Sample records for utilization system introduction

  1. Introduction to the Graduation Tracking System (GTS)

    ERIC Educational Resources Information Center

    Alabama Department of Education, 2011

    2011-01-01

    This guide is a training and supportive tool for use by local education agencies (LEAs) in the state of Alabama that are utilizing the Science, Technology and Innovation (STI) Information-INow-INFocus information system software. The Graduation Tracking System (GTS) utilizes existing STI technology to capture student information pertaining to…

  2. 7 CFR 1726.10 - Introduction.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... ELECTRIC SYSTEM CONSTRUCTION POLICIES AND PROCEDURES General § 1726.10 Introduction. The policies... of loan documents between the Rural Utilities Service (RUS) and its electric borrowers. Unless prior... construction and improvement of electric facilities. Requirements relating to RUS approval of plans and...

  3. 7 CFR 1726.10 - Introduction.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... ELECTRIC SYSTEM CONSTRUCTION POLICIES AND PROCEDURES General § 1726.10 Introduction. The policies... of loan documents between the Rural Utilities Service (RUS) and its electric borrowers. Unless prior... construction and improvement of electric facilities. Requirements relating to RUS approval of plans and...

  4. 7 CFR 1726.10 - Introduction.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... ELECTRIC SYSTEM CONSTRUCTION POLICIES AND PROCEDURES General § 1726.10 Introduction. The policies... of loan documents between the Rural Utilities Service (RUS) and its electric borrowers. Unless prior... construction and improvement of electric facilities. Requirements relating to RUS approval of plans and...

  5. 7 CFR 1726.10 - Introduction.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... ELECTRIC SYSTEM CONSTRUCTION POLICIES AND PROCEDURES General § 1726.10 Introduction. The policies... of loan documents between the Rural Utilities Service (RUS) and its electric borrowers. Unless prior... construction and improvement of electric facilities. Requirements relating to RUS approval of plans and...

  6. 7 CFR 1726.10 - Introduction.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... ELECTRIC SYSTEM CONSTRUCTION POLICIES AND PROCEDURES General § 1726.10 Introduction. The policies... of loan documents between the Rural Utilities Service (RUS) and its electric borrowers. Unless prior... construction and improvement of electric facilities. Requirements relating to RUS approval of plans and...

  7. Tourism through Travel Club: A Database Project

    ERIC Educational Resources Information Center

    Pratt, Renée M. E.; Smatt, Cindi T.; Wynn, Donald E.

    2017-01-01

    This applied database exercise utilizes a scenario-based case study to teach the basics of Microsoft Access and database management in introduction to information systems and introduction to database course. The case includes background information on a start-up business (i.e., Carol's Travel Club), description of functional business requirements,…

  8. Design techniques for modular integrated utility systems. [energy production and conversion efficiency

    NASA Technical Reports Server (NTRS)

    Wolfer, B. M.

    1977-01-01

    Features basic to the integrated utility system, such as solid waste incineration, heat recovery and usage, and water recycling/treatment, are compared in terms of cost, fuel conservation, and efficiency to conventional utility systems in the same mean-climatic area of Washington, D. C. The larger of the two apartment complexes selected for the test showed the more favorable results in the three areas of comparison. Restrictions concerning the sole use of currently available technology are hypothetically removed to consider the introduction and possible advantages of certain advanced techniques in an integrated utility system; recommendations are made and costs are estimated for each type of system.

  9. Auto-Versioning Systems Image Manager

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

    Pezzaglia, Larry

    2013-08-01

    The av_sys_image_mgr utility provides an interface for the creation, manipulation, and analysis of system boot images for computer systems. It is primarily intended to provide a convenient method for managing the introduction of changes to boot images for long-lived production HPC systems.

  10. Introduction to Concurrent Engineering: Electronic Circuit Design and Production Applications

    DTIC Science & Technology

    1992-09-01

    STD-1629. Failure mode distribution data for many different types of parts may be found in RAC publication FMD -91. FMEA utilizes inductive logic in a...contrasts with a Fault Tree Analysis ( FTA ) which utilizes deductive logic in a "top down" approach. In FTA , a system failure is assumed and traced down...Analysis ( FTA ) is a graphical method of risk analysis used to identify critical failure modes within a system or equipment. Utilizing a pictorial approach

  11. Policy Perspective: School Turnaround in England. Utilizing the Private Sector

    ERIC Educational Resources Information Center

    Corbett, Julie

    2014-01-01

    This paper, written by strategic partner of the Center on School Turnaround (CST), Julie Corbett, provides research and examples on England's approach to turning around its lowest performing schools. The English education system utilizes private vendors to support chronically low-performing schools and districts. The introduction is followed by…

  12. Regional Utilization of the Union Catalog of Medical Periodicals System

    PubMed Central

    Sprinkle, Michael D.

    1969-01-01

    This paper describes regional utilization of the Union Catalog of Medical Periodicals system and data base in producing union lists outside Metropolitan New York, the area served by the Union Catalog. A basic introduction to the Medical Library Center of New York's UCMP system is set forth, demonstrating the system's value in the production of such medical and paramedical union lists throughout the country. Several applications are then described, showing how these union lists were produced. PMID:5789816

  13. Power System Study for Renewable Energy Interconnection in Malaysia

    NASA Astrophysics Data System (ADS)

    Askar, O. F.; Ramachandaramurthy, V. K.

    2013-06-01

    The renewable energy (RE) sector has grown exponentially in Malaysia with the introduction of the Feed-In-Tariff (FIT) by the Ministry of Energy, Green Technology and Water. Photovoltaic, biogas, biomass and mini hydro are among the renewable energy sources which offer a lucrative tariff to incite developers in taking the green technology route. In order to receive the FIT, a developer is required by the utility company to perform a power system analysis which will determine the technical feasibility of an RE interconnection to the utility company's existing grid system. There are a number of aspects which the analysis looks at, the most important being the load flow and fault levels in the network after the introduction of an RE source. The analysis is done by modelling the utility company's existing network and simulating the network with the interconnection of an RE source. The results are then compared to the values before an interconnection is made as well as ensuring the voltage rise or the increase in fault levels do not violate any pre-existing regulations set by the utility company. This paper will delve into the mechanics of performing a load flow analysis and examining the results obtained.

  14. Distribution of Software Changes for Battlefield Computer Systems: A lingering Problem

    DTIC Science & Technology

    1983-06-03

    Defense, 10 June 1963), pp. 1-4. 3 Ibid. 4Automatic Data Processing Systems, Book - 1 Introduction (U.S. Army Signal School, Fort Monmouth, New Jersey, 15...January 1960) , passim. 5Automatic Data Processing Systems, Book - 2 Army Use of ADPS (U.S. Army Signal School, Fort Monmouth, New Jersey, 15 October...execute an application or utility program. It controls how the computer functions during a given operation. Utility programs are merely general use

  15. Development of novel nano-composite membranes as introduction systems for mass spectrometers: Contrasting nano-composite membranes and conventional inlet systems

    NASA Astrophysics Data System (ADS)

    Miranda, Luis Diego

    This dissertation presents the development of novel nano-composite membranes as introduction systems for mass spectrometers. These nano-composite membranes incorporate anodic aluminum oxide (AAO) membranes as templates that can be used by themselves or modified by a variety of chemical deposition processes. Two types of nano-composite membranes are presented. The first nano-composite membrane has carbon deposited within the pores of an AAO membrane. The second nano-composite membrane is made by coating an AAO membrane with a thin polymer film. The following chapters describe the transmission properties these nano-composite membranes and compare them to conventional mass spectrometry introduction systems. The nano- composite membranes were finally coupled to the inlet system of an underwater mass spectrometer revealing their utility in field deployments.

  16. Photovoltaics and electric utilities

    NASA Astrophysics Data System (ADS)

    Bright, R.; Leigh, R.; Sills, T.

    1981-12-01

    The long term value of grid connected, residential photovoltaic (PV) systems is determined. The value of the PV electricity is defined as the full avoided cost in accordance with the Public Utilities Regulatory Policies Act of 1978. The avoided cost is computed using a long range utility planning approach to measure revenue requirement changes in response to the time phased introduction of PV systems into the grid. A case study approach to three utility systems is used. The changing value of PV electricity over a twenty year period from 1985 is presented, and the fuel and capital savings due to FY are analyzed. These values are translated into measures of breakeven capital investment under several options of power interchange and pricing.

  17. Comparison of Health Service Utilization for Febrile Children Before and After Introduction of Malaria Rapid Diagnostic Tests and Artemisinin-Based Combination Therapy in Rural Papua New Guinea.

    PubMed

    Tsukahara, Takahiro; Sugahara, Takuma; Furusawa, Takuro; Hombhanje, Francis Wanak

    2018-01-01

    In Papua New Guinea (PNG), a malaria treatment policy using rapid diagnostic tests (RDTs) plus artemisinin-based combination therapy (ACT) was widely introduced to rural communities in 2012. The objectives of the study were to evaluate the effect of this RDT/ACT introduction to a rural PNG population on health service utilization and to compare factors associated with health service utilization before and after the RDT/ACT introduction. Household surveys with structured questionnaires were conducted before and after the introduction of RDT/ACT in a catchment area of a health center in East Sepik Province, PNG. We interviewed caregivers with children less than 15 years of age and collected data on fever episodes in the preceding 2 weeks. Using propensity score matching, febrile children before the introduction of RDT/ACT were matched to febrile children after the introduction. Then, the adjusted difference in the proportion of health service utilization [i.e., the average treatment effect (ATE) of the introduction of RDT/ACT on health service utilization] was estimated. We also employed a multilevel Poisson regression model to investigate factors influencing the use of health services. Of 4,690 children, 911 (19%) were reported to have a fever episode. The unadjusted proportion of health service utilization was 51.7 and 57.2% before and after the RDT/ACT introduction, respectively. After matching, no significant difference in the health service utilization was observed before and after the introduction of RDT/ACT (ATE: 0.063, 95% confidence interval -0.024 to 0.150). Multilevel regression analysis showed that the consistent factors associated with a higher utilization of health services were severe illness and being female. The utilization of health services was not significantly different before and after the introduction of RDT/ACT. Villagers may have neither sufficient informations on the new protocol nor high acceptance of RDT/ACT. The observed gender bias in health service utilization could be due to female caregivers' preferences toward girls.

  18. Does the universal health insurance program affect urban-rural differences in health service utilization among the elderly? Evidence from a longitudinal study in taiwan.

    PubMed

    Liao, Pei-An; Chang, Hung-Hao; Yang, Fang-An

    2012-01-01

    To assess the impact of the introduction of Taiwan's National Health Insurance (NHI) on urban-rural inequality in health service utilization among the elderly. A longitudinal data set of 1,504 individuals aged 65 and older was constructed from the Survey of Health and Living Status of the Elderly. A difference-in-differences model was employed and estimated by the random-effect probit method. The introduction of universal NHI in Taiwan heterogeneously affected outpatient and inpatient health service utilization among the elderly in urban and rural areas. The introduction of NHI reduced the disparity of outpatient (inpatient) utilization between the previously uninsured and insured older urban residents by 12.9 (22.0) percentage points. However, there was no significant reduction in the utilization disparity between the previously uninsured and insured elderly among rural residents. Our study on Taiwan's experience should provide a valuable lesson to countries that are in an initial stage of proposing a universal health insurance system. Although NHI is designed to ensure the equitable right to access health care, it may result in differential impacts on health service utilization among the elderly across areas. The rural elderly tend to confront more challenges in accessing health care associated with spatial distance, transportation, social isolation, poverty, and a lack of health care providers, especially medical specialists. © 2011 National Rural Health Association.

  19. There is No Free Lunch: Tradeoffs in the Utility of Learned Knowledge

    NASA Technical Reports Server (NTRS)

    Kedar, Smadar T.; McKusick, Kathleen B.

    1992-01-01

    With the recent introduction of learning in integrated systems, there is a need to measure the utility of learned knowledge for these more complex systems. A difficulty arrises when there are multiple, possibly conflicting, utility metrics to be measured. In this paper, we present schemes which trade off conflicting utility metrics in order to achieve some global performance objectives. In particular, we present a case study of a multi-strategy machine learning system, mutual theory refinement, which refines world models for an integrated reactive system, the Entropy Reduction Engine. We provide experimental results on the utility of learned knowledge in two conflicting metrics - improved accuracy and degraded efficiency. We then demonstrate two ways to trade off these metrics. In each, some learned knowledge is either approximated or dynamically 'forgotten' so as to improve efficiency while degrading accuracy only slightly.

  20. How a New Health Intervention Affects the Health Systems? Learnings from Pentavalent Vaccine Introduction in India.

    PubMed

    Lahariya, Chandrakant; Paruthi, Renu; Bhattacharya, Madhulekha

    2016-04-01

    To summarize the findings from a Post Introduction Evaluation (PIE) of pentavalent vaccine in Tamil Nadu and Kerala state of India and to understand how the health systems could be prepared for (prior to) introducing a new intervention and how such introduction could affect the health systems (afterwards). A post introduction evaluation (PIE) of Haemophilus influenzae type b (Hib) as pentavalent (DPT + HepB + Hib) vaccine was conducted in Tamil Nadu and Kerala states of India in July-Aug 2012. The PIE was conducted as per World Health Organization PIE methods and tools specifically adapted for India. This PIE adopted a 'mixed method approach' with qualitative data focus. The planning for the introduction of pentavalent vaccine provided opportunities to strengthen various functions of the health system i.e., piloting of Open Vial Policy, strengthening surveillance system, improving Adverse Events Following Immunization (AEFI) reporting system and formation of the technical expert groups. It provided opportunity for bringing attention on the immunization programme in general as well. After the vaccine introduction, the beneficial effects were noted on stewardship (increased oversight by top level policy makers and programme managers), creating resources (investment and trainings of staff in immunization), service delivery (increased coverage with the vaccines and improved quality of services) and financing (increased financial allocation and reduced out of pocket expenditures as more people started attending public health facilities). The vaccine introduction was found to be associated with improvement in the health equity, efficiency and service utilization (effective coverage). New vaccine introduction provides opportunities (both before and after) for strengthening the health systems in setting such as India. Preparing the health system for new challenges has potential to strengthen the health systems, if done in well-coordinated and planned manner. Considering that essential steps are largely similar, these lessons could be applicable for the introduction of other new health interventions in the similar settings.

  1. The open-source movement: an introduction for forestry professionals

    Treesearch

    Patrick Proctor; Paul C. Van Deusen; Linda S. Heath; Jeffrey H. Gove

    2005-01-01

    In recent years, the open-source movement has yielded a generous and powerful suite of software and utilities that rivals those developed by many commercial software companies. Open-source programs are available for many scientific needs: operating systems, databases, statistical analysis, Geographic Information System applications, and object-oriented programming....

  2. Introduction of Transplant Registry Unified Management Program 2 (TRUMP2): scripts for TRUMP data analyses, part I (variables other than HLA-related data).

    PubMed

    Atsuta, Yoshiko

    2016-01-01

    Collection and analysis of information on diseases and post-transplant courses of allogeneic hematopoietic stem cell transplant recipients have played important roles in improving therapeutic outcomes in hematopoietic stem cell transplantation. Efficient, high-quality data collection systems are essential. The introduction of the Second-Generation Transplant Registry Unified Management Program (TRUMP2) is intended to improve data quality and more efficient data management. The TRUMP2 system will also expand possible uses of data, as it is capable of building a more complex relational database. The construction of an accessible data utilization system for adequate data utilization by researchers would promote greater research activity. Study approval and management processes and authorship guidelines also need to be organized within this context. Quality control of processes for data manipulation and analysis will also affect study outcomes. Shared scripts have been introduced to define variables according to standard definitions for quality control and improving efficiency of registry studies using TRUMP data.

  3. Perspectives on utilization of community based health information systems in Western Kenya

    PubMed Central

    Flora, Otieno Careena; Margaret, Kaseje; Dan, Kaseje

    2017-01-01

    Introduction Health information systems (HIS) are considered fundamental for the efficient delivery of high quality health care. However, a large number of legal and practical constraints influence the design and introduction of such systems. The inability to quantify and analyse situations with credible data and to use data in planning and managing service delivery plagues Africa. Establishing effective information systems and using this data for planning efficient health service delivery is essential to district health systems' performance improvement. Community Health Units in Kenya are central points for community data collection, analysis, dissemination and use. In Kenya, data tend to be collected for reporting purposes and not for decision-making at the point of collection. This paper describes the perspectives of local users on information use in various socio-economic contexts in Kenya. Methods Information for this study was gathered through semi-structured interviews. The interviewees were purposefully selected from various community health units and public health facilities in the study area. The data were organized and analysed manually, grouping them into themes and categories. Results Information needs of the community included service utilization and health status information. Dialogue was the main way of information utilization in the community. However, health systems and personal challenges impeded proper collection and use of information. Conclusion The challenges experienced in health information utilization may be overcome by linkages and coordination between the community and the health facilities. The personal challenges can be remedied using a motivational package that includes training of the Community Health Workers. PMID:28904707

  4. Homemade Electricity: An Introduction to Small-Scale Wind, Hydro, and Photovoltaic Systems.

    ERIC Educational Resources Information Center

    Smith, Diane

    This report consists of three parts. The first part provides advice (in the form of questions and answers) to prospective individual power producers who are considering investing in electricity-producing systems and in generating their own power. A list of Public Utilities Regulatory Policies Act (PURPA) regulations is included. This legislation…

  5. Assessing peracetic acid as a means to control post-vaccination Saprolegniasis in Atlantic salmon Salmo salar parr in recirculation aquaculture systems

    USDA-ARS?s Scientific Manuscript database

    Land-based closed containment facilities, utilizing recirculation aquaculture system (RAS) technologies, can reduce or eliminate the introduction of obligate fish pathogens. Regardless, the presence of opportunistic pathogens must be assumed, and these agents can cause disease during unfavorable con...

  6. GIS in Evaluation: Utilizing the Power of Geographic Information Systems to Represent Evaluation Data

    ERIC Educational Resources Information Center

    Azzam, Tarek; Robinson, David

    2013-01-01

    This article provides an introduction to geographic information systems (GIS) and how the technology can be used to enhance evaluation practice. As a tool, GIS enables evaluators to incorporate contextual features (such as accessibility of program sites or community health needs) into evaluation designs and highlights the interactions between…

  7. Photovoltaics as a terrestrial energy source. Volume 1: An introduction

    NASA Technical Reports Server (NTRS)

    Smith, J. L.

    1980-01-01

    Photovoltaic (PV) systems were examined their potential for terrestrial application and future development. Photovoltaic technology, existing and potential photovoltaic applications, and the National Photovoltaics Program are reviewed. The competitive environment for this electrical source, affected by the presence or absence of utility supplied power is evaluated in term of systems prices. The roles of technological breakthroughs, directed research and technology development, learning curves, and commercial demonstrations in the National Program are discussed. The potential for photovoltaics to displace oil consumption is examined, as are the potential benefits of employing PV in either central-station or non-utility owned, small, distributed systems.

  8. The impact of the new 36 V lead-acid battery systems on lead consumption

    NASA Astrophysics Data System (ADS)

    Prengaman, R. David

    The production of vehicles utilizing 36 V battery systems has begun with the introduction of the Toyota Crown. Other vehicles with 36 V batteries are in the near horizon. These vehicles may contain single or dual battery systems. These vehicles will most likely contain valve-regulated lead-acid (VRLA) batteries. The battery systems developed to date utilize significantly more lead than conventional 12 V batteries. This paper will evaluate the different proposed 36 V battery systems and estimate the lead requirements for each of the competing systems. It will also project the penetration of and resultant increased lead usage of these new batteries into the future.

  9. Introduction to Life Support Systems

    NASA Technical Reports Server (NTRS)

    Perry, Jay

    2017-01-01

    This course provides an introduction to the design and development of life support systems to sustain humankind in the harsh environment of space. The life support technologies necessary to provide a respirable atmosphere and clean drinking water are emphasized in the course. A historical perspective, beginning with open loop systems employed aboard the earliest crewed spacecraft through the state-of-the-art life support technology utilized aboard the International Space Station today, will provide a framework for students to consider applications to possible future exploration missions and destinations which may vary greatly in duration and scope. Development of future technologies as well as guiding requirements for designing life support systems for crewed exploration missions beyond low-Earth orbit are also considered in the course.

  10. Investigating the effectiveness of peracetic acid to reduce post-vaccination Saprolegnia spp.-associated mortality in Atlantic salmon parr while assessing impact on nitrification in recirculation aquaculture systems

    USDA-ARS?s Scientific Manuscript database

    Closed containment operations utilizing recirculation aquaculture systems (RAS) can provide critical barriers to the introduction of obligate fish pathogens (Timmons and Ebeling, 2010); however, opportunistic pathogens will be present and can cause disease when conditions favor these agents. One par...

  11. 7 CFR 1724.1 - Introduction.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... ELECTRIC ENGINEERING, ARCHITECTURAL SERVICES AND DESIGN POLICIES AND PROCEDURES General § 1724.1... standard form of loan documents between the Rural Utilities Service (RUS) and its electric borrowers. (b... to design, construction standards, and the use of RUS accepted material on their electric systems. (c...

  12. Broadening the U.S. alfalfa germplasm base

    USDA-ARS?s Scientific Manuscript database

    Over 4000 alfalfa (Medicago sativa L.) plant introductions (PIs) exist in the USDA-ARS National Plant Germplasm System (NPGS). NAAIC has discussed/proposed pre-breeding efforts to utilize this germplasm for creating pre-commercial alfalfa germplasm. Funding constraints have been one impediment to th...

  13. Development of communication networks and water quality early warning detection systems at drinking water utilities in the Ohio River Valley Basin.

    PubMed

    Schulte, J G; Vicory, A H

    2005-01-01

    Source water quality is of major concern to all drinking water utilities. The accidental introduction of contaminants to their source water is a constant threat to utilities withdrawing water from navigable or industrialized rivers. The events of 11 September, 2001 in the United States have heightened concern for drinking water utility security as their source water and finished water may be targets for terrorist acts. Efforts are underway in several parts of the United States to strengthen early warning capabilities. This paper will focus on those efforts in the Ohio River Valley Basin.

  14. An informatics approach to assess pediatric pharmacotherapy: design and implementation of a hospital drug utilization system.

    PubMed

    Zuppa, Athena; Vijayakumar, Sundararajan; Jayaraman, Bhuvana; Patel, Dimple; Narayan, Mahesh; Vijayakumar, Kalpana; Mondick, John T; Barrett, Jeffrey S

    2007-09-01

    Drug utilization in the inpatient setting can provide a mechanism to assess drug prescribing trends, efficiency, and cost-effectiveness of hospital formularies and examine subpopulations for which prescribing habits may be different. Such data can be used to correlate trends with time-dependent or seasonal changes in clinical event rates or the introduction of new pharmaceuticals. It is now possible to provide a robust, dynamic analysis of drug utilization in a large pediatric inpatient setting through the creation of a Web-based hospital drug utilization system that retrieves source data from our accounting database. The production implementation provides a dynamic and historical account of drug utilization at the authors' institution. The existing application can easily be extended to accommodate a multi-institution environment. The creation of a national or even global drug utilization network would facilitate the examination of geographical and/or socioeconomic influences in drug utilization and prescribing practices in general.

  15. USSR and Eastern Europe Scientific Abstracts, Cybernetics, Computers, and Automation Technology, Number 26

    DTIC Science & Technology

    1977-01-26

    Sisteme Matematicheskogo Obespecheniya YeS EVM [ Applied Programs in the Software System for the Unified System of Computers], by A. Ye. Fateyev, A. I...computerized systems are most effective in large production complexes , in which the level of utilization of computers can be as high as 500,000...performance of these tasks could be furthered by the complex introduction of electronic computers in automated control systems. The creation of ASU

  16. Activity-Based Introduction to the Binary System: Nim Game Winning Strategy

    ERIC Educational Resources Information Center

    Vaninsky, A.

    2007-01-01

    The paper's aim is to demonstrate the utility of the well-known Nim game when it is used as a tool in teaching the binary system. A way to increase student comprehension, it also forms a basis for student projects and extracurricular activities on the topic. The paper offers descriptions of two versions of the game and the underlying mathematical…

  17. Behind-the-Counter Statins: A Silver Bullet for Reducing Costs and Increasing Access?

    PubMed Central

    Sood, Neeraj; Sun, Eric; Zhuo, Xiaohui

    2012-01-01

    Objective To examine how the 2004 introduction of behind-the-counter (BTC) simvastatin in the United Kingdom affected utilization, prices, and expenditures. Data Sources/Study Setting Secondary data on simvastatin utilization, prices, and expenditures between 1997 and 2007 in the United Kingdom and four other countries. Study Design We used a difference-in-differences approach to estimate how the introduction of BTC simvastatin affected utilization, prices, and expenditures. This approach compares outcomes in the United Kingdom before and after the introduction of BTC simvastatin, using outcomes in countries where the drug remained prescription only to control for possible confounders. Data Collection/Extraction Methods Data on simvastain utilization, prices, and expenditures between 1997 and 2007 in the United Kingdom and four other countries were obtained from an outside vendor. Principal Findings The introduction of BTC simvastatin in the United Kingdom led to a significant increase in utilization of simvastatin and a significant decline in expenditures for simvastatin purchases. Our results are robust to alternate model specifications. Conclusions Behind-the-counter statins have the potential to simultaneously increase use of statins and lower expenditures. PMID:22091792

  18. Increasing the Success of Online Students

    ERIC Educational Resources Information Center

    Harrell, Ivan L., II

    2008-01-01

    The introduction of the Internet has dramatically changed the process of information transmission as well as practically every other aspect of American society, including the higher education system. Many colleges and universities have taken advantage of the utility of the Internet and instituted online courses and online degree and certificate…

  19. Collective Intelligence. Chapter 17

    NASA Technical Reports Server (NTRS)

    Wolpert, David H.

    2003-01-01

    Many systems of self-interested agents have an associated performance criterion that rates the dynamic behavior of the overall system. This chapter presents an introduction to the science of such systems. Formally, collectives are defined as any system having the following two characteristics: First, the system must contain one or more agents each of which we view as trying to maximize an associated private utility; second, the system must have an associated world utility function that rates the possible behaviors of that overall system. In practice, collectives are often very large, distributed, and support little, if any, centralized communication and control, although those characteristics are not part of their formal definition. A naturally occurring example of a collective is a human economy. One can identify the agents and their private utilities as the human individuals in the economy and the associated personal rewards they are each trying to maximize. One could then identify the world utility as the time average of the gross domestic product. ("World utility" per se is not a construction internal to a human economy, but rather something defined from the outside.) To achieve high world utility it is necessary to avoid having the agents work at cross-purposes lest phenomena like liquidity traps or the Tragedy of the Commons (TOC) occur, in which agents' individually pursuing their private utilities lowers world utility. The obvious way to avoid such phenomena is by modifying the agents utility functions to be "aligned" with the world utility. This can be done via punitive legislation. A real-world example of an attempt to do this was the creation of antitrust regulations designed to prevent monopolistic practices.

  20. Introduction of a closed-system cell processor for red blood cell washing: postimplementation monitoring of safety and efficacy.

    PubMed

    Acker, Jason P; Hansen, Adele L; Yi, Qi-Long; Sondi, Nayana; Cserti-Gazdewich, Christine; Pendergrast, Jacob; Hannach, Barbara

    2016-01-01

    After introduction of a closed-system cell processor, the effect of this product change on safety, efficacy, and utilization of washed red blood cells (RBCs) was assessed. This study was a pre-/postimplementation observational study. Efficacy data were collected from sequentially transfused washed RBCs received as prophylactic therapy by β-thalassemia patients during a 3-month period before and after implementation of the Haemonetics ACP 215 closed-system processor. Before implementation, an open system (TerumoBCT COBE 2991) was used to wash RBCs. The primary endpoint for efficacy was a change in hemoglobin (Hb) concentration corrected for the duration between transfusions. The primary endpoint for safety was the frequency of adverse transfusion reactions (ATRs) in all washed RBCs provided by Canadian Blood Services to the transfusion service for 12 months before and after implementation. Data were analyzed from more than 300 RBCs transfused to 31 recipients before implementation and 29 recipients after implementation. The number of units transfused per episode reduced significantly after implementation, from a mean of 3.5 units to a mean of 3.1 units (p < 0.005). The corrected change in Hb concentration was not significantly different before and after implementation. ATRs occurred in 0.15% of transfusions both before and after implementation. Safety and efficacy of washed RBCs were not affected after introduction of a closed-system cell processor. The ACP 215 allowed for an extended expiry time, improving inventory management and overall utilization of washed RBCs. Transfusion of fewer RBCs per episode reduced exposure of recipients to allogeneic blood products while maintaining efficacy. © 2015 AABB.

  1. Hyperspectral cytometry.

    PubMed

    Grégori, Gérald; Rajwa, Bartek; Patsekin, Valery; Jones, James; Furuki, Motohiro; Yamamoto, Masanobu; Paul Robinson, J

    2014-01-01

    Hyperspectral cytometry is an emerging technology for single-cell analysis that combines ultrafast optical spectroscopy and flow cytometry. Spectral cytometry systems utilize diffraction gratings or prism-based monochromators to disperse fluorescence signals from multiple labels (organic dyes, nanoparticles, or fluorescent proteins) present in each analyzed bioparticle onto linear detector arrays such as multianode photomultipliers or charge-coupled device sensors. The resultant data, consisting of a series of characterizing every analyzed cell, are not compensated by employing the traditional cytometry approach, but rather are spectrally unmixed utilizing algorithms such as constrained Poisson regression or non-negative matrix factorization. Although implementations of spectral cytometry were envisioned as early as the 1980s, only recently has the development of highly sensitive photomultiplier tube arrays led to design and construction of functional prototypes and subsequently to introduction of commercially available systems. This chapter summarizes the historical efforts and work in the field of spectral cytometry performed at Purdue University Cytometry Laboratories and describes the technology developed by Sony Corporation that resulted in release of the first commercial spectral cytometry system-the Sony SP6800. A brief introduction to spectral data analysis is also provided, with emphasis on the differences between traditional polychromatic and spectral cytometry approaches.

  2. Teaching Introduction to American Government/Politics: What We Learn from the Visual Images in Textbooks

    ERIC Educational Resources Information Center

    Allen, Marcus D.; Wallace, Sherri L.

    2010-01-01

    Political science students learn the fundamental principles and values about the American political system from American government/politics textbooks. Most of the major textbooks used in these courses utilize the traditional institutional and behavioral approaches to the study of American government and politics, which examines institutions and…

  3. Utilizing Higher Resolution Land Surface Remote Sensing Data for Assessing Recent Trends over Asia Monsoon Region

    NASA Technical Reports Server (NTRS)

    Shen, Suhung; Leptoukh, Gregory

    2010-01-01

    The slide presentation discusses the integration of 1-kilometer spatial resolution land temperature data from the Moderate Resolution Imaging Spectroradiometer (MODIS), with 8-day temporal resolution, into the NASA Monsoon-Asia Integrated Regional Study (MAIRS) Data Center. The data will be available for analysis and visualization in the Giovanni data system. It discusses the NASA MAIRS Data Center, presents an introduction to the data access tools, and an introduction of Products available from the service, discusses the higher resolution Land Surface Temperature (LST) and presents preliminary results of LST Trends over China.

  4. USNO Master Clock Design Enhancements

    DTIC Science & Technology

    2007-01-01

    25-27 January 1999, San Diego, California, USA (ION, Alexandria, Virginia), pp. 871-880. [3] R. Brown and P. Hwang , 1992, Introduction to Random...to the system include the use of a Kalman filter for phase and frequency estimates, decreasing the time interval between steers, and the redesign of...present operational system utilizes the dynamic mean as described in the previous section, but uses a Kalman filter to estimate the phase and frequency

  5. Introduction to bioengineering: melding of engineering and biological sciences.

    PubMed

    Shoureshi, Rahmat A

    2005-04-01

    Engineering has traditionally focused on the external extensions of organisms, such as transportation systems, high-rise buildings, and entertainment systems. In contrast, bioengineering is concerned with inward processes of biologic organisms. Utilization of engineering principles and techniques in the analysis and solution of problems in medicine and biology is the basis for bioengineering. This article discusses subspecialties in bioengineering and presents examples of projects in this discipline.

  6. Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California.

    PubMed

    Shaikh, Ulfat; Afsar-Manesh, Nasim; Amin, Alpesh N; Clay, Brian; Ranji, Sumant R

    2017-10-01

    Implementing quality improvement (QI) education during clinical training is challenging due to time constraints and inadequate faculty development in these areas. Quiz-based reinforcement systems show promise in fostering active engagement, collaboration, healthy competition and real-time formative feedback, although further research on their effectiveness is required. An online quiz-based reinforcement system to increase resident and faculty knowledge in QI, patient safety and care transitions. Experts in QI and educational assessment at the 5 University of California medical campuses developed a course comprised of 3 quizzes on Introduction to QI, Patient Safety and Care Transitions. Each quiz contained 20 questions and utilized an online educational quiz-based reinforcement system that leveraged spaced learning. Approximately 500 learners completed the course (completion rate 66-86%). Knowledge acquisition scores for all quizzes increased after completion: Introduction to QI (35-73%), Patient Safety (58-95%), and Care Transitions (66-90%). Learners reported that the quiz-based system was an effective teaching modality and preferred this type of education to classroom-based lectures. Suggestions for improvement included reducing frequency of presentation of questions and utilizing more questions that test learners on application of knowledge instead of knowledge acquisition. A multi-campus online quiz-based reinforcement system to train residents in QI, patient safety and care transitions was feasible, acceptable, and increased knowledge. The course may be best utilized to supplement classroom-based and experiential curricula, along with increased attention to optimizing frequency of presentation of questions and enhancing application skills. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  7. Heat-pump-centered integrated community energy systems: System development summary

    NASA Astrophysics Data System (ADS)

    Calm, J. M.

    1980-02-01

    An introduction to district heating systems employing heat pumps to enable use of low temperature energy sources is presented. These systems operate as thermal utilities to provide space heating and may also supply space cooling, service water heating, and other thermal services. Otherwise wasted heat from industrial and commercial processes, natural sources including solar and geothermal heat, and heat stored on an annual cycle from summer cooling may be effectively utilized by the systems described. More than one quarter of the energy consumed in the United States is used to heat and cool buildings and to heat service water. Natural gas and oil provide approximately 83% of this energy. The systems described show potential to reduce net energy consumption for these services by 20 to 50% and to allow fuel substitution with less scarce resources not practical in smaller, individual building systems. Seven studies performed for the system development phase are summarized.

  8. Competition and Cooperation of Distributed Generation and Power System

    NASA Astrophysics Data System (ADS)

    Miyake, Masatoshi; Nanahara, Toshiya

    Advances in distributed generation technologies together with the deregulation of an electric power industry can lead to a massive introduction of distributed generation. Since most of distributed generation will be interconnected to a power system, coordination and competition between distributed generators and large-scale power sources would be a vital issue in realizing a more desirable energy system in the future. This paper analyzes competitions between electric utilities and cogenerators from the viewpoints of economic and energy efficiency based on the simulation results on an energy system including a cogeneration system. First, we examine best response correspondence of an electric utility and a cogenerator with a noncooperative game approach: we obtain a Nash equilibrium point. Secondly, we examine the optimum strategy that attains the highest social surplus and the highest energy efficiency through global optimization.

  9. The economic value of remote sensing of earth resources from space: An ERTS overview and the value of continuity of service. Volume 6: Land use. Part 1: Introduction and overview

    NASA Technical Reports Server (NTRS)

    Lietzke, K. R.; Stevenson, P. A.

    1974-01-01

    The utility of an ERS system as an effective tool in land use management is analyzed. The potential new capabilities of a space based ERS system are qualitatively examined. A variety of resource management functions are postulated within which ERTS activities might occur and the present ERS investigations in these areas are outlined.

  10. Explosive Pulsed Power Experiments At The Phillips Laboratory

    DTIC Science & Technology

    1997-06-01

    Weapons and Survivability Directorate Phillips Laboratory Kirtland AFB, NM 87117 J. Graham, W. Sornrnars Albuquerque Division Maxwell Technologies... Phillips Laboratory Kirtland AFB, NM 87117 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10...pulse shaping/impedance matching systems are discussed. Introduction Air Force missions utilizing pulsed power technology increasingly require the

  11. Internet Point of Care Learning at a Community Hospital

    ERIC Educational Resources Information Center

    Sinusas, Keith

    2009-01-01

    Introduction: Internet point of care (PoC) learning is a relatively new method for obtaining continuing medical education credits. Few data are available to describe physician utilization of this CME activity. Methods: We describe the Internet point of care system we developed at a medium-sized community hospital and report on its first year of…

  12. Impact of the residential conservation service program on natural gas and electric utilities. Appendix B

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

    Not Available

    An assessment of the RCS program is provided from the perspective of eleven case study utilities. First, an introduction to the role and value of conservation in utility strategic planning is presented. The interplay of various utility system characteristics is shown to be the primary determinant of the value of conservation efforts from the utility's point of view. Simplified typologies of utilities are developed to aid in the identification of those combinations of the utility characteristics that will favor the adoption of the utility sponsored strategic conservation efforts. The integration of the RCS program with other utility conservation and loadmore » management programs is explored for the eleven case study utilities. Reference is made to the simplified typologies in order to show, through actual program experience, how the strategic position of the utility company affects its adoption of this federal program. Evaluative studies done by the eleven case study utilities of the RCS program are reviewed. Results are presented and the methodologies are critiqued. Conclusions regarding the RCS program from the utility perspective are presented.« less

  13. An introduction to analyzing dichotomous outcomes in a longitudinal setting: a NIDRR traumatic brain injury model systems communication.

    PubMed

    Pretz, Christopher R; Ketchum, Jessica M; Cuthbert, Jeffery P

    2014-01-01

    An untapped wealth of temporal information is captured within the Traumatic Brain Injury Model Systems National Database. Utilization of appropriate longitudinal analyses can provide an avenue toward unlocking the value of this information. This article highlights 2 statistical methods used for assessing change over time when examination of noncontinuous outcomes is of interest where this article focuses on investigation of dichotomous responses. Specifically, the intent of this article is to familiarize the rehabilitation community with the application of generalized estimating equations and generalized linear mixed models as used in longitudinal studies. An introduction to each method is provided where similarities and differences between the 2 are discussed. In addition, to reinforce the ideas and concepts embodied in each approach, we highlight each method, using examples based on data from the Rocky Mountain Regional Brain Injury System.

  14. Estimating the rate of biological introductions: Lessepsian fishes in the Mediterranean.

    PubMed

    Belmaker, Jonathan; Brokovich, Eran; China, Victor; Golani, Daniel; Kiflawi, Moshe

    2009-04-01

    Sampling issues preclude the direct use of the discovery rate of exotic species as a robust estimate of their rate of introduction. Recently, a method was advanced that allows maximum-likelihood estimation of both the observational probability and the introduction rate from the discovery record. Here, we propose an alternative approach that utilizes the discovery record of native species to control for sampling effort. Implemented in a Bayesian framework using Markov chain Monte Carlo simulations, the approach provides estimates of the rate of introduction of the exotic species, and of additional parameters such as the size of the species pool from which they are drawn. We illustrate the approach using Red Sea fishes recorded in the eastern Mediterranean, after crossing the Suez Canal, and show that the two approaches may lead to different conclusions. The analytical framework is highly flexible and could provide a basis for easy modification to other systems for which first-sighting data on native and introduced species are available.

  15. Solar-hydrogen energy system for Pakistan

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

    Lutfi, N.

    1990-01-01

    A solar-hydrogen energy system has been proposed for Pakistan as the best replacement for the present fossil fuel based energy system. It has been suggested to produce hydrogen via photovoltaic-electrolysis, utilizing the available non-agricultural sunny terrain in Baluchistan region. There will be a desalination plant for sea water desalination. The area under the photovoltaic panels with the availability of water would provide suitable environment for growing some cash crops. This would change the cast useless desert land into green productive farms. In order to show the quantitative benefits of the proposed system, future trends of important energy and economical parametersmore » have been studied with and without hydrogen introduction. The following parameters have been included: population, energy demand (fossil + hydrogen), energy production (fossil + hydrogen), gross national product, fossil energy imports, world energy prices, air pollution, quality of life, environmental savings due to hydrogen introduction, savings due to the higher utilization efficiency of hydrogen, by-product credit, agricultural income, income from hydrogen sale, photovoltaic cell area, total land area, water desalination plant capacity, capital investment, operating and maintenance cost, and total income from the system. The results indicate that adopting the solar-hydrogen energy system would eliminate the import dependency of fossil fuels, increase gross product per capita, reduce pollution, improve quality of life and establish a permanent and clean energy system. The total annual expenditure on the proposed system is less than the total income from the proposed system. The availability of water, the cash crop production, electricity and hydrogen would result in rapid development of Baluchistan, the largest province of Pakistan.« less

  16. Introduction to the computational structural mechanics testbed

    NASA Technical Reports Server (NTRS)

    Lotts, C. G.; Greene, W. H.; Mccleary, S. L.; Knight, N. F., Jr.; Paulson, S. S.; Gillian, R. E.

    1987-01-01

    The Computational Structural Mechanics (CSM) testbed software system based on the SPAR finite element code and the NICE system is described. This software is denoted NICE/SPAR. NICE was developed at Lockheed Palo Alto Research Laboratory and contains data management utilities, a command language interpreter, and a command language definition for integrating engineering computational modules. SPAR is a system of programs used for finite element structural analysis developed for NASA by Lockheed and Engineering Information Systems, Inc. It includes many complementary structural analysis, thermal analysis, utility functions which communicate through a common database. The work on NICE/SPAR was motivated by requirements for a highly modular and flexible structural analysis system to use as a tool in carrying out research in computational methods and exploring computer hardware. Analysis examples are presented which demonstrate the benefits gained from a combination of the NICE command language with a SPAR computational modules.

  17. A Simultaneous Density-Integral System for Estimating Stem Profile and Biomass: Slash Pine and Willow Oak

    Treesearch

    Bernard R. Parresol; Charles E. Thomas

    1996-01-01

    In the wood utilization industry, both stem profile and biomass are important quantities. The two have traditionally been estimated separately. The introduction of a density-integral method allows for coincident estimation of stem profile and biomass, based on the calculus of mass theory, and provides an alternative to weight-ratio methodology. In the initial...

  18. A Neuroprosthesis System Utilizing Optical Spatial Feedback Control

    DTIC Science & Technology

    2004-03-19

    tetraplegia, muscular dystrophy, amyotrophic lateral sclerosis (i.e., “Lou Gehrig’s disease ”), and other neurological or musculoskeletal disease ...commonly used by individuals with high tetraplegia, muscular dystrophy, amyotrophic lateral sclerosis (i.e., “Lou Gehrig’s disease ”), and other...neurological or musculoskeletal disease . - 5 - REPORT ORGANIZATION This report is organized into the following sections: 1. Introduction: An

  19. Genetics of solvent-producing clostridia. Final technical report

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

    NONE

    Specific Aims 1 and 2 of the original project proposal were specifically addressed during this project period. This involved the development of the pCAK1 phagemid delivery vector, refinement of the C. acetobutylicum electroporation protocol, selection and characterization of the engB cellulase gene from C. cellulovorans and the introduction and successful expression of this heterologous engB gene from C. cellulovorans in C. acetobutylicum. The successful expression of a heterologous engB gene from C. cellulovorans in C. acetobutylicum ATCC 824 has important industrial significance for the utilization of cellulose by this ABE fermentation microorganism. Conversion efficiency testing of the developed recombinant strainsmore » in batch and continuous culture (Specific Aim 3) will be carried out once suitable strains have been developed which can utilize cellulose as sole carbon source. The functionality of pCAK1 in the E. coli host system, especially in generating ssDNA, in the absence of impairing E. coli cell viability, together with successful introduction of pCAK1 into C. acetobutylicum and C. perfringens is the basis for the construction of a M13-like genetic system for the genus Clostridium and is expected to allow for more sophisticated molecular genetic analysis of this genus.« less

  20. Human Capital in the United States from 1975 to 2000: Patterns of Growth and Utilization.

    ERIC Educational Resources Information Center

    Haveman, Robert H.; Bershadker, Andrew; Schwabish, Jonathan A.

    This book provides an introduction to earnings capacity (EC), a measurement of human capital, and its application to a research study of potential earned annual income over a 25-year period. Focus is on qualitative aspects of EC such as race, age, gender and education and its utilization. Chapter 1 is an introduction. Chapter 2 reviews existing…

  1. Rejection of an innovation: health information management training materials in east Africa.

    PubMed

    Gladwin, J; Dixon, R A; Wilson, T D

    2002-12-01

    A shift towards decentralization in many low-income countries has meant more skills are demanded of primary health care managers, including data and information handling at all levels of the health care system. Ministries of Health are changing their central reporting health information systems to health management information systems with emphasis on managers utilizing information at the point of collection. This paper reports on a research study to investigate the introduction of new information management strategies intended to promote an informational approach to management at the operational health service level in low-income countries. It aims to understand the process taking place when externally developed training materials (PHC MAP), which are intended to strengthen health management information systems, are introduced to potential users in an east African country. A case study has been undertaken and this research has demonstrated that the dynamic equilibrium approach to organizational change is applicable to the introduction of new information management strategies and management approaches in low-income countries. Although PHC MAP developers envisaged a technical innovation needing implementation, potential users saw the situation as one of organizational change. Contributions to theory have been made and many implications for introducing new information systems or the informational approach to management are identified. This theoretical framework could also facilitate the introduction of future information management innovations and would allow practitioners to perceive the introduction of information management innovations as one of organizational change that needs to be managed. Consequently, issues that may facilitate or inhibit adoption could be identified in advance.

  2. Long-term commitment of Japanese gas utilities to PAFCs and SOFCs

    NASA Astrophysics Data System (ADS)

    Matsumoto, Kiyokazu; Kasahara, Komei

    Tokyo Gas and Osaka Gas have been committed to addressing the energy- and environment-related issues of Japan through promotion of natural gas, an energy friendly to the environment. Being aware of the diversifying market needs (e.g. efficient energy utilization, rising demand for electricity, etc.), active efforts have been made in marketing gas-fired air-conditioning and co-generation systems. In this process, a high priority has also been placed on fuel cells, particularly for realizing their market introduction. Since their participation in the TARGET Program in USA in 1972, the two companies have been involved with the field testing and operation of phosphoric acid fuel cells (PAFCs), whose total capacity has amounted to 12.4 MW. The two companies have played a vital role in promoting and accelerating fuel cell development through the following means: (1) giving incentives to manufacturers through purchase of units and testing, (2) giving feedback on required specifications and technical problems in operation, and (3) verifying and realizing long-term operation utilizing their maintenance techniques. It has been expected that the primary goal of the cumulative operation time of 40 000 h shall be achieved in the near future. Work has also been in progress to develop SOFC. In the joint R&D of a 25-kW solid oxide fuel cell (SOFC) with Westinghouse, the record operation time of 13 000 h has been achieved. Though still twice as much as the average price of competing equipment, the commercialization of PAFCs is close at hand. By utilizing government spending and subsidies for field testing, work will be continued to verify reliability and durability of PAFCs installed at users' sites. These activities have been expected to contribute to realizing economically viable systems and enhance market introduction. The superlative advantages of fuel cells, particularly their environment-friendly qualities, should be best taken advantage of at an appropriate time. In order to achieve smooth introduction of fuel cells into the market, immediate action is seriously needed to re-examine the roles of users, manufacturers, and governments, thereby consolidating the efforts of the parties concerned in the most effective manner.

  3. Modeling of coupling mechanism of wireless power transfer system and vibration phenomenon of receiver-coil in three-coil system

    NASA Astrophysics Data System (ADS)

    Liu, Suqi; Tan, Jianping; Wen, Xue

    2017-11-01

    Wireless power transfer (WPT) via coupled magnetic resonances has become a focus recently, but the mechanisms responsible for such work are uncertain. We found that WPT system is a self-organization system by utilizing self-organization theory to judge. Firstly, the circuit model was established and transfer characteristic of a system was researched by utilizing circuit theories. Thus, with the introduction of entropy variable S, the energy equation of state can be established from the energy of the transmitter side and the energy of the receiver side. According to the energy equation of state, this paper obtains two equations when the reactance of the transmitter side and the receiver side equate to zero respectively. The vibration phenomenon of the receiver-coil in a three-coil WPT system was predicted and explained. Our findings illuminate the unusual self-organization in the WPT system and explain the vibration phenomenon of the receiver-coil in a three-coil WPT system.

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

    DTIC Science & Technology

    1974-12-01

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

  5. Introduction: Man and his total environment

    NASA Technical Reports Server (NTRS)

    1977-01-01

    Environmental changes and the utilization of finite resources are analyzed. Beyond the satisfaction of basic physical needs, the advancement of civilization toward an ever-improving quality of like is likewise dependent upon mans' interaction with his entire environment. This larger system is controlled externally by electromagnetic and particle energy from the sun and internally by the dynamic interchange of energy between the solid earth, oceans, the atmosphere, and the magnetosphere. This exchange of energy that determines the structure of the earth's environemental system is evaluated.

  6. Introducing Products to DoD Using Specifications and Standards

    DTIC Science & Technology

    2011-08-18

    to utilize the Product Introduction Tool. Search ~Favorites .S » Links ~Customize Links ~ EDS-NMCI ~Free Hotmail Product Introduction Process User...the Product Introduction Tool. Search ~Favorites .S » Links ~Customize Links ~ EDS-NMCI ~Free Hotmail Product Introduction Process User Pol icy...Links i1 EDS-NMCI ~ Free Hotmail i] I] Go ldentitify Categories/Subcategories Identify the category/subcategory that most closely covers your

  7. Increasing the efficiency of the process of snow mass utilization from the urban infrastructure and reducing the negative impact on the environment through the introduction of an installation for the utilization of snow mass

    NASA Astrophysics Data System (ADS)

    Dovbysh, V. O.; Burakova, L. N.; Burakova, A. D.

    2018-01-01

    The article raises the problem of the maintenance of the urban area in winter, namely, the problem of disposal of snow masses from the urban area. The article describes the main disadvantages of the existing snow-melting systems for the utilization of city snow mass and are encouraged to develop an installation for melting of snow, functioning at the expense of power consumption. The developed installation allows to reduce the noise level during its operation, to exclude the influence of exhaust gases on the environment, therefore, to improve the environmental safety of the urban infrastructure.

  8. Thermal power systems small power systems applications project. Decision analysis for evaluating and ranking small solar thermal power system technologies. Volume 1: A brief introduction to multiattribute decision analysis. [explanation of multiattribute decision analysis methods used in evaluating alternatives for small powered systems

    NASA Technical Reports Server (NTRS)

    Feinberg, A.; Miles, R. F., Jr.

    1978-01-01

    The principal concepts of the Keeney and Raiffa approach to multiattribute decision analysis are described. Topics discussed include the concepts of decision alternatives, outcomes, objectives, attributes and their states, attribute utility functions, and the necessary independence properties for the attribute states to be aggregated into a numerical representation of the preferences of the decision maker for the outcomes and decision alternatives.

  9. Blind Signal Classification via Spare Coding

    DTIC Science & Technology

    2016-04-10

    recall and 14.1% false alarm. I. INTRODUCTION Cognitive radios have emerged over the last decade as a new means to share radio spectrum, the most...utility of radio spectrum resources. Much of contemporary research has viewed cognitive radios as the secondary user of a licensed channel and...the applica- bility of cognitive radios for tactical networking seems even more adequate. The primary advocate for tactical cognitive radio systems

  10. Food Irradiation Update and Cost Analysis

    DTIC Science & Technology

    1991-11-01

    Natick). Significant contributions were made by Dr. Irwin Taub and Mr. Christopher Rees of the Technology Acquisition Division, Food Engineering...stability. 5 Food Irradiation Update C-ost Analysis I. Introduction In the book The Physioloqy of Taste (1825), one of the pioneers of gastronomy ...review of the utility that radiation preserved foods might offer the military food service system. To date, this technology has seen limited use in the

  11. The use of Zero-valent iron biosand filters to reduce E. coli O157:H12 in irrigation water applied to spinach plants in a field setting

    USDA-ARS?s Scientific Manuscript database

    Contaminated irrigation water is a potential source for the introduction of foodborne pathogens on to produce commodities. Zero-valent iron (ZVI) may provide a simple cheap method to mitigate the contamination of produce groups through irrigation water. A small field scale system was utilized to e...

  12. Air Force Aerospace Medicine Enterprise Ambulatory Medical Care Survey

    DTIC Science & Technology

    2014-03-01

    aerospace medicine • utilization • health care • Air Force Introduction The planning and management of health care delivery is becoming increasingly...preferences and to adhere to the prescribed regimen. In the broader context of heath care systems, managers and policy makers influence budget and...providers, managers , policy makers, and researchers on the effectiveness of health care organization, patterns of service use, quality of care, health

  13. Design and Testing of a One-Meter Membrane Mirror with Active Boundary Control (Conference Proceedings)

    DTIC Science & Technology

    2005-08-01

    One type of setup looked into in the past has been the lenticular design, which consists of a clear canopy attached to a reflective film that uses...class lenticular membrane mirror system utilizing active boundary control and stress-coating applications to form a usable aperture for visible...imaging applications. Keywords: Membrane mirror, boundary control, lenticular , lightweight 1. INTRODUCTION Analysis has been conducted to

  14. Proceedings of the International Workshop on the Foundations of Service-Oriented Architecture (FSOA 2007)

    DTIC Science & Technology

    2008-06-01

    agenda are summarized. x | CMU/SEI-2008-SR-011 SOFTWARE ENGINEERING INSTITUTE | 1 1 Introduction Service -oriented architecture (SOA... service -provision software systems. In this po- sition paper, we investigate an initial classification of challenge areas related to service orientation...decade we have witnessed a significant growth of software applications that are de- livered in the form of services utilizing a network infrastructure

  15. Compressor Stability and Control: Review and Practical Implications

    DTIC Science & Technology

    2001-06-01

    and control technology is being built. 1. INTRODUCTION The concept of a ’smart engine ’, which utilizes augmented sensing, actuation, and computational...research mix. Concentration has been primarily on combustion control, and on stability and control of compressors and compression systems. The latter...at least a functional description of the processes at work during stall inception can effective control Paper presented at the RTO A VT Symposium on

  16. Chitin Lengthens Power Production in a Sedimentary Microbial Fuel Cell

    DTIC Science & Technology

    2014-01-01

    sulfate-reducing bacteria; marine I. INTRODUCTION Ocean-based energy recovery devices are often based on kinetic or solar energy harvesting . In...enhancement would scale with an increase in system size. More work is also planned on improving energy harvesting efficiency and understanding the...utilization by marine bacteria. Degradation and catabolism of chitin oligosaccharides by Vibrio furnissii,” J Biol Chem, 1991. vol 266, pp. 24276-24286

  17. Budget impact and cost-utility analysis of universal infant rotavirus vaccination in Spain.

    PubMed

    Imaz, Iñaki; Rubio, Beltrán; Cornejo, Ana M; González-Enríquez, Jesús

    2014-04-01

    Rotavirus is not included in the Spanish mass infant vaccination schedule but has also not been economically evaluated for its inclusion. We analysed cost-utility of the universal infant rotavirus vaccination using RotaTeq® versus no vaccination in Spain. We also carried out a budget impact analysis and determined the effect on results of different variables introduced in the model. A deterministic Markov model was built considering loss of quality of life for children and their parents, and introducing direct and indirect costs updated to 2011. The introduction of the vaccination using RotaTeq® as a universal infant vaccination would increase the annual health care budget in 10.43 million euro and would result in a gain of an additional Quality Adjusted Life Year at a cost of 280,338€ from the healthcare system perspective and 210,167€ from the societal perspective. The model was stable to variable modifications. To sum up, according to our model and estimates, the introduction of a universal infant rotavirus vaccination with RotaTeq® in Spain would cause a large impact on the health care budget and would not be efficient unless significant variations in vaccine price, vaccine efficacy and/or utilities took place. Copyright © 2013 Elsevier Inc. All rights reserved.

  18. The EVOTION Decision Support System: Utilizing It for Public Health Policy-Making in Hearing Loss.

    PubMed

    Katrakazas, Panagiotis; Trenkova, Lyubov; Milas, Josip; Brdaric, Dario; Koutsouris, Dimitris

    2017-01-01

    As Decision Support Systems start to play a significant role in decision making, especially in the field of public-health policy making, we present an initial attempt to formulate such a system in the concept of public health policy making for hearing loss related problems. Justification for the system's conceptual architecture and its key functionalities are presented. The introduction of the EVOTION DSS sets a key innovation and a basis for paradigm shift in policymaking, by incorporating relevant models, big data analytics and generic demographic data. Expected outcomes for this joint effort are discussed from a public-health point of view.

  19. Evaluation of a multifunctional technology system in a memory care unit: Opportunities for innovation in dementia care

    PubMed Central

    Lazar, Amanda; Demiris, George; Thompson, Hilaire J.

    2016-01-01

    Introduction Stimulating recreational and leisure activities (RLAs) are essential to physical and mental well-being; however, people living in memory care units (MCUs) may lack access to them. Technology has the potential to facilitate and enrich activity engagement in this context. Objectives In this 6-month study, we evaluated a commercially available system designed to encourage the engagement of people with dementia in activities and social interactions, using a mixed-methods approach in a MCU. Methods Quantitative measures included those to evaluate cognition, depression, quality of life, and resource utilization. We qualitatively evaluated the system using semi-structured interviews with family members and staff. Five residents with dementia, four family members, and seven staff were included in the 6-month study. Results Staff and family members reported benefits for residents such as enjoyment, interactions and connections with others, and mental stimulation. Findings also highlight challenges such as technical and ethical concerns. Factors that influence system use and integration are also discussed. Conclusion It was feasible to introduce a system designed for recreation and engagement in a MCU, and staff, family members, and residents experienced benefits. However, barriers existed in the introduction and use of the system. PMID:26819070

  20. Determinants of Mental Health Services Utilization Among Deployed Service Members and Their Families

    DTIC Science & Technology

    2008-02-11

    Introduction Health and the Purpose of a Health Care System The World Health Organization (WHO) defines health as "a state of complete physical , mental and...surgical conditions, pharmacy services, physical examinations, dental care, and diagnostic, laboratory and radiological tests and services. There...over 23,000 have returned home with physical injuries and a range of permanent disabilities; e.g., limb loss, burns and traumatic brain injury (APA

  1. Telelearning Models: Expanding the Community College Community. Nine Case Studies Showing How Colleges, Alone or in Partnerships, Creatively Utilize New Delivery Systems to Reach a Variety of Student Clienteles. AACJC Issues Series No. 3.

    ERIC Educational Resources Information Center

    Zigerell, James, Ed.

    Each of the nine articles in this monograph demonstrates the use of a particular telecommunications technology, or a mixture of technologies and media at particular community colleges. Following an introduction by James Zigerell, the monograph presents (1) "Teleconferencing: The Homebound Project at Rio Salado College," by Helen Sprawls, which…

  2. Countermeasure for Surplus Electricity of PV using Replacement Battery of EVs

    NASA Astrophysics Data System (ADS)

    Takagi, Masaaki; Iwafune, Yumiko; Yamamoto, Hiromi; Yamaji, Kenji; Okano, Kunihiko; Hiwatari, Ryouji; Ikeya, Tomohiko

    In the power sector, the national government has set the goal that the introduction of PV reaches 53 million kW by 2030. However, large-scale introduction of PV will cause several problems in power systems such as surplus electricity. We need large capacity of pumped storages or batteries for the surplus electricity, but the construction costs of these plants are very high. On the other hand, in the transport sector, Electric Vehicle (EV) is being developed as an environmentally friendly vehicle. To promote the diffusion of EV, it is necessary to build infrastructures that can charge EV in a short time; a battery switch station is one of the solutions to this problem. At a station, the automated switch platform will replace the depleted battery with a fully-charged battery. The depleted battery is placed in a storage room and recharged to be available to other drivers. In this study, we propose the use of station's battery as a countermeasure for surplus electricity of PV and evaluate the economic value of the proposed system. We assumed that 53 million kW of PV is introduced in the nationwide power system and considered two countermeasures for surplus electricity: (1) Pumped storage; (2) Battery of station. The difference in total annual cost between Pumped case and Battery case results in 792.6 billion yen. Hence, if a utility leases the batteries from stations fewer than 792.6 billion yen, the utility will have the cost advantage in Battery case.

  3. Perspectives on utilization of community based health information systems in Western Kenya.

    PubMed

    Flora, Otieno Careena; Margaret, Kaseje; Dan, Kaseje

    2017-01-01

    Health information systems (HIS) are considered fundamental for the efficient delivery of high quality health care. However, a large number of legal and practical constraints influence the design and introduction of such systems. The inability to quantify and analyse situations with credible data and to use data in planning and managing service delivery plagues Africa. Establishing effective information systems and using this data for planning efficient health service delivery is essential to district health systems' performance improvement. Community Health Units in Kenya are central points for community data collection, analysis, dissemination and use. In Kenya, data tend to be collected for reporting purposes and not for decision-making at the point of collection. This paper describes the perspectives of local users on information use in various socio-economic contexts in Kenya. Information for this study was gathered through semi-structured interviews. The interviewees were purposefully selected from various community health units and public health facilities in the study area. The data were organized and analysed manually, grouping them into themes and categories. Information needs of the community included service utilization and health status information. Dialogue was the main way of information utilization in the community. However, health systems and personal challenges impeded proper collection and use of information. The challenges experienced in health information utilization may be overcome by linkages and coordination between the community and the health facilities. The personal challenges can be remedied using a motivational package that includes training of the Community Health Workers.

  4. Space Shuttle Program: STS-1 Medical Report

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The necessity for developing medical standards addressing individual classes of Shuttle crew positions is discussed. For the U.S. manned program the conclusion of the Apollo era heralded the end of water recovery operations and the introduction of land-based medical operations. This procedural change marked a significant departure from the accepted postflight medical recovery and evaluation techniques. All phases of the missions required careful re-evaluation, identification of potential impact on preexisting medical operational techniques, and development of new methodologies which were carefully evaluated and tested under simulated conditions. Significant coordination was required between the different teams involved in medical operations. Additional dimensions were added to the concepts of medical operations, by the introduction of different toxic substances utilized by the Space Transportation Systems especially during ground operations.

  5. Living in the electronic age: musings on nearly two decades in Cyberspace.

    PubMed

    Gavrin, Jonathan R

    2009-01-01

    My journey through Cyberspace began about 20 years ago with an introduction to e-mail. A few years later, I had the good fortune of working with artificial intelligence engineers who were developing information retrieval techniques and expert systems. By serendipity this led to an early introduction to the World Wide Web (www) and the use of Web browsers as tools for gathering information, long before the Internet became commercialized. Internet content and form are now so omnipresent that they have affected our language in both amusing and utilitarian ways. We are entering an era where social networking, from personal to professional lives, is potentially a vibrant new direction for the Internet. Future articles for this feature will explore how to maximize the utility of the Internet.

  6. Effect of primary health care reforms in Turkey on health service utilization and user satisfaction.

    PubMed

    Hone, Thomas; Gurol-Urganci, Ipek; Millett, Christopher; Başara, Berrak; Akdağ, Recep; Atun, Rifat

    2017-02-01

    Strengthening primary health care (PHC) is considered a priority for efficient and responsive health systems, but empirical evidence from low- and middle-income countries is limited. The stepwise introduction of family medicine across all 81 provinces of Turkey (a middle-income country) between 2005 and 2010, aimed at PHC strengthening, presents a natural experiment for assessing the effect of family medicine on health service utilization and user satisfaction.The effect of health system reforms, that introduced family medicine, on utilization was assessed using longitudinal, province-level data for 12 years and multivariate regression models adjusting for supply-side variables, demographics, socio-economic development and underlying yearly trends. User satisfaction with primary and secondary care services was explored using data from annual Life Satisfaction Surveys. Trends in preferred first point of contact (primary vs secondary, public vs. private), reason for choice and health services issues, were described and stratified by patient characteristics, provider type, and rural/urban settings.Between 2002 and 2013, the average number of PHC consultations increased from 1.75 to 2.83 per person per year. In multivariate models, family medicine introduction was associated with an increase of 0.37 PHC consultations per person (P < 0.001), and slower annual growth in PHC and secondary care consultations. Following family medicine introduction, the growth of PHC and secondary care consultations per person was 0.08 and 0.30, respectively, a year. PHC increased as preferred provider by 9.5% over 7 years with the reasons of proximity and service satisfaction, which increased by 14.9% and 11.8%, respectively. Reporting of poor facility hygiene, difficulty getting an appointment, poor physician behaviour and high costs of health care all declined (P < 0.001) in PHC settings, but remained higher among urban, low-income and working-age populations. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  7. Changes in antimicrobial prescribing behavior after the introduction of the antimicrobial stewardship program: A pre- and post-intervention survey.

    PubMed

    Chavada, Ruchir; Walker, Harry N; Tong, Deborah; Murray, Amy

    2017-10-02

    The introduction of an antimicrobial stewardship (AMS) program is associated with a change in antimicrobial prescribing behavior. A proposed mechanism for this change is by impacting the prescribing etiquette described in qualitative studies. This study sought to detect a change in prescribing attitudes 12 months after the introduction of AMS and gauge utility of various AMS interventions. Surveys were distributed to doctors in two regional Australian hospitals on a convenience basis 6 months before, and 12 months after, the introduction of AMS. Agreement with 20 statements describing attitudes (cultural, behavioral and knowledge) towards antimicrobial prescribing was assessed on a 4-point Likert scale. Mean response scores were compared using the Wilcoxon Rank sum test. 155 responses were collected before the introduction of AMS, and 144 afterwards. After the introduction of AMS, an increase was observed in knowledge about available resources such as electronic decision support systems (EDSS) and therapeutic guidelines, with raised awareness about the support available through AMS rounds and the process to be followed when prescribing restricted antimicrobials. Additionally, doctors were less likely to rely on pharmacy to ascertain when an antimicrobial was restricted, depend on infectious diseases consultant advice and use past experience to guide antimicrobial prescribing. Responses to this survey indicate that positive changes to the antimicrobial prescribing etiquette may be achieved with the introduction of an AMS program. Use of EDSS and other resources such as evidence-based guidelines are perceived to be important to drive rational antimicrobial prescribing within AMS programs.

  8. An introduction to the Astro Edge solar array

    NASA Technical Reports Server (NTRS)

    Spence, B. R.; Marks, G. W.

    1994-01-01

    The Astro Edge solar array is a new and innovative low concentrator power generating system which has been developed for applications requiring high specific power, high stiffness, low risk, light modular construction which utilizes conventional materials and technology, and standard photovoltaic solar cells and laydown processes. Mechanisms, restraint/release devices, wiring harnesses, substrates, and support structures are designed to be simple, functional, lightweight, and modular. A brief overview of the Astro Edge solar array is discussed.

  9. Learning from Error

    DTIC Science & Technology

    1988-01-01

    AD-A 199 117 . fNOooN - 6 -JS/_~ Learning from Error Colleen M. Seifert . . i’ UCSDand NPRDC L" , Edwin L. Hutchins UCSD -,- -" Introduction Most...always rely on learning on the job, and where there is the need for learning , there is potential for error. A naturally situated system of cooperative work...reorganized, change the things they do, and change the technology they utilize to do the job. Even if tasks and tools could be somehow frozen, changes in

  10. Assessment of the components of the Kalimantan and Sulawesi power development project: Volume 2. Export trade information

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

    NONE

    1998-03-31

    This report, conducted by Utility Consulting was funded by the US Trade and Development Agency. The report concerns a power development project on the islands of Kalimantan and Sulawesi. This is TDA Volume 2, the main text (Report Volume 1), and it includes the following: (1) Introduction; (2) Transmission line and substation investment plan; (3) The distribution component; (4) Telecommunications; (5) PLN information systems; and Appendix: Figures and tables.

  11. Vertical equity of healthcare in Taiwan: health services were distributed according to need

    PubMed Central

    2013-01-01

    Introduction To test the hypothesis that the distribution of healthcare services is according to health need can be achieved under a rather open access system. Methods The 2001 National Health Interview Survey of Taiwan and National Health Insurance claims data were linked in the study. Health need was defined by self-perceived health status. We used Concentration index to measure need-related inequality in healthcare utilization and expenditure. Results People with greater health need received more healthcare services, indicating a pro-need character of healthcare distribution, conforming to the meaning of vertical equity. For outpatient service, subjects with the highest health need had higher proportion of ever use in a year than those who had the least health need and consumed more outpatient visits and expenditures per person per year. Similar patterns were observed for emergency services and hospitalization. The concentration indices of utilization for outpatient, emergency services, and hospitalization suggest that the distribution of utilization was related to health need, whereas the preventive service was less related to need. Conclusions The universal coverage plus healthcare networking system makes it possible for healthcare to be utilized according to need. Taiwan’s experience can serve as a reference for health reform. PMID:23363855

  12. The effect of clock, media, and station location errors on Doppler measurement accuracy

    NASA Technical Reports Server (NTRS)

    Miller, J. K.

    1993-01-01

    Doppler tracking by the Deep Space Network (DSN) is the primary radio metric data type used by navigation to determine the orbit of a spacecraft. The accuracy normally attributed to orbits determined exclusively with Doppler data is about 0.5 microradians in geocentric angle. Recently, the Doppler measurement system has evolved to a high degree of precision primarily because of tracking at X-band frequencies (7.2 to 8.5 GHz). However, the orbit determination system has not been able to fully utilize this improved measurement accuracy because of calibration errors associated with transmission media, the location of tracking stations on the Earth's surface, the orientation of the Earth as an observing platform, and timekeeping. With the introduction of Global Positioning System (GPS) data, it may be possible to remove a significant error associated with the troposphere. In this article, the effect of various calibration errors associated with transmission media, Earth platform parameters, and clocks are examined. With the introduction of GPS calibrations, it is predicted that a Doppler tracking accuracy of 0.05 microradians is achievable.

  13. [Present state and problems of work environment control in the workplaces using hazardous materials based on the Occupational Safety and Health Act in Japan].

    PubMed

    Hori, Hajime

    2013-10-01

    In Japan, working environment measurement is prescribed in the designated workplaces using hazardous materials. Measurements should be carried out periodically and countermeasures are performed depending on the results. By introducing such a system, working environments have remarkably improved. However, in the designated workplaces, measurements should be continued even in work environments found safe. On the other hand, measurement need not be obliged for non-designated workplaces even if hazardous materials are utilized.In the United States of America and many European countries, work environment management and work management are carried out by measuring personal exposure concentrations. In Japan, the Ministry of Health, Labour and Welfare is now discussing the introduction of personal exposure monitoring. However, many problems exist to prevent the simple introduction of American and European methods. This paper describes the brief history, present state and problems of work environment control in Japan, comparing with the systems of American and European countries.

  14. Aktiv De-Orbiting Onboard System from Leo of Upper Stages of Launchers

    NASA Astrophysics Data System (ADS)

    Trushlyakov, V.; Shalay, V.; Shatrov, J.; Jakovlev, M.; Kostantino, A.

    2009-03-01

    The active de-orbiting onboard system (VDOS) of upper separable parts (USP) stage of launchers from LEO into orbits of utilization with term of existence orbital lifetimes till 25 years is offered. ADOS it is based on use of power resources of not produced rests of liquid fuel onboard USP launchers with liquid propulsion module (LPM). Following systems enter in structure VDOS: the gas jet propulsion system consisting of a system of gasification, chambers of gas engines (GE), a control system. For gasification of the rests of liquid fuel the heat-carrier received in the autonomous gas generator is used. The gasification propellant components from each tank with temperature and the pressure determined by strength of the corresponding tank, move in chambers of the GE established on a top of a fuel compartment. After separation of a payload execute twist USP for preservation of its position in the space by activity of the GE. Ways of increase of a system effectiveness of gasification are offered by superposition on the entered heat-carrier of ultrasonic oscillations, and also introduction in gaseous fuel nanopowder of aluminum. The volume of adaptations of construction USP, connected with introduction VDOS does not exceed 5 % from weight of a dry construction.

  15. Building a citywide, all-payer, hospital claims database to improve health care delivery in a low-income, urban community.

    PubMed

    Gross, Kennen; Brenner, Jeffrey C; Truchil, Aaron; Post, Ernest M; Riley, Amy Henderson

    2013-01-01

    Developing data-driven local solutions to address rising health care costs requires valid and reliable local data. Traditionally, local public health agencies have relied on birth, death, and specific disease registry data to guide health care planning, but these data sets provide neither health information across the lifespan nor information on local health care utilization patterns and costs. Insurance claims data collected by local hospitals for administrative purposes can be used to create valuable population health data sets. The Camden Coalition of Healthcare Providers partnered with the 3 health systems providing emergency and inpatient care within Camden, New Jersey, to create a local population all-payer hospital claims data set. The combined claims data provide unique insights into the health status, health care utilization patterns, and hospital costs on the population level. The cross-systems data set allows for a better understanding of the impact of high utilizers on a community-level health care system. This article presents an introduction to the methods used to develop Camden's hospital claims data set, as well as results showing the population health insights obtained from this unique data set.

  16. Assessing Inactivated Polio Vaccine Introduction and Utilization in Kano State, Nigeria, April-November 2015.

    PubMed

    Osadebe, Lynda U; MacNeil, Adam; Elmousaad, Hashim; Davis, Lora; Idris, Jibrin M; Haladu, Suleiman A; Adeoye, Olorunsogo B; Nguku, Patrick; Aliu-Mamudu, Uneratu; Hassan, Elizabeth; Vertefeuille, John; Bloland, Peter

    2017-07-01

    Kano State, Nigeria, introduced inactivated polio vaccine (IPV) into its routine immunization (RI) schedule in March 2015 and was the pilot site for an RI data module for the National Health Management Information System (NHMIS). We determined factors impacting IPV introduction and the value of the RI module on monitoring new vaccine introduction. Two assessment approaches were used: (1) analysis of IPV vaccinations reported in NHMIS, and (2) survey of 20 local government areas (LGAs) and 60 associated health facilities (HF). By April 2015, 66% of LGAs had at least 20% of HFs administering IPV, by June all LGAs had HFs administering IPV and by July, 91% of the HFs in Kano reported administering IPV. Among surveyed staff, most rated training and implementation as successful. Among HFs, 97% had updated RI reporting tools, although only 50% had updated microplans. Challenges among HFs included: IPV shortages (20%), hesitancy to administer 2 injectable vaccines (28%), lack of knowledge on multi-dose vial policy (30%) and age of IPV administration (8%). The introduction of IPV was largely successful in Kano and the RI module was effective in monitoring progress, although certain gaps were noted, which should be used to inform plans for future vaccine introductions. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.

  17. Construction of In-house Databases in a Corporation

    NASA Astrophysics Data System (ADS)

    Koga, Kunitoshi; Kijima, Seiichi

    The rapid technological innovation and alternation of the economical society have increased the importance of obtaining the accurate information promptly in order to make a timely decision. Therefore, UBE Industries Ltd. has developed “UMATIS”, an information manegement system, since July in 1985, where not only the technical but also manegerial information is accumulated and one can obtain it quickly as occasion demands. In addition to the brief introduction of an outline and the progress of the system, this gives the detailed description of the contents of the registered items, the indexing method, the utilization of retrieval, the manegerial method and so on in the main technical information system. The personal relation information system and the inorgnanic material data base system are also explained briefly.

  18. Use of graphics in the design office at the Military Aircraft Division of the British Aircraft Corporation

    NASA Technical Reports Server (NTRS)

    Coles, W. A.

    1975-01-01

    The CAD/CAM interactive computer graphics system was described; uses to which it has been put were shown, and current developments of the system were outlined. The system supports batch, time sharing, and fully interactive graphic processing. Engineers using the system may switch between these methods of data processing and problem solving to make the best use of the available resources. It is concluded that the introduction of on-line computing in the form of teletypes, storage tubes, and fully interactive graphics has resulted in large increases in productivity and reduced timescales in the geometric computing, numerical lofting and part programming areas, together with a greater utilization of the system in the technical departments.

  19. CHAPTER 9: USING CENSUS DATA TO APPROXIMATE NEIGHBORHOOD EFFECTS

    EPA Science Inventory

    INTRODUCTION Despite the development of innovative neighborhood data collection methods, such as systematic social observation (1, 2), and the utilization of novel administrative data sources including delinquent tax records, homelessness shelter utilization, reports of housing ...

  20. Biological effects of exposure to magnetic resonance imaging: an overview

    PubMed Central

    Formica, Domenico; Silvestri, Sergio

    2004-01-01

    The literature on biological effects of magnetic and electromagnetic fields commonly utilized in magnetic resonance imaging systems is surveyed here. After an introduction on the basic principles of magnetic resonance imaging and the electric and magnetic properties of biological tissues, the basic phenomena to understand the bio-effects are described in classical terms. Values of field strengths and frequencies commonly utilized in these diagnostic systems are reported in order to allow the integration of the specific literature on the bio-effects produced by magnetic resonance systems with the vast literature concerning the bio-effects produced by electromagnetic fields. This work gives an overview of the findings about the safety concerns of exposure to static magnetic fields, radio-frequency fields, and time varying magnetic field gradients, focusing primarily on the physics of the interactions between these electromagnetic fields and biological matter. The scientific literature is summarized, integrated, and critically analyzed with the help of authoritative reviews by recognized experts, international safety guidelines are also cited. PMID:15104797

  1. Inequities in access to health care in different health systems: a study in municipalities of central Colombia and north-eastern Brazil

    PubMed Central

    2014-01-01

    Introduction Health system reforms are undertaken with the aim of improving equity of access to health care. Their impact is generally analyzed based on health care utilization, without distinguishing between levels of care. This study aims to analyze inequities in access to the continuum of care in municipalities of Brazil and Colombia. Methods A cross-sectional study was conducted based on a survey of a multistage probability sample of people who had had at least one health problem in the prior three months (2,163 in Colombia and 2,167 in Brazil). The outcome variables were dichotomous variables on the utilization of curative and preventive services. The main independent variables were income, being the holder of a private health plan and, in Colombia, type of insurance scheme of the General System of Social Security in Health (SGSSS). For each country, the prevalence of the outcome variables was calculated overall and stratified by levels of per capita income, SGSSS insurance schemes and private health plan. Prevalence ratios were computed by means of Poisson regression models with robust variance, controlling for health care need. Results There are inequities in favor of individuals of a higher socioeconomic status: in Colombia, in the three different care levels (primary, outpatient secondary and emergency care) and preventive activities; and in Brazil, in the use of outpatient secondary care services and preventive activities, whilst lower-income individuals make greater use of the primary care services. In both countries, inequity in the use of outpatient secondary care is more pronounced than in the other care levels. Income in both countries, insurance scheme enrollment in Colombia and holding a private health plan in Brazil all contribute to the presence of inequities in utilization. Conclusions Twenty years after the introduction of reforms implemented to improve equity in access to health care, inequities, defined in terms of unequal use for equal need, are still present in both countries. The design of the health systems appears to determine access to the health services: two insurance schemes in Colombia with different benefits packages and a segmented system in Brazil, with a significant private component. PMID:24479581

  2. Impact and utilization studies of a PACS display station in an ICU setting

    NASA Astrophysics Data System (ADS)

    Andriole, Katherine P.; Storto, Maria L.; Gamsu, Gordon; Huang, H. K.

    1996-05-01

    An assessment of changes in health-care professional behavior as a result of the introduction of a PACS (picture archiving and communication system) display station to an adult medical- surgical intensive care unit (ICU) is investigated via pre- and post-PACs evaluations. ICU display station utilization and the impact on clinical operations are also examined. Parameters measured both pre- and post-PACS ICU display station placement include the number of films per patient day, the number of clinician reviews of a patient's images per day and the percentage of images on which the unit interacts with a radiologist. The elapsed times from the time of exposure to the time of: review by the referring physician, radiologist-unit interaction and clinical action based on image information are also measured. The results of this investigation suggest that the introduction of a PaCS display station in the ICU may reduce the number of exams per patient day, decrease the elapsed time from the time of exposure to the time of review by the unit clinician, and improve the time to clinical action. Note, however, that it does not appear to change the percentage of total images on which the unit interacts with a radiologist.

  3. An electronic flight bag for NextGen avionics

    NASA Astrophysics Data System (ADS)

    Zelazo, D. Eyton

    2012-06-01

    The introduction of the Next Generation Air Transportation System (NextGen) initiative by the Federal Aviation Administration (FAA) will impose new requirements for cockpit avionics. A similar program is also taking place in Europe by the European Organisation for the Safety of Air Navigation (Eurocontrol) called the Single European Sky Air Traffic Management Research (SESAR) initiative. NextGen will require aircraft to utilize Automatic Dependent Surveillance-Broadcast (ADS-B) in/out technology, requiring substantial changes to existing cockpit display systems. There are two ways that aircraft operators can upgrade their aircraft in order to utilize ADS-B technology. The first is to replace existing primary flight displays with new displays that are ADS-B compatible. The second, less costly approach is to install an advanced Class 3 Electronic Flight Bag (EFB) system. The installation of Class 3 EFBs in the cockpit will allow aircraft operators to utilize ADS-B technology in a lesser amount of time with a decreased cost of implementation and will provide additional benefits to the operator. This paper describes a Class 3 EFB, the NexisTM Flight-Intelligence System, which has been designed to allow users a direct interface with NextGen avionics sensors while additionally providing the pilot with all the necessary information to meet NextGen requirements.

  4. Use of contextual inquiry to understand anatomic pathology workflow: Implications for digital pathology adoption

    PubMed Central

    Ho, Jonhan; Aridor, Orly; Parwani, Anil V.

    2012-01-01

    Background: For decades anatomic pathology (AP) workflow have been a highly manual process based on the use of an optical microscope and glass slides. Recent innovations in scanning and digitizing of entire glass slides are accelerating a move toward widespread adoption and implementation of a workflow based on digital slides and their supporting information management software. To support the design of digital pathology systems and ensure their adoption into pathology practice, the needs of the main users within the AP workflow, the pathologists, should be identified. Contextual inquiry is a qualitative, user-centered, social method designed to identify and understand users’ needs and is utilized for collecting, interpreting, and aggregating in-detail aspects of work. Objective: Contextual inquiry was utilized to document current AP workflow, identify processes that may benefit from the introduction of digital pathology systems, and establish design requirements for digital pathology systems that will meet pathologists’ needs. Materials and Methods: Pathologists were observed and interviewed at a large academic medical center according to contextual inquiry guidelines established by Holtzblatt et al. 1998. Notes representing user-provided data were documented during observation sessions. An affinity diagram, a hierarchal organization of the notes based on common themes in the data, was created. Five graphical models were developed to help visualize the data including sequence, flow, artifact, physical, and cultural models. Results: A total of six pathologists were observed by a team of two researchers. A total of 254 affinity notes were documented and organized using a system based on topical hierarchy, including 75 third-level, 24 second-level, and five main-level categories, including technology, communication, synthesis/preparation, organization, and workflow. Current AP workflow was labor intensive and lacked scalability. A large number of processes that may possibly improve following the introduction of digital pathology systems were identified. These work processes included case management, case examination and review, and final case reporting. Furthermore, a digital slide system should integrate with the anatomic pathologic laboratory information system. Conclusions: To our knowledge, this is the first study that utilized the contextual inquiry method to document AP workflow. Findings were used to establish key requirements for the design of digital pathology systems. PMID:23243553

  5. Designing a Relational Database to Facilitate Military Family Housing Utilization Decisions

    DTIC Science & Technology

    2001-06-01

    TOOLS 73 A. INTRODUCTION Z"*73 B. MICROSOFT ACCESS TOOLS 74 C. GEOGRAPHIC INFORMATION SYSTEM 77 D. SUMMARY 90 VIII. CONCLUSIONS AND...FAMILYMEMBER Objects 36 Figure 5-1. The Design View for the "Find duplicates" Query 46 Figure 5-2. MS Access Design View of the Housing Inventory...55 Figure 5-6. Access Query to Weed Out Null Appliance Rows 58 Figure 6-1. HATS Main Menu (Switchboard Form) 62 Figure 6-2. Using Drop-down Menus on

  6. Improving engineering effectiveness

    NASA Technical Reports Server (NTRS)

    Fiero, J. D.

    1985-01-01

    Methodologies to improve engineering productivity were investigated. The rocky road to improving engineering effectiveness is reviewed utilizing a specific semiconductor engineering organization as a case study. The organization had a performance problem regarding new product introductions. With the help of this consultant as a change agent the engineering team used a systems approach to through variables that were effecting their output significantly. Critical factors for improving this engineering organization's effectiveness and the roles/responsibilities of management, the individual engineers and the internal consultant are discussed.

  7. Iron-Isotopic Fractionation Studies Using Multiple Collector Inductively Coupled Plasma Mass Spectrometry

    NASA Technical Reports Server (NTRS)

    Anbar, A. D.; Zhang, C.; Barling, J.; Roe, J. E.; Nealson, K. H.

    1999-01-01

    The importance of Fe biogeochemistry has stimulated interest in Fe isotope fractionation. Recent studies using thermal ionization mass spectrometry (TIMS) and a "double spike" demonstrate the existence of biogenic Fe isotope effects. Here, we assess the utility of multiple-collector inductively-coupled plasma mass spectrometry(MC-ICP-MS) with a desolvating sample introduction system for Fe isotope studies, and present data on Fe biominerals produced by a thermophilic bacterium. Additional information is contained in the original extended abstract.

  8. Head Mounted Displays for Virtual Reality

    DTIC Science & Technology

    1993-02-01

    Produce an Image of Infinity 9 3 The Naval Ocean Systems Center HMD with Front-Mounted CRTs 10 4 The VR Group HMD with Side-Mounted CRTs. The Image is...Convergence Angles 34 vii SECTION 1 INTRODUCTION One of the goals in the development of Virtual Reality ( VR ) is to achieve "total immersion" where one...become transported out of the real world and into the virtual world. The developers of VR have utilized the head mounted display (HMD) as a means of

  9. Q14 - Standards Development Plan, Ada Interfaces to X Window System, Analysis and Recommendations

    DTIC Science & Technology

    1989-03-20

    portability and reusability. -, . /- , ... ’ 4t. I-,: 2 Introduction Two major thrusts of the STARS program, and industry as a whole, are application...and IEEE, and in industry consortiums to show the directions X is taking and the opportunities for Ada to utilize this work. X is not the only window...and actually prohibit portability, but to avoid this the X developers formed the X Consortium, consisting of industry and academic members, who define

  10. Report of the 1992 AFOSR Workshop on the Future of EEG and MEG

    DTIC Science & Technology

    1993-02-02

    Systems Lab, 51 Federal St., San Francisco, CA 94107 LTIC TAB 0 Unannounced Justificat;or’ 6 *Department of Physics, 2 Washington Place, New York University...By 7 New York, NY 10003 Distribution I Avaeiabdlty Codes D Avad ariclor D•tst Soecile 8 1. Introduction 9 A workshop on the prospects of the...undoubtedly be utilized include the diagnosis and treatment of diseases of the bran such as 4 epilepsy, Alzheimer’s, and schizophrenia; the monitoring and

  11. A microcomputer-based testing station for dynamic and static testing of protective relay systems

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

    Lee, W.J.; Li, R.J.; Gu, J.C.

    1995-12-31

    Dynamic and static relay performance testing before installation in the field is a subject of great interest to utility relay engineers. The common practice in utility testing of new relays is to put the new unit to be tested in parallel with an existing functioning relay in the system, wait until an actual transient occurs and then observe and analyze the performance of new relay. It is impossible to have a thorough test of the protective relay system through this procedure. An equipment, Microcomputer-Based Testing Station (or PC-Based Testing Station), that can perform both static and dynamic testing of themore » relay is described in this paper. The Power System Simulation Laboratory at the University of Texas at Arlington is a scaled-down, three-phase, physical power system which correlates well with the important components for a real power system and is an ideal facility for the dynamic and static testing of protective relay systems. A brief introduction to the configuration of this laboratory is presented. Test results of several protective functions by using this laboratory illustrate the usefulness of this test set-up.« less

  12. Overview of devolution of health services in the Philippines.

    PubMed

    Grundy, J; Healy, V; Gorgolon, L; Sandig, E

    2003-01-01

    In 1991 the Philippines Government introduced a major devolution of national government services, which included the first wave of health sector reform, through the introduction of the Local Government Code of 1991. The Code devolved basic services for agriculture extension, forest management, health services, barangay (township) roads and social welfare to Local Government Units. In 1992, the Philippines Government devolved the management and delivery of health services from the National Department of Health to locally elected provincial, city and municipal governments. The aim of this review is to (i) Provide a background to the introduction of devolution to the health system in the Philippines and to (ii) describe the impact of devolution on the structure and functioning of the health system in defined locations. International literature was reviewed on the subjects of decentralization. Rapid appraisals of health management systems were conducted in both provinces. Additional data were accessed from the rural health information system and previous consultant reports. Subsequent to the introduction of devolution, quality and coverage of health services declined in some locations, particularly in rural and remote areas. It was found that in 1992-1997, system effects included a breakdown in management systems between levels of government, declining utilization particularly in the hospital sector, poor staff morale, a decline in maintenance of infrastructure and under financing of operational costs of services. The aim of decentralization is to widen decision-making space of middle level managers, enhance resource allocations from central to peripheral areas and to improve the efficiency and effectiveness of health services management. The findings of the historical review of devolution in the Philippines reveals some consistencies with the international literature, which describe some negative effects of decentralization, and provide a rationale for the Philippines in undertaking a second wave of reform in order to 'make devolution work'.

  13. Utilization of Norway’s Emergency Wards: The Second 5 Years after the Introduction of the Patient List System

    PubMed Central

    Goth, Ursula S.; Hammer, Hugo L.; Claussen, Bjørgulf

    2014-01-01

    Utilization of services is an important indicator for estimating access to healthcare. In Norway, the General Practitioner Scheme, a patient list system, was established in 2001 to enable a stable doctor-patient relationship. Although satisfaction with the system is generally high, people often choose a more accessible but inferior solution for routine care: emergency wards. The aim of the article is to investigate contact patterns in primary health care situations for the total population in urban and remote areas of Norway and for major immigrant groups in Oslo. The primary regression model had a cross-sectional study design analyzing 2,609,107 consultations in representative municipalities across Norway, estimating the probability of choosing the emergency ward in substitution to a general practitioner. In a second regression model comprising 625,590 consultations in Oslo, we calculated this likelihood for immigrants from the 14 largest groups. We noted substantial differences in emergency ward utilization between ethnic Norwegians both in rural and remote areas and among the various immigrant groups residing in Oslo. Oslo utilization of emergency ward services for the whole population declined, and so did this use among all immigrant groups after 2009. Other municipalities, while overwhelmingly ethnically Norwegian, showed diverse patterns including an increase in some and a decrease in others, results which we were unable to explain. PMID:24662997

  14. Introduction for Diffusion Chamber Culture Symposium

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

    Carsten, A. L.

    The diffusion-chamber system has been applied to studies of cell kinetics, progenitor cell quantitation, humoral effects, immunological effects, cytogenetics, organogenesis, and the cellular effects of drugs and physical factors such as radiation, hypoxia, etc. Chamber contents have been analyzed by clot dissolution with measuring of cell content, limiting dilution evaluation, radionuclide utilization (tritiated thymidine labeling), growth of colony number, size and type, CFU-S or CFU-C content, or proliferation by secondary culture in mice or in vitro systems, and chromosome changes. Cell types ranging from embryonal tissues to adult normal and neoplastic tissues have been grown in hosts across species barriers.more » Advantages and disadvantages of this system are discussed.« less

  15. Designing For Human Presence in Space: An Introduction to Environmental Control and Life Support Systems (ECLSS)

    NASA Technical Reports Server (NTRS)

    Wieland, P. O.

    2005-01-01

    Human exploration and utilization of space requires habitats to provide appropriate conditions for working and living. These conditions are provided by environmental control and life support systems (ECLSS) that ensure appropriate atmosphere composition, pressure, and temperature; manage and distribute water, process waste matter, provide fire detection and suppression; and other functions as necessary. The tables in appendix I of NASA RP 1324 "Designing for Human Presence in Space" summarize the life support functions and processes used onboard U.S. and U.S.S.R/Russian space habitats. These tables have been updated to include information on thermal control methods and to provide additional information on the ECLS systems.

  16. Techniques for the rapid display and manipulation of 3-D biomedical data.

    PubMed

    Goldwasser, S M; Reynolds, R A; Talton, D A; Walsh, E S

    1988-01-01

    The use of fully interactive 3-D workstations with true real-time performance will become increasingly common as technology matures and economical commercial systems become available. This paper provides a comprehensive introduction to high speed approaches to the display and manipulation of 3-D medical objects obtained from tomographic data acquisition systems such as CT, MR, and PET. A variety of techniques are outlined including the use of software on conventional minicomputers, hardware assist devices such as array processors and programmable frame buffers, and special purpose computer architecture for dedicated high performance systems. While both algorithms and architectures are addressed, the major theme centers around the utilization of hardware-based approaches including parallel processors for the implementation of true real-time systems.

  17. Disturbance Accommodating Adaptive Control with Application to Wind Turbines

    NASA Technical Reports Server (NTRS)

    Frost, Susan

    2012-01-01

    Adaptive control techniques are well suited to applications that have unknown modeling parameters and poorly known operating conditions. Many physical systems experience external disturbances that are persistent or continually recurring. Flexible structures and systems with compliance between components often form a class of systems that fail to meet standard requirements for adaptive control. For these classes of systems, a residual mode filter can restore the ability of the adaptive controller to perform in a stable manner. New theory will be presented that enables adaptive control with accommodation of persistent disturbances using residual mode filters. After a short introduction to some of the control challenges of large utility-scale wind turbines, this theory will be applied to a high-fidelity simulation of a wind turbine.

  18. Study on the measures to promote the use of photovoltaic power generating system overseas

    NASA Astrophysics Data System (ADS)

    1989-03-01

    In order to understand the state of the utilizing photovoltaic power generating system, the present situation to promote its development, the actual status of the assistance for developing countries by each country or by each international organization, research was done for USA, principal western countries, UN and EC. First, development conditions of the solar cell utilizing technique were classified by each country at the standpoint of developing and promoting systems. Second, the projects and policies in each country or international organization were arranged to promote research, development and introduction. Next, the present situation of the photovoltaic power generation projects by civilian parties and the problems to assist the projects by each country were arranged. While, the present sutuation of the photovoltaic power generation projects assisted by the governments and international organizations were classified by each country and each international organizations. Finally, in view of importance in the photovoltaic power generation project, it was concluded that not only developed country governments and international organizations but also private enterprises in developed countries were required to expand the understanding about the photovoltaic power generation system.

  19. Utility of Niche Models in Developing Site Assessments Technologies Associated With Aquatic Nuisance Species Invasions at Corps Facilities

    DTIC Science & Technology

    2006-07-01

    The rate of invasive species introductions into the United States has steadily increased over the past 20 years. Coupled with ever-increasing human ... activity has been a steady increase in movement of invasive species resulting in many introductions of species into new landscapes (National Invasive

  20. Program Impact Evaluations: An Introduction for Managers of Title VII Projects. A Draft Guidebook.

    ERIC Educational Resources Information Center

    Bissell, Joan S.

    Intended to assist administrators in the planning, management, and utilization of evaluation, this guidebook is designed as an introduction and supplement to other evaluation materials for bilingual education programs being developed under federal sponsorship, including evaluation models for Title VII projects. General information is provided on…

  1. Analysis of mutual assured destruction-like scenario with swarms of non-recallable autonomous robots

    NASA Astrophysics Data System (ADS)

    Straub, Jeremy

    2015-05-01

    This paper considers the implications of the creation of an autonomous robotic fighting force without recall-ability which could serve as a deterrent to a `total war' magnitude attack. It discusses the technical considerations for this type of robotic system and the limited enhancements required to current technologies (particularly UAVs) needed to create such a system. Particular consideration is paid to how the introduction of this type of technology by one actor could create a need for reciprocal development. Also considered is the prospective utilization of this type of technology by non-state actors and the impact of this on state actors.

  2. An Introduction to MAMA (Meta-Analysis of MicroArray data) System.

    PubMed

    Zhang, Zhe; Fenstermacher, David

    2005-01-01

    Analyzing microarray data across multiple experiments has been proven advantageous. To support this kind of analysis, we are developing a software system called MAMA (Meta-Analysis of MicroArray data). MAMA utilizes a client-server architecture with a relational database on the server-side for the storage of microarray datasets collected from various resources. The client-side is an application running on the end user's computer that allows the user to manipulate microarray data and analytical results locally. MAMA implementation will integrate several analytical methods, including meta-analysis within an open-source framework offering other developers the flexibility to plug in additional statistical algorithms.

  3. Speaker Introductions at Internal Medicine Grand Rounds: Forms of Address Reveal Gender Bias.

    PubMed

    Files, Julia A; Mayer, Anita P; Ko, Marcia G; Friedrich, Patricia; Jenkins, Marjorie; Bryan, Michael J; Vegunta, Suneela; Wittich, Christopher M; Lyle, Melissa A; Melikian, Ryan; Duston, Trevor; Chang, Yu-Hui H; Hayes, Sharonne N

    2017-05-01

    Gender bias has been identified as one of the drivers of gender disparity in academic medicine. Bias may be reinforced by gender subordinating language or differential use of formality in forms of address. Professional titles may influence the perceived expertise and authority of the referenced individual. The objective of this study is to examine how professional titles were used in the same and mixed-gender speaker introductions at Internal Medicine Grand Rounds (IMGR). A retrospective observational study of video-archived speaker introductions at consecutive IMGR was conducted at two different locations (Arizona, Minnesota) of an academic medical center. Introducers and speakers at IMGR were physician and scientist peers holding MD, PhD, or MD/PhD degrees. The primary outcome was whether or not a speaker's professional title was used during the first form of address during speaker introductions at IMGR. As secondary outcomes, we evaluated whether or not the speakers professional title was used in any form of address during the introduction. Three hundred twenty-one forms of address were analyzed. Female introducers were more likely to use professional titles when introducing any speaker during the first form of address compared with male introducers (96.2% [102/106] vs. 65.6% [141/215]; p < 0.001). Female dyads utilized formal titles during the first form of address 97.8% (45/46) compared with male dyads who utilized a formal title 72.4% (110/152) of the time (p = 0.007). In mixed-gender dyads, where the introducer was female and speaker male, formal titles were used 95.0% (57/60) of the time. Male introducers of female speakers utilized professional titles 49.2% (31/63) of the time (p < 0.001). In this study, women introduced by men at IMGR were less likely to be addressed by professional title than were men introduced by men. Differential formality in speaker introductions may amplify isolation, marginalization, and professional discomfiture expressed by women faculty in academic medicine.

  4. Semi-Automatic Electronic Stent Register: a novel approach to preventing ureteric stents lost to follow up.

    PubMed

    Macneil, James W H; Michail, Peter; Patel, Manish I; Ashbourne, Julie; Bariol, Simon V; Ende, David A; Hossack, Tania A; Lau, Howard; Wang, Audrey C; Brooks, Andrew J

    2017-10-01

    Ureteric stents are indispensable tools in modern urology; however, the risk of them not being followed-up once inserted poses medical and medico-legal risks. Stent registers are a common solution to mitigate this risk; however, manual registers are logistically challenging, especially for busy units. Western Sydney Local Health District developed a novel Semi-Automatic Electronic Stent Register (SAESR) utilizing billing information to track stent insertions. To determine the utility of this system, an audit was conducted comparing the 6 months before the introduction of the register to the first 6 months of the register. In the first 6 months of the register, 457 stents were inserted. At the time of writing, two of these are severely delayed for removal, representing a rate of 0.4%. In the 6 months immediately preceding the introduction of the register, 497 stents were inserted, and six were either missed completely or severely delayed in their removal, representing a rate of 1.2%. A non-inferiority analysis found this to be no worse than the results achieved before the introduction of the register. The SAESR allowed us to improve upon our better than expected rate of stents lost to follow up or severely delayed. We demonstrated non-inferiority in the rate of lost or severely delayed stents, and a number of other advantages including savings in personnel costs. The semi-automatic register represents an effective way of reducing the risk associated with a common urological procedure. We believe that this methodology could be implemented elsewhere. © 2017 Royal Australasian College of Surgeons.

  5. Internet Power Searching: The Advanced Manual. 2nd Edition. Neal-Schuman NetGuide Series.

    ERIC Educational Resources Information Center

    Bradley, Phil

    This handbook provides information on how Internet search engines and related software and utilities work and how to use them in order to improve search techniques. The book begins with an introduction to the Internet. Part 1 contains the following chapters that cover mining the Internet for information: "An Introduction to Search…

  6. The Three-Fingers Technique: Does It Reduce Test Anxiety?

    ERIC Educational Resources Information Center

    Maycock, George

    The utility of brief exposure to a mental focusing aid, the Three-Fingers Technique (TFT), in reducing test anxiety was studied for 15 college students. One week before their final examination, the students were given a 15-minute classroom introduction to the TFT, part of the Silva Mental Training Method (1983). After the introduction to this…

  7. Rating aircraft on energy

    NASA Technical Reports Server (NTRS)

    Maddalon, D. V.

    1974-01-01

    Questions concerning the energy efficiency of aircraft compared to ground transport are considered, taking into account as energy intensity the energy consumed per passenger statute mile. It is found that today's transport aircraft have an energy intensity potential comparable to that of ground modes. Possibilities for improving the energy density are also much better in the case of aircraft than in the case of ground transportation. Approaches for potential reductions in aircraft energy consumption are examined, giving attention to steps for increasing the efficiency of present aircraft and to reductions in energy intensity obtainable by the introduction of new aircraft utilizing an advanced technology. The use of supercritical aerodynamics is discussed along with the employment of composite structures, advances in propulsion systems, and the introduction of very large aircraft. Other improvements in fuel economy can be obtained by a reduction of skin-friction drag and a use of hydrogen fuel.

  8. A study on low-cost, high-accuracy, and real-time stereo vision algorithms for UAV power line inspection

    NASA Astrophysics Data System (ADS)

    Wang, Hongyu; Zhang, Baomin; Zhao, Xun; Li, Cong; Lu, Cunyue

    2018-04-01

    Conventional stereo vision algorithms suffer from high levels of hardware resource utilization due to algorithm complexity, or poor levels of accuracy caused by inadequacies in the matching algorithm. To address these issues, we have proposed a stereo range-finding technique that produces an excellent balance between cost, matching accuracy and real-time performance, for power line inspection using UAV. This was achieved through the introduction of a special image preprocessing algorithm and a weighted local stereo matching algorithm, as well as the design of a corresponding hardware architecture. Stereo vision systems based on this technique have a lower level of resource usage and also a higher level of matching accuracy following hardware acceleration. To validate the effectiveness of our technique, a stereo vision system based on our improved algorithms were implemented using the Spartan 6 FPGA. In comparative experiments, it was shown that the system using the improved algorithms outperformed the system based on the unimproved algorithms, in terms of resource utilization and matching accuracy. In particular, Block RAM usage was reduced by 19%, and the improved system was also able to output range-finding data in real time.

  9. “Health inequalities in Armenia - analysis of survey results”

    PubMed Central

    2012-01-01

    Introduction Prevailing sociopolitical and economic obstacles have been implicated in the inadequate utilization and delivery of the Armenian health care system. Methods A random survey of 1,000 local residents, from all administrative regions of Armenia, concerned with health care services cost and satisfaction was conducted. Participation in the survey was voluntary and the information was collected using anonymous telephone interviews. Results The utilization of health care services was low, particularly in rural areas. This under-utilization of services correlated with low income of the population surveyed. The state funded health care services are inadequate to ensure availability of free-of-charge services even to economically disadvantaged groups. Continued reliance on direct out-of pocket and illicit payments, for medical services, are serious issues which plague healthcare, pharmaceutical and medical technology sectors of Armenia. Conclusions Restructuring of the health care system to implement a cost-effective approach to the prevention and treatment of diseases, especially disproportionately affect the poor, should be undertaken. Public payments, increasing the amount of subsidies for poor and lower income groups through a compulsory health insurance system should be evaluated and included as appropriate in this health system redesign. Current medical services reimbursement practices undermine the principle of equity in financing and access. Measures designed to improve healthcare access and affordability for poor and disadvantaged households should be enacted. PMID:22695079

  10. Developing and using expert systems and neural networks in medicine: a review on benefits and challenges.

    PubMed

    Sheikhtaheri, Abbas; Sadoughi, Farahnaz; Hashemi Dehaghi, Zahra

    2014-09-01

    Complicacy of clinical decisions justifies utilization of information systems such as artificial intelligence (e.g. expert systems and neural networks) to achieve better decisions, however, application of these systems in the medical domain faces some challenges. We aimed at to review the applications of these systems in the medical domain and discuss about such challenges. Following a brief introduction of expert systems and neural networks by representing few examples, the challenges of these systems in the medical domain are discussed. We found that the applications of expert systems and artificial neural networks have been increased in the medical domain. These systems have shown many advantages such as utilization of experts' knowledge, gaining rare knowledge, more time for assessment of the decision, more consistent decisions, and shorter decision-making process. In spite of all these advantages, there are challenges ahead of developing and using such systems including maintenance, required experts, inputting patients' data into the system, problems for knowledge acquisition, problems in modeling medical knowledge, evaluation and validation of system performance, wrong recommendations and responsibility, limited domains of such systems and necessity of integrating such systems into the routine work flows. We concluded that expert systems and neural networks can be successfully used in medicine; however, there are many concerns and questions to be answered through future studies and discussions.

  11. Impedance-based cellular assay technologies: recent advances, future promise.

    PubMed

    McGuinness, Ryan

    2007-10-01

    Cell-based assays are continuing to grow in importance in the drug discovery workflow. Their early introduction holds the promise of limiting attrition in the later, more costly phases of the process. This article reviews recent advances in the development of impedance technologies for label-free cell-based assays. These systems are capable of monitoring endogenous receptor activation, and thus generate more physiologically relevant measures of pharmacological endpoints. Primary cells can be investigated as well, thus producing disease relevant information. Label-free assays significantly decrease assay development efforts and avoid many complications inherent in recombinant readout systems. Impedance-based systems have great potential to advance the utility of cell-based assays as they are applied to drug discovery and pharmacology.

  12. Fees-for-services, cost recovery, and equity in a district of Burkina Faso operating the Bamako Initiative.

    PubMed Central

    Ridde, Valéry

    2003-01-01

    OBJECTIVE: To gauge the effects of operating the Bamako Initiative in Kongoussi district, Burkina Faso. METHODS: Qualitative and quasi-experimental quantitative methodologies were used. FINDINGS: Following the introduction of fees-for-services in July 1997, the number of consultations for curative care fell over a period of three years by an average of 15.4% at "case" health centres but increased by 30.5% at "control" health centres. Moreover, although the operational results for essential drugs depots were not known, expenditure increased on average 2.7 times more than income and did not keep pace with the decline in the utilization of services. Persons in charge of the management committees had difficulties in releasing funds to ensure access to care for the poor. CONCLUSION: The introduction of fees-for-services had an adverse effect on service utilization. The study district is in a position to bear the financial cost of taking care of the poor and the community is able to identify such people. Incentives must be introduced by the state and be swiftly applied so that the communities agree to a more equitable system and thereby allow access to care for those excluded from services because they are unable to pay. PMID:12973646

  13. Abstract of talk for Silicon Valley Linux Users Group

    NASA Technical Reports Server (NTRS)

    Clanton, Sam

    2003-01-01

    The use of Linux for research at NASA Ames is discussed.Topics include:work with the Atmospheric Physics branch on software for a spectrometer to be used in the CRYSTAL-FACE mission this summer; work on in the Neuroengineering Lab with code IC including an introduction to the extension of the human senses project,advantages with using linux for real-time biological data processing,algorithms utilized on a linux system, goals of the project,slides of people with Neuroscan caps on, and progress that has been made and how linux has helped.

  14. Formulation strategies for optimizing the morphology of polymeric bulk heterojunction organic solar cells: a brief review

    NASA Astrophysics Data System (ADS)

    Vongsaysy, Uyxing; Bassani, Dario M.; Servant, Laurent; Pavageau, Bertrand; Wantz, Guillaume; Aziz, Hany

    2014-01-01

    Polymeric bulk heterojunction (BHJ) organic solar cells represent one of the most promising technologies for renewable energy with a low fabrication cost. Control over BHJ morphology is one of the key factors in obtaining high-efficiency devices. This review focuses on formulation strategies for optimizing the BHJ morphology. We address how solvent choice and the introduction of processing additives affect the morphology. We also review a number of recent studies concerning prediction methods that utilize the Hansen solubility parameters to develop efficient solvent systems.

  15. Biparticle fluidized bed reactor

    DOEpatents

    Scott, Charles D.; Marasco, Joseph A.

    1995-01-01

    A fluidized bed reactor system utilizes a fluid phase, a retained fluidized primary particulate phase, and a migratory second particulate phase. The primary particulate phase is a particle such as a gel bead containing an immobilized biocatalyst. The secondary particulate phase, continuously introduced and removed in either cocurrent or countercurrent mode, acts in a secondary role such as a sorbent to continuously remove a product or by-product constituent from the fluid phase. Introduction and removal of the sorbent phase is accomplished through the use of feed screw mechanisms and multivane slurry valves.

  16. Biparticle fluidized bed reactor

    DOEpatents

    Scott, C.D.; Marasco, J.A.

    1995-04-25

    A fluidized bed reactor system utilizes a fluid phase, a retained fluidized primary particulate phase, and a migratory second particulate phase. The primary particulate phase is a particle such as a gel bead containing an immobilized biocatalyst. The secondary particulate phase, continuously introduced and removed in either cocurrent or countercurrent mode, acts in a secondary role such as a sorbent to continuously remove a product or by-product constituent from the fluid phase. Introduction and removal of the sorbent phase is accomplished through the use of feed screw mechanisms and multivane slurry valves. 3 figs.

  17. Biparticle fluidized bed reactor

    DOEpatents

    Scott, C.D.

    1993-12-14

    A fluidized bed reactor system which utilizes a fluid phase, a retained fluidized primary particulate phase, and a migratory second particulate phase is described. The primary particulate phase is a particle such as a gel bead containing an immobilized biocatalyst. The secondary particulate phase, continuously introduced and removed in either cocurrent or countercurrent mode, acts in a secondary role such as a sorbent to continuously remove a product or by-product constituent from the fluid phase. Introduction and removal of the sorbent phase is accomplished through the use of feed screw mechanisms and multivane slurry valves. 3 figures.

  18. Biparticle fluidized bed reactor

    DOEpatents

    Scott, Charles D.

    1993-01-01

    A fluidized bed reactor system which utilizes a fluid phase, a retained fluidized primary particulate phase, and a migratory second particulate phase. The primary particulate phase is a particle such as a gel bead containing an immobilized biocatalyst. The secondary particulate phase, continuously introduced and removed in either cocurrent or countercurrent mode, acts in a secondary role such as a sorbent to continuously remove a product or by-product constituent from the fluid phase. Introduction and removal of the sorbent phase is accomplished through the use of feed screw mechanisms and multivane slurry valves.

  19. Calculation of the Transition Matrix for the Scattering of Acoustic Waves from a Thin Elastic Spherical Shell Using the ATILA Finite Element Code

    DTIC Science & Technology

    1994-03-01

    products of radial Hankel functions and spherical harmonics. The chosen driving frequency was 474 Hz, corresponding to a value of ka 1, where k is the...spherical harmonics. The chosen driving frequency was 474 Hz, corresponding to a value of ka = 1, where k is the wavenumber of sound in water and a is...wife Adriana for her support, understanding, and for her help in typing this thesis. vi I. INTRODUCTION The utilization of sonar systems in

  20. Novel Directional Solidification Processing of Hypermonotectic Alloys

    NASA Technical Reports Server (NTRS)

    Grugel, Richard N.

    1999-01-01

    Gravity driven separation precludes uniform microstructural development during controlled directional solidification (DS) processing of hypermonotectic alloys. It is well established that liquid/liquid suspensions, in which the respective components are immiscible and have significant density differences, can be established and maintained by utilizing ultrasound. A historical introduction to this work is presented with the intent of establishing the basis for applying the phenomena to promote microstructural uniformity during controlled directional solidification processing of immiscible mixtures. Experimental work based on transparent organics, as well as salt systems, will be presented in view of the processing parameters.

  1. Optimal Control Design Advantages Utilizing Two-Degree-of-Freedom Controllers

    DTIC Science & Technology

    1993-12-01

    AFrTIGAE/ENYIV3D-27 AD--A273 839 D"TIC OPTIMAL CONTROL DESIGN ADVANTAGES UTILIZING TWO-DEGREE-OF-FREEDOM CONTROLLERS THESIS Michael J. Stephens...AFIT/GAE/ENY/93D-27 OPTIMAL CONTROL DESIGN ADVANTAGES UTILIZING TWO-DEGREE-OF-FREEDOM CONTROLLERS THESIS Presented to the Faculty of the Graduate...measurement noises compared to the I- DOF model. xvii OPTIMAL CONTROL DESIGN ADVANTAGES UTILIZING TWO-DEGREE-OF-FREEDOM CONTROLLERS I. Introduction L1

  2. Implications of deregulation in natural gas industry on utility risks and returns

    NASA Astrophysics Data System (ADS)

    Addepalli, Rajendra P.

    This thesis examines the changes in risk and required return on capital for local distribution utility companies in the increasingly competitive natural gas industry. The deregulation in the industry impacts the LDCs in several ways. First, with the introduction of competition consumers have been given choices among suppliers besides the traditional monopoly, the local utility, for purchasing their natural gas supply needs. Second, with the introduction of competition, some of the interstate pipelines were stuck with 'Take Or Pay' contracts and other costs that resulted in 'stranded costs', which have been passed on to customers of the pipeline including the LDCs. Third, the new obligation for the LDCs to purchase gas from the market, as opposed to buying it from pipelines and passing on the costs to its customers, brought opportunities and risks as well. Finally, with the introduction of competition, in some states LDCs have been allowed to enter into unregulated ventures to increase their profits. In the thesis we first develop a multifactor model (MFM) to explain historical common stock returns of individual utilities and of utility portfolios. We use 'rolling regression' analysis to analyze how different variables explain the variation in stock returns over time. Second, we conduct event studies to analyze the events in the deregulation process that had significant impacts on the LDC returns. Finally we assess the changes in risk and required return on capital for the LDCs over a 15 year time frame, covering the deregulation period. We employ four aspects in the examination of risk and return profile of the utilities: measuring (a) changes in required return on common equity and Weighted Average Cost of Capital, (b) changes in risk premium (WACC less an interest rate proxy), (c) changes in utility bond ratings, and (d) changes in dividend payments, new debt and equity issuances. We perform regression analysis to explain the changes in the required WACC using new security issuances, dividend payments and revenues of the companies.

  3. The Utilization of Rehabilitation in Patients with Hemophilia A in Taiwan: A Nationwide Population-Based Study

    PubMed Central

    Yang, Yao-Hsu; Chang, Chia-Hao; Chen, Chih-Cheng; Chen, Pau-Chung

    2016-01-01

    Introduction Rehabilitation plays an important role in the physical health of patients with hemophilia. However, comprehensive information regarding the utilization of rehabilitation for such patients remains scarce. Aim This population-based study aimed to examine the characteristics, trends, and most important factors affecting rehabilitation usage in patients with hemophilia A using a nationwide database in Taiwan. Methods Data from 777 patients with hemophilia A who were registered in the National Health Insurance Research Database between 1998 and 2008 were analyzed using SAS 9.0. Results Musculoskeletal or nervous system-related surgical procedures and clotting factor VIII concentrate costs were identified as factors affecting rehabilitation usage; musculoskeletal or nervous system-related surgical procedures (odds ratio = 3.788; P < 0.001) were the most important predictor of whether a patient with hemophilia A would use rehabilitation services. Joint disorders, arthropathies, bone and cartilage disorders, intracranial hemorrhage, and brain trauma were common diagnoses during rehabilitation use. The costs of physical therapy (physiotherapy) comprised the majority (71.2%) of rehabilitation therapy categories. Increasingly, rehabilitation therapy was performed at physician clinics. The total rehabilitation costs were <0.1% of the total annual medical costs. Conclusion Musculoskeletal or nervous system-related surgical procedures and increased use of clotting factor VIII concentrate affect the rehabilitation utilization of patients with hemophilia A the most. The findings in this study could help clinicians comprehensively understand the rehabilitation utilization of patients with hemophilia A. PMID:27690229

  4. Phasor Measurement Unit and Its Application in Modern Power Systems

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

    Ma, Jian; Makarov, Yuri V.; Dong, Zhao Yang

    2010-06-01

    The introduction of phasor measuring units (PMUs) in power systems significantly improves the possibilities for monitoring and analyzing power system dynamics. Synchronized measurements make it possible to directly measure phase angles between corresponding phasors in different locations within the power system. Improved monitoring and remedial action capabilities allow network operators to utilize the existing power system in a more efficient way. Improved information allows fast and reliable emergency actions, which reduces the need for relatively high transmission margins required by potential power system disturbances. In this chapter, the applications of PMU in modern power systems are presented. Specifically, the topicsmore » touched in this chapter include state estimation, voltage and transient stability, oscillation monitoring, event and fault detection, situation awareness, and model validation. A case study using Characteristic Ellipsoid method based on PMU to monitor power system dynamic is presented.« less

  5. Social and Cognitive Effects of the Introduction of Television on Rural Alaskan Native Children. Final Report.

    ERIC Educational Resources Information Center

    Forbes, Norma; And Others

    A 5-year study of the social and cognitive effects of the introduction of commercial and educational television on rural Alaskan children utilized a variety of social and cognitive measures given to both longitudinal and cross-sectional samples of grade-school children: in 1977, when no participating village received television; in 1979, when half…

  6. Properties and utilization of poplar wood

    Treesearch

    John J. Balatinecz; David E. Kretschmann

    2001-01-01

    Hybrid poplars are fast-growing, moisture-loving, full-sun-loving large trees that can be a rapid source of wood fiber. With the introduction of waferboard, oriented strandboard (OSB), and laminated strand lumber (LSL), aspen utilization has dramatically increased. Indigenous and hybrid poplars, however, present their own challenges, such as high discoloration...

  7. Skill Standards for Open Cut Pipe Laying.

    ERIC Educational Resources Information Center

    Laborers-AGC Education and Training Fund, Pomfret Center, CT.

    This document identifies skill standards for utility construction in a format that uses scenarios to provide a picture of the construction process under consideration. The scenarios provide a general description of the pipe laying and utility construction process. An introduction describes use and benefits of skill standards. Section 2 presents…

  8. Application of Information Technology Solution for Early Warning Systems at Water Utilities

    NASA Astrophysics Data System (ADS)

    Bałut, Alicja

    2018-02-01

    Deployment of IT solutions in water utilities in Poland concerns nowadays lots beyond GIS implementation projects [1]. The scope of modern IT platforms is truly advanced software for complete management of water treatment processes and involved objects, including ranges of various types of equipment. There are multiply factors that disrupt required volumes of supplied water. They are normally classified as natural, accidental and intentional. This paper addresses potential residing in already deployed IT solutions of water utilities in and also in new ones being now developed. Primarily- from the perspective of intentional, terrorist threats. This document depicts operating procedures that are called in case of spotted contamination in a water supply (damage of key elements of the network infrastructure) or in case of an introduction factors. This paper also discusses relevant IT tools with access provided to network operators or water plant owners that are extremely useful in accurate pinpointing the treat and in following relevant operating procedures and related actions.

  9. Computer based guidance in the modern operating room: a historical perspective.

    PubMed

    Bova, Frank

    2010-01-01

    The past few decades have seen the introduction of many different and innovative approaches aimed at enhancing surgical technique. As microprocessors have decreased in size and increased in processing power, more sophisticated systems have been developed. Some systems have attempted to provide enhanced instrument control while others have attempted to provide tools for surgical guidance. These systems include robotics, image enhancements, and frame-based and frameless guidance procedures. In almost every case the system's design goals were achieved and surgical outcomes were enhanced, yet a vast majority of today's surgical procedures are conducted without the aid of these advances. As new tools are developed and existing tools refined, special attention to the systems interface and integration into the operating room environment will be required before increased utilization of these technologies can be realized.

  10. Enhancing and Customizing Laboratory Information Systems to Improve/Enhance Pathologist Workflow.

    PubMed

    Hartman, Douglas J

    2015-06-01

    Optimizing pathologist workflow can be difficult because it is affected by many variables. Surgical pathologists must complete many tasks that culminate in a final pathology report. Several software systems can be used to enhance/improve pathologist workflow. These include voice recognition software, pre-sign-out quality assurance, image utilization, and computerized provider order entry. Recent changes in the diagnostic coding and the more prominent role of centralized electronic health records represent potential areas for increased ways to enhance/improve the workflow for surgical pathologists. Additional unforeseen changes to the pathologist workflow may accompany the introduction of whole-slide imaging technology to the routine diagnostic work. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Enhancing and Customizing Laboratory Information Systems to Improve/Enhance Pathologist Workflow.

    PubMed

    Hartman, Douglas J

    2016-03-01

    Optimizing pathologist workflow can be difficult because it is affected by many variables. Surgical pathologists must complete many tasks that culminate in a final pathology report. Several software systems can be used to enhance/improve pathologist workflow. These include voice recognition software, pre-sign-out quality assurance, image utilization, and computerized provider order entry. Recent changes in the diagnostic coding and the more prominent role of centralized electronic health records represent potential areas for increased ways to enhance/improve the workflow for surgical pathologists. Additional unforeseen changes to the pathologist workflow may accompany the introduction of whole-slide imaging technology to the routine diagnostic work. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Monolithic Interconnected Modules (MIMs) for Thermophotovoltaic Energy Conversion

    NASA Technical Reports Server (NTRS)

    Wilt, David; Wehrer, Rebecca; Palmisiano, Marc; Wanlass, Mark; Murray, Christopher

    2003-01-01

    Monolithic Interconnected Modules (MIM) are under development for thermophotovoltaic (TPV) energy conversion applications. MIM devices are typified by series-interconnected photovoltaic cells on a common, semi-insulating substrate and generally include rear-surface infrared (IR) reflectors. The MIM architecture is being implemented in InGaAsSb materials without semi-insulating substrates through the development of alternative isolation methodologies. Motivations for developing the MIM structure include: reduced resistive losses, higher output power density than for systems utilizing front surface spectral control, improved thermal coupling and ultimately higher system efficiency. Numerous design and material changes have been investigated since the introduction of the MIM concept in 1994. These developments as well as the current design strategies are addressed.

  13. INITIAL EXPLORATION OF NEWLY IMPLEMENTED PUBLIC HEALTH POLICY USING GEOGRAPHIC INFORMATION SYSTEMS: THE CASE OF A U.S. SILVER ALERT PROGRAM.

    PubMed

    Yamashita, Takashi; Carr, Dawn C; Brown, J Scott

    2014-01-01

    Public health policies are designed for specific subsets of the population. Evidence that a policy is effectively designed should be based on whether it effectively addresses its mission. A critical factor is determining whether utilization patterns reflect the mission and the efficacy of public health policies, particularly during early stages of implementation. We assert that utilization patterns can be effectively assessed using geographic information systems (GIS). This paper uses the Silver Alert program, a recently implemented public health policy, as a case for how and why GIS can be used to examine utilization patterns. GIS are employed to visualize and spatially analyze a new health policy--North Carolina's Silver Alert policy. We use visualized data and spatial statistics to assess utilization patterns and mission adherence. Results show disproportionate utilization patterns of the Silver Alert policy. In particular, an outstanding number of Silver Alerts were used in Wake County and its surrounding counties, which are both the political and media center of North Carolina. Other counties, including populous counties, had few if any alerts. Findings suggest that the North Carolina's Silver Alert policy needs to be adjusted to more effectively address its mission. We identify several factors that need further examination prior to a statewide evaluation. From this case study, we propose ways future programs, particularly the introduction of the Affordable Care Act (ACA) in 2014, might use GIS to examine utilization patterns as a means to better understand whether and in what ways the health care needs of the public are being met with such a policy.

  14. Air Force Strategy Study 2020-2030

    DTIC Science & Technology

    2011-01-01

    shocks (also known as “black swans”), having 2 │ introduction the potential to radically alter the utility of the capability, as a way of highlighting... utilized by its expeditionary air units.”5 The Air Force must present strategic and operational options along with forces capable of operating and...Emer- gency Management Agency (FEMA) regional staffs, in part representing the service and USNORTHCOM. The imagery analysts’ utility is largely due

  15. Integral blow moulding for cycle time reduction of CFR-TP aluminium contour joint processing

    NASA Astrophysics Data System (ADS)

    Barfuss, Daniel; Würfel, Veit; Grützner, Raik; Gude, Maik; Müller, Roland

    2018-05-01

    Integral blow moulding (IBM) as a joining technology of carbon fibre reinforced thermoplastic (CFR-TP) hollow profiles with metallic load introduction elements enables significant cycle time reduction by shortening of the process chain. As the composite part is joined to the metallic part during its consolidation process subsequent joining steps are omitted. In combination with a multi-scale structured load introduction element its form closure function enables to pass very high loads and is capable to achieve high degrees of material utilization. This paper first shows the process set-up utilizing thermoplastic tape braided preforms and two-staged press and internal hydro formed load introduction elements. Second focuses on heating technologies and process optimization. Aiming at cycle time reduction convection and induction heating in regard to the resulting product quality is inspected by photo micrographs and computer tomographic scans. Concluding remarks give final recommendations for the process design in regard to the structural design.

  16. Can rural health insurance improve equity in health care utilization? a comparison between China and Vietnam

    PubMed Central

    2012-01-01

    Introduction Health care financing reforms in both China and Vietnam have resulted in greater financial difficulties in accessing health care, especially for the rural poor. Both countries have been developing rural health insurance for decades. This study aims to evaluate and compare equity in access to health care in rural health insurance system in the two countries. Methods Household survey and qualitative study were conducted in 6 counties in China and 4 districts in Vietnam. Health insurance policy and its impact on utilization of outpatient and inpatient service were analyzed and compared to measure equity in access to health care. Results In China, Health insurance membership had no significant impact on outpatient service utilization, while was associated with higher utilization of inpatient services, especially for the higher income group. Health insurance members in Vietnam had higher utilization rates of both outpatient and inpatient services than the non-members, with higher use among the lower than higher income groups. Qualitative results show that bureaucratic obstacles, low reimbursement rates, and poor service quality were the main barriers for members to use health insurance. Conclusions China has achieved high population coverage rate over a short time period, starting with a limited benefit package. However, poor people have less benefit from NCMS in terms of health service utilization. Compared to China, Vietnam health insurance system is doing better in equity in health service utilization within the health insurance members. However with low population coverage, a large proportion of population cannot enjoy the health insurance benefit. Mutual learning would help China and Vietnam address these challenges, and improve their policy design to promote equitable and sustainable health insurance. PMID:22376290

  17. Solar powered Stirling cycle electrical generator

    NASA Technical Reports Server (NTRS)

    Shaltens, Richard K.

    1991-01-01

    Under NASA's Civil Space Technology Initiative (CSTI), the NASA Lewis Research Center is developing the technology needed for free-piston Stirling engines as a candidate power source for space systems in the late 1990's and into the next century. Space power requirements include high efficiency, very long life, high reliability, and low vibration. Furthermore, system weight and operating temperature are important. The free-piston Stirling engine has the potential for a highly reliable engine with long life because it has only a few moving parts, non-contacting gas bearings, and can be hermetically sealed. These attributes of the free-piston Stirling engine also make it a viable candidate for terrestrial applications. In cooperation with the Department of Energy, system designs are currently being completed that feature the free-piston Stirling engine for terrestrial applications. Industry teams were assembled and are currently completing designs for two Advanced Stirling Conversion Systems utilizing technology being developed under the NASA CSTI Program. These systems, when coupled with a parabolic mirror to collect the solar energy, are capable of producing about 25 kW of electricity to a utility grid. Industry has identified a niche market for dish Stirling systems for worldwide remote power application. They believe that these niche markets may play a major role in the introduction of Stirling products into the commercial market.

  18. Utilization of cardiac computed tomography angiography and outpatient invasive coronary angiography in Ontario, Canada.

    PubMed

    Roifman, Idan; Rezai, Mohammad R; Wijeysundera, Harindra C; Chow, Benjamin J W; Wright, Graham A; Tu, Jack V

    2015-01-01

    Cardiac computed tomography angiography (coronary CTA) has emerged as a non-invasive method of diagnosing coronary artery disease. The extent of utilization and uptake of this technology since initiation of its funding by the government of Ontario is unknown. The aim of our study was to examine coronary CTA utilization and the rates of elective invasive coronary angiography and revascularization before and after funding initiation. We studied all coronary CTAs performed on adults in Ontario after initiation of funding. We also used an interrupted time series analysis to compare the average monthly rates of invasive angiography and revascularization before and after initiation of funding. There was an initial steep increase in age-and sex-standardized rates of coronary CTA from 5.0 to 11.4/100,000 over the first two quarters after funding initiation. Afterwards, there was a gradual increase in utilization from 11.4 to 17.1/100,000 over two subsequent calendar years. There was a significant reduction in both the mean monthly outpatient invasive coronary angiography (from 20.7 to 19.9 per 100,000 (p = 0.0004)) and revascularization (from 4.9 to 4.4 per 100,000 (p < 0.0001)) rates in the three years following introduction of the coronary CTA billing code as compared to the three prior to its introduction. Since the introduction of coronary CTA funding in Ontario, there has been a steady and controlled increase in its utilization. The increasing use of coronary CTA was associated with a reduction in both the rates of invasive angiography and revascularization. Copyright © 2015 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.

  19. Rapid sample classification using an open port sampling interface coupled with liquid introduction atmospheric pressure ionization mass spectrometry

    DOE PAGES

    Van Berkel, Gary J.; Kertesz, Vilmos

    2016-11-15

    An “Open Access”-like mass spectrometric platform to fully utilize the simplicity of the manual open port sampling interface for rapid characterization of unprocessed samples by liquid introduction atmospheric pressure ionization mass spectrometry has been lacking. The in-house developed integrated software with a simple, small and relatively low-cost mass spectrometry system introduced here fills this void. Software was developed to operate the mass spectrometer, to collect and process mass spectrometric data files, to build a database and to classify samples using such a database. These tasks were accomplished via the vendorprovided software libraries. Sample classification based on spectral comparison utilized themore » spectral contrast angle method. As a result, using the developed software platform near real-time sample classification is exemplified using a series of commercially available blue ink rollerball pens and vegetable oils. In the case of the inks, full scan positive and negative ion ESI mass spectra were both used for database generation and sample classification. For the vegetable oils, full scan positive ion mode APCI mass spectra were recorded. The overall accuracy of the employed spectral contrast angle statistical model was 95.3% and 98% in case of the inks and oils, respectively, using leave-one-out cross-validation. In conclusion, this work illustrates that an open port sampling interface/mass spectrometer combination, with appropriate instrument control and data processing software, is a viable direct liquid extraction sampling and analysis system suitable for the non-expert user and near real-time sample classification via database matching.« less

  20. Rapid sample classification using an open port sampling interface coupled with liquid introduction atmospheric pressure ionization mass spectrometry

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

    Van Berkel, Gary J.; Kertesz, Vilmos

    An “Open Access”-like mass spectrometric platform to fully utilize the simplicity of the manual open port sampling interface for rapid characterization of unprocessed samples by liquid introduction atmospheric pressure ionization mass spectrometry has been lacking. The in-house developed integrated software with a simple, small and relatively low-cost mass spectrometry system introduced here fills this void. Software was developed to operate the mass spectrometer, to collect and process mass spectrometric data files, to build a database and to classify samples using such a database. These tasks were accomplished via the vendorprovided software libraries. Sample classification based on spectral comparison utilized themore » spectral contrast angle method. As a result, using the developed software platform near real-time sample classification is exemplified using a series of commercially available blue ink rollerball pens and vegetable oils. In the case of the inks, full scan positive and negative ion ESI mass spectra were both used for database generation and sample classification. For the vegetable oils, full scan positive ion mode APCI mass spectra were recorded. The overall accuracy of the employed spectral contrast angle statistical model was 95.3% and 98% in case of the inks and oils, respectively, using leave-one-out cross-validation. In conclusion, this work illustrates that an open port sampling interface/mass spectrometer combination, with appropriate instrument control and data processing software, is a viable direct liquid extraction sampling and analysis system suitable for the non-expert user and near real-time sample classification via database matching.« less

  1. Research and development for Onboard Navigation (ONAV) ground based expert/trainer system: ONAV entry expert system code

    NASA Technical Reports Server (NTRS)

    Bochsler, Daniel C.

    1988-01-01

    A complete listing is given of the expert system rules for the Entry phase of the Onboard Navigation (ONAV) Ground Based Expert Trainer System for aircraft/space shuttle navigation. These source listings appear in the same format as utilized and required by the C Language Integrated Production System (CLIPS) expert system shell which is the basis for the ONAV entry system. A schematic overview is given of how the rules are organized. These groups result from a partitioning of the rules according to the overall function which a given set of rules performs. This partitioning was established and maintained according to that established in the knowledge specification document. In addition, four other groups of rules are specified. The four groups (control flow, operator inputs, output management, and data tables) perform functions that affect all the other functional rule groups. As the name implies, control flow ensures that the rule groups are executed in the order required for proper operation; operator input rules control the introduction into the CLIPS fact base of various kinds of data required by the expert system; output management rules control the updating of the ONAV expert system user display screen during execution of the system; and data tables are static information utilized by many different rule sets gathered in one convenient place.

  2. Preservice Teachers' Introduction to Computing: Exploring Utilization of Scratch

    ERIC Educational Resources Information Center

    Cetin, Ibrahim

    2016-01-01

    Computational thinking has been gaining new impetus in the academic community and in K-12 level education. Scratch is a visual programming environment that can be utilized to teach and learn introductory computing concepts. There are some studies investigating the effectiveness of Scratch for K-12 level education. However, studies that have been…

  3. High transport efficiency of nanoparticles through a total-consumption sample introduction system and its beneficial application for particle size evaluation in single-particle ICP-MS.

    PubMed

    Miyashita, Shin-Ichi; Mitsuhashi, Hiroaki; Fujii, Shin-Ichiro; Takatsu, Akiko; Inagaki, Kazumi; Fujimoto, Toshiyuki

    2017-02-01

    In order to facilitate reliable and efficient determination of both the particle number concentration (PNC) and the size of nanoparticles (NPs) by single-particle ICP-MS (spICP-MS) without the need to correct for the particle transport efficiency (TE, a possible source of bias in the results), a total-consumption sample introduction system consisting of a large-bore, high-performance concentric nebulizer and a small-volume on-axis cylinder chamber was utilized. Such a system potentially permits a particle TE of 100 %, meaning that there is no need to include a particle TE correction when calculating the PNC and the NP size. When the particle TE through the sample introduction system was evaluated by comparing the frequency of sharp transient signals from the NPs in a measured NP standard of precisely known PNC to the particle frequency for a measured NP suspension, the TE for platinum NPs with a nominal diameter of 70 nm was found to be very high (i.e., 93 %), and showed satisfactory repeatability (relative standard deviation of 1.0 % for four consecutive measurements). These results indicated that employing this total consumption system allows the particle TE correction to be ignored when calculating the PNC. When the particle size was determined using a solution-standard-based calibration approach without an NP standard, the particle diameters of platinum and silver NPs with nominal diameters of 30-100 nm were found to agree well with the particle diameters determined by transmission electron microscopy, regardless of whether a correction was performed for the particle TE. Thus, applying the proposed system enables NP size to be accurately evaluated using a solution-standard-based calibration approach without the need to correct for the particle TE.

  4. Analyses via automated mass spectrometry (MS/DS)

    NASA Technical Reports Server (NTRS)

    Koenig, T.

    1985-01-01

    New or improved uses of the Finnigan 4000 quadrupole mass spectrometer (MS) with its associated INCOS data system (DS) were investigated. The first phase involved an evaluative activity in which specific problems with miscalibration and gas chromatographic column conditioning were identified. This also revealed one solution to the problem of detection of substances not visible in the gas chromatography detection mode. A second phase was to seek useful applications of the direct inlet systems. This mode of sample introduction has not been previously utilized on the existing equipment and was successfully applied to the analysis of the components of TONOX 60/40 and in the thermal degradation products of some polymeric materials. Suggestions are made for improving and expanding the use of the MS/DS system in materials development and testing.

  5. Advances in spatial epidemiology and geographic information systems.

    PubMed

    Kirby, Russell S; Delmelle, Eric; Eberth, Jan M

    2017-01-01

    The field of spatial epidemiology has evolved rapidly in the past 2 decades. This study serves as a brief introduction to spatial epidemiology and the use of geographic information systems in applied research in epidemiology. We highlight technical developments and highlight opportunities to apply spatial analytic methods in epidemiologic research, focusing on methodologies involving geocoding, distance estimation, residential mobility, record linkage and data integration, spatial and spatio-temporal clustering, small area estimation, and Bayesian applications to disease mapping. The articles included in this issue incorporate many of these methods into their study designs and analytical frameworks. It is our hope that these studies will spur further development and utilization of spatial analysis and geographic information systems in epidemiologic research. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Accelerating the introduction of HTS products for a broad range of electric power and industrial applications

    NASA Astrophysics Data System (ADS)

    Eaton, Russell

    2002-01-01

    The Department of Energy (DOE), as part of its Superconductivity Program for Electric Systems, is successfully pursuing the development of electric power and industrial devices, incorporating significant high-temperature superconducting (HTS) components or subsystems, through its innovative Superconducting Partnership Initiative (SPI). The objective of the SPI is to accelerate the commercial introduction of the HTS products for a broad range of electric power and industrial applications. DOE's approach to accomplishing the SPI objective is to support cost shared projects carried out by industry led teams. DOE will fund projects to develop HTS devices that are either in (1) the research and development stage (Phase 1), (2) the pre-commercialization stage (Phase II), or (3) the commercial entry stage (Phase III). DOE's industry partners must contribute at least half a project's costs. These teams will include capabilities needed to develop the device as well as to develop the business plan for the commercial product introduction. DOE's partners consist of vertically integrated teams consisting of equipment manufacturers, HTS wire and coil suppliers, national laboratories, and end users, primarily utilities. These partners carry out the multi-year technology development efforts, consisting generally of design, construction, and testing of the HTS system. Finally, commercialization of HTS products will be discussed primarily in terms of benefits these products will have over competing products based upon conventional conductors and the critical need for affordable, practical HTS materials and conductors for these applications. .

  7. Perceptions of risk, risk aversion, and barriers to adoption of decision support systems and integrated pest management: an introduction.

    PubMed

    Gent, David H; De Wolf, Erick; Pethybridge, Sarah J

    2011-06-01

    Rational management of plant diseases, both economically and environmentally, involves assessing risks and the costs associated with both correct and incorrect tactical management decisions to determine when control measures are warranted. Decision support systems can help to inform users of plant disease risk and thus assist in accurately targeting events critical for management. However, in many instances adoption of these systems for use in routine disease management has been perceived as slow. The under-utilization of some decision support systems is likely due to both technical and perception constraints that have not been addressed adequately during development and implementation phases. Growers' perceptions of risk and their aversion to these perceived risks can be reasons for the "slow" uptake of decision support systems and, more broadly, integrated pest management (IPM). Decision theory provides some tools that may assist in quantifying and incorporating subjective and/or measured probabilities of disease occurrence or crop loss into decision support systems. Incorporation of subjective probabilities into IPM recommendations may be one means to reduce grower uncertainty and improve trust of these systems because management recommendations could be explicitly informed by growers' perceptions of risk and economic utility. Ultimately though, we suggest that an appropriate measure of the value and impact of decision support systems is grower education that enables more skillful and informed management decisions independent of consultation of the support tool outputs.

  8. Photovoltaic technology for sustainability: An investigation of the distributed utility concept as a policy framework

    NASA Astrophysics Data System (ADS)

    Letendre, Steven Emery

    The U.S. electric utility sector in its current configuration is unsustainable. The majority of electricity in the United States is produced using finite fossil fuels. In addition, significant potential exists to improve the nation's efficient use of energy. A sustainable electric utility sector will be characterized by increased use of renewable energy sources and high levels of end-use efficiency. This dissertation analyzes two alternative policy approaches designed to move the U.S. electric utility sector toward sustainability. One approach is labeled incremental which involves maintaining the centralized structure of the electric utility sector but facilitating the introduction of renewable energy and efficiency into the electrical system through the pricing mechanism. A second policy approach was described in which structural changes are encouraged based on the emerging distributed utility (DU) concept. A structural policy orientation attempts to capture the unique localized benefits that distributed renewable resources and energy efficiency offer to electric utility companies and their customers. A market penetration analysis of PV in centralized energy supply and distributed peak-shaving applications is conducted for a case-study electric utility company. Sensitivity analysis was performed based on incremental and structural policy orientations. The analysis provides compelling evidence which suggests that policies designed to bring about structural change in the electric utility sector are needed to move the industry toward sustainability. Specifically, the analysis demonstrates that PV technology, a key renewable energy option likely to play an important role in a renewable energy future, will begin to penetrate the electrical system in distributed peak-shaving applications long before the technology is introduced as a centralized energy supply option. Most policies to date, which I term incremental, attempt to encourage energy efficiency and renewables through the pricing system. Based on past policy experience, it is unlikely that such an approach would allow PV to compete in Delaware as an energy supply option in the next ten to twenty years. Alternatively, a market-based, or green pricing, approach will not create significant market opportunities for PV as a centralized energy supply option. However, structural policies designed to encourage the explicit recognition of the localized benefits of distributed resources could result in PV being introduced into the electrical system early in the next century.

  9. Palladium-catalyzed Kumada coupling reaction of bromoporphyrins with silylmethyl Grignard reagents: preparation of silylmethyl-substituted porphyrins as a multipurpose synthon for fabrication of porphyrin systems.

    PubMed

    Sugita, Noriaki; Hayashi, Satoshi; Hino, Fumio; Takanami, Toshikatsu

    2012-12-07

    We have developed an efficient method for preparing silylmethyl-substituted porphyrins via the palladium-catalyzed Kumada cross-coupling reaction of bromoporphyrins with silylmethyl Grignard reagents. We demonstrated the synthetic utility of these silylmethylporphyrins as a multipurpose synthon for fabricating porphyrin derivatives through a variety of transformations of the silylmethyl groups, including the DDQ-promoted oxidative conversion to CHO, CH(2)OH, CH(2)OMe, and CH(2)F functionalities and the fluoride ion-mediated desilylative introduction of carbon-carbon single and double bonds.

  10. An Introduction to Atomic Layer Deposition with Thermal Applications

    NASA Technical Reports Server (NTRS)

    Dwivedi, Vivek H.

    2015-01-01

    Atomic Layer Deposition (ALD) is a cost effective nano-manufacturing technique that allows for the conformal coating of substrates with atomic control in a benign temperature and pressure environment. Through the introduction of paired precursor gases thin films can be deposited on a myriad of substrates ranging from glass, polymers, aerogels, and metals to high aspect ratio geometries. This talk will focus on the utilization of ALD for engineering applications.

  11. Utilization Measurement: Focusing on the "U" in "D & U." Special Report.

    ERIC Educational Resources Information Center

    Southwest Educational Development Lab., Austin, TX.

    One of a series of booklets on disability research, this paper is intended as an introduction to the role of evaluation in the utilization process. Its purpose is to help disability researchers grasp the importance of incorporating a focus on assessing use into plans for disseminating research outcomes. The paper begins by examining basic…

  12. Introduction of argon beam coagulation functionality to robotic procedures using the ABC D-Flex probe: equivalency to an existing laparoscopic instrument

    NASA Astrophysics Data System (ADS)

    Merchel, Renée. A.; Barnes, Kelli S.; Taylor, Kenneth D.

    2015-03-01

    INTRODUCTION: The ABC® D-Flex Probe utilizes argon beam coagulation (ABC) technology to achieve hemostasis during minimally invasive surgery. A handle on the probe allows for integration with robotic surgical systems and introduces ABC to the robotic toolbox. To better understand the utility of D-Flex, this study compares the performance of the D-Flex probe to an existing ABC laparoscopic probe through ex vivo tissue analysis. METHODS: Comparisons were performed to determine the effect of four parameters: ABC device, tissue type, activation duration, and distance from tissue. Ten ABC D-Flex probes were used to create 30 burn samples for each comparison. Ex vivo bovine liver and porcine muscle were used as tissue models. The area and depth of each burn was measured using a light microscope. The resulting dimensional data was used to correlate tissue effect with each variable. RESULTS: D-Flex created burns which were smaller in surface area than the laparoscopic probe at all power levels. Additionally, D-Flex achieved thermal penetration levels equivalent to the laparoscopic probe. CONCLUSION: D-Flex implements a small 7F geometry which creates a more focused beam. When used with robotic precision, quick localized superficial hemostasis can be achieved with minimal collateral damage. Additionally, D-Flex achieved equivalent thermal penetration levels at lower power and argon flow-rate settings than the laparoscopic probe.

  13. Real-time information management environment (RIME)

    NASA Astrophysics Data System (ADS)

    DeCleene, Brian T.; Griffin, Sean; Matchett, Garry; Niejadlik, Richard

    2000-08-01

    Whereas data mining and exploitation improve the quality and quantity of information available to the user, there remains a mission requirement to assist the end-user in managing the access to this information and ensuring that the appropriate information is delivered to the right user in time to make decisions and take action. This paper discusses TASC's federated architecture to next- generation information management, contrasts the approach against emerging technologies, and quantifies the performance gains. This architecture and implementation, known as Real-time Information Management Environment (RIME), is based on two key concepts: information utility and content-based channelization. The introduction of utility allows users to express the importance and delivery requirements of their information needs in the context of their mission. Rather than competing for resources on a first-come/first-served basis, the infrastructure employs these utility functions to dynamically react to unanticipated loading by optimizing the delivered information utility. Furthermore, commander's resource policies shape these functions to ensure that resources are allocated according to military doctrine. Using information about the desired content, channelization identifies opportunities to aggregate users onto shared channels reducing redundant transmissions. Hence, channelization increases the information throughput of the system and balances sender/receiver processing load.

  14. Scientific Tools and Techniques: An Innovative Introduction to Planetary Science / Astronomy for 9th Grade Students

    NASA Astrophysics Data System (ADS)

    Albin, Edward F.

    2014-11-01

    Fernbank Science Center in Atlanta, GA (USA) offers instruction in planetary science and astronomy to gifted 9th grade students within a program called "Scientific Tools and Techniques" (STT). Although STT provides a semester long overview of all sciences, the planetary science / astronomy section is innovative since students have access to instruction in the Center's Zeiss planetarium and observatory, which includes a 0.9 m cassegrain telescope. The curriculum includes charting the positions of planets in planetarium the sky; telescopic observations of the Moon and planets; hands-on access to meteorites and tektites; and an introduction to planetary spectroscopy utilizing LPI furnished ALTA reflectance spectrometers. In addition, students have the opportunity to watch several full dome planetary themed planetarium presentations, including "Back to the Moon for Good" and "Ring World: Cassini at Saturn." An overview of NASA's planetary exploration efforts is also considered, with special emphasis on the new Orion / Space Launch System for human exploration of the solar system. A primary goal of our STT program is to not only engage but encourage students to pursue careers in the field of science, with the hope of inspiring future scientists / leaders in the field of planetary science.

  15. Integrated design and manufacturing for the high speed civil transport

    NASA Technical Reports Server (NTRS)

    1993-01-01

    In June 1992, Georgia Tech's School of Aerospace Engineering was awarded a NASA University Space Research Association (USRA) Advanced Design Program (ADP) to address 'Integrated Design and Manufacturing for the High Speed Civil Transport (HSCT)' in its graduate aerospace systems design courses. This report summarizes the results of the five courses incorporated into the Georgia Tech's USRA ADP program. It covers AE8113: Introduction to Concurrent Engineering, AE4360: Introduction to CAE/CAD, AE4353: Design for Life Cycle Cost, AE6351: Aerospace Systems Design One, and AE6352: Aerospace Systems Design Two. AE8113: Introduction to Concurrent Engineering was an introductory course addressing the basic principles of concurrent engineering (CE) or integrated product development (IPD). The design of a total system was not the objective of this course. The goal was to understand and define the 'up-front' customer requirements, their decomposition, and determine the value objectives for a complex product, such as the high speed civil transport (HSCT). A generic CE methodology developed at Georgia Tech was used for this purpose. AE4353: Design for Life Cycle Cost addressed the basic economic issues for an HSCT using a robust design technique, Taguchi's parameter design optimization method (PDOM). An HSCT economic sensitivity assessment was conducted using a Taguchi PDOM approach to address the robustness of the basic HSCT design. AE4360: Introduction to CAE/CAD permitted students to develop and utilize CAE/CAD/CAM knowledge and skills using CATIA and CADAM as the basic geometric tools. AE6351: Aerospace Systems Design One focused on the conceptual design refinement of a baseline HSCT configuration as defined by Boeing, Douglas, and NASA in their system studies. It required the use of NASA's synthesis codes FLOPS and ACSYNT. A criterion called the productivity index (P.I.) was used to evaluate disciplinary sensitivities and provide refinements of the baseline HSCT configuration. AE6352: Aerospace Systems Design Two was a continuation of Aerospace Systems Design One in which wing concepts were researched and analyzed in more detail. FLOPS and ACSYNT were again used at the system level while other off-the-shelf computer codes were used for more detailed wing disciplinary analysis and optimization. The culmination of all efforts and submission of this report conclude the first year's efforts of Georgia Tech's NASA USRA ADP. It will hopefully provide the foundation for next year's efforts concerning continuous improvement of integrated design and manufacturing for the HSCT.

  16. Reducing ambulance response times using discrete event simulation.

    PubMed

    Wei Lam, Sean Shao; Zhang, Zhong Cheng; Oh, Hong Choon; Ng, Yih Ying; Wah, Win; Hock Ong, Marcus Eng

    2014-01-01

    The objectives of this study are to develop a discrete-event simulation (DES) model for the Singapore Emergency Medical Services (EMS), and to demonstrate the utility of this DES model for the evaluation of different policy alternatives to improve ambulance response times. A DES model was developed based on retrospective emergency call data over a continuous 6-month period in Singapore. The main outcome measure is the distribution of response times. The secondary outcome measure is ambulance utilization levels based on unit hour utilization (UHU) ratios. The DES model was used to evaluate different policy options in order to improve the response times, while maintaining reasonable fleet utilization. Three policy alternatives looking at the reallocation of ambulances, the addition of new ambulances, and alternative dispatch policies were evaluated. Modifications of dispatch policy combined with the reallocation of existing ambulances were able to achieve response time performance equivalent to that of adding 10 ambulances. The median (90th percentile) response time was 7.08 minutes (12.69 minutes). Overall, this combined strategy managed to narrow the gap between the ideal and existing response time distribution by 11-13%. Furthermore, the median UHU under this combined strategy was 0.324 with an interquartile range (IQR) of 0.047 versus a median utilization of 0.285 (IQR of 0.051) resulting from the introduction of additional ambulances. Response times were shown to be improved via a more effective reallocation of ambulances and dispatch policy. More importantly, the response time improvements were achieved without a reduction in the utilization levels and additional costs associated with the addition of ambulances. We demonstrated the effective use of DES as a versatile platform to model the dynamic system complexities of Singapore's national EMS systems for the evaluation of operational strategies to improve ambulance response times.

  17. Development of Scaffolds for Light Harvesting and Photocatalysis from the Coat Protein of Tobacco Mosaic Virus

    NASA Astrophysics Data System (ADS)

    Dedeo, Michel Toussaint

    The utility of a previously developed TMV-based light harvesting system has been dramatically expanded through the introduction of reactive handles for the site-specific modification of the interior and exterior surfaces. Further experiments to reengineer the coat protein have produced structures with unique, unexpected, and useful assembly properties that complement the newly available surface modifications. Energy transfer from chromophores in the RNA channel of self-assembled TMV structures to the exterior was made possible by conjugation of acceptor dyes and porphyrins to the N-terminus. By repositioning the N-terminus to the pore through circular permutation, this process was repeated to create structures that mimic the light harvesting 1 complex of photosynthetic bacteria. To study and improve upon natural photosynthesis, closely packed chromophore arrays and gold nanoparticles were tethered to the pore of stabilized TMV disks through introduction of a uniquely reactive lysine. Finally, a dimeric TMV coat protein was produced to control the distribution and arrangement of synthetic groups with synergistic activity.

  18. Next-Generation Performance-Based Regulation: Emphasizing Utility Performance to Unleash Power Sector Innovation

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

    Logan, Jeffrey S; Zinaman, Owen R; Littell, David

    Performance-based regulation (PBR) enables regulators to reform hundred-year-old regulatory structures to unleash innovations within 21st century power systems. An old regulatory paradigm built to ensure safe and reliable electricity at reasonable prices from capital-intensive electricity monopolies is now adjusting to a new century of disruptive technological advances that change the way utilities make money and what value customers expect from their own electricity company. Advanced technologies are driving change in power sectors around the globe. Innovative technologies are transforming the way electricity is generated, delivered, and consumed. These emerging technology drivers include renewable generation, distributed energy resources such as distributedmore » generation and energy storage, demand-side management measures such as demand-response, electric vehicles, and smart grid technologies and energy efficiency (EE). PBR enables regulators to recognize the value that electric utilities bring to customers by enabling these advanced technologies and integrating smart solutions into the utility grid and utility operations. These changes in the electric energy system and customer capacities means that there is an increasing interest in motivating regulated entities in other areas beyond traditional cost-of-service performance regulation. This report addresses best practices gleaned from more than two decades of PBR in practice, and analyzes how those best practices and lessons can be used to design innovative PBR programs. Readers looking for an introduction to PBR may want to focus on Chapters 1-5. Chapters 6 and 7 contain more detail for those interested in the intricate workings of PBR or particularly innovative PBR.« less

  19. Dynamics of Individual and Collective Agricultural Adaptation to Water Scarcity

    NASA Astrophysics Data System (ADS)

    Burchfield, E. K.; Gilligan, J. M.

    2016-12-01

    Drought and water scarcity are challenging agricultural systems around the world. We draw on extensive field-work conducted with paddy farmers in rural Sri Lanka to study adaptations to water scarcity, including switching to less water-intensive crops, farming collectively on shared land, and turning to groundwater by digging wells. We explore how variability in climate affects agricultural decision-making at the community and individual levels using three decision-making heuristics, each characterized by an objective function: risk-averse expected utility, regret-adjusted expected utility, and prospect theory loss-aversion. We also assess how the introduction of individualized access to irrigation water with wells affects long-standing community-based drought mitigation practices. Results suggest that the growth of well-irrigation may produce sudden disruptions to community-based adaptations, but that this depends on the mental models farmers use to think about risk and make decisions under uncertainty.

  20. The six most essential questions in psychiatric diagnosis: a pluralogue part 3: issues of utility and alternative approaches in psychiatric diagnosis

    PubMed Central

    2012-01-01

    In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM – whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part 1 of this article took up the first two questions. Part 2 took up the second two questions. Part 3 now deals with Questions 5 & 6. Question 5 confronts the issue of utility, whether the manual design of DSM-III and IV favors clinicians or researchers, and what that means for DSM-5. Our final question, Question 6, takes up a concluding issue, whether the acknowledged problems with the earlier DSMs warrants a significant overhaul of DSM-5 and future manuals. As in Parts 1 & 2 of this article, the general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances. PMID:22621419

  1. Halo-shaped Flowing Atmospheric Pressure Afterglow – a Heavenly New Design for Simplified Sample Introduction and Improved Ionization in Ambient Mass Spectrometry

    PubMed Central

    Pfeuffer, Kevin P.; Schaper, J. Niklas; Shelley, Jacob T.; Ray, Steven J.; Chan, George C.-Y.; Bings, Nicolas H.; Hieftje, Gary M.

    2013-01-01

    The flowing atmospheric pressure afterglow (FAPA) is a promising new source for atmospheric pressure, ambient desorption/ionization mass spectrometry. However, problems exist with reproducible sample introduction into the FAPA source. To overcome this limitation, a new FAPA geometry has been developed in which concentric tubular electrodes are utilized to form a halo-shaped discharge; this geometry has been termed the halo-FAPA or h-FAPA. With this new geometry, it is still possible to achieve direct desorption and ionization from a surface; however, sample introduction through the inner capillary is also possible and improves interaction between the sample material (solution, vapor, or aerosol) and the plasma to promote desorption and ionization. The h-FAPA operates with a helium gas flow of 0.60 L/min outer, 0.30 L/min inner, applied current of 30 mA at 200 V for 6 watts of power. In addition, separation of the discharge proper and sample material prevents perturbations to the plasma. Optical-emission characterization and gas rotational temperatures reveal that the temperature of the discharge is not significantly affected (< 3% change at 450K) by water vapor during solution-aerosol sample introduction. The primary mass-spectral background species are protonated water clusters, and the primary analyte ions are protonated molecular ions (M+H+). Flexibility of the new ambient sampling source is demonstrated by coupling it with a laser ablation unit, a concentric nebulizer and a droplet-on-demand system for sample introduction. A novel arrangement is also presented in which the central channel of the h-FAPA is used as the inlet to a mass spectrometer. PMID:23808829

  2. Halo-shaped flowing atmospheric pressure afterglow: a heavenly design for simplified sample introduction and improved ionization in ambient mass spectrometry.

    PubMed

    Pfeuffer, Kevin P; Schaper, J Niklas; Shelley, Jacob T; Ray, Steven J; Chan, George C-Y; Bings, Nicolas H; Hieftje, Gary M

    2013-08-06

    The flowing atmospheric-pressure afterglow (FAPA) is a promising new source for atmospheric-pressure, ambient desorption/ionization mass spectrometry. However, problems exist with reproducible sample introduction into the FAPA source. To overcome this limitation, a new FAPA geometry has been developed in which concentric tubular electrodes are utilized to form a halo-shaped discharge; this geometry has been termed the halo-FAPA or h-FAPA. With this new geometry, it is still possible to achieve direct desorption and ionization from a surface; however, sample introduction through the inner capillary is also possible and improves interaction between the sample material (solution, vapor, or aerosol) and the plasma to promote desorption and ionization. The h-FAPA operates with a helium gas flow of 0.60 L/min outer, 0.30 L/min inner, and applied current of 30 mA at 200 V for 6 W of power. In addition, separation of the discharge proper and sample material prevents perturbations to the plasma. Optical-emission characterization and gas rotational temperatures reveal that the temperature of the discharge is not significantly affected (<3% change at 450 K) by water vapor during solution-aerosol sample introduction. The primary mass-spectral background species are protonated water clusters, and the primary analyte ions are protonated molecular ions (M + H(+)). Flexibility of the new ambient sampling source is demonstrated by coupling it with a laser ablation unit, a concentric nebulizer, and a droplet-on-demand system for sample introduction. A novel arrangement is also presented in which the central channel of the h-FAPA is used as the inlet to a mass spectrometer.

  3. Warrant Officer Orientation Course (WOOC) Evaluation

    DTIC Science & Technology

    1981-10-01

    Army Mainte- nance Management System, Security Awareness, Organizational Effectiveness, Introduction to Management , Enlisted Personnel Management...Orientation Introduction to Management Professional Ethics USA Officer Evaluation Reporting System (OES) Military Correspondence Military...Organizational Effectiveness, Introduction to Management , Enlisted Personnal Management System, and The Army Functional Files System and The Army

  4. Laboratory Test Utilization Management: General Principles and Applications in Hematopathology.

    PubMed

    Reichard, Kaaren K; Wood, Adam J

    2016-03-01

    As the cost of health care continues to rise and reimbursement rates decrease, there is a growing demand and need to cut overall costs, enhance quality of services, and maintain as a top priority the needs and safety of the patient. In this article, we provide an introduction to test utilization and outline a general approach to creating an efficient, cost-effective test utilization strategy. We also present and discuss 2 test utilization algorithms that are evidence-based and may be of clinical utility as we move toward the future of doing the necessary tests at the right time. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. FEQinput—An editor for the full equations (FEQ) hydraulic modeling system

    USGS Publications Warehouse

    Ancalle, David S.; Ancalle, Pablo J.; Domanski, Marian M.

    2017-10-30

    IntroductionThe Full Equations Model (FEQ) is a computer program that solves the full, dynamic equations of motion for one-dimensional unsteady hydraulic flow in open channels and through control structures. As a result, hydrologists have used FEQ to design and operate flood-control structures, delineate inundation maps, and analyze peak-flow impacts. To aid in fighting floods, hydrologists are using the software to develop a system that uses flood-plain models to simulate real-time streamflow.Input files for FEQ are composed of text files that contain large amounts of parameters, data, and instructions that are written in a format exclusive to FEQ. Although documentation exists that can aid in the creation and editing of these input files, new users face a steep learning curve in order to understand the specific format and language of the files.FEQinput provides a set of tools to help a new user overcome the steep learning curve associated with creating and modifying input files for the FEQ hydraulic model and the related utility tool, Full Equations Utilities (FEQUTL).

  6. Rapid sample classification using an open port sampling interface coupled with liquid introduction atmospheric pressure ionization mass spectrometry.

    PubMed

    Van Berkel, Gary J; Kertesz, Vilmos

    2017-02-15

    An "Open Access"-like mass spectrometric platform to fully utilize the simplicity of the manual open port sampling interface for rapid characterization of unprocessed samples by liquid introduction atmospheric pressure ionization mass spectrometry has been lacking. The in-house developed integrated software with a simple, small and relatively low-cost mass spectrometry system introduced here fills this void. Software was developed to operate the mass spectrometer, to collect and process mass spectrometric data files, to build a database and to classify samples using such a database. These tasks were accomplished via the vendor-provided software libraries. Sample classification based on spectral comparison utilized the spectral contrast angle method. Using the developed software platform near real-time sample classification is exemplified using a series of commercially available blue ink rollerball pens and vegetable oils. In the case of the inks, full scan positive and negative ion ESI mass spectra were both used for database generation and sample classification. For the vegetable oils, full scan positive ion mode APCI mass spectra were recorded. The overall accuracy of the employed spectral contrast angle statistical model was 95.3% and 98% in case of the inks and oils, respectively, using leave-one-out cross-validation. This work illustrates that an open port sampling interface/mass spectrometer combination, with appropriate instrument control and data processing software, is a viable direct liquid extraction sampling and analysis system suitable for the non-expert user and near real-time sample classification via database matching. Published in 2016. This article is a U.S. Government work and is in the public domain in the USA. Published in 2016. This article is a U.S. Government work and is in the public domain in the USA.

  7. Accelerating Large Scale Image Analyses on Parallel, CPU-GPU Equipped Systems

    PubMed Central

    Teodoro, George; Kurc, Tahsin M.; Pan, Tony; Cooper, Lee A.D.; Kong, Jun; Widener, Patrick; Saltz, Joel H.

    2014-01-01

    The past decade has witnessed a major paradigm shift in high performance computing with the introduction of accelerators as general purpose processors. These computing devices make available very high parallel computing power at low cost and power consumption, transforming current high performance platforms into heterogeneous CPU-GPU equipped systems. Although the theoretical performance achieved by these hybrid systems is impressive, taking practical advantage of this computing power remains a very challenging problem. Most applications are still deployed to either GPU or CPU, leaving the other resource under- or un-utilized. In this paper, we propose, implement, and evaluate a performance aware scheduling technique along with optimizations to make efficient collaborative use of CPUs and GPUs on a parallel system. In the context of feature computations in large scale image analysis applications, our evaluations show that intelligently co-scheduling CPUs and GPUs can significantly improve performance over GPU-only or multi-core CPU-only approaches. PMID:25419545

  8. Technology Transfer Opportunities: Automated Ground-Water Monitoring

    USGS Publications Warehouse

    Smith, Kirk P.; Granato, Gregory E.

    1997-01-01

    Introduction A new automated ground-water monitoring system developed by the U.S. Geological Survey (USGS) measures and records values of selected water-quality properties and constituents using protocols approved for manual sampling. Prototypes using the automated process have demonstrated the ability to increase the quantity and quality of data collected and have shown the potential for reducing labor and material costs for ground-water quality data collection. Automation of water-quality monitoring systems in the field, in laboratories, and in industry have increased data density and utility while reducing operating costs. Uses for an automated ground-water monitoring system include, (but are not limited to) monitoring ground-water quality for research, monitoring known or potential contaminant sites, such as near landfills, underground storage tanks, or other facilities where potential contaminants are stored, and as an early warning system monitoring groundwater quality near public water-supply wells.

  9. [Introduction of a bar coding pharmacy stock replenishment system in a prehospital emergency medical unit: economical impact].

    PubMed

    Dupuis, S; Fecci, J-L; Noyer, P; Lecarpentier, E; Chollet-Xémard, C; Margenet, A; Marty, J; Combes, X

    2009-01-01

    To assess economical impact after introduction of a bar coding pharmacy stock replenishment system in a prehospital emergency medical unit. Observational before and after study. A computer system using specific software and bare-code technology was introduced in the pre hospital emergency medical unit (Smur). Overall activity and costs related to pharmacy were recorded annually during two periods: the first 2 years period before computer system introduction and the second one during the 4 years following this system installation. The overall clinical activity increased by 10% between the two periods whereas pharmacy related costs continuously decreased after the start of pharmacy management computer system use. Pharmacy stock management was easier after introduction of the new stock replenishment system. The mean pharmacy related cost of one patient management was 13 Euros before and 9 Euros after the introduction of the system. The overall cost savings during the studied period was calculated to reach 134,000 Euros. The introduction of a specific pharmacy management computer system allowed to do important costs savings in a prehospital emergency medical unit.

  10. Evaluating disease management program effectiveness: an introduction to time-series analysis.

    PubMed

    Linden, Ariel; Adams, John L; Roberts, Nancy

    2003-01-01

    Currently, the most widely used method in the disease management (DM) industry for evaluating program effectiveness is referred to as the "total population approach." This model is a pretest-posttest design, with the most basic limitation being that without a control group, there may be sources of bias and/or competing extraneous confounding factors that offer a plausible rationale explaining the change from baseline. Furthermore, with the current inclination of DM programs to use financial indicators rather than program-specific utilization indicators as the principal measure of program success, additional biases are introduced that may cloud evaluation results. This paper presents a non-technical introduction to time-series analysis (using disease-specific utilization measures) as an alternative, and more appropriate, approach to evaluating DM program effectiveness than the current total population approach.

  11. Effect of Spatial-Dependent Utility on Social Group Domination

    NASA Astrophysics Data System (ADS)

    Rodriguez, Nathaniel; Meyertholen, Andrew

    2012-02-01

    The mathematical modeling of social group competition has garnered much attention. We consider a model originated by Abrams and Strogatz [Nature 424, 900 (2003)] that predicts the extinction of one of two social groups. This model assigns a utility to each social group, which is constant over the entire society. We find by allowing this utility to vary over a society, through the introduction of a network or spatial dependence, this model may result in the coexistence of the two social groups.

  12. Methods for the isolation and identification of polycyclic aromatic hydrocarbons found in complex mixtures and the determination of their possible toxicity by means of a host mediated bioassay technique. Progress report, July 1, 1976--February 1, 1977. [Cultured mouse leumemia cell bioassay system

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

    Lipsky, S.R.; Alexander, G.; McMurray, W.

    1977-02-01

    Techniques were developed to produce excellent high performance glass capillary columns for gas chromatographic analyses of a wide range of complex mixtures of organic compounds, including those containing a wide array of polycyclic aromatic hydrocarbons (PAH) derived from a coal liquefaction process. Work was begun to assess the potential mutogenicity and/or carcinogenicity of the various isolated PAH fractions utilizing a unique host mediated bioassay system. Preliminary results indicate that further efforts will be required to determine dose response parameters of cultured mouse leukemia cells, as well as suitable vehicles for the satisfactory introduction of certain PAH fractions into this particularmore » bioassay system.« less

  13. A review of CDC's Web-based Injury Statistics Query and Reporting System (WISQARS™): Planning for the future of injury surveillance✩

    PubMed Central

    Ballesteros, Michael F.; Webb, Kevin; McClure, Roderick J.

    2017-01-01

    Introduction The Centers for Disease Control and Prevention (CDC) developed the Web-based Injury Statistics Query and Reporting System (WISQARSTM) to meet the data needs of injury practitioners. In 2015, CDC completed a Portfolio Review of this system to inform its future development. Methods Evaluation questions addressed utilization, technology and innovation, data sources, and tools and training. Data were collected through environmental scans, a review of peer-reviewed and grey literature, a web search, and stakeholder interviews. Results Review findings led to specific recommendations for each evaluation question. Response CDC reviewed each recommendation and initiated several enhancements that will improve the ability of injury prevention practitioners to leverage these data, better make sense of query results, and incorporate findings and key messages into prevention practices. PMID:28454867

  14. Three-tier multi-granularity switching system based on PCE

    NASA Astrophysics Data System (ADS)

    Wang, Yubao; Sun, Hao; Liu, Yanfei

    2017-10-01

    With the growing demand for business communications, electrical signal processing optical path switching can't meet the demand. The multi-granularity switch system that can improve node routing and switching capabilities came into being. In the traditional network, each node is responsible for calculating the path; synchronize the whole network state, which will increase the burden on the network, so the concept of path calculation element (PCE) is proposed. The PCE is responsible for routing and allocating resources in the network1. In the traditional band-switched optical network, the wavelength is used as the basic routing unit, resulting in relatively low wavelength utilization. Due to the limitation of wavelength continuity, the routing design of the band technology becomes complicated, which directly affects the utilization of the system. In this paper, optical code granularity is adopted. There is no continuity of the optical code, and the number of optical codes is more flexible than the wavelength. For the introduction of optical code switching, we propose a Code Group Routing Entity (CGRE) algorithm. In short, the combination of three-tier multi-granularity optical switching system and PCE can simplify the network structure, reduce the node load, and enhance the network scalability and survivability. Realize the intelligentization of optical network.

  15. Influence of the prospective payment system on speech-language pathology services.

    PubMed

    Frymark, Tobi B; Mullen, Robert C

    2005-01-01

    The present study was performed to determine the clinical effects of the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) on speech and language intervention services and to examine the feasibility of using the federally mandated FIM instrument to establish resource allocation to patients with cognitive, communication, and swallowing disorders. A pre-IRF PPS and post-IRF PPS comparative study was conducted over a 1-yr time interval using data from the American Speech-Language-Hearing Association's National Outcomes Measurement System. Toward this end, the National Outcomes Measurement System's Functional Communication Measures were used to obtain data from 2,631 patients residing in 96 freestanding rehabilitation hospitals or hospitals with rehabilitation units implementing the prospective payment system on or after January 1, 2002. To ensure reliable retrospective and prospective data comparisons, all sites were active participants within the National Outcomes Measurement System program before the introduction of IRF PPS within their facilities. Findings revealed changes in both the utilization of speech-language pathologists and patient outcomes. Under the IRF PPS, there was a clear decline in speech- and language-related lengths of stay. However, clinicians attempted to compensate for these decrements in lengths of stay by increasing the intensity and frequency of their speech and language services. Despite these compensatory efforts, further analyses of the data revealed that under the IRF PPS, fewer patients achieved multiple levels of functional progress in speech and language abilities than before this payment system was implemented. This trend was most noteworthy in the treatment areas of swallowing, motor speech, and memory. In addition, this study revealed that, compared with the National Outcomes Measurement System's Functional Communication Measures, the FIM instrument significantly under-represented and undervalued the extent of a patient's overall progress in recovering from their cognitive, communication, or swallowing disabilities. These findings support the notion that the introduction of the IRF PPS has, perhaps unintentionally, caused more patients with cognitive, communication, and swallowing disorders to be discharged from inpatient rehabilitative care with less than adequate functional skill levels. The discouraging results in speech-language pathology utilization and patient outcomes will be useful for clinicians in the future when facing the ongoing challenges of maintaining quality care while streamlining services under the prospective payment system.

  16. Kolkata Paise Restaurant Problem: An Introduction

    NASA Astrophysics Data System (ADS)

    Ghosh, Asim; Biswas, Soumyajyoti; Chatterjee, Arnab; Chakrabarti, Anindya Sundar; Naskar, Tapan; Mitra, Manipushpak; Chakrabarti, Bikas K.

    We discuss several stochastic optimization strategies in games with many players having large number of choices (Kolkata Paise Restaurant Problem) and two choices (minority game problem). It is seen that a stochastic crowd avoiding strategy gives very efficient utilization in KPR problem. A slightly modified strategy in the minority game problem gives full utilization but the dynamics stops after reaching full efficiency, thereby making the utilization helpful for only about half of the population (those in minority). We further discuss the ways in which the dynamics may be continued and the utilization becomes effective for all the agents keeping fluctuation arbitrarily small.

  17. Animal protein production modules in biological life support systems: Novel combined aquaculture techniques based on the closed equilibrated biological aquatic system (C.E.B.A.S.)

    NASA Astrophysics Data System (ADS)

    Blüm, V.; Andriske, M.; Kreuzberg, K.; Schreibman, M. P.

    Based on the experiences made with the Closed Equilibrated Biological Aquatic System (C.E.B.A.S.) which was primarily deveoloped for long-term and multi-generation experiments with aquatic animals and plants in a space station highly effective fresh water recycling modules were elaborated utilizing a combination of ammonia oxidizing bacteria filters and higher plants. These exhibit a high effectivity to eliminate phosphate and anorganic nitrogen compounds and arc. in addidition. able to contribute to the oxygen supply of the aquatic animals. The C.E.B.A.S. filter system is able to keep a closed artificial aquatic ecosystem containing teleost fishes and water snails biologically stable for several month and to eliminate waste products deriving from degraded dead fishes without a decrease of the oxygen concentration down to less than 3.5 mg/l at 25 °C. More advanced C.E.B.A.S. filter systems, the BIOCURE filters, were also developed for utilization in semiintensive and intensive aquaculture systems for fishes. In fact such combined animal-plant aquaculture systems represent highly effective productions sites for human food if proper plant and fish species are selected The present papers elucidates ways to novel aquaculture systems in which herbivorous fishes are raised by feeding them with plant biomass produced in the BIOCURE filters and presents the scheme of a modification which utilizes a plant species suitable also for human nutrition. Special attention is paid to the benefits of closed aquaculture system modules which may be integrated into bioregenerative life support systems of a higher complexity for, e. g.. lunar or planetary bases including some psychologiccal aspects of the introduction of animal protein production into plant-based life support systems. Moreover, the basic reproductive biological problems of aquatic animal breeding under reduced gravity are explained leading to a disposition of essential research programs in this context.

  18. Navy-New Hampshire Wind Energy Program.

    DTIC Science & Technology

    1979-11-01

    Hampshire 156 3.2.2.6.4 Legal/Institutional Barriers 157 3.2.2.6.4.1 Public Utilities Regulatory Policy Act ( PURPA ) 157 3.2.2.6.4.2 State of New...Regulatory Policy Act ( PURPA ) The greatest potential barrier to the introduction of wind turbine machines for the generation of electronic power is the...from qualified cogenerators at just and reasonable rates. Two of the provisions of PURPA are especially relc ant to the introduction of wind turbine

  19. 36 CFR 292.11 - Introduction.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... other values contributing to public enjoyment; and (3) the management, utilization, and disposal of... visitors, he may in his discretion issue to such owner a certification that so long as the property is...

  20. A variety of human monoclonal antibodies against epidermal growth factor receptor isolated from a phage antibody library.

    PubMed

    Kurosawa, Gene; Kondo, Mariko; Kurosawa, Yoshikazu

    2016-11-04

    When the technology for constructing human antibody (Ab) libraries using a phage-display system was developed, many researchers in Ab-related fields anticipated that it would be widely applied to the development of pharmaceutical drugs against various diseases, including cancers. However, successful examples of such applications are very limited. Moreover, researchers who utilize phage-display technology now show divergent ways of thinking about phage Ab libraries. For example, there is debate about what should be the source of V H and V L genes for the construction of libraries to cover the whole repertoire of Abs present in the human body. In the immune system, the introduction of mutations into V genes followed by selection based on binding activity, termed Ab maturation, is required for the production of Abs exhibiting high affinity to the antigen (Ag). Therefore, introduction of mutations and selection are required for isolation of Abs with high affinity after isolation of clones from phage Ab libraries. We constructed a large human Ab library termed AIMS, developed a screening method termed ICOS, and succeeded in isolating many human monoclonal Abs (mAbs) that specifically and strongly bind to various tumor-associated Ags. Eight anti-EGFR mAbs were included, which we characterized. These mAbs showed various different activities against EGFR-expressing cancer cells. In this paper, we describe these data and discuss the possibility and necessity that the mAbs isolated from the AIMS library might be developed as therapeutic drugs against cancers without introduction of mutations. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  1. A System for Anesthesia Drug Administration Using Barcode Technology: The Codonics Safe Label System and Smart Anesthesia Manager.

    PubMed

    Jelacic, Srdjan; Bowdle, Andrew; Nair, Bala G; Kusulos, Dolly; Bower, Lynnette; Togashi, Kei

    2015-08-01

    Many anesthetic drug errors result from vial or syringe swaps. Scanning the barcodes on vials before drug preparation, creating syringe labels that include barcodes, and scanning the syringe label barcodes before drug administration may help to prevent errors. In contrast, making syringe labels by hand that comply with the recommendations of regulatory agencies and standards-setting bodies is tedious and time consuming. A computerized system that uses vial barcodes and generates barcoded syringe labels could address both safety issues and labeling recommendations. We measured compliance of syringe labels in multiple operating rooms (ORs) with the recommendations of regulatory agencies and standards-setting bodies before and after the introduction of the Codonics Safe Label System (SLS). The Codonics SLS was then combined with Smart Anesthesia Manager software to create an anesthesia barcode drug administration system, which allowed us to measure the rate of scanning syringe label barcodes at the time of drug administration in 2 cardiothoracic ORs before and after introducing a coffee card incentive. Twelve attending cardiothoracic anesthesiologists and the OR satellite pharmacy participated. The use of the Codonics SLS drug labeling system resulted in >75% compliant syringe labels (95% confidence interval, 75%-98%). All syringe labels made using the Codonics SLS system were compliant. The average rate of scanning barcodes on syringe labels using Smart Anesthesia Manager was 25% (730 of 2976) over 13 weeks but increased to 58% (956 of 1645) over 8 weeks after introduction of a simple (coffee card) incentive (P < 0.001). An anesthesia barcode drug administration system resulted in a moderate rate of scanning syringe label barcodes at the time of drug administration. Further, adaptation of the system will be required to achieve a higher utilization rate.

  2. Correction of a liquid lens for 3D imaging systems

    NASA Astrophysics Data System (ADS)

    Bower, Andrew J.; Bunch, Robert M.; Leisher, Paul O.; Li, Weixu; Christopher, Lauren A.

    2012-06-01

    3D imaging systems are currently being developed using liquid lens technology for use in medical devices as well as in consumer electronics. Liquid lenses operate on the principle of electrowetting to control the curvature of a buried surface, allowing for a voltage-controlled change in focal length. Imaging systems which utilize a liquid lens allow extraction of depth information from the object field through a controlled introduction of defocus into the system. The design of such a system must be carefully considered in order to simultaneously deliver good image quality and meet the depth of field requirements for image processing. In this work a corrective model has been designed for use with the Varioptic Arctic 316 liquid lens. The design is able to be optimized for depth of field while minimizing aberrations for a 3D imaging application. The modeled performance is compared to the measured performance of the corrected system over a large range of focal lengths.

  3. Performance evaluation of public hospital information systems by the information system success model.

    PubMed

    Cho, Kyoung Won; Bae, Sung-Kwon; Ryu, Ji-Hye; Kim, Kyeong Na; An, Chang-Ho; Chae, Young Moon

    2015-01-01

    This study was to evaluate the performance of the newly developed information system (IS) implemented on July 1, 2014 at three public hospitals in Korea. User satisfaction scores of twelve key performance indicators of six IS success factors based on the DeLone and McLean IS Success Model were utilized to evaluate IS performance before and after the newly developed system was introduced. All scores increased after system introduction except for the completeness of medical records and impact on the clinical environment. The relationships among six IS factors were also analyzed to identify the important factors influencing three IS success factors (Intention to Use, User Satisfaction, and Net Benefits). All relationships were significant except for the relationships among Service Quality, Intention to Use, and Net Benefits. The results suggest that hospitals should not only focus on systems and information quality; rather, they should also continuously improve service quality to improve user satisfaction and eventually reach full the potential of IS performance.

  4. Engineering topological superconductors using surface atomic-layer/molecule hybrid materials

    NASA Astrophysics Data System (ADS)

    Uchihashi, Takashi

    2015-08-01

    Surface atomic-layer (SAL) superconductors consisting of epitaxially grown metal adatoms on a clean semiconductor surface have been recently established. Compared to conventional metal thin films, they have two important features: (i) space-inversion symmetry-breaking throughout the system and (ii) high sensitivity to surface adsorption of foreign species. These potentially lead to manifestation of the Rashba effect and a Zeeman field exerted by adsorbed magnetic organic molecules. After introduction of the archetypical SAL superconductor Si(111)-(√7 × √3)-In, we describe how these features are utilized to engineer a topological superconductor with Majorana fermions and discuss its promises and expected challenges.

  5. An introduction to boron: history, sources, uses, and chemistry.

    PubMed Central

    Woods, W G

    1994-01-01

    Following a brief overview of the terrestrial distribution of boron in rocks, soil, and water, the history of the discovery, early utilization, and geologic origin of borate minerals is summarized. Modern uses of borate-mineral concentrates, borax, boric acid, and other refined products include glass, fiberglass, washing products, alloys and metals, fertilizers, wood treatments, insecticides, and microbiocides. The chemistry of boron is reviewed from the point of view of its possible health effects. It is concluded that boron probably is complexed with hydroxylated species in biologic systems, and that inhibition and stimulation of enzyme and coenzymes are pivotal in its mode of action. Images Figure 1. PMID:7889881

  6. Use of lacticin 481 to facilitate delivery of the bacteriophage resistance plasmid, pCBG104 to cheese starters.

    PubMed

    Mills, S; Coffey, A; O'Sullivan, L; Stokes, D; Hill, C; Fitzgerald, G F; Ross, R P

    2002-01-01

    Use of lacticin 481 to facilitate the conjugal transfer of the bacteriophage resistance plasmid pCBG104 to various starter cultures. A raw milk isolate of Lactococcus was found to harbour determinants for lacticin 481 production and immunity and phage resistance on a plasmid designated pCBG104. The lacticin 481 was successfully used to mobilize the phage resistance determinant to a variety of cheese starters enabling the formation of highly phage resistant starters. In addition, it facilitated the stacking of a number of phage resistance genes, namely a type I restriction modification system, a phage abortive infection system and a phage adsorption blocking system in a single Lactococcus strain without the use of recombinant techniques. The transconjugants were all shown to produce lacticin 481 and to contain the entire 481 operon. Subsequently one transconjugant was selected and successfully used for large-scale cheddar cheese manufacture. Lacticin 481 could be used as a food-grade selectable marker to facilitate the introduction of advantageous traits to starter cultures for industrial food fermentations. Food-grade selectable markers greatly facilitate the introduction of various advantageous traits to starter cultures for industrial food fermentation. Indeed self-cloning which is becoming increasingly important for strain improvement has a requirement for the identification and demonstration of the utility of tools such as lacticin 481.

  7. The Certified Clinical Nurse Leader in Critical Care.

    PubMed

    L'Ecuyer, Kristine M; Shatto, Bobbi J; Hoffmann, Rosemary L; Crecelius, Matthew L

    2016-01-01

    Challenges of the current health system in the United States call for collaboration of health care professionals, careful utilization of resources, and greater efficiency of system processes. Innovations to the delivery of care include the introduction of the clinical nurse leader role to provide leadership at the point of care, where it is needed most. Clinical nurse leaders have demonstrated their ability to address needed changes and implement improvements in processes that impact the efficiency and quality of patient care across the continuum and in a variety of settings, including critical care. This article describes the role of the certified clinical nurse leader, their education and skill set, and outlines outcomes that have been realized by their efforts. Specific examples of how clinical nurse leaders impact critical care nursing are discussed.

  8. RNAi-induced silencing of embryonic tryptophan oxygenase in the Pyralid moth, Plodia interpunctella

    PubMed Central

    Fabrick, Jeffrey A.; Kanost, Michael R.; Baker, James E.

    2004-01-01

    Gene silencing through the introduction of double-stranded RNA (RNA interference, RNAi) provides a powerful tool for the elucidation of gene function in many systems, including those where genomics and proteomics are incomplete. The use of RNAi technology for gene silencing in Lepidoptera has lacked significant attention compared to other systems. To demonstrate that RNAi can be utilized in the lepidopteran, Plodia interpunctella, we cloned a cDNA for tryptophan oxygenase, and showed that silencing of tryptophan oxygenase through RNAi during embryonic development resulted in loss of eye-color pigmentation. The complete amino acid sequence of Plodia tryptophan oxygenase can be accessed through NCBI Protein Database under NCBI Accession # AY427951. Abbreviation RNAi RNA interference PCR polymerase chain reaction RT-PCR reverse transcription-PCR PMID:15861231

  9. Use of electronic monitoring in clinical nursing research.

    PubMed

    Ailinger, Rita L; Black, Patricia L; Lima-Garcia, Natalie

    2008-05-01

    In the past decade, the introduction of electronic monitoring systems for monitoring medication adherence has contributed to the dialog about what works and what does not work in monitoring adherence. The purpose of this article is to describe the use of the Medication Event Monitoring System (MEMS) in a study of patients receiving isoniazid for latent tuberculosis infection. Three case examples from the study illustrate the data that are obtained from the electronic device compared to self-reports and point to the disparities that may occur in electronic monitoring. The strengths and limitations of using the MEMS and ethical issues in utilizing this technology are discussed. Nurses need to be aware of these challenges when using electronic measuring devices to monitor medication adherence in clinical nursing practice and research.

  10. 14 CFR Section 1 - Introduction to System of Accounts and Reports

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AIR CARRIERS General Accounting Provisions Section 1 Introduction to System of Accounts and Reports ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Introduction to System of Accounts and Reports Section 1 Section 1 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION...

  11. Prediction and experimental observation of damage dependent damping in laminated composite beams

    NASA Technical Reports Server (NTRS)

    Allen, D. H.; Harris, C. E.; Highsmith, A. L.

    1987-01-01

    The equations of motion are developed for laminated composite beams with load-induced matrix cracking. The damage is accounted for by utilizing internal state variables. The net result of these variables on the field equations is the introduction of both enhanced damping, and degraded stiffness. Both quantities are history dependent and spatially variable, thus resulting in nonlinear equations of motion. It is explained briefly how these equations may be quasi-linearized for laminated polymeric composites under certain types of structural loading. The coupled heat conduction equation is developed, and it is shown that an enhanced Zener damping effect is produced by the introduction of microstructural damage. The resulting equations are utilized to demonstrate how damage dependent material properties may be obtained from dynamic experiments. Finaly, experimental results are compared to model predictions for several composite layups.

  12. NOHIMS (Naval Occupational Health Information Management System) Users’ Guide: Introduction and OHS (Occupational Health System) Options.

    DTIC Science & Technology

    1984-06-26

    irred. 2’. 4’.. Nava Het esarch CenterU 0i P. 0. Bx 8512 San iego Caiforia 2138917 P. W. SUMMARY The Naval Occupational Health information Management System (WHIMS...Introduction and OHS Options I. INTRODUCTION TO THE NAVY OCCUPATIONAL HEALTH INFORMATION MANAGEMENT SYSTEM (NOHIMS) The objective of NOHIMS is to provide an

  13. Fundamental Study on Saving Energy for Electrified Railway System Applying High Temperature Superconductor Motor and Energy Storage System

    NASA Astrophysics Data System (ADS)

    Konishi, Takeshi; Nakamura, Taketsune; Amemiya, Naoyuki

    Induction motor instead of dc one has been applied widely for dc electric rolling stock because of the advantage of its utility and efficiency. However, further improvement of motor characteristics will be required to realize environment-friendly dc railway system in the future. It is important to study more efficient machine applying dc electric rolling stock for next generation high performance system. On the other hand, the methods to reuse regenerative energy produced by motors effectively are also important. Therefore, we carried out fundamental study on saving energy for electrified railway system. For the first step, we introduced the energy storage system applying electric double-layer capacitors (EDLC), and its control system. And then, we tried to obtain the specification of high temperature superconductor induction/synchronous motor (HTS-ISM), which performance is similar with that of the conventional induction motors. Furthermore, we tried to evaluate an electrified railway system applying energy storage system and HTS-ISM based on simulation. We succeeded in showing the effectiveness of the introductions of energy storage system and HTS-ISM in DC electrified railway system.

  14. A Study on the Effect on Scheduling and Management of Surgeries with the Introduction of Excellent Medical Information.

    PubMed

    Mei, Tsai Ching

    2016-01-01

    The services of OR play an important role in the medical business for department of surgery. The most important issue for OR is about the scheduling and management of surgeries. Good surgery schedule could elevate the utilization efficiency of OR. Therefore, the introduction of excellent medical information can both dramatically elevate the work efficiency of health care employees and reduce workload to reach win-win benefits in both management and performance.

  15. 48 CFR 1846.670 - Introduction.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Introduction. 1846.670 Section 1846.670 Federal Acquisition Regulations System NATIONAL AERONAUTICS AND SPACE ADMINISTRATION CONTRACT MANAGEMENT QUALITY ASSURANCE Material Inspection and Receiving Reports 1846.670 Introduction. ...

  16. Unbundling of electric power and energy services

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

    Keith, D.M.; Lewis, B.R.

    1996-12-31

    The world-wide movement to restructure the electric and power and energy industry is now well underway in the United States. The most recent thrust came this year, with the Federal Energy Regulatory Commission`s (FERC`s) issuance on April 24th of new regulations designed to open the interconnected transmission grid to all qualified wholesale users. Other movements have been in the many forms of earlier statutes and regulations promulgated in 1978 to make more efficient use of fuels burned; utility diversification efforts; utility creation of affiliate and subsidiary organizations and operations; introduction into the market of private non-utility power developers; utilities obtainingmore » clearance from the Securities and Exchange Commission (SEC) to venture in international markets; massive mergers and acquisitions; bankruptcies; the entry into the market of nonutility power marketers and brokers, including entities from the gas and securities industries not previously involved in the electric power and energy industry; additional congressional consideration of outright repeal of Holding Company legislation dating back to 1935; some states entering into an era of abandoning the control past in favor of complete re-regulation of the industry on the basis of performance; the coming of Independent System Operators (ISO`s), Regional Transmission Groups (RTG`s), and the possible coming of Capacity Reservation Tariffs (CRT`s), to name a few.« less

  17. Stochastic Feshbach Projection for the Dynamics of Open Quantum Systems

    NASA Astrophysics Data System (ADS)

    Link, Valentin; Strunz, Walter T.

    2017-11-01

    We present a stochastic projection formalism for the description of quantum dynamics in bosonic or spin environments. The Schrödinger equation in the coherent state representation with respect to the environmental degrees of freedom can be reformulated by employing the Feshbach partitioning technique for open quantum systems based on the introduction of suitable non-Hermitian projection operators. In this picture the reduced state of the system can be obtained as a stochastic average over pure state trajectories, for any temperature of the bath. The corresponding non-Markovian stochastic Schrödinger equations include a memory integral over the past states. In the case of harmonic environments and linear coupling the approach gives a new form of the established non-Markovian quantum state diffusion stochastic Schrödinger equation without functional derivatives. Utilizing spin coherent states, the evolution equation for spin environments resembles the bosonic case with, however, a non-Gaussian average for the reduced density operator.

  18. Hierarchy curriculum for practical skills training in optics and photonics

    NASA Astrophysics Data System (ADS)

    Zheng, XiaoDong; Wang, XiaoPing; Liu, Xu; Liu, XiangDong; Lin, YuanFang

    2017-08-01

    The employers in optical engineering fields hope to recruit students who are capable of applying optical principles to solve engineering problems and have strong laboratory skills. In Zhejiang University, a hierarchy curriculum for practical skill training has been constructed to satisfy this demand. This curriculum includes "Introductive practicum" for freshmen, "Opto-mechanical systems design", "Engineering training", "Electronic system design", "Student research training program (SRTP)", "National University Students' Optical-Science-Technology Competition game", and "Offcampus externship". Without cutting optical theory credit hours, this hierarchy curriculum provides a step-by-step solution to enhance students' practical skills. By following such a hierarchy curriculum, students can smoothly advance from a novice to a qualified professional expert in optics. They will be able to utilize optical engineering tools to design, build, analyze, improve, and test systems, and will be able to work effectively in teams to solve problems in engineering and design.

  19. Evaluating new health information technologies: expanding the frontiers of health care delivery and health promotion.

    PubMed

    Kreps, Gary L

    2002-01-01

    The modern health care system is being irrevocably changed by the development and introduction of new health information technologies (such as health information systems, decision-support tools, specialized websites, and innovative communication devices). While many of these new technologies hold the promise of revolutionizing the modern health system and facilitating improvements in health care delivery, health education, and health promotion, it is imperative to carefully examine and assess the effectiveness of these technological tools to determine which products are most useful to apply in specific contexts, as well as to learn how to best utilize these products and processes. Without good evaluative information about new technologies, we are unlikely to reap the greatest benefits from these powerful new tools. This chapter examines the demand for evaluating health information technologies and suggests several strategies for conducting rigorous and relevant evaluation research.

  20. Ethical budgets: a critical success factor in implementing new public management accountability in health care.

    PubMed

    Bosa, Iris M

    2010-05-01

    New public management accountability is increasingly being introduced into health-care systems throughout the world - albeit with mixed success. This paper examines the successful introduction of new management accounting systems among general practitioners (GPs) as an aspect of reform in the Italian health-care system. In particular, the study examines the critical role played by the novel concept of an 'ethical budget' in engaging the willing cooperation of the medical profession in implementing change. Utilizing a qualitative research design, with in-depth interviews with GPs, hospital doctors and managers, along with archival analysis, the present study finds that management accounting can be successfully implemented among medical professionals provided there is alignment between the management imperative and the ethical framework in which doctors practise their profession. The concept of an 'ethical budget' has been shown to be an innovative and effective tool in achieving this alignment.

  1. An evidence-based diagnostic classification system for low back pain

    PubMed Central

    Vining, Robert; Potocki, Eric; Seidman, Michael; Morgenthal, A. Paige

    2013-01-01

    Introduction: While clinicians generally accept that musculoskeletal low back pain (LBP) can arise from specific tissues, it remains difficult to confirm specific sources. Methods: Based on evidence supported by diagnostic utility studies, doctors of chiropractic functioning as members of a research clinic created a diagnostic classification system, corresponding exam and checklist based on strength of evidence, and in-office efficiency. Results: The diagnostic classification system contains one screening category, two pain categories: Nociceptive, Neuropathic, one functional evaluation category, and one category for unknown or poorly defined diagnoses. Nociceptive and neuropathic pain categories are each divided into 4 subcategories. Conclusion: This article describes and discusses the strength of evidence surrounding diagnostic categories for an in-office, clinical exam and checklist tool for LBP diagnosis. The use of a standardized tool for diagnosing low back pain in clinical and research settings is encouraged. PMID:23997245

  2. Development of highly compact and low power consumption athermal military laser designators

    NASA Astrophysics Data System (ADS)

    Sijan, A.

    2012-10-01

    The utility of military lasers, particularly in the area of laser designation for laser-guided weapons, is well understood. Laser systems based on Nd:YAG have been fielded since the 1980's and over the last three decades have introduced incremental technology steps to improve performance and weight. The most recent technology step has been the introduction of athermal lasers based on laser-diode pumping of Nd:YAG and products are now emerging for use on the battlefield. The technical performance, efficiency, size, weight and power for these lasers, has been key to driving the new production designs. In this paper, we review the development of the laser designs and their introduction since the advent of laser designation. In particular, we compare the relative performance and characteristics over the evolution of fielded laser designators. Moreover, we will review the key building blocks for the design of athermal lasers and describe some critical design issues for engineering and productionisation of a military laser system, including removal of thermal lensing, novel diode-pumping schemes and robustness over the environment. These will be exemplified using results from the development of the SELEX Galileo Type 163 Laser Target Designators. These will cover not only technical performance, power and efficiency, but also thermal management, mass, volume, cost and overall complexity for manufacture.

  3. Structural equation modeling and natural systems

    USGS Publications Warehouse

    Grace, James B.

    2006-01-01

    This book, first published in 2006, presents an introduction to the methodology of structural equation modeling, illustrates its use, and goes on to argue that it has revolutionary implications for the study of natural systems. A major theme of this book is that we have, up to this point, attempted to study systems primarily using methods (such as the univariate model) that were designed only for considering individual processes. Understanding systems requires the capacity to examine simultaneous influences and responses. Structural equation modeling (SEM) has such capabilities. It also possesses many other traits that add strength to its utility as a means of making scientific progress. In light of the capabilities of SEM, it can be argued that much of ecological theory is currently locked in an immature state that impairs its relevance. It is further argued that the principles of SEM are capable of leading to the development and evaluation of multivariate theories of the sort vitally needed for the conservation of natural systems.

  4. Utilization of methanol for polymer electrolyte fuel cells in mobile systems

    NASA Astrophysics Data System (ADS)

    Schmidt, V. M.; Brockerhoff, P.; Hohlein, B.; Menzer, R.; Stimming, U.

    1994-04-01

    The constantly growing volume of road traffic requires the introduction of new vehicle propulsion systems with higher efficiency and drastically reduced emission rates. As part of the fuel cell programme of the Research Centre Julich a vehicle propulsion system with methanol as secondary energy carrier and a polymer electrolyte membrane fuel cell (PEMFC) as the main component for energy conversion is developed. The fuel gas is produced by a heterogeneously catalyzed steam reforming reaction in which methanol is converted to H2, CO and CO2. The required energy is provided by the catalytic conversion of methanol for both heating up the system and reforming methanol. The high CO content of the fuel gas requires further processing of the gas or the development of new electrocatalysts for the anode. Various Pt-Ru alloys show promising behaviour as CO-tolerant anodes. The entire fuel cell system is discussed in terms of energy and emission balances. The development of important components is described and experimental results are discussed.

  5. Satellite time-transfer: recent developments and projects

    NASA Astrophysics Data System (ADS)

    Lewandowski, W.; Nawrocki, J.

    2006-10-01

    Global Navigation Satellite Systems (GNSS) keep a central role in the international timekeeping. American Global Positioning System (GPS) is a navigation system that has proven itself to be a reliable source of positioning for both the military community and the civilian community. But, little known by many, is the fact that GPS has proven itself to be an important and valuable utility to the timekeeping community (Lewandowski et al. 1999). GPS is a versatile and global tool which can be used to both distribute time to an arbitrary number of users and synchronise clocks over large distances with a high degree of precision and accuracy. Similar performance can be obtained with Russian Global Navigation Satellite System (GLONASS). It is expected in the near future satellites of a new European navigation system GALILEO might bring some important opportunities for international timekeeping. This paper after a brief introduction to international timekeeping focuses on the description of recent progress in time transfer techniques using GNSS satellites.

  6. Initial experience with the unrestricted introduction of sugammadex at a large academic medical center: a retrospective observational study examining postoperative mechanical ventilation and efficiency outcomes.

    PubMed

    Reilly-Shah, Vikas N O'; Lynde, Grant C; Mitchell, Matthew L; Maffeo, Carla L; Jabaley, Craig S; Wolf, Francis A

    2018-05-30

    Sugammadex can rapidly reverse deep neuromuscular blockade, but due to cost questions remain as to its optimal utilization. After introduction for unrestricted use at an academic medical center, we hypothesized that reductions would be demonstrated in the primary outcome of post-anesthesia care unit (PACU) mechanical ventilation (MV) and secondary outcomes of PACU length of stay (LOS), and emergence time (surgery end to anesthesia end time in PACU). We conducted a retrospective observational study of patients undergoing general anesthesia over a 12-month period. Using multiple variable penalized logistic regression in a one group before-and-after design, we compared categorized rates of PACU MV to examine the effect of sugammadex introduction following a post-hoc chart review to ascertain the reason for postoperative MV. Additionally, multiple variable linear regression was used to assess for differences in PACU LOS and emergence time within a propensity matched set of patients receiving neostigmine or sugammadex. 7,217 cases met inclusion criteria: 3,798 before and 3,419 after the introduction of sugammadex. The incidence of PACU MV was 2.3% before and 1.8% after (p=0.118). PACU MV due to residual neuromuscular blockade (rNMB) decreased from 0.63% to 0.20% (p=0.005). Ventilation due to other causes was unchanged. PACU LOS and emergence time were unchanged in a propensity matched set of 1,444 cases. We identified rNMB as an important contributor to PACU MV utilization and observed a significant decrease after sugammadex was introduced. The selected efficiency measures may not have been sufficiently granular to identify improvements following introduction.

  7. Does the Universal Health Insurance Program Affect Urban-Rural Differences in Health Service Utilization among the Elderly? Evidence from a Longitudinal Study in Taiwan

    ERIC Educational Resources Information Center

    Liao, Pei-An; Chang, Hung-Hao; Yang, Fang-An

    2012-01-01

    Purpose: To assess the impact of the introduction of Taiwan's National Health Insurance (NHI) on urban-rural inequality in health service utilization among the elderly. Methods: A longitudinal data set of 1,504 individuals aged 65 and older was constructed from the Survey of Health and Living Status of the Elderly. A difference-in-differences…

  8. The value of open access and a patient centric approach to oral oncolytic utilization in the treatment of Chronic Myelogenous Leukemia: A U.S. perspective.

    PubMed

    Das, Lopamudra; Gitlin, Matthew; Siegartel, Lisa R; Makenbaeva, Dinara

    2017-04-01

    Since the introduction of tyrosine kinase inhibitors (TKIs), the treatment of patients with chronic myelogenous leukemia (CML) has resulted in significant improvement in patient survival but at a higher pharmaceutical cost to payers. The recent introduction of generic imatinib presents an opportunity to lower pharmacy costs within a population that is growing due to improved survival. Recent literature has focused on the likely benefits to payers of step therapy through generic imatinib. Areas covered: This review provides a perspective that is broader than the evaluation of financial savings or narrowly defined health economic metrics by incorporating factors such as CML patient heterogeneity, including varying levels of disease progression risk, comorbidities and genetic mutation status, differences in TKI product profiles, clinical guideline recommendations, and the importance of individualized patient care. A focused literature review evaluating the real-world impact of utilization management programs is presented. Expert commentary: The findings indicate that payers can achieve substantial savings without the need to implement utilization management policies. Compromises in the ability to provide individualized patient care and unwanted economic consequences resulting from increased costs of disease progression, adverse events, and lack of response to treatment due to utilization management are summarized.

  9. Current issues in the economics of vaccination against dengue.

    PubMed

    Tozan, Yesim

    2016-01-01

    Dengue is a major public health concern in tropical and subtropical areas of the world. The prospects for dengue prevention have recently improved with the results of efficacy trials of a tetravalent dengue vaccine. Although partially effective, once licensed, its introduction can be a public health priority in heavily affected countries because of the perceived public health importance of dengue. This review explores the most immediate economic considerations of introducing a new dengue vaccine and evaluates the published economic analyses of dengue vaccination. Findings indicate that the current economic evidence base is of limited utility to support country-level decisions on dengue vaccine introduction. There are a handful of published cost-effectiveness studies and no country-specific costing studies to project the full resource requirements of dengue vaccine introduction. Country-level analytical expertise in economic analyses, another gap identified, needs to be strengthened to facilitate evidence-based decision-making on dengue vaccine introduction in endemic countries.

  10. Performance Analysis of the NAS Y-MP Workload

    NASA Technical Reports Server (NTRS)

    Bergeron, Robert J.; Kutler, Paul (Technical Monitor)

    1997-01-01

    This paper describes the performance characteristics of the computational workloads on the NAS Cray Y-MP machines, a Y-MP 832 and later a Y-MP 8128. Hardware measurements indicated that the Y-MP workload performance matured over time, ultimately sustaining an average throughput of 0.8 GFLOPS and a vector operation fraction of 87%. The measurements also revealed an operation rate exceeding 1 per clock period, a well-balanced architecture featuring a strong utilization of vector functional units, and an efficient memory organization. Introduction of the larger memory 8128 increased throughput by allowing a more efficient utilization of CPUs. Throughput also depended on the metering of the batch queues; low-idle Saturday workloads required a buffer of small jobs to prevent memory starvation of the CPU. UNICOS required about 7% of total CPU time to service the 832 workloads; this overhead decreased to 5% for the 8128 workloads. While most of the system time went to service I/O requests, efficient scheduling prevented excessive idle due to I/O wait. System measurements disclosed no obvious bottlenecks in the response of the machine and UNICOS to the workloads. In most cases, Cray-provided software tools were- quite sufficient for measuring the performance of both the machine and operating, system.

  11. Analysis of Train Suspension System Using MR dampers

    NASA Astrophysics Data System (ADS)

    RamaSastry, DVA; Ramana, K. V.; Mohan Rao, N.; Siva Kumar, SVR; Priyanka, T. G. L.

    2016-09-01

    This paper deals with introducing MR dampers to the Train Suspension System for improving the ride comfort of the passengers. This type of suspension system comes under Semi-active suspension system which utilizes the properties of MR fluid to damp the vibrations. In case of high speed trains, the coach body is subjected to vibrations due to vertical displacement, yaw and pitch movements. When the body receives these disturbances from the ground,the transmission of vibrations to the passenger increases which affect the ride comfort. In this work, the equations of motion of suspension system are developed for both conventional passive system and semi-active system and are modelled in Matlab/Simulink and analysis has been carried out. The passive suspension system analysis shows that it is taking more time to damp the vibrations and at the same time the transmissibility of vibrations is more.Introducing MR dampers,vertical and angular displacements of the body are computed and compared. The results show that the introduction of MR dampers into the train suspension system improves ride comfort.

  12. Incineration of biomass and utilization of product gas as a CO2 source for crop production in closed systems: gas quality and phytotoxicity.

    PubMed

    Bubenheim, D L; Patterson, M; Wignarajah, K; Flynn, M

    1997-01-01

    This study addressed the recycle of carbon from inedible biomass to CO2 for utilization in crop production. Earlier work identified incineration as an attractive approach to resource recovery from solid wastes because the products are well segregated. Given the effective separation of carbon into the gaseous product stream from the incinerator in the form of CO2 we captured the gaseous stream produced during incineration of wheat inedible biomass and utilized it as the CO2 source for crop production. Injection rate was based on maintenance of CO2 concentration in the growing environment. The crop grown in the closed system was lettuce. Carbon was primarily in the form of CO2 in the incinerator product gas with less than 8% of carbon compounds appearing as CO. Nitrogen oxides and organic compounds such as toluene, xylene, and benzene were present in the product gas at lower concentrations (< 4 micromol mol-1); sulfur containing compounds were below the detection limits. Direct utilization of the gaseous product of the incinerator as the CO2 source was toxic to lettuce grown in a closed chamber. Net photosynthetic rates of the crop was suppressed more than 50% and visual injury symptoms were visible within 3 days of the introduction of the incinerator gas. Even the removal of the incinerator gas alter two days of crop exposure and replacement with pure CO2 did not eliminate the toxic effects. Both organic and inorganic components of the incinerator gas are candidates for the toxin.

  13. Incineration of biomass and utilization of product gas as a CO2 source for crop production in closed systems: gas quality and phytotoxicity

    NASA Astrophysics Data System (ADS)

    1997-01-01

    This study addressed the recycle of carbon from inedible biomass to CO2 for utilization in crop production. Earlier work identified incineration as an attractive approach to resource recovery from solid wastes because the products are well segregated. Given the effective separation of carbon into the gaseous product stream from the incinerator in the form of CO2 we captured the gaseous stream produced during incineration of wheat inedible biomass and utilized it as the CO2 source for crop production. Injection rate was based on maintenance of CO2 concentration in the growing environment. The crop grown in the closed system was lettuce. Carbon was primarily in the form of CO2 in the incinerator product gas with less than 8% of carbon compounds appearing as CO. Nitrogen oxides and organic compounds such as toluene, xylene, and benzene were present in the product gas at lower concentrations (<4 μmol mol-1) sulfur containing compounds were below the detection limits. Direct utilization of the gaseous product of the incinerator as the CO2 source was toxic to lettuce grown in a closed chamber. Net photosynthetic rates of the crop was suppressed more than 50% and visual injury symptoms were visible within 3 days of the introduction of the incinerator gas. Even the removal of the incinerator gas after two days of crop exposure and replacement with pure CO2 did not eliminate the toxic effects. Both organic and inorganic components of the incinerator gas are candidates for the toxin.

  14. Incineration of biomass and utilization of product gas as a CO_2 source for crop production in closed systems: gas quality and phytotoxicity

    NASA Astrophysics Data System (ADS)

    Bubenheim, D. L.; Patterson, M.; Wignarajah, K.; Flynn, M.

    1997-01-01

    This study addressed the recycle of carbon from inedible biomass to CO_2 for utilization in crop production. Earlier work identified incineration as an attractive approach to resource recovery from solid wastes because the products are well segregated. Given the effective separation of carbon into the gaseous product stream from the incinerator in the form of CO_2 we captured the gaseous stream produced during incineration of wheat inedible biomass and utilized it as the CO_2 source for crop production. Injection rate was based on maintenance of CO_2 concentration in the growing environment. The crop grown in the closed system was lettuce. Carbon was primarily in the form of CO_2 in the incinerator product gas with less than 8% of carbon compounds appearing as CO. Nitrogen oxides and organic compounds such as toluene, xylene, and benzene were present in the product gas at lower concentrations (<4 mumol mol^-1) sulfur containing compounds were below the detection limits. Direct utilization of the gaseous product of the incinerator as the CO_2 source was toxic to lettuce grown in a closed chamber. Net photosynthetic rates of the crop was suppressed more than 50% and visual injury symptoms were visible within 3 days of the introduction of the incinerator gas. Even the removal of the incinerator gas after two days of crop exposure and replacement with pure CO_2 did not eliminate the toxic effects. Both organic and inorganic components of the incinerator gas are candidates for the toxin.

  15. Brief Report: Utilization of the First Biosimilar Infliximab Since Its Approval in South Korea.

    PubMed

    Kim, Seoyoung C; Choi, Nam-Kyong; Lee, Joongyub; Kwon, Kyoung-Eun; Eddings, Wesley; Sung, Yoon-Kyoung; Ji Song, Hong; Kesselheim, Aaron S; Solomon, Daniel H

    2016-05-01

    The US Food and Drug Administration is considering an application for a biosimilar version of infliximab, which has been available in South Korea since November 2012. The aim of the present study was to examine the utilization patterns of both branded and biosimilar infliximab and other tumor necrosis factor (TNF) inhibitors in South Korea before and after the introduction of this biosimilar infliximab. Using claims data from April 2009 to March 2014 from the Korean Health Insurance Review and Assessment Service database, which includes the entire South Korean population, the number of claims for biosimilar infliximab was assessed. A segmented linear regression model was used to examine the utilization patterns of infliximab (the branded and biosimilar versions) and other TNF inhibitors (adalimumab and etanercept) before and after the introduction of the biosimilar infliximab. In total, 20,976 TNF inhibitor users were identified from the South Korean claims database, including 983 with a prescription claim for biosimilar infliximab. Among all of the claims for any version of infliximab, the proportion of biosimilar infliximab claims increased to 19% through March 2014. Before November 2012, each month there were 33 (95% confidence interval [95% CI] 32, 35) more infliximab claims, 44 (95% CI 40, 48) more etanercept claims, and 50 (95% CI 47, 53) more adalimumab claims. After November 2012, there were significant changes in the slopes for trend in usage, with additional increases in the use of branded and biosimilar infliximab (9 more claims per month, 95% CI 2, 17) and decreases in the use of etanercept (-52 claims per month, 95% CI -66, -38) and adalimumab (-21 claims per month, 95% CI -35, -6). During the first 15 months since its introduction in South Korea, one-fifth of all infliximab claims were for the biosimilar version. Introduction of biosimilar infliximab may affect the use of other TNF inhibitors, and the magnitude of change in usage will likely differ in other countries. © 2016, American College of Rheumatology.

  16. Comparative performance study of different sample introduction techniques for rapid and precise selenium isotope ratio determination using multi-collector inductively coupled plasma mass spectrometry (MC-ICP/MS).

    PubMed

    Elwaer, Nagmeddin; Hintelmann, Holger

    2007-11-01

    The analytical performance of five sample introduction systems, a cross flow nebulizer spray chamber, two different solvent desolvation systems, a multi-mode sample introduction system (MSIS), and a hydride generation (LI2) system were compared for the determination of Se isotope ratio measurements using multi-collector inductively coupled plasma mass spectrometry (MC-ICP/MS). The optimal operating parameters for obtaining the highest Se signal-to-noise (S/N) ratios and isotope ratio precision for each sample introduction were determined. The hydride generation (LI2) system was identified as the most suitable sample introduction method yielding maximum sensitivity and precision for Se isotope ratio measurement. It provided five times higher S/N ratios for all Se isotopes compared to the MSIS, 20 times the S/N ratios of both desolvation units, and 100 times the S/N ratios produced by the conventional spray chamber sample introduction method. The internal precision achieved for the (78)Se/(82)Se ratio at 100 ng mL(-1) Se with the spray chamber, two desolvation, MSIS, and the LI2 systems coupled to MC-ICP/MS was 150, 125, 114, 13, and 7 ppm, respectively. Instrument mass bias factors (K) were calculated using an exponential law correction function. Among the five studied sample introduction systems the LI2 showed the lowest mass bias of -0.0265 and the desolvation system showed the largest bias with -0.0321.

  17. Utilization of Services in a Randomized Trial Testing Phone- and Web-Based Interventions for Smoking Cessation

    PubMed Central

    Jack, Lisa M.; McClure, Jennifer B.; Deprey, Mona; Javitz, Harold S.; McAfee, Timothy A.; Catz, Sheryl L.; Richards, Julie; Bush, Terry; Swan, Gary E.

    2011-01-01

    Introduction: Phone counseling has become standard for behavioral smoking cessation treatment. Newer options include Web and integrated phone–Web treatment. No prior research, to our knowledge, has systematically compared the effectiveness of these three treatment modalities in a randomized trial. Understanding how utilization varies by mode, the impact of utilization on outcomes, and predictors of utilization across each mode could lead to improved treatments. Methods: One thousand two hundred and two participants were randomized to phone, Web, or combined phone–Web cessation treatment. Services varied by modality and were tracked using automated systems. All participants received 12 weeks of varenicline, printed guides, an orientation call, and access to a phone supportline. Self-report data were collected at baseline and 6-month follow-up. Results: Overall, participants utilized phone services more often than the Web-based services. Among treatment groups with Web access, a significant proportion logged in only once (37% phone–Web, 41% Web), and those in the phone–Web group logged in less often than those in the Web group (mean = 2.4 vs. 3.7, p = .0001). Use of the phone also was correlated with increased use of the Web. In multivariate analyses, greater use of the phone- or Web-based services was associated with higher cessation rates. Finally, older age and the belief that certain treatments could improve success were consistent predictors of greater utilization across groups. Other predictors varied by treatment group. Conclusions: Opportunities for enhancing treatment utilization exist, particularly for Web-based programs. Increasing utilization more broadly could result in better overall treatment effectiveness for all intervention modalities. PMID:21330267

  18. Reducing NOx Emissions for a 600 MWe Down-Fired Pulverized-Coal Utility Boiler by Applying a Novel Combustion System.

    PubMed

    Ma, Lun; Fang, Qingyan; Lv, Dangzhen; Zhang, Cheng; Chen, Yiping; Chen, Gang; Duan, Xuenong; Wang, Xihuan

    2015-11-03

    A novel combustion system was applied to a 600 MWe Foster Wheeler (FW) down-fired pulverized-coal utility boiler to solve high NOx emissions, without causing an obvious increase in the carbon content of fly ash. The unit included moving fuel-lean nozzles from the arches to the front/rear walls and rearranging staged air as well as introducing separated overfire air (SOFA). Numerical simulations were carried out under the original and novel combustion systems to evaluate the performance of combustion and NOx emissions in the furnace. The simulated results were found to be in good agreement with the in situ measurements. The novel combustion system enlarged the recirculation zones below the arches, thereby strengthening the combustion stability considerably. The coal/air downward penetration depth was markedly extended, and the pulverized-coal travel path in the lower furnace significantly increased, which contributed to the burnout degree. The introduction of SOFA resulted in a low-oxygen and strong-reducing atmosphere in the lower furnace region to reduce NOx emissions evidently. The industrial measurements showed that NOx emissions at full load decreased significantly by 50%, from 1501 mg/m3 (O2 at 6%) to 751 mg/m3 (O2 at 6%). The carbon content in the fly ash increased only slightly, from 4.13 to 4.30%.

  19. Taking a quality assurance program from paper to electronic health records: one dental school's experience.

    PubMed

    Filker, Phyllis J; Muckey, Erin Joy; Kelner, Steven M; Kodish-Stav, Jodi

    2009-09-01

    The Obama administration is seeking to increase access to and improve the efficiency of the health care system in the United States. One aspect of those efforts is a push towards the utilization of electronic health records (EHRs) by health care providers. Nova Southeastern University College of Dental Medicine (NSU-CDM) opened its doors in 1997 and began its evolution from paper charts to EHRs in 2006. AxiUm, a computer-run patient record and clinical management system, has become an integral part of the college's quality assurance program and its students' clinical education. Since the introduction of axiUm, the school has already noticed an increase in the quality of patient care due to improved oversight of patient management and the ability to more efficiently track treatment outcomes. Over time, the system will enable data collected by students providing care in the clinics to be quantified. Opposition to EHRs tends to stem primarily from the amount of time required for users to gain proficiency in the new technology, as well as from the initial cost to the provider. But there is no better place to begin this learning process regarding the importance and utilization of EHR systems than universities, where health professions students can acquire a comfort level with EHRs in an academic environment that they may then implement in their future practice.

  20. Assessing introduction risk using species’ rank-abundance distributions

    PubMed Central

    Chan, Farrah T.; Bradie, Johanna; Briski, Elizabeta; Bailey, Sarah A.; Simard, Nathalie; MacIsaac, Hugh J.

    2015-01-01

    Mixed-species assemblages are often unintentionally introduced into new ecosystems. Analysing how assemblage structure varies during transport may provide insights into how introduction risk changes before propagules are released. Characterization of introduction risk is typically based on assessments of colonization pressure (CP, the number of species transported) and total propagule pressure (total PP, the total abundance of propagules released) associated with an invasion vector. Generally, invasion potential following introduction increases with greater CP or total PP. Here, we extend these assessments using rank-abundance distributions to examine how CP : total PP relationships change temporally in ballast water of ocean-going ships. Rank-abundance distributions and CP : total PP patterns varied widely between trans-Atlantic and trans-Pacific voyages, with the latter appearing to pose a much lower risk than the former. Responses also differed by taxonomic group, with invertebrates experiencing losses mainly in total PP, while diatoms and dinoflagellates sustained losses mainly in CP. In certain cases, open-ocean ballast water exchange appeared to increase introduction risk by uptake of new species or supplementation of existing ones. Our study demonstrates that rank-abundance distributions provide new insights into the utility of CP and PP in characterizing introduction risk. PMID:25473007

  1. INTRODUCTION AND STUDY DESIGN

    EPA Science Inventory

    Under the sponsorship of the UNEP/ILO/IPCS, 17 laboratories from diverse regions of the world participated in evaluating the utility of four plant bioassays for detecting genetic hazards of environmental chemicals. he bioassays included in this collaborative study were Arabidopsi...

  2. Magnetic Resonance Imaging (MRI) and Positron Emission Tomography (PET)/MRI for Lung Cancer Staging.

    PubMed

    Ohno, Yoshiharu; Koyama, Hisanobu; Lee, Ho Yun; Yoshikawa, Takeshi; Sugimura, Kazuro

    2016-07-01

    Tumor, lymph node, and metastasis (TNM) classification of lung cancer is typically performed with the TNM staging system, as recommended by the Union Internationale Contre le Cancer (UICC), the American Joint Committee on Cancer (AJCC), and the International Association for the Study of Lung Cancer (IASLC). Radiologic examinations for TNM staging of lung cancer patients include computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography with 2-[fluorine-18] fluoro-2-deoxy-D-glucose (FDG-PET), and FDG-PET combined with CT (FDG-PET/CT) and are used for pretherapeutic assessments. Recent technical advances in MR systems, application of fast and parallel imaging and/or introduction of new MR techniques, and utilization of contrast media have markedly improved the diagnostic utility of MRI in this setting. In addition, FDG-PET can be combined or fused with MRI (PET/MRI) for clinical practice. This review article will focus on these recent advances in MRI as well as on PET/MRI for lung cancer staging, in addition to a discussion of their potential and limitations for routine clinical practice in comparison with other modalities such as CT, FDG-PET, and PET/CT.

  3. The Choice of Healthcare Providers for Febrile Children after Introducing Non-professional Health Workers in a Malaria Endemic Area in Papua New Guinea.

    PubMed

    Tsukahara, Takahiro; Ogura, Seiritsu; Sugahara, Takuma; Sekihara, Makoto; Furusawa, Takuro; Kondo, Naoki; Mita, Toshihiro; Endo, Hiroyoshi; Hombhanje, Francis

    2015-01-01

    Disease burden of malaria in Papua New Guinea (PNG) is the highest in Asia and the Pacific, and prompt access to effective drugs is the key strategy for controlling malaria. Despite the rapid economic growth, primary healthcare services have deteriorated in rural areas; the introduction of non-professional health workers [village health volunteers (VHVs)] is expected to improve antimalarial drug deliveries. Previous studies on PNG suggested that distance from households negatively affected the utilization of health services; however, price effect on healthcare demand decisions has not been explored. Empirical studies on household's affordability as well as accessibility of healthcare services contribute to policy implications, such as efficient introduction of out-of-pocket costs and effective allocation of health facilities. Therefore, we investigate price responsiveness and other determinants of healthcare provider choice for febrile children in a malaria endemic rural area wherein VHVs were introduced. Cross-sectional surveys were conducted using a structured questionnaire distributed in a health center's catchment area of East Sepik Province in the 2011/2012 rainy seasons. Caretakers were interviewed and data on fever episodes of their children in the preceding 2 weeks were collected. Mixed logit model was employed to estimate the determinants of healthcare provider choice. Among 257 fever episodes reported, the main choices of healthcare providers were limited to self-care, VHV, and a health center. Direct cost and walking distance negatively affected the choice of a VHV and the health center. An increase of VHV's direct cost or walking distance did not much affect predicted probability of the health center, but rather that of self-care, while drug availability and illness severity increased the choice probability of a VHV and the health center. The results suggest that the net healthcare demand increases with the introduction of a VHV. Allocations from the government's budget are required to sustain VHV activities because the introduction of a small user fee could impede the utilization of a VHV. A large travel cost related to the choice of the health center suggests that resource allocation is required for the expansion of formal healthcare providers to adequately operate a referral system.

  4. Utility of Ambulance Data for Real-Time Syndromic Surveillance: A Pilot in the West Midlands Region, United Kingdom.

    PubMed

    Todkill, Dan; Loveridge, Paul; Elliot, Alex J; Morbey, Roger A; Edeghere, Obaghe; Rayment-Bishop, Tracy; Rayment-Bishop, Chris; Thornes, John E; Smith, Gillian

    2017-12-01

    Introduction The Public Health England (PHE; United Kingdom) Real-Time Syndromic Surveillance Team (ReSST) currently operates four national syndromic surveillance systems, including an emergency department system. A system based on ambulance data might provide an additional measure of the "severe" end of the clinical disease spectrum. This report describes the findings and lessons learned from the development and preliminary assessment of a pilot syndromic surveillance system using ambulance data from the West Midlands (WM) region in England. Hypothesis/Problem Is an Ambulance Data Syndromic Surveillance System (ADSSS) feasible and of utility in enhancing the existing suite of PHE syndromic surveillance systems? An ADSSS was designed, implemented, and a pilot conducted from September 1, 2015 through March 1, 2016. Surveillance cases were defined as calls to the West Midlands Ambulance Service (WMAS) regarding patients who were assigned any of 11 specified chief presenting complaints (CPCs) during the pilot period. The WMAS collected anonymized data on cases and transferred the dataset daily to ReSST, which contained anonymized information on patients' demographics, partial postcode of patients' location, and CPC. The 11 CPCs covered a broad range of syndromes. The dataset was analyzed descriptively each week to determine trends and key epidemiological characteristics of patients, and an automated statistical algorithm was employed daily to detect higher than expected number of calls. A preliminary assessment was undertaken to assess the feasibility, utility (including quality of key indicators), and timeliness of the system for syndromic surveillance purposes. Lessons learned and challenges were identified and recorded during the design and implementation of the system. The pilot ADSSS collected 207,331 records of individual ambulance calls (daily mean=1,133; range=923-1,350). The ADSSS was found to be timely in detecting seasonal changes in patterns of respiratory infections and increases in case numbers during seasonal events. Further validation is necessary; however, the findings from the assessment of the pilot ADSSS suggest that selected, but not all, ambulance indicators appear to have some utility for syndromic surveillance purposes in England. There are certain challenges that need to be addressed when designing and implementing similar systems. Todkill D , Loveridge P , Elliot AJ , Morbey RA , Edeghere O , Rayment-Bishop T , Rayment-Bishop C , Thornes JE , Smith G . Utility of ambulance data for real-time syndromic surveillance: a pilot in the West Midlands region, United Kingdom. Prehosp Disaster Med. 2017;32(6):667-672.

  5. A preliminary investigation of the potential applicability of the IPAD system to non-aerospace industry

    NASA Technical Reports Server (NTRS)

    Hulbert, L. E.

    1975-01-01

    A study of the applicability of the planned Integrated Programs for Aerospace-Vehicle Design (IPAD) system to the design activities of non-aerospace industries was carried out. It was determined that IPAD could be of significant benefit to a number of industries, with the most likely users being the heavy construction and automotive industries. Two additional short studies were initiated to investigate the possible impact of IPAD on a national energy program and on urban and regional planning activities of local and state governments. These initial studies indicated the possibility of significant payoff in these areas and the need for further investigations. It was also determined that utilization of IPAD by non-aerospace industries will probably involve a long stepwise process, since these industries maintain a policy of gradual introduction of new technology.

  6. Development of a split-flow system for high precision variable sample introduction in supercritical fluid chromatography.

    PubMed

    Sakai, Miho; Hayakawa, Yoshihiro; Funada, Yasuhiro; Ando, Takashi; Fukusaki, Eiichiro; Bamba, Takeshi

    2017-09-15

    In this study, we propose a novel variable sample injection system based on full-loop injection, named the split-flow sample introduction system, for application in supercritical fluid chromatography (SFC). In this system, the mobile phase is split by the differential pressure between two back pressure regulators (BPRs) after full-loop injection suitable for SFC, and this differential pressure determines the introduction rate. Nine compounds with a wide range of characteristics were introduced with high reproducibility and universality, confirming that a robust variable sample injection system was achieved. We also investigated the control factors of our proposed system. Sample introduction was controlled by the ratio between the column-side pressure drops in splitless and split flow, ΔP columnsideinsplitless and ΔP columnsideinsplit , respectively, where ΔP columnsideinsplitless is related to the mobile phase flow rate and composition and the column resistance. When all other conditions are kept constant, increasing the make-up flow induces an additional pressure drop on the column side of the system, which leads to a reduced column-side flow rate, and hence decreased the amount of sample injected, even when the net pressure drop on the column side remains the same. Thus, sample introduction could be highly controlled at low sample introduction rate, regardless of the introduction conditions. This feature is advantageous because, as a control factor, the solvent in the make-up pump is independent of the column-side pressure drop. Copyright © 2017. Published by Elsevier B.V.

  7. NOAA Homeland Security Program Office

    Science.gov Websites

    Emergency Managment Institute IS 100.b - Introduction to Incident Command System IS 700.a - NIMS An Introduction IS 701.b - NIMS Multiagency Coordination System (MACS) Course IS 800.b - National Response Framework, An Introduction United States Coast Guard; Maritime Domain Awareness Privacy Act Statement

  8. Outside the operating room: How a robotics program changed resource utilization on the inpatient Ward.

    PubMed

    Leung, Annie; Abitbol, Jeremie; Ramana-Kumar, Agnihotram V; Fadlallah, Bassam; Kessous, Roy; Cohen, Sabine; Lau, Susie; Salvador, Shannon; Gotlieb, Walter H

    2017-04-01

    To analyze the changes in the composition of the gynecologic oncology inpatient ward following the implementation of a robotic surgery program and its impact on inpatient resource utilization and costs. Retrospective review of the medical charts of patients admitted onto the gynecologic oncology ward the year prior to and five years after the implementation of robotics. The following variables were collected: patient characteristics, hospitalization details (reason for admission and length of hospital stay), and resource utilization (number of hospitalization days, consultations, and imaging). Following the introduction of robotic surgery, there were more admissions for elective surgery yet these accounted for only 21% of the inpatient ward in terms of number of hospital days, compared to 36% prior to the robotic program. This coincided with a sharp increase in the overall number of patients operated on by a minimally invasive approach (15% to 76%, p<0.0001). The cost per surgical admission on the inpatient ward decreased by 59% ($9827 vs. $4058) in the robotics era. The robotics program contributed to a ward with higher proportion of patients with complex comorbidities (Charlson≥5: RR 1.06), Stage IV disease (RR 1.30), and recurrent disease (RR 1.99). Introduction of robotic surgery allowed for more patients to be treated surgically while simultaneously decreasing inpatient resource use. With more patients with non-surgical oncological issues and greater medical complexity, the gynecologic oncology ward functions more like a medical rather than surgical ward after the introduction of robotics, which has implications for hospital-wide resource planning. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Vaccine delivery to disease control: a paradigm shift in health policy.

    PubMed

    John, T Jacob; Jain, Yogesh; Nadimpally, Sarojini; Jesani, Amar

    2017-01-01

    India's Universal Immunisation Programme (UIP) has resulted in the creation of infrastructure, human resources and systems for the procurement and delivery of vaccines. Recently, new vaccines have been added and there are plans for the introduction of more. However, the outcomes in terms of reduction of the diseases for which the vaccines are being administered remain ambiguous. This is evident from the persistent health issues that children continue to experience, despite immunisation. This situation raises a fundamental ethical question for public health: vaccinations are one of the tools of disease control, but are they properly aligned to the control of disease so as to produce the expected public health utility or benefit?

  10. Development of an oral care guide for patients undergoing autologous stem cell transplantation.

    PubMed

    Salvador, Prisco T

    2006-01-01

    Nurses identified oral mucositis as a recurring issue in clinical practice. To meet this challenge, a group of nurses took a leadership role in developing an oral care guide. The University Health Network Nursing Research Utilization Model and the Neuman Systems Model served as conceptual frameworks. A flowchart was developed to ensure a coordinated and continuous provision of oral care. Educational presentations were conducted to familiarize nurses and members of the multidisciplinary team of the practice changes. The introduction of the oral care regimen as primary prevention, plus systematic oral assessment and monitoring had the potential to reduce the occurrence and severity of oral mucositis in patients undergoing autologous stem cell transplantation.

  11. A living model for obesity and aging research: Caenorhabditis elegans.

    PubMed

    Shen, Peiyi; Yue, Yiren; Park, Yeonhwa

    2018-03-24

    Caenorhabditis elegans (C. elegans) is a free-living nematode that has been extensively utilized as an animal model for research involving aging and neurodegenerative diseases, like Alzheimer's and Parkinson's, etc. Compared with traditional animal models, this small nematode possesses many benefits, such as small body size, short lifespan, completely sequenced genome, and more than 65% of the genes associated with human disease. All these characteristics make this organism an ideal living system for obesity and aging studies. This review gives a brief introduction of C. elegans as an animal model, highlights some advantages of research using this model and describes methods to evaluate the effect of treatments on obesity and aging of this organism.

  12. Biocompetitive exclusion technology: A field system to control reservoir souring and increasing production

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

    Sandbeck, K.A.; Hitzman, D.O.

    1995-12-31

    Biogenic formation of sulfide in reservoirs by Sulfate Reducing Bacteria (SRB) causes serious plugging, corrosion, and environmental safety problems. The production of sulfide can be decreased, and its concentration reduced, by the establishment and growth of an indigenous microbial population which results in a replacement of the SRB population. This approach to modify the reservoir ecology utilizing preexisting carbon sources coupled with the introduction of an alternate electron acceptor forms the basis of a new Biocompetitive Exclusion technology which has the potential to enhance oil recovery and decrease paraffin deposition and corrosion. Preliminary field results from an ongoing DOE-sponsored researchmore » program will be discussed.« less

  13. Designing for human presence in space: An introduction to environmental control and life support systems

    NASA Technical Reports Server (NTRS)

    Wieland, Paul

    1994-01-01

    Human exploration and utilization of space requires habitats to provide appropriate conditions for working and living. These conditions are provided by environmental control and life support systems (ECLSS) that ensure appropriate atmosphere composition, pressure, and temperature; manage and distribute water, process waste matter, provide fire detection and suppression; and other functions as necessary. The functions that are performed by ECLSS are described and basic information necessary to design an ECLSS is provided. Technical and programmatic aspects of designing and developing ECLSS for space habitats are described including descriptions of technologies, analysis methods, test requirements, program organization, documentation requirements, and the requirements imposed by medical, mission, safety, and system needs. The design and development process is described from initial trade studies through system-level analyses to support operation. ECLSS needs for future space habitats are also described. Extensive listings of references and related works provide sources for more detailed information on each aspect of ECLSS design and development.

  14. Real-time analysis system for gas turbine ground test acoustic measurements.

    PubMed

    Johnston, Robert T

    2003-10-01

    This paper provides an overview of a data system upgrade to the Pratt and Whitney facility designed for making acoustic measurements on aircraft gas turbine engines. A data system upgrade was undertaken because the return-on-investment was determined to be extremely high. That is, the savings on the first test series recovered the cost of the hardware. The commercial system selected for this application utilizes 48 input channels, which allows either 1/3 octave and/or narrow-band analyses to be preformed real-time. A high-speed disk drive allows raw data from all 48 channels to be stored simultaneously while the analyses are being preformed. Results of tests to ensure compliance of the new system with regulations and with existing systems are presented. Test times were reduced from 5 h to 1 h of engine run time per engine configuration by the introduction of this new system. Conservative cost reduction estimates for future acoustic testing are 75% on items related to engine run time and 50% on items related to the overall length of the test.

  15. Fall Protection Introduction, #33462

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

    Chochoms, Michael

    The proper use of fall prevention and fall protection controls can reduce the risk of deaths and injuries caused by falls. This course, Fall Protection Introduction (#33462), is designed as an introduction to various types of recognized fall prevention and fall protection systems at Los Alamos National Laboratory (LANL), including guardrail systems, safety net systems, fall restraint systems, and fall arrest systems. Special emphasis is given to the components, inspection, care, and storage of personal fall arrest systems (PFASs). This course also presents controls for falling object hazards and emergency planning considerations for persons who have fallen.

  16. A Primer on Electric Utilities, Deregulation, and Restructuring of U.S. Electricity Markets

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

    Warwick, William M.

    2002-06-03

    This primer is offered as an introduction to utility restructuring to better prepare readers for ongoing changes in public utilities and associated energy markets. It is written for use by individuals with responsibility for the management of facilities that use energy, including energy managers, procurement staff, and managers with responsibility for facility operations and budgets. The primer was prepared by the Pacific Northwest National Laboratory under sponsorship from the U.S. Department of Energy?s Federal Energy Management Program. The impetus for this primer originally came from the Government Services Administration who supported its initial development.

  17. Introduction to WMOST v3 and Multi-Objective Optimization

    EPA Science Inventory

    Version 3 of EPA’s Watershed Management Optimization Support Tool (WMOST) will be released in early 2018 (https://www.epa.gov/exposure-assessment-models/wmost). WMOST is designed to facilitate integrated water management among communities, utilities, watershed organization...

  18. Resource utilization after introduction of a standardized clinical assessment and management plan.

    PubMed

    Friedman, Kevin G; Rathod, Rahul H; Farias, Michael; Graham, Dionne; Powell, Andrew J; Fulton, David R; Newburger, Jane W; Colan, Steven D; Jenkins, Kathy J; Lock, James E

    2010-01-01

    A Standardized Clinical Assessment and Management Plan (SCAMP) is a novel quality improvement initiative that standardizes the assessment and management of all patients who carry a predefined diagnosis. Based on periodic review of systemically collected data the SCAMP is designed to be modified to improve its own algorithm. One of the objectives of a SCAMP is to identify and reduce resource utilization and patient care costs. We retrospectively reviewed resource utilization in the first 93 arterial switch operation (ASO) SCAMP patients and 186 age-matched control ASO patients. We compared diagnostic and laboratory testing obtained at the initial SCAMP clinic visit and control patient visits. To evaluate the effect of the SCAMP over time, the number of clinic visits per patient year and echocardiograms per patient year in historical control ASO patients were compared to the projected rates for ASO SCAMP participants. Cardiac magnetic resonance imaging (MRI), stress echocardiogram, and lipid profile utilization were higher in the initial SCAMP clinic visit group than in age-matched control patients. Total echocardiogram and lung scan usage were similar. Chest X-ray and exercise stress testing were obtained less in SCAMP patients. ASO SCAMP patients are projected to have 0.5 clinic visits and 0.5 echocardiograms per year. Historical control patients had more clinic visits (1.2 vs. 0.5 visits/patient year, P<.01) and a higher echocardiogram rate (0.92 vs. 0.5 echocardiograms/patient year, P<.01) Implementation of a SCAMP may initially lead to increased resource utilization, but over time resource utilization is projected to decrease.

  19. Coverage and Preventive Screening

    PubMed Central

    Meeker, Daniella; Joyce, Geoffrey F; Malkin, Jesse; Teutsch, Steven M; Haddix, Anne C; Goldman, Dana P

    2011-01-01

    Context Preventive care has been shown as a high-value health care service. Many employers now offer expanded coverage of preventive care to encourage utilization. Objective To determine whether expanding coverage is an effective means to encourage utilization. Design Comparison of screening rates before and after introduction of deductible-free coverage. Setting People insured through large corporations between 2002 and 2006. Patients or Other Participants Preferred Provider Organization (PPO) enrollees from an employer introducing deductible-free coverage, and a control group enrolled in a PPO from a second employer with no policy change. Main Outcome Measures Adjusted probability of endoscopy, fecal occult blood test (FOBT), lipid screens, mammography, and Papanicolaou (pap) smears. Intervention Introduction of first-dollar coverage (FDC) of preventive services in 2003. Results After adjusting for demographics and secular trends, there were between 23 and 78 additional uses per 1,000 eligible patients of covered preventive screens (lipid screens, pap smears, mammograms, and FOBT), with no significant changes in the control group or in a service without FDC (endoscopy). Conclusions FDC improves utilization modestly among healthy individuals, particularly those in lower deductible plans. Compliance with guidelines can be encouraged by lowering out-of-pocket costs, but patients' predisposing characteristics merit attention. PMID:21029084

  20. The Economic Impact of Biosimilars on Chronic Immune-Mediated Inflammatory Diseases.

    PubMed

    Pentek, Marta; Zrubka, Zsombor; Gulacsi, Laszlo

    2017-01-01

    Biological drugs represent highly effective but costly treatments for chronic immunemediated inflammatory diseases posing substantial burden on health care budgets. Introduction of biosimilars since 2013 has brought forward the potential of market competition, and as a societal benefit, the hope of increased access at a lower cost. We aim to provide a descriptive review on economic aspects and market changes related to the introduction of biosimilar drugs. Our focus is on chronic immune-mediated inflammatory conditions in rheumatology, gastroenterology and dermatology. Based on available literature data, we discuss the determinants of access to biological treatment, summarize the available health economic evidences with special focus on cost-utility and budget impact analyses. Market penetration of biosimilars and their overall impact on biological markets are analyzed. Biosimilar markets are country specific due to differences in the regulatory and reimbursement systems. Cost-utility analyses suggest, that given the lower price of biosimilars, formerly established biological treatment sequence practices and the eligibility criteria for biological treatment deserve reconsideration. Budget impact analyses forecasted significant budget savings in various diagnoses and countries, providing opportunity for the treatment of more patients. Biosimilars may contribute to better patient-access and provide savings to governments. To increase their acceptability, further clinical evidences and real world experiences are needed, as well as education of physicians and patients. The high biosimilar penetration rates in Norway, Denmark and Poland suggest that policies which support interchanging from the reference product may be important drivers of biosimilar uptake. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  1. CRISPR-Cas9 and CRISPR-Cpf1 mediated targeting of a stomatal developmental gene EPFL9 in rice.

    PubMed

    Yin, Xiaojia; Biswal, Akshaya K; Dionora, Jacqueline; Perdigon, Kristel M; Balahadia, Christian P; Mazumdar, Shamik; Chater, Caspar; Lin, Hsiang-Chun; Coe, Robert A; Kretzschmar, Tobias; Gray, Julie E; Quick, Paul W; Bandyopadhyay, Anindya

    2017-05-01

    CRISPR-Cas9/Cpf1 system with its unique gene targeting efficiency, could be an important tool for functional study of early developmental genes through the generation of successful knockout plants. The introduction and utilization of systems biology approaches have identified several genes that are involved in early development of a plant and with such knowledge a robust tool is required for the functional validation of putative candidate genes thus obtained. The development of the CRISPR-Cas9/Cpf1 genome editing system has provided a convenient tool for creating loss of function mutants for genes of interest. The present study utilized CRISPR/Cas9 and CRISPR-Cpf1 technology to knock out an early developmental gene EPFL9 (Epidermal Patterning Factor like-9, a positive regulator of stomatal development in Arabidopsis) orthologue in rice. Germ-line mutants that were generated showed edits that were carried forward into the T2 generation when Cas9-free homozygous mutants were obtained. The homozygous mutant plants showed more than an eightfold reduction in stomatal density on the abaxial leaf surface of the edited rice plants. Potential off-target analysis showed no significant off-target effects. This study also utilized the CRISPR-LbCpf1 (Lachnospiracae bacterium Cpf1) to target the same OsEPFL9 gene to test the activity of this class-2 CRISPR system in rice and found that Cpf1 is also capable of genome editing and edits get transmitted through generations with similar phenotypic changes seen with CRISPR-Cas9. This study demonstrates the application of CRISPR-Cas9/Cpf1 to precisely target genomic locations and develop transgene-free homozygous heritable gene edits and confirms that the loss of function analysis of the candidate genes emerging from different systems biology based approaches, could be performed, and therefore, this system adds value in the validation of gene function studies.

  2. Human Resource Development and New Technology in the Automobile Industry: A Case Study of Ford Motor Company's Dearborn Engine Plant. The Development and Utilization of Human Resources in the Context of Technological Change and Industrial Restructuring.

    ERIC Educational Resources Information Center

    Chen, Kan; And Others

    This report centers around a plant-level study of the development and utilization of human resources in the context of technological change and industrial restructuring in the crankshaft production area of Ford Motor Company's Dearborn Engine Plant (DEP). The introductory chapter describes how the study was conducted, provides an introduction to…

  3. 18 CFR 801.0 - Introduction.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Commission. The Commission is a regional governmental agency whose purpose is to effect comprehensive multiple purpose planning for the conservation, utilization, development, management, and control of the... fulfill its statutory regional governmental role. (c) The objectives of the Commission are to: (1) Develop...

  4. Preparing for Computer Use. Revised.

    ERIC Educational Resources Information Center

    South Carolina State Dept. of Education, Columbia.

    Intended to assist school districts in designing high school credit courses, preparing staff development activities related to computer utilization, and selecting and evaluating instructional software, this document offers outlines for the following student courses: (1) Introduction to Computers, a computer literacy course covering computer…

  5. Quantifying Associations between Environmental and Social Stressors

    EPA Science Inventory

    Introduction: Association rule mining (ARM) has been widely used to identify associations between various entities in many fields. Although some studies have utilized it to analyze the relationship between chemicals and human effects, fewer have used this technique to identify an...

  6. 36 CFR 292.11 - Introduction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... for: (1) Public outdoor recreation benefits; (2) conservation of scenic, scientific, historic, and other values contributing to public enjoyment; and (3) the management, utilization, and disposal of renewable natural resources which in the judgment of the Secretary of Agriculture will promote or is...

  7. 36 CFR 292.11 - Introduction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... for: (1) Public outdoor recreation benefits; (2) conservation of scenic, scientific, historic, and other values contributing to public enjoyment; and (3) the management, utilization, and disposal of renewable natural resources which in the judgment of the Secretary of Agriculture will promote or is...

  8. 36 CFR 292.11 - Introduction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... for: (1) Public outdoor recreation benefits; (2) conservation of scenic, scientific, historic, and other values contributing to public enjoyment; and (3) the management, utilization, and disposal of renewable natural resources which in the judgment of the Secretary of Agriculture will promote or is...

  9. 36 CFR 292.11 - Introduction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... for: (1) Public outdoor recreation benefits; (2) conservation of scenic, scientific, historic, and other values contributing to public enjoyment; and (3) the management, utilization, and disposal of renewable natural resources which in the judgment of the Secretary of Agriculture will promote or is...

  10. Computer Simulation of a Multiaxis Air-to-Air Tracking Task Using the Optimal Pilot Control Model.

    DTIC Science & Technology

    1982-12-01

    v ABSTRACT ........ ............................. .. vi CHAPTER 1 - INTRODUCTION ....... ..................... 1 1.1 Motivation... Introduction ......... . 4 2.2 Optimal Pilot Control Model and Control Synthesis 4 2.3 Pitch Tracking Task ...... ................... 6 2.4 Multiaxis...CHAPTER 3 - SIMULATION SYSTEM ...... .................. 33 3.1 Introduction ........ ....................... 33 3.2 System Hardware

  11. Can a chronic disease management pulmonary rehabilitation program for COPD reduce acute rural hospital utilization?

    PubMed

    Rasekaba, T M; Williams, E; Hsu-Hage, B

    2009-01-01

    Chronic obstructive pulmonary disease (COPD) imposes a costly burden on healthcare. Pulmonary rehabilitation (PR) is the best practice to better manage COPD to improve patient outcomes and reduce acute hospital care utilization. To evaluate the impact of a once-weekly, eight-week multidisciplinary PR program as an integral part of the COPD chronic disease management (CDM) Program at Kyabram District Health Services. The study compared two cohorts of COPD patients: CDM-PR Cohort (4-8 weeks) and Opt-out Cohort (0-3 weeks) between February 2006 and March 2007. The CDM-PR Program involved multidisciplinary patient education and group exercise training. Nonparametric statistical tests were used to compare acute hospital care utilization 12 months before and after the introduction of CDM-PR. The number of patients involved in the CDM-PR Cohort was 29 (n = 29), and that in the Opt-out Cohort was 24 (n = 24). The CDM-PR Cohort showed significant reductions in cumulative acute hospital care utilization indicators (95% emergency department presentations, 95% inpatient admissions, 99% length of stay; effect sizes = 0.62-0.66, P < 0.001) 12 months after the introduction of the CDM Program; in contrast, changes in the cumulative indicators were statistically insignificant for the Opt-out Cohort (emergency department presentations decreased by 5%, inpatient admissions decreased by 12%, length of stay increased by 30%; effect size = 0.14-0.40, P > 0.05). Total costs associated with the hospital care utilization decreased from $130,000 to $7,500 for the CDM-PR Cohort and increased from $77,700 to $101,200 for the Opt-out Cohort. Participation in the CDM-PR for COPD patients can significantly reduce acute hospital care utilization and associated costs in a small rural health service.

  12. Decomposing Kenyan socio-economic inequalities in skilled birth attendance and measles immunization

    PubMed Central

    2013-01-01

    Introduction Skilled birth attendance (SBA) and measles immunization reflect two aspects of a health system. In Kenya, their national coverage gaps are substantial but could be largely improved if the total population had the same coverage as the wealthiest quintile. A decomposition analysis allows identifying the factors that influence these wealth-related inequalities in order to develop appropriate policy responses. The main objective of the study was to decompose wealth-related inequalities in SBA and measles immunization into their contributing factors. Methods Data from the Kenyan Demographic and Health Survey 2008/09 were used. The study investigated the effects of socio-economic determinants on [1] coverage and [2] wealth-related inequalities of SBA utilization and measles immunization. Techniques used were multivariate logistic regression and decomposition of the concentration index (C). Results SBA utilization and measles immunization coverage differed according to household wealth, parent’s education, skilled antenatal care visits, birth order and father’s occupation. SBA utilization further differed across provinces and ethnic groups. The overall C for SBA was 0.14 and was mostly explained by wealth (40%), parent’s education (28%), antenatal care (9%), and province (6%). The overall C for measles immunization was 0.08 and was mostly explained by wealth (60%), birth order (33%), and parent’s education (28%). Rural residence (−19%) reduced this inequality. Conclusion Both health care indicators require a broad strengthening of health systems with a special focus on disadvantaged sub-groups. PMID:23294938

  13. Measuring the equity of inpatient utilization in Chinese rural areas

    PubMed Central

    2011-01-01

    Background As an important outcome of the health system, equity in health service utilization has attracted an increasing amount of attention in the literature on health reform in China in recent years. The poor, who frequently require more services, are often the least able to pay, while the wealthy utilize disproportionately more services although they have less need. Whereas equity in health service utilization between richer and poorer populations has been studied in urban areas, the equity in health service utilization in rural areas has received little attention. With improving levels of economic development, the introduction of health insurance and increasing costs of health services, health service utilization patterns have changed dramatically in rural areas in recent years. However, previous studies have shown neither the extent of utilization inequity, nor which factors are associated with utilization inequity in rural China. Methods This paper uses previously unavailable country-wide data and focuses on income-related inequity of inpatient utilization and its determinants in Chinese rural areas. The data for this study come from the Chinese National Health Services Surveys (NHSS) conducted in 2003 and 2008. To measure the level of inequity in inpatient utilization over time, the concentration index, decomposition of the concentration index, and decomposition of change in the concentration index are employed. Results This study finds that even with the same need for inpatient services, richer individuals utilize more inpatient services than poorer individuals. Income is the principal determinant of this pro-rich inpatient utilization inequity- wealthier individuals are able to pay for more services and therefore use more services regardless of need. However, rising income and increased health insurance coverage have reduced the inequity in inpatient utilization in spite of increasing inpatient prices. Conclusions There remains a strong pro-rich inequity of inpatient utilization in rural China. However, a narrowing income gap between the rich and poor and greater access to health insurance has effectively reduced income inequality, equalizing access to care. This suggests that the most effective way to reduce the inequity is to narrow the gap of income between the rich and poor while adopting social risk protection. PMID:21854641

  14. Student Experiments in Spontaneous Fission.

    ERIC Educational Resources Information Center

    Becchetti, F. D.; Ying, J. S.

    1981-01-01

    Advanced undergraduate experiments utilizing a commercially available, thin spontaneous fission source are described, including studies of the energy and mass distribution of the fission fragments and their energy and angular correlation. The experiments provide a useful introduction to fission, nuclear mass equations, heavy-ion physics, and…

  15. Antibiotics in agroecosystems: Introduction to the special section

    USDA-ARS?s Scientific Manuscript database

    The presence of antibiotic drug residues, antibiotic resistant bacteria, and antibiotic resistance genes in agroecosystems has become a significant area of research in recent years, and is a growing public health concern. While antibiotics are utilized for human medicine and agricultural practices, ...

  16. 36 CFR 30.1 - Introduction.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... outdoor recreation benefits; (2) conservation of scenic, scientific, historic, and other values contributing to public enjoyment; and (3) such management, utilization and disposal of renewable natural resources as in the judgment of the Secretary of the Interior will promote or is compatible with, and does...

  17. 36 CFR 30.1 - Introduction.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... outdoor recreation benefits; (2) conservation of scenic, scientific, historic, and other values contributing to public enjoyment; and (3) such management, utilization and disposal of renewable natural resources as in the judgment of the Secretary of the Interior will promote or is compatible with, and does...

  18. 36 CFR 30.1 - Introduction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... outdoor recreation benefits; (2) conservation of scenic, scientific, historic, and other values contributing to public enjoyment; and (3) such management, utilization and disposal of renewable natural resources as in the judgment of the Secretary of the Interior will promote or is compatible with, and does...

  19. 36 CFR 30.1 - Introduction.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... outdoor recreation benefits; (2) conservation of scenic, scientific, historic, and other values contributing to public enjoyment; and (3) such management, utilization and disposal of renewable natural resources as in the judgment of the Secretary of the Interior will promote or is compatible with, and does...

  20. Association between reduction in copayment and gastric cancer patient concentration to the capital area in South Korea: NHI cohort 2003-2013.

    PubMed

    Han, Kyu-Tae; Kim, Jeeyun; Nam, Chung Mo; Moon, Ki Tae; Lee, Sang Gyu; Kim, Seung Ju; Ju, Yeong Jun; Kwon, Jeoung A; Kim, Sun Jung; Kim, Woorim; Park, Eun-Cheol

    2016-06-01

    Since 2004, the South Korean government has introduced a policy that decreases copayment for cancer patients by strengthening public coverage in the National Health Insurance (NHI) system (first phase=copayment for outpatient care from 30% to 20%; second phase=copayment for total medical expenditures from 20% to 10%; third phase=copayment for total medical expenditures from 10% to 5%). We aimed to investigate the relationship between the policy introduction and patient visits to hospitals in the capital area. We used data from the NHI Cohort 2003-2013, which included all medical claims (7193 cases) filed for 2124 patients who visited the hospital due to stomach cancer, and performed a segmented Poisson regression analysis. Of all hospital visits, 40.6% of patients were from the capital area. After the introduction of the second phase of the policy, there was an increase in patient concentration in the capital area, although there were no significant effects on patient concentration during the first and third phases of the policy. In conclusion, our findings suggest that the introduction of a policy that reduces copayment for cancer patients had a substantial impact on patient concentration in the capital area. Therefore, health policymakers should consider effective alternatives including efficient allocation of medical resources or support for the more vulnerable population as flexible benefit plans to aid healthcare utilization by cancer patients. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  1. An evaluation of a geographic information system software and its utility in promoting the use of integrated process skills in secondary students

    NASA Astrophysics Data System (ADS)

    Abbott, Thomas Diamond

    2001-07-01

    As technology continues to become an integral part of our educational system, research that clarifies how various technologies affect learning should be available to educators prior to the large scale introduction of any new technology into the classroom. This study will assess the degree to which a relatively new Geographic Information System Software (ArcView 3.1), when utilized by high school freshman in earth science and geography courses, can be used to (a) promote and develop integrated process skills in these students, and (b) improve their awareness and appraisal of their problem solving abilities. Two research questions will be addressed in this research: (1) Will the use of a GIS to solve problems with authentic contexts enhance the learning and refinement of integrated process skills over more conventional means of classroom instruction? and (2) Will students' perceptions of competence to solve problems within authentic contexts be greater for those who learned to use and implement a GIS when compared to those who have learned by more conventional means of classroom instruction? Research Question 1 will be assessed by using the Test of Integrated Process Skills II (or TIPS II) and Research Question 2 will be addressed by using the Problem Solving Inventory (PSI). The research will last thirteen weeks. The TIPS II and the PSI will be administered after the intervention of GIS to the experimental group, at which point an Analysis of Covariance and the Mann-Whitney U-test will be utilized to measure the affects of intervention by the independent variable. Teacher/researcher journals and teacher/student questionnaires will be used to compliment the statistical analysis. It is hoped that this study will help in the creation of future instructional models that enable educators to utilize modern technologies appropriately in their classrooms.

  2. LACIE performance predictor FOC users manual

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The LACIE Performance Predictor (LPP) is a computer simulation of the LACIE process for predicting worldwide wheat production. The simulation provides for the introduction of various errors into the system and provides estimates based on these errors, thus allowing the user to determine the impact of selected error sources. The FOC LPP simulates the acquisition of the sample segment data by the LANDSAT Satellite (DAPTS), the classification of the agricultural area within the sample segment (CAMS), the estimation of the wheat yield (YES), and the production estimation and aggregation (CAS). These elements include data acquisition characteristics, environmental conditions, classification algorithms, the LACIE aggregation and data adjustment procedures. The operational structure for simulating these elements consists of the following key programs: (1) LACIE Utility Maintenance Process, (2) System Error Executive, (3) Ephemeris Generator, (4) Access Generator, (5) Acquisition Selector, (6) LACIE Error Model (LEM), and (7) Post Processor.

  3. Real Time Revisited

    NASA Astrophysics Data System (ADS)

    Allen, Phillip G.

    1985-12-01

    The call for abolishing photo reconnaissance in favor of real time is once more being heard. Ten years ago the same cries were being heard with the introduction of the Charge Coupled Device (CCD). The real time system problems that existed then and stopped real time proliferation have not been solved. The lack of an organized program by either DoD or industry has hampered any efforts to solve the problems, and as such, very little has happened in real time in the last ten years. Real time is not a replacement for photo, just as photo is not a replacement for infra-red or radar. Operational real time sensors can be designed only after their role has been defined and improvements made to the weak links in the system. Plodding ahead on a real time reconnaissance suite without benefit of evaluation of utility will allow this same paper to be used ten years from now.

  4. Intelligent biointerface: remote control for hydrophilic-hydrophobic property of the material surfaces by temperature

    NASA Astrophysics Data System (ADS)

    Okano, Teruo; Kikuchi, Akihiko

    1996-04-01

    Considerable research attention has been focused recently on materials which change their structure and properties in response to external stimuli. These materials, termed `intelligent materials', sense a stimulus as a signal (sensor function), judge the magnitude of this signal (processor function), and then alter their function in direct response (effector function). Introduction of stimuli-responsive polymers as switching sequences into both artificial materials and bioactive molecules would permit external, stimuli-induced modulation of their structures and `on-off' switching of their respective functions at molecular levels. Intelligent materials embodying these concepts would contribute to the establishment of basic principles for fabricating novel systems which modulate their structural changes and functional changes in response to external stimuli. These materials are attractive not only as new, sophisticated biomaterials but also for utilization in protein biotechnology, medical diagnosis and advanced site-specific drug delivery system.

  5. ATC simulation of helicopter IFR approaches into major terminal areas using RNAV, MLS, and CDTI

    NASA Technical Reports Server (NTRS)

    Tobias, L.; Lee, H. Q.; Peach, L. L.; Willett, F. M., Jr.; Obrien, P. J.

    1981-01-01

    The introduction of independent helicopter IFR routes at hub airports was investigated in a real time air traffic control system simulation involving a piloted helicopter simulator, computer generated air traffic, and air traffic controllers. The helicopter simulator was equipped to fly area navigation (RNAV) routes and microwave landing system approaches. Problems studied included: (1) pilot acceptance of the approach procedure and tracking accuracy; (2) ATC procedures for handling a mix of helicopter and fixed wing traffic; and (3) utility of the cockpit display of traffic information (CDTI) for the helicopter in the hub airport environment. Results indicate that the helicopter routes were acceptable to the subject pilots and were noninterfering with fixed wing traffic. Merging and spacing maneuvers using CDTI were successfully carried out by the pilots, but controllers had some reservations concerning the acceptability of the CDTI procedures.

  6. Generation-3 programmable array microscope (PAM) with digital micro-mirror device (DMD)

    NASA Astrophysics Data System (ADS)

    De Beule, Pieter A. A.; de Vries, Anthony H. B.; Arndt-Jovin, Donna J.; Jovin, Thomas M.

    2011-03-01

    We report progress on the construction of an optical sectioning programmable array microscope (PAM) implemented with a digital micro-mirror device (DMD) spatial light modulator (SLM) utilized for both fluorescence illumination and detection. The introduction of binary intensity modulation at the focal plane of a microscope objective in a computer controlled pixilated mode allows the recovery of an optically sectioned image. Illumination patterns can be changed very quickly, in contrast to static Nipkow disk or aperture correlation implementations, thereby creating an optical system that can be optimized to the optical specimen in a convenient manner, e.g. for patterned photobleaching, photobleaching reduction, or spatial superresolution. We present a third generation (Gen-3) dual path PAM module incorporating the 25 kHz binary frame rate TI 1080p DMD and a newly developed optical system that offers diffraction limited imaging with compensation of tilt angle distortion.

  7. From Patterns to Function in Living Systems: Dryland Ecosystems as a Case Study

    NASA Astrophysics Data System (ADS)

    Meron, Ehud

    2018-03-01

    Spatial patterns are ubiquitous in animate matter. Besides their intricate structure and beauty they generally play functional roles. The capacity of living systems to remain functional in changing environments is a question of utmost importance, but its intimate relationship to pattern formation is largely unexplored. Here, we address this relationship using dryland vegetation as a case study. Following a brief introduction to pattern-formation theory, we describe a mathematical model that captures several mechanisms of vegetation pattern formation and discuss ecological contexts that showcase different mechanisms. Using this model, we unravel the different vegetation patterns that keep dryland ecosystems viable along the rainfall gradient, identify multistability ranges where fronts separating domains of alternative stable states exist, and highlight the roles of front dynamics in mitigating or reversing desertification. The utility of satellite images in testing model predictions is discussed. An outlook on outstanding open problems concludes this paper.

  8. Hadron Physics with Antiprotons

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

    Wiedner, Ulrich

    2005-10-26

    The new FAIR facility which comes into operation at GSI in the upcoming years has a dedicated program of utilizing antiprotons for hadron physics. In particular, the planned PANDA experiment belongs to the group of core experiments at the new FAIR facility in Darmstadt/Germany. PANDA will be a universal detector to study the strong interaction by utilizing the annihilation process of antiprotons with protons and nuclear matter. The current paper gives an introduction into the hadron physics with antiprotons and part of the planned physics program with PANDA.

  9. Development of a large inert gas ion thruster

    NASA Technical Reports Server (NTRS)

    Steiner, G.

    1982-01-01

    A 30 cm inert gas electrostatic ion thruster has been developed, exhibiting excellent performance. In the development, the effective anode area was reduced by altering the magnetic field geometry to improve plasma containment, consistent with operational stability. The propellant introduction scheme has the effect of 'folding' the discharge chamber without the increased wall loss penalty associated with a longer chamber. These features contribute to a low discharge cost (eV/ion) versus mass utilization characteristic which remains relatively flat even to high mass utilizations.

  10. Turbulent Bubbly Flow in a Vertical Pipe Computed By an Eddy-Resolving Reynolds Stress Model

    DTIC Science & Technology

    2014-09-19

    the numerical code OpenFOAM R©. 1 Introduction Turbulent bubbly flows are encountered in many industrially relevant applications, such as chemical in...performed using the OpenFOAM -2.2.2 computational code utilizing a cell- center-based finite volume method on an unstructured numerical grid. The...the mean Courant number is always below 0.4. The utilized turbulence models were implemented into the so-called twoPhaseEulerFoam solver in OpenFOAM , to

  11. [Introduction and some problems of the rapid time series laboratory reporting system].

    PubMed

    Kanao, M; Yamashita, K; Kuwajima, M

    1999-09-01

    We introduced an on-line system of biochemical, hematological, serological, urinary, bacteriological, and emergency examinations and associated office work using a client server system NEC PC-LACS based on a system consisting of concentration of outpatient blood collection, concentration of outpatient reception, and outpatient examination by reservation. Using this on-line system, results of 71 items in chemical serological, hematological, and urinary examinations are rapidly reported within 1 hour. Since the ordering system at our hospital has not been completed yet, we constructed a rapid time series reporting system in which time series data obtained on 5 serial occasions are printed on 2 sheets of A4 paper at the time of the final report. In each consultation room of the medical outpatient clinic, at the neuromedical outpatient clinic, and at the kidney center where examinations are frequently performed, terminal equipment and a printer for inquiry were established for real-time output of time series reports. Results are reported by FAX to the other outpatient clinics and wards, and subsequently, time series reports are output at the clinical laboratory department. This system allowed rapid examination, especially preconsultation examination. This system was also useful for reducing office work and effectively utilize examination data.

  12. High definition TV projection via single crystal faceplate technology

    NASA Astrophysics Data System (ADS)

    Kindl, H. J.; St. John, Thomas

    1993-03-01

    Single crystal phosphor faceplates are epitaxial phosphors grown on crystalline substrates with the advantages of high light output, resolution, and extended operational life. Single crystal phosphor faceplate industrial technology in the United States is capable of providing a faceplate appropriate to the projection industry of up to four (4) inches in diameter. Projection systems incorporating cathode ray tubes utilizing single crystal phosphor faceplates will produce 1500 lumens of white light with 1000 lines of resolution, non-interlaced. This 1500 lumen projection system will meet all of the currently specified luminance and resolution requirements of Visual Display systems for flight simulators. Significant logistic advantages accrue from the introduction of single crystal phosphor faceplate CRT's. Specifically, the full performance life of a CRT is expected to increase by a factor of five (5); ie, from 2000 to 10,000 hours of operation. There will be attendant reductions in maintenance time, spare CRT requirements, system down time, etc. The increased brightness of the projection system will allow use of lower gain, lower cost simulator screen material. Further, picture performance characteristics will be more balanced across the full simulator.

  13. Molecular-Based Identification and Detection of Salmonella in Food Production Systems: Current Perspectives.

    PubMed

    Ricke, Steven C; Kim, Sun Ae; Shi, Zhaohao; Park, Si Hong

    2018-04-19

    Salmonella remains a prominent cause of foodborne illnesses and can originate from a wide range of food products. Given the continued presence of pathogenic Salmonella in food production systems, there is a consistent need to improve identification and detection methods that can identify this pathogen at all stages in food systems. Methods for subtyping have evolved over the years, and the introduction of whole genome sequencing and advancements in PCR technologies has greatly improved the resolution for differentiating strains within a particular serovar. This, in turn, has led to the continued improvement in Salmonella detection technologies for utilization in food production systems. In this review, the focus will be on recent advancements in these technologies, as well as potential issues associated with the application of these tools in food production. In addition, the recent and emerging research developments on Salmonella detection and identification methodologies and their potential application in food production systems will be discussed. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  14. Engineered CRISPR/Cas9 system for multiplex genome engineering of polyploid industrial yeast strains

    DOE PAGES

    Lian, Jiazhang; Bao, Zehua; Hu, Sumeng; ...

    2018-02-20

    The CRISPR/Cas9 system has been widely used for multiplex genome engineering of Saccharomyces cerevisiae. Furthermore, its application in manipulating industrial yeast strains is less successful, probably due to the genome complexity and low copy numbers of gRNA expression plasmids. Here we developed an efficient CRISPR/Cas9 system for industrial yeast strain engineering by using our previously engineered plasmids with increased copy numbers. Four genes in both a diploid strain (Ethanol Red, 8 alleles in total) and a triploid strain (ATCC 4124, 12 alleles in total) were knocked out in a single step with 100% efficiency. This system was used to constructmore » xylose-fermenting, lactate-producing industrial yeast strains, in which ALD6, PHO13, LEU2, and URA3 were disrupted in a single step followed by the introduction of a xylose utilization pathway and a lactate biosynthetic pathway on auxotrophic marker plasmids. The optimized CRISPR/Cas9 system provides a powerful tool for the development of industrial yeast based microbial cell factories.« less

  15. Engineered CRISPR/Cas9 system for multiplex genome engineering of polyploid industrial yeast strains

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

    Lian, Jiazhang; Bao, Zehua; Hu, Sumeng

    The CRISPR/Cas9 system has been widely used for multiplex genome engineering of Saccharomyces cerevisiae. Furthermore, its application in manipulating industrial yeast strains is less successful, probably due to the genome complexity and low copy numbers of gRNA expression plasmids. Here we developed an efficient CRISPR/Cas9 system for industrial yeast strain engineering by using our previously engineered plasmids with increased copy numbers. Four genes in both a diploid strain (Ethanol Red, 8 alleles in total) and a triploid strain (ATCC 4124, 12 alleles in total) were knocked out in a single step with 100% efficiency. This system was used to constructmore » xylose-fermenting, lactate-producing industrial yeast strains, in which ALD6, PHO13, LEU2, and URA3 were disrupted in a single step followed by the introduction of a xylose utilization pathway and a lactate biosynthetic pathway on auxotrophic marker plasmids. The optimized CRISPR/Cas9 system provides a powerful tool for the development of industrial yeast based microbial cell factories.« less

  16. A Systematic Approach to Applying Lean Techniques to Optimize an Office Process at the Y-12 National Security Complex

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

    Credille, Jennifer; Owens, Elizabeth

    This capstone offers the introduction of Lean concepts to an office activity to demonstrate the versatility of Lean. Traditionally Lean has been associated with process improvements as applied to an industrial atmosphere. However, this paper will demonstrate that implementing Lean concepts within an office activity can result in significant process improvements. Lean first emerged with the conception of the Toyota Production System. This innovative concept was designed to improve productivity in the automotive industry by eliminating waste and variation. Lean has also been applied to office environments, however the limited literature reveals most Lean techniques within an office are restrictedmore » to one or two techniques. Our capstone confronts these restrictions by introducing a systematic approach that utilizes multiple Lean concepts. The approach incorporates: system analysis, system reliability, system requirements, and system feasibility. The methodical Lean outline provides tools for a successful outcome, which ensures the process is thoroughly dissected and can be achieved for any process in any work environment.« less

  17. Engineered CRISPR/Cas9 system for multiplex genome engineering of polyploid industrial yeast strains.

    PubMed

    Lian, Jiazhang; Bao, Zehua; Hu, Sumeng; Zhao, Huimin

    2018-06-01

    The CRISPR/Cas9 system has been widely used for multiplex genome engineering of Saccharomyces cerevisiae. However, its application in manipulating industrial yeast strains is less successful, probably due to the genome complexity and low copy numbers of gRNA expression plasmids. Here we developed an efficient CRISPR/Cas9 system for industrial yeast strain engineering by using our previously engineered plasmids with increased copy numbers. Four genes in both a diploid strain (Ethanol Red, 8 alleles in total) and a triploid strain (ATCC 4124, 12 alleles in total) were knocked out in a single step with 100% efficiency. This system was used to construct xylose-fermenting, lactate-producing industrial yeast strains, in which ALD6, PHO13, LEU2, and URA3 were disrupted in a single step followed by the introduction of a xylose utilization pathway and a lactate biosynthetic pathway on auxotrophic marker plasmids. The optimized CRISPR/Cas9 system provides a powerful tool for the development of industrial yeast based microbial cell factories. © 2018 Wiley Periodicals, Inc.

  18. The impact of new vaccine introduction on the coverage of existing vaccines: a cross-national, multivariable analysis.

    PubMed

    Shearer, Jessica C; Walker, Damian G; Risko, Nicholas; Levine, Orin S

    2012-12-14

    A surge of new and underutilized vaccine introductions into national immunization programmes has called into question the effect of new vaccine introduction on immunization and health systems. In particular, countries deciding whether to introduce a new or underutilized vaccine into their routine immunization programme may query possible effects on the delivery and coverage of existing vaccines. Using coverage of diphtheria-tetanus-pertussis (DTP) vaccine as a proxy for immunization system performance, this study aims to test whether new vaccine introduction into national immunization programs was associated with changes in coverage of three doses of DTP vaccine among infants. DTP3 vaccine coverage was analyzed in 187 countries during 1999-2009 using multivariable cross-national mixed-effect longitudinal models. Controlling for other possible determinants of DTP3 coverage at the national level these models found minimal association between the introduction of Hepatitis-, Haemophilus influenzae type b-, and rotavirus-containing vaccines and DTP3 coverage. Instead, frequent and sometimes large fluctuations in coverage are associated with other development and health systems variables, including the presence of armed conflict, coverage of antenatal care services, infant mortality, the percent of health expenditures that are private and total health expenditures per capita. Introductions of new vaccines did not affect national coverage of DTP3 vaccine in the countries studied. Introductions of other new vaccines and multiple vaccine introductions should be monitored for immunization and health systems impacts. Copyright © 2012 Elsevier Ltd. All rights reserved.

  19. Experiments on Socio-Technical Systems: The Problem of Control.

    PubMed

    Kroes, Peter

    2016-06-01

    My aim is to question whether the introduction of new technologies in society may be considered to be genuine experiments. I will argue that they are not, at least not in the sense in which the notion of experiment is being used in the natural and social sciences. If the introduction of a new technology in society is interpreted as an experiment, then we are dealing with a notion of experiment that differs in an important respect from the notion of experiment as used in the natural and social sciences. This difference shows itself most prominently when the functioning of the new technological system is not only dependent on technological hardware but also on social 'software', that is, on social institutions such as appropriate laws, and actions of operators of the new technological system. In those cases we are not dealing with 'simply' the introduction of a new technology, but with the introduction of a new socio-technical system. I will argue that if the introduction of a new socio-technical system is considered to be an experiment, then the relation between the experimenter and the system on which the experiment is performed differs significantly from the relation in traditional experiments in the natural and social sciences. In the latter experiments it is assumed that the experimenter is not part of the experimental system and is able to intervene in and control the experimental system from the outside. With regard to the introduction of new socio-technical systems the idea that there is an experimenter outside the socio-technical system who intervenes in and controls that system becomes problematic. From that perspective we are dealing with a different kind of experiment.

  20. A Bayesian approach to reliability and confidence

    NASA Technical Reports Server (NTRS)

    Barnes, Ron

    1989-01-01

    The historical evolution of NASA's interest in quantitative measures of reliability assessment is outlined. The introduction of some quantitative methodologies into the Vehicle Reliability Branch of the Safety, Reliability and Quality Assurance (SR and QA) Division at Johnson Space Center (JSC) was noted along with the development of the Extended Orbiter Duration--Weakest Link study which will utilize quantitative tools for a Bayesian statistical analysis. Extending the earlier work of NASA sponsor, Richard Heydorn, researchers were able to produce a consistent Bayesian estimate for the reliability of a component and hence by a simple extension for a system of components in some cases where the rate of failure is not constant but varies over time. Mechanical systems in general have this property since the reliability usually decreases markedly as the parts degrade over time. While they have been able to reduce the Bayesian estimator to a simple closed form for a large class of such systems, the form for the most general case needs to be attacked by the computer. Once a table is generated for this form, researchers will have a numerical form for the general solution. With this, the corresponding probability statements about the reliability of a system can be made in the most general setting. Note that the utilization of uniform Bayesian priors represents a worst case scenario in the sense that as researchers incorporate more expert opinion into the model, they will be able to improve the strength of the probability calculations.

  1. Treatment of Nail Psoriasis: Common Concepts and New Trends

    PubMed Central

    Oram, Yasemin; Akkaya, A. Deniz

    2013-01-01

    The lifetime incidence of nail involvement in psoriatic patients is estimated to be 80–90%, and the nails can be affected in 10% to 55% of psoriatic patients. Psoriasis may also solely involve the nails, without any other skin findings, in which the treatment can be more challenging. Nail psoriasis may lead to considerable impairment in quality of life due to aesthetic concerns and more importantly limitations in daily activities resulting from the associated pain, which may be overlooked by the physicians. Several topical and systemic treatment modalities, as well as radiation and light systems, have been used in the treatment of nail psoriasis. In the last decade, the introduction of biologic agents and the utilization of laser systems have brought a new insight into the treatment of nail psoriasis. This paper focuses on the recent advances, as well as the conventional methods, in treating nail psoriasis in adults and children, in reference to an extensive literature search. PMID:23762032

  2. UWB Tracking Algorithms: AOA and TDOA

    NASA Technical Reports Server (NTRS)

    Ni, Jianjun David; Arndt, D.; Ngo, P.; Gross, J.; Refford, Melinda

    2006-01-01

    Ultra-Wideband (UWB) tracking prototype systems are currently under development at NASA Johnson Space Center for various applications on space exploration. For long range applications, a two-cluster Angle of Arrival (AOA) tracking method is employed for implementation of the tracking system; for close-in applications, a Time Difference of Arrival (TDOA) positioning methodology is exploited. Both AOA and TDOA are chosen to utilize the achievable fine time resolution of UWB signals. This talk presents a brief introduction to AOA and TDOA methodologies. The theoretical analysis of these two algorithms reveal the affecting parameters impact on the tracking resolution. For the AOA algorithm, simulations show that a tracking resolution less than 0.5% of the range can be achieved with the current achievable time resolution of UWB signals. For the TDOA algorithm used in close-in applications, simulations show that the (sub-inch) high tracking resolution is achieved with a chosen tracking baseline configuration. The analytical and simulated results provide insightful guidance for the UWB tracking system design.

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

    Spencer, D.F.

    This analysis evaluates the incentives necessary to introduce commercial scale Advanced Clean Coal Technologies, specifically Integrated Coal Gasification Combined Cycle (ICGCC) and Pressurized Fluidized Bed Combustion (PFBC) powerplants. The incentives required to support the initial introduction of these systems are based on competitive busbar electricity costs with natural gas fired combined cycle powerplants, in baseload service. A federal government price guarantee program for up to 10 Advanced Clean Coal Technology powerplants, 5 each ICGCC and PFBC systems is recommended in order to establish the commercial viability of these systems by 2010. By utilizing a decreasing incentives approach as the technologiesmore » mature (plants 1--5 of each type), and considering the additional federal government benefits of these plants versus natural gas fired combined cycle powerplants, federal government net financial exposure is minimized. Annual net incentive outlays of approximately 150 million annually over a 20 year period could be necessary. Based on increased demand for Advanced Clean Coal Technologies beyond 2010, the federal government would be revenue neutral within 10 years of the incentives program completion.« less

  4. Institute for Genomics and Systems Biology

    Science.gov Websites

    Institute for Genomics and Systems Biology Discover. Predict. Improve. Advancing Human and , 2015 See all Research Papers Featured Video Introduction to Systems Biology Video: Introduction to Systems Biology News Jack Gilbert Heading UChicago Startup that Aims to Predict Behavior of Trillions of

  5. 14 million hours of operational experience on phosphate ester fluids as gas turbine main bearing lubricants

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

    Dufresne, P.E.

    1998-09-01

    Phosphate ester fluids have been used as a gas turbine main bearing lubricant for more than 35 years. Acid treatment systems utilizing fullers` earth and activated alumina have been used to remove acids produced during the PE fluid degradation process on an intermittent or continuous basis. Both acid adsorbing medias contribute metal soaps during the acid adsorbing process. Over time, the build-up of metal soaps significantly reduces the capability of the media to adsorb acids. The end result is escalating acid levels and fluid operating problems. The introduction of ion exchange as an acid adsorbing media has eliminated the catalyticmore » fluid degradation process, and offers phosphate ester users` extremely long fluid service life.« less

  6. Electrochemical Energy Storage Technologies and the Automotive Industry

    ScienceCinema

    Mark Verbrugge

    2017-12-09

    The first portion of the lecture will relate global energy challenges to trends in personal transportation. Following this introduction, a short overview of technology associated with lithium ion batteries for traction applications will be provided. Last, I shall present new research results that enable adaptive characterization of lithium ion cells. Experimental and modeling results help to clarify the underlying electrochemistry and system performance. Specifically, through chemical modification of the electrodes, it is possible to place markers within the electrodes that signal the state of charge of a battery through abrupt voltage changes during cell operation, thereby allowing full utilization of the battery in applications. In closing, I shall highlight some promising materials research efforts that are expected to lead to substantially improved battery technology

  7. Recommended Architecture for a Knowledge Management System for the Undersea Launchers Division at the Naval Undersea Warfare Center

    DTIC Science & Technology

    2010-09-01

    OF CONTENTS I. INTRODUCTION ............................................................................................. 1 A. BACKGROUND...PROBLEM DEFINITION............................................................................... 11 A. INTRODUCTION ...27 III. REQUIREMENTS DEVELOPMENT ............................................................. 29 A. INTRODUCTION

  8. Surfing the Internet. An Introduction.

    ERIC Educational Resources Information Center

    Polly, Jean Armour

    1992-01-01

    Describes resources available through INTERNET that are of interest to librarians, including electronic newsletters and serials, online library catalogs, bulletin boards, remote access to software or text files, utilities to help navigate the network, sources for learning more about the INTERNET, discussion list guides, and INTERNET library…

  9. 7 CFR 1753.38 - Procurement procedures.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE, DEPARTMENT OF... introduction of various future services; the relative costs of installing the necessary hardware and software initially as compared with the anticipated cost if installed at the time when the future services are to be...

  10. Introduction to HACCP.

    USDA-ARS?s Scientific Manuscript database

    The Hazard Analysis and Critical Control Point (HACCP) food safety inspection program is utilized by both USDA Food Safety Inspection Service (FSIS) and FDA for many of the products they regulate. This science-based program was implemented by the USDA FSIS to enhance the food safety of meat and pou...

  11. COMPARATIVE POTENCY OF COMPLEX MIXTURES: USE OF SHORT-TERM GENETIC BIOASSAYS IN CANCER RISK ASSESSMENT

    EPA Science Inventory

    The primary problem regarding the introduction of new energy sources is whether they will alter the mutagenicity, carcinogenicity and potential human cancer risk from combustion emissions. New risk assessment methodologies utilizing data from short-term bioassays, therefore, are ...

  12. Analyses of Measures of Segregation and Desegregation. Final Report.

    ERIC Educational Resources Information Center

    Clotfelter, Charles

    This report examines the meaning and utility of several different desegregation-related measures relevant to Federal policy and technical assistance. Following the introduction, Section II discusses alternative measures of school segregation and desegregation. Major indices are compared, using a hypothetical school district for illustrative…

  13. Low-cost Computer-Aided Instruction/Computer-Managed Instruction (CAI/ CMI) System: Feasibility Study

    DTIC Science & Technology

    1979-12-01

    capabilities that are not essential to routine support of the majority of Air Force training. TABLE OF CONTENTS PAGE 1.0 INTRODUCTION ...66 APPEINDIX A Listing of All Survey Items ---------------------- 67 APPENDIX B Introduction to Survey Form and...5 6 1.0 INTRODUCTION Prototype computer-based individualized training systems have been developed and implemented at a number of

  14. R for fledglings

    USGS Publications Warehouse

    Donovan, Therese; Brown, Michelle; Katz, Jonathan

    2015-01-01

    We’ve been asked to provide a short introduction to R and its utility in natural resource management. In this short introduction, we can guarantee one thing: you won’t learn R in a few days. That would be like learning to speak French in a few days. To actually learn R, you need to practice….Bode Miller didn’t win his Olympic medals without hours and hours of practice. However, in this short introduction, you can gain an appreciation for what R can do, be introduced to some key functions that you will likely use over and over again, and learn some strategies for creating scripts for automating your work. There are several excellent R books that provide much more information than this short introduction….. R has a steep learning curve, and our hope is to cover some basics to get you over the initial hump.

  15. Training and outcome monitoring in robotic urologic surgery.

    PubMed

    Liberman, Daniel; Trinh, Quoc-Dien; Jeldres, Claudio; Valiquette, Luc; Zorn, Kevin C

    2011-11-08

    The use of robot-assisted laparoscopic technology is rapidly expanding, with applicability in numerous disciplines of surgery. Training to perform robot-assisted laparoscopic urological procedures requires a motivated learner, a motivated teacher or proctor, a curriculum with stepwise learning objectives, and regular access to a training robot. In light of the many constraints that limit surgical training, animal models should be utilized to quantifiably improve the surgical skills of residents and surgical fellows, before these skills are put into practice on patients. A system based on appropriate supervision, graduated responsibility, real-time feedback, and objective measure of progress has proven to be safe and effective. Surgical team education directed towards cohesion is perhaps the most important aspect of training. At present, there are very few published guidelines for the safe introduction of robotic urologic surgery at an institution. Increasing evidence demonstrates the effects of learning curve and surgical volume on oncological and functional outcomes in robotic surgery (RS). This necessitates the introduction of mechanisms and guidelines by which trainee surgeons can attain a sufficient level of skill, without compromising the safety of patients. Guidelines for outcome monitoring following RS should be developed, to ensure patient safety and sufficient baseline surgeon skill.

  16. Importance of balanced architectures in the design of high-performance imaging systems

    NASA Astrophysics Data System (ADS)

    Sgro, Joseph A.; Stanton, Paul C.

    1999-03-01

    Imaging systems employed in demanding military and industrial applications, such as automatic target recognition and computer vision, typically require real-time high-performance computing resources. While high- performances computing systems have traditionally relied on proprietary architectures and custom components, recent advances in high performance general-purpose microprocessor technology have produced an abundance of low cost components suitable for use in high-performance computing systems. A common pitfall in the design of high performance imaging system, particularly systems employing scalable multiprocessor architectures, is the failure to balance computational and memory bandwidth. The performance of standard cluster designs, for example, in which several processors share a common memory bus, is typically constrained by memory bandwidth. The symptom characteristic of this problem is failure to the performance of the system to scale as more processors are added. The problem becomes exacerbated if I/O and memory functions share the same bus. The recent introduction of microprocessors with large internal caches and high performance external memory interfaces makes it practical to design high performance imaging system with balanced computational and memory bandwidth. Real word examples of such designs will be presented, along with a discussion of adapting algorithm design to best utilize available memory bandwidth.

  17. 75 FR 14057 - Federal Acquisition Regulation; Federal Acquisition Circular 2005-40; Introduction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-23

    ...: Introduction, Small Entity Compliance Guide, Federal Awardee Performance and Integrity, Information System...; Federal Acquisition Circular 2005-40; Introduction AGENCIES: Department of Defense (DoD), General Services...

  18. Assessing an Introduction to Systems Thinking

    ERIC Educational Resources Information Center

    Monroe, Martha C.; Plate, Richard R.; Colley, Lara

    2015-01-01

    This research study investigated the learning outcomes of a brief systems thinking intervention at the undergraduate level. A pre/post experimental design (n = 50) was used to address two primary questions: (1) Can a brief introduction to systems thinking improve students' understanding of systems thinking? and (2) Which teaching method (of…

  19. Different initiatives across Europe to enhance losartan utilization post generics: impact and implications

    PubMed Central

    Moon, James C.; Godman, Brian; Petzold, Max; Alvarez-Madrazo, Samantha; Bennett, Kathleen; Bishop, Iain; Bucsics, Anna; Hesse, Ulrik; Martin, Andrew; Simoens, Steven; Zara, Corinne; Malmström, Rickard E.

    2014-01-01

    Introduction: There is an urgent need for health authorities across Europe to fully realize potential savings from increased use of generics to sustain their healthcare systems. A variety of strategies were used across Europe following the availability of generic losartan, the first angiotensin receptor blocker (ARB) to be approved and marketed, to enhance its prescribing vs. single-sourced drugs in the class. Demand-side strategies ranged from 100% co-payment for single-sourced ARBs in Denmark to no specific measures. We hypothesized this heterogeneity of approaches would provide opportunities to explore prescribing in a class following patent expiry. Objective: Contrast the impact of the different approaches among European countries and regions to the availability of generic losartan to provide future guidance. Methodology: Retrospective segmented regression analyses applying linear random coefficient models with country specific intercepts and slopes were used to assess the impact of the various initiatives across Europe following the availability of generic losartan. Utilization measured in defined daily doses (DDDs). Price reductions for generic losartan were also measured. Results: Utilization of losartan was over 90% of all ARBs in Denmark by the study end. Multiple measures in Sweden and one English primary care group also appreciably enhanced losartan utilization. Losartan utilization actually fell in some countries with no specific demand-side measures. Considerable differences were seen in the prices of generic losartan. Conclusion: Delisting single-sourced ARBs produced the greatest increase in losartan utilization. Overall, multiple demand-side measures are needed to change physician prescribing habits to fully realize savings from generics. There is no apparent “spill over” effect from one class to another to influence future prescribing patterns even if these are closely related. PMID:25339902

  20. Nuclear Enterprise Performance Measurement

    DTIC Science & Technology

    2011-03-01

    xi I. Introduction ...WSA: Weapons Storage Area 1 I. Introduction Overview This paper discusses United States Air Force nuclear enterprise...sustainment systems. Keywords Performance measurement, process measurement, strategy, multicriteria decision- making, aggregation 1. Introduction Nuclear

  1. Image Sharing Technologies and Reduction of Imaging Utilization: A Systematic Review and Meta-analysis

    PubMed Central

    Vest, Joshua R.; Jung, Hye-Young; Ostrovsky, Aaron; Das, Lala Tanmoy; McGinty, Geraldine B.

    2016-01-01

    Introduction Image sharing technologies may reduce unneeded imaging by improving provider access to imaging information. A systematic review and meta-analysis were conducted to summarize the impact of image sharing technologies on patient imaging utilization. Methods Quantitative evaluations of the effects of PACS, regional image exchange networks, interoperable electronic heath records, tools for importing physical media, and health information exchange systems on utilization were identified through a systematic review of the published and gray English-language literature (2004–2014). Outcomes, standard effect sizes (ESs), settings, technology, populations, and risk of bias were abstracted from each study. The impact of image sharing technologies was summarized with random-effects meta-analysis and meta-regression models. Results A total of 17 articles were included in the review, with a total of 42 different studies. Image sharing technology was associated with a significant decrease in repeat imaging (pooled effect size [ES] = −0.17; 95% confidence interval [CI] = [−0.25, −0.09]; P < .001). However, image sharing technology was associated with a significant increase in any imaging utilization (pooled ES = 0.20; 95% CI = [0.07, 0.32]; P = .002). For all outcomes combined, image sharing technology was not associated with utilization. Most studies were at risk for bias. Conclusions Image sharing technology was associated with reductions in repeat and unnecessary imaging, in both the overall literature and the most-rigorous studies. Stronger evidence is needed to further explore the role of specific technologies and their potential impact on various modalities, patient populations, and settings. PMID:26614882

  2. The equity impact of the universal coverage policy: lessons from Thailand.

    PubMed

    Prakongsai, Phusit; Limwattananon, Supon; Tangcharoensathien, Viroj

    2009-01-01

    This chapter assesses health equity achievements of the Thai health system before and after the introduction of the universal coverage (UC) policy. It examines five dimensions of equity: equity in financial contributions, the incidence of catastrophic health expenditure, the degree of impoverishment as a result of household out-of-pocket payments for health, equity in health service use and the incidence of public subsidies for health. The standard methods proposed by O'Donnell, van Doorslaer, and Wagstaff (2008b) were used to measure equity in financial contribution, healthcare utilization and public subsidies, and in assessing the incidence of catastrophic health expenditure and impoverishment. Two major national representative household survey datasets were used: Socio-Economic Surveys and Health and Welfare Surveys. General tax was the most progressive source of finance in Thailand. Because this source dominates total financing, the overall outcome was progressive, with the rich contributing a greater share of their income than the poor. The low incidence of catastrophic health expenditure and impoverishment before UC was further reduced after UC. Use of healthcare and the distribution of government subsidies were both pro-poor: in particular, the functioning of primary healthcare (PHC) at the district level serves as a "pro-poor hub" in translating policy into practice and equity outcomes. The Thai health financing reforms have been accompanied by nationwide extension of PHC coverage, mandatory rural health service by new graduates and systems redesign, especially the introduction of a contracting model and closed-ended provider payment methods. Together, these changes have led to a more equitable and more efficient health system. Institutional capacity to generate evidence and to translate it into policy decisions, effective implementation and comprehensive monitoring and evaluation are essential to successful system-level reforms.

  3. Advanced Control Systems for Aircraft Powerplants

    DTIC Science & Technology

    1980-02-01

    production of high- integrity software. 1.0 INTRODUCTION Work on full-authority digital control for gas turbines was started at Rolls- Royce Limited... INTRODUCTION In order to fully understand the operation of the Secondary Power System Control Unit - abbreviated SPSCU - we must first take a close look at...Only Memory EPROM -- Erasable Read Only Memory PLA -- Power Lever Angle LVDT -- Linear Variable Differential Transformer INTRODUCTION Preliminary design

  4. Histidine Kinase-Mediated Production and Autoassembly of Porphyromonas gingivalis Fimbriae▿ †

    PubMed Central

    Nishikawa, Kiyoshi; Duncan, Margaret J.

    2010-01-01

    Porphyromonas gingivalis, a Gram-negative oral anaerobe, is strongly associated with chronic adult periodontitis, and it utilizes FimA fimbriae to persistently colonize and evade host defenses in the periodontal crevice. The FimA-related gene cluster (the fim gene cluster) is positively regulated by the FimS-FimR two-component system. In this study, comparative analyses between fimbriate type strain ATCC 33277 and fimbria-deficient strain W83 revealed differences in their fimS loci, which encode FimS histidine kinase. Using a reciprocal gene exchange system, we established that FimS from W83 is malfunctional. Complementation analysis with chimeric fimS constructs revealed that W83 FimS has a defective kinase domain due to a truncated conserved G3 box motif that provides an ATP-binding pocket. The introduction of the functional fimS from 33277 restored the production, but not polymerization, of endogenous FimA subunits in W83. Further analyses with a fimA-exchanged W83 isogenic strain showed that even the fimbria-deficient W83 retains the ability to polymerize FimA from 33277, indicating the assembly of mature FimA by a primary structure-dependent mechanism. It also was shown that the substantial expression of 33277-type FimA fimbriae in the W83 derivative requires the introduction and expression of the functional 33277 fimS. These findings indicate that FimSR is the unique and universal regulatory system that activates the fim gene cluster in a fimA genotype-independent manner. PMID:20118268

  5. Modeling Mosquito-Borne Disease Spread in U.S. Urbanized Areas: The Case of Dengue in Miami

    PubMed Central

    Robert, Michael A.; Christofferson, Rebecca C.; Silva, Noah J. B.; Vasquez, Chalmers; Mores, Christopher N.; Wearing, Helen J.

    2016-01-01

    Expansion of mosquito-borne pathogens into more temperate regions of the world necessitates tools such as mathematical models for understanding the factors that contribute to the introduction and emergence of a disease in populations naïve to the disease. Often, these models are not developed and analyzed until after a pathogen is detected in a population. In this study, we develop a spatially explicit stochastic model parameterized with publicly available U.S. Census data for studying the potential for disease spread in Urbanized Areas of the United States. To illustrate the utility of the model, we specifically study the potential for introductions of dengue to lead to autochthonous transmission and outbreaks in a population representative of the Miami Urbanized Area, where introductions of dengue have occurred frequently in recent years. We describe seasonal fluctuations in mosquito populations by fitting a population model to trap data provided by the Miami-Dade Mosquito Control Division. We show that the timing and location of introduced cases could play an important role in determining both the probability that local transmission occurs as well as the total number of cases throughout the entire region following introduction. We show that at low rates of clinical presentation, small outbreaks of dengue could go completely undetected during a season, which may confound mitigation efforts that rely upon detection. We discuss the sensitivity of the model to several critical parameter values that are currently poorly characterized and motivate the collection of additional data to strengthen the predictive power of this and similar models. Finally, we emphasize the utility of the general structure of this model in studying mosquito-borne diseases such as chikungunya and Zika virus in other regions. PMID:27532496

  6. 14 CFR Appendix G to Part 23 - Instructions for Continued Airworthiness

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AIRCRAFT AIRWORTHINESS STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Pt. 23, App... maintenance manual or section. (1) Introduction information that includes an explanation of the airplane's features and data to the extent necessary for maintenance or preventive maintenance. (2) A description of...

  7. 14 CFR Appendix G to Part 23 - Instructions for Continued Airworthiness

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... AIRCRAFT AIRWORTHINESS STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Pt. 23, App... maintenance manual or section. (1) Introduction information that includes an explanation of the airplane's features and data to the extent necessary for maintenance or preventive maintenance. (2) A description of...

  8. 14 CFR Appendix G to Part 23 - Instructions for Continued Airworthiness

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AIRCRAFT AIRWORTHINESS STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Pt. 23, App... maintenance manual or section. (1) Introduction information that includes an explanation of the airplane's features and data to the extent necessary for maintenance or preventive maintenance. (2) A description of...

  9. 14 CFR Appendix G to Part 23 - Instructions for Continued Airworthiness

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... AIRCRAFT AIRWORTHINESS STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Pt. 23, App... maintenance manual or section. (1) Introduction information that includes an explanation of the airplane's features and data to the extent necessary for maintenance or preventive maintenance. (2) A description of...

  10. 14 CFR Appendix G to Part 23 - Instructions for Continued Airworthiness

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... AIRCRAFT AIRWORTHINESS STANDARDS: NORMAL, UTILITY, ACROBATIC, AND COMMUTER CATEGORY AIRPLANES Pt. 23, App... maintenance manual or section. (1) Introduction information that includes an explanation of the airplane's features and data to the extent necessary for maintenance or preventive maintenance. (2) A description of...

  11. An Introduction to Community-Based Participatory Research

    ERIC Educational Resources Information Center

    Hergenrather, Kenneth C.; Geishecker, Steve; McGuire-Kuletz, Maureen; Gitlin, David J.; Rhodes, Scott D.

    2010-01-01

    Community-based participatory research (CBPR) has emerged as an approach designed to promote community health and well-being through the establishment and maintenance of research partnerships between communities and academic researchers. Rather than the academic researcher assuming what is best for a community, CBPR utilizes community partnerships…

  12. State Higher Education Performance Funding: Data, Outcomes, and Policy Implications

    ERIC Educational Resources Information Center

    Tandberg, David A.; Hillman, Nicholas W.

    2014-01-01

    As states explore strategies for increasing educational attainment levels, attention is being paid to performance funding. This study asks, "Does the introduction of performance funding programs affect degree completion among participating states?" Utilizing a quasi-experimental research design we find limited evidence that performance…

  13. Applying Sociocultural Theory to Teaching Statistics for Doctoral Social Work Students

    ERIC Educational Resources Information Center

    Mogro-Wilson, Cristina; Reeves, Michael G.; Charter, Mollie Lazar

    2015-01-01

    This article describes the development of two doctoral-level multivariate statistics courses utilizing sociocultural theory, an integrative pedagogical framework. In the first course, the implementation of sociocultural theory helps to support the students through a rigorous introduction to statistics. The second course involves students…

  14. Cultivating Change through Peer Teaching

    ERIC Educational Resources Information Center

    Velez, Jonathan J.; Cano, Jamie; Whittington, M. Susie; Wolf, Kattlyn J.

    2011-01-01

    The purpose of this qualitative research study was to describe the impact of peer teaching on both the students and the classroom environment. Students, enrolled in two Introduction to Teaching courses in agricultural and extension education, were asked to engage in peer teaching activities. The researchers utilized discourse analysis, textual…

  15. Unlocking the proteomic information encoded in MALDI-TOF-MS data used for microbial identification and characterization

    USDA-ARS?s Scientific Manuscript database

    Introduction: Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOFMS)is increasingly utilized as a rapid technique to identify microorganisms including pathogenic bacteria. However, little attention has been paid to the significant proteomic information encoded in ...

  16. Ensuring long-term utility of the AOP framework and knowledge for multiple stakeholders

    EPA Science Inventory

    1.Introduction There is a need to increase the development and implementation of predictive approaches to support chemical safety assessment. These predictive approaches feature generation of data from tools such as computational models, pathway-based in vitro assays, and short-t...

  17. Computers in Cardiology.

    ERIC Educational Resources Information Center

    Feldman, Charles L.

    The utilization of computers in the interpretation of electrocardiograms (EKG's) and vectorcardiograms is the subject of this report. A basic introduction into the operations of the electrocardiograms and vectorcardiograms is provided via an illustrated text. A historical development of the EKG starts with the 1950's with the first attempts to use…

  18. Solar Energy Experiments for High School and College Students.

    ERIC Educational Resources Information Center

    Norton, Thomas W.; And Others

    This publication contains eighteen experiments and eight classroom activities. The experiments are of varying difficulty and cover the important aspects of solar energy utilization. Each experiment is self-contained, with its own introduction and background information. Energy measurements are emphasized and techniques for collector efficiency…

  19. Guide for Organizing and Utilizing Local Vocational Education Advisory Councils.

    ERIC Educational Resources Information Center

    Alabama State Dept. of Education, Montgomery. Div. of Vocational Education.

    This handbook is designed to provide local administrators with both information and guidelines for organizing, implementing, and operating local vocational education advisory councils. Following a short introduction, there is a section which briefly discusses the procedures for organizing an advisory council: formulate policy, designate school…

  20. Design, analysis, and control of large transport aircraft utilizing engine thrust as a backup system for the primary flight controls

    NASA Technical Reports Server (NTRS)

    Gerren, Donna S.

    1993-01-01

    A review of accidents that involved the loss of hydraulic flight control systems serves as an introduction to this project. In each of the accidents--involving transport aircraft such as the DC-10, the C-5A, the L-1011, and the Boeing 747--the flight crew attempted to control the aircraft by means of thrust control. Although these incidents had tragic endings, in the absence of control power due to primary control system failure, control power generated by selective application of engine thrust has proven to be a viable alternative. NASA Dryden has demonstrated the feasibility of controlling an aircraft during level flight, approach, and landing conditions using an augmented throttles-only control system. This system has been successfully flown in the flight test simulator for the B-720 passenger transport and the F-15 air superiority fighter and in actual flight tests for the F-15 aircraft. The Douglas Aircraft Company is developing a similar system for the MD-11 aircraft. The project's ultimate goal is to provide data for the development of thrust control systems for mega-transports (600+ passengers).

  1. Inheriting the Learner's View: A Google Glass-Based Wearable Computing Platform for Improving Surgical Trainee Performance.

    PubMed

    Brewer, Zachary E; Fann, Hutchinson C; Ogden, W David; Burdon, Thomas A; Sheikh, Ahmad Y

    2016-01-01

    It is speculated that, in operative environments, real-time visualization of the trainee's viewpoint by the instructor may improve performance and teaching efficacy. We hypothesized that introduction of a wearable surgical visualization system allowing the instructor to visualize otherwise "blind" areas in the operative field could improve trainee performance in a simulated operative setting. A total of 11 surgery residents (4 in general surgery training and 7 in an integrated 6-year cardiothoracic surgery program) participated in the study. Google (Mountain View, CA) Glass hardware running proprietary software from CrowdOptic (San Francisco, CA) was utilized for creation of the wearable surgical visualization system. Both the learner and trainer wore the system, and video was streamed from the learner's system in real time to the trainer, who directed the learner to place needles in a simulated operative field. Subjects placed a total of 5 needles in each of 4 quadrants. A composite error score was calculated based on the accuracy of needle placement in relation to the intended needle trajectories as described by the trainer. Time to task completion (TTC) was also measured and participants completed an exit questionnaire. All residents completed the protocol tasks and the survey. Introduction of the wearable surgical visualization system did not affect mean time to task completion (278 ± 50 vs. 282 ± 69 seconds, p = NS). However, mean composite error score fell significantly once the wearable system was deployed (18 ± 5 vs. 15 ± 4, p < 0.05), demonstrating improved accuracy of needle placement. Most of the participants deemed the device unobtrusive, easy to operate, and useful for communication and instruction. This study suggests that wearable surgical visualization systems allowing for adoption of the learner's perspective may be a useful educational adjunct in the training of surgeons. Further evaluations of the efficacy of wearable technology in the operating room environment are warranted. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  2. Visualizing 3D Food Microstructure Using Tomographic Methods: Advantages and Disadvantages.

    PubMed

    Wang, Zi; Herremans, Els; Janssen, Siem; Cantre, Dennis; Verboven, Pieter; Nicolaï, Bart

    2018-03-25

    X-ray micro-computed tomography (micro-CT) provides the unique ability to capture intact internal microstructure data without significant preparation of the sample. The fundamentals of micro-CT technology are briefly described along with a short introduction to basic image processing, quantitative analysis, and derivative computational modeling. The applications and limitations of micro-CT in industries such as meat, dairy, postharvest, and bread/confectionary are discussed to serve as a guideline to the plausibility of utilizing the technique for detecting features of interest. Component volume fractions, their respective size/shape distributions, and connectivity, for example, can be utilized for product development, manufacturing process tuning and/or troubleshooting. In addition to determining structure-function relations, micro-CT can be used for foreign material detection to further ensure product quality and safety. In most usage scenarios, micro-CT in its current form is perfectly adequate for determining microstructure in a wide variety of food products. However, in low-contrast and low-stability samples, emphasis is placed on the shortcomings of the current systems to set realistic expectations for the intended users.

  3. Co-introduction vs ecological fitting as pathways to the establishment of effective mutualisms during biological invasions.

    PubMed

    Le Roux, Johannes J; Hui, Cang; Keet, Jan-Hendrik; Ellis, Allan G

    2017-09-01

    Contents 1354 I. 1354 II. 1355 III. 1357 IV. 1357 V. 1359 1359 References 1359 SUMMARY: Interactions between non-native plants and their mutualists are often disrupted upon introduction to new environments. Using legume-rhizobium mutualistic interactions as an example, we discuss two pathways that can influence symbiotic associations in such situations: co-introduction of coevolved rhizobia; and utilization of, and adaptation to, resident rhizobia, hereafter referred to as 'ecological fitting'. Co-introduction and ecological fitting have distinct implications for successful legume invasions and their impacts. Under ecological fitting, initial impacts may be less severe and will accrue over longer periods as novel symbiotic associations and/or adaptations may require fine-tuning over time. Co-introduction will have more profound impacts that will accrue more rapidly as a result of positive feedbacks between densities of non-native rhizobia and their coevolved host plants, in turn enhancing competition between native and non-native rhizobia. Co-introduction can further impact invasion outcomes by the exchange of genetic material between native and non-native rhizobia, potentially resulting in decreased fitness of native legumes. A better understanding of the roles of these two pathways in the invasion dynamics of non-native legumes is much needed, and we highlight some of the exciting research avenues it presents. © 2017 The Authors. New Phytologist © 2017 New Phytologist Trust.

  4. Performance Analysis of Hospital Information System of the National Health Insurance Corporation Ilsan Hospital

    PubMed Central

    Han, Jung Mi; Boo, Eun Hee; Kim, Jung A; Yoon, Soo Jin; Kim, Seong Woo

    2012-01-01

    Objectives This study evaluated the qualitative and quantitative performances of the newly developed information system which was implemented on November 4, 2011 at the National Health Insurance Corporation Ilsan Hospital. Methods Registration waiting time and changes in the satisfaction scores for the key performance indicators (KPI) before and after the introduction of the system were compared; and the economic effects of the system were analyzed by using the information economics approach. Results After the introduction of the system, the waiting time for registration was reduced by 20%, and the waiting time at the internal medicine department was reduced by 15%. The benefit-to-cost ratio was increased to 1.34 when all intangible benefits were included in the economic analysis. Conclusions The economic impact and target satisfaction rates increased due to the introduction of the new system. The results were proven by the quantitative and qualitative analyses carried out in this study. This study was conducted only seven months after the introduction of the system. As such, a follow-up study should be carried out in the future when the system stabilizes. PMID:23115744

  5. Performance-based financing to increase utilization of maternal health services: Evidence from Burkina Faso.

    PubMed

    Steenland, Maria; Robyn, Paul Jacob; Compaore, Philippe; Kabore, Moussa; Tapsoba, Boukary; Zongo, Aloys; Haidara, Ousmane Diadie; Fink, Günther

    2017-12-01

    Performance-based financing (PBF) programs are increasingly implemented in low and middle-income countries to improve health service quality and utilization. In April 2011, a PBF pilot program was launched in Boulsa, Leo and Titao districts in Burkina Faso with the objective of increasing the provision and quality of maternal health services. We evaluate the impact of this program using facility-level administrative data from the national health management information system (HMIS). Primary outcomes were the number of antenatal care visits, the proportion of antenatal care visits that occurred during the first trimester of pregnancy, the number of institutional deliveries and the number of postnatal care visits. To assess program impact we use a difference-in-differences approach, comparing changes in health service provision post-introduction with changes in matched comparison areas. All models were estimated using ordinary least squares (OLS) regression models with standard errors clustered at the facility level. On average, PBF facilities had 2.3 more antenatal care visits (95% CI [0.446-4.225]), 2.1 more deliveries (95% CI [0.034-4.069]) and 9.5 more postnatal care visits (95% CI [6.099, 12.903]) each month after the introduction of PBF. Compared to the service provision levels prior to the interventions, this implies a relative increase of 27.7 percent for ANC, of 9.2 percent for deliveries, and of 118.7 percent for postnatal care. Given the positive results observed during the pre-pilot period and the limited resources available in the health sector, the PBF program in Burkina Faso may be a low-cost, high impact intervention to improve maternal and child health.

  6. Towards a cyber-physical era: soft computing framework based multi-sensor array for water quality monitoring

    NASA Astrophysics Data System (ADS)

    Bhardwaj, Jyotirmoy; Gupta, Karunesh K.; Gupta, Rajiv

    2018-02-01

    New concepts and techniques are replacing traditional methods of water quality parameter measurement systems. This paper introduces a cyber-physical system (CPS) approach for water quality assessment in a distribution network. Cyber-physical systems with embedded sensors, processors and actuators can be designed to sense and interact with the water environment. The proposed CPS is comprised of sensing framework integrated with five different water quality parameter sensor nodes and soft computing framework for computational modelling. Soft computing framework utilizes the applications of Python for user interface and fuzzy sciences for decision making. Introduction of multiple sensors in a water distribution network generates a huge number of data matrices, which are sometimes highly complex, difficult to understand and convoluted for effective decision making. Therefore, the proposed system framework also intends to simplify the complexity of obtained sensor data matrices and to support decision making for water engineers through a soft computing framework. The target of this proposed research is to provide a simple and efficient method to identify and detect presence of contamination in a water distribution network using applications of CPS.

  7. Dynamic modeling and verification of an energy-efficient greenhouse with an aquaponic system using TRNSYS

    NASA Astrophysics Data System (ADS)

    Amin, Majdi Talal

    Currently, there is no integrated dynamic simulation program for an energy efficient greenhouse coupled with an aquaponic system. This research is intended to promote the thermal management of greenhouses in order to provide sustainable food production with the lowest possible energy use and material waste. A brief introduction of greenhouses, passive houses, energy efficiency, renewable energy systems, and their applications are included for ready reference. An experimental working scaled-down energy-efficient greenhouse was built to verify and calibrate the results of a dynamic simulation model made using TRNSYS software. However, TRNSYS requires the aid of Google SketchUp to develop 3D building geometry. The simulation model was built following the passive house standard as closely as possible. The new simulation model was then utilized to design an actual greenhouse with Aquaponics. It was demonstrated that the passive house standard can be applied to improve upon conventional greenhouse performance, and that it is adaptable to different climates. The energy-efficient greenhouse provides the required thermal environment for fish and plant growth, while eliminating the need for conventional cooling and heating systems.

  8. Trends in the utilization of dental outpatient services affected by the expansion of health care benefits in South Korea to include scaling: a 6-year interrupted time-series study

    PubMed Central

    2018-01-01

    Purpose This study utilized a strong quasi-experimental design to test the hypothesis that the implementation of a policy to expand dental care services resulted in an increase in the usage of dental outpatient services. Methods A total of 45,650,000 subjects with diagnoses of gingivitis or advanced periodontitis who received dental scaling were selected and examined, utilizing National Health Insurance claims data from July 2010 through November 2015. We performed a segmented regression analysis of the interrupted time-series to analyze the time-series trend in dental costs before and after the policy implementation, and assessed immediate changes in dental costs. Results After the policy change was implemented, a statistically significant 18% increase occurred in the observed total dental cost per patient, after adjustment for age, sex, and residence area. In addition, the dental costs of outpatient gingivitis treatment increased immediately by almost 47%, compared with a 15% increase in treatment costs for advanced periodontitis outpatients. This policy effect appears to be sustainable. Conclusions The introduction of the new policy positively impacted the immediate and long-term outpatient utilization of dental scaling treatment in South Korea. While the policy was intended to entice patients to prevent periodontal disease, thus benefiting the insurance system, our results showed that the policy also increased treatment accessibility for potential periodontal disease patients and may improve long-term periodontal health in the South Korean population. PMID:29535886

  9. Trends in the utilization of dental outpatient services affected by the expansion of health care benefits in South Korea to include scaling: a 6-year interrupted time-series study.

    PubMed

    Park, Hee-Jung; Lee, Jun Hyup; Park, Sujin; Kim, Tae-Il

    2018-02-01

    This study utilized a strong quasi-experimental design to test the hypothesis that the implementation of a policy to expand dental care services resulted in an increase in the usage of dental outpatient services. A total of 45,650,000 subjects with diagnoses of gingivitis or advanced periodontitis who received dental scaling were selected and examined, utilizing National Health Insurance claims data from July 2010 through November 2015. We performed a segmented regression analysis of the interrupted time-series to analyze the time-series trend in dental costs before and after the policy implementation, and assessed immediate changes in dental costs. After the policy change was implemented, a statistically significant 18% increase occurred in the observed total dental cost per patient, after adjustment for age, sex, and residence area. In addition, the dental costs of outpatient gingivitis treatment increased immediately by almost 47%, compared with a 15% increase in treatment costs for advanced periodontitis outpatients. This policy effect appears to be sustainable. The introduction of the new policy positively impacted the immediate and long-term outpatient utilization of dental scaling treatment in South Korea. While the policy was intended to entice patients to prevent periodontal disease, thus benefiting the insurance system, our results showed that the policy also increased treatment accessibility for potential periodontal disease patients and may improve long-term periodontal health in the South Korean population.

  10. Impact of the introduction of an automated microbiologic system on the clinical outcomes of bloodstream infections caused by Enterobacteriaceae strains.

    PubMed

    Callefi, Luciana Azevedo; Medeiros, Eduardo Alexandrino Servolo de; Furtado, Guilherme Henrique Campos

    2013-01-01

    Enterobacteriaceae strains are a leading cause of bloodstream infections (BSI). The aim of this study is to assess differences in clinical outcomes of patients with BSI caused by Enterobacteriaceae strains before and after introduction of an automated microbiologic system by the microbiology laboratory. We conducted a retrospective cohort study aimed to evaluate the impact of the introduction of an automated microbiologic system (Phoenix(tm) automated microbiology system, Becton, Dickinson and Company (BD) - Diagnostic Systems, Sparks, MD, USA) on the outcomes of BSIs caused by Enterobacteriaceae strains. The study was undertaken at Hospital São Paulo, a 750-bed teaching hospital in São Paulo, Brazil. Patients with BSI caused by Enterobacteriaceae strains before the introduction of the automated system were compared with patients with BSI caused by the same pathogens after the introduction of the automated system with regard to treatment adequacy, clinical cure/improvement and 14- and 28-day mortality rates. We evaluated 90 and 106 patients in the non-automated and automated testing periods, respectively. The most prevalent species in both periods were Klebsiella spp. and Proteus spp. Clinical cure/improvement occurred in 70% and 67.9% in non-automated and automated period, respectively (p = 0.75). 14-day mortality rates were 22.2% and 30% (p = 0.94) and 28-day mortality rates were 24.5% and 40.5% (p = 0.12). There were no significant differences between the two testing periods with regard to treatment adequacy, clinical cure/improvement and 14- and 28-day mortality rates. Introduction of the BD Phoenix(tm) automated microbiology system did not impact the clinical outcomes of BSIs caused by Enterobacteriaceae strains in our setting.

  11. Data modeling and processing in deregulated power system

    NASA Astrophysics Data System (ADS)

    Xu, Lin

    The introduction of open electricity markets and the fast pace of changes brought by modern information technology bring both opportunities and challenges to the power industry. Vast quantities of data are generated by the underlying physical system and the business operations. Fast and low cost communications allow the data to be more widely accessed. For electric utilities, it is becoming clear that data and information are vital assets. Proper management and modeling of these assets is as essential to the engineering of the power system as is the underlying physical system. This dissertation introduces several new methods to address information modeling and data processing concerns in the new utility environment. Presently, legacy information systems in the industry do not make adequate use of the data produced. Hence, a new information infrastructure using data warehousing---a data integration technology used for decision support---is proposed for novel management and utilization of data. Detailed examples and discussion are given on the schema building, extract transform and load (ETL) strategies for power system specific data. The benefits of this approach are shown through a new viewpoint of state estimation. Inaccurate grid information, especially topology information, can be a major detriment to energy market traders' ability to make appropriate bids. A two-stage DC state estimation algorithm is presented to provide them with a simpler data viewpoint to make knowledgeable trading decisions. Numerical results show how the results of a DC state estimator can be accurately made available to all concerned. Additionally, the proposed communication and information infrastructure allow for new formulations and solutions to traditional power problems. In this vein, a new distributed communication model of the power system using publisher/subscriber paradigm is presented and simulated. The simulation results prove its feasibility and show it has adequate performance under today's communication technology. Based on this model, a new state estimation algorithm, which can decentralizes computations and minimizes communication overhead, is derived using a set of overlapping areas to cover the entire network. Numerical experiments show that it is efficient, robust, and has comparable accuracy as the conventional full network state estimation.

  12. Introduction to the Principles of HACCP

    USDA-ARS?s Scientific Manuscript database

    HACCP is an acronym for Hazard Analysis and Critical Control Point and was initially developed by the Pillsbury Company and NASA. They utilized this program to enhance the safety of the food for manned space flights. The USDA-FSIS implemented the HACCP approach to food safety in the meat and poult...

  13. Arten, Funktionen und Verwendung akustisch optischer (kombinierter) Unterrichtsmittel (Types, Functions and Utilization of Acoustical-optical (Combined) Teaching Aids)

    ERIC Educational Resources Information Center

    Danders, Siegfried

    1974-01-01

    Hints are given on the design and introduction of tape series, of the sound-film cycle "A trip to Moscow" and of the television course "We speak Russian" (Grades 9 and 10). (Text is in German.) (IFS/WGA)

  14. Antimicrobial efficacy of radiant catalytic ionization against shiga toxin-producing Escherichia coli on inoculated beef

    USDA-ARS?s Scientific Manuscript database

    Introduction: Shiga Toxin-producing Escherichia coli (STEC), as a common foodborne pathogen, may cause severe human hemorrhagic colitis infection. The radiant catalytic ionization (RCI) technology utilizes a combination of UV light and low-level oxidizers such as ozone, hydroxyl radicals, and hydrog...

  15. Community Pharmacists' Preferences for Continuing Education Delivery in Australia

    ERIC Educational Resources Information Center

    Mc Namara, Kevin P.; Duncan, Gregory J.; McDowell, Jenny; Marriott, Jennifer L.

    2009-01-01

    Introduction: New technologies such as the Internet offer an increasing number of options for the delivery of continuing education (CE) to community pharmacists. Many of these options are being utilized to overcome access- and cost-related problems. This paper identifies learning preferences of Australian community pharmacists for CE and…

  16. Limnological Studies at Eau Galle Lake, Wisconsin. Report 1. Introduction and Water Quality Monitoring Studies.

    DTIC Science & Technology

    1985-03-01

    the phototrophic zone, high photo- ;ynthetic activity utilized CO thus reducing the alkalinity; at the 2’ ;ame time, the release of bicarbonate...1982). Like turbidity, suspended solids levels were elevated in the phototrophic zone due to phytoplankton blooms. This was especially noticeable

  17. Targeted Jobs Tax Credit: Findings from Employer Surveys.

    ERIC Educational Resources Information Center

    Bishop, John, Ed.

    This collection includes eight reports of findings from a series of employer surveys designed to assess the effectiveness of the Targeted Jobs Tax Credit (TJTC). The following papers are included: "Introduction," by John Bishop; "Utilization of the Targeted Jobs Tax Credit," by John Bishop and Susan Ashbrook; "Multivariate…

  18. Introduction to Metrics.

    ERIC Educational Resources Information Center

    Edgecomb, Philip L.; Shapiro, Marion

    Addressed to vocational, or academic middle or high school students, this book reviews mathematics fundamentals using metric units of measurement. It utilizes a common-sense approach to the degree of accuracy needed in solving actual trade and every-day problems. Stress is placed on reading off metric measurements from a ruler or tape, and on…

  19. Health Instruction Packages: Humanistic Nursing--Nurse/Patient Relations.

    ERIC Educational Resources Information Center

    Carpenter, Wanda L.; And Others

    Text, illustrations, and exercises are utilized in this set of four learning modules to instruct nurses and nursing students in humanistic, non-technical aspects of patient care. The first module, "Introduction to Humanistic Nursing Practice Theory" by Wanda L. Carpenter, draws upon the theories of existentialism and phenomenology to…

  20. Electric Restructuring and Utilities Deregulation: A Facility Manager's Guide.

    ERIC Educational Resources Information Center

    Glazner, Steve, Ed.

    This volume presents 12 papers offering guidelines to higher education institutions on planning for the deregulation of the electric power industry. Following an introduction (by Dorsey D. Jacobs), the papers are organized into three parts which address: the changing market, identifying opportunities and challenges, and taking advantage of…

  1. Education in Colonial Africa: The German Experience

    ERIC Educational Resources Information Center

    vanderPloeg, Arie J.

    1977-01-01

    Examines the introduction and growth of state-supported schools in two German colonies in Africa, Kamerun and Deutsch Ostafrika, describes African reaction to and utilization of them, assesses, from the colonial perspective, why such schools were introduced and what they were intended to accomplish, and examines the reasons for their differential…

  2. Microwave-Assisted Cytochemistry: Accelerated Visualization of Acetylcholinesterase at Motor Endplates

    DTIC Science & Technology

    2001-01-01

    ofAcetylcholinesterase at Motor Endplates John P. Petrali and Kenneth R. Mills INTRODUCTION Acetylcholinesterase (AChE) is the modulating enzyme of cholin ...utilized for this study was the Pelco 3440, 800 W. The animal used was the haired guinea pig, which was euthanatized by an overdose of Na pentobarbital

  3. An Insight into E-Collections

    ERIC Educational Resources Information Center

    Albert, Angeline Sheba; Navaraj, A. Johnson

    2006-01-01

    The present paper gives a brief introduction about E-collections. It discusses the e-books, e-journals, utility, features, advantages and issues for the development of e-collections. E-books will offer a rich learning experience, reinforced with audio, video, 3D animation and collaborative learning tools. E-journals on the other hand are…

  4. ULTRASONIC NEBULIZATION AND ARSENIC VALENCE STATE CONSIDERATIONS PRIOR TO DETERMINATION VIA INDUCTIVELY COUPLED PLASMA MASS SPECTROMETRY

    EPA Science Inventory

    An ultrasonic nebulizer (USN) was utilized as a sample introduction device for an inductively coupled plasma mass spectrometer in an attempt to increase the sensitivity for As. The USN produced a valence state response difference for As. The As response was suppressed approximate...

  5. Exploring Organizational Characteristics Associated with Practice Changes Following a Mentored Online Educational Module

    ERIC Educational Resources Information Center

    Rappolt, Susan; Pearce, Kristine; McEwen, Sara; Polatajko, Helene J.

    2005-01-01

    Introduction: Studies of health professionals' perceptions of barriers to and facilitators of research utilization in clinical practices suggest that structural and resource characteristics of service provider organizations are key determinants of the capacity of individual practitioners to provide evidence-based practices. In this pilot study, we…

  6. Constructing Meanings and Utilities within Algebraic Tasks

    ERIC Educational Resources Information Center

    Ainley, Janet; Bills, Liz; Wilson, Kirsty

    2004-01-01

    The Purposeful Algebraic Activity project aims to explore the potential of spreadsheets in the introduction to algebra and algebraic thinking. We discuss two sub-themes within the project: tracing the development of pupils' construction of meaning for variable from arithmetic-based activity, through use of spreadsheets, and into formal algebra,…

  7. Preclinic group education sessions reduce waiting times and costs at public pain medicine units.

    PubMed

    Davies, Stephanie; Quintner, John; Parsons, Richard; Parkitny, Luke; Knight, Paul; Forrester, Elizabeth; Roberts, Mary; Graham, Carl; Visser, Eric; Antill, Tracy; Packer, Tanya; Schug, Stephan A

    2011-01-01

    To assess the effects of preclinic group education sessions and system redesign on tertiary pain medicine units and patient outcomes. Prospective cohort study. Two public hospital multidisciplinary pain medicine units. People with persistent pain. A system redesign from a "traditional" model (initial individual medical appointments) to a model that delivers group education sessions prior to individual appointments. Based on Patient Triage Questionnaires patients were scheduled to attend Self-Training Educative Pain Sessions (STEPS), a two day eight hour group education program, followed by optional patient-initiated clinic appointments. Number of patients completing STEPS who subsequently requested individual outpatient clinic appointment(s); wait-times; unit cost per new patient referred; recurrent health care utilization; patient satisfaction; Global Perceived Impression of Change (GPIC); and utilized pain management strategies. Following STEPS 48% of attendees requested individual outpatient appointments. Wait times reduced from 105.6 to 16.1 weeks at one pain unit and 37.3 to 15.2 weeks at the second. Unit cost per new patient appointed reduced from $1,805 Australian Dollars (AUD) to AUD$541 (for STEPS). At 3 months, patients scored their satisfaction with "the treatment received for their pain" more positively than at baseline (change score=0.88; P=0.0003), GPIC improved (change score=0.46; P<0.0001) and mean number of active strategies utilized increased by 4.12 per patient (P=0.0004). The introduction of STEPS was associated with reduced wait-times and costs at public pain medicine units and increased both the use of active pain management strategies and patient satisfaction. Wiley Periodicals, Inc.

  8. The Greek Education System and Implications for the Turkish Education System

    ERIC Educational Resources Information Center

    Karabulut, Nuriye

    2018-01-01

    The purpose of the current study is to make a detailed introduction to the Greek education system and to compare it with the Turkish education system to come up with some implications for the latter. To this end, the literature was reviewed. A general introduction was made to Greece and its education system was examined considering its goals,…

  9. Novel target fabrication using 3D printing developed at University of Michigan

    DOE PAGES

    Klein, Sallee R.; Deininger, Michael; Gillespie, Robb S.; ...

    2016-05-24

    The University of Michigan has been fabricating targets for high-energy-density experiments for the past decade. We utilize the technique of machined acrylic bodies and mating components acting as constraints to build repeatable targets. Combining 3D printing with traditional machining, we are able to take advantage of the very best part of both aspects of manufacturing. Furthermore, we present several recent campaigns to act as showcase and introduction of our techniques and our experience with 3D printing, effecting how we utilize 3D printing in our target builds.

  10. Novel target fabrication using 3D printing developed at University of Michigan

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

    Klein, Sallee R.; Deininger, Michael; Gillespie, Robb S.

    The University of Michigan has been fabricating targets for high-energy-density experiments for the past decade. We utilize the technique of machined acrylic bodies and mating components acting as constraints to build repeatable targets. Combining 3D printing with traditional machining, we are able to take advantage of the very best part of both aspects of manufacturing. Furthermore, we present several recent campaigns to act as showcase and introduction of our techniques and our experience with 3D printing, effecting how we utilize 3D printing in our target builds.

  11. Utilization of natural products for treatment of blood diseases.

    PubMed

    Miles, D H; Nguyen, C L; Miles, D H

    1998-12-01

    This chapter presents an introduction to several diseases of the blood including infectious mononucleosis, leukemia, thrombosis and coagulation, bone marrow disorders, malaria, and anemia. In addition a survey of the recent literature is presented relative to natural products that have been utilized for the treatment of these diseases. The natural products that are reported represent a wide range of structural types and present interesting mechanisms of action. Thus the possibility exists that new drugs may be developed from these natural products which are more effective than those currently on the market.

  12. Variables affecting the financial viability of your practice.

    PubMed

    Binderman, J

    2001-01-01

    Financial viability of physician practices depends upon multiple variables: capacity of the practice, the mix of managed care contracts, cost of care, make-up of patient population, patient visit rates, and utilization of alternate methods of patient interaction. This article presents an introduction to these ideas; the second in this series will expand on the groundwork with a case scenario for a typical family practice. The articles present basic financial information in a practical manner, utilizing a series of worksheets to determine how these various items affect the bottom line.

  13. Evaluation of a multifunctional technology system in a memory care unit: Opportunities for innovation in dementia care.

    PubMed

    Lazar, Amanda; Demiris, George; Thompson, Hilaire J

    2016-12-01

    Stimulating recreational and leisure activities (RLAs) are essential to physical and mental well-being; however, people living in memory care units (MCUs) may lack access to them. Technology has the potential to facilitate and enrich activity engagement in this context. In this 6-month study, we evaluated a commercially available system designed to encourage the engagement of people with dementia in activities and social interactions, using a mixed-methods approach in a MCU. Quantitative measures included those to evaluate cognition, depression, quality of life, and resource utilization. We qualitatively evaluated the system using semi-structured interviews with family members and staff. Five residents with dementia, four family members, and seven staff were included in the 6-month study. Staff and family members reported benefits for residents such as enjoyment, interactions and connections with others, and mental stimulation. Findings also highlight challenges such as technical and ethical concerns. Factors that influence system use and integration are also discussed. It was feasible to introduce a system designed for recreation and engagement in a MCU, and staff, family members, and residents experienced benefits. However, barriers existed in the introduction and use of the system.

  14. Using Unix system auditing for detecting network intrusions

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

    Christensen, M.J.

    1993-03-01

    Intrusion Detection Systems (IDSs) are designed to detect actions of individuals who use computer resources without authorization as well as legitimate users who exceed their privileges. This paper describes a novel approach to IDS research, namely a decision aiding approach to intrusion detection. The introduction of a decision tree represents the logical steps necessary to distinguish and identify different types of attacks. This tool, the Intrusion Decision Aiding Tool (IDAT), utilizes IDS-based attack models and standard Unix audit data. Since attacks have certain characteristics and are based on already developed signature attack models, experienced and knowledgeable Unix system administrators knowmore » what to look for in system audit logs to determine if a system has been attacked. Others, however, are usually less able to recognize common signatures of unauthorized access. Users can traverse the tree using available audit data displayed by IDAT and general knowledge they possess to reach a conclusion regarding suspicious activity. IDAT is an easy-to-use window based application that gathers, analyzes, and displays pertinent system data according to Unix attack characteristics. IDAT offers a more practical approach and allows the user to make an informed decision regarding suspicious activity.« less

  15. Posterior approach to kidney dissection: An old surgical approach for integrated medical curricula.

    PubMed

    Daly, Frank J; Bolender, David L; Jain, Deepali; Uyeda, Sheryl; Hoagland, Todd M

    2015-01-01

    Integrated medical curricular changes are altering the historical regional anatomy approach to abdominal dissection. The renal system is linked physiologically and biochemically to the cardiovascular and respiratory systems; yet, anatomists often approach the urinary system as part of the abdomen and pelvic regions. As part of an integrated curriculum, the renal system must be covered relatively quickly after the thorax in the cadaver laboratory, often without the opportunity to fully appreciate the rest of the abdominal contents. This article provides dissection instructions that follow one of the historical surgical approaches for nephrectomy, including preservation of the posterior abdominal wall neurovasclature. Dissection procedures were developed for first-year medical students, intending this posterior approach to the kidneys to be their first introduction to the renal system. It has been successfully implemented with the first-year medical students at the University of New England, College of Osteopathic Medicine. Utilizing this posterior approach to the kidney enabled the study of the anatomy of the kidneys, suprarenal glands, and renal vessels, as well as the muscles of the lumbar spine, while maintaining the integrity of the anterior abdominal wall and peritoneal cavity for future gastrointestinal and reproductive system-based dissections. © 2015 American Association of Anatomists.

  16. Financing a Career Information System.

    ERIC Educational Resources Information Center

    Franklin, Paul L.

    This practical introduction and guide to the financing of a state-based system of career information is intended for policy makers and practitioners engaged in implementing career information services. Chapter 1 is an introduction to both career information systems and their financing with concentration on service fees as the base for attaining…

  17. Peritoneal dialysis in Asia.

    PubMed

    Cheng, I K

    1996-01-01

    The socioeconomic status of Asian countries is diverse, and government reimbursement policies for treatment of patients suffering from end-stage renal disease (ESRD) vary greatly from one country to another. Both of these factors have a major impact not only on the choice of treatment for ESRD but also on the utilization of peritoneal dialysis (PD) in this region. Based on the data collected from 11 representative Asian countries, several observations can be made. First, the treatment rates for ESRD in these countries correlated closely with their gross domestic product (GDP) per capita income. Second, the PD utilization rate appeared to have a biphasic relationship with the GDP per capita income and treatment rate, in that countries with the highest and the lowest treatment rates tended to have lower PD utilization rates, whereas countries with modest treatment rates tended to have higher PD utilization rates. The reason for low PD utilization in countries with the highest treatment rates differs from that in countries with low treatment rates. In the former, because of full government reimbursement, there is little physician incentive to introduce PD as an alternative form of ESRD treatment to in-center hemodialysis (HD), whereas in the latter, the complete lack of government reimbursement prevents the introduction of PD as a form of treatment. This pattern is likely to change in the future because, of the 11 countries surveyed, all except Thailand have recorded a growth rate which is higher for PD than HD over the last three years. The rate of utilization of different PD systems varies greatly among different Asian countries. Automated PD has yet to gain popularity in Asia. Conventional straight-line systems remain the dominant PD systems in use in Hong Kong, Korea, Thailand, and the Philippines, while in Malaysia and Singapore UV germicidal connection devices are most popular. However, in all these countries there has been a progressive shift over the last three years from the straight-line systems with or without germicidal connection devices to the disconnect systems. In China and India, where PD has been introduced only recently, the disconnect systems are used almost exclusively. The disconnect systems are also the most popular systems in use in Japan and Taiwan. As data concerning the cost-effectiveness of different PD systems becomes available, it is likely that trend towards a more liberal use of disconnect systems will continue in the future. The usage of low calcium peritoneal dialysate and the average number of daily CAPD exchanges also vary among the Asian countries. Low calcium peritoneal dialysate has been introduced only in Japan, Hong Kong, and Singapore, with the highest utilization rate (90%) recorded in Singapore. The Philippines had the lowest average number of daily peritoneal exchanges (6L) among the countries surveyed, followed by Hong Kong (6.4L), China and Indonesia (7L), and the rest (8L). The use of a lower number of exchanges was introduced in some countries, initially, mainly as a cost-saving measure based on the assumption that Asians are of small body build. The justification for the continued use of a lower number of exchanges among Asian patients is debatable, but is supported by the acceptable, long-term clinical outcome of patients given this form of dialysis prescription. It is suggested that long-term prospective studies on dialysis adequacy and clinical outcome should be done in different ethnic groups in Asia to see if the similar guidelines with regard to dialysis adequacy can be applied uniformly to Orientals and Caucasians.

  18. Current Status of Hybrid Bearing Damage Detection

    NASA Technical Reports Server (NTRS)

    Dempsey, Paula J.; Certo, Joseph M.; Morales, Wilfredo

    2004-01-01

    Advances in material development and processing have led to the introduction of ceramic hybrid bearings for many applications. The introduction of silicon nitride hybrid bearings into the high pressure oxidizer turbopump, on the space shuttle main engine, led NASA to solve a highly persistent and troublesome bearing problem. Hybrid bearings consist of ceramic balls and steel races. The majority of hybrid bearings utilize Si3N4 balls. The aerospace industry is currently studying the use of hybrid bearings and naturally the failure modes of these bearings become an issue in light of the limited data available. In today s turbine engines and helicopter transmissions, the health of the bearings is detected by the properties of the debris found in the lubrication line when damage begins to occur. Current oil debris sensor technology relies on the magnetic properties of the debris to detect damage. Since the ceramic rolling elements of hybrid bearings have no metallic properties, a new sensing system must be developed to indicate the system health if ceramic components are to be safely implemented in aerospace applications. The ceramic oil debris sensor must be capable of detecting ceramic and metallic component damage with sufficient reliability and forewarning to prevent a catastrophic failure. The objective of this research is to provide a background summary on what is currently known about hybrid bearing failure modes and to report preliminary results on the detection of silicon nitride debris, in oil, using a commercial particle counter.

  19. The benefits of redesigning Benin's vaccine supply chain.

    PubMed

    Brown, Shawn T; Schreiber, Benjamin; Cakouros, Brigid E; Wateska, Angela R; Dicko, Hamadou M; Connor, Diana L; Jaillard, Philippe; Mvundura, Mercy; Norman, Bryan A; Levin, Carol; Rajgopal, Jayant; Avella, Mélanie; Lebrun, Caroline; Claypool, Erin; Paul, Proma; Lee, Bruce Y

    2014-07-07

    New vaccine introductions have put strains on vaccine supply chains around the world. While increasing storage and transportation may be the most straightforward options, it is also important to consider what financial and operational benefits can be incurred. In 2012, suboptimal vaccine coverage and impending vaccine introductions prompted the Republic of Benin's Ministry of Health (MOH) to explore ways to improve their vaccine supply chain. Working alongside the Beninese MOH, we utilized our computational model, HERMES, to explore the impact on cost and vaccine availability of three possible options: (1) consolidating the Commune level to a Health Zone level, (2) removing the Commune level completely, and (3) removing the Commune level and expanding to 12 Department Stores. We also analyzed the impact of adding shipping loops during delivery. At baseline, new vaccine introductions without any changes to the current system increased the logistics cost per dose ($0.23 to $0.26) and dropped the vaccine availability to 71%. While implementing the Commune level removal scenario had the same capital costs as implementing the Health Zone scenario, the Health Zone scenario had lower operating costs. This increased to an overall cost savings of $504,255 when implementing shipping loops. The best redesign option proved to be the synergistic approach of converting to the Health Zone design and using shipping loops (serving ten Health Posts/loop). While a transition to either redesign or only adding shipping loops was beneficial, implementing a redesign option and shipping loops can yield both lower capital expenditures and operating costs. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  20. 42 CFR 493.1200 - Introduction.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... (that is, preanalytic, analytic, and postanalytic) as well as general laboratory systems. (b) The...) STANDARDS AND CERTIFICATION LABORATORY REQUIREMENTS Quality System for Nonwaived Testing § 493.1200 Introduction. (a) Each laboratory that performs nonwaived testing must establish and maintain written policies...

  1. Beyond new vaccine introduction: the uptake of pneumococcal conjugate vaccine in the African Region.

    PubMed

    Olayinka, Folake; Ewald, Leah; Steinglass, Robert

    2017-01-01

    The number of vaccines available to low-income countries has increased dramatically over the last decade. Overall infant immunization coverage in the WHO African region has stagnated in the past few years while countries' ability to maintain high immunization coverage rates following introduction of new vaccines has been uneven. This case study examines post-introduction coverage among African countries that introduced PCV between 2008 and 2013 and the factors affecting Pneumococcal Conjugate Vaccine (PCV) introduction. Nearly one-third of countries did not achieve 80% infant PCV3 coverage by two years post-introduction and 58% of countries experienced a decline in coverage between post introduction years two and four. Major factors affecting coverage rates included introduction without adequate preparation, insufficient supply chain capacity and management, poor communication between organizations and with the public, and data collection systems that were insufficient to meet information needs. Deliberately addressing these issues as well as longstanding weaknesses during new vaccine introduction can strengthen the immunization and broader health system. Further study is required to identify and address factors that affect maintenance of high coverage following introduction of new vaccines in the African region. Immunization with PCV is one of the most important interventions protecting against pneumonia, the second leading cause of death for children under five globally.

  2. Linear bunchers and half-frequency bunching method

    NASA Astrophysics Data System (ADS)

    Tang, J. Y.; Jiang, J. Z.; Shi, A. M.; Yin, Z. K.; Wang, Y. F.

    2000-12-01

    A new buncher system consisting of two bunchers has been designed and constructed for HIRFL injector cyclotron, working at the SFC acceleration modes of H=1 and H=3, respectively. The bunchers use saw-tooth RF waveform, but with double-gap drift tube electrodes and single-gap grid electrodes, respectively. The special merit of the design is introduction of the half-frequency bunching mode, utilizing half of the cyclotron RF frequency. With this method, a perfect longitudinal match between the injector SFC and the main cyclotron SSC has been reached theoretically, compared to the original efficiency of 50% for most cases. Detailed studies have been made concerning space charge effects, longitudinal dispersions through the yoke hole and the spiral inflector, and non-linearity in both the RF waveform and the stray electric field of electrodes.

  3. Passive band-gap reconfiguration born from bifurcation asymmetry.

    PubMed

    Bernard, Brian P; Mann, Brian P

    2013-11-01

    Current periodic structures are constrained to have fixed energy transmission behavior unless active control or component replacement is used to alter their wave propagation characteristics. The introduction of nonlinearity to generate multiple stable equilibria is an alternative strategy for realizing distinct energy propagation behaviors. We investigate the creation of a reconfigurable band-gap system by implementing passive switching between multiple stable states of equilibrium, to alter the level of energy attenuation in response to environmental stimuli. The ability to avoid potentially catastrophic loads is demonstrated by tailoring the bandpass and band-gap regions to coalesce for two stable equilibria and varying an external load parameter to trigger a bifurcation. The proposed phenomenon could be utilized in remote or autonomous applications where component modifications and active control are impractical.

  4. Introduction to Fuzzy Set Theory

    NASA Technical Reports Server (NTRS)

    Kosko, Bart

    1990-01-01

    An introduction to fuzzy set theory is described. Topics covered include: neural networks and fuzzy systems; the dynamical systems approach to machine intelligence; intelligent behavior as adaptive model-free estimation; fuzziness versus probability; fuzzy sets; the entropy-subsethood theorem; adaptive fuzzy systems for backing up a truck-and-trailer; product-space clustering with differential competitive learning; and adaptive fuzzy system for target tracking.

  5. Computer-Based National Information Systems. Technology and Public Policy Issues.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Office of Technology Assessment.

    A general introduction to computer based national information systems, and the context and basis for future studies are provided in this report. Chapter One, the introduction, summarizes computers and information systems and their relation to society, the structure of information policy issues, and public policy issues. Chapter Two describes the…

  6. Outline of the Solar System: Activities for elementary students

    NASA Technical Reports Server (NTRS)

    Hartsfield, J.; Sellers, M.

    1990-01-01

    An introduction to the solar system for the elementary school student is given. The introduction contains historical background, facts, and pertinent symbols concerning the sun, the nine major planets and their moons, and information about comets and asteroids. Aids to teaching are given, including a solar system crossword puzzle with answers.

  7. An Introduction to Dynamic Systems and Feedback.

    ERIC Educational Resources Information Center

    Rabins, Michael J.

    This introduction to dynamic systems is intended for freshman and sophomore students in engineering, physical science, or social science. Material has been class tested and has led to increased student interest in further work in systems analysis and operations research. Notes are written for the student and are self-contained. Material can be…

  8. Haughton-Mars Project/NASA 2006 Lunar Medical Contingency Simulation: Equipment and Methods for Medical Evacuation of an Injured Crewmember

    NASA Technical Reports Server (NTRS)

    Chappell, S. P.; Scheuring, R. A.; Jones, J. A.; Lee, P.; Comtois, J. M.; Chase, T.; Gernhardt M.; Wilkinson, N.

    2007-01-01

    Introduction: Achieving NASA's Space Exploration Vision scientific objectives will require human access into cratered and uneven terrain for the purpose of sample acquisition to assess geological, and perhaps even biological features and experiments. Operational risk management is critical to safely conduct the anticipated tasks. This strategy, along with associated contingency plans, will be a driver of EVA system requirements. Therefore, a medical contingency EVA scenario was performed with the Haughton-Mars Project/NASA to develop belay and medical evacuation techniques for exploration and rescue respectively. Methods: A rescue system to allow two rescuer astronauts to evacuate one in incapacitated astronaut was evaluated. The systems main components were a hard-bottomed rescue litter, hand-operated winch, rope, ground picket anchors, and a rover-winch attachment adapter. Evaluation was performed on 15-25deg slopes of dirt with embedded rock. The winch was anchored either by adapter to the rover or by pickets hammered into the ground. The litter was pulled over the surface by rope attached to the winch. Results: The rescue system was utilized effectively to extract the injured astronaut up a slope and to a waiting rover for transport to a simulated habitat for advanced medical care, although several challenges to implementation were identified and overcome. Rotational stabilization of the winch was found to be important to get maximize mechanical advantage from the extraction system. Discussion: Further research and testing needs to be performed to be able to fully consider synergies with the other Exploration surface systems, in conducting contingency operations. Structural attachment points on the surface EVA suits may be critical to assist in incapacitated evacuation. Such attach points could be helpful in microgravity incapacitated crewmember transport as well. Wheeled utility carts or wheels that may be attachable to a litter may also aid in extraction and transport. Utilizing parts of the rover (e.g. seats) to deploy as a litter may be considered. Testing in simulated 1/6-g to determine feasibility of winch operation and anchor establishment will further reduce implementation uncertainties.

  9. Identification of potential human factors issues related to APTS introduction of enhanced information systems

    DOT National Transportation Integrated Search

    1993-04-01

    Introduction of enhanced information systems into an operational environment requires reallocation of functions among those responsible for providing service. This study describes an effort to develop and apply a methodology to identify the types of ...

  10. Comprehensive Digital Imaging Network Project At Georgetown University Hospital

    NASA Astrophysics Data System (ADS)

    Mun, Seong K.; Stauffer, Douglas; Zeman, Robert; Benson, Harold; Wang, Paul; Allman, Robert

    1987-10-01

    The radiology practice is going through rapid changes due to the introduction of state-of-the-art computed based technologies. For the last twenty years we have witnessed the introduction of many new medical diagnostic imaging systems such as x-ray computed tomo-graphy, digital subtraction angiography (DSA), computerized nuclear medicine, single pho-ton emission computed tomography (SPECT), positron emission tomography (PET) and more re-cently, computerized digital radiography and nuclear magnetic resonance imaging (MRI). Other than the imaging systems, there has been a steady introduction of computed based information systems for radiology departments and hospitals.

  11. Standardization of Clinical Skill Evaluation in Physical/Occupational Therapist Education –Effects of Introduction of an Education System Using OSCE–

    PubMed Central

    Sakurai, Hiroaki; Kanada, Yoshikiyo; Sugiura, Yoshito; Motoya, Ikuo; Yamada, Masayuki; Tomita, Masao; Naka, Toru; Teranishi, Toshio; Tanabe, Shigeo; Tsujimura, Toru; Okanishi, Tetsuo

    2013-01-01

    [Purpose] A major issue in physical/occupational therapist education is the improvement of students' clinical techniques. In this study, we introduced an education system using an Objective Structured Clinical Examination (OSCE), and made an attempt at standardization of its evaluation. [Subjects] The subjects were 227 students in the classes of 2008 to 2010 who enrolled at our university between 2004 and 2006, before the introduction of the education system using OSCE, and 221 students in the classes of 2011 to 2013 who enrolled between 2007 and 2009, after the introduction. [Methods] Performances in attitude and skills (performance in clinical training and OSCE) were compared between before and after the introduction of OSCE. OSCE results were compared between before and after clinical trainings at each OSCE Level; and the correlation of between performances in clinical training and OSCE was examined. [Results] Performances in OSCE and clinical training (attitude, skills) were improved by the introduction of the education system using OSCE, but no significant correlation was observed in the relationship between performances in OSCE and clinical training. [Conclusion] Further studies should be conducted aiming at the standardization of clinical skill evaluation in postgraduate education to establish an education system using OSCE. PMID:24259918

  12. Evaluation of introduction scenarios for a broadband access network

    NASA Astrophysics Data System (ADS)

    Bocker, Geert-Jan; Cuthbert, Laurie; Gobbi, Roberta; Inch, Robert; Sara, Lini

    1995-02-01

    The provision of broadband services at a reasonable cost to residential and small business customers is one of the major challenges facing operators. The introduction of cost-effective systems considering the existing infrastructure is an important study. Within the RACE project 2024 Broadband Access Facilities, the economic and evolution aspects of different introduction scenarios of a broadband access system suitable for providing these services are investigated. This paper presents the final results of this study.

  13. The impact of new vaccine introduction on immunization and health systems: A review of the published literature

    PubMed Central

    Hyde, Terri B.; Dentz, Holly; Wang, Susan A.; Burchett, Helen E.; Mounier-Jack, Sandra; Mantel, Carsten F.

    2015-01-01

    We conducted a systematic review of the published literature to examine the impact of new vaccine introduction on countries’ immunization and broader health systems. Six publication databases were searched using 104 vaccine and health system-related search terms. The search yielded 15,795 unique articles dating from December 31, 1911 to September 29, 2010. Based on review of the title and abstract, 654 (4%) of these articles were found to be potentially relevant and were referred for full review. After full review, 130 articles were found to be relevant and included in the analysis. These articles represented vaccines introduced to protect against 10 different diseases (hepatitis A, hepatitis B, Haemophilus influenzae type b disease, human papilloma virus infection, influenza, Japanese encephalitis, meningococcal meningitis, Streptococcus pneumoniae disease, rotavirus diarrhea and typhoid), in various formulations and combinations. Most reviewed articles (97 [75%]) reported experiences in high-income countries. New vaccine introduction was most efficient when the vaccine was introduced into an existing delivery platform and when introduced in combination with a vaccine already in the routine childhood immunization schedule (i.e., as a combination vaccine). New vaccine introduction did not impact coverage of vaccines already included in the routine childhood immunization schedule. The need for increased cold chain capacity was frequently reported. New vaccines facilitated the introduction and widespread use of auto-disable syringes into the immunization and the broader health systems. The importance of training and education for health care workers and social mobilization was frequently noted. There was evidence in high-income countries that new vaccine introduction was associated with reduced health-care costs. Future evaluations of new vaccine introductions should include the systematic and objective assessment of the impacts on a country’s immunization system and broader health system, especially in lower-income countries. PMID:22940378

  14. [Bologna process and higher health education in Europe].

    PubMed

    Decsi, Tamás; Barakonyi, Károly

    2006-08-27

    Introduction of the two cycles (Bachelor/Master) system represents sensitive aspect of the implementation of the Bologna process into higher health education. The authors used the methods of evidence based medicine to analyse available documents on the implementation of the Bologna process into the education of health sciences. Electronic search in the closed MEDLINE and open Internet databases. Electronic data collection resulted in so-called country reports (n=47) and in professional statements (n=7) of health education bodies. Majority of the country reports (n=26) did not mention at all the peculiar position of health education within the Bologna process. Many country reports stated with (n=8) or without (n=9) explanation that health sciences should be excluded from the introduction of the two educational cycles system. Only 4 country reports discussed future conditions and possibilities of introducing the two cycles system into higher health education; the German country report definitely declared that the two cycles educational system may be introduced also into health education. The seven statements of professional health educational bodies (including an ad hoc committee of the Hungarian medical faculties) did not support the introduction of the two cycles system into health education. The low demand for health professionals with Bachelor (i.e. unfinished) degree was repeatedly mentioned as strong argument for not introducing the two cycles system into health education. It should be noted, however, that the process of introducing the two cycles system has began: recent survey of EUA (European University Association) indicates that in three countries (Denmark, Flanders and Switzerland) the introduction in under current discussion. Among the principles of the Bologna process, the introduction of the two cycles system has not gain acceptance in the higher health education in Europe. However, most documents firmly support the introduction of other elements of the Bologna process (comparable degrees, system of credits, promotion of mobility of students and tutors, quality control, life long learning).

  15. Different usage of the same oncology information system in two hospitals in Sydney--lessons go beyond the initial introduction.

    PubMed

    Yu, Ping; Gandhidasan, Senthilkumar; Miller, Alexis A

    2010-06-01

    The experience of clinicians at two public hospitals in Sydney, Australia, with the introduction and use of an oncology information system (OIS) was examined to extract lessons to guide the introduction of clinical information systems in public hospitals. Semi-structured interviews were conducted with 12 of 15 radiation oncologists employed at the two hospitals. The personnel involved in the decision making process for the introduction of the system were contacted and their decision making process revisited. The transcribed data were analyzed using NVIVO software. Themes emerged included implementation strategies and practices, the radiation oncologists' current use and satisfaction with the OIS, project management and the impact of the OIS on clinical practice. The hospitals had contrasting experiences in their introduction and use of the OIS. Hospital A used the OIS in all aspects of clinical documentation. Its implementation was associated with strong advocacy by the Head of Department, input by a designated project manager, and use and development of the system by all staff, with timely training and support. With no vision of developing a paperless information system, Hospital B used the OIS only for booking and patient tracking. A departmental policy that data entry for the OIS was centrally undertaken by administrative staff distanced clinicians from the system. All the clinicians considered that the OIS should continuously evolve to meet changing clinical needs and departmental quality improvement initiatives. This case study indicates that critical factors for the successful introduction of clinical information systems into hospital environment were an initial clear vision to be paperless, strong clinical leadership and management at the departmental level, committed project management, and involvement of all staff, with appropriate training. Clinician engagement is essential for post-adoption evolution of clinical information systems. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.

  16. Pyramiding rice cystatin genes (OCI and OCII) in potato (Solanum tuberosum L cv. Jelica)

    USDA-ARS?s Scientific Manuscript database

    One of the major advances being used in current biotechnology to improve disease and pest control is the introduction of more than one beneficial gene into transgenic plants. Proteinase inhibitors oryzacystatins I and II (OCI and OCII) show potential in controlling pests that utilize cysteine prote...

  17. Sensitivity Training and Group Encounter, an Introduction.

    ERIC Educational Resources Information Center

    Siroka, Robert W., Ed.; And Others

    "Sensitivity Training and Group Encounter" attempts to explore group interaction on many levels--verbal, sensory, and physical. It can be utilized as a model for dealing with various forms of interpersonal relations, from ongoing social issues to the isolation, alienation, and distrust felt by the members of a group. Presented as a guide to this…

  18. Marine Debris Clean-Ups as Meaningful Science Learning

    ERIC Educational Resources Information Center

    Stepath, Carl M.; Bacon, Joseph Scott

    2010-01-01

    This seven to eight week hands-on Marine Debris Clean-up Project used a service project to provide an introduction of marine science ecology, watershed interrelationships, the scientific method, and environmental stewardship to 8th grade middle school students. It utilized inquiry based learning to introduce marine debris sources and impacts to…

  19. Physical Education Experiences at Residential Schools for Students Who Are Blind: A Phenomenological Inquiry

    ERIC Educational Resources Information Center

    Haegele, Justin A.; Sato, Takahiro; Zhu, Xihe; Avery, Timothy

    2017-01-01

    Introduction: Recently, researchers have explored the perspectives of those with disabilities to better understand their experiences in physical education. However, little has been done with focusing on those with visual impairments. Utilizing a qualitative interpretive phenomenological analysis framework, the purpose of this study was to examine…

  20. Refer2Quit: Impact of Web-Based Skills Training on Tobacco Interventions and Quitline Referrals

    ERIC Educational Resources Information Center

    Carpenter, Kelly M.; Carlini, Beatriz H.; Painter, Ian; Mikko, A. Tasha; Stoner, Susan A.

    2012-01-01

    Introduction: Tobacco quitlines (QLs) provide effective evidence-based tobacco cessation counseling, yet they remain underutilized. Barriers to utilization include the lack of referrals by health care providers who typically have little knowledge about QLs and low self-efficacy for providing tobacco interventions. In order to educate providers…

  1. Indian Americans in Duluth. A Summary and Analysis of Recent Research.

    ERIC Educational Resources Information Center

    Harkins, Arthur M., Comp.; Woods, Richard G., Comp.

    A summary of research relating to the Duluth, Minnesota, Indians is presented utilizing 12 major sections: an introduction; profiles of the "typical" Duluth (1) Indian resident, (2) male Indian resident, (3) female Indian resident, (4) Indian high school graduate, and (5) Indian high school nongraduate; the importance of education;…

  2. Utilizing nutritional genomics to tailor diets for the prevention of cardiovascular disease: a guide for upcoming studies and implementations

    USDA-ARS?s Scientific Manuscript database

    Introduction: Personalized diets based on an individual's genome to optimize the success of dietary intervention and reduce genetic cardiovascular disease (CVD) risk, is one of the challenges most frequently discussed in the scientific community. Moreover, it has been widely welcomed and demanded by...

  3. Turbocharged Diesels

    NASA Technical Reports Server (NTRS)

    1984-01-01

    In a number of feasibility studies of turbine rotor designs, engineers of Cummins Engine Company, Inc.'s turbocharger group have utilized a computer program from COSMIC. Part of Cummins research effort is aimed toward introduction of advanced turbocharged engines that deliver extra power with greater fuel efficiency. Company claims use of COSMIC program substantially reduced software development costs.

  4. Pourbaix ("E"-pH-M) Diagrams in Three Dimensions

    ERIC Educational Resources Information Center

    Pesterfield, Lester L.; Maddox, Jeremy B.; Crocker, Michael S.; Schweitzer, George K.

    2012-01-01

    "E"-pH (Pourbaix) diagrams provide an important graphical link between the thermodynamic calculations of potential, pH, equilibrium constant, concentration, and changes in Gibbs energy and the experimentally observed behavior of species in aqueous solutions. The utility of "E"-pH diagrams is extended with the introduction of an additional…

  5. Cooperative Work Groups: Preparing Students for the Real World.

    ERIC Educational Resources Information Center

    Mandel, Scott M.

    This book outlines how educators can design meaningful learning experiences that address standards and utilize cooperative learning, brain research, and the Internet to effectively develop a students' ability to thrive in the 21st century workplace. After an introduction that explains cooperative work groups, there are 13 chapters in four parts.…

  6. Dance Therapy: Focus on Dance VII.

    ERIC Educational Resources Information Center

    Mason, Kathleen Criddle, Ed.

    This document is a collection of essays by various authors on the subject of dance therapy. Dance therapy, in the introduction of this document, is defined as a form of psychotherapy in which the therapist utilizes movement interaction as the primary means of accomplishing therapeutic goals. The document is divided into five parts: a)…

  7. Can Human Subject Pool Participation Benefit Sociology Students?

    ERIC Educational Resources Information Center

    Chin, Lynn Gencianeo; Gibbs Stayte, Patricia

    2015-01-01

    Instructors at non-research institutions are less able to expose their students to research firsthand. Utilizing human subject pools (HSPs) in class may be a solution. Given that HSPs tend to be used in introduction to psychology classes at research institutions, we examine a community college HSP to answer three questions: (1) Do community…

  8. Government: The Decision-Making Process. A Resource Manual for Teachers and Students. Revised Edition.

    ERIC Educational Resources Information Center

    Khanlian, John F.; Wallin, Katherine L.

    This guide for high school political science teachers focuses on political decision making. The program emphasizes experiential learning through utilizing community and state resources and implementing field study and internships for students. The document is presented in eight sections. The introduction includes a values survey and suggestions…

  9. Effects of exposure to HZE particles on the cognitive performance of ovariectomized and intact female rats

    USDA-ARS?s Scientific Manuscript database

    INTRODUCTION It is likely that both male and female astronauts will comprise the crew on exploratory class missions. Despite this, the majority of the research using animal models has utilized male subjects. However, the limited data currently available suggests that the cognitive effects of exposu...

  10. Scaffolding Young Children: The Utility of Mediation in a Classification Test

    ERIC Educational Resources Information Center

    Mata, Sara; van Geert, Paul; van der Aalsvoort, Geerdina

    2017-01-01

    Introduction: Studies of Dynamic Assessment of cognitive abilities reveal that young children profit from assistance while carrying out tasks that elicit cognitive effort. Dynamic assessment refers to a test format of a pretest-mediation-posttest in which the mediation phase includes scaffolding to assist the child to grasp the purpose of the…

  11. Implementing iPads in the Inclusive Classroom Setting

    ERIC Educational Resources Information Center

    Maich, Kimberly; Hall, Carmen

    2016-01-01

    This column provides practical suggestions to help guide teachers in utilizing classroom sets of iPads. Following a brief introduction to tablet technology in inclusive classrooms and the origin of these recommendations from a case study focus group, important elements of setting up classroom iPad use, from finding funding to teaching apps, are…

  12. Model PET Scan Activity

    ERIC Educational Resources Information Center

    Strunk, Amber; Gazdovich, Jennifer; Redouté, Oriane; Reverte, Juan Manuel; Shelley, Samantha; Todorova, Vesela

    2018-01-01

    This paper provides a brief introduction to antimatter and how it, along with other modern physics topics, is utilized in positron emission tomography (PET) scans. It further describes a hands-on activity for students to help them gain an understanding of how PET scans assist in detecting cancer. Modern physics topics provide an exciting way to…

  13. Using the Internet and Computer Technologies in Learning/Teaching Process

    ERIC Educational Resources Information Center

    Geladze, Darejan

    2015-01-01

    According to the new national curriculum innovations are in a successful outcome for the introduction of many factors, the most important things are learning environment, which includes the suitable equipment, place, space utilization, and the selection of learning resources to support teaching and learning problem solving process, by creating the…

  14. Short Report: Improving Record-Review Surveillance of Young Children with an Autism Spectrum Disorder

    ERIC Educational Resources Information Center

    Wiggins, Lisa D.; Robins, Diana L.; Yeargin-Allsopp, Marshalyn

    2013-01-01

    Introduction: Records-based autism spectrum disorder surveillance developed at the Centers for Disease Control and Prevention has been extended to younger cohorts, although the utility of additional record sources has not been examined. We therefore conducted a pilot project to describe whether Centers for Disease Control and Prevention…

  15. Hinduism: A Unit for Junior High and Middle School Social Studies Classes.

    ERIC Educational Resources Information Center

    Galloway, Louis J.

    As an introduction and explanation of the historical development, major concepts, beliefs, practices, and traditions of Hinduism, this teaching unit provides a course outline for class discussion and activities for reading the classic epic, "The Ramayana." The unit requires 10 class sessions and utilizes slides, historical readings,…

  16. An Introduction to Biometrics Technology: Its Place in Technology Education

    ERIC Educational Resources Information Center

    Elliott, Stephen J.; Peters, Jerry L.; Rishel, Teresa J.

    2004-01-01

    The increased utilization of biometrics technology in the past few years has contributed to a strong growth pattern as the technology is used in a variety of facilities, including schools. Due to media exposure, students' familiarity with technology will continue to increase proportionately, which will result in an increased curiosity about…

  17. An Introduction to the Memristor

    ERIC Educational Resources Information Center

    Atkin, Keith

    2013-01-01

    In recent years there has been a revolution in electronics, with a variety of physical phenomena being utilized in the construction of new types of memory circuits for computer application. A device which has had an increasing role is the memristor, whose description and properties have so far had little mention in physics education. This paper…

  18. Preparation and Analysis of Potassium Tris(Oxalato)Ferrate(III)Trihydrate: A General Chemistry Experiment.

    ERIC Educational Resources Information Center

    Olmsted, John

    1984-01-01

    Describes a five-period experiment which: (1) integrates preparative and analytical techniques; (2) utilizes a photochemical reaction that excites student interest both from visual impact and as an introduction to photoinduced processes; (3) provides accurate results; and (4) costs less than $0.20 per student per laboratory session. (JN)

  19. Cost-Benefit Analysis of the Officer Career Information and Planning System

    DTIC Science & Technology

    1980-08-01

    information without the use of a computer. - vii COST-BENEFIT ANALYSIS OF THE OFFICER CAREER INFOýKATTON AND PLANNING SYSTEM CONTENTS Page INTRODUCTION ...OF THE OFFICER CAREER INFORMATION AND PLANNING SYSTEM INTRODUCTION The implementation of the Officer Personnel Management System (OPMS) has...Research Report 1256 I / COST-BENEFIT ANALYSIS OF THE OFFICER CAREER INFORMATION AND PLANNING SYSTEM Roger A. Myers, Peter C. Cairo, K - Jon A

  20. Impact of referral transport system on institutional deliveries in Haryana, India.

    PubMed

    Prinja, Shankar; Jeet, Gursimer; Kaur, Manmeet; Aggarwal, Arun Kumar; Manchanda, Neha; Kumar, Rajesh

    2014-06-01

    Creation of a strong referral transport network across the country is necessary for improving physical access to public sector health facilities. In this study we evaluated the referral transport services in Haryana, i.e. Haryana Swasthya Vaahan Sewa (HSVS), now known as National Ambulance Service (NAS), to assess the extent and pattern of utilization, and to ascertain its effect on public sector institutional deliveries. Secondary data on 116,562 patients transported during April to July 2011 in Haryana state were analysed to assess extent and pattern of NAS utilization. Exit interviews were conducted with 270 consecutively selected users and non- users of referral services respectively in Ambala (High NAS utilization), Hisar (medium utilization) and Narnaul (low utilization) districts. Month-wise data on institutional deliveries in public facilities during 2005-2012 were collected in these three districts, and analysed using interrupted time series analysis to assess the impact of NAS on institutional deliveries. Female gender (OR=77.7), rural place of residence (OR=5.96) and poor socio-economic status (poorest wealth quintile OR=2.64) were significantly associated with NAS ambulance service usage. Institutional deliveries in Haryana rose significantly after the introduction of NAS service in Ambala (OR=137.4, 95% CI=22.4-252.4) and Hisar (OR=215, 95% CI=88.5-341.3) districts. No significant increase was observed in Narnaul (OR=4.5, 95% CI=-137.4 to 146.4) district. The findings of the present study showed a positive effect of referral transport service on increasing institutional deliveries. However, this needs to be backed up with adequate supply of basic and emergency obstetric care at hospitals and health centres.

  1. Breast Cancer in Young Women

    PubMed Central

    Trogdon, Justin G.; Ekwueme, Donatus U.; Chamiec-Case, Linda; Guy, Gery P.

    2018-01-01

    Introduction Little is known about the effect of breast cancers on health-related quality of life among women diagnosed between age 18 and 44 years. The goal of this study is to estimate the effect of breast cancer on health state utility by age at diagnosis (18–44 years versus ≥45 years) and by race/ethnicity. Methods The analytic sample, drawn from the 2009 and 2010 Behavioral Risk Factor Surveillance System and analyzed in 2013, included women diagnosed with breast cancer between age 18 and 44 years (n=1,389) and age ≥45 years (n=6,037). Health state utility values were estimated using Healthy Days variables and a published algorithm. Regression analysis was conducted separately by age at diagnosis and race/ethnicity. Results The breast cancer health state utility decrement within 1 year from date of diagnosis was larger for women diagnosed at age 18–44 years than for women diagnosed at age ≥45 years (−0.116 vs −0.070, p<0.05). Within the younger age-at-diagnosis group, Hispanic women 2–4 years after diagnosis had the largest health state utility decrement (−0.221, p<0.01), followed by non-Hispanic white women within 1 year of diagnosis (−0.126, p<0.01). Conclusions This study is the first to report estimates of health state utility values for breast cancer by age at diagnosis and race/ethnicity from a nationwide sample. The results highlight the need for separate quality of life adjustments for women by age at diagnosis and race/ethnicity when conducting cost-effectiveness analysis of breast cancer prevention, detection, and treatment. PMID:26775905

  2. Symptomatic complex partial status epilepticus manifesting as utilization behavior of a mobile phone.

    PubMed

    Carota, Antonio; Novy, Jan; Rossetti, Andrea O

    2009-03-01

    Utilization behavior (UB) consists of reaching out and using objects in the environment in an automatic manner and out of context. This behavior has been correlated to frontal lobe dysfunction, especially of the right hemisphere. We describe a 60-year-old woman, affected by a glioblastoma located in the right frontal region, who presented with intermittent UB of the mobile phone as the main clinical manifestation of partial complex status epilepticus. Video/EEG studies showed a striking correlation between mobile phone utilization and ictal epileptic activity. Clinical and EEG findings were markedly reduced after the introduction of antiepileptic drugs. This case study suggests that UB may be added to the symptoms described for partial seizures originating from frontal areas.

  3. 15 CFR 700.2 - Introduction.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Introduction. 700.2 Section 700.2 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) BUREAU OF... PRIORITIES AND ALLOCATIONS SYSTEM Overview § 700.2 Introduction. (a) Certain national defense and energy...

  4. Cucurbit germplasm collections at the North Central Regional Plant Introduction Station

    USDA-ARS?s Scientific Manuscript database

    The North Central Regional Plant Introduction Station (NCRPIS) in Ames, Iowa, USA is one of four primary Plant Introduction Stations in the National Plant Germplasm System (NPGS), and has responsibility for maintenance, regeneration, characterization, and distribution of the NPGS Cucumis and Cucurbi...

  5. Serum-free light-chain assay: clinical utility and limitations.

    PubMed

    Bhole, Malini V; Sadler, Ross; Ramasamy, Karthik

    2014-09-01

    In the last decade, the introduction of the serum-free light-chain (sFLC) assay has been an important advance in the diagnosis and management of plasma cell dyscrasias, particularly monoclonal light-chain diseases. The immunoassay was developed to detect free light chains in serum by using anti-FLC antibodies which specifically recognised epitopes on light chains that were 'hidden' in intact immunoglobulins. Since its introduction in 2001, there have been several publications in the English language literature discussing the clinical utility as well as analytical limitations of the sFLC assay. These studies have highlighted both positive and negative aspects of the assay particularly with regard to its sensitivity and specificity and the technical challenges that can affect its performance. The contribution and significance of the sFLC assay in the management of light-chain myeloma, primary amyloid light-chain (AL) amyloidosis and non-secretory myeloma are well recognised and will be addressed in this review. The aim of this article is to also review the published literature with a view to providing a clear understanding of its utility and limitations in the diagnosis, prognosis and monitoring of plasma dyscrasias including intact immunoglobulin multiple myeloma (MM) and monoclonal gammopathy of unknown significance (MGUS). The increasing interest in using this assay in other haematological conditions will also be briefly discussed. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  6. Application of Elements of TPM Strategy for Operation Analysis of Mining Machine

    NASA Astrophysics Data System (ADS)

    Brodny, Jaroslaw; Tutak, Magdalena

    2017-12-01

    Total Productive Maintenance (TPM) strategy includes group of activities and actions in order to maintenance machines in failure-free state and without breakdowns thanks to tending limitation of failures, non-planned shutdowns, lacks and non-planned service of machines. These actions are ordered to increase effectiveness of utilization of possessed devices and machines in company. Very significant element of this strategy is connection of technical actions with changes in their perception by employees. Whereas fundamental aim of introduction this strategy is improvement of economic efficiency of enterprise. Increasing competition and necessity of reduction of production costs causes that also mining enterprises are forced to introduce this strategy. In the paper examples of use of OEE model for quantitative evaluation of selected mining devices were presented. OEE model is quantitative tool of TPM strategy and can be the base for further works connected with its introduction. OEE indicator is the product of three components which include availability and performance of the studied machine and the quality of the obtained product. The paper presents the results of the effectiveness analysis of the use of a set of mining machines included in the longwall system, which is the first and most important link in the technological line of coal production. The set of analyzed machines included the longwall shearer, armored face conveyor and cruscher. From a reliability point of view, the analyzed set of machines is a system that is characterized by the serial structure. The analysis was based on data recorded by the industrial automation system used in the mines. This method of data acquisition ensured their high credibility and a full time synchronization. Conclusions from the research and analyses should be used to reduce breakdowns, failures and unplanned downtime, increase performance and improve production quality.

  7. Introduced and invasive species in novel rangeland ecosystems: friends or foes?

    USGS Publications Warehouse

    Belnap, Jayne; Ludwig, John A.; Wilcox, Bradford P.; Betancourt, Julio L.; Dean, W. Richard J.; Hoffmann, Benjamin D.; Milton, Sue J.

    2012-01-01

    Globally, new combinations of introduced and native plant and animal species have changed rangelands into novel ecosystems. Whereas many rangeland stakeholders (people who use or have an interest in rangelands) view intentional species introductions to improve forage and control erosion as beneficial, others focus on unintended costs, such as increased fire risk, loss of rangeland biodiversity, and threats to conservation efforts, specifically in nature reserves and parks. These conflicting views challenge all rangeland stakeholders, especially those making decisions on how best to manage novel ecosystems. To formulate a conceptual framework for decision making, we examined a wide range of novel ecosystems, created by intentional and unintentional introductions of nonnative species and land-use–facilitated spread of native ones. This framework simply divides decision making into two types: 1) straightforward–certain, and 2) complex–uncertain. We argue that management decisions to retain novel ecosystems are certain when goods and services provided by the system far outweigh the costs of restoration, for example in the case of intensively managed Cenchrus pastures. Decisions to return novel ecosystems to natural systems are also certain when the value of the system is low and restoration is easy and inexpensive as in the case of biocontrol of Opuntia infestations. In contrast, decisions whether to retain or restore novel ecosystems become complex and uncertain in cases where benefits are low and costs of control are high as, for example, in the case of stopping the expansion of Prosopis and Juniperus into semiarid rangelands. Decisions to retain or restore novel ecosystems are also complex and uncertain when, for example, nonnative Eucalyptus trees expand along natural streams, negatively affecting biodiversity, but also providing timber and honey. When decision making is complex and uncertain, we suggest that rangeland managers utilize cost–benefit analyses and hold stakeholder workshops to resolve conflicts.

  8. Specifications-Based Grading in an Introduction to Proofs Course

    ERIC Educational Resources Information Center

    Williams, Kristopher

    2018-01-01

    This article describes a system of specifications-based grading used in an introduction to proofs course. The system was introduced to address two issues that arose in the course: how to spend less time grading and how to encourage use of feedback. We describe the implementation of the system and the results on grading and on students.

  9. Robotic autopositioning of the operating microscope.

    PubMed

    Oppenlander, Mark E; Chowdhry, Shakeel A; Merkl, Brandon; Hattendorf, Guido M; Nakaji, Peter; Spetzler, Robert F

    2014-06-01

    Use of the operating microscope has become pervasive since its introduction to the neurosurgical world. Neuronavigation fused with the operating microscope has allowed accurate correlation of the focal point of the microscope and its location on the downloaded imaging study. However, the robotic ability of the Pentero microscope has not been utilized to orient the angle of the microscope or to change its focal length to hone in on a predefined target. To report a novel technology that allows automatic positioning of the operating microscope onto a set target and utilization of a planned trajectory, either determined with the StealthStation S7 by using preoperative imaging or intraoperatively with the microscope. By utilizing the current motorized capabilities of the Zeiss OPMI Pentero microscope, a robotic autopositioning feature was developed in collaboration with Surgical Technologies, Medtronic, Inc. (StealthStation S7). The system is currently being tested at the Barrow Neurological Institute. Three options were developed for automatically positioning the microscope: AutoLock Current Point, Align Parallel to Plan, and Point to Plan Target. These options allow the microscope to pivot around the lesion, hover in a set plane parallel to the determined trajectory, or rotate and point to a set target point, respectively. Integration of automatic microscope positioning into the operative workflow has potential to increase operative efficacy and safety. This technology is best suited for precise trajectories and entry points into deep-seated lesions.

  10. Socioeconomic disparities in access to ART treatment and the differential impact of a policy that increased consumer costs.

    PubMed

    Chambers, G M; Hoang, V P; Illingworth, P J

    2013-11-01

    What was the impact on access to assisted reproductive technology (ART) treatment by different socioeconomic status (SES) groups after the introduction of a policy that increased patient out-of-pocket costs? After the introduction of a policy that increased out-of-pocket costs in Australia, all SES groups experienced a similar percentage reduction in fresh ART cycles per 1000 women of reproductive age. Higher SES groups experienced a progressively greater reduction in absolute numbers of fresh ART cycles due to existing higher levels of utilization. Australia has supportive public funding arrangements for ARTs. Policies that substantially increase out-of-pocket costs for ART treatment create financial barriers to access and an overall reduction in utilization. Data from the USA suggests that disparities exist in access to ART treatment based on ethnicity, education level and income. Time series analysis of utilization of ART, intrauterine insemination (IUI) and clomiphene citrate by women from varying SES groups before and after the introduction of a change in the level of public funding for ART. Women undertaking fertility treatment in Australia between 2007 and 2010. Women from higher SES quintiles use more ART treatment than those in lower SES quintiles, which likely reflects a greater ability to pay for treatment and a greater need for ART treatment as indicated by the trend to later childbearing. In 2009, 10.13 and 5.17 fresh ART cycles per 1000 women of reproductive age were performed in women in the highest and lowest SES quintiles respectively. In the 12 months after the introduction of a policy that increased out-of-pocket costs from ∼$1500 Australian dollars (€1000) to ∼$2500 (€1670) for a fresh IVF cycle, there was a 21-25% reduction in fresh ART cycles across all SES quintiles. The absolute reduction in fresh ART cycles in the highest SES quintile was double that in the lowest SES quintile. In this study, SES was based on the average relative socioeconomic advantage and disadvantage of small geographic areas, and therefore may not reflect the SES of an individual. Additionally, the policy impact was limited to the 12 months following its introduction, and may not reflect longer term trends in ART treatment. While financial barriers are an important obstacle to equitable access to ARTs, socioeconomic differences in utilization are likely to persist in countries with supportive public funding, due in part to differences in childbearing patterns and treatment seeking behaviour. Policy makers should be informed of the impact that changes in the level of cost subsidization have on access to ART treatment by different socioeconomic groups. G.M.C. receives grant support to her institution from the Australian Government, Australian Research Council (ARC) Linkage Grant No LP1002165; ARC Linkage Grant Partner Organisations are IVFAustralia, Melbourne IVF and Queensland Fertility Group. V.P.H. is employed as an Economics Research Associate on the same grant. P.J.I. is Medical Director of the IVF Clinic, IVFAustralia and has a financial interest in the parent group, Virtus. N/A.

  11. Proceedings of the Army Symposium on Solid Mechanics, 1982 - Critical Mechanics Problems in Systems Design, 21-23 September 1982, Bass River, Cape Cod, Massachusetts

    DTIC Science & Technology

    1982-09-01

    INTRODUCTION In the design of lightly armored vehicles it is of critical importance to be able to predict the vulnerability of these systems to...to similar geometry steel projectiles tested previously. INTRODUCTION The use of magnesium in proposed warhead designs has prompted renewed...to examine these excursions. INTRODUCTION The survival of a deeply buried missile capsule in a sand shaft was being evaluated during the

  12. Buprenorphine Treatment and Patient Use of Health Services after the Affordable Care Act in an Integrated Health Care System

    PubMed Central

    Campbell, Cynthia I.; Parthasarathy, Sujaya; Young-Wolff, Kelly C.; Satre, Derek D.

    2017-01-01

    Introduction The Affordable Care Act (ACA) was expected to benefit patients with substance use disorders, including opioid use disorders (OUDs). This study examined buprenorphine use and health services utilization by patients with OUDs pre- and post-ACA in a large health care system. Methods Using electronic health record data, we examined demographic and clinical characteristics (substance use, psychiatric and medical conditions) of two patient cohorts using buprenorphine: those newly enrolled in 2012 (“pre-ACA”, N=204) and in 2014 (“post-ACA”, N=258). Logistic and negative binomial regressions were used to model persistent buprenorphine use, and to examine whether persistent use was related to health services utilization. Results Buprenorphine patients were largely similar pre- and post-ACA, although more post-ACA patients had a marijuana use disorder (p<.01). Post-ACA patients were more likely to have high deductible benefit plans (p<.01). Use of psychiatry services was lower post-ACA (IRR: 0.56, p<.01), and high deductible plans were also related to lower use of psychiatry services (IRR: 0.30, p<.01). Conclusion The relationship between marijuana use disorder and prescription opioid use is complex, and deserves further study, particularly with increasingly widespread marijuana legalization. Access to psychiatry services may be more challenging for buprenorphine patients post-ACA, especially for patients with deductible plans. PMID:28426332

  13. Tools for quality control of fingerprint databases

    NASA Astrophysics Data System (ADS)

    Swann, B. Scott; Libert, John M.; Lepley, Margaret A.

    2010-04-01

    Integrity of fingerprint data is essential to biometric and forensic applications. Accordingly, the FBI's Criminal Justice Information Services (CJIS) Division has sponsored development of software tools to facilitate quality control functions relative to maintaining its fingerprint data assets inherent to the Integrated Automated Fingerprint Identification System (IAFIS) and Next Generation Identification (NGI). This paper provides an introduction of two such tools. The first FBI-sponsored tool was developed by the National Institute of Standards and Technology (NIST) and examines and detects the spectral signature of the ridge-flow structure characteristic of friction ridge skin. The Spectral Image Validation/Verification (SIVV) utility differentiates fingerprints from non-fingerprints, including blank frames or segmentation failures erroneously included in data; provides a "first look" at image quality; and can identify anomalies in sample rates of scanned images. The SIVV utility might detect errors in individual 10-print fingerprints inaccurately segmented from the flat, multi-finger image acquired by one of the automated collection systems increasing in availability and usage. In such cases, the lost fingerprint can be recovered by re-segmentation from the now compressed multi-finger image record. The second FBI-sponsored tool, CropCoeff was developed by MITRE and thoroughly tested via NIST. CropCoeff enables cropping of the replacement single print directly from the compressed data file, thus avoiding decompression and recompression of images that might degrade fingerprint features necessary for matching.

  14. Spatial noise in microdisplays for near-to-eye applications

    NASA Astrophysics Data System (ADS)

    Hastings, Arthur R., Jr.; Draper, Russell S.; Wood, Michael V.; Fellowes, David A.

    2011-06-01

    Spatial noise in imaging systems has been characterized and its impact on image quality metrics has been addressed primarily with respect to the introduction of this noise at the sensor component. However, sensor fixed pattern noise is not the only source of fixed pattern noise in an imaging system. Display fixed pattern noise cannot be easily mitigated in processing and, therefore, must be addressed. In this paper, a thorough examination of the amount and the effect of display fixed pattern noise is presented. The specific manifestation of display fixed pattern noise is dependent upon the display technology. Utilizing a calibrated camera, US Army RDECOM CERDEC NVESD has developed a microdisplay (μdisplay) spatial noise data collection capability. Noise and signal power spectra were used to characterize the display signal to noise ratio (SNR) as a function of spatial frequency analogous to the minimum resolvable temperature difference (MRTD) of a thermal sensor. The goal of this study is to establish a measurement technique to characterize μdisplay limiting performance to assist in proper imaging system specification.

  15. A TDMA Broadcast Satellite/Ground Architecture for the Aeronautical Telecommunications Network

    NASA Technical Reports Server (NTRS)

    Shamma, Mohammed A.; Raghavan, Rajesh S.

    2003-01-01

    An initial evaluation of a TDMA satellite broadcast architecture with an integrated ground network is proposed in this study as one option for the Aeronautical Telecommunications Network (ATN). The architecture proposed consists of a ground based network that is dedicated to the reception and transmissions of Automatic Dependent Surveillance Broadcast (ADS-B) messages from Mode-S or UAT type systems, along with tracks from primary and secondary surveillance radars. Additionally, the ground network could contain VHF Digital Link Mode 2, 3 or 4 transceivers for the reception and transmissions of Controller-Pilot Data Link Communications (CPDLC) messages and for voice. The second part of the ATN network consists of a broadcast satellite based system that is mainly dedicated for the transmission of surveillance data as well as En-route Flight Information Service Broadcast (FIS-B) to all aircraft. The system proposed integrates those two network to provide a nation wide comprehensive service utilizing near term or existing technologies and hence keeping the economic factor in prospective. The next few sections include a background introduction, the ground subnetwork, the satellite subnetwork, modeling and simulations, and conclusion and recommendations.

  16. How direct competition shapes coexistence and vaccine effects in multi-strain pathogen systems.

    PubMed

    Gjini, Erida; Valente, Carina; Sá-Leão, Raquel; Gomes, M Gabriela M

    2016-01-07

    We describe an integrated modeling framework for understanding strain coexistence in polymorphic pathogen systems. Previous studies have debated the utility of neutral formulations and focused on cross-immunity between strains as a major stabilizing mechanism. Here we convey that direct competition for colonization mediates stable coexistence only when competitive abilities amongst pathogen clones satisfy certain pairwise asymmetries. We illustrate our ideas with nested SIS models of single and dual colonization, applied to polymorphic pneumococcal bacteria. By fitting the models to cross-sectional prevalence data from Portugal (before and after the introduction of a seven-valent pneumococcal conjugate vaccine), we are able to not only statistically compare neutral and non-neutral epidemiological formulations, but also estimate vaccine efficacy, transmission and competition parameters simultaneously. Our study highlights that the response of polymorphic pathogen populations to interventions holds crucial information about strain interactions, which can be extracted by suitable nested modeling. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Simple and Versatile 3D Printed Microfluidics Using Fused Filament Fabrication.

    PubMed

    Morgan, Alex J L; Hidalgo San Jose, Lorena; Jamieson, William D; Wymant, Jennifer M; Song, Bing; Stephens, Phil; Barrow, David A; Castell, Oliver K

    2016-01-01

    The uptake of microfluidics by the wider scientific community has been limited by the fabrication barrier created by the skills and equipment required for the production of traditional microfluidic devices. Here we present simple 3D printed microfluidic devices using an inexpensive and readily accessible printer with commercially available printer materials. We demonstrate that previously reported limitations of transparency and fidelity have been overcome, whilst devices capable of operating at pressures in excess of 2000 kPa illustrate that leakage issues have also been resolved. The utility of the 3D printed microfluidic devices is illustrated by encapsulating dental pulp stem cells within alginate droplets; cell viability assays show the vast majority of cells remain live, and device transparency is sufficient for single cell imaging. The accessibility of these devices is further enhanced through fabrication of integrated ports and by the introduction of a Lego®-like modular system facilitating rapid prototyping whilst offering the potential for novices to build microfluidic systems from a database of microfluidic components.

  18. The use of lectins as markers for differentiated secretory cells in planarians.

    PubMed

    Zayas, Ricardo M; Cebrià, Francesc; Guo, Tingxia; Feng, Junjie; Newmark, Phillip A

    2010-11-01

    Freshwater planarians have reemerged as excellent models to investigate mechanisms underlying regeneration. The introduction of molecular tools has facilitated the study of planarians, but cell- and tissue-specific markers are still needed to examine differentiation of most cell types. Here we report the utility of fluorescent lectin-conjugates to label tissues in the planarian Schmidtea mediterranea. We show that 16 lectin-conjugates stain planarian cells or tissues; 13 primarily label the secretory cells, their cytoplasmic projections, and terminal pores. Thus, we examined regeneration of the secretory system using lectin markers and functionally characterized two genes expressed in the secretory cells: marginal adhesive gland-1 (mag-1) and Smed-reticulocalbin1 (Smed-rcn1). RNAi knockdown of these genes caused a dramatic reduction of secretory cell lectin staining, suggesting a role for mag-1 and Smed-rcn1 in secretory cell differentiation. Our results provide new insights into planarian secretory system regeneration and add new markers for labeling several planarian tissues. © 2010 Wiley-Liss, Inc.

  19. Towards non-classical walks with bright laser pulses

    NASA Astrophysics Data System (ADS)

    Sephton, B.; Dudley, A.; Forbes, A.

    2017-08-01

    In the avid search for means to increase computational power in comparison to that which is currently available, quantum walks (QWs) have become a promising option with derived quantum algorithms providing an associated speed up compared to what is currently used for implementation in classical computers. It has additionally been shown that the physical implementation of QWs will provide a successful computational basis for a quantum computer. It follows that considerable drive for finding such means has been occurring over the 20+ years since its introduction with phenomena such as electrons and photons being employed. Principal problems encountered with such quantum systems involve the vulnerability to environmental influence as well as scalability of the systems. Here we outline how to perform the QW due to interference characteristics inherent in the phenomenon, to mitigate these challenges. We utilize the properties of vector beams to physically implement such a walk in orbital angular momentum space by manipulating polarization and exploiting the non-separability of such beams.

  20. New technology and resources for cryptococcal research

    PubMed Central

    Zhang, Nannan; Park, Yoon-Dong; Williamson, Peter R.

    2014-01-01

    Rapid advances in molecular biology and genome sequencing have enabled the generation of new technology and resources for cryptococcal research. RNAi-mediated specific gene knock down has become routine and more efficient by utilizing modified shRNA plasmids and convergent promoter RNAi constructs. This system was recently applied in a high-throughput screen to identify genes involved in host-pathogen interactions. Gene deletion efficiencies have also been improved by increasing rates of homologous recombination through a number of approaches, including a combination of double-joint PCR with split-marker transformation, the use of dominant selectable markers and the introduction of Cre-Loxp systems into Cryptococcus. Moreover, visualization of cryptococcal proteins has become more facile using fusions with codon-optimized fluorescent tags, such as green or red fluorescent proteins or, mCherry. Using recent genome-wide analytical tools, new transcriptional factors and regulatory proteins have been identified in novel virulence-related signaling pathways by employing microarray analysis, RNA-sequencing and proteomic analysis. PMID:25460849

  1. Inhalation by design: novel ultra-long-acting β(2)-adrenoreceptor agonists for inhaled once-daily treatment of asthma and chronic obstructive pulmonary disease that utilize a sulfonamide agonist headgroup.

    PubMed

    Glossop, Paul A; Lane, Charlotte A L; Price, David A; Bunnage, Mark E; Lewthwaite, Russell A; James, Kim; Brown, Alan D; Yeadon, Michael; Perros-Huguet, Christelle; Trevethick, Michael A; Clarke, Nicholas P; Webster, Robert; Jones, Rhys M; Burrows, Jane L; Feeder, Neil; Taylor, Stefan C J; Spence, Fiona J

    2010-09-23

    A novel series of potent and selective sulfonamide derived β(2)-adrenoreceptor agonists are described that exhibit potential as inhaled ultra-long-acting bronchodilators for the treatment of asthma and chronic obstructive pulmonary disease. Analogues from this series mediate very long-lasting smooth muscle relaxation in guinea pig tracheal strips. The sulfonamide agonist headgroup confers high levels of intrinsic crystallinity that could relate to the acidic sulfonamide motif supporting a zwitterionic form in the solid state. Optimization of pharmacokinetic properties was achieved through targeted introduction of a phenolic moiety to support rapid phase II clearance, thereby minimizing systemic exposure following inhalation and reducing systemically mediated adverse events. Compound 38 (PF-610355) is identified as a clinical candidate from this series, with in vivo duration of action studies confirming its potential for once-daily use in humans. Compound 38 is currently in advanced phase II clinical studies.

  2. Simple and Versatile 3D Printed Microfluidics Using Fused Filament Fabrication

    PubMed Central

    Morgan, Alex J. L.; Hidalgo San Jose, Lorena; Jamieson, William D.; Wymant, Jennifer M.; Song, Bing; Stephens, Phil

    2016-01-01

    The uptake of microfluidics by the wider scientific community has been limited by the fabrication barrier created by the skills and equipment required for the production of traditional microfluidic devices. Here we present simple 3D printed microfluidic devices using an inexpensive and readily accessible printer with commercially available printer materials. We demonstrate that previously reported limitations of transparency and fidelity have been overcome, whilst devices capable of operating at pressures in excess of 2000 kPa illustrate that leakage issues have also been resolved. The utility of the 3D printed microfluidic devices is illustrated by encapsulating dental pulp stem cells within alginate droplets; cell viability assays show the vast majority of cells remain live, and device transparency is sufficient for single cell imaging. The accessibility of these devices is further enhanced through fabrication of integrated ports and by the introduction of a Lego®-like modular system facilitating rapid prototyping whilst offering the potential for novices to build microfluidic systems from a database of microfluidic components. PMID:27050661

  3. Acute kidney injury: how do we define it?

    PubMed

    Lewington, Andrew J P; Sayed, Ahmed

    2010-01-01

    Over recent years, there has been welcome increased interest in acute kidney injury (AKI) and its association with patient outcome. The term AKI has replaced the term acute renal failure (ARF) and encompasses all types of ARF. New definitions and staging systems for AKI have been proposed, which have stimulated a multitude of different studies to evaluate their clinical utility. These recent advances need to be communicated to the wider health care community so that we are using a shared nomenclature. In 2009 the National Confidential Enquiry into Patient Outcome and Death AKI study ('Adding Insult to Injury') announced its findings and recommendations. The report recommended that the detection of AKI and its management should be improved. These recommendations along with the adoption of the new staging systems will potentially have an impact on clinical biochemistry departments and exert an increased demand on resources. Running in parallel with these initiatives is the quest to discover novel biomarkers to detect AKI, the development and introduction of which will require laboratory support.

  4. An environmentally-friendly, highly efficient, gas pressure-assisted sample introduction system for ICP-MS and its application to detection of cadmium and lead in human plasma.

    PubMed

    Cao, Yupin; Deng, Biyang; Yan, Lizhen; Huang, Hongli

    2017-05-15

    An environmentally friendly and highly efficient gas pressure-assisted sample introduction system (GPASIS) was developed for inductively-coupled plasma mass spectrometry. A GPASIS consisting of a gas-pressure control device, a customized nebulizer, and a custom-made spray chamber was fabricated. The advantages of this GPASIS derive from its high nebulization efficiencies, small sample volume requirements, low memory effects, good precision, and zero waste emission. A GPASIS can continuously, and stably, nebulize 10% NaCl solution for more than an hour without clogging. Sensitivity, detection limits, precision, long-term stability, double charge and oxide ion levels, nebulization efficiencies, and matrix effects of the sample introduction system were evaluated. Experimental results indicated that the performance of this GPASIS, was equivalent to, or better than, those obtained by conventional sample introduction systems. This GPASIS was successfully used to determine Cd and Pb by ICP-MS in human plasma. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Diagnosing Appendicitis: Evidence-Based Review of the Diagnostic Approach in 2014

    PubMed Central

    Shogilev, Daniel J.; Duus, Nicolaj; Odom, Stephen R.; Shapiro, Nathan I.

    2014-01-01

    Introduction Acute appendicitis is the most common abdominal emergency requiring emergency surgery. However, the diagnosis is often challenging and the decision to operate, observe or further work-up a patient is often unclear. The utility of clinical scoring systems (namely the Alvarado score), laboratory markers, and the development of novel markers in the diagnosis of appendicitis remains controversial. This article presents an update on the diagnostic approach to appendicitis through an evidence-based review. Methods We performed a broad Medline search of radiological imaging, the Alvarado score, common laboratory markers, and novel markers in patients with suspected appendicitis. Results Computed tomography (CT) is the most accurate mode of imaging for suspected cases of appendicitis, but the associated increase in radiation exposure is problematic. The Alvarado score is a clinical scoring system that is used to predict the likelihood of appendicitis based on signs, symptoms and laboratory data. It can help risk stratify patients with suspected appendicitis and potentially decrease the use of CT imaging in patients with certain Alvarado scores. White blood cell (WBC), C-reactive protein (CRP), granulocyte count and proportion of polymorphonuclear (PMN) cells are frequently elevated in patients with appendicitis, but are insufficient on their own as a diagnostic modality. When multiple markers are used in combination their diagnostic utility is greatly increased. Several novel markers have been proposed to aid in the diagnosis of appendicitis; however, while promising, most are only in the preliminary stages of being studied. Conclusion While CT is the most accurate mode of imaging in suspected appendicitis, the accompanying radiation is a concern. Ultrasound may help in the diagnosis while decreasing the need for CT in certain circumstances. The Alvarado Score has good diagnostic utility at specific cutoff points. Laboratory markers have very limited diagnostic utility on their own but show promise when used in combination. Further studies are warranted for laboratory markers in combination and to validate potential novel markers. PMID:25493136

  6. Succeeding in New Vaccine Introduction: Lessons Learned From the Introduction of Inactivated Poliovirus Vaccine in Cameroon, Kenya, and Nigeria

    PubMed Central

    Snidal, Sarah; Saidu, Yauba; Ojumu, Abiola; Ngatia, Antony; Bagana, Murtala; Mutuku, Faith; Sobngwi, Joelle; Efe-Aluta, Oniovo; Roper, Julia; LeTallec, Yann; Kang’ethe, Alice

    2017-01-01

    Abstract Introducing a new vaccine is a large-scale endeavor that can face many challenges, resulting in introduction delays and inefficiencies. The development of national task teams and tools, such as prelaunch trackers, for the introduction of new vaccines (hereafter, “new vaccine introductions” [NVIs]) can help countries implement robust project management systems, front-load critical preparatory activities, and ensure continuous communication around vaccine supply and financing. In addition, implementing postlaunch assessments to take rapid corrective action accelerates the uptake of the new vaccines. NVIs can provide an opportunity to strengthen routine immunization, through strengthening program management systems or by reinforcing local immunization managers’ abilities, among others. This article highlights key lessons learned during the introduction of inactivated poliovirus vaccine in 3 countries that would make future NVIs more successful. The article concludes by considering how the Immunization Systems Management Group of the Global Polio Eradication Initiative has been useful to the NVI process and how such global structures could be further enhanced. PMID:28838156

  7. The enhanced ASDEX Upgrade pellet centrifuge launcher

    NASA Astrophysics Data System (ADS)

    Plöckl, B.; Lang, P. T.

    2013-10-01

    Pellets played an important role in the program of ASDEX Upgrade serving both for investigations on efficient particle fuelling and high density scenarios but also for pioneering work on Edge Localised Mode (ELM) pacing and mitigation. Initially designed for launching fuelling pellets from the magnetic low field side, the system was converted already some time ago to inject pellets from the magnetic high field side as much higher fuelling efficiency was found using this configuration. In operation for more than 20 years, the pellet launching system had to undergo a major revision and upgrading, in particular of its control system. Furthermore, the control system installed adjacent to the launcher had to be transferred to a more distant location enforcing a complete galvanic separation from torus potential and a fully remote control solution. Changing from a hybrid system consisting of PLC S5/S7 and some hard wired relay control to a state of the art PLC system allowed the introduction of several new operational options enabling more flexibility in the pellet experiments. This article describes the new system architecture of control hardware and software, the operating procedure, and the extended operational window. First successful applications for ELM pacing and triggering studies are presented as well as utilization for the development of high density scenarios.

  8. The enhanced ASDEX Upgrade pellet centrifuge launcher.

    PubMed

    Plöckl, B; Lang, P T

    2013-10-01

    Pellets played an important role in the program of ASDEX Upgrade serving both for investigations on efficient particle fuelling and high density scenarios but also for pioneering work on Edge Localised Mode (ELM) pacing and mitigation. Initially designed for launching fuelling pellets from the magnetic low field side, the system was converted already some time ago to inject pellets from the magnetic high field side as much higher fuelling efficiency was found using this configuration. In operation for more than 20 years, the pellet launching system had to undergo a major revision and upgrading, in particular of its control system. Furthermore, the control system installed adjacent to the launcher had to be transferred to a more distant location enforcing a complete galvanic separation from torus potential and a fully remote control solution. Changing from a hybrid system consisting of PLC S5/S7 and some hard wired relay control to a state of the art PLC system allowed the introduction of several new operational options enabling more flexibility in the pellet experiments. This article describes the new system architecture of control hardware and software, the operating procedure, and the extended operational window. First successful applications for ELM pacing and triggering studies are presented as well as utilization for the development of high density scenarios.

  9. The enhanced ASDEX Upgrade pellet centrifuge launcher

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

    Plöckl, B.; Lang, P. T.

    2013-10-15

    Pellets played an important role in the program of ASDEX Upgrade serving both for investigations on efficient particle fuelling and high density scenarios but also for pioneering work on Edge Localised Mode (ELM) pacing and mitigation. Initially designed for launching fuelling pellets from the magnetic low field side, the system was converted already some time ago to inject pellets from the magnetic high field side as much higher fuelling efficiency was found using this configuration. In operation for more than 20 years, the pellet launching system had to undergo a major revision and upgrading, in particular of its control system.more » Furthermore, the control system installed adjacent to the launcher had to be transferred to a more distant location enforcing a complete galvanic separation from torus potential and a fully remote control solution. Changing from a hybrid system consisting of PLC S5/S7 and some hard wired relay control to a state of the art PLC system allowed the introduction of several new operational options enabling more flexibility in the pellet experiments. This article describes the new system architecture of control hardware and software, the operating procedure, and the extended operational window. First successful applications for ELM pacing and triggering studies are presented as well as utilization for the development of high density scenarios.« less

  10. Predictors of introduction success in the South Florida avifauna

    USGS Publications Warehouse

    Allen, Craig R.

    2006-01-01

    Biological invasions are an increasing global challenge, for which single-species studies and analyses focused on testing single hypotheses of causation in isolation are unlikely to provide much additional insight. Species interact with other species to create communities, which derive from species interactions and from the interactions of species with the scale specific elements of the landscape that provide suitable habitat and exploitable resources. I used logistic regression analysis to sort among potential intrinsic, community and landscape variables that theoretically influence introduction success. I utilized the avian fauna of the Everglades of South Florida, and the variables body mass, distance to nearest neighbor (in terms of body mass), year of introduction, presence of congeners, guild membership, continent of origin, distribution in a body mass aggregation or gap, and distance to body-mass aggregation edge (in terms of body mass). Two variables were significant predictors of introduction success. Introduced avian species whose body mass placed them nearer to a body-mass aggregation edge and further from their neighbor were more likely to become successfully established. This suggests that community interactions, and community level phenomena, may be better understood by explicitly incorporating scale. ?? Springer 2006.

  11. Cost-utility analysis of an adjunctive recombinant activated factor VIIa for on-demand treatment of bleeding episodes in dengue haemorrhagic fever.

    PubMed

    Naing, Cho; Poovorawan, Yong; Mak, Joon Wah; Aung, Kyan; Kamolratankul, Pirom

    2015-06-01

    The present study aimed to assess the cost-utility analysis of using an adjunctive recombinant activated factor VIIa (rFVIIa) in children for controlling life-threatening bleeding in dengue haemorrhagic fever (DHF)/dengue shock syndrome (DSS). We constructed a decision-tree model, comparing a standard care and the use of an additional adjuvant rFVIIa for controlling life-threatening bleeding in children with DHF/DSS. Cost and utility benefit were estimated from the societal perspective. The outcome measure was cost per quality-adjusted life years (QALYs). Overall, treatment with adjuvant rFVIIa gained QALYs, but the total cost was higher. The incremental cost-utility ratio for the introduction of adjuvant rFVIIa was $4241.27 per additional QALY. Sensitivity analyses showed the utility value assigned for calculation of QALY was the most sensitive parameter. We concluded that despite high cost, there is a role for rFVIIa in the treatment of life-threatening bleeding in patients with DHF/DSS.

  12. Planning for the Introduction of the Metric System into Occupational Education Programs

    ERIC Educational Resources Information Center

    Low, A. W.

    1974-01-01

    A three-dimensional planning model for introducting the International System of Metric Units into Canadian occupational education curricula includes employment level, career area, and metric topics. A fourth dimension, time, is considered in four separate phases: familiarization, adoption, conversion, and compulsory usage.

  13. Introductory Tools for Radiative Transfer Models

    NASA Astrophysics Data System (ADS)

    Feldman, D.; Kuai, L.; Natraj, V.; Yung, Y.

    2006-12-01

    Satellite data are currently so voluminous that, despite their unprecedented quality and potential for scientific application, only a small fraction is analyzed due to two factors: researchers' computational constraints and a relatively small number of researchers actively utilizing the data. Ultimately it is hoped that the terabytes of unanalyzed data being archived can receive scientific scrutiny but this will require a popularization of the methods associated with the analysis. Since a large portion of complexity is associated with the proper implementation of the radiative transfer model, it is reasonable and appropriate to make the model as accessible as possible to general audiences. Unfortunately, the algorithmic and conceptual details that are necessary for state-of-the-art analysis also tend to frustrate the accessibility for those new to remote sensing. Several efforts have been made to have web- based radiative transfer calculations, and these are useful for limited calculations, but analysis of more than a few spectra requires the utilization of home- or server-based computing resources. We present a system that is designed to allow for easier access to radiative transfer models with implementation on a home computing platform in the hopes that this system can be utilized in and expanded upon in advanced high school and introductory college settings. This learning-by-doing process is aided through the use of several powerful tools. The first is a wikipedia-style introduction to the salient features of radiative transfer that references the seminal works in the field and refers to more complicated calculations and algorithms sparingly5. The second feature is a technical forum, commonly referred to as a tiki-wiki, that addresses technical and conceptual questions through public postings, private messages, and a ranked searching routine. Together, these tools may be able to facilitate greater interest in the field of remote sensing.

  14. Utilizing data grid architecture for the backup and recovery of clinical image data.

    PubMed

    Liu, Brent J; Zhou, M Z; Documet, J

    2005-01-01

    Grid Computing represents the latest and most exciting technology to evolve from the familiar realm of parallel, peer-to-peer and client-server models. However, there has been limited investigation into the impact of this emerging technology in medical imaging and informatics. In particular, PACS technology, an established clinical image repository system, while having matured significantly during the past ten years, still remains weak in the area of clinical image data backup. Current solutions are expensive or time consuming and the technology is far from foolproof. Many large-scale PACS archive systems still encounter downtime for hours or days, which has the critical effect of crippling daily clinical operations. In this paper, a review of current backup solutions will be presented along with a brief introduction to grid technology. Finally, research and development utilizing the grid architecture for the recovery of clinical image data, in particular, PACS image data, will be presented. The focus of this paper is centered on applying a grid computing architecture to a DICOM environment since DICOM has become the standard for clinical image data and PACS utilizes this standard. A federation of PACS can be created allowing a failed PACS archive to recover its image data from others in the federation in a seamless fashion. The design reflects the five-layer architecture of grid computing: Fabric, Resource, Connectivity, Collective, and Application Layers. The testbed Data Grid is composed of one research laboratory and two clinical sites. The Globus 3.0 Toolkit (Co-developed by the Argonne National Laboratory and Information Sciences Institute, USC) for developing the core and user level middleware is utilized to achieve grid connectivity. The successful implementation and evaluation of utilizing data grid architecture for clinical PACS data backup and recovery will provide an understanding of the methodology for using Data Grid in clinical image data backup for PACS, as well as establishment of benchmarks for performance from future grid technology improvements. In addition, the testbed can serve as a road map for expanded research into large enterprise and federation level data grids to guarantee CA (Continuous Availability, 99.999% up time) in a variety of medical data archiving, retrieval, and distribution scenarios.

  15. RETROFIT COSTS FOR SO2 AND NOX CONTROL OPTIONS AT 200 COAL-FIRED PLANTS, VOLUME I - INTRODUCTION AND METHODOLOGY

    EPA Science Inventory

    The report gives results of a study, the objective of which was to significantly improve engineering cost estimates currently being used to evaluate the economic effects of applying SO2 and NOx controls at 200 large SO2-emitting coal-fired utility plants. To accomplish the object...

  16. Introduction to a Dubbing Activity for a College First-Year Japanese Language Course

    ERIC Educational Resources Information Center

    Koyama, Nobuko

    2016-01-01

    This case study presents a description and outline of a dubbing activity in which students utilized their basic linguistic skills holistically. Authentic materials such as television dramas and feature films are "a rich repository of various speech acts, lexicon and linguistic emotivity" (Koyama, 2009) and as such have the potential to…

  17. A Planning Study for a Cooperative State-Wide Orientation and Mobility Program for the Blind in Oregon. Project Report.

    ERIC Educational Resources Information Center

    Multnomah County Intermediate Education District, Portland, OR.

    An introduction on blindness is followed by a summary of the initial planning grant proposal for cooperative statewide orientation and mobility program for blind children. Background, development, and utilization of mobility-orientation training are discussed in conjunction with educational programs, guide dogs, canes, mobility readiness,…

  18. Advanced methods for teaching electronic-nose technologies to diagnosticians and clinical laboratory technicians

    Treesearch

    Alphus D. Wilson

    2012-01-01

    Electronic-detection technologies and instruments increasingly are being utilized in the biomedical field to perform a wide variety of clinical operations and laboratory analyses to facilitate the delivery of health care to patients. The introduction of improved electronic instruments for diagnosing diseases and for administering treatments has required new training of...

  19. Coping with Challenge and Hindrance Stressors in Teams: Behavioral, Cognitive, and Affective Outcomes

    ERIC Educational Resources Information Center

    Pearsall, Matthew J.; Ellis, Aleksander P. J.; Stein, Jordan H.

    2009-01-01

    The purpose of this study was to utilize the challenge-hindrance framework to examine the discrete and combined effects of different environmental stressors on behavioral, cognitive, and affective outcomes at the team level. Results from 83 teams working on a command and control simulation indicated that the introduction of a challenge stressor…

  20. Maximizing Employment through Research. Proceedings of the Annual Research Utilization Conference (1st, Mississippi State, Mississippi, 1984).

    ERIC Educational Resources Information Center

    Bagley, Martha, Ed.

    These proceedings consist of seven papers and four reaction papers that were presented at a conference designed for administrative and management personnel from agencies and programs providing education and rehabilitation services to blind persons. Included in the volume are the following papers: "Introduction to Rehabilitation Research," by…

  1. Utilization of evolutionary model, bioinformatics and heuristics for development of a multiplex Escherichia coli O157:H7 PCR assay

    USDA-ARS?s Scientific Manuscript database

    Introduction: Escherichia coli O157:H7 is a devastating foodborne pathogen causing many foodborne outbreaks worldwide with significant morbidity and mortality. The plasticity of the E. coli O157:H7 genome, inconsistent expression of surface antigens, and sharing of genetic elements with other non-...

  2. The Use of Art in the Medical Decision-Making Process of Oncology Patients

    ERIC Educational Resources Information Center

    Czamanski-Cohen, Johanna

    2012-01-01

    The introduction of written informed consent in the 1970s created expectations of shared decision making between doctors and patients that has led to decisional conflict for some patients. This study utilized a collaborative, intrinsic case study approach to the decision-making process of oncology patients who participated in an open art therapy…

  3. Revision and Updating of Listings of Vocational Instructional Materials Available from Federal Agencies. Final Report.

    ERIC Educational Resources Information Center

    Hill, Carol L.

    This document reports a survey of curriculum and instructional materials readily available from over ninety-two federal organizations which could be utilized by vocational educators. Chapters 1 and 2 (Executive Summary and Introduction) summarize this survey conducted by Human Resources Management, Inc., from 1979-80, which resulted in listings of…

  4. "An Inconvenient Truth"--Is It Still Effective at Familiarizing Students with Global Warming?

    ERIC Educational Resources Information Center

    Griep, Mark A.; Reimer, Kaitlin

    2016-01-01

    Chemistry courses for nonscience majors emphasize chemical concepts and the relationship of chemical knowledge to everyday life while teaching the utility of quantitative analysis. As an introduction to the topic of global warming, the first half of "An Inconvenient Truth," released in 2006, has been shown annually since 2008 in the…

  5. Aldehyde-containing urea-absorbing polysaccharides

    NASA Technical Reports Server (NTRS)

    Mueller, W. A.; Hsu, G. C.; Marsh, H. E., Jr. (Inventor)

    1977-01-01

    A novel aldehyde containing polymer (ACP) is prepared by reaction of a polysaccharide with periodate to introduce aldehyde groups onto the C2 - C3 carbon atoms. By introduction of ether and ester groups onto the pendant primary hydroxyl solubility characteristics are modified. The ACP is utilized to absorb nitrogen bases such as urea in vitro or in vivo.

  6. How to Make a Math Modeling Class from Scratch in Six (Not-So) Easy Steps

    ERIC Educational Resources Information Center

    Gerhardt, Ira

    2017-01-01

    The recent introduction of a new course in mathematical modeling at Manhattan College has provided students with a valuable opportunity to gain practical experience utilizing tools in applying their mathematical abilities to a real-world problem. This paper describes the steps taken to create this class, from obtaining a real-world partner…

  7. Effects of Wait Time When Communicating with Children Who Have Sensory and Additional Disabilities

    ERIC Educational Resources Information Center

    Johnson, Nicole; Parker, Amy T.

    2013-01-01

    Introduction: This study utilized wait-time procedures to determine if they are effective in helping children with deafblindness or multiple disabilities that include a visual impairment communicate in their home. Methods: A single subject with an alternating treatment design was used for the study. Zero- to one-second wait time was utilized…

  8. Technology Transfer: A Think Tank Approach to Managing Innovation in the Public Sector.

    ERIC Educational Resources Information Center

    Creighton, J. W., Ed.; And Others

    This report reviews a joint attempt of the United States Forest Service and the Naval Service to enhance the utilization of research results and the new technologies through improved effectiveness of technology transfer efforts. It consists of an introduction by J. W. Creighton and seven papers: (1) "Management for Change" by P. A.…

  9. In-field volatile collection and analysis method utilizing a portable GC-MS: in situ headspace analysis of intact and damaged yellow starthistle flower heads

    USDA-ARS?s Scientific Manuscript database

    Introduction: Understanding the complex chemical signaling of plants and insects is an important component of chemical ecology. Accordingly, the collection of chemical cues from plants in their normal environment is integral to elucidation of multifaceted plant-insect communications. Often times rem...

  10. Fabrication of Solid-State Gas Sensors by Drawing: An Undergraduate and High School Introduction to Functional Nanomaterials and Chemical Detection

    ERIC Educational Resources Information Center

    Smith, Merry K.; Martin-Peralta, Daphnie G.; Pivak, Polina A.; Mirica, Katherine A.

    2017-01-01

    Carbon nanomaterials have promising utility in chemical sensing including applications in preserving occupational safety, monitoring of environmental pollution, and human health. While recent advances in device fabrication and molecular design of functional materials have enabled rapid fabrication of chemical sensors from carbon nanomaterials,…

  11. Interpersonal and Affective Features of Psychopathy in Children and Adolescents: Advancing a Developmental Perspective--Introduction to Special Section

    ERIC Educational Resources Information Center

    Pardini, Dustin A.; Loeber, Rolf

    2007-01-01

    The interpersonal (e.g., manipulative, deceitful) and affective (e.g., callous, unemotional) features associated with adult psychopathy have been identified in children and adolescents. Although early research suggests that these features have clinical utility in identifying a particularly severe and recalcitrant form of antisocial behavior with…

  12. An Introduction to Propensity Scores: What, When, and How

    ERIC Educational Resources Information Center

    Beal, Sarah J.; Kupzyk, Kevin A.

    2014-01-01

    The use of propensity scores as a method to promote causality in studies that cannot use random assignment has increased dramatically since its original publication in 1983. While the utility of these approaches is important, the concepts underlying their use are complex. The purpose of this article is to provide a basic tutorial for conducting…

  13. A Study Identifying the Components of a Quality Child Care Center.

    ERIC Educational Resources Information Center

    Panetta, Sandra J.

    Specific characteristics of a quality day care center are identified through a survey of parents, teachers, and directors utilizing or working in day care centers. The introduction to this descriptive research study offers background information on the history of the child care movement in America and a review of related research projects. A…

  14. Introduction to Sample Size Choice for Confidence Intervals Based on "t" Statistics

    ERIC Educational Resources Information Center

    Liu, Xiaofeng Steven; Loudermilk, Brandon; Simpson, Thomas

    2014-01-01

    Sample size can be chosen to achieve a specified width in a confidence interval. The probability of obtaining a narrow width given that the confidence interval includes the population parameter is defined as the power of the confidence interval, a concept unfamiliar to many practitioners. This article shows how to utilize the Statistical Analysis…

  15. Utility of essential oils for development of host-based lures for Xyleborus glabratus (Coleoptera: Curculionidae: Scolytinae), vector of laurel wilt

    USDA-ARS?s Scientific Manuscript database

    Redbay ambrosia beetle, Xyleborus glabratus, is native to Southeast Asia, but subsequent to introduction in Georgia in 2002, it has become a serious invasive pest in the USA, now established in nine southeastern states. Females vector Raffaelea lauricola, the fungus that causes laurel wilt, a letha...

  16. Expanding the New Design: The NAEP 1985-86 Technical Report.

    ERIC Educational Resources Information Center

    Beaton, Albert E.; And Others

    This report supplies details of the design and data analysis of the 1986 National Assessment of Educational Progress (NAEP) to allow the reader to judge the utility of the design, data quality, reasonableness of assumptions, appropriateness of data analyses, and generalizability of inferences made from the data. After an introduction by A. E.…

  17. Evaluation of an Interactive Case-Based Online Network (ICON) in a Problem Based Learning Environment

    ERIC Educational Resources Information Center

    Nathoo, Arif N.; Goldhoff, Patricia; Quattrochi, James J.

    2005-01-01

    Purpose: This study sought to assess the introduction of a web-based innovation in medical education that complements traditional problem-based learning curricula. Utilizing the case method as its fundamental educational approach, the Interactive Case-based Online Network (ICON) allows students to interact with each other, faculty and a virtual…

  18. Using Instructional Media; A Guidebook to Educational Media Education 305B.

    ERIC Educational Resources Information Center

    Volker, Roger; And Others

    Designed for use in an education course in techniques that teachers use in presenting materials to a class, this guidebook consists of detailed descriptions of the operation and instructional utility of a wide range of educational media. The first section provides an introduction to the course and includes information about course objectives,…

  19. Elementary Analysis of the Special Relativistic Combination of Velocities, Wigner Rotation and Thomas Precession

    ERIC Educational Resources Information Center

    O'Donnell, Kane; Visser, Matt

    2011-01-01

    The purpose of this paper is to provide an elementary introduction to the qualitative and quantitative results of velocity combination in special relativity, including the Wigner rotation and Thomas precession. We utilize only the most familiar tools of special relativity, in arguments presented at three differing levels: (1) utterly elementary,…

  20. Mortality and Revascularization following Admission for Acute Myocardial Infarction: Implication for Rural Veterans

    ERIC Educational Resources Information Center

    Abrams, Thad E.; Vaughan-Sarrazin, Mary; Kaboli, Peter J.

    2010-01-01

    Introduction: Annually, over 3,000 rural veterans are admitted to Veterans Health Administration (VA) hospitals for acute myocardial infarction (AMI), yet no studies of AMI have utilized the VA rural definition. Methods: This retrospective cohort study identified 15,870 patients admitted for AMI to all VA hospitals. Rural residence was identified…

  1. Quantifying change in riparian ash forests following the introduction of EAB in Michigan and Indiana

    Treesearch

    Susan J. Crocker; Dacia M. Meneguzzo

    2012-01-01

    The emerald ash borer (Agrilus planipennis Fairmaire; Coleoptera: Buprestidae; EAB) is an introduced beetle that kills ash (Fraxinus spp.) trees. While most EAB-related ash mortality has been documented in urban areas, the effects of EAB in forested settings, particularly in riparian forests, are not well known. This study utilizes...

  2. A Needs Assessment for the Introduction of a Food Science Program at the Univ. of Guyana

    ERIC Educational Resources Information Center

    Morrison, Donna

    2012-01-01

    This research describes the outcome of a needs assessment to determine whether the Univ. of Guyana should introduce a Food Science program. The research design utilized interviews and questionnaires to large manufacturing organizations and agroprocessors to determine if the required skills are available for the manufacturing process. Results…

  3. Model PET Scan Activity

    NASA Astrophysics Data System (ADS)

    Strunk, Amber; Gazdovich, Jennifer; Redouté, Oriane; Reverte, Juan Manuel; Shelley, Samantha; Todorova, Vesela

    2018-05-01

    This paper provides a brief introduction to antimatter and how it, along with other modern physics topics, is utilized in positron emission tomography (PET) scans. It further describes a hands-on activity for students to help them gain an understanding of how PET scans assist in detecting cancer. Modern physics topics provide an exciting way to introduce students to current applications of physics.

  4. A Qualitative Study of Interphysician Telephone Consultations: Extending the Opinion Leader Theory

    ERIC Educational Resources Information Center

    Wadhwa, Anupma; Ford-Jones, Elizabeth Lee; Lingard, Lorelei

    2005-01-01

    Introduction: It has been suggested that the use of opinion leaders in the dissemination of information may be an effective method of changing clinical practice. Recent reviews on this topic, however, have found mixed results and have concluded that further research is needed to explore the circumstances that effectively utilize opinion leaders.…

  5. Pre-Service Teacher Knowledge of Behavior Function: Implications within the Classroom

    ERIC Educational Resources Information Center

    Youngblom, Rachel; Filter, Kevin

    2013-01-01

    Introduction: Many teachers lack the skills to effectively deal with behavorial issues when they arise and may not be familiar with behavorial techniques to utilize with students who have behavorial disabilities. The aim of the present study is to understand the extent to which pre-service teachers adequately understand functions of behavior and…

  6. Systems Management for Force Modernization Equipment.

    DTIC Science & Technology

    1982-04-15

    PERT (New York: John Wiley & Sons, Inc., 1963), p. ’𔄁. 8. Fred Luthans, Introduction to Management (New York: McGraw- Hill Book Company, 1976), p...34Fielding Army Systems: Experiences and Lessons Learned." C, Vol. 3, No. 4, Autumn, 1980. Luthans, Fred. Introduction to Management . New York: McGraw

  7. An Introduction to the Federal Information Exchange System.

    ERIC Educational Resources Information Center

    De Santi, Vincent; Scheele, D. Sam

    This publication offers a basic introduction to the Federal Information Exchange System (FIXS), a set of procedures for periodically collecting, processing, and publishing data on federal and state expenditures for each program listed in the "Catalog of Federal Assistance Programs." FIXS is designed for use in conjunction with the…

  8. National Research Council Dialogue to Assess Progress on NASA's Systems Engineering Cost/Risk Analysis Capability Roadmap Development: General Background and Introduction

    NASA Technical Reports Server (NTRS)

    Regenie, Victoria

    2005-01-01

    Contents include the following: General Background and Introduction of Capability. Roadmaps for Systems Engineering Cost/Risk Analysis. Agency Objectives. Strategic Planning Transformation. Review Capability Roadmaps and Schedule. Review Purpose of NRC Review. Capability Roadmap Development (Progress to Date).

  9. Cannabinoids: new promising agents in the treatment of neurological diseases.

    PubMed

    Giacoppo, Sabrina; Mandolino, Giuseppe; Galuppo, Maria; Bramanti, Placido; Mazzon, Emanuela

    2014-11-17

    Nowadays, Cannabis sativa is considered the most extensively used narcotic. Nevertheless, this fame obscures its traditional employ in native medicine of South Africa, South America, Turkey, Egypt and in many regions of Asia as a therapeutic drug. In fact, the use of compounds containing Cannabis and their introduction in clinical practice is still controversial and strongly limited by unavoidable psychotropic effects. So, overcoming these adverse effects represents the main open question on the utilization of cannabinoids as new drugs for treatment of several pathologies. To date, therapeutic use of cannabinoid extracts is prescribed in patients with glaucoma, in the control of chemotherapy-related vomiting and nausea, for appetite stimulation in patients with anorexia-cachexia syndrome by HIV, and for the treatment of multiple sclerosis symptoms. Recently, researcher efforts are aimed to employ the therapeutic potentials of Cannabis sativa in the modulation of cannabinoid receptor activity within the central nervous system, particularly for the treatment of neurodegenerative diseases, as well as psychiatric and non-psychiatric disorders. This review evaluates the most recent available data on cannabinoids utilization in experimental and clinical studies, and highlights their beneficial effects in the prevention of the main neurological diseases and for the clinical treatment of symptoms with them correlated.

  10. Central East Pacific Flight Routing

    NASA Technical Reports Server (NTRS)

    Grabbe, Shon; Sridhar, Banavar; Kopardekar, Parimal; Cheng, Nadia

    2006-01-01

    With the introduction of the Federal Aviation Administration s Advanced Technology and Oceanic Procedures system at the Oakland Oceanic Center, a level of automation now exists in the oceanic environment to potentially begin accommodating increased user preferred routing requests. This paper presents the results of an initial feasibility assessment which examines the potential benefits of transitioning from the fixed Central East Pacific routes to user preferred routes. As a surrogate for the actual user-provided routing requests, a minimum-travel-time, wind-optimal dynamic programming algorithm was developed and utilized in this paper. After first describing the characteristics (e.g., origin airport, destination airport, vertical distribution and temporal distribution) of the westbound flights utilizing the Central East Pacific routes on Dec. 14-16 and 19-20, the results of both a flight-plan-based simulation and a wind-optimal-based simulation are presented. Whereas the lateral and longitudinal distribution of the aircraft trajectories in these two simulations varied dramatically, the number of simulated first-loss-of-separation events remained relatively constant. One area of concern that was uncovered in this initial analysis was a potential workload issue associated with the redistribution of traffic in the oceanic sectors due to thc prevailing wind patterns.

  11. Generation, estimation, utilization, availability and compatibility aspects of geodetic and meteorological data

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

    Luetzow, H.B.v.

    1983-08-01

    Following an introduction, the paper discusses in section 2 the collection or generation of final geodetic data from conventional surveys, satellite observations, satellite altimetry, the Global Positioning System, and moving base gravity gradiometers. Section 3 covers data utilization and accuracy aspects including gravity programmed inertial positioning and subterraneous mass detection. Section 4 addresses the usefulness and limitation of the collocation method of physical geodesy. Section 5 is concerned with the computation of classical climatological data. In section 6, meteorological data assimilation is considered. Section 7 deals with correlated aspects of initial data generation with emphasis on initial wind field determination,more » parameterized and classical hydrostatic prediction models, non-hydrostatic prediction, computational networks, and computer capacity. The paper concludes that geodetic and meteorological data are expected to become increasingly more diversified and voluminous both regionally and globally, that its general availability will be more or less restricted for some time to come, that its quality and quantity are subject to change, and that meteorological data generation, accuracy and density have to be considered in conjunction with advanced as well as cost-effective numerical weather prediction models and associated computational efforts.« less

  12. Wildlife health implications of sewage disposal in wetlands

    USGS Publications Warehouse

    Friend, M.; Godfrey, P.J.; Kaynor, E.R.; Pelczarski, S.

    1985-01-01

    Wildlife health concerns associated with disposal of sewage effluent in wetlands are of three primary types: (1) introduction of pathogens, (2) introduction of pollutants that adversely impact on host body defense mechanisms, and (3) changes in the physical and chemical properties of wetlands that favor the development and maintenance of disease problems. Unlike the situation with human health concerns, introduction of pathogens is not the major concern regarding wildlife health. Instead, the focus of attention needs to be directed at environmental changes likely to take place as a result of effluent discharges into different types of wetlands. Unless these changes are adequately addressed from a disease perspective, marshes utilized for sewage disposal could become disease incubators and wildlife death traps. This result would be unfortunate because the backlash would likely negate the potentially beneficial aspects of the use of sewage wastewater for the creation of new wetlands and have a severe impact on progress being made towards evaluation of the compatibility of wildlife and sewage effluents.

  13. Compensation for Harmonic Currents and Reactive Power in Wind Power Generation System using PWM Inverter

    NASA Astrophysics Data System (ADS)

    Shinohara, Katsuji; Shinhatsubo, Kurato; Iimori, Kenichi; Yamamoto, Kichiro; Saruban, Takamichi; Yamaemori, Takahiro

    In recent year, consciousness of environmental problems is enhancing, and the price of the electric power purchased by an electric power company is established expensive for the power plant utilizing the natural energy. So, the introduction of the wind power generation is promoted in Japan. Generally, squirrel-cage induction machines are widely used as a generator in wind power generation system because of its small size, lightweight and low-cost. However, the induction machines do not have a source of excitation. Thus, it causes the inrush currents and the instantaneous voltage drop when the generator is directly connected to a power grid. To reduce the inrush currents, an AC power regulator is used. Wind power generations are frequently connected to and disconnected from the power grid. However, when the inrush currents are reduced, harmonic currents are caused by phase control of the AC power regulator. And the phase control of AC power regulator cannot control the power factor. Therefore, we propose the use of the AC power regulator to compensate for the harmonic currents and reactive power in the wind power generation system, and demonstrate the validity of its system by simulated and experimental results.

  14. Making aerospace technology work for the automotive industry - Introduction

    NASA Technical Reports Server (NTRS)

    Olson, W. T.

    1978-01-01

    In many cases it has been found that advances made in one technical field can contribute to other fields. An investigation is in this connection conducted concerning subjects from contemporary NASA programs and projects which might have relevance and potential usefulness to the automotive industry. Examples regarding aerospace developments which have been utilized by the automotive industry are related to electronic design, computer systems, quality control experience, a NASA combustion scanner and television display, exhaust gas analyzers, and a device for suppressing noise propagated through ducts. Projects undertaken by NASA's center for propulsion and power research are examined with respect to their value for the automotive industry. As a result of some of these projects, a gas turbine engine and a Stirling engine might each become a possible alternative to the conventional spark ignition engine.

  15. Direct-to-consumer marketing of evidence-based psychological interventions: introduction.

    PubMed

    Santucci, Lauren C; McHugh, R Kathryn; Barlow, David H

    2012-06-01

    The dissemination and implementation of evidence-based psychological interventions (EBPIs) to service provision settings has been a major challenge. Most efforts to disseminate and implement EBPIs have focused on clinicians and clinical systems as the consumers of these treatments and thus have targeted efforts to these groups. An alternative, complementary approach to achieve more widespread utilization of EBPIs is to disseminate directly to patients themselves. The aim of this special section is to explore several direct-to-consumer (i.e., patient) dissemination and education efforts currently underway. This manuscript highlights the rationale for direct-to-patient dissemination strategies as well as the application of marketing science to dissemination efforts. Achieving greater access to EBPIs will require the use of multiple approaches to overcome the many and varied barriers to successful dissemination and implementation. Copyright © 2011. Published by Elsevier Ltd.

  16. Laser ablation in analytical chemistry - A review

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

    Russo, Richard E.; Mao, Xianglei; Liu, Haichen

    Laser ablation is becoming a dominant technology for direct solid sampling in analytical chemistry. Laser ablation refers to the process in which an intense burst of energy delivered by a short laser pulse is used to sample (remove a portion of) a material. The advantages of laser ablation chemical analysis include direct characterization of solids, no chemical procedures for dissolution, reduced risk of contamination or sample loss, analysis of very small samples not separable for solution analysis, and determination of spatial distributions of elemental composition. This review describes recent research to understand and utilize laser ablation for direct solid sampling,more » with emphasis on sample introduction to an inductively coupled plasma (ICP). Current research related to contemporary experimental systems, calibration and optimization, and fractionation is discussed, with a summary of applications in several areas.« less

  17. Performance-based building codes: a call for injury prevention indicators that bridge health and building sectors.

    PubMed

    Edwards, N

    2008-10-01

    The international introduction of performance-based building codes calls for a re-examination of indicators used to monitor their implementation. Indicators used in the building sector have a business orientation, target the life cycle of buildings, and guide asset management. In contrast, indicators used in the health sector focus on injury prevention, have a behavioural orientation, lack specificity with respect to features of the built environment, and do not take into account patterns of building use or building longevity. Suggestions for metrics that bridge the building and health sectors are discussed. The need for integrated surveillance systems in health and building sectors is outlined. It is time to reconsider commonly used epidemiological indicators in the field of injury prevention and determine their utility to address the accountability requirements of performance-based codes.

  18. MLS student active learning within a "cloud" technology program.

    PubMed

    Tille, Patricia M; Hall, Heather

    2011-01-01

    In November 2009, the MLS program in a large public university serving a geographically large, sparsely populated state instituted an initiative for the integration of technology enhanced teaching and learning within the curriculum. This paper is intended to provide an introduction to the system requirements and sample instructional exercises used to create an active learning technology-based classroom. Discussion includes the following: 1.) define active learning and the essential components, 2.) summarize teaching methods, technology and exercises utilized within a "cloud" technology program, 3.) describe a "cloud" enhanced classroom and programming 4.) identify active learning tools and exercises that can be implemented into laboratory science programs, and 5.) describe the evaluation and assessment of curriculum changes and student outcomes. The integration of technology in the MLS program is a continual process and is intended to provide student-driven active learning experiences.

  19. The fiber optic connection

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

    Benjamin, S.

    1994-09-01

    Technology, competition, and economics are pushing electric utilities to reconfigure and expand their communication systems. And that`s building the national information infrastructure. In fact, some already lease out spare communications capacity. Some have established all-telecommunications business subsidiaries, and some are planning to. It`s one aspect of a multifaceted situation. While the nation wonders what superhighway might be and who might build it, other players are already vying for pieces of the action. Since the introduction of telephone competition a decade ago, young challengers like Sprint and MCI have given venerable AT & T a run for its subscribers money, overmore » high-tech long-distance lines. They itch to enter the local telephone business in competition with the regional Bell operating companies spawned from AT & T, now that they can no longer be accused of monopolizing the phone lines.« less

  20. Successful introduction of an underutilized elderly pneumococcal vaccine in a national immunization program by integrating the pre-existing public health infrastructure.

    PubMed

    Yang, Tae Un; Kim, Eunsung; Park, Young-Joon; Kim, Dongwook; Kwon, Yoon Hyung; Shin, Jae Kyong; Park, Ok

    2016-03-18

    Although pneumococcal vaccines had been recommended for the elderly population in South Korea for a considerable period of time, the coverage has been well below the optimal level. To increase the vaccination rate with integrating the pre-existing public health infrastructure and governmental funding, the Korean government introduced an elderly pneumococcal vaccination into the national immunization program with a 23-valent pneumococcal polysaccharide vaccine in May 2013. The aim of this study was to assess the performance of the program in increasing the vaccine coverage rate and maintaining stable vaccine supply and safe vaccination during the 20 months of the program. We qualitatively and quantitatively analyzed the process of introducing and the outcomes of the program in terms of the systematic organization, efficiency, and stability at the national level. A staggered introduction during the first year utilizing the public sector, with a target coverage of 60%, was implemented based on the public demand for an elderly pneumococcal vaccination, vaccine supply capacity, vaccine delivery capacity, safety, and sustainability. During the 20-month program period, the pneumococcal vaccine coverage rate among the population aged ≥65 years increased from 5.0% to 57.3% without a noticeable vaccine shortage or safety issues. A web-based integrated immunization information system, which includes the immunization registry, vaccine supply chain management, and surveillance of adverse events following immunization, reduced programmatic errors and harmonized the overall performance of the program. Introduction of an elderly pneumococcal vaccination in the national immunization program based on strong government commitment, meticulous preparation, financial support, and the pre-existing public health infrastructure resulted in an efficient, stable, and sustainable increase in vaccination coverage. Copyright © 2016. Published by Elsevier Ltd.

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