the North Slope occupy limited, discrete volumes of rock bounded by faults and downdip water contacts. This assessment approach also assumes that the resource can be produced by existing conventional technology, on the basis of limited field testing and numerical production models of gas hydrate-bearing reservoirs. The area assessed in northern Alaska extends from the National Petroleum Reserve in Alaska on the west through the Arctic National Wildlife Refuge on the east and from the Brooks Range northward to the State-Federal offshore boundary (located 3 miles north of the coastline). This area consists mostly of Federal, State, and Native lands covering 55,894 square miles. Using the standard geology-based assessment methodology, the USGS estimated that the total undiscovered technically recoverable natural-gas resources in gas hydrates in northern Alaska range between 25.2 and 157.8 trillion cubic feet, representing 95 percent and 5 percent probabilities of greater than these amounts, respectively, with a mean estimate of 85.4 trillion cubic feet.

A Landsat-based inventory procedure for agriculture in California

NASA Technical Reports Server (NTRS)

Wall, S. L.; Thomas, R. W.; Brown, C. E.; Bauer, E. H.

1982-01-01

Agriculture, which occupies a vital position in the economy of the State of California, depends crucially on the available water. The California Department of Water Resources (DWR) is, therefore, greatly concerned with the total water requirements for agricultural applications. In view of the limitations of an area-limited, single-date survey system, the DWR has been cooperating with NASA and the University of California in a study of the applicability of Landsat imagery and digital data as an aid in making decisions concerning the management of water resources. Attention is given to a statewide inventory of irrigated land, computer-assisted estimation and mapping of irrigated land, and a crop type analysis using Landsat digital data.

Cost and cost-effectiveness of community based and health facility based directly observed treatment of tuberculosis in Dar es Salaam, Tanzania

PubMed Central

Wandwalo, Eliud; Robberstad, Bjarne; Morkve, Odd

2005-01-01

Background Identifying new approaches to tuberculosis treatment that are effective and put less demand to meagre health resources is important. One such approach is community based direct observed treatment (DOT). The purpose of the study was to determine the cost and cost effectiveness of health facility and community based directly observed treatment of tuberculosis in an urban setting in Tanzania. Methods Two alternative strategies were compared: health facility based directly observed treatment by health personnel and community based directly observed treatment by treatment supervisors. Costs were analysed from the perspective of health services, patients and community in the year 2002 in US $ using standard methods. Treatment outcomes were obtained from a randomised-controlled trial which was conducted alongside the cost study. Smear positive, smear negative and extra-pulmonary TB patients were included. Cost-effectiveness was calculated as the cost per patient successfully treated. Results The total cost of treating a patient with conventional health facility based DOT and community based DOT were $ 145 and $ 94 respectively. Community based DOT reduced cost by 35%. Cost fell by 27% for health services and 72% for patients. When smear positive and smear negative patients were considered separately, community DOT was associated with 45% and 19% reduction of the costs respectively. Patients used about $ 43 to follow their medication to health facility which is equivalent to their monthly income. Indirect costs were as important as direct costs, contributing to about 49% of the total patient's cost. The main reason for reduced cost was fewer number of visits to the TB clinic. Community based DOT was more cost-effective at $ 128 per patient successfully treated compared to $ 203 for a patient successfully treated with health facility based DOT. Conclusion Community based DOT presents an economically attractive option to complement health facility based DOT. This is particularly important in settings where TB clinics are working beyond capacity under limited resources. PMID:16018806

Variation in defence strategies in two species of the genus Beilschmiedia under differing soil nutrient and rainfall conditions.

PubMed

Simon, J; Miller, R E; Woodrow, I E

2007-01-01

The relationships between various leaf functional traits that are important in plant growth (e.g., specific leaf area) have been investigated in recent studies; however, research in this context on plants that are highly protected by chemical defences, particularly resource-demanding nitrogen-based defence, is lacking. We collected leaves from cyanogenic (N-defended) Beilschmiedia collina B. Hyland and acyanogenic (C-defended) Beilschmiedia tooram (F. M. Bailey) B. Hyland at high- and low-soil nutrient sites in two consecutive years that varied significantly in rainfall. We then measured the relationships between chemical defence and morphological and functional leaf traits under the different environmental conditions. We found that the two species differed significantly in their resource allocation to defence as well as leaf morphology and function. The N defended species had a higher leaf nitrogen concentration, whereas the C-defended species had higher amounts of C-based chemical defences (i.e., total phenolics and condensed tannins). The C-defended species also tended to have higher force to fracture and increased leaf toughness. In B. collina, cyanogenic glycoside concentration was higher with higher rainfall, but not with higher soil nutrients. Total phenolic concentration was higher at the high soil nutrient site in B. tooram, but lower in B. collina; however, with higher rainfall an increase was found in B. tooram, while phenolics decreased in B. collina. Condensed tannin concentration decreased in both species with rainfall and nutrient availability. We conclude that chemical defence is correlated with leaf functional traits and that variation in environmental resources affects this correlation.

Financial, Resource Utilization and Mortality Impacts of Teaching Hospital Status on Pediatric Patients Admitted for Sepsis.

PubMed

Hsu, Benson S; Meyer, Benjamin D; Lakhani, Saquib A

2017-08-01

With the changing healthcare landscape in the United States, teaching hospitals face increasing pressure to provide medical education as well as cost-effective care. Our study investigated the financial, resource utilization and mortality impact of teaching hospital status on pediatric patients admitted with sepsis. We conducted a retrospective, weighted statistical analysis of hospitalized children with the diagnosis of sepsis. The Agency for Healthcare Research and Quality 2009 Kids' Inpatient Database provided the data for analysis. Diagnosis of sepsis and severity of illness levels were based on All Patient Refined Diagnosis-Related Groups of 720: Septicemia and Disseminated Infections. Teaching hospital status was based on presence of training programs. Statistical analysis was conducted using STATA 12.1 (Stata Corporation, College Station, TX). Weighted analysis revealed 17,461 patients with sepsis-9982 in teaching and 7479 in nonteaching hospitals. When comparing all patients, length of stay (8.2 vs. 4.8, P < 0.001), number of procedures received (2.03 vs. 0.87, P < 0.001), mortality (4.7% vs. 1.6%, P < 0.001), costs per day ($2326 vs. $1736, P < 0.001) and total costs ($20,428 vs. $7960, P < 0.001) were higher in teaching hospitals. Even when stratified by severity classes, length of stay, number of procedures received and total costs were higher in teaching hospitals with no difference in mortality. Our study suggested that teaching hospitals provide pediatric inpatient care for sepsis at greater costs and resource utilization without a clear improvement in overall mortality rates in comparison with nonteaching hospitals.

Direct and Indirect Costs of Chronic and Episodic Migraine in the United States: A Web-Based Survey.

PubMed

Messali, Andrew; Sanderson, Joanna C; Blumenfeld, Andrew M; Goadsby, Peter J; Buse, Dawn C; Varon, Sepideh F; Stokes, Michael; Lipton, Richard B

2016-02-01

The objective of this study was to compare the societal direct and indirect costs of chronic and episodic migraine in the United States. Episodic and chronic migraine are distinguished by the frequency of headache-days. Chronic migraine has a greater overall impact on quality of life than does episodic migraine. Individuals with chronic migraine also use more healthcare resources (resulting in higher direct costs) and experience greater decreases in productivity (resulting in higher indirect costs) than those with episodic migraine as shown in the American Migraine Prevalence and Prevention (AMPP) Study. The International Burden of Migraine Study utilized a web-based questionnaire to elicit data on several topics related to the burden of migraine illness, including health resource utilization and productivity losses. Potential survey participants were identified by Synovate Healthcare (Chicago, IL, USA) from a pool of registered panelists from various countries. The panelists were screened online to determine eligibility and to identify individuals with migraine (episodic or chronic), based on reported symptoms. Participants from the United States were divided into episodic and chronic migraine groups, based on reported headache-day per month frequency. Direct and indirect costs were estimated by applying estimated unit costs to reported headache-related productivity losses and resource use. Costs were compared between participants with episodic and chronic migraine. Mean [standard deviation] total annual cost of headache among people with chronic migraine ($8243 [$10,646]) was over three times that of episodic migraine ($2649 [$4634], P < .001). Participants with chronic migraine had significantly greater direct medical costs ($4943 [$6382]) and indirect (lost productivity) costs ($3300 [$6907]) than did participants with episodic migraine (direct, $1705 [$3591]; indirect, $943 [$2084]) (P < .001 for each). Unlike previous findings, direct medical costs constituted the majority of total headache-related costs for both chronic migraine (60.0%, $4943 of $8243) and episodic migraine (64.3%, $1705 of $2649) participants. A large portion of direct medical costs are attributable to pharmaceutical utilization among both chronic migraine (80%, $3925 of 4943) and episodic migraine (70%, $1196 of $1705) participants. The results of this study build on previous results of the AMPP Study, demonstrating that headache-related direct, indirect, and total costs are significantly greater among individuals with chronic migraine than with episodic migraine in the United States. © 2016 American Headache Society.

Exploration of sustainable development by applying green economy indicators.

PubMed

Chen, Yungkun; Chen, Chia-Yon; Hsieh, Tsuifang

2011-11-01

Following the global trend of sustainable development, development of green economy is the best way of slowing the negative ecological and environmental impact. This research establishes the Taiwan's green economic indicators based on the ecological footprint and energy analysis. The results are as follows: Taiwan's ecological footprint in 2008 intensity index was at 4.364; ecological overshoot index was at 3.364, showing that Taiwan's ecological system is in overload state. Moreover, this study utilizes energy analysis model to study the sustainable development of Taiwan. Findings showed that total energy use in 2008 was 3.14 × 10(23) sej (solar energy joule, sej), energy of renewable resources was 1.30 × 10(22) sej, energy of nonrenewable resources was 2.26 × 10(23) sej, energy of products from renewable resources was 1.30 × 10(22)sej, energy of currency flow was 8.02 × 10(22) sej and energy of wastes flow was 6.55 × 10(22) sej. Taiwan's energy per capita and the utilization rate of energy is lower while the environmental loading rate is significantly higher comparing to some other countries. The foregoing findings indicate that Taiwan currently belongs to an economic development pattern based on high resource consumption. The economic development is mainly established on the exploitation and utilization of nonrenewable resources. Therefore, Taiwan should change the development pattern, regulate the industrial structure, promote the utilization rate of resources, develop green pollution-free products, and enhance the sustainable development of ecological economic system.

Impact of the 2017 Solar Eclipse on the Smart Grid

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

Habte, Aron M; Reda, Ibrahim M; Andreas, Afshin M

With the increasing interest in using solar energy as a major contributor to the use of renewable generation, and with the focus on using smart grids to optimize the use of electrical energy based on demand and resources from different locations, the need arises to know the moons position in the sky with respect to the sun. When a solar eclipse occurs, the moon disk might totally or partially shade the sun disk, which can affect the irradiance level from the sun disk, consequently affecting a resource on the electric grid. The moons position can then provide smart grid usersmore » with information about how potential total or partial solar eclipses might affect different locations on the grid so that other resources on the grid can be directed to where they might be needed when such phenomena occurs. At least five solar eclipses occur yearly at different locations on Earth, they can last 3 hours or more depending on the location, and they can affect smart grid users. On August 21, 2017, a partial and full solar eclipse occurred in many locations in the United States, including at the National Renewable Energy Laboratory in Golden, Colorado. Solar irradiance measurements during the eclipse were compared to the data generated by a model for validation at eight locations.« less

Alaska: A twenty-first-century petroleum province

USGS Publications Warehouse

Bird, K.J.

2001-01-01

Alaska, the least explored of all United States regions, is estimated to contain approximately 40% of total U.S. undiscovered, technically recoverable oil and natural-gas resources, based on the most recent U.S. Department of the Interior (U.S. Geological Survey and Minerals Management Service) estimates. Northern Alaska, including the North Slope and adjacent Beaufort and Chukchi continental shelves, holds the lion's share of the total Alaskan endowment of more than 30 billion barrels (4.8 billion m3) of oil and natural-gas liquids plus nearly 200 trillion cubic feet (5.7 trillion m3) of natural gas. This geologically complex region includes prospective strata within passive-margin, rift, and foreland-basin sequences. Multiple source-rock zones have charged several regionally extensive petroleum systems. Extensional and compressional structures provide ample structural objectives. In addition, recent emphasis on stratigraphic traps has demonstrated significant resource potential in shelf and turbidite systems in Jurassic to Tertiary strata. Despite robust potential, northern Alaska remains a risky exploration frontier - a nexus of geologic complexity, harsh economic conditions, and volatile policy issues. Its role as a major petroleum province in this century will depend on continued technological innovations, not only in exploration and drilling operations, but also in development of huge, currently unmarketable natural-gas resources. Ultimately, policy decisions will determine whether exploration of arctic Alaska will proceed.

Why preserve and evaluate genetic resources in peanut?

USDA-ARS?s Scientific Manuscript database

Peanuts are produced in more than 100 countries with a total global total production in 2010 of 37,953,949 metric tons (FAO statistics, 2010). Because peanut is an important crop, it is imperative that its germplasm be preserved in order to conserve the genetic diversity and provide a resource to i...

Human resources requirements for highly active antiretroviral therapy scale-up in Malawi.

PubMed

Muula, Adamson S; Chipeta, John; Siziya, Seter; Rudatsikira, Emmanuel; Mataya, Ronald H; Kataika, Edward

2007-12-19

Twelve percent of the adult population in Malawi is estimated to be HIV infected. About 15% to 20% of these are in need of life saving antiretroviral therapy. The country has a public sector-led antiretroviral treatment program both in the private and public health sectors. Estimation of the clinical human resources needs is required to inform the planning and distribution of health professionals. We obtained data on the total number of patients on highly active antiretroviral treatment program from the Malawi National AIDS Commission and Ministry of Health, HIV Unit, and the number of registered health professionals from the relevant regulatory bodies. We also estimated number of health professionals required to deliver highly active antiretroviral therapy (HAART) using estimates of human resources from the literature. We also obtained data from the Ministry of Health on the actual number of nurses, clinical officers and medical doctors providing services in HAART clinics. We then made comparisons between the human resources situation on the ground and the theoretical estimates based on explicit assumptions. There were 610 clinicians (396 clinical officers and 214 physicians), 44 pharmacists and 98 pharmacy technicians and 7264 nurses registered in Malawi. At the end of March 2007 there were 85 clinical officer and physician full-time equivalents (FTEs) and 91 nurse FTEs providing HAART to 95,674 patients. The human resources used for the delivery of HAART comprised 13.9% of all clinical officers and physicians and 1.1% of all nurses. Using the estimated numbers of health professionals from the literature required 15.7-31.4% of all physicians and clinical officers, 66.5-199.3% of all pharmacists and pharmacy technicians and 2.6 to 9.2% of all the available nurses. To provide HAART to all the 170,000 HIV infected persons estimated as clinically eligible would require 4.7% to 16.4% of the total number of nurses, 118.1% to 354.2% of all the available pharmacists and pharmacy technicians and 27.9% to 55.7% of all clinical officers and physicians. The actual number of health professionals working in the delivery of HAART in the clinics represented 44% to 88.8% (for clinical officers and medical doctors) and 13.6% and 47.6% (for nurses), of what would have been needed based on the literature estimation. HAART provision is a labour intensive exercise. Although these data are insufficient to determine whether HAART scale-up has resulted in the weakening or strengthening of the health systems in Malawi, the human resources requirements for HAART scale-up are significant. Malawi is using far less human resources than would be estimated based on the literature from other settings. The impact of HAART scale-up on the overall delivery of health services should be assessed.

Multicultural Early Childhood Education Bibliography and Resource List.

ERIC Educational Resources Information Center

Mock, Karen R., Comp.

Compiled for early childhood educators, this list of resources for multicultural education provides a total of 153 entries in the categories of readings for teachers, curriculum materials, nonprint media, children's books, resource bibliographies and catalogues, Canadian periodicals, and resource agencies. Brief annotations accompany most entries.…

How much spare capacity is necessary for the security of resource networks?

NASA Astrophysics Data System (ADS)

Zhao, Qian-Chuan; Jia, Qing-Shan; Cao, Yang

2007-01-01

The balance between the supply and demand of some kind of resource is critical for the functionality and security of many complex networks. Local contingencies that break this balance can cause a global collapse. These contingencies are usually dealt with by spare capacity, which is costly especially when the network capacity (the total amount of the resource generated/consumed in the network) grows. This paper studies the relationship between the spare capacity and the collapse probability under separation contingencies when the network capacity grows. Our results are obtained based on the analysis of the existence probability of balanced partitions, which is a measure of network security when network splitting is unavoidable. We find that a network with growing capacity will inevitably collapse after a separation contingency if the spare capacity in each island increases slower than a linear function of the network capacity and there is no suitable global coordinator.

Water Resources of Lafayette Parish

USGS Publications Warehouse

Fendick, Robert B.; Griffith, Jason M.; Prakken, Lawrence B.

2011-01-01

Fresh groundwater and surface water resources are available in Lafayette Parish, which is located in south-central Louisiana. In 2005, more than 47 million gallons per day (Mgal/d) were withdrawn from water sources in Lafayette Parish. About 92 percent (43.7 Mgal/d) of withdrawals was groundwater, and 8 percent (3.6 Mgal/d) was surface water. Public-supply withdrawals accounted for nearly 49 percent (23 Mgal/d) of the total groundwater use, with the cities of Lafayette and Carencro using about 21 Mgal/d. Withdrawals for other uses included about 10.4 Mgal/d for rice irrigation and about 8.4 Mgal/d for aquaculture. Water withdrawals in Lafayette Parish increased from 33 Mgal/d in 1995 to about 47 Mgal/d in 2005. This fact sheet summarizes information on the water resources of Lafayette Parish, La. Information on groundwater and surface-water availability, quality, development, use, and trends is based on previously published reports listed in the references section.

Community temporal variability increases with fluctuating resource availability

PubMed Central

Li, Wei; Stevens, M. Henry H.

2017-01-01

An increase in the quantity of available resources is known to affect temporal variability of aggregate community properties. However, it is unclear how might fluctuations in resource availability alter community-level temporal variability. Here we conduct a microcosm experiment with laboratory protist community subjected to manipulated resource pulses that vary in intensity, duration and time of supply, and examine the impact of fluctuating resource availability on temporal variability of the recipient community. The results showed that the temporal variation of total protist abundance increased with the magnitude of resource pulses, as protist community receiving infrequent resource pulses (i.e., high-magnitude nutrients per pulse) was relatively more unstable than community receiving multiple resource pulses (i.e., low-magnitude nutrients per pulse), although the same total amounts of nutrients were added to each community. Meanwhile, the timing effect of fluctuating resources did not significantly alter community temporal variability. Further analysis showed that fluctuating resource availability increased community temporal variability by increasing the degree of community-wide species synchrony and decreasing the stabilizing effects of dominant species. Hence, the importance of fluctuating resource availability in influencing community stability and the regulatory mechanisms merit more attention, especially when global ecosystems are experiencing high rates of anthropogenic nutrient inputs. PMID:28345592

Community temporal variability increases with fluctuating resource availability

NASA Astrophysics Data System (ADS)

Li, Wei; Stevens, M. Henry H.

2017-03-01

An increase in the quantity of available resources is known to affect temporal variability of aggregate community properties. However, it is unclear how might fluctuations in resource availability alter community-level temporal variability. Here we conduct a microcosm experiment with laboratory protist community subjected to manipulated resource pulses that vary in intensity, duration and time of supply, and examine the impact of fluctuating resource availability on temporal variability of the recipient community. The results showed that the temporal variation of total protist abundance increased with the magnitude of resource pulses, as protist community receiving infrequent resource pulses (i.e., high-magnitude nutrients per pulse) was relatively more unstable than community receiving multiple resource pulses (i.e., low-magnitude nutrients per pulse), although the same total amounts of nutrients were added to each community. Meanwhile, the timing effect of fluctuating resources did not significantly alter community temporal variability. Further analysis showed that fluctuating resource availability increased community temporal variability by increasing the degree of community-wide species synchrony and decreasing the stabilizing effects of dominant species. Hence, the importance of fluctuating resource availability in influencing community stability and the regulatory mechanisms merit more attention, especially when global ecosystems are experiencing high rates of anthropogenic nutrient inputs.

Resource costing for multinational neurologic clinical trials: methods and results.

PubMed

Schulman, K; Burke, J; Drummond, M; Davies, L; Carlsson, P; Gruger, J; Harris, A; Lucioni, C; Gisbert, R; Llana, T; Tom, E; Bloom, B; Willke, R; Glick, H

1998-11-01

We present the results of a multinational resource costing study for a prospective economic evaluation of a new medical technology for treatment of subarachnoid hemorrhage within a clinical trial. The study describes a framework for the collection and analysis of international resource cost data that can contribute to a consistent and accurate intercountry estimation of cost. Of the 15 countries that participated in the clinical trial, we collected cost information in the following seven: Australia, France, Germany, the UK, Italy, Spain, and Sweden. The collection of cost data in these countries was structured through the use of worksheets to provide accurate and efficient cost reporting. We converted total average costs to average variable costs and then aggregated the data to develop study unit costs. When unit costs were unavailable, we developed an index table, based on a market-basket approach, to estimate unit costs. To estimate the cost of a given procedure, the market-basket estimation process required that cost information be available for at least one country. When cost information was unavailable in all countries for a given procedure, we estimated costs using a method based on physician-work and practice-expense resource-based relative value units. Finally, we converted study unit costs to a common currency using purchasing power parity measures. Through this costing exercise we developed a set of unit costs for patient services and per diem hospital services. We conclude by discussing the implications of our costing exercise and suggest guidelines to facilitate more effective multinational costing exercises.

Base Station Activation and Linear Transceiver Design for Optimal Resource Management in Heterogeneous Networks

NASA Astrophysics Data System (ADS)

Liao, Wei-Cheng; Hong, Mingyi; Liu, Ya-Feng; Luo, Zhi-Quan

2014-08-01

In a densely deployed heterogeneous network (HetNet), the number of pico/micro base stations (BS) can be comparable with the number of the users. To reduce the operational overhead of the HetNet, proper identification of the set of serving BSs becomes an important design issue. In this work, we show that by jointly optimizing the transceivers and determining the active set of BSs, high system resource utilization can be achieved with only a small number of BSs. In particular, we provide formulations and efficient algorithms for such joint optimization problem, under the following two common design criteria: i) minimization of the total power consumption at the BSs, and ii) maximization of the system spectrum efficiency. In both cases, we introduce a nonsmooth regularizer to facilitate the activation of the most appropriate BSs. We illustrate the efficiency and the efficacy of the proposed algorithms via extensive numerical simulations.

Estimating the costs of psychiatric hospital services at a public health facility in Nigeria.

PubMed

Ezenduka, Charles; Ichoku, Hyacinth; Ochonma, Ogbonnia

2012-09-01

Information on the cost of mental health services in Africa is very limited even though mental health disorders represent a significant public health concern, in terms of health and economic impact. Cost analysis is important for planning and for efficiency in the provision of hospital services. The study estimated the total and unit costs of psychiatric hospital services to guide policy and psychiatric hospital management efficiency in Nigeria. The study was exploratory and analytical, examining 2008 data. A standard costing methodology based on ingredient approach was adopted combining top-down method with step-down approach to allocate resources (overhead and indirect costs) to the final cost centers. Total and unit cost items related to the treatment of psychiatric patients (including the costs of personnel, overhead and annualised costs of capital items) were identified and measured on the basis of outpatients' visits, inpatients' days and inpatients' admissions. The exercise reflected the input-output process of hospital services where inputs were measured in terms of resource utilisation and output measured by activities carried out at both the outpatient and inpatient departments. In the estimation process total costs were calculated at every cost center/department and divided by a measure of corresponding patient output to produce the average cost per output. This followed a stepwise process of first allocating the direct costs of overhead to the intermediate and final cost centers and from intermediate cost centers to final cost centers for the calculation of total and unit costs. Costs were calculated from the perspective of the healthcare facility, and converted to the US Dollars at the 2008 exchange rate. Personnel constituted the greatest resource input in all departments, averaging 80% of total hospital cost, reflecting the mix of capital and recurrent inputs. Cost per inpatient day, at $56 was equivalent to 1.4 times the cost per outpatient visit at $41, while cost per emergency visit was about two times the cost per outpatient visit. The cost of one psychiatric inpatient admission averaged $3,675, including the costs of drugs and laboratory services, which was equivalent to the cost of 90 outpatients' visits. Cost of drugs was about 4.4% of the total costs and each prescription averaged $7.48. The male ward was the most expensive cost center. Levels of subsidization for inpatient services were over 90% while ancillary services were not subsidized hence full cost recovery. The hospital costs were driven by personnel which reflected the mix of inputs that relied most on technical manpower. The unit cost estimates are significantly higher than the upper limit range for low income countries based on the WHO-CHOICE estimates. Findings suggest a scope for improving efficiency of resource use given the high proportion of fixed costs which indicates excess capacity. Adequate research is needed for effective comparisons and valid assessment of efficiency in psychiatric hospital services in Africa. The unit cost estimates will be useful in making projections for total psychiatric hospital package and a basis for determining the cost of specific neuropsychiatric cases.

Provision of hearing aids to children in Bangladesh: costs and cost-effectiveness of a community-based and a centre-based approach.

PubMed

Ekman, Björn; Borg, Johan

2017-08-01

The aim of this study is to provide evidence on the costs and health effects of two alternative hearing aid delivery models, a community-based and a centre-based approach. The study is set in Bangladesh and the study population is children between 12 and 18 years old. Data on resource use by participants and their caregivers were collected by a household survey. Follow-up data were collected after two months. Data on the costs to providers of the two approaches were collected by means of key informant interviews. The total cost per participant in the community-based model was BDT 6,333 (USD 79) compared with BDT 13,718 (USD 172) for the centre-based model. Both delivery models are found to be cost-effective with an estimated cost per DALY averted of BDT 17,611 (USD 220) for the community-based model and BDT 36,775 (USD 460) for the centre-based model. Using a community-based approach to deliver hearing aids to children in a resource constrained environment is a cost-effective alternative to the traditional centre-based approach. Further evidence is needed to draw conclusions for scale-up of approaches; rigorous analysis is possible using well-prepared data collection tools and working closely with sector professionals. Implications for Rehabilitation Delivery models vary by resources needed for their implementation. Community-based deliver models of hearing aids to children in low-income countries are a cost-effective alternative. The assessment of costs and effects of hearing aids delivery models in low-income countries is possible through planned collaboration between researchers and sector professionals.

Effect of timing of psychiatry consultation on length of pediatric hospitalization and hospital charges.

PubMed

Bujoreanu, Simona; White, Matthew T; Gerber, Bradley; Ibeziako, Patricia

2015-05-01

The purpose of this study was to evaluate the impact of timing of a psychiatry consultation during pediatric hospitalization on length of hospital stay and total hospitalization charges. The charts of 279 pediatric patients (totaling 308 consultations) referred to the psychiatry consultation liaison service at a freestanding tertiary pediatric hospital between January 1, 2010, and June 30, 2010 were retrospectively analyzed. The variables analyzed included the following: patient demographic characteristics; dates of admission, psychiatric consultation, and discharge; psychiatric diagnoses based on the psychiatric diagnostic evaluation; psychiatric treatment disposition; and illness severity and total charges associated with the medical stay. Earlier psychiatry consultation was associated with shorter length of stay and lower hospitalization charges after adjusting for psychiatric functioning, physical illness severity, and psychiatric disposition. Poorer psychiatric functioning and milder physical illness were associated with shorter referral time. Timely involvement of psychiatry consultation services during a medical or surgical hospitalization was associated with reductions in length of stay and total hospital charges in pediatric settings. These findings have important effects on quality of care via decreasing burden on the patient and family and on the medical system resources. Educating pediatric health care providers about the importance of early psychiatry consultation regardless of physical illness severity or psychiatric acuity will likely improve resource management for patients and hospitals. Copyright © 2015 by the American Academy of Pediatrics.

Opportunities and challenges of sustainable agricultural development in China.

PubMed

Zhao, Jingzhu; Luo, Qishan; Deng, Hongbing; Yan, Yan

2008-02-27

This paper introduces the concepts and aims of sustainable agriculture in China. Sustainable agricultural development comprises sustainability of agricultural production, sustainability of the rural economy, ecological and environmental sustainability within agricultural systems and sustainability of rural society. China's prime aim is to ensure current and future food security. Based on projections of China's population, its economy, societal factors and agricultural resources and inputs between 2000 and 2050, total grain supply and demand has been predicted and the state of food security analysed. Total and per capita demand for grain will increase continuously. Total demand will reach 648 Mt in 2020 and 700 Mt in 2050, while total grain yield of cultivated land will reach 470 Mt in 2010, 585 Mt in 2030 and 656 Mt in 2050. The per capita grain production will be around 360kg in the period 2000-2030 and reach 470kg in 2050. When productivities of cultivated land and other agricultural resources are all taken into consideration, China's food self-sufficiency ratio will increase from 94.4% in 2000 to 101.3% in 2030, suggesting that China will meet its future demand for food and need for food security. Despite this positive assessment, the country's sustainable agricultural development has encountered many obstacles. These include: agricultural water-use shortage; cultivated land loss; inappropriate usage of fertilizers and pesticides, and environmental degradation.

Improvements to Air Force Strategic Basing Decisions

DTIC Science & Technology

2016-01-01

Fort Lee, VA 10,200 4,600 14,800 138,000 Fort Lewis, WA 13,500 17,400 30,900 3,422,000 Fort Meade , MD 7,000 4,200 11,200 2,512,000 Fort Sam...Aberdeen Proving Grounds, Fort Meade , and the Bethesda National Naval Medical Center were scheduled to add over 12,000 personnel in total. The state of...Influences on Air Force Basing Decisions According to Edward Mead Earle, “Strategy is the art of controlling and utilizing the resources of a nation—or a

Water accounting for stressed river basins based on water resources management models.

PubMed

Pedro-Monzonís, María; Solera, Abel; Ferrer, Javier; Andreu, Joaquín; Estrela, Teodoro

2016-09-15

Water planning and the Integrated Water Resources Management (IWRM) represent the best way to help decision makers to identify and choose the most adequate alternatives among other possible ones. The System of Environmental-Economic Accounting for Water (SEEA-W) is displayed as a tool for the building of water balances in a river basin, providing a standard approach to achieve comparability of the results between different territories. The target of this paper is to present the building up of a tool that enables the combined use of hydrological models and water resources models to fill in the SEEA-W tables. At every step of the modelling chain, we are capable to build the asset accounts and the physical water supply and use tables according to SEEA-W approach along with an estimation of the water services costs. The case study is the Jucar River Basin District (RBD), located in the eastern part of the Iberian Peninsula in Spain which as in other many Mediterranean basins is currently water-stressed. To guide this work we have used PATRICAL model in combination with AQUATOOL Decision Support System (DSS). The results indicate that for the average year the total use of water in the district amounts to 15,143hm(3)/year, being the Total Water Renewable Water Resources 3909hm(3)/year. On the other hand, the water service costs in Jucar RBD amounts to 1634 million € per year at constant 2012 prices. It is noteworthy that 9% of these costs correspond to non-conventional resources, such as desalinated water, reused water and water transferred from other regions. Copyright © 2016 Elsevier B.V. All rights reserved.

Gene-Based Single Nucleotide Polymorphism Markers for Genetic and Association Mapping in Common Bean

PubMed Central

2012-01-01

Background In common bean, expressed sequence tags (ESTs) are an underestimated source of gene-based markers such as insertion-deletions (Indels) or single-nucleotide polymorphisms (SNPs). However, due to the nature of these conserved sequences, detection of markers is difficult and portrays low levels of polymorphism. Therefore, development of intron-spanning EST-SNP markers can be a valuable resource for genetic experiments such as genetic mapping and association studies. Results In this study, a total of 313 new gene-based markers were developed at target genes. Intronic variation was deeply explored in order to capture more polymorphism. Introns were putatively identified after comparing the common bean ESTs with the soybean genome, and the primers were designed over intron-flanking regions. The intronic regions were evaluated for parental polymorphisms using the single strand conformational polymorphism (SSCP) technique and Sequenom MassARRAY system. A total of 53 new marker loci were placed on an integrated molecular map in the DOR364 × G19833 recombinant inbred line (RIL) population. The new linkage map was used to build a consensus map, merging the linkage maps of the BAT93 × JALO EEP558 and DOR364 × BAT477 populations. A total of 1,060 markers were mapped, with a total map length of 2,041 cM across 11 linkage groups. As a second application of the generated resource, a diversity panel with 93 genotypes was evaluated with 173 SNP markers using the MassARRAY-platform and KASPar technology. These results were coupled with previous SSR evaluations and drought tolerance assays carried out on the same individuals. This agglomerative dataset was examined, in order to discover marker-trait associations, using general linear model (GLM) and mixed linear model (MLM). Some significant associations with yield components were identified, and were consistent with previous findings. Conclusions In short, this study illustrates the power of intron-based markers for linkage and association mapping in common bean. The utility of these markers is discussed in relation with the usefulness of microsatellites, the molecular markers by excellence in this crop. PMID:22734675

The economic burden of end-of-life care in metastatic breast cancer.

PubMed

Bramley, Thomas; Antao, Vincent; Lunacsek, Orsolya; Hennenfent, Kristin; Masaquel, Anthony

2016-11-01

To assess end-of-life (EOL) total healthcare costs and resource utilization during the last 6 months of claims follow-up among patients with metastatic breast cancer (MBC) who received systemic anti-neoplastic therapy. Newly diagnosed females with MBC initiating treatment January 1, 2003-June 30, 2011 were identified in a large commercial claims database. Two cohorts were defined based on a proxy measure for EOL 1 month prior to the end of last recorded follow-up within the study period: patients who were assumed dead at end of claims follow-up (EOL cohort) and patients who were alive (no-end-of-life [NEOL] cohort). Proxy measures for EOL were obtained from published literature and clinical expert opinion. Cost and resource utilization were evaluated for the 6 months prior to end of claims follow-up. Baseline variables, resource utilization, and costs were compared between cohorts with univariate statistical tests. Adjusted relative risks were calculated for resource utilization measures. A covariate-adjusted generalized linear model evaluated 6-month total healthcare costs. Of the 3,878 females included, 18.5% (n = 718) met the criteria for EOL. Mean observational time (MBC onset to end of claims follow-up) was shorter for the EOL cohort (EOL, 32 months vs NEOL, 35 months; p < 0.001). In adjusted analyses, the EOL cohort had 4.15 times higher 6-month total healthcare costs (EOL, $72,112 vs NEOL, $17,137; p < 0.001). NEOL month-to-month mean total healthcare costs fluctuated between $2336-$3145, while EOL costs increased steadily from $8,956 in the sixth month prior to death to $19,326 in the last month of life. The adjusted relative risk of inpatient, hospice and emergency department utilization was >2 times higher in the EOL cohort (p < 0.001). Potential EOL presented a greater economic burden in the 6 months prior to death. EOL month-to-month costs increased precipitously in the last 2 months of life and were driven by acute inpatient care.

Generalized DSS shell for developing simulation and optimization hydro-economic models of complex water resources systems

NASA Astrophysics Data System (ADS)

Pulido-Velazquez, Manuel; Lopez-Nicolas, Antonio; Harou, Julien J.; Andreu, Joaquin

2013-04-01

Hydrologic-economic models allow integrated analysis of water supply, demand and infrastructure management at the river basin scale. These models simultaneously analyze engineering, hydrology and economic aspects of water resources management. Two new tools have been designed to develop models within this approach: a simulation tool (SIM_GAMS), for models in which water is allocated each month based on supply priorities to competing uses and system operating rules, and an optimization tool (OPT_GAMS), in which water resources are allocated optimally following economic criteria. The characterization of the water resource network system requires a connectivity matrix representing the topology of the elements, generated using HydroPlatform. HydroPlatform, an open-source software platform for network (node-link) models, allows to store, display and export all information needed to characterize the system. Two generic non-linear models have been programmed in GAMS to use the inputs from HydroPlatform in simulation and optimization models. The simulation model allocates water resources on a monthly basis, according to different targets (demands, storage, environmental flows, hydropower production, etc.), priorities and other system operating rules (such as reservoir operating rules). The optimization model's objective function is designed so that the system meets operational targets (ranked according to priorities) each month while following system operating rules. This function is analogous to the one used in the simulation module of the DSS AQUATOOL. Each element of the system has its own contribution to the objective function through unit cost coefficients that preserve the relative priority rank and the system operating rules. The model incorporates groundwater and stream-aquifer interaction (allowing conjunctive use simulation) with a wide range of modeling options, from lumped and analytical approaches to parameter-distributed models (eigenvalue approach). Such functionality is not typically included in other water DSS. Based on the resulting water resources allocation, the model calculates operating and water scarcity costs caused by supply deficits based on economic demand functions for each demand node. The optimization model allocates the available resource over time based on economic criteria (net benefits from demand curves and cost functions), minimizing the total water scarcity and operating cost of water use. This approach provides solutions that optimize the economic efficiency (as total net benefit) in water resources management over the optimization period. Both models must be used together in water resource planning and management. The optimization model provides an initial insight on economically efficient solutions, from which different operating rules can be further developed and tested using the simulation model. The hydro-economic simulation model allows assessing economic impacts of alternative policies or operating criteria, avoiding the perfect foresight issues associated with the optimization. The tools have been applied to the Jucar river basin (Spain) in order to assess the economic results corresponding to the current modus operandi of the system and compare them with the solution from the optimization that maximizes economic efficiency. Acknowledgments: The study has been partially supported by the European Community 7th Framework Project (GENESIS project, n. 226536) and the Plan Nacional I+D+I 2008-2011 of the Spanish Ministry of Science and Innovation (CGL2009-13238-C02-01 and CGL2009-13238-C02-02).

Identifying Key Actors in Heterogeneous Networks

DTIC Science & Technology

2017-11-29

analysis (SNA) and game theory (GT) to improve accuracy for detecting significant or “powerful” actors within a total actor space when both resource...coalesce in order to achieve a desired outcome. Cooperative game theory (CGT) models of coalition formation are based on two limiting assumptions: that...demonstration of a new approach for synthesizing social network analysis and game theory. The ultimate goal of this research agenda is to generalize

Dynamic Distributed Cooperative Control of Multiple Heterogeneous Resources

DTIC Science & Technology

2012-10-01

of the UAVs to maximize the total sensor footprint over the region of interest. The algorithm utilized to solve this problem was based on sampling a...and moving obstacles. Obstacle positions were assumed known a priori. Kingston and Beard [22] presented an algorithm to keep moving UAVs equally spaced...Planning Algorithms , Cambridge University Press, 2006. 11. Ma, C. S. and Miller, R. H., “Mixed integer linear programming trajectory generation for

Integrating Students of Limited English Proficiency into Standards-Based Reform in the Abbott Districts. Abbott Implementation Resource Guide

ERIC Educational Resources Information Center

Lucas, Tamara; Villegas, Ana Maria

2004-01-01

In 1999-2000, over one-third of all students in the 30 Abbott districts spoke a native language other than English, and more than one-tenth were considered limited English proficient (LEP). The proportions of LEP students varied considerably across the districts, but they comprised between 5% and 29% of total enrollments in 18 of the districts.…

Agent Based Modeling and Simulation Framework for Supply Chain Risk Management

DTIC Science & Technology

2012-03-01

Christopher and Peck 2004) macroeconomic , policy, competition, and resource (Ghoshal 1987) value chain, operational, event, and recurring (Shi 2004...clustering algorithms in agent logic to protect company privacy ( da Silva et al. 2006), aggregation of domain context in agent data analysis logic (Xiang...Operational Availability ( OA ) for FMC and PMC. 75 Mission Capable (MICAP) Hours is the measure of total time (in a month) consumable or reparable

Staggered work shifts: a way to downsize and restructure an emergency department workforce yet maintain current operational performance.

PubMed

Sinreich, David; Jabali, Ola

2007-09-01

Starting from the last decade of the twentieth century, most hospital Emergency Department (ED) budgets did not keep up with the demand for ED services made by growing populations and aging societies. Since labor consumes over 50% of the total monies invested in EDs and other healthcare systems, any downsizing, streamlining and reorganization plan needs to first address staffing issues such as determining the correct size of the workforce and its work shift scheduling. In this context, it is very important to remember that downsizing certainly does not mean a general cut-across-the-board. This study shows that a selective downsizing process in which each resource is treated separately (increasing the work capacity of some resources is also possible), based on its unique contribution to the overall ED operational performance, can approximately maintain current ED operational measures in terms patient length of stay (LOS) despite an overall reduction in staff hours. A linear optimization model (S-model) and a heuristic iterative simulation based algorithm (SWSSA) are used in this study for scheduling the resources' work shifts, one resource at a time. The algorithm was tested using data that was gathered from five general hospital EDs. By leveling the workload of the different resources in the ED, SWSSA was able to achieve LOS values within -19 to 4% of the original values despite a reduction of 8-17.5% in physicians' work hours and a reduction of 13-47% in the nurses' work hours.

Estimation of crop water requirements using remote sensing for operational water resources management

NASA Astrophysics Data System (ADS)

Vasiliades, Lampros; Spiliotopoulos, Marios; Tzabiras, John; Loukas, Athanasios; Mylopoulos, Nikitas

2015-06-01

An integrated modeling system, developed in the framework of "Hydromentor" research project, is applied to evaluate crop water requirements for operational water resources management at Lake Karla watershed, Greece. The framework includes coupled components for operation of hydrotechnical projects (reservoir operation and irrigation works) and estimation of agricultural water demands at several spatial scales using remote sensing. The study area was sub-divided into irrigation zones based on land use maps derived from Landsat 5 TM images for the year 2007. Satellite-based energy balance for mapping evapotranspiration with internalized calibration (METRIC) was used to derive actual evapotranspiration (ET) and crop coefficient (ETrF) values from Landsat TM imagery. Agricultural water needs were estimated using the FAO method for each zone and each control node of the system for a number of water resources management strategies. Two operational strategies of hydro-technical project development (present situation without operation of the reservoir and future situation with the operation of the reservoir) are coupled with three water demand strategies. In total, eight (8) water management strategies are evaluated and compared. The results show that, under the existing operational water resources management strategies, the crop water requirements are quite large. However, the operation of the proposed hydro-technical projects in Lake Karla watershed coupled with water demand management measures, like improvement of existing water distribution systems, change of irrigation methods, and changes of crop cultivation could alleviate the problem and lead to sustainable and ecological use of water resources in the study area.

Awareness-based game-theoretic space resource management

NASA Astrophysics Data System (ADS)

Chen, Genshe; Chen, Huimin; Pham, Khanh; Blasch, Erik; Cruz, Jose B., Jr.

2009-05-01

Over recent decades, the space environment becomes more complex with a significant increase in space debris and a greater density of spacecraft, which poses great difficulties to efficient and reliable space operations. In this paper we present a Hierarchical Sensor Management (HSM) method to space operations by (a) accommodating awareness modeling and updating and (b) collaborative search and tracking space objects. The basic approach is described as follows. Firstly, partition the relevant region of interest into district cells. Second, initialize and model the dynamics of each cell with awareness and object covariance according to prior information. Secondly, explicitly assign sensing resources to objects with user specified requirements. Note that when an object has intelligent response to the sensing event, the sensor assigned to observe an intelligent object may switch from time-to-time between a strong, active signal mode and a passive mode to maximize the total amount of information to be obtained over a multi-step time horizon and avoid risks. Thirdly, if all explicitly specified requirements are satisfied and there are still more sensing resources available, we assign the additional sensing resources to objects without explicitly specified requirements via an information based approach. Finally, sensor scheduling is applied to each sensor-object or sensor-cell pair according to the object type. We demonstrate our method with realistic space resources management scenario using NASA's General Mission Analysis Tool (GMAT) for space object search and track with multiple space borne observers.

Phylogenetic analysis of Tibetan mastiffs based on mitochondrial hypervariable region I.

PubMed

Ren, Zhanjun; Chen, Huiling; Yang, Xuejiao; Zhang, Chengdong

2017-03-01

Recently, the number of Tibetan mastiffs, which is a precious germplasm resource and cultural heritage, is decreasing sharply. Therefore, the genetic diversity of Tibetan mastiffs needs to be studied to clarify its phylogenetics relationships and lay the foundation for resource protection, rational development and utilization of Tibetan mastiffs. We sequenced hypervariable region I of mitochondrial DNA (mtDNA) of 110 individuals from Tibet region and Gansu province. A total of 12 polymorphic sites were identified which defined eight haplotypes of which H4 and H8 were unique to Tibetan population with H8 being identified first. The haplotype diversity (Hd: 0.808), nucleotide diversity (Pi: 0.603%), the average number of nucleotide difference (K: 3.917) of Tibetan mastiffs from Gansu were higher than those from Tibet region (Hd: 0.794; Pi: 0.589%; K: 3.831), which revealed higher genetic diversity in Gansu. In terms of total population, the genetic variation was low. The median-joining network and phylogenetic tree based on the mtDNA hypervariable region I showed that Tibetan mastiffs originated from grey wolves, as the other domestic dogs and had different history of maternal origin. The mismatch distribution analysis and neutrality tests indicated that Tibetan mastiffs were in genetic equilibrium or in a population decline.

Hyperspectral Analysis of Soil Total Nitrogen in Subsided Land Using the Local Correlation Maximization-Complementary Superiority (LCMCS) Method.

PubMed

Lin, Lixin; Wang, Yunjia; Teng, Jiyao; Xi, Xiuxiu

2015-07-23

The measurement of soil total nitrogen (TN) by hyperspectral remote sensing provides an important tool for soil restoration programs in areas with subsided land caused by the extraction of natural resources. This study used the local correlation maximization-complementary superiority method (LCMCS) to establish TN prediction models by considering the relationship between spectral reflectance (measured by an ASD FieldSpec 3 spectroradiometer) and TN based on spectral reflectance curves of soil samples collected from subsided land which is determined by synthetic aperture radar interferometry (InSAR) technology. Based on the 1655 selected effective bands of the optimal spectrum (OSP) of the first derivate differential of reciprocal logarithm ([log{1/R}]'), (correlation coefficients, p < 0.01), the optimal model of LCMCS method was obtained to determine the final model, which produced lower prediction errors (root mean square error of validation [RMSEV] = 0.89, mean relative error of validation [MREV] = 5.93%) when compared with models built by the local correlation maximization (LCM), complementary superiority (CS) and partial least squares regression (PLS) methods. The predictive effect of LCMCS model was optional in Cangzhou, Renqiu and Fengfeng District. Results indicate that the LCMCS method has great potential to monitor TN in subsided lands caused by the extraction of natural resources including groundwater, oil and coal.

AGRESTE project: Agricultural resources investigations in northern Italy and southern France

NASA Technical Reports Server (NTRS)

Berg, A. (Principal Investigator); Flouzat, G.; Deparatesi, S. G.

1978-01-01

The author has identified the following significant results. Recognition of rice varieties at the flowering stage by using airborne scanner data at low altitude (1500 m) seems to be feasible. The accuracies obtained on a reduced test area (3 sq km) range from 65% to 83%. Variations of a single cultural factor, such as nitrogen fertilization, induce variations of the total rice biomass at harvest, which can be correlated closely to the values of the reflectance ratio at earing. When grain production is correlated to total biomass, prediction of yield can be achieved based on reflectance data measured two months before harvest.

Adult mental health needs and expenditure in Australia.

PubMed

Burgess, Philip; Pirkis, Jane; Buckingham, Bill; Burns, Jane; Eagar, Kathy; Eckstein, Gary

2004-06-01

Relatively little international work has examined whether mental health resource allocation matches need. This study aimed to determine whether adult mental health resources in Australia are being distributed equitably. Individual measures of need were extrapolated to Australian Areas, and Area-based proxies of need were considered. Particular attention was paid to the prevalence of mental health problems, since this is arguably the most objective measure of need. The extent to which these measures predicted public sector, private sector and total adult mental health expenditure at an Area level was examined. In the public sector, 41.6% of expenditure variation was explained by the prevalence of affective disorders, personality disorders, cognitive impairment and psychosis, as well as the Area's level of economic resources and State/Territory effects. In the private sector, 72.4% of expenditure variation was explained by service use and State/Territory effects (with an alternative model incorporating service use and State/Territory supply of private psychiatrists explaining 69.4% of expenditure variation). A relatively high proportion (58.7%) of total expenditure variation could be explained by service utilisation and State/Territory effects. For services to be delivered equitably, the majority of variation in expenditure would have to be accounted for by appropriate measures of need. The best model for public sector expenditure included an appropriate measure of need but had relatively poor explanatory power. The models for private sector and total expenditure had greater explanatory power, but relied on less appropriate measures of need. It is concluded that mental health services in Australia are not yet being delivered equitably.

Resource and manpower calculations for the provision of hepatobiliary surgical services in the UK.

PubMed Central

Majeed, Ali W.; Price, Charles

2004-01-01

BACKGROUND: The provision of specialist non-transplant hepatobiliary services in the UK is fragmented and there is little consensus on the manpower and resource requirements to meet the needs of defined populations. METHODS: We report our experience with a hepatobiliary service established 5 years ago in Sheffield to provide a tertiary referral service to the population of the North Trent health area and attempt to provide estimates of resource requirements based on patterns of current use. RESULTS: A total of 615 patients with hepatobiliary conditions requiring specialist treatment were referred to the service during 1997-2002. The majority of patients (69%) were referred for consideration of liver resection for colorectal liver metastases. In all, 251 resections were performed in 240 (39% of all referred) patients. The current operation rates for colorectal metastases are about 4 per 100,000 population per year and for other complex hepatobiliary procedures are also 4 per 100,000 population per year giving a total "need" of 8 procedures per 100,000 population per year. For the current population in England and Wales, this would mean 25 specialist hepatobiliary centres performing in total approximately 2000 hepatic resections for colorectal cancer metastases and 2000 other tertiary hepatobiliary procedures each year. CONCLUSIONS: Our experience supports the model of centralisation of non-transplant hepatobiliary surgical services and indicates the extent of hitherto unmet demand in our geographical area. We estimate that a minimum of two full-time specialist hepatobiliary surgeons with appropriate ancillary support are required for a typical population of 2 million people in the UK. PMID:15005925

Resource and manpower calculations for the provision of hepatobiliary surgical services in the UK.

PubMed

Majeed, Ali W; Price, Charles

2004-03-01

The provision of specialist non-transplant hepatobiliary services in the UK is fragmented and there is little consensus on the manpower and resource requirements to meet the needs of defined populations. We report our experience with a hepatobiliary service established 5 years ago in Sheffield to provide a tertiary referral service to the population of the North Trent health area and attempt to provide estimates of resource requirements based on patterns of current use. A total of 615 patients with hepatobiliary conditions requiring specialist treatment were referred to the service during 1997-2002. The majority of patients (69%) were referred for consideration of liver resection for colorectal liver metastases. In all, 251 resections were performed in 240 (39% of all referred) patients. The current operation rates for colorectal metastases are about 4 per 100,000 population per year and for other complex hepatobiliary procedures are also 4 per 100,000 population per year giving a total "need" of 8 procedures per 100,000 population per year. For the current population in England and Wales, this would mean 25 specialist hepatobiliary centres performing in total approximately 2000 hepatic resections for colorectal cancer metastases and 2000 other tertiary hepatobiliary procedures each year. Our experience supports the model of centralisation of non-transplant hepatobiliary surgical services and indicates the extent of hitherto unmet demand in our geographical area. We estimate that a minimum of two full-time specialist hepatobiliary surgeons with appropriate ancillary support are required for a typical population of 2 million people in the UK.

Resource Use and Cost of Alzheimer's Disease in France: 18-Month Results from the GERAS Observational Study.

PubMed

Rapp, Thomas; Andrieu, Sandrine; Chartier, Florence; Deberdt, Walter; Reed, Catherine; Belger, Mark; Vellas, Bruno

2018-03-01

There is little longitudinal data on resource use and costs associated with Alzheimer's disease (AD) in France. To evaluate resource use and societal costs associated with AD in a French cohort of patients and their caregivers and the effect of patient cognitive decline on costs over an 18-month period. Community-dwelling patients with mild, moderate, or moderately severe/severe AD dementia (n = 419) were followed-up for 18 months. Total societal costs were estimated by applying 2010 unit costs to resource use, including outpatient visits, hospital days, institutionalization, and caregiver hours. Cognitive function was assessed by Mini-Mental State Examination scores. Mean cumulative total costs over the 18-month period were €24,140 for patients with mild AD dementia, €34,287 for those with moderate AD dementia, and €44,171 for those with moderately severe/severe AD dementia (P < 0.001; ANOVA comparison between severity groups). The biggest contributor to total societal costs was caregiver informal care (>50% of total costs at all stages of AD dementia). Cognitive decline (≥3-point decrease in Mini-Mental State Examination score or institutionalization) was associated with a 12.5% increase in total costs (P = 0.02). Significant differences were observed across severity groups for caregiver time (P < 0.001); mean monthly caregiver time increased at each time point over the 18 months in each severity group. Increasing severity of AD dementia in France is associated with increased use of resources as well as increased total societal and patient costs; informal care was the greatest cost contributor. Clinically meaningful cognitive decline is associated with significantly increased costs. Copyright © 2018 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

The timber resources of the Olympic Peninsula, Washington.

Treesearch

C.L. Bolsinger

1969-01-01

The fourth inventory of the timber resources of the Olympic Peninsula shows a total of 3,105,000 acres of commercial forest land and 81,464 million board feet (International 114-inch scale) of sawtimber volume. Total timber volume has remained about the same for the past 12 years, and cut and growth currently are nearly in balance.

The Future Fiscal Needs of Ontario's College System: Total Resource Development and Strategic Philanthropy

ERIC Educational Resources Information Center

Gouveia, Cindy

2014-01-01

This paper discusses the idea that for Ontario's colleges to meet the intentions and legal requirements of their original mandates, they will need to consider extending the scope of their advancement departments to implement key components of both the Total Resource Development Model (Worth, 2002, ascited by Barrette, 2013) and the Strategic…

A study of library use in problem-based and traditional medical curricula.

PubMed

Marshall, J G; Fitzgerald, D; Busby, L; Heaton, G

1993-07-01

A key question for librarians and medical educators who are planning for curriculum change is whether students and faculty in problem-based learning (PBL) programs use the library and its resources differently than do participants in traditional programs. During 1991, this research question was explored at three medical schools in the province of Ontario, Canada. At the time of the study, McMaster University medical school was totally problem-based, the University of Western Ontario had one PBL day each week for first-year medical students, and the University of Toronto, although planning for medical curriculum change, had not yet initiated PBL. Data collected in the study suggest that more medical students in the problem-based curriculum than in the more traditional programs use the library and that, when the PBL students use the library, they do so more frequently, for longer periods of time, and as a source of a greater proportion of their study materials. PBL students also use the library more than their counterparts as a place to study and meet other students. Students in the problem-based curriculum use the following resources more extensively: end-user MEDLINE searching, library journals, reserve or short-term loan materials, photocopy services, and audiovisual materials. PBL students also report purchasing more textbooks. In contrast to the differences found among medical students, however, patterns of library and resource use by medical faculty at the three schools were quite similar.

Patterns of resource utilization and cost for postmenopausal women with hormone-receptor-positive, human epidermal growth factor receptor-2-negative advanced breast cancer in Europe.

PubMed

Jerusalem, Guy; Neven, Patrick; Marinsek, Nina; Zhang, Jie; Degun, Ravi; Benelli, Giancarlo; Saletan, Stephen; Ricci, Jean-François; Andre, Fabrice

2015-10-24

Healthcare resource utilization in breast cancer varies by disease characteristics and treatment choices. However, lack of clarity in guidelines can result in varied interpretation and heterogeneous treatment management and costs. In Europe, the extent of this variability is unclear. Therefore, evaluation of chemotherapy use and costs versus hormone therapy across Europe is needed. This retrospective chart review (N = 355) examined primarily direct costs for chemotherapy versus hormone therapy in postmenopausal women with hormone-receptor-positive (HR+), human epidermal growth factor receptor-2-negative (HER2-) advanced breast cancer across 5 European countries (France, Germany, The Netherlands, Belgium, and Sweden). Total direct costs across the first 3 treatment lines were approximately €10,000 to €14,000 lower for an additional line of hormone therapy-based treatment versus switching to chemotherapy-based treatment. Direct cost difference between chemotherapy-based and hormone therapy-based regimens was approximately €1900 to €2500 per month. Chemotherapy-based regimens were associated with increased resource utilization (managing side effects; concomitant targeted therapy use; and increased frequencies of hospitalizations, provider visits, and monitoring tests). The proportion of patients taking sick leave doubled after switching from hormone therapy to chemotherapy. These results suggest chemotherapy is associated with increased direct costs and potentially with increased indirect costs (lower productivity of working patients) versus hormone therapy in HR+, HER2- advanced breast cancer.

Evaluation of blue and green water resources in the upper Yellow River basin of China

NASA Astrophysics Data System (ADS)

Gao, Xiaoxi; Zuo, Depeng; Xu, Zongxue; Cai, Siyang; Xianming, Han

2018-06-01

The total amount of water resources severely affects socioeconomic development of a region or watershed, which means that accurate quantification of the total amount of water resources is vital for the area, especially for the arid and semi-arid regions. Traditional evaluation of water resources only focused on the qualification of blue water, while the importance of green water was not fully considered. As the second largest river in China, the Yellow River plays an important role in socioeconomic development of the Yellow River basin. Therefore, the blue and green water resources in the upper Yellow River basin (UYRB) were evaluated by the SWAT model in this study. The results show that the average annual total amount of water resources in the UYRB was 140.5 billion m3, in which the blue water resources is 37.8 billion m3, and green water resources is 107.7 billion m3. The intra-annual variability of the blue water and green water is relatively similar during the same period. The higher temperature, the greater difference between the blue and green water. The inter-annual variability of the blue and green water shows that the trends in precipitation, blue and green water have a relatively similar characteristic. The spatial distribution of the blue and green water is characteristic with gradually decreasing from the northwest to the southeast, and the blue water around the main stream is greater than that in the other areas.

E-waste management and resources recovery in France.

PubMed

Vadoudi, Kiyan; Kim, Junbeum; Laratte, Bertrand; Lee, Seung-Jin; Troussier, Nadège

2015-10-01

There are various issues of concern regarding electronic waste management, such as the toxicity of hazardous materials and the collection, recycling and recovery of useful resources. To understand the fate of electronic waste after collection and recycling, a products and materials flow analysis should be performed. This is a critical need, as material resources are becoming increasingly scarce and recycling may be able to provide secondary sources for new materials in the future. In this study, we investigate electronic waste systems, specifically the resource recovery or recycling aspects, as well as mapping electronic waste flows based on collection data in France. Approximately 1,588,453 t of new electrical and electronic equipment were sold in the French market in 2010. Of this amount, 430,000 t of electronic waste were collected, with the remaining 1,128,444 t remaining in stock. Furthermore, the total recycled amounts were 354,106 t and 11,396 t, respectively. The main electronic waste materials were ferrous metals (37%), plastic (22%), aluminium (12%), copper (11%) and glass (7%). This study will contribute to developing sustainable electronic waste and resource recycling systems in France. © The Author(s) 2015.

Resource Letter OSE-1: Observing Solar Eclipses

NASA Astrophysics Data System (ADS)

Pasachoff, Jay M.; Fraknoi, Andrew

2017-07-01

This Resource Letter provides a guide to the available literature, listing selected books, articles, and online resources about scientific, cultural, and practical issues related to observing solar eclipses. It is timely, given that a total solar eclipse will cross the continental United States on August 21, 2017. The next total solar eclipse path crossing the U.S. and Canada will be on April 8, 2024. In 2023, the path of annularity of an annular eclipse will cross Mexico, the United States, and Canada, with partial phases visible throughout those countries.

Assessment of Appalachian basin oil and gas resources: Utica-Lower Paleozoic Total Petroleum System: Chapter G.10 in Coal and petroleum resources in the Appalachian basin: distribution, geologic framework, and geochemical character

USGS Publications Warehouse

Ryder, Robert T.; Ruppert, Leslie F.; Ryder, Robert T.

2014-01-01

Both conventional oil and gas resources and continuous (unconventional) gas resources are present in the UticaLower Paleozoic TPS. Conventional oil and gas resources in the Utica-Lower Paleozoic TPS were assessed by the U.S. Geological Survey (USGS) in 2002 in the following assessment units (AU): (1) the Lower Paleozoic Carbonates in Thrust Belt AU, (2) the Knox Unconformity AU, (3) the Black River-Trenton Hydrothermal Dolomite AU, and (4) the Lockport Dolomite AU. The total estimated undiscovered oil and gas resources for these four AUs, at a mean value, was about 46 million barrels of oil (MMBO) and about 3 trillion cubic feet of gas (TCFG), respectively. In contrast, continuous (unconventional) gas resources in the TPS were assessed by the USGS in 2002 in four AUs associated with the “Clinton” sandstone, Medina sandstone, Medina Group sandstones, Tuscarora Sandstone, and sandstones in the Queenston Shale. The total estimated undiscovered gas for these four AUs, at a mean value, was about 26.8 TCFG. A hypothetical Utica Shale AU for oil(?) and continuous gas is identified in this report. In 2012, the Utica Shale was recognized by the USGS as a continuous AU and was assessed by Kirschbaum and others (2012).

Reflection on the history, coordination, and funding trends for U.S. public meat research: information to enhance resource allocation.

PubMed

Miller, L R

2002-08-01

A study was conducted to analyze resource allocation for public meat research in the United States and characterize the portfolio of meat research investments. Trends in the amount of public resources provided for meat research (beef, pork, lamb, and poultry) were analyzed for fiscal years 1980, 1985, 1990, 1995, and 1997. An in-depth analysis was conducted for data from fiscal year 1998 to characterize the profile of the research portfolio. Funding levels and scientist-year equivalents were aggregated to represent the measures of resource allocation for three mutually exclusive research categories: 1) meat quality, 2) food safety, and 3) product development and processing. Data for the 1998 profile analysis were derived from a computer search based on the combination of key words and research classification codes to avoid duplication and cluster research projects. Individual research projects were individually reviewed and a percentage was assigned to four mutually exclusive research categories: 1) meat quality, 2) food safety, 3) product development and processing, and 4) marketing. As meat research evolved over the past century, considerable efforts were expended by researchers and administrators to ensure the coordination of research and program relevance. This is demonstrated by the establishment of numerous multistate research committees. Total funding for meat science increased only modestly when adjusted for inflation during the two decades of this study; however, notable changes occurred in the distribution of resources in the portfolio. Funding for meat quality and product development and processing remained virtually unchanged when adjusted for inflation, whereas funding for food safety increased considerably. The total number of scientists conducting meat research remained virtually unchanged during the period, but the proportion allocated to food safety research increased substantially. The federal portion of total funding decreased from 61.3% to 51.6% between 1980 and 1997, whereas the percentage from both state appropriations and private sources increased. Modifications in research emphasis were influenced by industry problems such as meat quality, public perceptions about food safety, the availability of research funding, scientific advances occurring in molecular biology and genetic manipulation, and the changing meat industry. The information in this paper provides administrators and researchers the opportunity to make better informed decisions about resource allocation for meat research.

NativeView: Our Land, Our People, Our Future

NASA Astrophysics Data System (ADS)

Bennett, T.

2006-05-01

The objective of this discussion is to (1) discuss the chasm between the breadth of Tribal land and resource to be sustained compared to the finite number of Tribal people trained in the sciences; (2) illustrate the need for integrating scientific knowledge with cultural knowledge; and (3) discuss the emergence of NativeView as Tribal College (TCUs) initiative leading the integration of geoscience and geospatial technology (GIS, Remote Sensing) with cultural knowledge to meet the growing needs of indigenous communities. It's about our land, our people and the need for highly trained individuals to sustainable and manage our resources for the future. There is a tremendous gap between total acreage of land owned or managed and the level of education obtained by indigenous people. In the United States today, American Indians and Alaskan Natives account for less than one percent of the total population, yet are responsible for more than five percent of the total land area. In North Dakota, there are over 54 thousand American Indians responsible for more than 3.8 million acres of Tribal Land. In contrast, less than 15 percent of indigenous people finish a Bachelor's degree of any kind and far fewer finish a science degree that would help them become more effective and responsible land managers. This poses an important dilemma. How will the Tribes meet (1) the resource needs of a growing population, (2) the demand for a skilled workforce, and (3) resource management goals in ways that contribute to Tribal infrastructure and equate to sustainable resource management? The integration of geoscience and geospatial technologies into the curriculum of Tribal Colleges (TCU's) has quietly emerged as one of the leading initiatives across Indian Country. These skills are widely recognized as a vehicle to empower our constituents in the sciences, in the cultural values and the traditional land ethic that defines us as a people. NativeView has taken the lead in working with the Tribes, TCUs and other partners to create cadres of indigenous professionals that possess skills in geoscience and geospatial technologies that will manage Tribal resources in scientifically sound, culturally relevant ways. Preliminary results suggest that developing strength-based collaborations that create an environment of investment and ownership by all Indian and non-Indian participants proves an effective model for meeting long- term goals. A number of these projects and the mechanisms that define the successful collaborations will be illustrated.

A societal cost-of-illness study of hemodialysis in Lebanon.

PubMed

Rizk, Rana; Hiligsmann, Mickaël; Karavetian, Mirey; Salameh, Pascale; Evers, Silvia M A A

2016-12-01

Renal failure is a growing public health problem, and is mainly treated by hemodialysis. This study aims to estimate the societal costs of hemodialysis in Lebanon. This was a quantitative, cross-sectional cost-of-illness study conducted alongside the Nutrition Education for Management of Osteodystrophy trial. Costs were assessed with a prevalence-based, bottom-up approach, for the period of June-December 2011. The data of 114 patients recruited from six hospital-based units were collected through a questionnaire measuring healthcare costs, costs to patients and family, and costs in other sectors. Recall data were used for the base-case analysis. Sensitivity analyses employing various sources of resources use and costs were performed. Costs were uprated to 2015US$. Multiple linear regression was conducted to explore the predictors of societal costs. The mean 6-month societal costs were estimated at $9,258.39. The larger part was attributable to healthcare costs (91.7%), while costs to patient and family and costs in other sectors poorly contributed to the total costs (4.2% and 4.1%, respectively). In general, results were robust to sensitivity analyses. Using the maximum value for hospitalization resulted in the biggest difference (+15.5% of the base-case result). Female gender, being widowed/divorced, having hypertension comorbidity, and higher weekly time on dialysis were significantly associated with greater societal costs. Information regarding resource consumption and cost were not readily available. Rather, they were obtained from a variety of sources, with each having its own strengths and limitations. Hemodialysis represents a high societal burden in Lebanon. Using extrapolation, its total annual cost for the Lebanese society is estimated at $61,105,374 and the mean total annual cost ($18,516.7) is 43.70% higher than the gross domestic product per capita forecast for 2015. Measures to reduce the economic burden of hemodialysis should be taken, by promoting chronic kidney disease's prevention and encouraging transplantation.

Measurement resources for dissemination and implementation research in health.

PubMed

Rabin, Borsika A; Lewis, Cara C; Norton, Wynne E; Neta, Gila; Chambers, David; Tobin, Jonathan N; Brownson, Ross C; Glasgow, Russell E

2016-03-22

A 2-day consensus working meeting, hosted by the United States National Institutes of Health and the Veterans Administration, focused on issues related to dissemination and implementation (D&I) research in measurement and reporting. Meeting participants included 23 researchers, practitioners, and decision makers from the USA and Canada who concluded that the field would greatly benefit from measurement resources to enhance the ease, harmonization, and rigor of D&I evaluation efforts. This paper describes the findings from an environmental scan and literature review of resources for D&I measures. We identified a total of 17 resources, including four web-based repositories and 12 static reviews or tools that attempted to synthesize and evaluate existing measures for D&I research. Thirteen resources came from the health discipline, and 11 were populated from database reviews. Ten focused on quantitative measures, and all were generated as a resource for researchers. Fourteen were organized according to an established D&I theory or framework, with the number of constructs and measures ranging from 1 to more than 450. Measure metadata was quite variable with only six providing information on the psychometric properties of measures. Additional guidance on the development and use of measures are needed. A number of approaches, resources, and critical areas for future work are discussed. Researchers and stakeholders are encouraged to take advantage of a number of funding mechanisms supporting this type of work.

[Resource situation investigation about Rheum tanguticum and its sustainable utilization analysis in main production area of China].

PubMed

Li, Li; Liu, Kai; Wei, Sheng-Li; Cheng, Xiao-Li; Liu, Juan; Ren, Guang-Xi; Wang, Wen-Quan

2014-04-01

This study was conducted to investigate the wild and cultivated resource situation of Rheum tanguticum in main production area of China, estimate its reserves, and put forward the feasible approach for the sustainable utilization of R. tanguticum. On the basis of the literature data about R. tanguticum, conbined with interview, investigation and sampling investigation, the total reserve of resources is estimated using the route-quadrat method and the vegetation and soil-type map area method proposed by our research group. The results indicate that there is no obvious change between the present distribution ranges of the wild R. tanguticum and its historical records, but its population density has changed clearly. The reserve of the wild R. tanguticum has seriously declined in lots of place, even faced the exhaustion in some regions. According to the investigation, the resource reserve of the wild R. tanguticum is no more than 5 000 t, and the cultivated is about 1 607 t. The resource reserve of the wild R. tanguticum is nearly depleted, and this suggests that the wild R. tanguticum should be enrolled in the protection plant list, and the cultivated will become the main resource of Rhubarb in the future. So it is extremely neccessary to collect and protect the germplasm resource of R. tanguticum, establish the germplasm nursery and repository, and conduct breeding research on those bases.

Investigation and Evaluation of Groundwater Resources of Juxian

NASA Astrophysics Data System (ADS)

Xinyi, Li; Wanglin, Li; Xiaojiao, Zhang; Deling, Zhu; Huadan, Yan

2018-03-01

The investigation and evaluation of groundwater resources refers to the analysis of groundwater quantity, quality, spatial-temporal property and exploitation status. Based on the collected data and field investigation, the groundwater resources in plain and hilly area of Juxian were calculated by replenishment method, discharge method and comprehensive infiltration coefficient method, and the groundwater quality was analyzed and evaluated. The conclusions are as follows: (1) The amount of groundwater resources is 224.940 million m3/a, including 89.585 million m3/a of plain area and 142.523 million m3/a of hilly area respectively. (2) The allowable yield of groundwater is about 162.948 million m3/a, in which the amounts in the plain area and the hilly area are 74 .585million m3/a and 88.363 million m3/a, respectively. (3) The pH value of groundwater ranges from 6.5∼7.5 and the degree of mineralization of groundwater was lower than 1 g/L at most. In addition, the total hardness varies from 150 mg/L to 450 mg/L in plain area and 300 mg/L to 550 mg/L in hilly area, respectively. The investigation and evaluation of groundwater resources was of great significance in ensuring the sustainable development of groundwater resources, establishing the scheme of groundwater resources exploitation and utilization.

High resource use among adult congenital heart surgery admissions in adult hospitals: risk factors and association with death and comorbidities.

PubMed

Bhatt, Ami B; Rajabali, Alefiyah; He, Wei; Benavidez, Oscar J

2015-01-01

Adult hospitals are a common location of adult congenital heart disease (ACHD) admissions, including cardiac surgical admissions. Understanding the patterns and predictors of resource use could aid these institutions by identifying and targeting potentially modifiable determinants of high resource use (HRU). Our objectives were to examine resource use during adult congenital heart surgical admissions in adult hospitals, determine the association of HRU with mortality, and identify risk factors for HRU. Population-based retrospective study We obtained data from the Nationwide Inpatient Sample 2005-2009 and examined ACHD surgical admissions ages 18-49 years (n = 16 231). We defined HRU as admissions with >90th percentile for total hospital charges. Despite representing 10% of admissions, HRU admissions accounted for 32% of total charges. HRU admissions had a higher mortality rate (9.7% vs. 1.8%, P < .001). Multivariable analysis demonstrated that HRU is associated with government insurance adjusted odds ratio (AOR) 2.0 (95% confidence interval [CI] 1.6,2.4), emergency admissions AOR 3.9 (95% CI 3.1,4.8), complications AOR 4.2 (95% CI 3.3,5.2), renal failure AOR 1.8 (95% CI 1.4,2.2), congestive heart failure AOR 1.2 (95% CI 1,1.4), surgical complexity risk category-2 AOR 2.0 (95% CI 1.0,3.6), and category-3+ AOR 2.3 (95% CI 1.4,3.8). HRU admissions for adult congenital heart surgery consumed a disproportionate amount of resources and were associated with higher mortality. HRU risk factors included nonelective admissions, government insurance, heart failure, surgical complexity, renal failure, and complications. Complications, if preventable, may be a target for improvement strategies to decrease resource use. Other risk factors may require a broader patient care approach. © 2014 Wiley Periodicals, Inc.

[Analysis of cost and efficiency of a medical nursing unit using time-driven activity-based costing].

PubMed

Lim, Ji Young; Kim, Mi Ja; Park, Chang Gi

2011-08-01

Time-driven activity-based costing was applied to analyze the nursing activity cost and efficiency of a medical unit. Data were collected at a medical unit of a general hospital. Nursing activities were measured using a nursing activities inventory and classified as 6 domains using Easley-Storfjell Instrument. Descriptive statistics were used to identify general characteristics of the unit, nursing activities and activity time, and stochastic frontier model was adopted to estimate true activity time. The average efficiency of the medical unit using theoretical resource capacity was 77%, however the efficiency using practical resource capacity was 96%. According to these results, the portion of non-added value time was estimated 23% and 4% each. The sums of total nursing activity costs were estimated 109,860,977 won in traditional activity-based costing and 84,427,126 won in time-driven activity-based costing. The difference in the two cost calculating methods was 25,433,851 won. These results indicate that the time-driven activity-based costing provides useful and more realistic information about the efficiency of unit operation compared to traditional activity-based costing. So time-driven activity-based costing is recommended as a performance evaluation framework for nursing departments based on cost management.

Hamiltonian identifiability assisted by a single-probe measurement

NASA Astrophysics Data System (ADS)

Sone, Akira; Cappellaro, Paola

2017-02-01

We study the Hamiltonian identifiability of a many-body spin-1 /2 system assisted by the measurement on a single quantum probe based on the eigensystem realization algorithm approach employed in Zhang and Sarovar, Phys. Rev. Lett. 113, 080401 (2014), 10.1103/PhysRevLett.113.080401. We demonstrate a potential application of Gröbner basis to the identifiability test of the Hamiltonian, and provide the necessary experimental resources, such as the lower bound in the number of the required sampling points, the upper bound in total required evolution time, and thus the total measurement time. Focusing on the examples of the identifiability in the spin-chain model with nearest-neighbor interaction, we classify the spin-chain Hamiltonian based on its identifiability, and provide the control protocols to engineer the nonidentifiable Hamiltonian to be an identifiable Hamiltonian.

Analysis of buprenorphine/naloxone dosing impact on treatment duration, resource use and costs in the treatment of opioid-dependent adults: a retrospective study of US public and private health care claims.

PubMed

Khemiri, Amine; Kharitonova, Elizaveta; Zah, Vladimir; Ruby, Jane; Toumi, Mondher

2014-09-01

The buprenorphine/naloxone combination is used to treat the chronic relapsing disorder of opioid dependence. Adequate dosing levels are important to control cravings, prevent withdrawal syndrome, and maintain patients in treatment. The objective of this study was to estimate the impact of dosing on treatment persistence, resource utilization, and total direct health care costs. A retrospective cohort analysis was performed using administrative claims extracted from the MarketScan and Clinformatics databases from January 2007 to June and November 2012. Patients initiating treatment with buprenorphine/naloxone were classified into 2 groups based on the prescribed average dose over the entire treatment period and matched by multiple criteria. The threshold for differentiating the dosing groups was set at 15 and 15.7 mg/day for publicly and privately insured patients, respectively. Resource utilization and related costs were calculated over the 12-month period after the treatment initiation. Patient characteristics at baseline were considerably different between the privately and publicly insured patients. Publicly insured patients were slightly younger (33.1 vs 34.3 years old for privately insured) and had a higher prevalence of mental disorders (70.9% vs 64.9%). In both groups, patients treated with higher doses (> 15 mg and > 15.7 mg per day for publicly and privately insured patients, respectively) had lower risk of discontinuation (public: 11% lower; private: 9% lower) and lower probability of a psychiatric hospitalization than patients treated with lower doses (public: 17% lower; private: 41% lower). Total costs were comparable between the 2 groups (public: $14 600; private: $21 000) despite the expected higher cost of pharmacy in the higher-dose group. Treatment with higher doses of buprenorphine/naloxone was associated with a longer time to treatment discontinuation, less resource use, and lower total medical costs despite higher pharmacy acquisition cost.

Estimating the financial resources needed for local public health departments in Minnesota: a multimethod approach.

PubMed

Riley, William; Briggs, Jill; McCullough, Mac

2011-01-01

This study presents a model for determining total funding needed for individual local health departments. The aim is to determine the financial resources needed to provide services for statewide local public health departments in Minnesota based on a gaps analysis done to estimate the funding needs. We used a multimethod analysis consisting of 3 approaches to estimate gaps in local public health funding consisting of (1) interviews of selected local public health leaders, (2) a Delphi panel, and (3) a Nominal Group Technique. On the basis of these 3 approaches, a consensus estimate of funding gaps was generated for statewide projections. The study includes an analysis of cost, performance, and outcomes from 2005 to 2007 for all 87 local governmental health departments in Minnesota. For each of the methods, we selected a panel to represent a profile of Minnesota health departments. The 2 main outcome measures were local-level gaps in financial resources and total resources needed to provide public health services at the local level. The total public health expenditure in Minnesota for local governmental public health departments was $302 million in 2007 ($58.92 per person). The consensus estimate of the financial gaps in local public health departments indicates that an additional $32.5 million (a 10.7% increase or $6.32 per person) is needed to adequately serve public health needs in the local communities. It is possible to make informed estimates of funding gaps for public health activities on the basis of a combination of quantitative methods. There is a wide variation in public health expenditure at the local levels, and methods are needed to establish minimum baseline expenditure levels to adequately treat a population. The gaps analysis can be used by stakeholders to inform policy makers of the need for improved funding of the public health system.

Direct and Indirect Costs of Asthma Management in Greece: An Expert Panel Approach.

PubMed

Souliotis, Kyriakos; Kousoulakou, Hara; Hillas, Georgios; Bakakos, Petros; Toumbis, Michalis; Loukides, Stelios; Vassilakopoulos, Theodoros

2017-01-01

Asthma is a major cause of morbidity and mortality and is associated with significant economic burden worldwide. The objectives of this study were to map current resource use associated with the disease management and to estimate the annual direct and indirect costs per adult patient with asthma. A Delphi panel with seven leading pulmonologists was conducted. A semistructured questionnaire was developed to elicit data on resource use and treatment patterns. Unit costs from official, published sources were subsequently assigned to resource use to estimate direct medical costs. Indirect costs were estimated as number of work loss days. Cost base year was 2015, and the perspective adopted was that of the National Organization of Health Care Services Provision, as well as the societal. Patients with asthma are mainly managed by pulmonologists (71.4%) and secondarily by general practitioners and internists (28.6%). The annual cost of managing exacerbations was estimated at €273.1, while maintenance costs were estimated at €1,100.2 per year. Total costs of managing asthma per patient per year were estimated at €2,281.8, 64.4% of which represented direct medical costs. Of the direct costs, pharmaceutical treatment was the key driver, accounting for 63.9 and 41.2% of direct and total costs, respectively. Direct non-medical costs (patient travel and waiting time) were estimated at €152.3. Indirect costs accounted for 28.9% of total costs. Asthma is a chronic condition, the management of which constrains the already limited Greek health care resources. The increasing prevalence of the disease raises concerns as it could translate per patient costs into a significant burden for the Greek health care system. Thus, the prevention, self-management, and improved quality of care for asthma should find a place in the health policy agenda in Greece.

Power Allocation and Outage Probability Analysis for SDN-based Radio Access Networks

NASA Astrophysics Data System (ADS)

Zhao, Yongxu; Chen, Yueyun; Mai, Zhiyuan

2018-01-01

In this paper, performance of Access network Architecture based SDN (Software Defined Network) is analyzed with respect to the power allocation issue. A power allocation scheme PSO-PA (Particle Swarm Optimization-power allocation) algorithm is proposed, the proposed scheme is subjected to constant total power with the objective of minimizing system outage probability. The entire access network resource configuration is controlled by the SDN controller, then it sends the optimized power distribution factor to the base station source node (SN) and the relay node (RN). Simulation results show that the proposed scheme reduces the system outage probability at a low complexity.

Resource use and costs associated with opioid-induced constipation following total hip or total knee replacement surgery.

PubMed

Wittbrodt, Eric T; Gan, Tong J; Datto, Catherine; McLeskey, Charles; Sinha, Meenal

2018-01-01

Constipation is a well-known complication of surgery that can be exacerbated by opioid analgesics. This study evaluated resource utilization and costs associated with opioid-induced constipation (OIC). This retrospective, observational, and propensity-matched cohort study utilized the Premier Healthcare Database. The study included adults ≥18 years of age undergoing total hip or total knee replacement as inpatients who received an opioid analgesic and were discharged between January 1, 2012, and June 30, 2015. Diagnosis codes identified patients with OIC who were then matched 1:1 to patients without OIC. Generalized linear and logistic regression models were used to compare inpatient resource utilization, total hospital costs, inpatient mortality, and 30-day all-cause readmissions and emergency department visits. Of 788,448 eligible patients, 40,891 (5.2%) had OIC. Covariates were well balanced between matched patients with and without OIC (n=40,890 each). In adjusted analyses, patients with OIC had longer hospital lengths of stay (3.6 versus 3.3 days; p <0.001), higher total hospital costs (US$17,479 versus US$16,265; p <0.001), greater risk of intensive care unit admission (odds ratio [OR]=1.12, 95% CI: 1.01-1.24), and increased likelihood of 30-day hospital read-missions (OR=1.16, 95% CI: 1.11-1.22) and emergency department visits (OR=1.38, 95% CI: 1.07-1.79) than patients without OIC. No statistically significant difference was found with inpatient mortality (OR=0.89, 95% CI: 0.59-1.35). OIC was associated with greater resource utilization and hospital costs for patients undergoing primarily elective total hip or total knee replacement surgery. These results support OIC screening and management strategies as part of perioperative care management.

Evaluation of losses in transmission of machinery for development of mineral deposits in conditions of variable load

NASA Astrophysics Data System (ADS)

Zvonarev, I. E.; Ivanov, S. L.

2017-10-01

The influence of individual elements of machines transmissions on the operation of the whole system is shown. The approach of determining the resource of operation of systems elements based on the energy theory is presented. The formulas for determining the total energy resource of the reducer are given. The influence of individual elements of the system on each other is indicated. The principle of researching the system by the method of equivalent circuits is substantiated. The weakest places of transmission (gears, bearing supports and shafts) are determined. A mathematical model of a mechanical transmission was developed. To test the adequacy of the mathematical model, the stand for obtaining experimental data was designed. The description of the stand and the principle of its operation are given. Experimental data are presented. A comparative analysis of modeling and experimental data is carried out and the adequacy of the developed mathematical model is proved. The principle of determining the resource of the system as a whole for the element with the minimal resource of work is suggested.

Assessment of Undiscovered Technically Recoverable Oil and Gas Resources of the Bakken Formation, Williston Basin, Montana and North Dakota, 2008

USGS Publications Warehouse

Pollastro, R.M.; Roberts, L.N.R.; Cook, T.A.; Lewan, M.D.

2008-01-01

The U.S. Geological Survey (USGS) has completed an assessment of the undiscovered oil and associated gas resources of the Upper Devonian to Lower Mississippian Bakken Formation in the U.S. portion of the Williston Basin of Montana and North Dakota and within the Williston Basin Province. The assessment is based on geologic elements of a total petroleum system (TPS), which include (1) source-rock distribution, thickness, organic richness, maturation, petroleum generation, and migration; (2) reservoir-rock type (conventional or continuous), distribution, and quality; and (3) character of traps and time of formation with respect to petroleum generation and migration. Framework studies in stratigraphy and structural geology and modeling of petroleum geochemistry, combined with historical exploration and production analyses, were used to estimate the undiscovered, technically recoverable oil resource of the Bakken Formation. Using this framework, the USGS defined a Bakken-Lodgepole TPS and seven assessment units (AU) within the system. For the Bakken Formation, the undiscovered oil and associated gas resources were quantitatively estimated for six of these AUs.

Wave energy resource of Brazil: An analysis from 35 years of ERA-Interim reanalysis data

PubMed Central

Araújo, Alex Maurício

2017-01-01

This paper presents a characterization of the wave power resource and an analysis of the wave power output for three (AquaBuoy, Pelamis and Wave Dragon) different wave energy converters (WEC) over the Brazilian offshore. To do so it used a 35 years reanalysis database from the ERA-Interim project. Annual and seasonal statistical analyzes of significant height and energy period were performed, and the directional variability of the incident waves were evaluated. The wave power resource was characterized in terms of the statistical parameters of mean, maximum, 95th percentile and standard deviation, and in terms of the temporal variability coefficients COV, SV e MV. From these analyses, the total annual wave power resource available over the Brazilian offshore was estimated in 89.97 GW, with largest mean wave power of 20.63 kW/m in the southernmost part of the study area. The analysis of the three WEC was based in the annual wave energy output and in the capacity factor. The higher capacity factor was 21.85% for Pelamis device at the southern region of the study area. PMID:28817731

Wave energy resource of Brazil: An analysis from 35 years of ERA-Interim reanalysis data.

PubMed

Espindola, Rafael Luz; Araújo, Alex Maurício

2017-01-01

This paper presents a characterization of the wave power resource and an analysis of the wave power output for three (AquaBuoy, Pelamis and Wave Dragon) different wave energy converters (WEC) over the Brazilian offshore. To do so it used a 35 years reanalysis database from the ERA-Interim project. Annual and seasonal statistical analyzes of significant height and energy period were performed, and the directional variability of the incident waves were evaluated. The wave power resource was characterized in terms of the statistical parameters of mean, maximum, 95th percentile and standard deviation, and in terms of the temporal variability coefficients COV, SV e MV. From these analyses, the total annual wave power resource available over the Brazilian offshore was estimated in 89.97 GW, with largest mean wave power of 20.63 kW/m in the southernmost part of the study area. The analysis of the three WEC was based in the annual wave energy output and in the capacity factor. The higher capacity factor was 21.85% for Pelamis device at the southern region of the study area.

Activity-based differentiation of pathologists' workload in surgical pathology.

PubMed

Meijer, G A; Oudejans, J J; Koevoets, J J M; Meijer, C J L M

2009-06-01

Adequate budget control in pathology practice requires accurate allocation of resources. Any changes in types and numbers of specimens handled or protocols used will directly affect the pathologists' workload and consequently the allocation of resources. The aim of the present study was to develop a model for measuring the pathologists' workload that can take into account the changes mentioned above. The diagnostic process was analyzed and broken up into separate activities. The time needed to perform these activities was measured. Based on linear regression analysis, for each activity, the time needed was calculated as a function of the number of slides or blocks involved. The total pathologists' time required for a range of specimens was calculated based on standard protocols and validated by comparing to actually measured workload. Cutting up, microscopic procedures and dictating turned out to be highly correlated to number of blocks and/or slides per specimen. Calculated workload per type of specimen was significantly correlated to the actually measured workload. Modeling pathologists' workload based on formulas that calculate workload per type of specimen as a function of the number of blocks and slides provides a basis for a comprehensive, yet flexible, activity-based costing system for pathology.

Linking energy-sanitation-agriculture: Intersectional resource management in smallholder households in Tanzania.

PubMed

Krause, Ariane; Rotter, Vera Susanne

2017-07-15

In order to create sustainable systems for resource management, residues from cooking and ecological sanitation (EcoSan) can be employed in recycling-driven soil fertility management. However, the link between energy, sanitation, and agricultural productivity is often neglected. Hence, the potential self-sufficient nature of many smallholdings in sub-Saharan Africa is underexploited. To compare those cooking and sanitation technologies most commonly used in north-western Tanzania with locally developed alternatives, with respect to (i) resource consumption, (ii) potential to recover resources, and (iii) environmental emissions. This study examines technologies at the household level, and was carried out using material flow analysis (MFA). The specific bioenergy technologies analysed include: three-stone fires; charcoal burners; improved cooking stoves (ICS), such as rocket and microgasifier stoves; and biogas systems. The specific sanitation alternatives studied comprise: pit latrines; two approaches to EcoSan; and septic systems. The use of ICS reduces total resource consumption; using charcoal or biogas does not. The residues from microgasifiers were analysed as having a substantial recovery potential for carbon (C) and phosphorus (P). The fact that input substrates for biogas digesters are post-agricultural in nature means that biogas slurry is not considered an 'untapped resource' despite its ample nutrient content. Exchanging pit latrines for water-based sanitation systems places heavy pressure on already scarce water resources for local smallholders. In contrast, the implementation of waterless EcoSan facilities significantly promotes nutrient recovery and reduces environmental emissions, particularly through greenhouse gas emission and nutrient leaching. Recycled outputs from the triple energy-sanitation-agriculture nexus display complementary benefits: residues from cooking can be used to restore organic matter in soils, while sanitation residues contribute to fertilisation. The combination of microgasifiers and EcoSan-facilities is the most appropriate in order to simultaneously optimise resource consumption, reduce environmental impacts, and maximise recycling-based soil management in smallholder farming systems. Copyright © 2017 Elsevier B.V. All rights reserved.

Prediction of resource volumes at untested locations using simple local prediction models

USGS Publications Warehouse

Attanasi, E.D.; Coburn, T.C.; Freeman, P.A.

2006-01-01

This paper shows how local spatial nonparametric prediction models can be applied to estimate volumes of recoverable gas resources at individual undrilled sites, at multiple sites on a regional scale, and to compute confidence bounds for regional volumes based on the distribution of those estimates. An approach that combines cross-validation, the jackknife, and bootstrap procedures is used to accomplish this task. Simulation experiments show that cross-validation can be applied beneficially to select an appropriate prediction model. The cross-validation procedure worked well for a wide range of different states of nature and levels of information. Jackknife procedures are used to compute individual prediction estimation errors at undrilled locations. The jackknife replicates also are used with a bootstrap resampling procedure to compute confidence bounds for the total volume. The method was applied to data (partitioned into a training set and target set) from the Devonian Antrim Shale continuous-type gas play in the Michigan Basin in Otsego County, Michigan. The analysis showed that the model estimate of total recoverable volumes at prediction sites is within 4 percent of the total observed volume. The model predictions also provide frequency distributions of the cell volumes at the production unit scale. Such distributions are the basis for subsequent economic analyses. ?? Springer Science+Business Media, LLC 2007.

Governance in community based health programmes in I.R of Iran.

PubMed

Falahat, Katayoun; Eftekhari, Monir Baradaran; Malekafzali, Hossein; Forouzan, Ameneh Setareh; Dejman, Masoumeh

2013-02-01

To assess the nature of community-based health programme experience in Iran, and use the results in order to advocate more friendly policies in community, academy and funding organisations. The qualitative study was done in 2010-11 at various locations in Iran using semi structural in-depth interviews with the principals and managers of programmes, and focus group discussions with volunteers and service users of 13 Community Based Health Programmes which were active for at least five years. A total of 21 in-depth interviews and 20 focus group discussions were conducted. Data analysis was based on deductive-inductive content analysis approach considering the pre-determined structure in accordance with the study questions. The participants' views were analysed within the main category of governance, including the three sub-categories of leadership, monitoring and evaluation, and resource mobilisation. According to the participants, governmental programmes have centralised decision-making and management processes and local volunteers have no role in selecting managers at different levels of a programme. Such programmes are funded by the governmental core resources. In non-government organisations, resources available for such purposes mainly come through charitable individuals, service delivery fees and profitable economical activities, financial participation of volunteers and by using other organisations' facilities. In most programmes, there were no systematic process for monitoring and evaluation. Community-based Health programmes in Iran need to be revised in line with the positive input.There is a need to have community-based units within the Ministry of Health and Medical Education and other relevant organisations.

Minimizing patient waiting time in emergency department of public hospital using simulation optimization approach

NASA Astrophysics Data System (ADS)

Ibrahim, Ireen Munira; Liong, Choong-Yeun; Bakar, Sakhinah Abu; Ahmad, Norazura; Najmuddin, Ahmad Farid

2017-04-01

Emergency department (ED) is the main unit of a hospital that provides emergency treatment. Operating 24 hours a day with limited number of resources invites more problems to the current chaotic situation in some hospitals in Malaysia. Delays in getting treatments that caused patients to wait for a long period of time are among the frequent complaints against government hospitals. Therefore, the ED management needs a model that can be used to examine and understand resource capacity which can assist the hospital managers to reduce patients waiting time. Simulation model was developed based on 24 hours data collection. The model developed using Arena simulation replicates the actual ED's operations of a public hospital in Selangor, Malaysia. The OptQuest optimization in Arena is used to find the possible combinations of a number of resources that can minimize patients waiting time while increasing the number of patients served. The simulation model was modified for improvement based on results from OptQuest. The improvement model significantly improves ED's efficiency with an average of 32% reduction in average patients waiting times and 25% increase in the total number of patients served.

Allocation of Health Resources According To the Type and Size of Iranian Governmental Hospitals

PubMed Central

Hassani, SA; Abolhallaje, M; Inanlo, S; Hosseini, H; Pourmohammadi, K; Bastani, P; Ramezanian, M; Marnani, A Barati

2013-01-01

Background: Due to consuming about 50%–80% of health resources, hospitals are the greatest and costly operational units in Iranian Health system. so allocation of resources specially human and space resources as the most expensive ones is really important for further controlling of costs, analysis of costs and making suitable policies for increasing the profitability and allocation of resources and improvement of quality. Method: This paper intends to describe and analyze any allocation of resources in 530 university hospitals in Iran. The final goal of this research is to provide a data bank according which there is a basis for more scientific budget allocation of state’s hospitals from the size and type of application points of view. Results: The relevant index of person to bed was 2.04 for human resources. All hospitals more than 300 beds are located in benefiting areas from which 17 cases are educational and 2 cases are therapeutic. This is necessary to mention that the rate of management group forces to total personnel at deprived areas is about 2.5% more than benefiting areas. Conclusion: Because 60–80% of hospital costs are applied for human forces, all managers of hospitals are obliged to revise their policies in attraction and employment of human force in order to benefit from such a valuable resource and prevent from expensive costs. So any employment of personnel should be based upon real needs of hospital. PMID:23865036

Using PETRIMES to estimate mercury deposits in California

USGS Publications Warehouse

Lee, P.J.; Singer, D.A.

1994-01-01

In this article, we examine the use of an unconventional procedure, PETRIMES, to estimate mineral resources of mercury deposits in California. The study, which is based on the nonparametric discovery process model and Q-Q plots, suggests that a lognormal distribution is appropriate for the mercury deposits in California. The results of the assessment are summarized as follows: (1) the total number of mercury deposits in the population is approximately 165; (2) the median value of the largest undiscovered deposit size is 487 flasks; (3) the mean of the remaining mercury potential is 2,500 flasks; and (4) the population resource ranges from 1,040,000 to 4,300,000 flasks (at a 0.9 probability level). ?? 1994 Oxford University Press.

A Genetic-Based Scheduling Algorithm to Minimize the Makespan of the Grid Applications

NASA Astrophysics Data System (ADS)

Entezari-Maleki, Reza; Movaghar, Ali

Task scheduling algorithms in grid environments strive to maximize the overall throughput of the grid. In order to maximize the throughput of the grid environments, the makespan of the grid tasks should be minimized. In this paper, a new task scheduling algorithm is proposed to assign tasks to the grid resources with goal of minimizing the total makespan of the tasks. The algorithm uses the genetic approach to find the suitable assignment within grid resources. The experimental results obtained from applying the proposed algorithm to schedule independent tasks within grid environments demonstrate the applicability of the algorithm in achieving schedules with comparatively lower makespan in comparison with other well-known scheduling algorithms such as, Min-min, Max-min, RASA and Sufferage algorithms.

Agropastoral Mobility and Rangelands Multiple Uses in the Miombo Frontier Ecozone of Tabora Region, Western Tanzania

PubMed Central

2017-01-01

This study aimed to examine the argument of environmental resource-use conflict as the primary cause of crop farmers and agropastoralists conflicts in Tabora Region, Tanzania. It explored the multiple interdependent phenomena that affect livelihoods relationships between crop farmers and agropastoralists and the nature of their continuing conflicts over the ecozonal resources. A primary dataset of the two groups' conflicts was used. An ex post facto and multistage sampling design was adopted. A total of 252 respondents were interviewed in three separate villages drawn from agroecological zones fringing the miombo woodland where such tensions are high. Data were analyzed using logistic regression. Results indicate that education (β = −1.215, .297; p = .050), household size (β = .958, 2.607; p = .017), herd size (β = 4.276, 7.197; p = 0.001), farm size (β = −1.734, .048; p = .176), the police (β = −.912, 4.582; p = .043), and village leaders (β = −.122, .885; p = .012) were the most potent predictors of causes of conflicts. The study found no support for demographic variables, like age, sex, marital status, income, duration of residence, and distance to resource base. The study recommends population growth control and strengthening of local institutions and recommends local communities to sustain management of natural resources base in the area. PMID:29201492

Landfill leachate--a water and nutrient resource for algae-based biofuels.

PubMed

Edmundson, Scott J; Wilkie, Ann C

2013-01-01

There is a pressing need for sustainable renewable fuels that do not negatively impact food and water resources. Algae have great potential for the production of renewable biofuels but require significant water and fertilizer resources for large-scale production. Municipal solid waste (MSW) landfill leachate (LL) was evaluated as a cultivation medium to reduce both water and elemental fertilizer demands of algae cultivation. Daily growth rate and cell yield of two isolated species of algae (Scenedesmus cf. rubescens and Chlorella cf. ellipsoidea) were cultivated in MSW LL and compared with Bold's Basal Medium (BBM). Results suggest that LL can be used as a nutrient resource and medium for the cultivation of algae biomass. S. cf. rubescens grew well in 100% LL, when pH was regulated, with a mean growth rate and cell yield 91.2% and 92.8% of those observed in BBM, respectively. S. cf. rubescens was more adaptable than C. cf. ellipsoidea to the LL tested. The LL used in this study supported a maximum volumetric productivity of 0.55 g/L/day of S. cf. rubescens biomass. The leachate had sufficient nitrogen to supply 17.8 g/L of algae biomass, but was limited by total phosphorus. Cultivation of algae on LL offsets both water and fertilizer consumption, reducing the environmental footprint and increasing the potential sustainability of algae-based biofuels.

Analysis of asymmetries in air pollution with water resources, and energy consumption in Iran.

PubMed

Ashouri, Mohammad Javad; Rafei, Meysam

2018-04-17

Iran should pay special attention to its excessive consumption of energy and air pollution due to the limited availability of water resources. This study explores the effects of the consumption of energy and water resources on air pollution in Iran from 1971 to 2014. It utilizes the non-linear autoregressive distributed lag approach to establish a robust relationship between the variables which show that both long- and short-run coefficients are asymmetrical. The positive and negative aspects of the long-run coefficients of energy consumption and water resources were found to be 0.19, - 1.63, 0.18, and 2.36, respectively, while only the negative ones were significant for energy consumption. Based on the cumulative effects, it can be established that there are important and significant differences in the responses of air pollution to positive and negative changes in water productivity and energy consumption. In particular, CO 2 gas emissions are affected by negative changes in H 2 O productivity both in terms of the total and the GDP per unit of energy use in Iran. In regard to short-run results, considerable asymmetric effects occur on all the variables for CO 2 emissions. Based on the results obtained, some recommendations are presented, which policymakers can adopt in efforts to address the issues of pollution and consumption.

Real waiting times for surgery. Proposal for an improved system for their management.

PubMed

Abásolo, Ignacio; Barber, Patricia; González López-Valcárcel, Beatriz; Jiménez, Octavio

2014-01-01

In Spain, official information on waiting times for surgery is based on the interval between the indication for surgery and its performance. We aimed to estimate total waiting times for surgical procedures, including outpatient visits and diagnostic tests prior to surgery. In addition, we propose an alternative system to manage total waiting times that reduces variability and maximum waiting times without increasing the use of health care resources. This system is illustrated by three surgical procedures: cholecystectomy, carpal tunnel release and inguinal/femoral hernia repair. Using data from two Autonomous Communities, we adjusted, through simulation, a theoretical distribution of the total waiting time assuming independence of the waiting times of each stage of the clinical procedure. We show an alternative system in which the waiting time for the second consultation is established according to the time previously waited for the first consultation. Average total waiting times for cholecystectomy, carpal tunnel release and inguinal/femoral hernia repair were 331, 355 and 137 days, respectively (official data are 83, 68 and 73 days, respectively). Using different negative correlations between waiting times for subsequent consultations would reduce maximum waiting times by between 2% and 15% and substantially reduce heterogeneity among patients, without generating higher resource use. Total waiting times are between two and five times higher than those officially published. The relationship between the waiting times at each stage of the medical procedure may be used to decrease variability and maximum waiting times. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

Assessment of forest biomass for use as energy. GIS-based analysis of geographical availability and locations of wood-fired power plants in Portugal

Treesearch

H. Viana; Warren B. Cohen; D. Lopes; J. Aranha

2010-01-01

Following the European Union strategy concerning renewable energy (RE), Portugal established in their national policy programmes that the production of electrical energy from RE should reach 45% of the total supply by 2010. Since Portugal has large forest biomass resources, a significant part of this energy will be obtained from this source. In addition to the two...

Waste-to-Energy Thermal Destruction Identification for Forward Operating Bases

DTIC Science & Technology

2016-07-01

waste disposal strategy is to simplify the technology development goals. Specifically, we recommend a goal of reducing total net energy consumption ...to net zero. The minimum objective should be the lowest possible fuel consumption per unit of waste disposed. By shifting the focus from W2E to waste...over long distances increases the risks to military personnel and contractors. Because fuel is a limited resource at FOBs, diesel fuel consumption

Non-Interfering Effects of Active Post-Encoding Tasks on Episodic Memory Consolidation in Humans

PubMed Central

Varma, Samarth; Takashima, Atsuko; Krewinkel, Sander; van Kooten, Maaike; Fu, Lily; Medendorp, W. Pieter; Kessels, Roy P. C.; Daselaar, Sander M.

2017-01-01

So far, studies that investigated interference effects of post-learning processes on episodic memory consolidation in humans have used tasks involving only complex and meaningful information. Such tasks require reallocation of general or encoding-specific resources away from consolidation-relevant activities. The possibility that interference can be elicited using a task that heavily taxes our limited brain resources, but has low semantic and hippocampal related long-term memory processing demands, has never been tested. We address this question by investigating whether consolidation could persist in parallel with an active, encoding-irrelevant, minimally semantic task, regardless of its high resource demands for cognitive processing. We distinguish the impact of such a task on consolidation based on whether it engages resources that are: (1) general/executive, or (2) specific/overlapping with the encoding modality. Our experiments compared subsequent memory performance across two post-encoding consolidation periods: quiet wakeful rest and a cognitively demanding n-Back task. Across six different experiments (total N = 176), we carefully manipulated the design of the n-Back task to target general or specific resources engaged in the ongoing consolidation process. In contrast to previous studies that employed interference tasks involving conceptual stimuli and complex processing demands, we did not find any differences between n-Back and rest conditions on memory performance at delayed test, using both recall and recognition tests. Our results indicate that: (1) quiet, wakeful rest is not a necessary prerequisite for episodic memory consolidation; and (2) post-encoding cognitive engagement does not interfere with memory consolidation when task-performance has minimal semantic and hippocampally-based episodic memory processing demands. We discuss our findings with reference to resource and reactivation-led interference theories. PMID:28424596

Accounting for ecosystem services in Life Cycle Assessment, Part II: toward an ecologically based LCA.

PubMed

Zhang, Yi; Baral, Anil; Bakshi, Bhavik R

2010-04-01

Despite the essential role of ecosystem goods and services in sustaining all human activities, they are often ignored in engineering decision making, even in methods that are meant to encourage sustainability. For example, conventional Life Cycle Assessment focuses on the impact of emissions and consumption of some resources. While aggregation and interpretation methods are quite advanced for emissions, similar methods for resources have been lagging, and most ignore the role of nature. Such oversight may even result in perverse decisions that encourage reliance on deteriorating ecosystem services. This article presents a step toward including the direct and indirect role of ecosystems in LCA, and a hierarchical scheme to interpret their contribution. The resulting Ecologically Based LCA (Eco-LCA) includes a large number of provisioning, regulating, and supporting ecosystem services as inputs to a life cycle model at the process or economy scale. These resources are represented in diverse physical units and may be compared via their mass, fuel value, industrial cumulative exergy consumption, or ecological cumulative exergy consumption or by normalization with total consumption of each resource or their availability. Such results at a fine scale provide insight about relative resource use and the risk and vulnerability to the loss of specific resources. Aggregate indicators are also defined to obtain indices such as renewability, efficiency, and return on investment. An Eco-LCA model of the 1997 economy is developed and made available via the web (www.resilience.osu.edu/ecolca). An illustrative example comparing paper and plastic cups provides insight into the features of the proposed approach. The need for further work in bridging the gap between knowledge about ecosystem services and their direct and indirect role in supporting human activities is discussed as an important area for future work.

Non-Interfering Effects of Active Post-Encoding Tasks on Episodic Memory Consolidation in Humans.

PubMed

Varma, Samarth; Takashima, Atsuko; Krewinkel, Sander; van Kooten, Maaike; Fu, Lily; Medendorp, W Pieter; Kessels, Roy P C; Daselaar, Sander M

2017-01-01

So far, studies that investigated interference effects of post-learning processes on episodic memory consolidation in humans have used tasks involving only complex and meaningful information. Such tasks require reallocation of general or encoding-specific resources away from consolidation-relevant activities. The possibility that interference can be elicited using a task that heavily taxes our limited brain resources, but has low semantic and hippocampal related long-term memory processing demands, has never been tested. We address this question by investigating whether consolidation could persist in parallel with an active, encoding-irrelevant, minimally semantic task, regardless of its high resource demands for cognitive processing. We distinguish the impact of such a task on consolidation based on whether it engages resources that are: (1) general/executive, or (2) specific/overlapping with the encoding modality. Our experiments compared subsequent memory performance across two post-encoding consolidation periods: quiet wakeful rest and a cognitively demanding n-Back task. Across six different experiments (total N = 176), we carefully manipulated the design of the n-Back task to target general or specific resources engaged in the ongoing consolidation process. In contrast to previous studies that employed interference tasks involving conceptual stimuli and complex processing demands, we did not find any differences between n-Back and rest conditions on memory performance at delayed test, using both recall and recognition tests. Our results indicate that: (1) quiet, wakeful rest is not a necessary prerequisite for episodic memory consolidation; and (2) post-encoding cognitive engagement does not interfere with memory consolidation when task-performance has minimal semantic and hippocampally-based episodic memory processing demands. We discuss our findings with reference to resource and reactivation-led interference theories.

Riverine threat indices to assess watershed condition and identify primary management capacity of agriculture natural resource management agencies.

PubMed

Fore, Jeffrey D; Sowa, Scott P; Galat, David L; Annis, Gust M; Diamond, David D; Rewa, Charles

2014-03-01

Managers can improve conservation of lotic systems over large geographies if they have tools to assess total watershed conditions for individual stream segments and can identify segments where conservation practices are most likely to be successful (i.e., primary management capacity). The goal of this research was to develop a suite of threat indices to help agriculture resource management agencies select and prioritize watersheds across Missouri River basin in which to implement agriculture conservation practices. We quantified watershed percentages or densities of 17 threat metrics that represent major sources of ecological stress to stream communities into five threat indices: agriculture, urban, point-source pollution, infrastructure, and all non-agriculture threats. We identified stream segments where agriculture management agencies had primary management capacity. Agriculture watershed condition differed by ecoregion and considerable local variation was observed among stream segments in ecoregions of high agriculture threats. Stream segments with high non-agriculture threats were most concentrated near urban areas, but showed high local variability. 60 % of stream segments in the basin were classified as under U.S. Department of Agriculture's Natural Resources Conservation Service (NRCS) primary management capacity and most segments were in regions of high agricultural threats. NRCS primary management capacity was locally variable which highlights the importance of assessing total watershed condition for multiple threats. Our threat indices can be used by agriculture resource management agencies to prioritize conservation actions and investments based on: (a) relative severity of all threats, (b) relative severity of agricultural threats, and (c) and degree of primary management capacity.

Geothermal resources and reserves in Indonesia: an updated revision

NASA Astrophysics Data System (ADS)

Fauzi, A.

2015-02-01

More than 300 high- to low-enthalpy geothermal sources have been identified throughout Indonesia. From the early 1980s until the late 1990s, the geothermal potential for power production in Indonesia was estimated to be about 20 000 MWe. The most recent estimate exceeds 29 000 MWe derived from the 300 sites (Geological Agency, December 2013). This resource estimate has been obtained by adding all of the estimated geothermal potential resources and reserves classified as "speculative", "hypothetical", "possible", "probable", and "proven" from all sites where such information is available. However, this approach to estimating the geothermal potential is flawed because it includes double counting of some reserve estimates as resource estimates, thus giving an inflated figure for the total national geothermal potential. This paper describes an updated revision of the geothermal resource estimate in Indonesia using a more realistic methodology. The methodology proposes that the preliminary "Speculative Resource" category should cover the full potential of a geothermal area and form the base reference figure for the resource of the area. Further investigation of this resource may improve the level of confidence of the category of reserves but will not necessarily increase the figure of the "preliminary resource estimate" as a whole, unless the result of the investigation is higher. A previous paper (Fauzi, 2013a, b) redefined and revised the geothermal resource estimate for Indonesia. The methodology, adopted from Fauzi (2013a, b), will be fully described in this paper. As a result of using the revised methodology, the potential geothermal resources and reserves for Indonesia are estimated to be about 24 000 MWe, some 5000 MWe less than the 2013 national estimate.

The Nature and Use of Copper Reserve and Resource Data

USGS Publications Warehouse

Cox, Dennis P.; Wright, Nancy A.; Coakley, George J.

1981-01-01

Copper reserve, resource, and production data can be combined to produce disaggregated resource estimates and trends and, when combined with demand forecasts, can be used to predict future exploration and development requirements. Reserve estimates are subject to uncertainties due mainly to incomplete exploration and rapidly changing economic conditions. United States' reserve estimates in the past have been low mainly because knowledge of the magnitude of very large porphyry-copper deposits has been incomplete. Present estimates are considerably more reliable because mining firms tend to drill out deposits fully before mining and to release their reserve estimates to the public. The sum of reserves and past production yields an estimate of the total ore, total metal contained in ore, and average grade of ore originally in each of the deposits known in the United States. For most deposits, estimates of total copper in ore are low relative to the total copper in mineralized rock, and many estimates are strongly affected by the economic behavior of mining firms. A better estimate of the real distribution of copper contained in deposits can be obtained by combining past production data with resource estimates. Copper resource data are disaggregated into categories that include resources in undeveloped deposits similar to those mined in the past, resources in mines closed because of unfavorable economic conditions, resources in deep deposits requiring high-cost mining methods, arid resources in deposits located in areas where environmental restrictions have contributed to delays in development. The largest resource is located in the five largest porphyry deposits. These deposits are now being mined but the resources are not included in the present mining plan. Resources in this last category will not contribute to supply until some future time when ores presently being mined are depleted. A high correlation exists between total copper contained in deposits and annual production from deposits. This correlation can be used to predict roughly the potential production from undeveloped deposits. Large deposits annually produce relatively less metal per ton of copper contained than do medium and small deposits. Dividing reserves by annual production gives a depletion date for each copper mine. The sum of annual production capacity of all mines not yet depleted at any year of interest gives the minimum production capacity for that year. A graph of minimum production capacity by year combined with curves representing potential capacity from undeveloped identified resources can be compared with various demand scenarios to yield a measure of copper requirements from new sources. Since 1950 reserves have been developed in the United States at a rate of about 1 million tons of copper per year. Since 1960 the number of deposits developed per 10-year period has greatly increased without a commensurate increase in tonnage of copper. This is in part due to the fact that recent exploration successes have been increasingly represented by smaller and (or) lower grade deposits containing less metal.

Draft genome of the sea cucumber Apostichopus japonicus and genetic polymorphism among color variants.

PubMed

Jo, Jihoon; Oh, Jooseong; Lee, Hyun-Gwan; Hong, Hyun-Hee; Lee, Sung-Gwon; Cheon, Seongmin; Kern, Elizabeth M A; Jin, Soyeong; Cho, Sung-Jin; Park, Joong-Ki; Park, Chungoo

2017-01-01

The Japanese sea cucumber (Apostichopus japonicus Selenka 1867) is an economically important species as a source of seafood and ingredient in traditional medicine. It is mainly found off the coasts of northeast Asia. Recently, substantial exploitation and widespread biotic diseases in A. japonicus have generated increasing conservation concern. However, the genomic knowledge base and resources available for researchers to use in managing this natural resource and to establish genetically based breeding systems for sea cucumber aquaculture are still in a nascent stage. A total of 312 Gb of raw sequences were generated using the Illumina HiSeq 2000 platform and assembled to a final size of 0.66 Gb, which is about 80.5% of the estimated genome size (0.82 Gb). We observed nucleotide-level heterozygosity within the assembled genome to be 0.986%. The resulting draft genome assembly comprising 132 607 scaffolds with an N50 value of 10.5 kb contains a total of 21 771 predicted protein-coding genes. We identified 6.6-14.5 million heterozygous single nucleotide polymorphisms in the assembled genome of the three natural color variants (green, red, and black), resulting in an estimated nucleotide diversity of 0.00146. We report the first draft genome of A. japonicus and provide a general overview of the genetic variation in the three major color variants of A. japonicus. These data will help provide a comprehensive view of the genetic, physiological, and evolutionary relationships among color variants in A. japonicus, and will be invaluable resources for sea cucumber genomic research. © The Author 2017. Published by Oxford University Press.

Uncovering the Recycling Potential of "New" WEEE in China.

PubMed

Zeng, Xianlai; Gong, Ruying; Chen, Wei-Qiang; Li, Jinhui

2016-02-02

Newly defined categories of WEEE have increased the types of China's regulated WEEE from 5 to 14. Identification of the amounts and valuable-resource components of the "new" WEEE generated is critical to solving the e-waste problem, for both governmental policy decisions and recycling enterprise expansions. This study first estimates and predicts China's new WEEE generation for the period of 2010-2030 using material flow analysis and the lifespan model of the Weibull distribution, then determines the amounts of valuable resources (e.g., base materials, precious metals, and rare-earth minerals) encased annually in WEEE, and their dynamic transfer from in-use stock to waste. Main findings include the following: (i) China will generate 15.5 and 28.4 million tons WEEE in 2020 and 2030, respectively, and has already overtaken the U.S. to become the world's leading producer of e-waste; (ii) among all the types of WEEE, air conditioners, desktop personal computers, refrigerators, and washing machines contribute over 70% of total WEEE by weight. The two categories of EEE-electronic devices and electrical appliances-each contribute about half of total WEEE by weight; (iii) more and more valuable resources have been transferred from in-use products to WEEE, significantly enhancing the recycling potential of WEEE from an economic perspective; and (iv) WEEE recycling potential has been evolving from ∼16 (10-22) billion US$ in 2010, to an anticipated ∼42 (26-58) billion US$ in 2020 and ∼73.4 (44.5-103.4) billion US$ by 2030. All the obtained results can improve the knowledge base for closing the loop of WEEE recycling, and contribute to governmental policy making and the recycling industry's business development.

Effects of dispersal on total biomass in a patchy, heterogeneous system: analysis and experiment.

USGS Publications Warehouse

Zhang, Bo; Liu, Xin; DeAngelis, Donald L.; Ni, Wei-Ming; Wang, G Geoff

2015-01-01

An intriguing recent result from mathematics is that a population diffusing at an intermediate rate in an environment in which resources vary spatially will reach a higher total equilibrium biomass than the population in an environment in which the same total resources are distributed homogeneously. We extended the current mathematical theory to apply to logistic growth and also showed that the result applies to patchy systems with dispersal among patches, both for continuous and discrete time. This allowed us to make specific predictions, through simulations, concerning the biomass dynamics, which were verified by a laboratory experiment. The experiment was a study of biomass growth of duckweed (Lemna minor Linn.), where the resources (nutrients added to water) were distributed homogeneously among a discrete series of water-filled containers in one treatment, and distributed heterogeneously in another treatment. The experimental results showed that total biomass peaked at an intermediate, relatively low, diffusion rate, higher than the total carrying capacity of the system and agreeing with the simulation model. The implications of the experiment to dynamics of source, sink, and pseudo-sink dynamics are discussed.

An Analysis of energy consumption and economic growth of Cobb-Douglas production function based on ECM

NASA Astrophysics Data System (ADS)

Guo, Wei-wei

2018-02-01

Energy is one of the important factors affecting economic growth, the motive force of the economic development of countries in the world, essential for the world economic development and people’s living material resources, an important resource of the relationship between the national economies. The paper sums up the evaluation and literatures on energy consumption and economic growth at home and abroad, thinks “southern talk” as the energy consumption and economic growth in the time division, makes a series of empirical tests on the relationship between total energy consumption and economic growth in China from 1978 to 1991 and from 1992 to 2016.The results show that total energy consumption is a one-way causal relationship between economic growths in china, Economic growth has a strong dependence on energy, there is a co-integration relationship between energy consumption and economic growth. However, economic growth depends on the energy consumption decreased year by year in China, The way of economic growth is changing from the extensive economic growth mode to intensive mode of economic growth.

Water resources of Natchitoches Parish, Louisiana

USGS Publications Warehouse

Fendick, Robert B.; Prakken, Larry B.; Griffith, Jason M.

2013-01-01

In 2005, about 33.8 million gallons per day (Mgal/d) was withdrawn from water sources in Natchitoches Parish, Louisiana. Surface water sources accounted for about 86 percent (29.2 Mgal/d) of all withdrawals whereas groundwater sources accounted for about 14 percent (4.62 Mgal/d). Withdrawals for industrial use accounted for about 42 percent (14.1 Mgal/d) of the total water withdrawn (table 2). Other categories of use included public supply, rural domestic, livestock, rice irrigation, general irrigation, and aquaculture. The city of Natchitoches used almost 5.6 Mgal/d (about 5.2 Mgal/d of surface water and 0.4 Mgal/d of ground water) for public supply. Water-use data collected at 5-year intervals from 1960 to 2005 indicated that total water withdrawals increased from about 3.5 Mgal/d in 1960 to a peak of almost 35 Mgal/d in 2000. This fact sheet summarizes basic information on the water resources of Natchitoches Parish. Information on groundwater and surface-water availability, quality, development, use, and trends is based on previously published reports listed in the Selected References section.

Effect of day of the week of primary total hip arthroplasty on length of stay at a university-based teaching medical center.

PubMed

Rathi, Pranav; Coleman, Sheldon; Durbin-Johnson, Blythe; Giordani, Mauro; Pereira, Gavin; Di Cesare, Paul E

2014-12-01

Length of hospital stay (LHS) after primary total hip arthroplasty (THA) constitutes a critical outcome measure, as prolonged LHS implies increased resource expenditure. Investigations have highlighted factors that affect LHS after THA. These factors include advanced age, medical comorbidities, obesity, intraoperative time, anesthesia technique, surgical site infection, and incision length. We retrospectively analyzed the effect of day of the week of primary THA on LHS. We reviewed the surgery and patient factors of 273 consecutive patients who underwent THA at our institution, a tertiary-care teaching hospital. There was a 15% increase in LHS for patients who underwent THA on Thursday versus Monday when controlling for other covariates that can affect LHS. Other statistically significant variables associated with increased LHS included American Society of Anesthesiologists grade, transfusion requirements, and postoperative complications. The day of the week of THA may be an independent variable affecting LHS. Institutions with reduced weekend resources may want to perform THA earlier in the week to try to reduce LHS.

Effect of Day of the Week of Primary Total Hip Arthroplasty on Length of Stay at a University-Based Teaching Medical Center

PubMed Central

Rathi, Pranav; Coleman, Sheldon; Durbin-Johnson, Blythe; Giordani, Mauro; Pereira, Gavin; Di Cesare, Paul E.

2016-01-01

Length of hospital stay (LHS) after primary total hip arthroplasty (THA) constitutes a critical outcome measure, as prolonged LHS implies increased resource expenditure. Investigations have highlighted factors that affect LHS after THA. These factors include advanced age, medical comorbidities, obesity, intraoperative time, anesthesia technique, surgical site infection, and incision length. We retrospectively analyzed the effect of day of the week of primary THA on LHS. We reviewed the surgery and patient factors of 273 consecutive patients who underwent THA at our institution, a tertiary-care teaching hospital. There was a 15% increase in LHS for patients who underwent THA on Thursday versus Monday when controlling for other covariates that can affect LHS. Other statistically significant variables associated with increased LHS included American Society of Anesthesiologists grade, transfusion requirements, and post-operative complications. The day of the week of THA may be an independent variable affecting LHS. Institutions with reduced weekend resources may want to perform THA earlier in the week to try to reduce LHS. PMID:25490016

An Analysis of Total Force Integration in RED HORSE Organizations

DTIC Science & Technology

2014-03-27

resources 0 5 0 Good remuneration (5) resources 0 4 0 Federal resources for state mission (4) resources 0 3 0 Recruiting from attractive situation (4...assistance to execute staff guidance (2) Deployment augmentation (21) Enhanced morale (5) Federal resources for state mission (4) Good remuneration (5...Local connections (7) Logical UTC organization (1) Long time working together (2) Low remuneration for ARC CC positions (1) Many echelons of

An Evaluation of Emergency Medicine Core Content Covered by Free Open Access Medical Education Resources.

PubMed

Stuntz, Robert; Clontz, Robert

2016-05-01

Emergency physicians are using free open access medical education (FOAM) resources at an increasing rate. The extent to which FOAM resources cover the breadth of emergency medicine core content is unknown. We hypothesize that the content of FOAM resources does not provide comprehensive or balanced coverage of the scope of knowledge necessary for emergency medicine providers. Our objective is to quantify emergency medicine core content covered by FOAM resources and identify the predominant FOAM topics. This is an institutional review board-approved, retrospective review of all English-language FOAM posts between July 1, 2013, and June 30, 2014, as aggregated on http://FOAMem.com. The topics of FOAM posts were compared with those of the emergency medicine core content, as defined by the American Board of Emergency Medicine's Model of the Clinical Practice of Emergency Medicine (MCPEM). Each FOAM post could cover more than 1 topic. Repeated posts and summaries were excluded. Review of the MCPEM yielded 915 total emergency medicine topics grouped into 20 sections. Review of 6,424 FOAM posts yielded 7,279 total topics and 654 unique topics, representing 71.5% coverage of the 915 topics outlined by the MCPEM. The procedures section was covered most often, representing 2,285 (31.4%) FOAM topics. The 4 sections with the least coverage were cutaneous disorders, hematologic disorders, nontraumatic musculoskeletal disorders, and obstetric and gynecologic disorders, each representing 0.6% of FOAM topics. Airway techniques; ECG interpretation; research, evidence-based medicine, and interpretation of the literature; resuscitation; and ultrasonography were the most overrepresented subsections, equaling 1,674 (23.0%) FOAM topics when combined. The data suggest an imbalanced and incomplete coverage of emergency medicine core content in FOAM. The study is limited by its retrospective design and use of a single referral Web site to obtain available FOAM resources. More comprehensive and balanced coverage of emergency medicine core content is needed if FOAM is to serve as a primary educational resource. Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

The Cost of Joint Replacement: Comparing Two Approaches to Evaluating Costs of Total Hip and Knee Arthroplasty.

PubMed

Palsis, John A; Brehmer, Thomas S; Pellegrini, Vincent D; Drew, Jacob M; Sachs, Barton L

2018-02-21

In an era of mandatory bundled payments for total joint replacement, accurate analysis of the cost of procedures is essential for orthopaedic surgeons and their institutions to maintain viable practices. The purpose of this study was to compare traditional accounting and time-driven activity-based costing (TDABC) methods for estimating the total costs of total hip and knee arthroplasty care cycles. We calculated the overall costs of elective primary total hip and total knee replacement care cycles at our academic medical center using traditional and TDABC accounting methods. We compared the methods with respect to the overall costs of hip and knee replacement and the costs for each major cost category. The traditional accounting method resulted in higher cost estimates. The total cost per hip replacement was $22,076 (2014 USD) using traditional accounting and was $12,957 using TDABC. The total cost per knee replacement was $29,488 using traditional accounting and was $16,981 using TDABC. With respect to cost categories, estimates using traditional accounting were greater for hip and knee replacement, respectively, by $3,432 and $5,486 for personnel, by $3,398 and $3,664 for space and equipment, and by $2,289 and $3,357 for indirect costs. Implants and consumables were derived from the actual hospital purchase price; accordingly, both methods produced equivalent results. Substantial cost differences exist between accounting methods. The focus of TDABC only on resources used directly by the patient contrasts with the allocation of all operating costs, including all indirect costs and unused capacity, with traditional accounting. We expect that the true costs of hip and knee replacement care cycles are likely somewhere between estimates derived from traditional accounting methods and TDABC. TDABC offers patient-level granular cost information that better serves in the redesign of care pathways and may lead to more strategic resource-allocation decisions to optimize actual operating margins.

Subsidy or subtraction: how do terrestrial inputs influence consumer production in lakes?

USGS Publications Warehouse

Jones, Stuart E.; Solomon, Christopher T.; Weidel, Brian C.

2012-01-01

Cross-ecosystem fluxes are ubiquitous in food webs and are generally thought of as subsidies to consumer populations. Yet external or allochthonous inputs may in fact have complex and habitat-specific effects on recipient ecosystems. In lakes, terrestrial inputs of organic carbon contribute to basal resource availability, but can also reduce resource availability via shading effects on phytoplankton and periphyton. Terrestrial inputs might therefore either subsidise or subtract from consumer production. We developed and parameterised a simple model to explore this idea. The model estimates basal resource supply and consumer production given lake-level characteristics including total phosphorus (TP) and dissolved organic carbon (DOC) concentration, and consumer-level characteristics including resource preferences and growth efficiencies. Terrestrial inputs diminished primary production and total basal resource supply at the whole-lake level, except in ultra-oligotrophic systems. However, this system-level generalisation masked complex habitat-specific effects. In the pelagic zone, dissolved and particulate terrestrial carbon inputs were available to zooplankton via several food web pathways. Consequently, zooplankton production usually increased with terrestrial inputs, even as total whole-lake resource availability decreased. In contrast, in the benthic zone the dominant, dissolved portion of the terrestrial carbon load had predominantly negative effects on resource availability via shading of periphyton. Consequently, terrestrial inputs always decreased zoobenthic production except under extreme and unrealistic parameterisations of the model. Appreciating the complex and habitat-specific effects of allochthonous inputs may be essential for resolving the effects of cross-habitat fluxes on consumers in lakes and other food webs.

Deep Sequencing-Based Analysis of the Cymbidium ensifolium Floral Transcriptome

PubMed Central

Li, Xiaobai; Luo, Jie; Yan, Tianlian; Xiang, Lin; Jin, Feng; Qin, Dehui; Sun, Chongbo; Xie, Ming

2013-01-01

Cymbidium ensifolium is a Chinese Cymbidium with an elegant shape, beautiful appearance, and a fragrant aroma. C. ensifolium has a long history of cultivation in China and it has excellent commercial value as a potted plant and cut flower. The development of C. ensifolium genomic resources has been delayed because of its large genome size. Taking advantage of technical and cost improvement of RNA-Seq, we extracted total mRNA from flower buds and mature flowers and obtained a total of 9.52 Gb of filtered nucleotides comprising 98,819,349 filtered reads. The filtered reads were assembled into 101,423 isotigs, representing 51,696 genes. Of the 101,423 isotigs, 41,873 were putative homologs of annotated sequences in the public databases, of which 158 were associated with floral development and 119 were associated with flowering. The isotigs were categorized according to their putative functions. In total, 10,212 of the isotigs were assigned into 25 eukaryotic orthologous groups (KOGs), 41,690 into 58 gene ontology (GO) terms, and 9,830 into 126 Arabidopsis Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways, and 9,539 isotigs into 123 rice pathways. Comparison of the isotigs with those of the two related orchid species P. equestris and C. sinense showed that 17,906 isotigs are unique to C. ensifolium. In addition, a total of 7,936 SSRs and 16,676 putative SNPs were identified. To our knowledge, this transcriptome database is the first major genomic resource for C. ensifolium and the most comprehensive transcriptomic resource for genus Cymbidium. These sequences provide valuable information for understanding the molecular mechanisms of floral development and flowering. Sequences predicted to be unique to C. ensifolium would provide more insights into C. ensifolium gene diversity. The numerous SNPs and SSRs identified in the present study will contribute to marker development for C. ensifolium. PMID:24392013

Human resources needed to perform antimicrobial stewardship teams' activities in French hospitals.

PubMed

Le Coz, P; Carlet, J; Roblot, F; Pulcini, C

2016-06-01

In January 2015, the French ministry of Health set up a task force on antibiotic resistance. Members of the task force's "antimicrobial stewardship" group conducted a study to evaluate the human resources needed to implement all the required activities of the multidisciplinary antimicrobial stewardship teams (AST - antibiotic/infectious disease lead supervisors, microbiologists, and pharmacists) in French healthcare facilities. We conducted an online cross-sectional nationwide survey. The questionnaire was designed based on regulatory texts and experts' consensus. The survey took place between March and May 2015. We used the mailing list of the French Infectious Diseases Society (SPILF) to send out questionnaires. A total of 65 healthcare facilities completed the questionnaire. The human resources needed to implement all AST's activities were estimated at 3.6 full-time equivalent (FTE) positions/1000 acute care beds for antibiotic/infectious disease lead supervisors, at 2.5 FTE/1000 beds for pharmacists, and at 0.6 FTE/1000 beds for microbiologists. This almost amounts to a total of 2000 FTE positions for all healthcare facilities (public and private) in France and to an annual cost of 200 million euros. Dedicated and sustainable funding for AST is urgently needed to implement comprehensive and functional AST programs in all healthcare facilities. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Expenditures on health research in sub-Saharan African countries: results of a questionnaire-based survey.

PubMed

Kebede, Derege; Zielinski, Chris; Mbondji, Peter Ebongue; Sanou, Issa; Kouvividila, Wenceslas; Lusamba-Dikassa, Paul-Samson

2014-05-01

To estimate the sources of funds for health research (revenue) and the uses of these funds (expenditure). A structured questionnaire was used to solicit financial information from health research institutions. Forty-two sub-Saharan African countries. Key informants in 847 health research institutions in the 42 sub-Saharan African countries. Expenditure on health research by institutions, funders and subject areas. An estimated total of US$ 302 million was spent on health research by institutions that responded to the survey in the World Health Organization (WHO) African Region for the biennium 2005-2006. The most notable funders for health research activities were external funding, ministries of health, other government ministries, own funds and non-profit institutions. Most types of health research performers spent significant portions of their resources on in-house research, with medical schools spending 82% and government agencies 62%. Hospitals spent 38% of their resources on management, and other institutions (universities, firms, etc.) spent 87% of their resources on capital investment. Research on human immunodeficiency virus/tuberculosis and malaria accounted for 30% of funds, followed by research on other communicable diseases and maternal, perinatal and nutritional conditions (23%). Research on major health problems of the Region, such as communicable diseases, accounts for most of the research expenditures. However, the total expenditure is very low compared with other WHO regions. © The Royal Society of Medicine.

Supporting public involvement in research design and grant development: a case study of a public involvement award scheme managed by a National Institute for Health Research (NIHR) Research Design Service (RDS).

PubMed

Boote, Jonathan D; Twiddy, Maureen; Baird, Wendy; Birks, Yvonne; Clarke, Clare; Beever, Daniel

2015-10-01

It is good practice for the public to be involved in developing health research. Resources should be available for researchers to fund the involvement of the public in the development of their grants. To describe a funding award scheme to support public involvement in grant development, managed by an NIHR Research Design Service (RDS). Case examples of how the award contributed to successful grant applications and findings from a recent evaluation of the scheme are presented. A case study of resource provision to support public involvement activities in one region of England. University and NHS-based researchers, and members of the public. Between 2009 and 2012, the RDS approved 45 public involvement funding awards (totalling nearly £19,000). These awards contributed to 27 submitted applications at the time of writing, of which 11 were successful (totalling over £7.5 million). The evaluation revealed difficulties encountered by some researchers when involving the public in grant development, which led to suggestions about how the scheme could be improved. This award scheme represents an efficient method of providing researchers with resources to involve the public in grant development and would appear to represent good value for money. © 2013 John Wiley & Sons Ltd.

Estimating the Value of Improved Distributed Photovoltaic Adoption Forecasts for Utility Resource Planning

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

Gagnon, Pieter; Barbose, Galen L.; Stoll, Brady

Misforecasting the adoption of customer-owned distributed photovoltaics (DPV) can have operational and financial implications for utilities; forecasting capabilities can be improved, but generally at a cost. This paper informs this decision-space by using a suite of models to explore the capacity expansion and operation of the Western Interconnection over a 15-year period across a wide range of DPV growth rates and misforecast severities. The system costs under a misforecast are compared against the costs under a perfect forecast, to quantify the costs of misforecasting. Using a simplified probabilistic method applied to these modeling results, an analyst can make a first-ordermore » estimate of the financial benefit of improving a utility’s forecasting capabilities, and thus be better informed about whether to make such an investment. For example, under our base assumptions, a utility with 10 TWh per year of retail electric sales who initially estimates that DPV growth could range from 2% to 7.5% of total generation over the next 15 years could expect total present-value savings of approximately $4 million if they could reduce the severity of misforecasting to within ±25%. Utility resource planners can compare those savings against the costs needed to achieve that level of precision, to guide their decision on whether to make an investment in tools or resources.« less

Supporting scalability and flexibility in a distributed management platform

NASA Astrophysics Data System (ADS)

Jardin, P.

1996-06-01

The TeMIP management platform was developed to manage very large distributed systems such as telecommunications networks. The management of these networks imposes a number of fairly stringent requirements including the partitioning of the network, division of work based on skills and target system types and the ability to adjust the functions to specific operational requirements. This requires the ability to cluster managed resources into domains that are totally defined at runtime based on operator policies. This paper addresses some of the issues that must be addressed in order to add a dynamic dimension to a management solution.

Tile-based Level of Detail for the Parallel Age

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

Niski, K; Cohen, J D

Today's PCs incorporate multiple CPUs and GPUs and are easily arranged in clusters for high-performance, interactive graphics. We present an approach based on hierarchical, screen-space tiles to parallelizing rendering with level of detail. Adapt tiles, render tiles, and machine tiles are associated with CPUs, GPUs, and PCs, respectively, to efficiently parallelize the workload with good resource utilization. Adaptive tile sizes provide load balancing while our level of detail system allows total and independent management of the load on CPUs and GPUs. We demonstrate our approach on parallel configurations consisting of both single PCs and a cluster of PCs.

Timber resource statistics for the Wood-Salcha Block, Tanana inventory unit, Alaska, 1975.

Treesearch

Kenneth C. Winterberger

1983-01-01

This statistical report on timber resources of the 4.1-million-acre Wood-Salcha block is the last of four reports on the 14-million-acre Tanana Valley inventory unit. Tables are provided for commercial and operable noncommercial forest land, total gross and net volumes, and annual net growth and mortality. Estimates for commercial forest land total 626,300 acres with...

Maps showing mineral resource assessment for vein and replacement deposits of base and precious metals, barite, and fluorspar, Dillon 1 degree by 2 degrees Quadrangle, Idaho and Montana

USGS Publications Warehouse

Pearson, R.C.; Trautwein, C.M.; Berger, B.R.; Hanna, W.F.; Jenson, S.K.; Loen, J.S.; Moll, S.H.; Purdy, T.L.; Rowan, L.C.; Ruppel, E.T.; Segal, D.B.

1992-01-01

This report is one of several that assess the mineral resources in the Dillon quadrangle. For the purpose of the assessment, the deposits that are known in the quadrangle, or suspected to be present from a knowledge of the geologic setting, have been grouped into 30 deposit types on the basis of the mineralogy or commodity in the ore and the structural or depositional setting of the deposit. The emphasis in these assessment reports is on metallic minerals, but some important nonmetallic minerals are also considered. Fossil fuels are beyond the scope of this investigation, phosphate and uranium have been investigated previously (Swanson, 1970; Wodzicki and Krason, 1981 ), and certain nonmetallic minerals, including bulk commodities such as sand and gravel, are in large supply and thus are not considered. The mineral resource assessment discussed in this report concentrates on a single deposit type (of the total of 30 types) that we call "vein and replacement deposits of base and precious metals." Base and precious metals produced from such deposits are copper, lead, zinc, gold, and silver. Vein deposits of barite and fluorspar are also discussed, but because they seem to be of minor importance, they are treated briefly. Vein and replacement deposits of base and precious metals are classified as a single deposit type rather than as numerous possible subordinate types that might be distinguished on the basis of mineralogy, metal content, or other factors, because the characteristics of the ore, the ore bodies, and the structural setting are not sufficiently well known to yield a consistent detailed classification for the entire quadrangle. Furthermore, the criteria used here to explain the localization of deposits are too general to allow discrimination among subordinate types at a scale of 1 :250,000 or smaller. In assessing mineral resources, we have adopted a general philosophy similar to that of Harrison and others ( 1986). We attempt to identify parts of the quadrangle that are favorable for the occurrence of mineral resources, and we make an assignment of the relative resource potential of all parts of the quadrangle. We do not attempt to locate specific exploration targets nor to determine the quantity of reserves or resources present.

Ecology in the information age: Patterns of use and attrition rates of internet-based citations in ESA journals, 1997–2005

USGS Publications Warehouse

Duda, Jeffrey J.; Camp, Richard J.

2008-01-01

As the amount of information available on the internet has increased, so too has the number of citations to network-accessible information in scholarly research. We searched all papers in four Ecological Society of America journals from 1997 to 2005 for articles containing a citation to material on the internet. We then tested the links to determine whether the information cited in the paper was still accessible. We identified 877 articles that contained at least one link to information on the internet and a total of 2100 unique links. The majority of these citations were based on an object's location (Uniform Resource Locator; 77%), whereas the rest were based on an object's identity (eg Digital Object Identifier, GenBank Accession number). We found that 19–30% of the location-based links were unavailable and that there was a positive relationship between the age of an article and the probability of the link being inactive. Using an internet search engine, we recovered 72–84% of the lost information, leaving a total of 6.2% of the total citations unavailable. Our results highlight the problem of persistence of information stored on the world wide web and we include recommendations for minimizing this problem.

Budget impact of tegaserod on a managed care organization formulary.

PubMed

Bloom, Michael A; Barghout, Victoria; Kahler, Kristijan H; Bentkover, Judith; Kurth, Hannah; Gralnek, Ian M; Spiegel, Brennan M R

2005-04-01

We sought to develop a budget impact model that assesses the economic effect of adding tegaserod for the management of irritable bowel syndrome (IBS) with constipation to the formulary of a managed care organization (MCO). The model estimates the per patient economic impact and the per member, per month (PMPM) economic impact of patients 6 months before and 6 months after the initiation of tegaserod. Resource utilization data, taken from medical and pharmacy administrative claims data, were based on a retrospective, longitudinal study of 3365 patients administered tegaserod through a large, geographically diverse MCO. Costs were estimated for 2 patient subgroups, women with IBS and other gastrointestinal (GI) diagnoses. Sensitivity analyses were performed by varying several model input parameters. The base-case model resulted in an incremental PMPM budget impact associated with the use of tegaserod of 0.01 dollars. Total per patient budget impact (for all resources, including tegaserod) for a 6-month period was 274.34 dollars for women with IBS and 301.84 dollars for women with other GI diagnoses. Overall, 25.9% (29.0% for women with IBS group and 21.9% for women with other GI diagnoses group) of the cost of tegaserod was offset by decreases in resource utilization. Key drivers of post-tegaserod reductions in resource costs were hospital stays, outpatient office visits, emergency department visits, endoscopic procedures, and nonendoscopic procedures. Tegaserod therapy can decrease GI-related resource utilization, resulting in a significant cost-offset percentage. When the associated budget impact of adding tegaserod to its formulary is absorbed across an entire MCO population, the PMPM impact of tegaserod is small.

Base of principal aquifer for parts of the North Platte, South Platte, and Twin Platte Natural Resources Districts, western Nebraska

USGS Publications Warehouse

Hobza, Christopher M.; Abraham, Jared D.; Cannia, James C.; Johnson, Michaela R.; Sibray, Steven S.

2014-01-01

Water resources in the North and South Platte River valleys of Nebraska, including the valley of Lodgepole Creek, are critical to the social and economic health of the area, and for the recovery of threatened and endangered species in the Platte River Basin. Groundwater and surface water are heavily used resources, and uses are regulated in the study area. Irrigation is the dominant water use and, in most instances, is supplied by both groundwater and surface-water sources. The U.S. Geological Survey and its partners have collaborated to use airborne geophysical surveys for areas of the North and South Platte River valleys including the valley of Lodgepole Creek in western Nebraska. The objective of the surveys was to map the aquifers and underlying bedrock topography of selected areas to help improve the understanding of groundwater–surface-water relations to guide water-management decisions. This project was a cooperative study involving the North Platte Natural Resources District, the South Platte Natural Resources District, the Twin Platte Natural Resources District, the Conservation and Survey Division of the University of Nebraska-Lincoln, and the Nebraska Environmental Trust. This report presents the interpreted base-of-aquifer surface for part of the area consisting of the North Platte Natural Resources District, the South Platte Natural Resources District, and the Twin Platte Natural Resources District. The interpretations presented herein build on work done by previous researchers from 2008 to 2009 by incorporating additional airborne electromagnetic survey data collected in 2010 and additional test holes from separate, related studies. To make the airborne electromagnetic data useful, numerical inversion was used to convert the measured data into a depth-dependent subsurface resistivity model. An interpretation of the elevation and configuration of the base of aquifer was completed in a geographic information system that provided x, y, and z coordinates. The process of interpretation involved manually picking locations (base-of-aquifer elevations) on the displayed airborne electromagnetic-derived resistivity profile by the project geophysicist, hydrologist, and geologist. These locations, or picks, of the base-of-aquifer elevation (typically the top of the Brule Formation of the White River Group) were then stored in a georeferenced database. The pick was made by comparing the inverted airborne electromagnetic-derived resistivity profile to the lithologic descriptions and borehole geophysical logs from nearby test holes. The database of interpretive picks of the base-of-aquifer elevation was used to create primary input for interpolating the new base-of-aquifer contours. The automatically generated contours were manually adjusted based on the interpreted location of paleovalleys eroded into the base-of-aquifer surface and associated bedrock highs, many of which were unmapped before this study. When contours are overlain by the water-table surface, the saturated thickness of the aquifer can be computed, which allows an estimate of total water in storage. The contours of the base-of-aquifer surface presented in this report may be used as the lower boundary layer in existing and future groundwater-flow models. The integration of geophysical data into the contouring process facilitated a more continuous and spatially comprehensive view of the hydrogeologic framework.

Practical proof of CP element based design for 14nm node and beyond

NASA Astrophysics Data System (ADS)

Maruyama, Takashi; Takita, Hiroshi; Ikeno, Rimon; Osawa, Morimi; Kojima, Yoshinori; Sugatani, Shinji; Hoshino, Hiromi; Hino, Toshio; Ito, Masaru; Iizuka, Tetsuya; Komatsu, Satoshi; Ikeda, Makoto; Asada, Kunihiro

2013-03-01

To realize HVM (High Volume Manufacturing) with CP (Character Projection) based EBDW, the shot count reduction is the essential key. All device circuits should be composed with predefined character parts and we call this methodology "CP element based design". In our previous work, we presented following three concepts [2]. 1) Memory: We reported the prospects of affordability for the CP-stencil resource. 2) Logic cell: We adopted a multi-cell clustering approach in the physical synthesis. 3) Random interconnect: We proposed an ultra-regular layout scheme using fixed size wiring tiles containing repeated tracks and cutting points at the tile edges. In this paper, we will report the experimental proofs in these methodologies. In full chip layout, CP stencil resource management is critical key. From the MCC-POC (Proof of Concept) result [1], we assumed total available CP stencil resource as 9000um2. We should manage to layout all circuit macros within this restriction. Especially the issues in assignment of CP-stencil resource for the memory macros are the most important as they consume considerable degree of resource because of the various line-ups such as 1RW-, 2RW-SRAMs, Resister Files and ROM which require several varieties of large size peripheral circuits. Furthermore the memory macros typically take large area of more than 40% of die area in the forefront logic LSI products so that the shot count increase impact is serious. To realize CP-stencil resource saving we had constructed automatic CP analyzing system. We developed two types of extraction mode of simple division by block and layout repeatability recognition. By properly controlling these models based upon each peripheral circuit characteristics, we could minimize the consumption of CP stencil resources. The estimation for 14nm technology node had been performed based on the analysis of practical memory compiler. The required resource for memory macro is proved to be affordable value which is 60% of full CP stencil resource and wafer level converted shot count is proved to be the level which meets 100WPH throughput. In logic cell design, circuit performance verification result after the cell clustering has been estimated. The cell clustering by the acknowledgment of physical distance proved to owe large penalty mainly in the wiring length. To reduce this design penalty, we proposed CP cell clustering by the acknowledgment of logical distance. For shot-count reduction of random interconnect area design, we proposed a more structural routing architecture which consists of the track exchange and the via position arrangement. Putting these design approaches together, we can design CP stencils to hit the target throughput within the area constraint. From the analysis for other macros such as analog, I/O, and DUMMY, it has proved that we don't need special CP design approach than legacy pattern matching CP extraction. From all these experimental results we get good prospects to the reality of full CP element based layout.

Ecological footprint model using the support vector machine technique.

PubMed

Ma, Haibo; Chang, Wenjuan; Cui, Guangbai

2012-01-01

The per capita ecological footprint (EF) is one of the most widely recognized measures of environmental sustainability. It aims to quantify the Earth's biological resources required to support human activity. In this paper, we summarize relevant previous literature, and present five factors that influence per capita EF. These factors are: National gross domestic product (GDP), urbanization (independent of economic development), distribution of income (measured by the Gini coefficient), export dependence (measured by the percentage of exports to total GDP), and service intensity (measured by the percentage of service to total GDP). A new ecological footprint model based on a support vector machine (SVM), which is a machine-learning method based on the structural risk minimization principle from statistical learning theory was conducted to calculate the per capita EF of 24 nations using data from 123 nations. The calculation accuracy was measured by average absolute error and average relative error. They were 0.004883 and 0.351078% respectively. Our results demonstrate that the EF model based on SVM has good calculation performance.

Computationally Efficient Power Allocation Algorithm in Multicarrier-Based Cognitive Radio Networks: OFDM and FBMC Systems

NASA Astrophysics Data System (ADS)

Shaat, Musbah; Bader, Faouzi

2010-12-01

Cognitive Radio (CR) systems have been proposed to increase the spectrum utilization by opportunistically access the unused spectrum. Multicarrier communication systems are promising candidates for CR systems. Due to its high spectral efficiency, filter bank multicarrier (FBMC) can be considered as an alternative to conventional orthogonal frequency division multiplexing (OFDM) for transmission over the CR networks. This paper addresses the problem of resource allocation in multicarrier-based CR networks. The objective is to maximize the downlink capacity of the network under both total power and interference introduced to the primary users (PUs) constraints. The optimal solution has high computational complexity which makes it unsuitable for practical applications and hence a low complexity suboptimal solution is proposed. The proposed algorithm utilizes the spectrum holes in PUs bands as well as active PU bands. The performance of the proposed algorithm is investigated for OFDM and FBMC based CR systems. Simulation results illustrate that the proposed resource allocation algorithm with low computational complexity achieves near optimal performance and proves the efficiency of using FBMC in CR context.

Evidence-based medicine between explicit rationing, medical deontology and rights of patients.

PubMed

Frati, P

1998-01-01

Today a "just" health policy is balanced between the problem of the allocation of scarce resources and the priority setting of services, care and cures. Despite technologies and molecular medicine, with their tendency to reach absolute prediction of disease or absence of disease and to cure with predicted efficacy, a large portion of the public refuse the results of experimental procedures and prefer to place trust in so-called alternative medicine or in drugs which are not in the official guide-lines following the principles of evidence-based medicine according to DL Sackett. Juridical problems arise between the rights of free choice of cure and social dimension of Governmental care programs, which include the maximum of benefits (i.e. effective therapies) for a pre-fixed total budget. An explicit rationing only on budgetary bases without rationalisation of medical procedures reduces the rights to care of citizens-patients. Thus, an explicit rationing-rationalisation seems to be the only procedure compatible with the interest of patients in a social security system allocating "scarce" resources.

Utility functions and resource management in an oversubscribed heterogeneous computing environment

DOE PAGES

Khemka, Bhavesh; Friese, Ryan; Briceno, Luis Diego; ...

2014-09-26

We model an oversubscribed heterogeneous computing system where tasks arrive dynamically and a scheduler maps the tasks to machines for execution. The environment and workloads are based on those being investigated by the Extreme Scale Systems Center at Oak Ridge National Laboratory. Utility functions that are designed based on specifications from the system owner and users are used to create a metric for the performance of resource allocation heuristics. Each task has a time-varying utility (importance) that the enterprise will earn based on when the task successfully completes execution. We design multiple heuristics, which include a technique to drop lowmore » utility-earning tasks, to maximize the total utility that can be earned by completing tasks. The heuristics are evaluated using simulation experiments with two levels of oversubscription. The results show the benefit of having fast heuristics that account for the importance of a task and the heterogeneity of the environment when making allocation decisions in an oversubscribed environment. Furthermore, the ability to drop low utility-earning tasks allow the heuristics to tolerate the high oversubscription as well as earn significant utility.« less

A unique linkage of administrative and clinical registry databases to expand analytic possibilities in pediatric heart transplantation research.

PubMed

Godown, Justin; Thurm, Cary; Dodd, Debra A; Soslow, Jonathan H; Feingold, Brian; Smith, Andrew H; Mettler, Bret A; Thompson, Bryn; Hall, Matt

2017-12-01

Large clinical, research, and administrative databases are increasingly utilized to facilitate pediatric heart transplant (HTx) research. Linking databases has proven to be a robust strategy across multiple disciplines to expand the possible analyses that can be performed while leveraging the strengths of each dataset. We describe a unique linkage of the Scientific Registry of Transplant Recipients (SRTR) database and the Pediatric Health Information System (PHIS) administrative database to provide a platform to assess resource utilization in pediatric HTx. All pediatric patients (1999-2016) who underwent HTx at a hospital enrolled in the PHIS database were identified. A linkage was performed between the SRTR and PHIS databases in a stepwise approach using indirect identifiers. To determine the feasibility of using these linked data to assess resource utilization, total and post-HTx hospital costs were assessed. A total of 3188 unique transplants were identified as being present in both databases and amenable to linkage. Linkage of SRTR and PHIS data was successful in 3057 (95.9%) patients, of whom 2896 (90.8%) had complete cost data. Median total and post-HTx hospital costs were $518,906 (IQR $324,199-$889,738), and $334,490 (IQR $235,506-$498,803) respectively with significant differences based on patient demographics and clinical characteristics at HTx. Linkage of the SRTR and PHIS databases is feasible and provides an invaluable tool to assess resource utilization. Our analysis provides contemporary cost data for pediatric HTx from the largest US sample reported to date. It also provides a platform for expanded analyses in the pediatric HTx population. Copyright © 2017 Elsevier Inc. All rights reserved.

Prospect and policy of palm oil mill effluents for future electricity in east kalimantan (utilization of pome as renewable energy)

NASA Astrophysics Data System (ADS)

Aipassa, M. I.; Kristiningrum, R.; Tarukan, V. Y.

2018-04-01

East Kalimantan economy for four decades was mainly based on natural resources extraction and dominated by primary sectorwith the six highest GDP in 2013. But, the contribution of oil and gas were decreasing production due to the absence of new wells.One of the mission was create natural resources and renewable energy based economic people oriented. The Goverment of EK Province chose a strategy of socio-economic transformation based on renewable natural resources. This strategy has been applied in the regional development plan by mainstreaming climate change issues. Data related to energy source and its potential, remote rural electrification, bioenergy feedstock, etc including from the Palm Oil company was collected and subsequently analized in line with the EK Governor Letter. Currently (2014) available of Biogas-Pome as bioenergy feedstock is 162 million m3year-1, where as currently utilized is only 22 millionm3year-1. Power demand supply status in January 2015 indicated as available capacity is 467 MW where the peak demand is 444 MW. About 22% of households without electricity are difficult to be electrified without breakthrough efforts. About 215 thousand households are un-electrified, with more power need about 150 MW in total capacity. As business opportunity, high demand for rural electrification, particularly in Kutai Kartanegera, Kutai Timur, Kutai Barat, Berau and Paser.

Resource-assessment perspectives for unconventional gas systems

USGS Publications Warehouse

Schmoker, J.W.

2002-01-01

Concepts are described for assessing those unconventional gas systems that can also be defined as continous accumulations. Continuous gas accumulations exist more or less independently of the water column and do not owe their existence directly to the bouyancy of gas in water. They cannot be represented in terms of individual, countable fields or pools delineated by downdip water contacts. For these reasons, traditional resource-assessment methods based on estimating the sizes and numbers of undiscovered discrete fields cannot not be applied to continuous accumulations. Specialized assessment methods are required. Unconventional gas systems that are also continous accumulations include coalbed methane, basin-centered gas, so-called tight gas, fractured shale (and chalk) gas, and gas hydrates. Deep-basin and bacterial gas systems may or may not be continuous accumulations, depending on their geologic setting. Two basic resource-assessment approaches have been employed for continous accumulations. The first approach is based on estimates of gas in place. A volumetric estimate of total gas in place is commonly coupled with an overall recovery factor to narrow the assessment scope from a treatment of gas volumes residing in sedimentary strata to a prediction of potential additions to reserves. The second approach is based on the production performance of continous gas reservoirs, as shown empirically by wells and reservoir-simulation models. In these methods, production characteristics (as opposed to gas in place) are the foundation for forecasts of potential additions to reserves.

77 FR 52052 - Agency Information Collection: Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-28

... proposals to support research on water problems and issues of a regional or interstate nature beyond those... by the USGS and the state water resources research institutes authorized by the Water Resources... the State Water Resources Research Institutes. The NIWR cooperates with the USGS in establishing total...

Method and Mchievement of Survey and Evaluation of Groundwater Resources of Guangzhou City

NASA Astrophysics Data System (ADS)

Lin, J.

2017-12-01

Based on the documents and achievements relevant to hydrogeological surveying and mapping of 1:100000, hydrogeological drilling, pumping test and dynamic monitoring of groundwater level in Guangzhou, considering the hydrogeological conditions of Guangzhou and combining the advanced technologies such as remote sensing, the survey and evaluation of the volume of the groundwater resources of Guangzhou was carried out in plain and mountain areas separately. The recharge method was used to evaluate the volume of groundwater resources in plain areas, meanwhile, the output volume and the storage change volume of groundwater were calculated and the volume of groundwater resources was corrected by water balance analysis; while the discharge method was used to evaluated the volume of groundwater resources in mountain areas. The result of survey and evaluation indicates that: the volume of the natural groundwater resources in Guangzhou City is 1.83 billion m3 of which the groundwater replenishment quantity in plain areas is 510,045,000 m3, with a total output of 509,729,000 m3, an absolute balance difference of 316,000 m3 and a relative balance difference of 0.062%; the volume of groundwater resources in mountain areas is 1,358,208,000 m3 including the river basic flow is 965,054,000 m3; the repetitive counted volume of groundwater resources in both plain areas and mountain areas is 38,839,000 m3. This work was realized by refined means for the first time to entirely find out the volume of groundwater resources of Guangzhou City and the law of their distribution so as to lay an important foundation for the protection and reasonable development and exploration of the groundwater resources of Guangzhou City.

Analysis of YouTube as a Source of Information for West Nile Virus Infection

PubMed Central

Dubey, Divyanshu; Amritphale, Amod; Sawhney, Anshudha; Dubey, Devashish; Srivastav, Nupur

2014-01-01

Introduction A major outbreak of West Nile Virus was seen last year in different parts of the United States. Adequate dissemination of correct information about the disease would have helped decrease its spread and the associated panic in the general population. In this study, we looked into the use of YouTube as a resource for providing information about West Nile Virus infection. Objective This study aims to identify and evaluate YouTube as resource for providing information on West Nile Virus infection to the general public. Methods YouTube was searched on November 25, 2012, using the keywords West Nile Virus epidemic, West Nile Virus infection, and West Nile Virus prevention for videos uploaded in the past 6 months containing relevant information about the disease. The videos were classified as useful, misleading, or as news updates based on the type of information contained. Total viewership, number of days since upload, total duration of videos, and source of upload were noted. Results A total of 106 videos with information on West Nile Virus infection were included in the study, with 79.24% having useful information about the disease. Among the useful videos, 51/84 (60.71%) had information on disease prevention, and 29/84 (34.52%) contained information on news and research updates. The majority of these videos were uploaded by individuals (54.6%) or news agencies (41.8 %). Healthcare agencies contributed only 3.4 % of the total videos. Even though the useful videos represented 72% of all videos, there was significantly higher total viewership and viewership per day for the non-useful videos (P<0.05). Conclusions YouTube may be a significant resource for dissemination of information on public health issues like West Nile virus infection and should be targeted by healthcare agencies for this use. The major drawback of this medium is lack of verification by authorized healthcare professionals before these videos are made available for viewing by the community. Hence, a strict caution should be exercised in obtaining the information from unauthorized videos posted on YouTube. PMID:24573700

Analysis of YouTube as a source of information for West Nile Virus infection.

PubMed

Dubey, Divyanshu; Amritphale, Amod; Sawhney, Anshudha; Dubey, Devashish; Srivastav, Nupur

2014-12-01

A major outbreak of West Nile Virus was seen last year in different parts of the United States. Adequate dissemination of correct information about the disease would have helped decrease its spread and the associated panic in the general population. In this study, we looked into the use of YouTube as a resource for providing information about West Nile Virus infection. This study aims to identify and evaluate YouTube as resource for providing information on West Nile Virus infection to the general public. YouTube was searched on November 25, 2012, using the keywords West Nile Virus epidemic, West Nile Virus infection, and West Nile Virus prevention for videos uploaded in the past 6 months containing relevant information about the disease. The videos were classified as useful, misleading, or as news updates based on the type of information contained. Total viewership, number of days since upload, total duration of videos, and source of upload were noted. A total of 106 videos with information on West Nile Virus infection were included in the study, with 79.24% having useful information about the disease. Among the useful videos, 51/84 (60.71%) had information on disease prevention, and 29/84 (34.52%) contained information on news and research updates. The majority of these videos were uploaded by individuals (54.6%) or news agencies (41.8 %). Healthcare agencies contributed only 3.4 % of the total videos. Even though the useful videos represented 72% of all videos, there was significantly higher total viewership and viewership per day for the non-useful videos (P<0.05). YouTube may be a significant resource for dissemination of information on public health issues like West Nile virus infection and should be targeted by healthcare agencies for this use. The major drawback of this medium is lack of verification by authorized healthcare professionals before these videos are made available for viewing by the community. Hence, a strict caution should be exercised in obtaining the information from unauthorized videos posted on YouTube. © 2013 Marshfield Clinic.

[L-THIA-based management design for controlling urban non-point source pollution].

PubMed

Guo, Qing-Hai; Yang, Liu; Ke-Ming, Ma

2007-11-01

L-THIA Model was used to simulate the amounts of NPS pollutants in 2 catchments of Sanjiao watershed (Sj1, Sj2) in Hanyang district, and the total simulated amount of NPS loads in Sj1 and Sj2 were 1.82 x 10(4) kg, 1.38 x 10(5) kg, respectively. Based on the theory of resource-sink" and interaction of pattern with process, a series of BMPs, including green roof, grassland, porous pavement, infiltration trench, vegetative filter strip and wet pond, were optimized, and effects of BMPs were simulated along the surface runoff pathway. The results show that total pollutants outputs entering Sj1 and Sj2 account for 14.65% and 6.57%, respectively. Combining L-THIA model and BMPs in series is a proper measure for non-point source pollution control and urban development planning at watershed or region scale.

Exploring gender and elder abuse from the perspective of professionals.

PubMed

Weeks, Lori; Dupuis-Blanchard, Suzanne; Arseneault, Rina; MacQuarrie, Colleen; Gagnon, Danie; LeBlanc, Ginette Marie

2018-01-01

We conducted an online survey of professionals working in two Canadian provinces to learn about their knowledge of elder abuse from a gender-based perspective. A total of 169 professionals (90% women) completed a survey in either French or English. Five topic areas emerged from the analysis: the influence of gender on the risk of abuse; types of abuse detected; knowledge gaps; capacity to respond to gender-based abuse; and awareness of resources. To gain further insight into these results, we conducted three focus groups with a total of 24 professionals. Professionals held relatively little recognition of, or knowledge about, gender related to elder abuse. Our results indicate the need to develop educational and awareness raising opportunities for professionals who work with abused older adults in both French and English to identify and respond to the unique needs of older women and men.

Protecting Our Water Resources.

ERIC Educational Resources Information Center

Jewett, Jon

1996-01-01

Describes the watershed management approach for preserving water resources. Considers pollution sources ranging from industrial discharge to agricultural leachate and runoff and evaluates its impact on the total watershed environment. (JRH)

Meeting the oral health needs of 12-year-olds in China: human resources for oral health.

PubMed

Sun, Xiangyu; Bernabé, Eduardo; Liu, Xuenan; Zheng, Shuguo; Gallagher, Jennifer E

2017-06-20

An appropriate level of human resources for oral health [HROH] is required to meet the oral health needs of population, and enable maximum improvement in health outcomes. The aim of this study was to estimate the required HROH to meet the oral health needs of the World Health Organization [WHO] reference group of 12-year-olds in China and consider the implications for education, practice, policy and HROH nationally. We estimated the need of HROH to meet the needs of 12-year-olds based on secondary analysis of the epidemiological and questionnaire data from the 3rd Chinese National Oral Health Survey, including caries experience and periodontal factors (calculus), dentally-related behaviour (frequency of toothbrushing and sugar intake), and social factors (parental education). Children's risk for dental caries was classified in four levels from low (level 1) to high (level 4). We built maximum and minimum intervention models of dental care for each risk level, informed by contemporary evidence-based practice. The needs-led HROH model we used in the present study incorporated need for treatment and risk-based prevention using timings verified by experts in China. These findings were used to estimate HROH for the survey sample, extrapolated to 12-year-olds nationally and the total population, taking account of urban and rural coverage, based on different levels of clinical commitment (60-90%). We found that between 40,139 and 51,906 dental professionals were required to deliver care for 12-year-olds nationally based on 80% clinical commitment. We demonstrated that the majority of need for HROH was in the rural population (72.5%). Over 93% of HROH time was dedicated to prevention within the model. Extrapolating the results to the total population, the estimate for HROH nationally was 3.16-4.09 million to achieve national coverage; however, current HROH are only able to serve an estimated 5% of the population with minimum intervention based on a HROH spending 90% of their time in providing clinical care. The findings highlight the gap between dental workforce needs and workforce capacity in China. Significant implications for health policy and human resources for oral health in this country with a developing health system are discussed including the need for public health action.

Optimization-based channel constrained data aggregation routing algorithms in multi-radio wireless sensor networks.

PubMed

Yen, Hong-Hsu

2009-01-01

In wireless sensor networks, data aggregation routing could reduce the number of data transmissions so as to achieve energy efficient transmission. However, data aggregation introduces data retransmission that is caused by co-channel interference from neighboring sensor nodes. This kind of co-channel interference could result in extra energy consumption and significant latency from retransmission. This will jeopardize the benefits of data aggregation. One possible solution to circumvent data retransmission caused by co-channel interference is to assign different channels to every sensor node that is within each other's interference range on the data aggregation tree. By associating each radio with a different channel, a sensor node could receive data from all the children nodes on the data aggregation tree simultaneously. This could reduce the latency from the data source nodes back to the sink so as to meet the user's delay QoS. Since the number of radios on each sensor node and the number of non-overlapping channels are all limited resources in wireless sensor networks, a challenging question here is to minimize the total transmission cost under limited number of non-overlapping channels in multi-radio wireless sensor networks. This channel constrained data aggregation routing problem in multi-radio wireless sensor networks is an NP-hard problem. I first model this problem as a mixed integer and linear programming problem where the objective is to minimize the total transmission subject to the data aggregation routing, channel and radio resources constraints. The solution approach is based on the Lagrangean relaxation technique to relax some constraints into the objective function and then to derive a set of independent subproblems. By optimally solving these subproblems, it can not only calculate the lower bound of the original primal problem but also provide useful information to get the primal feasible solutions. By incorporating these Lagrangean multipliers as the link arc weight, the optimization-based heuristics are proposed to get energy-efficient data aggregation tree with better resource (channel and radio) utilization. From the computational experiments, the proposed optimization-based approach is superior to existing heuristics under all tested cases.

Final Environmental Assessment of the 801 Housing Program at Whiteman Air Force Base, Missouri

DTIC Science & Technology

1988-11-01

elatior), yellow foxtail (Setaria glauca (L.) Beauv.), red-top (Ag ostis alba L.), goose grass ( Eleusine indica (L.) Gaertn.), and others such as Panicum...steepness, and perched water table/wetness properties of soils at each proposed site require specif’: treatment in project design to reduce potential...Cultural Resources. A total of four archaeological sites presently are known to exist on the properties proposed for 801 housing: one at Knob Noster

Thoughts on Total Quality Movement in the Aeronautical Systems Division, Wright-Patterson Air Force Base, Ohio

DTIC Science & Technology

1990-05-01

not necessarily increase. The management leaders of this country and abroad used to hold the view, and some of them may still do, that an inverse...is the most important. Efficient management of this resource is vitally important. Isemann’s statement is particularly noteworthy in this connection...goals for management . 12. Remove barriers that rob people of pride of workmanship. Eliminate the annual rating or merit system. 13. Institute a

Department of Defense Materiel Distribution System Study. Volume 3, Book 5. Appendix D-3. Depot Cost and Capacity

DTIC Science & Technology

1978-07-01

1,547 5,254 1 ,547 TOTAL 12,809 3 ,922 AML Resource Management Report, Part C, Section 1, Base Operations Functions as of...t» o *-~ «-» o* »•* 9 0 o o o » O * O o o O Cft ... thesi - people, an well as to other leaders in the materials handling field (editors, educators, and industry professionals), to fully clarify and

Hyperspectral Analysis of Soil Total Nitrogen in Subsided Land Using the Local Correlation Maximization-Complementary Superiority (LCMCS) Method

PubMed Central

Lin, Lixin; Wang, Yunjia; Teng, Jiyao; Xi, Xiuxiu

2015-01-01

The measurement of soil total nitrogen (TN) by hyperspectral remote sensing provides an important tool for soil restoration programs in areas with subsided land caused by the extraction of natural resources. This study used the local correlation maximization-complementary superiority method (LCMCS) to establish TN prediction models by considering the relationship between spectral reflectance (measured by an ASD FieldSpec 3 spectroradiometer) and TN based on spectral reflectance curves of soil samples collected from subsided land which is determined by synthetic aperture radar interferometry (InSAR) technology. Based on the 1655 selected effective bands of the optimal spectrum (OSP) of the first derivate differential of reciprocal logarithm ([log{1/R}]′), (correlation coefficients, p < 0.01), the optimal model of LCMCS method was obtained to determine the final model, which produced lower prediction errors (root mean square error of validation [RMSEV] = 0.89, mean relative error of validation [MREV] = 5.93%) when compared with models built by the local correlation maximization (LCM), complementary superiority (CS) and partial least squares regression (PLS) methods. The predictive effect of LCMCS model was optional in Cangzhou, Renqiu and Fengfeng District. Results indicate that the LCMCS method has great potential to monitor TN in subsided lands caused by the extraction of natural resources including groundwater, oil and coal. PMID:26213935

Stability and Scalability of the CMS Global Pool: Pushing HTCondor and GlideinWMS to New Limits

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

Balcas, J.; Bockelman, B.; Hufnagel, D.

The CMS Global Pool, based on HTCondor and glideinWMS, is the main computing resource provisioning system for all CMS workflows, including analysis, Monte Carlo production, and detector data reprocessing activities. The total resources at Tier-1 and Tier-2 grid sites pledged to CMS exceed 100,000 CPU cores, while another 50,000 to 100,000 CPU cores are available opportunistically, pushing the needs of the Global Pool to higher scales each year. These resources are becoming more diverse in their accessibility and configuration over time. Furthermore, the challenge of stably running at higher and higher scales while introducing new modes of operation such asmore » multi-core pilots, as well as the chaotic nature of physics analysis workflows, places huge strains on the submission infrastructure. This paper details some of the most important challenges to scalability and stability that the CMS Global Pool has faced since the beginning of the LHC Run II and how they were overcome.« less

U.S. Geological Survey Assessment of Undiscovered Petroleum Resources of the Hamra Basin, Libya, 2006

USGS Publications Warehouse

,

2007-01-01

The Hamra Basin Province encompasses approximately 244,100 square kilometers (94,250 square miles) and is entirely within Libya. One composite total petroleum system (TPS) was defined for this assessment; it extends from Libya westward into adjacent parts of Algeria and southern Tunisia. The Hamra Basin part of the TPS was subdivided into four assessment units for the purpose of resource assessment. The assessment units cover only 172,390 square kilometers of the Hamra Basin Province; the remaining area has little potential for undiscovered petroleum resources because of the absence of petroleum source rocks. Using a geology-based assessment methodology, the U.S. Geological Survey estimated mean volumes of 784 million barrels of crude oil, 4,748 billion cubic feet of natural gas, and 381 million barrels of natural gas liquids in the Hamra Basin of northwestern Libya. Most of the undiscovered crude oil and natural gas are interpreted to be in deeper parts of the Hamra Basin.

Water Resources of Ascension Parish

USGS Publications Warehouse

Griffith, J.M.; Fendick, R.B.

2009-01-01

Ascension Parish, located along the banks of the Mississippi River in south-central Louisiana, contains fresh groundwater and surface-water resources. In 2005, about 202 million gallons per day (Mgal/d) were withdrawn from water sources in Ascension Parish. About 94 percent (190 Mgal/d) was withdrawn from surface water, and 6 percent (12 Mgal/d) was withdrawn from groundwater. Additional water is supplied to Ascension Parish for public-supply use from East Baton Rouge Parish. Withdrawals for industrial use accounted for 95 percent (192 Mgal/d) of the total water withdrawn. Withdrawals for other uses included public-supply (4 Mgal/d), rural-domestic (3 Mgal/d), and aquaculture (3 Mgal/d). Water withdrawals in the parish generally increased from 1960 to 1995 and decreased from 1995 to 2005. This fact sheet summarizes basic information on the water resources of Ascension Parish, La. Information on groundwater and surface-water availability, quality, development, use, and trends is based on previously published reports listed in the references section.

Stability and scalability of the CMS Global Pool: Pushing HTCondor and glideinWMS to new limits

NASA Astrophysics Data System (ADS)

Balcas, J.; Bockelman, B.; Hufnagel, D.; Hurtado Anampa, K.; Aftab Khan, F.; Larson, K.; Letts, J.; Marra da Silva, J.; Mascheroni, M.; Mason, D.; Perez-Calero Yzquierdo, A.; Tiradani, A.

2017-10-01

The CMS Global Pool, based on HTCondor and glideinWMS, is the main computing resource provisioning system for all CMS workflows, including analysis, Monte Carlo production, and detector data reprocessing activities. The total resources at Tier-1 and Tier-2 grid sites pledged to CMS exceed 100,000 CPU cores, while another 50,000 to 100,000 CPU cores are available opportunistically, pushing the needs of the Global Pool to higher scales each year. These resources are becoming more diverse in their accessibility and configuration over time. Furthermore, the challenge of stably running at higher and higher scales while introducing new modes of operation such as multi-core pilots, as well as the chaotic nature of physics analysis workflows, places huge strains on the submission infrastructure. This paper details some of the most important challenges to scalability and stability that the CMS Global Pool has faced since the beginning of the LHC Run II and how they were overcome.

[The application of National AIDS spending assessment in a county of Dehong prefecture, Yunnan province, China].

PubMed

Shan, Duo; Sun, Jiang-ping; Yakusik, Anna; Chen, Zhong-dan; Yuan, Jian-hua; Li, Tao; Duan, Song; Yang, Xing; Wei, Mei; Michael, Sante; Ye, Run-hua; Xiang, Li-fen; Yang, Yue-cheng; Ren, Da

2012-11-01

To calculate the actual expenditures in a county of Dehong prefecture, Yunnan province, China by using the method of National AIDS Spending Assessment (NASA) in 2010. Data were collected through NASA data collection form based on adapted NASA classification in the county of Dehong prefecture from October to December, 2011, and complemented by semi-structured interview with 16 well trained programmatic and financial representatives in 8 spending units. Data were entered in Resource Tracking Software (RTS) V 2009.3.0, and SPSS 13.0 was used for data processing and analysis. The NASA estimations showed that the county spent a total of ¥16 235 954 on HIV/AIDS in 2010. Public funds constituted 96.3% of the total expenditure (¥15 630 937), followed by Global Fund which accounted for 3.0% (¥484 585) and private sources which accounted for 0.7% (¥120 432). Findings based on NASA categories showed that AIDS spendings were mainly on 4 areas, and expenditure on Care & Treatment was ¥12 401 382 (76.4% of total expenditure), followed by Prevention which accounted for 14.3% (¥2 325 707), Program Management & Administration which accounted for 7.8% (¥1 268 523) and human resources which accounted for 1.5% (¥240 342). The most beneficial population group was People Living with HIV (PLHIV), accounting for 84.7% of total expenditure. (¥13 753 428), followed by 4.8% for high risk population, including female sex workers and their partners (¥297 333), injection drug users and their partners (¥293 143), men having sex with men and their partners (¥185 136) and 1.5% (¥241 429) for the general population. The local funds for HIV/AIDS in this county was insufficient. The local government should increase corresponding funds based on central government funding. Care and treatment was the first spending priority in the county and the investment of prevention services needs to be increased. Prevention and treatment and care should be combined to ensure the effectiveness of comprehensive prevention and treatment of AIDS.

Real-World Analysis of Medical Costs and Healthcare Resource Utilization in Elderly Women with HR+/HER2- Metastatic Breast Cancer Receiving Everolimus-Based Therapy or Chemotherapy.

PubMed

Hao, Yanni; Li, Nanxin; Fang, Anna P; Koo, Valerie; Peeples, Miranda; Kageleiry, Andrew; Wu, Eric Q; Guérin, Annie

2016-06-01

The objective of this study was to analyze medical costs and healthcare resource utilization (HRU) associated with everolimus-based therapy or chemotherapy among elderly women with hormone-receptor-positive, human-epidermal-growth-factor-receptor-2-negative (HR+/HER2-) metastatic breast cancer (mBC). Elderly women (≥65 years) with HR+/HER2- mBC who failed a non-steroidal-aromatase-inhibitor and subsequently began a new line of treatment with everolimus-based therapy or chemotherapy for mBC (index therapy) during July 20, 2012 to March 31, 2014 were identified from two large commercial claims databases. All-cause, BC-, and adverse event (AE)-related medical costs (2014 USD), and all-cause and AE-related HRU per patient per month (PPPM) were compared between patients treated with everolimus-based therapy and chemotherapy across their first four lines of therapy for mBC. Adjusted costs and HRU differences were estimated by pooling all lines and using multivariable models adjusted for differences in patient characteristics. In total, 925 elderly patients (mean age approximately 73 years) with HR+/HER2- mBC met the inclusion criteria; 230 received everolimus-based therapy (240 lines) and 737 received chemotherapy (939 lines). Compared with chemotherapy, everolimus-based therapy was associated with significantly lower total all-cause PPPM medical services costs (adjusted mean difference: $4007), driven by lower inpatient ($1994) and outpatient ($1402) costs; lower BC-related medical services costs ($3129), driven by both BC-related inpatient ($1883) and outpatient costs ($913); and lower AE-related medical services costs ($1873; all P < 0.01). Additionally, compared to patients treated with chemotherapy, patients treated with everolimus-based therapy had fewer all-cause outpatient visits (adjusted incidence rate ratio = 0.69), BC-related outpatient visits (0.66), other-medical-service visits (0.65), and AE-related HRU (0.59), which was driven by significantly fewer AE-related outpatient visits (0.56; all P < 0.01). Subgroup analyses comparing medical costs of everolimus-based therapy with capecitabine monotherapy showed consistent results overall. This retrospective claims database analysis of elderly women with HR+/HER2- mBC in the United States showed that everolimus-based therapy was associated with significantly lower all-cause, BC-related, and AE-related medical services costs and less use of healthcare resources compared with chemotherapy. Novartis.

Economic valuation of selected direct and indirect use values of the Makgadikgadi wetland system, Botswana

NASA Astrophysics Data System (ADS)

Setlhogile, Tshepo; Arntzen, Jaap; Mabiza, Collin; Mano, Reneth

Economic valuation of wetlands aims to investigate public preferences for changes in the state of the wetland and the natural resources it constitutes in monetary terms. It provides a means of quantifying the direct and indirect benefits that people derive from wetlands. In addition, it informs management planning and practice about resource options, optimal allocation and also provides information for conservation of the resource. The Makgadikgadi wetland is a unique system that mostly consists of dry pans during most of the year. This study aimed at estimating the value of groundwater recharge and community-based natural resource management (CBNRM) activities within the Makgadikgadi wetland and how these goods and services contribute to the local and national economy. The study used the Total Economic Valuation approach, which considers both the direct and indirect use values of the resource. In essence, the study concentrated on one direct use value (use of resources through CBNRM) and one indirect use value (groundwater recharge). With regard to CBNRM, three community-based organisations (CBOs) were selected for the study and static and dynamic cost-benefit models for these CBOs were developed. The groundwater recharge value was largely determined through desktop review and interviews with stakeholders. The results indicate a small positive contribution of CBOs towards the economy of Botswana and a high potential for communities to derive substantial benefits from the projects because currently benefits realised by communities are limited. CBOs involved in joint venture partnerships with tourism and hunting enterprises benefit more from utilising the wetland’s resources. Groundwater recharge often occurs in areas away from the physical location of the wetland and may not be easily attributable to the wetland. However, the study assessed the value taking into consideration the various sectors which rely on the groundwater resource. The groundwater recharge value is significant (BWP 9-10 million) but lower when compared with the value generated by the Okavango delta (BWP 16 million). Given future increases in water demands, groundwater abstraction will exceed recharge, thus hampering the availability of the resource for the future generations and maintenance of the environment.

Re-thinking the unimpeded tube-well growth under the depleting groundwater resources in the Punjab, Pakistan

NASA Astrophysics Data System (ADS)

Watto, Muhammad Arif; Mugera, Amin W.; Kingwell, Ross; Saqab, Muhammad Mudasar

2018-04-01

Groundwater resources are crucial in sustaining agro-ecosystems and ensuring food security in many parts of the world, including Pakistan. However, the sustainability of groundwater resources is subject to a number of challenges, including over-extraction, deterioration in quality, and vulnerability to the impacts of climate change and population growth. Given the current state of groundwater resources in Pakistan, policymakers seek to manage groundwater resources by limiting groundwater extraction. To achieve this goal on a national scale, it is important to understand the determinants of the decisions made by local farmers in respect of tube-well adoption. This study investigates smallholder farmers' decisions to adopt tube-well technology in the face of dwindling groundwater resources and falling water tables. Analysis is based on a cross-sectional survey of 200 rural households from the arid to semi-arid predominantly groundwater-irrigated plains of the Punjab province, Pakistan. It is found that farmers will adopt tube-well technology in pursuit of reliable irrigation water supplies to hedge against production risks but not against the risk associated with unfavourable extreme events (downside risk) such as total crop failure. This suggests that the adoption decision is influenced by the expected long-term rather than the short-term benefits. This paper draws attention to the need to regulate groundwater resource exploitation by requiring the use of tube-well technology to be accompanied by irrigation water-efficient techniques and technologies.

Global Uranium And Thorium Resources: Are They Adequate To Satisfy Demand Over The Next Half Century?

NASA Astrophysics Data System (ADS)

Lambert, I. B.

2012-04-01

This presentation will consider the adequacy of global uranium and thorium resources to meet realistic nuclear power demand scenarios over the next half century. It is presented on behalf of, and based on evaluations by, the Uranium Group - a joint initiative of the OECD Nuclear Energy Agency and the International Atomic Energy Agency, of which the author is a Vice Chair. The Uranium Group produces a biennial report on Uranium Resources, Production and Demand based on information from some 40 countries involved in the nuclear fuel cycle, which also briefly reviews thorium resources. Uranium: In 2008, world production of uranium amounted to almost 44,000 tonnes (tU). This supplied approximately three-quarters of world reactor requirements (approx. 59,000 tU), the remainder being met by previously mined uranium (so-called secondary sources). Information on availability of secondary sources - which include uranium from excess inventories, dismantling nuclear warheads, tails and spent fuel reprocessing - is incomplete, but such sources are expected to decrease in market importance after 2013. In 2008, the total world Reasonably Assured plus Inferred Resources of uranium (recoverable at less than 130/kgU) amounted to 5.4 million tonnes. In addition, it is clear that there are vast amounts of uranium recoverable at higher costs in known deposits, plus many as yet undiscovered deposits. The Uranium Group has concluded that the uranium resource base is more than adequate to meet projected high-case requirements for nuclear power for at least half a century. This conclusion does not assume increasing replacement of uranium by fuels from reprocessing current reactor wastes, or by thorium, nor greater reactor efficiencies, which are likely to ameliorate future uranium demand. However, progressively increasing quantities of uranium will need to be mined, against a backdrop of the relatively small number of producing facilities around the world, geopolitical uncertainties and strong opposition to growth of nuclear power in a number of quarters - it is vital that the market provides incentives for exploration and development of environmentally sustainable mining operations. Thorium: World Reasonably Assured plus Inferred Resources of thorium are estimated at over 2.2 million tonnes, in hard rock and heavy mineral sand deposits. At least double this amount is considered to occur in as yet undiscovered thorium deposits. Currently, demand for thorium is insignificant, but even a major shift to thorium-fueled reactors would not make significant inroads into the huge resource base over the next half century.

Over 10,000 new maize mutants added to the uniformMu public resource: now 67,000 total Mu insertions with 42% genome coverage

USDA-ARS?s Scientific Manuscript database

Over 10,000 new mutants have been added to the UniformMu reverse genetics resource in release 7, bringing the total to over 67,000 germinal transposon insertions. These are available in 11,140 independent seed stocks. Close to half of the maize filtered gene set (42%) is represented by at least one ...

Physicians utilisation of internet medical databases at the tertiary health institutions in Osun State, south west, Nigeria.

PubMed

Shabi, Iwok N; Shabi, Olabode M; Akewukereke, Modupe A; Udofia, Emem P

2011-12-01

To determine the extent, purpose, determinants and the impact of the utilization of Internet medical databases among the respondents. A descriptive cross sectional survey of 540 randomly selected physicians at the two tertiary health institutions in Osun State, south west, Nigeria. A total of 444 (82.2%) physicians completed the questionnaires. All the respondents have used the internet medical databases within the last 4 weeks of the study. Majority, (53.8%) used the internet resources at least once in 2 weeks, while 12.2% used the resources every day. The online resources are mainly sought for Routine patient care and for Research purposes. pubmed (70.3%), hinari (69.0%), and Free medical journals (60.1%) are the frequently used online databases/digital archives. The internet resources has positively impacted the Clinical practice (40.0%) and Research output (65.5%) of the physicians. There had been considerable increase in the extent and quality of utilization of online medical databases which has positively impacted on the Clinical practice and Research output of the physicians. Ease of finding the needed information and the availability of evidence based resources are the major determinants of the databases utilized. © 2011 The authors. Health Information and Libraries Journal © 2011 Health Libraries Group.

Map of assessed continuous (unconventional) oil resources in the United States, 2014

USGS Publications Warehouse

,; Biewick, Laura R. H.

2015-01-01

The U.S. Geological Survey (USGS) conducts quantitative assessments of potential oil and gas resources of the onshore United States and associated coastal State waters. Since 2000, the USGS has completed assessments of continuous (unconventional) resources in the United States based on geologic studies and analysis of well-production data and has compiled digital maps of the assessment units classified into four categories: shale gas, tight gas, coalbed gas, and shale oil or tight oil (continuous oil). This is the fourth digital map product in a series of USGS unconventional oil and gas resource maps; its focus being shale-oil or tight-oil (continuous-oil) assessments. The map plate included in this report can be printed in hardcopy form or downloaded in a Geographic Information System (GIS) data package, which includes an ArcGIS ArcMap document (.mxd), geodatabase (.gdb), and a published map file (.pmf). Supporting geologic studies of total petroleum systems and assessment units, as well as studies of the methodology used in the assessment of continuous-oil resources in the United States, are listed with hyperlinks in table 1. Assessment results and geologic reports are available at the USGS websitehttp://energy.usgs.gov/OilGas/AssessmentsData/NationalOilGasAssessment.aspx.

Development of a short version of the new brief job stress questionnaire.

PubMed

Inoue, Akiomi; Kawakami, Norito; Shimomitsu, Teruichi; Tsutsumi, Akizumi; Haratani, Takashi; Yoshikawa, Toru; Shimazu, Akihito; Odagiri, Yuko

2014-01-01

This study was aimed to investigate the test-retest reliability and validity of a short version of the New Brief Job Stress Questionnaire (New BJSQ) whose scales have one item selected from a standard version. Based on the results from an anonymous web-based questionnaire of occupational health staffs and personnel/labor staffs, we selected higher-priority scales from the standard version. After selecting one item with highest item-total correlation coefficient from each scale, a 23-item questionnaire was developed. A nationally representative survey was administered to Japanese employees (n=1,633) to examine test-retest reliability and validity. Most scales (or items) showed modest but adequate levels of test-retest reliability (r>0.50). Furthermore, job demands and job resources scales (or items) were associated with mental and physical stress reactions while job resources scales (or items) were also associated with positive outcomes. These findings provided a piece of evidence that the short version of the New BJSQ is reliable and valid.

Petroleum Systems and Geologic Assessment of Oil and Gas Resources in the Wind River Basin Province, Wyoming

USGS Publications Warehouse

,

2007-01-01

The purpose of the U.S. Geological Survey's (USGS) National Oil and Gas Assessment is to develop geologically based hypotheses regarding the potential for additions to oil and gas reserves in priority areas of the United States. The U.S. Geological Survey (USGS) recently completed an assessment of the undiscovered oil and gas potential of the Wind River Basin Province which encompasses about 4.7 million acres in central Wyoming. The assessment is based on the geologic elements of each total petroleum system (TPS) defined in the province, including hydrocarbon source rocks (source-rock maturation, hydrocarbon generation, and migration), reservoir rocks (sequence stratigraphy and petrophysical properties), and hydrocarbon traps (trap formation and timing). Using this geologic framework, the USGS defined three TPSs: (1) Phosphoria TPS, (2) Cretaceous-Tertiary TPS, and (3) Waltman TPS. Within these systems, 12 Assessment Units (AU) were defined and undiscovered oil and gas resources were quantitatively estimated within 10 of the 12 AUs.

Development of a Short Version of the New Brief Job Stress Questionnaire

PubMed Central

INOUE, Akiomi; KAWAKAMI, Norito; SHIMOMITSU, Teruichi; TSUTSUMI, Akizumi; HARATANI, Takashi; YOSHIKAWA, Toru; SHIMAZU, Akihito; ODAGIRI, Yuko

2014-01-01

This study was aimed to investigate the test-retest reliability and validity of a short version of the New Brief Job Stress Questionnaire (New BJSQ) whose scales have one item selected from a standard version. Based on the results from an anonymous web-based questionnaire of occupational health staffs and personnel/labor staffs, we selected higher-priority scales from the standard version. After selecting one item with highest item-total correlation coefficient from each scale, a 23-item questionnaire was developed. A nationally representative survey was administered to Japanese employees (n=1,633) to examine test-retest reliability and validity. Most scales (or items) showed modest but adequate levels of test-retest reliability (r>0.50). Furthermore, job demands and job resources scales (or items) were associated with mental and physical stress reactions while job resources scales (or items) were also associated with positive outcomes. These findings provided a piece of evidence that the short version of the New BJSQ is reliable and valid. PMID:24975108

Crowding and experience-use history: a study of the moderating effect of place attachment among water-based recreationists.

PubMed

Budruk, Megha; Wilhem Stanis, Sonja A; Schneider, Ingrid E; Heisey, Jennifer J

2008-04-01

Effective recreation resource management relies on understanding visitor perceptions and behaviors. Given current and increasing pressures on water resources, understanding crowding evaluations seems important. Beyond crowding, however, variables that possibly relate to or influence crowding are of interest and in particular, place attachment and experience-use history (EUH). As EUH is related to place attachment and likely affects crowding, this study explored the moderating effect of place attachment dimensions on the relationships between EUH and visitor crowding evaluations. Water based recreationists at a U.S. Army Corps of Engineers site were contacted onsite and asked questions related to experience-use history, crowding evaluations, place attachment, and activity participation. Anglers and campers at the site identified similar crowding perceptions and place attachments. Only one of eight models tested revealed a moderating effect. Specifically, place identity moderated the relationship between the total times visited in the past twelve months and expected crowding among anglers. As such, the quest continues to understand the relationship among these important variables.

Let's Teach Safety. A Directory of Classroom Resources.

ERIC Educational Resources Information Center

American Vocational Association, Arlington, VA.

Intended for use by vocational education teachers, this directory contains listings of such classroom resources as films, pamphlets, charts, and transparencies useful for teaching safety awareness and safety habits in seven vocational occupation areas. A total of fifty-one resources relating to agricultural occupations are listed. The section on…

75 FR 13304 - Notice of Lodging of Consent Decree Under the Oil Pollution Act (OPA)

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-19

...., will pay assessment costs and natural resource damages totaling $588,000. The Natural Resources Trustees developed a proposed Restoration Plan and Environmental Assessment in connection with the Spill... Attorney General, Environment and Natural Resources Division, and either e-mailed to pubcomment-ees.enrd...

Measuring relative work values for home care nursing services in Japan.

PubMed

Ogata, Yasuko; Kobayashi, Yasuki; Fukuda, Takashi; Mori, Katsumi; Hashimoto, Michio; Otosaka, Kayo

2004-01-01

Japan's system of Home Visit Nursing Care Stations (Station) began in 1991. To maintain the quality of services in home health nursing provided by Stations, reimbursement needs to account not only for the number of home visits, but also for the time and intensity of nursing services. This study aimed primarily to investigate the total work value and the three dimensions (time, mental effort, and physical effort) of actual visiting nursing services for the aged, and to quantify the contribution made by the three dimensions of nursing services to total work. The secondary purpose was to determine whether patient characteristics, nurse characteristics, and types of nursing services contributed to the variance in total work. Total work is defined as comprehensive work input of nursing services, with careful consideration given to both the intensity and duration of work. Self-report questionnaires about actual visiting nursing services, based on the Resource-Based Relative Value Scale, were answered by 32 nurses from three Stations in urban Yokohama, Japan. Regression analysis showed that time and intensity (physical effort and mental effort) explained 96% the variance in total work. Time alone accounted for only 39% of the variance in total work. Patient characteristics, nurse characteristics, and service type accounted for less variance in total work than did time and intensity. The study findings indicate that reimbursement of nursing services should reflect not only the time required for each visit, but also the intensity of nursing services provided, including mental effort and physical effort.

Portable Intravenous Fluid Production Device for Ground Use

NASA Technical Reports Server (NTRS)

Scarpa, Philip J.; Scheuer, Wolfgang K.

2012-01-01

There are several medical conditions that require intravenous (IV) fluids. Limitations of mass, volume, storage space, shelf-life, transportation, and local resources can restrict the availability of such important fluids. These limitations are expected in long-duration space exploration missions and in remote or austere environments on Earth. Current IV fluid production requires large factory-based processes. Easy, portable, on-site production of IV fluids can eliminate these limitations. Based on experience gained in developing a device for spaceflight, a ground-use device was developed. This design uses regular drinking water that is pumped through two filters to produce, in minutes, sterile, ultrapure water that meets the stringent quality standards of the United States Pharmacopeia for Water for Injection (Total Bacteria, Conductivity, Endotoxins, Total Organic Carbon). The device weighs 2.2 lb (1 kg) and is 10 in. long, 5 in. wide, and 3 in. high (.25, 13, and 7.5 cm, respectively) in its storage configuration. This handheld device produces one liter of medical-grade water in 21 minutes. Total production capacity for this innovation is expected to be in the hundreds of liters.

Estimating usable resources from historical industry data

USGS Publications Warehouse

Cargill, S.M.; Root, D.H.; Bailey, E.H.

1981-01-01

Historical production statistics are used to predict the quantity of remaining usable resources. The commodities considered are mercury, copper and its byproducts gold and silver, and petroleum; the production and discovery data are for the United States. The results of the study indicate that the cumulative return per unit of effort, herein measured as grade of metal ores and discovery rate of recoverable petroleum, is proportional to a negative power of total effort expended, herein measured as total ore mined and total exploratory wells or footage drilled. This power relationship can be extended to some limiting point (a lower ore grade or a maximum number of exploratory wells or footage), and the apparent quantity of available remaining resource at that limit can be calculated. For mercury ore of grades at and above 0.1 percent, the remaining usable resource in the United States is calculated to be 54 million kg (1,567,000 flasks). For copper ore of grades at and above 0.2 percent, the remaining usable copper resource is calculated to be 270 million metric tons (298 million short tons); remaining resources of its by-products gold and silver are calculated to be 3,656 metric tons (118 million troy ounces) and 64,676 metric tons (2,079 million troy ounces), respectively. The undiscovered recoverable crude oil resource in the conterminous United States, at 3 billion feet of additional exploratory drilling, is calculated to be nearly 37.6 billion barrels; the undiscovered recoverable petroleum resource in the Permian basin of western Texas and southeastern New Mexico, at 300 million feet of additional exploratory drilling or 50,000 additional exploratory wells, is calculated to be about 6.2 billion BOE (barrels of oil equivalent).

Research on Integrated Mapping——A Case Study of Integrated Land Use with Swamp Mapping

NASA Astrophysics Data System (ADS)

Zhang, S.; Yan, F.; Chang, L.

2015-12-01

Unified real estate registration system shows the attention, determination and effort to of CPC Central Committee and State Council on real estate registration in China. However, under current situation, China's real estate registration work made less progress. One of the reasons is that it's hard to express the property right of real estate on one map under the multi-sector management system. Under current multi-sector management system in China, different departments usually just survey and mapping the land type under its jurisdiction. For example, wetland investigation only mapping all kinds of wetland resources but not mapping other resource types. As a result, it cause he problem of coincidence or leak in integration of different results from different departments. As resources of the earth's surface, the total area of forest, grassland, wetland and so on should be equal to the total area of the earth's surface area. However, under the current system, the area of all kinds of resources is not equal to the sum of the earth's surface. Therefore, it is of great importance to express all the resources on one map. On one hand, this is conducive to find out the real area and distribution of resources and avoid the problem of coincidence or leak in integration; On the other hand, it is helpful to study the dynamic change of different resources. Therefore, we first proposed the "integrated mapping" as a solution, and take integrated land use with swamp mapping in Northeast China as an example to investigate the feasibility and difficulty. Study showed that: integrated land use with swamp mapping can be achieved through combining land use survey standards with swamps survey standards and "second mapping" program. Based on the experience of integrated land use with swamp mapping, we point out its reference function on integrated mapping and unified real estate registration system. We concluded that: (1) Comprehending and integrating different survey standard of different resources is the premise of "integrated mapping", (2) We put forward "multiple code" and "multiple interpretation" scheme in order to solve the problem of "attribute overlap", (3) The area of "attribute overlap" can be segmented by a certain ratio to determine the property right in unified real estate registration.

International Comparison of Poststroke Resource Use: A Longitudinal Analysis in Europe.

PubMed

Matchar, David B; Bilger, Marcel; Do, Young K; Eom, Kirsten

2015-10-01

Long-term costs often represent a large proportion of the total costs induced by stroke, but data on long-term poststroke resource use are sparse, especially regarding the trajectory of costs by severity. We used a multinational longitudinal survey to estimate patterns of poststroke resource use by degree of functional disability and to compare resource use between regions. The Survey of Health, Ageing and Retirement in Europe (SHARE) is a multinational database of adults 50 years and older, which includes demographic information about respondents, age when stroke first occurred, current activity of daily living (ADL) limitations, and health care resource use in the year before interview. We modeled resource use with a 2-part regression for number of hospital days, home nursing hours, and paid and unpaid home caregiving hours. After accounting for time since stroke, number of strokes and comorbidities, age, gender, and European regions, we found that poststroke resource use was strongly associated with ADL limitations. The duration since the stroke event was significantly associated only with inpatient care, and informal help showed significant regional heterogeneity across all ADL limitation levels. Poststroke physical deficits appear to be a strong driver of long-term resource utilization; treatments that decrease such deficits offer substantial potential for downline cost savings. Analyzing internationally comparable panel data, such as SHARE, provide valuable insight into long-term cost of stroke. More comprehensive international comparisons will require registries with follow-up, particularly for informal and formal home-based care. Copyright © 2015 National Stroke Association. Published by Elsevier Inc. All rights reserved.

MedEdPORTAL: a report on oral health resources for health professions educators.

PubMed

Chickmagalur, Nithya S; Allareddy, Veerasathpurush; Sandmeyer, Sue; Valachovic, Richard W; Candler, Christopher S; Saleh, Michael; Cahill, Emily; Karimbux, Nadeem Y

2013-09-01

MedEdPORTAL is a unique web-based peer-reviewed publication venue for clinical health educators sponsored by the Association of American Medical Colleges (AAMC). The open exchange of educational resources promotes professional collaboration across health professions. In 2008, the American Dental Education Association (ADEA) collaborated with AAMC to allow dental educators to use the platform to publish dental curriculum resources. Oral health is integral to general health; hence, collaboration among health care professionals brings enormous value to patient-centered care. The aim of this study was to conduct a current survey of metrics and submission statistics of MedEdPORTAL resources. The data were collected using the MedEdPORTAL search engine and ADEA and AAMC staff. The data collected were categorized and reported in tables and charts. Results showed that at the time of this study there were over 2,000 medical and dental resources available to anyone worldwide. Oral health resources constituted approximately 30 percent of the total resources, which included cross-indexing with information relevant to both medical and dental audiences. There were several types of dental resources available; the most common were the ones focusing on critical thinking. The usage of MedEdPORTAL has been growing, with participation from over 190 countries and 10,000 educational institutions around the world. The findings of this report suggest that MedEdPORTAL is succeeding in its aim to foster global collaborative education, professional education, and educational scholarship. As such, MedEdPORTAL is providing a new forum for collaboration and opens venues for promising future work in professional education.

A time-driven, activity-based costing methodology for determining the costs of red blood cell transfusion in patients with beta thalassaemia major.

PubMed

Burns, K E; Haysom, H E; Higgins, A M; Waters, N; Tahiri, R; Rushford, K; Dunstan, T; Saxby, K; Kaplan, Z; Chunilal, S; McQuilten, Z K; Wood, E M

2018-04-10

To describe the methodology to estimate the total cost of administration of a single unit of red blood cells (RBC) in adults with beta thalassaemia major in an Australian specialist haemoglobinopathy centre. Beta thalassaemia major is a genetic disorder of haemoglobin associated with multiple end-organ complications and typically requiring lifelong RBC transfusion therapy. New therapeutic agents are becoming available based on advances in understanding of the disorder and its consequences. Assessment of the true total cost of transfusion, incorporating both product and activity costs, is required in order to evaluate the benefits and costs of these new therapies. We describe the bottom-up, time-driven, activity-based costing methodology used to develop process maps to provide a step-by-step outline of the entire transfusion pathway. Detailed flowcharts for each process are described. Direct observations and timing of the process maps document all activities, resources, staff, equipment and consumables in detail. The analysis will include costs associated with performing these processes, including resources and consumables. Sensitivity analyses will be performed to determine the impact of different staffing levels, timings and probabilities associated with performing different tasks. Thirty-one process maps have been developed, with over 600 individual activities requiring multiple timings. These will be used for future detailed cost analyses. Detailed process maps using bottom-up, time-driven, activity-based costing for determining the cost of RBC transfusion in thalassaemia major have been developed. These could be adapted for wider use to understand and compare the costs and complexities of transfusion in other settings. © 2018 British Blood Transfusion Society.

Application of cooperative and non-cooperative games in large-scale water quantity and quality management: a case study.

PubMed

Mahjouri, Najmeh; Ardestani, Mojtaba

2011-01-01

In this paper, two cooperative and non-cooperative methodologies are developed for a large-scale water allocation problem in Southern Iran. The water shares of the water users and their net benefits are determined using optimization models having economic objectives with respect to the physical and environmental constraints of the system. The results of the two methodologies are compared based on the total obtained economic benefit, and the role of cooperation in utilizing a shared water resource is demonstrated. In both cases, the water quality in rivers satisfies the standards. Comparing the results of the two mentioned approaches shows the importance of acting cooperatively to achieve maximum revenue in utilizing a surface water resource while the river water quantity and quality issues are addressed.

The Development of a High Density Linkage Map for Black Tiger Shrimp (Penaeus monodon) Based on cSNPs

PubMed Central

Baranski, Matthew; Gopikrishna, Gopalapillay; Robinson, Nicholas A.; Katneni, Vinaya Kumar; Shekhar, Mudagandur S.; Shanmugakarthik, Jayakani; Jothivel, Sarangapani; Gopal, Chavali; Ravichandran, Pitchaiyappan; Kent, Matthew; Arnyasi, Mariann; Ponniah, Alphis G.

2014-01-01

Transcriptome sequencing using Illumina RNA-seq was performed on populations of black tiger shrimp from India. Samples were collected from (i) four landing centres around the east coastline (EC) of India, (ii) survivors of a severe WSSV infection during pond culture (SUR) and (iii) the Andaman Islands (AI) in the Bay of Bengal. Equal quantities of purified total RNA from homogenates of hepatopancreas, muscle, nervous tissue, intestinal tract, heart, gonad, gills, pleopod and lymphoid organs were combined to create AI, EC and SUR pools for RNA sequencing. De novo transcriptome assembly resulted in 136,223 contigs (minimum size 100 base pairs, bp) with a total length 61 Mb, an average length of 446 bp and an average coverage of 163× across all pools. Approximately 16% of contigs were annotated with BLAST hit information and gene ontology annotations. A total of 473,620 putative SNPs/indels were identified. An Illumina iSelect genotyping array containing 6,000 SNPs was developed and used to genotype 1024 offspring belonging to seven full-sibling families. A total of 3959 SNPs were mapped to 44 linkage groups. The linkage groups consisted of between 16–129 and 13–130 markers, of length between 139–10.8 and 109.1–10.5 cM and with intervals averaging between 1.2 and 0.9 cM for the female and male maps respectively. The female map was 28% longer than the male map (4060 and 2917 cM respectively) with a 1.6 higher recombination rate observed for female compared to male meioses. This approach has substantially increased expressed sequence and DNA marker resources for tiger shrimp and is a useful resource for QTL mapping and association studies for evolutionarily and commercially important traits. PMID:24465553

Analyses on Water Vapor Resource in Chengdu City

NASA Astrophysics Data System (ADS)

Liu, B.; Xiao, T.; Wang, C.; Chen, D.

2017-12-01

Chengdu is located in the Sichuan basin, and it is the most famous inland city in China. With suitable temperatures and rainfall, Chengdu is the most livable cities in China. With the development of urban economy and society, the population has now risen to 16 million, and it will up to 22 million in 2030. This will cause the city water resources demand, and the carrying capacity of water resources become more and more serious. In order to improve the contradiction between urban waterlogging and water shortage, sponge city planning was proposed by Chengdu government, and this is of great practical significance for promoting the healthy development of the city. Base on the reanalysis data from NCEP during 2007-2016, the characters of Water Vapor Resources was analyzed, and the main contents of this research are summarized as follows: The water vapor resource in Chengdu plain is more than that in Southeast China and less in Northwest China. The annual average water vapor resource is approximately 160 mm -320 mm, and the water vapor resource in summer can reach 3 times in winter. But the annual average precipitation in Chengdu is about 800 mm -1200 mm and it is far greater than the water vapor resource, this is because of the transport of water vapor. Using the formula of water vapor flux, the water vapor in Chengdu is comes from the west and the south, and the value is around 50kg/(ms). Base on the calculation of boundary vapor budget, the water vapor transport under 500hPa accounted for 97% of the total. Consider the water vapor transport, transformation and urban humidification effect, the Water Vapor Resource in Chengdu is 2500mm, and it can be used by artificial precipitation enhancement. Therefore, coordinated development of weather modification and sponge city construction, the shortage of water resources in Chengdu plain can be solved. Key words: Chengdu; Sponge city; Water vapor resource; Precipitation; Artificial precipitation enhancement Acknowledgements: This study was supported by National Natural Science Foundation of China Fund Project (91337215,41575066), National Science and Technology Support Program(2015BAC03B05),Special Fund for Meteorological Re-search in the Public Interest (GYHY201406015),National Key Basic Research Program (2013CB733206).

Using multilevel models for assessing the variability of multinational resource use and cost data.

PubMed

Grieve, Richard; Nixon, Richard; Thompson, Simon G; Normand, Charles

2005-02-01

Multinational economic evaluations often calculate a single measure of cost-effectiveness using cost data pooled across several countries. To assess the validity of pooling international cost data the reasons for cost variation across countries need to be assessed. Previously, ordinary least-squares (OLS) regression models have been used to identify factors associated with variability in resource use and total costs. However, multilevel models (MLMs), which accommodate the hierarchical structure of the data, may be more appropriate. This paper compares these different techniques using a multinational dataset comprising case-mix, resource use and cost data on 1300 stroke admissions from 13 centres in 11 European countries. OLS and MLMs were used to estimate the effect of patient and centre-level covariates on the total length of hospital stay (LOS) and total cost. MLMs with normal and gamma distributions for the data within centres were compared. The results from the OLS model showed that both patient and centre-level covariates were associated with LOS and total cost. The estimates from the MLMs showed that none of the centre-level characteristics were associated with LOS, and the level of spending on health was the centre-level variable most highly associated with total cost. We conclude that using OLS models for assessing international variation can lead to incorrect inferences, and that MLMs are more appropriate for assessing why resource use and costs vary across centres. Copyright (c) 2004 John Wiley & Sons, Ltd.

Effectiveness and cost-effectiveness of a group-based pain self-management intervention for patients undergoing total hip replacement: feasibility study for a randomized controlled trial.

PubMed

Wylde, Vikki; Marques, Elsa; Artz, Neil; Blom, Ashley; Gooberman-Hill, Rachael

2014-05-20

Total hip replacement (THR) is a common elective surgical procedure and can be effective for reducing chronic pain. However, waiting times can be considerable. A pain self-management intervention may provide patients with skills to more effectively manage their pain and its impact during their wait for surgery. This study aimed to evaluate the feasibility of conducting a randomized controlled trial to assess the effectiveness and cost-effectiveness of a group-based pain self-management course for patients undergoing THR. Patients listed for a THR at one orthopedic center were posted a study invitation pack. Participants were randomized to attend a pain self-management course plus standard care or standard care only. The lay-led course was delivered by Arthritis Care and consisted of two half-day sessions prior to surgery and one full-day session after surgery. Participants provided outcome and resource-use data using a diary and postal questionnaires prior to surgery and one month, three months and six months after surgery. Brief telephone interviews were conducted with non-participants to explore barriers to participation. Invitations were sent to 385 eligible patients and 88 patients (23%) consented to participate. Interviews with 57 non-participants revealed the most common reasons for non-participation were views about the course and transport difficulties. Of the 43 patients randomized to the intervention group, 28 attended the pre-operative pain self-management sessions and 11 attended the post-operative sessions. Participant satisfaction with the course was high, and feedback highlighted that patients enjoyed the group format. Retention of participants was acceptable (83% of recruited patients completed follow-up) and questionnaire return rates were high (72% to 93%), with the exception of the pre-operative resource-use diary (35% return rate). Resource-use completion rates allowed for an economic evaluation from the health and social care payer perspective. This study highlights the importance of feasibility work prior to a randomized controlled trial to assess recruitment methods and rates, barriers to participation, logistics of scheduling group-based interventions, acceptability of the intervention and piloting resource use questionnaires to improve data available for economic evaluations. This information is of value to researchers and funders in the design and commissioning of future research. Current Controlled Trials ISRCTN52305381.

Spatial Characteristics and Driving Factors of Provincial Wastewater Discharge in China.

PubMed

Chen, Kunlun; Liu, Xiaoqiong; Ding, Lei; Huang, Gengzhi; Li, Zhigang

2016-12-09

Based on the increasing pressure on the water environment, this study aims to clarify the overall status of wastewater discharge in China, including the spatio-temporal distribution characteristics of wastewater discharge and its driving factors, so as to provide reference for developing "emission reduction" strategies in China and discuss regional sustainable development and resources environment policies. We utilized the Exploratory Spatial Data Analysis (ESDA) method to analyze the characteristics of the spatio-temporal distribution of the total wastewater discharge among 31 provinces in China from 2002 to 2013. Then, we discussed about the driving factors, affected the wastewater discharge through the Logarithmic Mean Divisia Index (LMDI) method and classified those driving factors. Results indicate that: (1) the total wastewater discharge steadily increased, based on the social economic development, with an average growth rate of 5.3% per year; the domestic wastewater discharge is the main source of total wastewater discharge, and the amount of domestic wastewater discharge is larger than the industrial wastewater discharge. There are many spatial differences of wastewater discharge among provinces via the ESDA method. For example, provinces with high wastewater discharge are mainly the developed coastal provinces such as Jiangsu Province and Guangdong Province. Provinces and their surrounding areas with low wastewater discharge are mainly the undeveloped ones in Northwest China; (2) The dominant factors affecting wastewater discharge are the economy and technological advance; The secondary one is the efficiency of resource utilization, which brings about the unstable effect; population plays a less important role in wastewater discharge. The dominant driving factors affecting wastewater discharge among 31 provinces are divided into three types, including two-factor dominant type, three-factor leading type and four-factor antagonistic type. In addition, the proposals aimed at reducing the wastewater discharge are provided on the basis of these three types.

Groundwater-flow model of the northern High Plains aquifer in Colorado, Kansas, Nebraska, South Dakota, and Wyoming

USGS Publications Warehouse

Peterson, Steven M.; Flynn, Amanda T.; Traylor, Jonathan P.

2016-12-13

The High Plains aquifer is a nationally important water resource underlying about 175,000 square miles in parts of eight states: Colorado, Kansas, Oklahoma, Nebraska, New Mexico, South Dakota, Texas, and Wyoming. Droughts across much of the Northern High Plains from 2001 to 2007 have combined with recent (2004) legislative mandates to elevate concerns regarding future availability of groundwater and the need for additional information to support science-based water-resource management. To address these needs, the U.S. Geological Survey began the High Plains Groundwater Availability Study to provide a tool for water-resource managers and other stakeholders to assess the status and availability of groundwater resources.A transient groundwater-flow model was constructed using the U.S. Geological Survey modular three-dimensional finite-difference groundwater-flow model with Newton-Rhapson solver (MODFLOW–NWT). The model uses an orthogonal grid of 565 rows and 795 columns, and each grid cell measures 3,281 feet per side, with one variably thick vertical layer, simulated as unconfined. Groundwater flow was simulated for two distinct periods: (1) the period before substantial groundwater withdrawals, or before about 1940, and (2) the period of increasing groundwater withdrawals from May 1940 through April 2009. A soil-water-balance model was used to estimate recharge from precipitation and groundwater withdrawals for irrigation. The soil-water-balance model uses spatially distributed soil and landscape properties with daily weather data and estimated historical land-cover maps to calculate spatial and temporal variations in potential recharge. Mean annual recharge estimated for 1940–49, early in the history of groundwater development, and 2000–2009, late in the history of groundwater development, was 3.3 and 3.5 inches per year, respectively.Primary model calibration was completed using statistical techniques through parameter estimation using the parameter estimation suite of software with Tikhonov regularization. Calibration targets for the groundwater model included 343,067 groundwater levels measured in wells and 10,820 estimated monthly stream base flows at streamgages. A total of 1,312 parameters were adjusted during calibration to improve the match between calibration targets and simulated equivalents. Comparison of calibration targets to simulated equivalents indicated that, at the regional scale, the model correctly reproduced groundwater levels and stream base flows for 1940–2009. This comparison indicates that the model can be used to examine the likely response of the aquifer system to potential future stresses.Mean calibrated recharge for 1940–49 and 2000–2009 was smaller than that estimated with the soil-water-balance model. This indicated that although the general spatial patterns of recharge estimated with the soil-water-balance model were approximately correct at the regional scale of the Northern High Plains aquifer, the soil-water-balance model had overestimated recharge, and adjustments were needed to decrease recharge to improve the match of the groundwater model to calibration targets. The largest components of the simulated groundwater budgets were recharge from precipitation, recharge from canal seepage, outflows to evapotranspiration, and outflows to stream base flow. Simulated outflows to irrigation wells increased from 7 percent of total outflows in 1940–49 to 38 percent of 1970–79 total outflows and 49 percent of 2000–2009 total outflows.

Current and projected water demand and water availability estimates under climate change scenarios in the Weyib River basin in Bale mountainous area of Southeastern Ethiopia

NASA Astrophysics Data System (ADS)

Serur, Abdulkerim Bedewi; Sarma, Arup Kumar

2017-07-01

This study intended to estimate the spatial and temporal variation of current and projected water demand and water availability under climate change scenarios in Weyib River basin, Bale mountainous area of Southeastern Ethiopia. Future downscaled climate variables from three Earth System Models under the three RCP emission scenarios were inputted into ArcSWAT hydrological model to simulate different components of water resources of a basin whereas current and projected human and livestock population of the basin is considered to estimate the total annual water demand for various purposes. Results revealed that the current total annual water demand of the basin is found to be about 289 Mm3, and this has to increase by 83.47% after 15 years, 200.67% after 45 years, and 328.78% after 75 years by the 2020s, 2050s, and 2080s, respectively, from base period water demand mainly due to very rapid increasing population (40.81, 130.80, and 229.12% by the 2020s, 2050s, and 2080s, respectively) and climatic variability. The future average annual total water availability in the basin is observed to be increased by ranging from 15.04 to 21.61, 20.08 to 23.34, and 16.21 to 39.53% by the 2020s, 2050s, and 2080s time slice, respectively, from base period available water resources (2333.39 Mm3). The current water availability per capita per year of the basin is about 3112.23 m3 and tends to decline ranging from 11.78 to 17.49, 46.02 to 47.45, and 57.18 to 64.34% by the 2020s, 2050s, and 2080s, respectively, from base period per capita per year water availability. This indicated that there might be possibility to fall the basin under water stress condition in the long term.

High-Tech Versus High-Touch: Components of Hospital Costs Vary Widely.

PubMed

Song, Paula H; Reiter, Kristin L; Yi Xu, Wendy

The recent release by the Centers for Medicare & Medicaid Services of hospital charge and payment data to the public has renewed a national dialogue on hospital costs and prices. However, to better understand the driving force of hospital pricing and to develop strategies for controlling expenditures, it is important to understand the underlying costs of providing hospital services. We use Medicare Provider and Analysis Review inpatient claims data and Medicare cost report data for fiscal years 2008 and 2012 to examine variations in the contribution of "high-tech" resources (i.e., technology/medical device-intensive resources) versus "high-touch" resources (i.e., labor-intensive resources) to the total costs of providing two common services, as well as assess how these costs have changed over time. We found that high-tech inputs accounted for a greater proportion of the total costs of surgical service, whereas medical service costs were primarily attributable to high-touch inputs. Although the total costs of services did not change significantly over time, the distribution of high-tech, high-touch, and other costs for each service varied considerably across hospitals. Understanding resource inputs and the varying contribution of these inputs by clinical condition is an important first step in developing effective cost control strategies.

Effects of dispersal on total biomass in a patchy, heterogeneous system: Analysis and experiment.

PubMed

Zhang, Bo; Liu, Xin; DeAngelis, D L; Ni, Wei-Ming; Wang, G Geoff

2015-06-01

An intriguing recent result from mathematics is that a population diffusing at an intermediate rate in an environment in which resources vary spatially will reach a higher total equilibrium biomass than the population in an environment in which the same total resources are distributed homogeneously. We extended the current mathematical theory to apply to logistic growth and also showed that the result applies to patchy systems with dispersal among patches, both for continuous and discrete time. This allowed us to make specific predictions, through simulations, concerning the biomass dynamics, which were verified by a laboratory experiment. The experiment was a study of biomass growth of duckweed (Lemna minor Linn.), where the resources (nutrients added to water) were distributed homogeneously among a discrete series of water-filled containers in one treatment, and distributed heterogeneously in another treatment. The experimental results showed that total biomass peaked at an intermediate, relatively low, diffusion rate, higher than the total carrying capacity of the system and agreeing with the simulation model. The implications of the experiment to dynamics of source, sink, and pseudo-sink dynamics are discussed. Copyright © 2015 Elsevier Inc. All rights reserved.

Cost of stroke in Australia from a societal perspective: results from the North East Melbourne Stroke Incidence Study (NEMESIS).

PubMed

Dewey, H M; Thrift, A G; Mihalopoulos, C; Carter, R; Macdonell, R A; McNeil, J J; Donnan, G A

2001-10-01

Accurate information about resource use and costs of stroke is necessary for informed health service planning. The purpose of this study was to determine the patterns of resource use among stroke patients and to estimate the total costs (direct service use and indirect production losses) of stroke (excluding SAH) in Australia for 1997. An incidence-based cost-of-illness model was developed, incorporating data obtained from the North East Melbourne Stroke Incidence Study (NEMESIS). The costs of stroke during the first year after stroke and the present value of total lifetime costs of stroke were estimated. The total first-year costs of all first-ever-in-a lifetime strokes (SAH excluded) that occurred in Australia during 1997 were estimated to be A$555 million (US$420 million), and the present value of lifetime costs was estimated to be A$1.3 billion (US$985 million). The average cost per case during the first 12 months and over a lifetime was A$18 956 (US$14 361) and A$44 428 (US$33 658), respectively. The most important categories of cost during the first year were acute hospitalization (A$154 million), inpatient rehabilitation (A$150 million), and nursing home care (A$63 million). The present value of lifetime indirect costs was estimated to be A$34 million. Similar to other studies, hospital and nursing home costs contributed most to the total cost of stroke (excluding SAH) in Australia. Inpatient rehabilitation accounts for approximately 27% of total first-year costs. Given the magnitude of these costs, investigation of the cost-effectiveness of rehabilitation services should become a priority in this community.

What is the cost of diagnosis and management of drug resistant tuberculosis in South Africa?

PubMed

Pooran, Anil; Pieterson, Elize; Davids, Malika; Theron, Grant; Dheda, Keertan

2013-01-01

Drug-resistant tuberculosis (DR-TB) is undermining TB control in South Africa. However, there are hardly any data about the cost of treating DR-TB in high burden settings despite such information being quintessential for the rational planning and allocation of resources by policy-makers, and to inform future cost-effectiveness analyses. We analysed the comparative 2011 United States dollar ($) cost of diagnosis and treatment of drug sensitive TB (DS-TB), MDR-TB and XDR-TB, based on National South African TB guidelines, from the perspective of the National TB Program using published clinical outcome data. Assuming adherence to national DR-TB management guidelines, the per patient cost of XDR-TB was $26,392, four times greater than MDR-TB ($6772), and 103 times greater than drug-sensitive TB ($257). Despite DR-TB comprising only 2.2% of the case burden, it consumed ~32% of the total estimated 2011 national TB budget of US $218 million. 45% and 25% of the DR-TB costs were attributed to anti-TB drugs and hospitalization, respectively. XDR-TB consumed 28% of the total DR-TB diagnosis and treatment costs. Laboratory testing and anti-TB drugs comprised the majority (71%) of MDR-TB costs while hospitalization and anti-TB drug costs comprised the majority (92%) of XDR-TB costs. A decentralized XDR-TB treatment programme could potentially reduce costs by $6930 (26%) per case and reduce the total amount spent on DR-TB by ~7%. Although DR-TB forms a very small proportion of the total case burden it consumes a disproportionate and substantial amount of South Africa's total annual TB budget. These data inform rational resource allocation and selection of management strategies for DR-TB in high burden settings.

Predicting length of stay from an electronic patient record system: a primary total knee replacement example.

PubMed

Carter, Evelene M; Potts, Henry W W

2014-04-04

To investigate whether factors can be identified that significantly affect hospital length of stay from those available in an electronic patient record system, using primary total knee replacements as an example. To investigate whether a model can be produced to predict the length of stay based on these factors to help resource planning and patient expectations on their length of stay. Data were extracted from the electronic patient record system for discharges from primary total knee operations from January 2007 to December 2011 (n=2,130) at one UK hospital and analysed for their effect on length of stay using Mann-Whitney and Kruskal-Wallis tests for discrete data and Spearman's correlation coefficient for continuous data. Models for predicting length of stay for primary total knee replacements were tested using the Poisson regression and the negative binomial modelling techniques. Factors found to have a significant effect on length of stay were age, gender, consultant, discharge destination, deprivation and ethnicity. Applying a negative binomial model to these variables was successful. The model predicted the length of stay of those patients who stayed 4-6 days (~50% of admissions) with 75% accuracy within 2 days (model data). Overall, the model predicted the total days stayed over 5 years to be only 88 days more than actual, a 6.9% uplift (test data). Valuable information can be found about length of stay from the analysis of variables easily extracted from an electronic patient record system. Models can be successfully created to help improve resource planning and from which a simple decision support system can be produced to help patient expectation on their length of stay.

[A survey on knowledge, attitude and practice related to evidence-based dentistry among dental students].

PubMed

Chang, Zhong-Fu; Zhu, Ce; Tao, Dan-Ying; Feng, Xi-Ping; Lu, Hai-Xia

2017-04-01

To investigate the knowledge, attitude and practice related to evidence-based dentistry among dental students, and to provide a reference for targeted evidence-based dentistry teaching and practice evidence-based dentistry in dental students. Dental students who attended the internship in Shanghai Ninth People's Hospital and Pudong People's Hospital were invited to attend this survey. Information on knowledge, attitude and practices related evidence-based dentistry was collected through questionnaires. SPSS 21.0 software package was used for data analysis. A total of 62 dental students attended this survey. Evidence-based dentistry related knowledge and attitude scores were 5.5±1.9 and 5.1±1.0, respectively. Over three quarters of students took courses on evidence-based medicine, while around half of students (56.5%) self-reported that they knew little about evidence-based medicine. 70.5% students practiced evidence-based dentistry less than once in the process of clinical decision making per week. The majority of students (80.3%) used MEDLINE or other databases to search for practice-related literature less than once per week. 63.9% students used practice guideline. The top three barriers to practice evidence-based dentistry were lack of information resources, insufficient time and lack of search skills. Evidence-based dentistry related knowledge and practice among dental students is deficient, whereas they hold positive attitude on practice. The top three barriers to practice evidence-based dentistry are lack of information resources, insufficient time and lack of search skills.

Transcriptome sequencing for high throughput SNP development and genetic mapping in Pea

PubMed Central

2014-01-01

Background Pea has a complex genome of 4.3 Gb for which only limited genomic resources are available to date. Although SNP markers are now highly valuable for research and modern breeding, only a few are described and used in pea for genetic diversity and linkage analysis. Results We developed a large resource by cDNA sequencing of 8 genotypes representative of modern breeding material using the Roche 454 technology, combining both long reads (400 bp) and high coverage (3.8 million reads, reaching a total of 1,369 megabases). Sequencing data were assembled and generated a 68 K unigene set, from which 41 K were annotated from their best blast hit against the model species Medicago truncatula. Annotated contigs showed an even distribution along M. truncatula pseudochromosomes, suggesting a good representation of the pea genome. 10 K pea contigs were found to be polymorphic among the genetic material surveyed, corresponding to 35 K SNPs. We validated a subset of 1538 SNPs through the GoldenGate assay, proving their ability to structure a diversity panel of breeding germplasm. Among them, 1340 were genetically mapped and used to build a new consensus map comprising a total of 2070 markers. Based on blast analysis, we could establish 1252 bridges between our pea consensus map and the pseudochromosomes of M. truncatula, which provides new insight on synteny between the two species. Conclusions Our approach created significant new resources in pea, i.e. the most comprehensive genetic map to date tightly linked to the model species M. truncatula and a large SNP resource for both academic research and breeding. PMID:24521263

Economic evaluation on CO₂-EOR of onshore oil fields in China

DOE PAGES

Wei, Ning; Li, Xiaochun; Dahowski, Robert T.; ...

2015-06-01

Carbon dioxide enhanced oil recovery (CO₂-EOR) and sequestration in depleted oil reservoirs is a plausible option for utilizing anthropogenic CO₂ to increase oil production while storing CO₂ underground. Evaluation of the storage resources and cost of potential CO₂-EOR projects is an essential step before the commencement of large-scale deployment of such activities. In this paper, a hybrid techno-economic evaluation method, including a performance model and cost model for onshore CO₂-EOR projects, has been developed based on previous studies. Total 296 onshore oil fields, accounting for about 70% of total mature onshore oil fields in China, were evaluated by the techno-economicmore » method. The key findings of this study are summarized as follows: (1) deterministic analysis shows there are approximately 1.1 billion tons (7.7 billion barrels) of incremental crude oil and 2.2 billion tons CO₂ storage resource for onshore CO₂-EOR at net positive revenue within the Chinese oil fields reviewed under the given operating strategy and economic assumptions. (2) Sensitivity study highlights that the cumulative oil production and cumulative CO₂ storage resource are very sensitive to crude oil price, CO₂ cost, project lifetime, discount rate and tax policy. High oil price, short project lifetime, low discount rate, low CO₂ cost, and low tax policy can greatly increase the net income of the oil enterprise, incremental oil recovery and CO₂ storage resource. (3) From this techno-economic evaluation, the major barriers to large-scale deployment of CO₂-EOR include complex geological conditions, low API of crude oil, high tax policy, and lack of incentives for the CO₂-EOR project.« less

Helicopter electromagnetic and magnetic geophysical survey data, Swedeburg and Sprague study areas, eastern Nebraska, May 2009

USGS Publications Warehouse

Smith, B.D.; Abraham, J.D.; Cannia, J.C.; Minsley, B.J.; Ball, L.B.; Steele, G.V.; Deszcz-Pan, M.

2011-01-01

This report is a release of digital data from a helicopter electromagnetic and magnetic survey conducted by Fugro Airborne Surveys in areas of eastern Nebraska as part of a joint hydrologic study by the Lower Platte North and Lower Platte South Natural Resources Districts, and the U.S. Geological Survey. The survey flight lines covered 1,418.6 line km (882 line mile). The survey was flown from April 22 to May 2, 2009. The objective of the contracted survey was to improve the understanding of the relation between surface water and groundwater systems critical to developing groundwater models used in management programs for water resources. The electromagnetic equipment consisted of six different coil-pair orientations that measured resistivity at separate frequencies from about 400 hertz to about 140,000 hertz. The electromagnetic data were converted to georeferenced electrical resistivity grids and maps for each frequency that represent different approximate depths of investigation for each survey area. The electrical resistivity data were input into a numerical inversion to estimate resistivity variations with depth. In addition to the electromagnetic data, total field magnetic data and digital elevation data were collected. Data released in this report consist of flight line data, digital grids, digital databases of the inverted electrical resistivity with depth, and digital maps of the apparent resistivity and total magnetic field. The range of subsurface investigation is comparable to the depth of shallow aquifers. The survey areas, Swedeburg and Sprague, were chosen based on results from test flights in 2007 in eastern Nebraska and needs of local water managers. The geophysical and hydrologic information from U.S. Geological Survey studies are being used by resource managers to develop groundwater resource plans for the area.

Economic evaluation on CO₂-EOR of onshore oil fields in China

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

Wei, Ning; Li, Xiaochun; Dahowski, Robert T.

Carbon dioxide enhanced oil recovery (CO₂-EOR) and sequestration in depleted oil reservoirs is a plausible option for utilizing anthropogenic CO₂ to increase oil production while storing CO₂ underground. Evaluation of the storage resources and cost of potential CO₂-EOR projects is an essential step before the commencement of large-scale deployment of such activities. In this paper, a hybrid techno-economic evaluation method, including a performance model and cost model for onshore CO₂-EOR projects, has been developed based on previous studies. Total 296 onshore oil fields, accounting for about 70% of total mature onshore oil fields in China, were evaluated by the techno-economicmore » method. The key findings of this study are summarized as follows: (1) deterministic analysis shows there are approximately 1.1 billion tons (7.7 billion barrels) of incremental crude oil and 2.2 billion tons CO₂ storage resource for onshore CO₂-EOR at net positive revenue within the Chinese oil fields reviewed under the given operating strategy and economic assumptions. (2) Sensitivity study highlights that the cumulative oil production and cumulative CO₂ storage resource are very sensitive to crude oil price, CO₂ cost, project lifetime, discount rate and tax policy. High oil price, short project lifetime, low discount rate, low CO₂ cost, and low tax policy can greatly increase the net income of the oil enterprise, incremental oil recovery and CO₂ storage resource. (3) From this techno-economic evaluation, the major barriers to large-scale deployment of CO₂-EOR include complex geological conditions, low API of crude oil, high tax policy, and lack of incentives for the CO₂-EOR project.« less

A reconnaissance method for delineation of tracts for regional-scale mineral-resource assessment based on geologic-map data

USGS Publications Warehouse

Raines, G.L.; Mihalasky, M.J.

2002-01-01

The U.S. Geological Survey (USGS) is proposing to conduct a global mineral-resource assessment using geologic maps, significant deposits, and exploration history as minimal data requirements. Using a geologic map and locations of significant pluton-related deposits, the pluton-related-deposit tract maps from the USGS national mineral-resource assessment have been reproduced with GIS-based analysis and modeling techniques. Agreement, kappa, and Jaccard's C correlation statistics between the expert USGS and calculated tract maps of 87%, 40%, and 28%, respectively, have been achieved using a combination of weights-of-evidence and weighted logistic regression methods. Between the experts' and calculated maps, the ranking of states measured by total permissive area correlates at 84%. The disagreement between the experts and calculated results can be explained primarily by tracts defined by geophysical evidence not considered in the calculations, generalization of tracts by the experts, differences in map scales, and the experts' inclusion of large tracts that are arguably not permissive. This analysis shows that tracts for regional mineral-resource assessment approximating those delineated by USGS experts can be calculated using weights of evidence and weighted logistic regression, a geologic map, and the location of significant deposits. Weights of evidence and weighted logistic regression applied to a global geologic map could provide quickly a useful reconnaissance definition of tracts for mineral assessment that is tied to the data and is reproducible. ?? 2002 International Association for Mathematical Geology.

An accurate and inexpensive color-based assay for detecting severe anemia in a limited-resource setting

PubMed Central

McGann, Patrick T.; Tyburski, Erika A.; de Oliveira, Vysolela; Santos, Brigida; Ware, Russell E.; Lam, Wilbur A.

2016-01-01

Severe anemia is an important cause of morbidity and mortality among children in resource-poor settings, but laboratory diagnostics are often limited in these locations. To address this need, we developed a simple, inexpensive, and color-based point-of-care (POC) assay to detect severe anemia. The purpose of this study was to evaluate the accuracy of this novel POC assay to detect moderate and severe anemia in a limited-resource setting. The study was a cross-sectional study conducted on children with sickle cell anemia in Luanda, Angola. The hemoglobin concentrations obtained by the POC assay were compared to reference values measured by a calibrated automated hematology analyzer. A total of 86 samples were analyzed (mean hemoglobin concentration 6.6 g/dL). There was a strong correlation between the hemoglobin concentrations obtained by the POC assay and reference values obtained from an automated hematology analyzer (r=0.88, P<0.0001). The POC assay demonstrated excellent reproducibility (r=0.93, P<0.0001) and the reagents appeared to be durable in a tropical setting (r=0.93, P<0.0001). For the detection of severe anemia that may require blood transfusion (hemoglobin <5 g/dL), the POC assay had sensitivity of 88.9% and specificity of 98.7%. These data demonstrate that an inexpensive (<$0.25 USD) POC assay accurately estimates low hemoglobin concentrations and has the potential to become a transformational diagnostic tool for severe anemia in limited-resource settings. PMID:26317494

[Evaluation of economic forest ecosystem services in China].

PubMed

Wang, Bing; Lu, Shao-Wei

2009-02-01

This paper quantitatively evaluated the economic forest ecosystem services in the provinces of China in 2003, based on the long-term and continuous observations of economic forest ecosystems in this country, the sixth China national forest resources inventory data, and the price parameter data from the authorities in the world, and by applying the law of market value, the method of substitution of the expenses, and the law of the shadow project. The results showed that in 2003, the total value of economic forest ecosystem services in China was 11763.39 x 10(8) yuan, and the total value of the products from economic forests occupied 19.3% of the total ecosystem services value, which indicated that the economic forests not only provided society direct products, but also exhibited enormous eco-economic value. The service value of the functions of economic forests was in the order of water storage > C fixation and O2 release > biodiversity conservation > erosion control > air quality purification > nutrient cycle. The spatial pattern of economic forest ecosystem services in the provinces of China had the same trend with the spatial distribution of water and heat resources and biodiversity. To understand the differences of economic forest ecosystem services in the provinces of China was of significance in alternating the irrational arrangement of our present forestry production, diminishing the abuses of forest management, and establishing high grade, high efficient, and modernized economic forests.

Implementing the concurrent operation of sub-arrays in the ALMA correlator

NASA Astrophysics Data System (ADS)

Amestica, Rodrigo; Perez, Jesus; Lacasse, Richard; Saez, Alejandro

2016-07-01

The ALMA correlator processes the digitized signals from 64 individual antennas to produce a grand total of 2016 correlated base-lines, with runtime selectable lags resolution and integration time. The on-line software system can process a maximum of 125M visibilities per second, producing an archiving data rate close to one sixteenth of the former (7.8M visibilities per second with a network transfer limit of 60 MB/sec). Mechanisms in the correlator hardware design make it possible to split the total number of antennas in the array into smaller subsets, or sub-arrays, such that they can share correlator resources while executing independent observations. The software part of the sub-system is responsible for configuring and scheduling correlator resources in such a way that observations among independent subarrays occur simultaneously while internally sharing correlator resources under a cooperative arrangement. Configuration of correlator modes through its CAN-bus interface and periodic geometric delay updates are the most relevant activities to schedule concurrently while observations happen at the same time among a number of sub-arrays. For that to work correctly, the software interface to sub-arrays schedules shared correlator resources sequentially before observations actually start on each sub-array. Start times for specific observations are optimized and reported back to the higher level observing software. After that initial sequential phase has taken place then simultaneous executions and recording of correlated data across different sub-arrays move forward concurrently, sharing the local network to broadcast results to other software sub-systems. The present paper presents an overview of the different hardware and software actors within the correlator sub-system that implement some degree of concurrency and synchronization needed for seamless and simultaneous operation of multiple sub-arrays, limitations stemming from the resource-sharing nature of the correlator, limitations intrinsic to the digital technology available in the correlator hardware, and milestones so far reached by this new ALMA feature.

Impact of food pantry donations on diet of a low-income population.

PubMed

Mousa, Tamara Y; Freeland-Graves, Jean H

2018-04-27

This cross-sectional study assessed the effect of food donations on total nutrient intake of clients of a food pantry in Central Texas. Nutrient intakes of total, base and food donation diets were estimated for 112 food pantry recipients using specific questionnaires; and then compared to the dietary reference intakes (DRI) and 2015-2020 US Dietary Guidelines. Food donations accounted for more than half of the client's daily intake of energy, carbohydrates, vitamin B 6 , phosphorus, copper and selenium. Yet, daily total intake remained less than their DRIs for carbohydrates, poly-unsaturated fats, dietary fiber, fat soluble vitamins and vitamin C, and was even lower for calcium, magnesium and potassium. Total food intake of clients almost met the US Dietary Guidelines for refined grains, fruits, vegetables, and meat; however, the amount of whole grains and dairy was inadequate. Supplemental foods offered at food pantries are an important resource for improving nutrient intake of low-income populations.

Families at financial risk due to high ratio of out-of-pocket health care expenditures to total income.

PubMed

Bennett, Kevin J; Dismuke, Clara E

2010-05-01

High out-of-pocket expenditures for health care can put individuals and families at financial risk. Several groups, including racial/ethnic minority groups, the uninsured, rural residents, and those in poorer health are at risk for this increased burden. The analysis utilized 2004-2005 MEPS data. The dependent variables were the out-of-pocket health care spending to total income ratios for total spending, office-based visits, and prescription drugs. Multivariate analyses with instrumental variables controlled for respondent characteristics. Gender, age, rurality, insurance coverage, health status, and health care utilization were all associated with higher out-of-pocket to income ratios. Certain groups, such as women, the elderly, those in poor health, and rural residents, are at a greater financial risk due to their higher out-of-pocket to total income spending ratios. Policymakers must be aware of these increased risks in order to provide adequate resources and targeted interventions to alleviate some of this burden.

Drops of energy: conserving urban water to reduce greenhouse gas emissions.

PubMed

Zhou, Yuanchun; Zhang, Bing; Wang, Haikun; Bi, Jun

2013-10-01

Water and energy are two essential resources of modern civilization and are inherently linked. Indeed, the optimization of the water supply system would reduce energy demands and greenhouse gas emissions in the municipal water sector. This research measured the climatic cobenefit of water conservation based on a water flow analysis. The results showed that the estimated energy consumption of the total water system in Changzhou, China, reached approximately 10% of the city's total energy consumption, whereas the industrial sector was found to be more energy intensive than other sectors within the entire water system, accounting for nearly 70% of the total energy use of the water system. In addition, four sustainable water management scenarios would bring the cobenefit of reducing the total energy use of the water system by 13.9%, and 77% of the energy savings through water conservation was indirect. To promote sustainable water management and reduce greenhouse gas emissions, China would require its water price system, both for freshwater and recycled water, to be reformed.

Methods and tools to simulate the effect of economic instruments in complex water resources systems. Application to the Jucar river basin.

NASA Astrophysics Data System (ADS)

Lopez-Nicolas, Antonio; Pulido-Velazquez, Manuel

2014-05-01

The main challenge of the BLUEPRINT to safeguard Europe's water resources (EC, 2012) is to guarantee that enough good quality water is available for people's needs, the economy and the environment. In this sense, economic policy instruments such as water pricing policies and water markets can be applied to enhance efficient use of water. This paper presents a method based on hydro-economic tools to assess the effect of economic instruments on water resource systems. Hydro-economic models allow integrated analysis of water supply, demand and infrastructure operation at the river basin scale, by simultaneously combining engineering, hydrologic and economic aspects of water resources management. The method made use of the simulation and optimization hydroeconomic tools SIMGAMS and OPTIGAMS. The simulation tool SIMGAMS allocates water resources among the users according to priorities and operating rules, and evaluate economic scarcity costs of the system by using economic demand functions. The model's objective function is designed so that the system aims to meet the operational targets (ranked according to priorities) at each month while following the system operating rules. The optimization tool OPTIGAMS allocates water resources based on an economic efficiency criterion: maximize net benefits, or alternatively, minimizing the total water scarcity and operating cost of water use. SIMGAS allows to simulate incentive water pricing policies based on marginal resource opportunity costs (MROC; Pulido-Velazquez et al., 2013). Storage-dependent step pricing functions are derived from the time series of MROC values at a certain reservoir in the system. These water pricing policies are defined based on water availability in the system (scarcity pricing), so that when water storage is high, the MROC is low, while low storage (drought periods) will be associated to high MROC and therefore, high prices. We also illustrate the use of OPTIGAMS to simulate the effect of ideal water markets by economic optimization, without considering the potential effect of transaction costs. These methods and tools have been applied to the Jucar River basin (Spain). The results show the potential of economic instruments in setting incentives for a more efficient management of water resources systems. Acknowledgments: The study has been partially supported by the European Community 7th Framework Project (GENESIS project, n. 226536), SAWARES (Plan Nacional I+D+i 2008-2011, CGL2009-13238-C02-01 and C02-02), SCARCE (Consolider-Ingenio 2010 CSD2009-00065) of the Spanish Ministry of Economy and Competitiveness; and EC 7th Framework Project ENHANCE (n. 308438) Reference: Pulido-Velazquez, M., Alvarez-Mendiola, E., and Andreu, J., 2013. Design of Efficient Water Pricing Policies Integrating Basinwide Resource Opportunity Costs. J. Water Resour. Plann. Manage., 139(5): 583-592.

Carrying capacity in a heterogeneous environment with habitat connectivity.

PubMed

Zhang, Bo; Kula, Alex; Mack, Keenan M L; Zhai, Lu; Ryce, Arrix L; Ni, Wei-Ming; DeAngelis, Donald L; Van Dyken, J David

2017-09-01

A large body of theory predicts that populations diffusing in heterogeneous environments reach higher total size than if non-diffusing, and, paradoxically, higher size than in a corresponding homogeneous environment. However, this theory and its assumptions have not been rigorously tested. Here, we extended previous theory to include exploitable resources, proving qualitatively novel results, which we tested experimentally using spatially diffusing laboratory populations of yeast. Consistent with previous theory, we predicted and experimentally observed that spatial diffusion increased total equilibrium population abundance in heterogeneous environments, with the effect size depending on the relationship between r and K. Refuting previous theory, however, we discovered that homogeneously distributed resources support higher total carrying capacity than heterogeneously distributed resources, even with species diffusion. Our results provide rigorous experimental tests of new and old theory, demonstrating how the traditional notion of carrying capacity is ambiguous for populations diffusing in spatially heterogeneous environments. © 2017 John Wiley & Sons Ltd/CNRS.

Carrying capacity in a heterogeneous environment with habitat connectivity

USGS Publications Warehouse

Zhang, Bo; Kula, Alex; Mack, Keenan M.L.; Zhai, Lu; Ryce, Arrix L.; Ni, Wei-Ming; DeAngelis, Donald L.; Van Dyken, J. David

2017-01-01

A large body of theory predicts that populations diffusing in heterogeneous environments reach higher total size than if non-diffusing, and, paradoxically, higher size than in a corresponding homogeneous environment. However, this theory and its assumptions have not been rigorously tested. Here, we extended previous theory to include exploitable resources, proving qualitatively novel results, which we tested experimentally using spatially diffusing laboratory populations of yeast. Consistent with previous theory, we predicted and experimentally observed that spatial diffusion increased total equilibrium population abundance in heterogeneous environments, with the effect size depending on the relationship between r and K. Refuting previous theory, however, we discovered that homogeneously distributed resources support higher total carrying capacity than heterogeneously distributed resources, even with species diffusion. Our results provide rigorous experimental tests of new and old theory, demonstrating how the traditional notion of carrying capacity is ambiguous for populations diffusing in spatially heterogeneous environments.

Identifying high energy density stream-reaches through refined geospatial resolution in hydropower resource assessment

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

Pasha, M. Fayzul K.; Yang, Majntxov; Yeasmin, Dilruba

Benefited from the rapid development of multiple geospatial data sets on topography, hydrology, and existing energy-water infrastructures, the reconnaissance level hydropower resource assessment can now be conducted using geospatial models in all regions of the US. Furthermore, the updated techniques can be used to estimate the total undeveloped hydropower potential across all regions, and may eventually help identify further hydropower opportunities that were previously overlooked. To enhance the characterization of higher energy density stream-reaches, this paper explored the sensitivity of geospatial resolution on the identification of hydropower stream-reaches using the geospatial merit matrix based hydropower resource assessment (GMM-HRA) model. GMM-HRAmore » model simulation was conducted with eight different spatial resolutions on six U.S. Geological Survey (USGS) 8-digit hydrologic units (HUC8) located at three different terrains; Flat, Mild, and Steep. The results showed that more hydropower potential from higher energy density stream-reaches can be identified with increasing spatial resolution. Both Flat and Mild terrains exhibited lower impacts compared to the Steep terrain. Consequently, greater attention should be applied when selecting the discretization resolution for hydropower resource assessments in the future study.« less

Valuation of crop genetic resources in Kaski, Nepal: farmers' willingness to pay for rice landraces conservation.

PubMed

Poudel, Diwakar; Johnsen, Fred H

2009-01-01

Crop genetic resources constitute an important aspect of biodiversity conservation, both because of their direct value to the farmers and due to their indirect global value. This study uses the contingent valuation method to document the economic value of crop genetic resources based on the farmers' willingness to pay for conservation. A total of 107 households in Kaski, Nepal were surveyed in November 2003. Their mean willingness to pay was USD 4.18 for in situ and USD 2.20 for ex situ conservation per annum. Landholding size, household size, education level, socio-economic status, sex of respondent, number of crop landraces grown, and knowledge on biodiversity influenced the willingness to pay for in situ conservation, whereas only landholding size and household size influenced the willingness to pay for ex situ conservation. The respondents were willing to contribute more for in situ than ex situ conservation because of the additional effect of direct use and direct involvement of the farmers in in situ conservation. This study supports the view that economic valuation of crop genetic resources can assist the policy makers in setting conservation priorities.

Identifying high energy density stream-reaches through refined geospatial resolution in hydropower resource assessment

DOE PAGES

Pasha, M. Fayzul K.; Yang, Majntxov; Yeasmin, Dilruba; ...

2016-01-07

Benefited from the rapid development of multiple geospatial data sets on topography, hydrology, and existing energy-water infrastructures, the reconnaissance level hydropower resource assessment can now be conducted using geospatial models in all regions of the US. Furthermore, the updated techniques can be used to estimate the total undeveloped hydropower potential across all regions, and may eventually help identify further hydropower opportunities that were previously overlooked. To enhance the characterization of higher energy density stream-reaches, this paper explored the sensitivity of geospatial resolution on the identification of hydropower stream-reaches using the geospatial merit matrix based hydropower resource assessment (GMM-HRA) model. GMM-HRAmore » model simulation was conducted with eight different spatial resolutions on six U.S. Geological Survey (USGS) 8-digit hydrologic units (HUC8) located at three different terrains; Flat, Mild, and Steep. The results showed that more hydropower potential from higher energy density stream-reaches can be identified with increasing spatial resolution. Both Flat and Mild terrains exhibited lower impacts compared to the Steep terrain. Consequently, greater attention should be applied when selecting the discretization resolution for hydropower resource assessments in the future study.« less

Simulation-based training delivered directly to the pediatric cardiac intensive care unit engenders preparedness, comfort, and decreased anxiety among multidisciplinary resuscitation teams.

PubMed

Allan, Catherine K; Thiagarajan, Ravi R; Beke, Dorothy; Imprescia, Annette; Kappus, Liana J; Garden, Alexander; Hayes, Gavin; Laussen, Peter C; Bacha, Emile; Weinstock, Peter H

2010-09-01

Resuscitation of pediatric cardiac patients involves unique and complex physiology, requiring multidisciplinary collaboration and teamwork. To optimize team performance, we created a multidisciplinary Crisis Resource Management training course that addressed both teamwork and technical skill needs for the pediatric cardiac intensive care unit. We sought to determine whether participation improved caregiver comfort and confidence levels regarding future resuscitation events. We developed a simulation-based, in situ Crisis Resource Management curriculum using pediatric cardiac intensive care unit scenarios and unit-specific resuscitation equipment, including an extracorporeal membrane oxygenation circuit. Participants replicated the composition of a clinical team. Extensive video-based debriefing followed each scenario, focusing on teamwork principles and technical resuscitation skills. Pre- and postparticipation questionnaires were used to determine the effects on participants' comfort and confidence regarding participation in future resuscitations. A total of 182 providers (127 nurses, 50 physicians, 2 respiratory therapists, 3 nurse practitioners) participated in the course. All participants scored the usefulness of the program and scenarios as 4 of 5 or higher (5 = most useful). There was significant improvement in participants' perceived ability to function as a code team member and confidence in a code (P < .001). Participants reported they were significantly more likely to raise concerns about inappropriate management to the code leader (P < .001). We developed a Crisis Resource Management training program in a pediatric cardiac intensive care unit to teach technical resuscitation skills and improve team function. Participants found the experience useful and reported improved ability to function in a code. Further work is needed to determine whether participation in the Crisis Resource Management program objectively improves team function during real resuscitations. 2010 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

The Biobank Economic Modeling Tool (BEMT): Online Financial Planning to Facilitate Biobank Sustainability

PubMed Central

Odeh, Hana; Miranda, Lisa; Rao, Abhi; Vaught, Jim; Greenman, Howard; McLean, Jeffrey; Reed, Daniel; Memon, Sarfraz; Fombonne, Benjamin; Guan, Ping

2015-01-01

Background: Biospecimens are essential resources for advancing basic and translational research. However, there are little data available regarding the costs associated with operating a biobank, and few resources to enable their long-term sustainability. To support the research community in this effort, the National Institutes of Health, National Cancer Institute's Biorepositories and Biospecimen Research Branch has developed the Biobank Economic Modeling Tool (BEMT). The tool is accessible at http://biospecimens.cancer.gov/resources/bemt.asp. Methods: To obtain market-based cost information and to inform the development of the tool, a survey was designed and sent to 423 biobank managers and directors across the world. The survey contained questions regarding infrastructure investments, salary costs, funding options, types of biospecimen resources and services offered, as well as biospecimen pricing and service-related costs. Results: A total of 106 responses were received. The data were anonymized, aggregated, and used to create a comprehensive database of cost and pricing information that was integrated into the web-based tool, the BEMT. The BEMT was built to allow the user to input cost and pricing data through a seven-step process to build a cost profile for their biobank, define direct and indirect costs, determine cost recovery fees, perform financial forecasting, and query the anonymized survey data from comparable biobanks. Conclusion: A survey was conducted to obtain a greater understanding of the costs involved in operating a biobank. The anonymized survey data was then used to develop the BEMT, a cost modeling tool for biobanks. Users of the tool will be able to create a cost profile for their biobanks' specimens, products and services, establish pricing, and allocate costs for biospecimens based on percent cost recovered, and perform project-specific cost analyses and financial forecasting. PMID:26697911

Factors associated with high hospital resource use in a population-based study of children with orofacial clefts

PubMed Central

Razzaghi, Hilda; Dawson, April; Grosse, Scott D.; Allori, Alexander C.; Kirby, Russell S.; Olney, Richard S.; Correia, Jane; Cassell, Cynthia H.

2015-01-01

Background Little is known about population-based maternal, child, and system characteristics associated with high hospital resource use for children with orofacial clefts (OFC) in the US. Methods This was a statewide, population-based, retrospective observational study of children with OFC born between 1998 and 2006, identified by the Florida Birth Defects Registry whose records were linked with longitudinal hospital discharge records. We stratified the descriptive results by cleft type [cleft lip with cleft palate (CLP), cleft lip (CL) and cleft palate (CP)] and by isolated vs. non-isolated OFC (accompanied by other coded major birth defects). We used Poisson regression to analyze associations between selected characteristics and high hospital resource use (≥90th percentile of estimated hospitalized days and inpatient costs) for birth, post-birth, and total hospitalizations initiated before age two years. Results Our analysis included 2,129 children with OFC. Infants who were born low birth weight (<2500 grams) were significantly more likely to have high birth hospitalization costs for CLP [adjusted prevalence ratio (aPR): 1.6 (95% confidence interval (CI): 1.0–2.7)], CL [aPR: 3.0 (95% CI: 1.1–8.1)], and CP [aPR: 2.3 (95% CI: 1.3–4.0)]. Presence of multiple birth defects was significantly associated with a three- to eleven-fold and a three- to nine-fold increase in the prevalence of high costs and number of hospitalized days, respectively; at birth, post-birth before age two years and overall hospitalizations. Conclusion Children with CP had the greatest hospital resources use. Additionally, the presence of multiple birth defects contributed to greater inpatient days and costs for children with OFC. PMID:25721952

The Biobank Economic Modeling Tool (BEMT): Online Financial Planning to Facilitate Biobank Sustainability.

PubMed

Odeh, Hana; Miranda, Lisa; Rao, Abhi; Vaught, Jim; Greenman, Howard; McLean, Jeffrey; Reed, Daniel; Memon, Sarfraz; Fombonne, Benjamin; Guan, Ping; Moore, Helen M

2015-12-01

Biospecimens are essential resources for advancing basic and translational research. However, there are little data available regarding the costs associated with operating a biobank, and few resources to enable their long-term sustainability. To support the research community in this effort, the National Institutes of Health, National Cancer Institute's Biorepositories and Biospecimen Research Branch has developed the Biobank Economic Modeling Tool (BEMT). The tool is accessible at http://biospecimens.cancer.gov/resources/bemt.asp. To obtain market-based cost information and to inform the development of the tool, a survey was designed and sent to 423 biobank managers and directors across the world. The survey contained questions regarding infrastructure investments, salary costs, funding options, types of biospecimen resources and services offered, as well as biospecimen pricing and service-related costs. A total of 106 responses were received. The data were anonymized, aggregated, and used to create a comprehensive database of cost and pricing information that was integrated into the web-based tool, the BEMT. The BEMT was built to allow the user to input cost and pricing data through a seven-step process to build a cost profile for their biobank, define direct and indirect costs, determine cost recovery fees, perform financial forecasting, and query the anonymized survey data from comparable biobanks. A survey was conducted to obtain a greater understanding of the costs involved in operating a biobank. The anonymized survey data was then used to develop the BEMT, a cost modeling tool for biobanks. Users of the tool will be able to create a cost profile for their biobanks' specimens, products and services, establish pricing, and allocate costs for biospecimens based on percent cost recovered, and perform project-specific cost analyses and financial forecasting.

Identifying inaccuracy of MS Project using system analysis

NASA Astrophysics Data System (ADS)

Fachrurrazi; Husin, Saiful; Malahayati, Nurul; Irzaidi

2018-05-01

The problem encountered in project owner’s financial accounting report is the difference in total project costs of MS Project to the Indonesian Standard (Standard Indonesia Standard / Cost Estimating Standard Book of Indonesia). It is one of the MS Project problems concerning to its cost accuracy, so cost data cannot be used in an integrated way for all project components. This study focuses on finding the causes of inaccuracy of the MS Projects. The aim of this study, which is operationally, are: (i) identifying cost analysis procedures for both current methods (SNI) and MS Project; (ii) identifying cost bias in each element of the cost analysis procedure; and (iii) analysing the cost differences (cost bias) in each element to identify what the cause of inaccuracies in MS Project toward SNI is. The method in this study is comparing for both the system analysis of MS Project and SNI. The results are: (i) MS Project system in Work of Resources element has limitation for two decimal digits only, have led to its inaccuracy. Where the Work of Resources (referred to as effort) in MS Project represents multiplication between the Quantities of Activities and Requirements of resources in SNI; (ii) MS Project and SNI have differences in the costing methods (the cost estimation methods), in which the SNI uses the Quantity-Based Costing (QBC), meanwhile MS Project uses the Time-Based Costing (TBC). Based on this research, we recommend to the contractors who use SNI should make an adjustment for Work of Resources in MS Project (with correction index) so that it can be used in an integrated way to the project owner’s financial accounting system. Further research will conduct for improvement the MS Project as an integrated tool toward all part of the project participant.

Resource utilization and cost analyses of home-based palliative care service provision: the Niagara West End-of-Life Shared-Care Project.

PubMed

Klinger, Christopher A; Howell, Doris; Marshall, Denise; Zakus, David; Brazil, Kevin; Deber, Raisa B

2013-02-01

Increasing emphasis is being placed on the economics of health care service delivery - including home-based palliative care. This paper analyzes resource utilization and costs of a shared-care demonstration project in rural Ontario (Canada) from the public health care system's perspective. To provide enhanced end-of-life care, the shared-care approach ensured exchange of expertise and knowledge and coordination of services in line with the understood goals of care. Resource utilization and costs were tracked over the 15 month study period from January 2005 to March 2006. Of the 95 study participants (average age 71 years), 83 had a cancer diagnosis (87%); the non-cancer diagnoses (12 patients, 13%) included mainly advanced heart diseases and COPD. Community Care Access Centre and Enhanced Palliative Care Team-based homemaking and specialized nursing services were the most frequented offerings, followed by equipment/transportation services and palliative care consults for pain and symptom management. Total costs for all patient-related services (in 2007 $CAN) were $1,625,658.07 - or $17,112.19 per patient/$117.95 per patient day. While higher than expenditures previously reported for a cancer-only population in an urban Ontario setting, the costs were still within the parameters of the US Medicare Hospice Benefits, on a par with the per diem funding assigned for long-term care homes and lower than both average alternate level of care and hospital costs within the Province of Ontario. The study results may assist service planners in the appropriate allocation of resources and service packaging to meet the complex needs of palliative care populations.

Investigations and research in Nevada by the Water Resources Division, U.S. Geological Survey, 1982

USGS Publications Warehouse

Katzer, Terry; Moosburner, Otto; Nichols, W.D.

1984-01-01

The Water Resources Division, U.S. Geological Survey, is charged with (1) maintaining a hydrologic network in Nevada that provides information on the status of the State 's water resources and (2) engaging in technical water-resources investigations that have a high degree of transferability. To meet these broad objectives, 26 projects were active during fiscal year 1982, in cooperation with 36 Federal, State, and local agencies. Total funds were $3,319,455, of which State and local cooperative funding amounted to $741,500 and Federal funding (comprised of Geological Survey Federal and cooperative program plus funds from six other Federal agencies) amounted to $2,577,955 for the fiscal year. Projects other than continuing programs for collection of hydrologic data included the following topics of study: geothermal resources, areal ground-water resources and ground-water modeling, waste disposal , paleohydrology, acid mine drainage, the unsaturated zone, stream and reservoir sedimentation, river-quality modeling, flood hazards, and remote sensing in hydrology. In total, 26 reports and symposium abstracts were published or in press during fiscal year 1982. (USGS)

A Survey of Bioinformatics Database and Software Usage through Mining the Literature.

PubMed

Duck, Geraint; Nenadic, Goran; Filannino, Michele; Brass, Andy; Robertson, David L; Stevens, Robert

2016-01-01

Computer-based resources are central to much, if not most, biological and medical research. However, while there is an ever expanding choice of bioinformatics resources to use, described within the biomedical literature, little work to date has provided an evaluation of the full range of availability or levels of usage of database and software resources. Here we use text mining to process the PubMed Central full-text corpus, identifying mentions of databases or software within the scientific literature. We provide an audit of the resources contained within the biomedical literature, and a comparison of their relative usage, both over time and between the sub-disciplines of bioinformatics, biology and medicine. We find that trends in resource usage differs between these domains. The bioinformatics literature emphasises novel resource development, while database and software usage within biology and medicine is more stable and conservative. Many resources are only mentioned in the bioinformatics literature, with a relatively small number making it out into general biology, and fewer still into the medical literature. In addition, many resources are seeing a steady decline in their usage (e.g., BLAST, SWISS-PROT), though some are instead seeing rapid growth (e.g., the GO, R). We find a striking imbalance in resource usage with the top 5% of resource names (133 names) accounting for 47% of total usage, and over 70% of resources extracted being only mentioned once each. While these results highlight the dynamic and creative nature of bioinformatics research they raise questions about software reuse, choice and the sharing of bioinformatics practice. Is it acceptable that so many resources are apparently never reused? Finally, our work is a step towards automated extraction of scientific method from text. We make the dataset generated by our study available under the CC0 license here: http://dx.doi.org/10.6084/m9.figshare.1281371.

Optimization of Groundwater Abstraction in the Beijing Plain using a Fuzzy Pattern Recognition Approach

NASA Astrophysics Data System (ADS)

Guo, H.; Li, W.; Wang, L.; Cheng, G.; Zhu, J.; Wang, Y.; Chen, Y.

2016-12-01

Groundwater supply accounts for two-thirds of the water supply of the Beijing municipality, and groundwater resources play a fundamental role in assuring the security and sustainability of the regional economy in Beijing. In this report, ten groundwater abstraction scenarios were designed based on the water demand and the capacity of water supply in the Beijing plain, and the impacts of these scenarios on the groundwater storage and level were illustrated with a transient 3D groundwater model constructed with MODFLOW. In addition, a set of evaluation criteria was developed taking into account of a number of factors such as the amount of groundwater exploitation, the evaporation of unconfined groundwater, river outflow, regional average groundwater depth, drawdowns in depression cones and the ratio of storage to the total recharge. Based on this set of criteria, the ten proposed groundwater abstraction scenarios were compared using a multi-criteria fuzzy pattern recognition model, which is suitable for solving large-scale, transient groundwater management problems and also proven to be a useful scientific analysis tool to identify the optimal groundwater resource utilization scenario. The evaluation results show that the groundwater resources can be rationally and optimally used when multiple measures such as control of groundwater abstraction and increase of recharge are jointly implemented.

Burnout in medical residents: a study based on the job demands-resources model.

PubMed

Zis, Panagiotis; Anagnostopoulos, Fotios; Sykioti, Panagiota

2014-01-01

Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job. The purpose of our cross-sectional study was to estimate the burnout rates among medical residents in the largest Greek hospital in 2012 and identify factors associated with it, based on the job demands-resources model (JD-R). Job demands were examined via a 17-item questionnaire assessing 4 characteristics (emotional demands, intellectual demands, workload, and home-work demands' interface) and job resources were measured via a 14-item questionnaire assessing 4 characteristics (autonomy, opportunities for professional development, support from colleagues, and supervisor's support). The Maslach Burnout Inventory (MBI) was used to measure burnout. Of the 290 eligible residents, 90.7% responded. In total 14.4% of the residents were found to experience burnout. Multiple logistic regression analysis revealed that each increased point in the JD-R questionnaire score regarding home-work interface was associated with an increase in the odds of burnout by 25.5%. Conversely, each increased point for autonomy, opportunities in professional development, and each extra resident per specialist were associated with a decrease in the odds of burnout by 37.1%, 39.4%, and 59.0%, respectively. Burnout among medical residents is associated with home-work interface, autonomy, professional development, and resident to specialist ratio.

Variables Associated With Inpatient and Outpatient Resource Utilization Among Medicare Beneficiaries With Nonalcoholic Fatty Liver Disease With or Without Cirrhosis.

PubMed

Sayiner, Mehmet; Otgonsuren, Munkhzul; Cable, Rebecca; Younossi, Issah; Afendy, Mariam; Golabi, Pegah; Henry, Linda; Younossi, Zobair M

2017-03-01

Nonalcoholic fatty liver disease (NAFLD) is one of the leading causes of chronic liver disease worldwide with tremendous clinical burden. The economic burden of NAFLD is not well studied. To assess the economic burden of NAFLD. Medicare beneficiaries (January 1, 2010 to December 31, 2010) with NAFLD diagnosis by International Classification of Diseases, Ninth Revision codes in the absence of other liver diseases were selected. Inpatient and outpatient resource utilization parameters were total charges and total provider payments. NAFLD patients with compensated cirrhosis (CC) were compared with decompensated cirrhosis (DC). A total of 976 inpatients and 4742 outpatients with NAFLD were included-87% were white, 36% male, 30% had cardiovascular disease (CVD) or metabolic syndrome conditions, and 12% had cirrhosis. For inpatients, median total hospital charge was $36,289. NAFLD patients with cirrhosis had higher charges and payments than noncirrhotic NAFLD patients ($61,151 vs. $33,863 and $18,804 vs. $10,146, P<0.001). Compared with CC, NAFLD patients with DC had higher charges and payments (P<0.02). For outpatients, median total charge was $9,011. NAFLD patients with cirrhosis had higher charges and payments than noncirrhotic NAFLD patients ($12,049 vs. $8,830 and $2,586 vs. $1,734, P<0.001). Compared with CC, DC patients had higher total charges ($15,187 vs. $10,379, P=0.04). In multivariate analysis, variables associated with increased inpatient resource utilization were inpatient mortality, DC, and CVD; for outpatients, having CVD, obesity, and hypertension (all P<0.001). NAFLD is associated with significant economic burden to Medicare. Presence of cirrhosis and CVD are associated with increased resource utilization.

Variables Associated With Inpatient and Outpatient Resource Utilization Among Medicare Beneficiaries With Nonalcoholic Fatty Liver Disease With or Without Cirrhosis

PubMed Central

Sayiner, Mehmet; Otgonsuren, Munkhzul; Cable, Rebecca; Younossi, Issah; Afendy, Mariam; Golabi, Pegah; Henry, Linda

2017-01-01

Background: Nonalcoholic fatty liver disease (NAFLD) is one of the leading causes of chronic liver disease worldwide with tremendous clinical burden. The economic burden of NAFLD is not well studied. Goal: To assess the economic burden of NAFLD. Study: Medicare beneficiaries (January 1, 2010 to December 31, 2010) with NAFLD diagnosis by International Classification of Diseases, Ninth Revision codes in the absence of other liver diseases were selected. Inpatient and outpatient resource utilization parameters were total charges and total provider payments. NAFLD patients with compensated cirrhosis (CC) were compared with decompensated cirrhosis (DC). Results: A total of 976 inpatients and 4742 outpatients with NAFLD were included—87% were white, 36% male, 30% had cardiovascular disease (CVD) or metabolic syndrome conditions, and 12% had cirrhosis. For inpatients, median total hospital charge was $36,289. NAFLD patients with cirrhosis had higher charges and payments than noncirrhotic NAFLD patients ($61,151 vs. $33,863 and $18,804 vs. $10,146, P<0.001). Compared with CC, NAFLD patients with DC had higher charges and payments (P<0.02). For outpatients, median total charge was $9,011. NAFLD patients with cirrhosis had higher charges and payments than noncirrhotic NAFLD patients ($12,049 vs. $8,830 and $2,586 vs. $1,734, P<0.001). Compared with CC, DC patients had higher total charges ($15,187 vs. $10,379, P=0.04). In multivariate analysis, variables associated with increased inpatient resource utilization were inpatient mortality, DC, and CVD; for outpatients, having CVD, obesity, and hypertension (all P<0.001). Conclusions: NAFLD is associated with significant economic burden to Medicare. Presence of cirrhosis and CVD are associated with increased resource utilization. PMID:27332747

Estimating Differences in Area-Level Impacts of Various Recruiting Resources: Can Different Recruiting Areas and Years by Pooled?

DTIC Science & Technology

1983-08-01

Local Leads (Qualified and Interested) from LAMS Advertising (Based on FY82 Experience) Table 7 - Long Term Elasticities for Navy-Sourced NOIC Leads...Area Level Elasticities for Total NOIC Leads (Regardless of Source of Advertising ) for FY79, FY80 (FY80: 146,465) Appendix - Table la - Comparison of...of national .1*S leads (e.g., NOIC leads from a Navy source or from Joint DOD advertising (JADOR) sources), and for local leads. An Appendix

Development of a demand assignment/TDMA system for international business satellite communications

NASA Astrophysics Data System (ADS)

Nohara, Mitsuo; Takeuchi, Yoshio; Takahata, Fumio; Hirata, Yasuo; Yamazaki, Yoshiharu

An experimental IBS (international business satellite) communications system based on a demand assignment and TDMA (time-division multiple-access) operation has been developed. The system utilizes a limited satellite resource efficiently and provides various kinds of ISDN services totally. A discussion is presented of the IBS network configurations suitable to international communications and describes the developed communications system from the viewpoint of the hardware and software implementation. The performance in terms of the transmission quality and call processing is also demonstrated.

Evaluating wilderness recreational opportunities: application of an impact matrix

USGS Publications Warehouse

Stohlgren, Thomas J.; Parsons, David J.

1992-01-01

An inventory of the severity and spatial distribution of wilderness campsite impacts in Sequoia and Kings Canyon National Parks identified a total of 273 distinct nodes of campsites or “management areas.” A campsite impact matrix was developed to evaluate management areas based on total impacts (correlated to the total area of campsite development) and the density, or concentration, of impacts relative to each area's potentially campable area. The matrix is used to quantify potential recreational opportunities for wilderness visitors in a spectrum from areas offering low impact-dispersed camping to those areas offering high impact-concentrated camping. Wilderness managers can use this type of information to evaluate use distribution patterns, identify areas to increase or decrease use, and to identify areas needing site-specific regulations (e.g., one-night camping limits) to preserve wilderness resources and guarantee outstanding opportunities for solitude.

Total Catch of a Red-Listed Marine Species Is an Order of Magnitude Higher than Official Data

PubMed Central

Kleiven, Alf Ring; Olsen, Esben Moland; Vølstad, Jon Helge

2012-01-01

Accurate information on total catch and effort is essential for successful fisheries management. Officially reported landings, however, may be underestimates of total catch in many fisheries. We investigated the fishery for the nationally red-listed European lobster (Homarus gammarus) in south-eastern Norway. Probability-based strip transect surveys were used to count buoys in the study area in combination with catch per unit effort data obtained independently from volunteer catch diaries, phone interviews, and questionnaires. We estimate that recreational catch accounts for 65% of total catch in the study area. Moreover, our results indicate that only a small proportion (24%) of lobsters landed commercially were sold through the legal market and documented. Total estimated lobster catch was nearly 14 times higher than reported officially. Our study highlights the need for adequate catch monitoring and data collection efforts in coastal areas, presents a clear warning to resource managers that illegal, unreported and unregulated (IUU) fisheries in coastal areas should not be ignored, and shows the potential impact of recreational fisheries. PMID:22363583

The economic burden of prematurity in Canada.

PubMed

Johnston, Karissa M; Gooch, Katherine; Korol, Ellen; Vo, Pamela; Eyawo, Oghenowede; Bradt, Pamela; Levy, Adrian

2014-04-05

Preterm birth is a major risk factor for morbidity and mortality among infants worldwide, and imposes considerable burden on health, education and social services, as well as on families and caregivers. Morbidity and mortality resulting from preterm birth is highest among early (< 28 weeks gestational age) and moderate (28-32 weeks) preterm infants, relative to late preterm infants (33-36 weeks). However, substantial societal burden is associated with late prematurity due to the larger number of late preterm infants relative to early and moderate preterm infants. The aim in this study was to characterize the burden of premature birth in Canada for early, moderate, and late premature infants, including resource utilization, direct medical costs, parental out-of-pocket costs, education costs, and mortality, using a validated and published decision model from the UK, and adapting it to a Canadian setting based on analysis of administrative, population-based data from Québec. Two-year survival was estimated at 56.0% for early preterm infants, 92.8% for moderate preterm infants, and 98.4% for late preterm infants. Per infant resource utilization consistently decreased with age. For moderately preterm infants, hospital days ranged from 1.6 at age two to 0.09 at age ten. Cost per infant over the first ten years of life was estimated to be $67,467 for early preterm infants, $52,796 for moderate preterm infants, and $10,010 for late preterm infants. Based on population sizes this corresponds to total national costs of $123.3 million for early preterm infants, $255.6 million for moderate preterm infants, $208.2 million for late preterm infants, and $587.1 million for all infants. Premature birth results in significant infant morbidity, mortality, healthcare utilization and costs in Canada. A comprehensive decision-model based on analysis of a Canadian population-based administrative data source suggested that the greatest national-level burden is associated with moderate preterm infants due to both a large cost per infant and population size while the highest individual-level burden is in early preterm infants and the largest total population size is in late preterm infants. Although the highest medical costs are incurred during the neonatal period, greater resource utilization and costs extend into childhood.

Assessment of undiscovered oil and gas resources of the Devonian Marcellus Shale of the Appalachian Basin Province

USGS Publications Warehouse

Coleman, James L.; Milici, Robert C.; Cook, Troy A.; Charpentier, Ronald R.; Kirshbaum, Mark; Klett, Timothy R.; Pollastro, Richard M.; Schenk, Christopher J.

2011-01-01

Using a geology-based assessment methodology, the U.S. Geological Survey (USGS) estimated a mean undiscovered natural gas resource of 84,198 billion cubic feet and a mean undiscovered natural gas liquids resource of 3,379 million barrels in the Devonian Marcellus Shale within the Appalachian Basin Province. All this resource occurs in continuous accumulations. In 2011, the USGS completed an assessment of the undiscovered oil and gas potential of the Devonian Marcellus Shale within the Appalachian Basin Province of the eastern United States. The Appalachian Basin Province includes parts of Alabama, Georgia, Kentucky, Maryland, New York, Ohio, Pennsylvania, Tennessee, Virginia, and West Virginia. The assessment of the Marcellus Shale is based on the geologic elements of this formation's total petroleum system (TPS) as recognized in the characteristics of the TPS as a petroleum source rock (source rock richness, thermal maturation, petroleum generation, and migration) as well as a reservoir rock (stratigraphic position and content and petrophysical properties). Together, these components confirm the Marcellus Shale as a continuous petroleum accumulation. Using the geologic framework, the USGS defined one TPS and three assessment units (AUs) within this TPS and quantitatively estimated the undiscovered oil and gas resources within the three AUs. For the purposes of this assessment, the Marcellus Shale is considered to be that Middle Devonian interval that consists primarily of shale and lesser amounts of bentonite, limestone, and siltstone occurring between the underlying Middle Devonian Onondaga Limestone (or its stratigraphic equivalents, the Needmore Shale and Huntersville Chert) and the overlying Middle Devonian Mahantango Formation (or its stratigraphic equivalents, the upper Millboro Shale and middle Hamilton Group).

How are we communicating about clinical trials?: an assessment of the content and readability of recruitment resources.

PubMed

Friedman, Daniela B; Kim, Sei-Hill; Tanner, Andrea; Bergeron, Caroline D; Foster, Caroline; General, Kevin

2014-07-01

Clinical trials (CTs) are important for advancing public health and medical research, however, CT recruitment is challenging. The high reading level of CT information and the technical language of providers or researchers can serve as barriers to recruitment. Prior studies on the informed consent process found that consent documents often contain complicated terms. Limited research has examined resources specifically used to recruit individuals into CTs. The purpose of this study was to examine the content and readability of CT recruitment education resources in one U.S. state. Convenience sampling was employed for the collection of CT recruitment materials. A codebook was developed based on previous content analyses and emergent themes from statewide focus groups about CTs. A total of 127 materials were collected and analyzed (37.8% print; 62.2% Web). Most content was focused on treatment-related CTs (60.6%). Inclusion criteria related to specific disease conditions (88.9%) and age (73.6%) were described most often. Only 30% of resources had an explicit call to action. Overall mean readability level was Grade 11.7. Web-based materials were significantly more likely to be written at a higher grade level than print materials (p ≤ .0001). Readability also differed significantly according to resource distributor/creator, CT type, person quoted, and presence or absence of inclusion criteria and an explicit call to action. Our study provides insight into the content and difficulty level of recruitment materials intended to provide initial information about a CT. Future studies should examine individuals' comprehension of recruitment materials and how participation intentions are associated with recruitment messages. Copyright © 2014 Elsevier Inc. All rights reserved.

[Methods for the costing process in the field of economic evaluation of a rehabilitation program for patients with chronic obstructive lung diseases].

PubMed

Hessel, F P; Wittmann, M; Petro, W; Wasem, J

2000-07-01

Studies in health economics especially economic evaluations of health care technologies and programmes are getting more and more important. However, in Germany there are no established, validated and commonly used instruments for the costing process. For the economic evaluation of a rehabilitation programme for patients with chronic lung diseases such as asthma and chronic bronchitis we developed methods for identification, measurement and validation of resource use during the inpatient rehabilitation programme and during the outpatient follow-up period. These methods are based on methodological considerations as well as on practical experience from conducting a pilot study. With regard to the inpatient setting all relevant diagnostic and therapeutic resource uses could be measured basing on routine clinical documentation and validated by using the cost accounting of the clinic. For measuring the use of resources during the follow-up period in an outpatient setting no reliable administrative data are accessible. Hence, we compared a standardised retrospective patient questionnaire used in a 20-minute interview (n = 50) and a cost diary for the continuing documentation by the patient over a period of 4 weeks (n = 50). Both tools were useful for measuring all relevant resource uses in sufficient detail, but because of higher participation rates and lower dropouts the structured interview appears to be more suitable. Average total costs per month were 1591 DM (interview), respectively 1867 DM (cost diary). Besides productivity loss, costs for medication and GP visits caused the relatively highest resource uses. Practicable instruments were developed for the costing process as part of an economic evaluation in a German rehabilitation setting for pulmonary diseases. After individual modification, these could also be used for different indications and in other institutional settings.