STS-46 ESA MS Nicollier conducts IFM on OV-104's waste collection system

NASA Technical Reports Server (NTRS)

1992-01-01

STS-46 European Space Agency (ESA) Mission Specialist (MS) Claude Nicollier, wearing goggles, face mask, and rubber gloves, reviews inflight maintenance (IFM) checklist procedures before starting waste collection system (WCS) fan separator repair. One of two fan separators used to transfer waster water from the waste management compartment (WMC) to the waste water tank has failed. The suspected accumulation of water in the separator was believed to have occurred during a test dumping of waste water at a lower than normal pressure to evaluate the performance of new nozzles. The WMC is located on the middeck of Atlantis, Orbiter Vehicle (OV) 104.

Final Long-Term Management and Storage of Elemental Mercury Environmental Impact Statement Volume1

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

Not Available

2011-01-01

Pursuant to the Mercury Export Ban Act of 2008 (P.L. 110-414), DOE was directed to designate a facility or facilities for the long-term management and storage of elemental mercury generated within the United States. Therefore, DOE has analyzed the storage of up to 10,000 metric tons (11,000 tons) of elemental mercury in a facility(ies) constructed and operated in accordance with the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act (74 FR 31723).DOE prepared this Final Mercury Storage EIS in accordance with the National Environmental Policy Act of 1969 (NEPA), as amended (42 U.S.C. 4321 etmore » seq.), the Council on Environmental Quality (CEQ) implementing regulations (40 CFR 1500–1508), and DOE’s NEPA implementing procedures (10 CFR 1021) to evaluate reasonable alternatives for a facility(ies) for the long-term management and storage of elemental mercury. This Final Mercury Storage EIS analyzes the potential environmental, human health, and socioeconomic impacts of elemental mercury storage at seven candidate locations:Grand Junction Disposal Site near Grand Junction, Colorado; Hanford Site near Richland, Washington; Hawthorne Army Depot near Hawthorne, Nevada; Idaho National Laboratory near Idaho Falls, Idaho;Kansas City Plant in Kansas City, Missouri; Savannah River Site near Aiken, South Carolina; and Waste Control Specialists, LLC, site near Andrews, Texas. As required by CEQ NEPA regulations, the No Action Alternative was also analyzed as a basis for comparison. DOE intends to decide (1) where to locate the elemental mercury storage facility(ies) and (2) whether to use existing buildings, new buildings, or a combination of existing and new buildings. DOE’s Preferred Alternative for the long-term management and storage of mercury is the Waste Control Specialists, LLC, site near Andrews, Texas.« less

Final Long-Term Management and Storage of Elemental Mercury Environmental Impact Statement Volume 2

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

Not Available

Pursuant to the Mercury Export Ban Act of 2008 (P.L. 110-414), DOE was directed to designate a facility or facilities for the long-term management and storage of elemental mercury generated within the United States. Therefore, DOE has analyzed the storage of up to 10,000 metric tons (11,000 tons) of elemental mercury in a facility(ies) constructed and operated in accordance with the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act (74 FR 31723). DOE prepared this Final Mercury Storage EIS in accordance with the National Environmental Policy Act of 1969 (NEPA), as amended (42 U.S.C. 4321more » et seq.), the Council on Environmental Quality (CEQ) implementing regulations (40 CFR 1500–1508), and DOE’s NEPA implementing procedures (10 CFR 1021) to evaluate reasonable alternatives for a facility(ies) for the long-term management and storage of elemental mercury. This Final Mercury Storage EIS analyzes the potential environmental, human health, and socioeconomic impacts of elemental mercury storage at seven candidate locations: Grand Junction Disposal Site near Grand Junction, Colorado; Hanford Site near Richland, Washington; Hawthorne Army Depot near Hawthorne, Nevada; Idaho National Laboratory near Idaho Falls, Idaho; Kansas City Plant in Kansas City, Missouri; Savannah River Site near Aiken, South Carolina; and Waste Control Specialists, LLC, site near Andrews, Texas. As required by CEQ NEPA regulations, the No Action Alternative was also analyzed as a basis for comparison. DOE intends to decide (1) where to locate the elemental mercury storage facility(ies) and (2) whether to use existing buildings, new buildings, or a combination of existing and new buildings. DOE’s Preferred Alternative for the long-term management and storage of mercury is the Waste Control Specialists, LLC, site near Andrews, Texas.« less

Waste incineration, Part I: Technology.

PubMed

1990-02-01

Based upon an overview of the technology of incineration and the nature of hospital waste, HHMM offers the following suggestions: Old retort or other excess air incinerators should be replaced regardless of age. Even if emissions control equipment and monitoring devices can be retrofitted, excess-air incinerators are no longer cost-effective in terms of capacity, fuel consumption, and heat recovery. Audit (or have a specialist audit) your waste stream thoroughly. Consult a qualified engineering company experienced in hospital installations to get a system specified as exactly as possible to your individual conditions and needs. Make sure that the capacity of your incinerator will meet projections for future use. Anticipate the cost of emissions control and monitoring devices whether your state currently requires them or not. Make sure that your incinerator installation is engineered to accept required equipment in the future. Develop a strong community relations program well in advance of committing to incinerator installation. Take a proactive position by inviting your neighbors in during the planning stages. Be sure the contract governing incinerator purchase and installation has a cancellation clause, preferably without penalties, in case community action or a change in state regulations makes installation and operation impractical. The technology is available to enable hospitals to burn waste effectively, efficiently, and safely. HHMM echoes the concerns of Frank Cross--that healthcare facilities, as well as regional incinerators and municipalities, show the same concern for environmental protection as for their bottom lines. When emissions are under control and heat is recovered, both the environment and the bottom line are healthier.

STS-44 onboard (in-space) crew portrait features "Trash Man" Hennen

NASA Image and Video Library

1991-12-01

STS044-17-030 (24 Nov-1 Dec 1991) --- The six crewmembers for STS-44 pose for a second crew portrait on Atlantis' flight deck. This portrait was intended to focus on Payload Specialist Thomas J. Hennen (front center), who earned the nickname, "Trash Man" during the flight. It was Hennen who "starred" in a brief onboard video production about the disposal of trash and waste. Others in the picture are (front row) Astronauts Frederick D. Gregory (left), Mission Commander; and James S. Voss, Mission Specialist; and (back row, left to right) Astronauts Mario Runco Jr. and F. Story Musgrave, both Mission Specialists; and Terence T. (Tom) Henricks, Pilot.

STS-55 crewmembers repair waste water tank on OV-102's middeck

NASA Technical Reports Server (NTRS)

1993-01-01

Three STS-55 crewmembers participate in an inflight maintenance (IFM) exercise to counter problems experienced with a waste water tank below Columbia's, Orbiter Vehicle (OV) 102's, middeck. Mission Specialist 3 (MS3) Bernard A. Harris, Jr, inside the airlock, holds middeck floor access panel MD54G and looks below at Pilot Terence T. Henricks who is in the bilge area. Commander Steven R. Nagel is lying on middeck floor at the left.

Collaboration Between Environmental Water Chemistry Students and Hazardous Waste Treatment Specialists on the University of Colorado-Boulder Campus

NASA Astrophysics Data System (ADS)

Dittrich, T. M.

2012-12-01

The University of Colorado-Boulder is one of a few universities in the country that has a licensed Treatment, Storage, and Disposal Facility (TSDF) for hazardous waste on campus. This facility, located on the bottom floor of the Environmental Health and Safety (EH&S) building, allows CU to more economically treat hazardous waste by enabling treatment specialists on staff to safely collect and organize the hazardous waste generated on campus. Hazardous waste is anything that contains a regulated chemical or compound and most chemicals used in engineering labs (e.g., acids, solvents, metal solutions) fall into this category. The EH&S staff is able to treat close almost 33% of the waste from campus and the rest is packed for off-site treatment at various places all over the country for disposal (e.g., Sauget, IL, Port Aurthor, TX). The CU-Boulder campus produced over 50 tons of hazardous waste in 2010 costing over $300,000 in off-campus expenses. The EH&S staff assigns one of over 50 codes to the waste which will determine if the waste can be treated on campus of must be shipped off campus to be disposed of. If the waste can be treated on campus, it will undergo one of three processes: 1) neutralization, 2) UV-ozone oxidation, or 3) ion exchange. If the waste is acidic but contains no heavy metals, the acid is neutralized with sodium hydroxide (a base) and can be disposed "down the drain" to the Boulder Wastewater Treatment Plant. If the waste contains organic compounds and no metals, a UV-ozone oxidation system is used to break down the organic compounds. Silver from photography wastewater can be removed using ion exchange columns. Undergraduate and graduate students worked with the hazardous waste treatment facility at the Environmental Health and Safety (EH&S) building on the CU-Boulder campus during the fall of 2011 and fall of 2012. Early in the semester, students receive a tour of the three batch treatment processes the facility is equipped with. Later in the semester, the students conduct a bench-scale laboratory exercise where they study part of the treatment process. Several small start-up companies are testing components in the lab, which adds to the colaboration of the project.; Figure 1. Students in Environmental Water Chemistry lab conducting a titration.

Engineering and simulation of life sciences Spacelab experiments

NASA Technical Reports Server (NTRS)

Johnston, R. S.; Bush, W. H. Jr; Rummel, J. A.; Alexander, W. C.

1979-01-01

The third in a series of Spacelab Mission Development tests was conducted at the Johnson (correction of Johnston) Space Center as a part of the development of Life Sciences experiments for the Space Shuttle era. The latest test was a joint effort of the Ames Research and Johnson Space Centers and utilized animals and men for study. The basic objective of this test was to evaluate the operational concepts planned for the Space Shuttle life science payloads program. A three-man crew (Mission Specialist and two Payload Specialists) conducted 26 experiments and 12 operational tests, which were selected for this 7-day mission simulation. The crew lived on board a simulated Orbiter/Spacelab mockup 24 hr a day. The Orbiter section contained the mid deck crew quarters area, complete with sleeping, galley and waste management provisions. The Spacelab was identical in geometry to the European Space Agency Spacelab design, complete with removable rack sections and stowage provisions. Communications between the crewmen and support personnel were configured and controlled as currently planned for operational shuttle flights. For this test a Science Operations Remote Center was manned at the Ames Research Center and was managed by simulated Mission Control and Payload Operation Control Centers at the Johnson Space Center. This paper presents the test objectives, description of the facilities and test program, and the results of this test.

Training Innovations for Economic Development

ERIC Educational Resources Information Center

Breeden, Kenneth H.

2002-01-01

This article talks about Certified Manufacturing Specialist (CMS), a Georgia training program that has successfully addressed the needs of both students and partners in business and industry. The program helped business reduce the learning curve for new employees; improved productivity, quality, and safety; reduced material waste; eased the…

Integration of Specialized Pain Control Services in Palliative Care: A Nationwide Web-based Survey.

PubMed

Page, Nivedita Dilip

2017-01-01

Pain control is an important part of palliative care (PC), and conventional analgesics do not provide adequate pain relief to all patients. Many patients present with complex pain syndromes that require interventional pain control measures usually deployed by pain specialists. There is adequate integration of specialized pain control services with PC elsewhere, but information about the same in our country is lacking. An internet survey was conducted among palliative specialists regarding the need and availability of pain specialists for their patients suffering from complex pain syndromes. Their attitude toward integrating specialized pain control services in their practice was also explored. Majority of palliative physicians came across situations where specialists in pain would control the patients' pain better. There was a poor availability of such services, and when available, the cost was significant. It is heartening to note that though there is poor integration of specialized pain control services with palliation, palliative physicians acknowledge the need for pain specialists and their techniques for providing pain relief for their patients. Effective pain control is needed in palliation, barriers however exist, and there is a need to make pain specialists and interventional techniques more freely available.

Environmental Assessment for the Hilltop Community Services District, Wright-Patterson Air Force Base, Ohio

DTIC Science & Technology

2012-03-01

concentration, or characteristics.   3.5.2 Existing Conditions The 88 ABW maintains a Hazardous Waste Management Plan that prescribes the  roles  and...senior level guidance and quality  control.   Name  Role   Qualification Cory Edwards  Historic Preservation Specialist Cultural Resources, GIS  M. Arch...EA. The following persons were contacted or consulted.   Name  Role   Air Force Organization  Jo Lynn Anderson  Chief, Planning and Real Property

Personnel training experience in the radioactive waste management: 10 years of Moscow SIA 'RADON' international education training centre

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

Batyukhnova, Olga; Dmitriev, Sergey; Arustamov, Artur

Available in abstract form only. Full text of publication follows: The education service for specialists dealing with radioactive waste was established in Russia (former USSR) in 1983 and was based on the capabilities of two organisations: the Moscow Scientific and Industrial Association 'Radon' (SIA 'Radon') and the Chemical Department of Lomonosov's Moscow State University. These two organizations are able to offer training programs in the science fundamentals, applied research and in practical operational areas of the all pre-disposal activities of the radioactive waste management. Since 1997 this system was upgraded to the international level and now acts as International Educationmore » Training Centre (IETC) at SIA 'Radon' under the guidance of the IAEA. During 10 years more than 300 specialists from 26 European and Asian countries enhanced their knowledge and skills in radioactive waste management. The IAEA supported specialized regional training courses and workshops, fellowships, on-the-job training, and scientific visits are additional means to assure development of personnel capabilities. Efficiency of training was carefully analysed using the structural adaptation of educational process as well as factors, which have influence on education quality. Social-psychological aspects were also taken into account in assessing the overall efficiency. The analysis of the effect of individual factors and the efficiency of education activity were carried out based on attestation results and questioning attendees. A number of analytical methods were utilised such as Ishikawa's diagram method and Pareto's principle for improving of training programs and activities. (authors)« less

Approach to training of personnel to manage radioactive wastes offered by education training Centre at Moscow Sia Radon under sponsorship of IAEA

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

Batyukhnova, O.G.; Dmitriev, S.A.; Ojovan, M.I.

The availability of qualified personnel is crucial to the licensing and efficient and safe operation of waste management facilities and for the improvement of the existing waste management practices. The countries with some degree of waste management activities are of special concerns, since their narrow waste management experience and personal capabilities may be a limiting factor to manage radioactive waste in a safe and technically optimal manner. The International Education Training Centre (IETC) at Moscow State Unitary Enterprise Scientific and Industrial Association 'Radon' (SIA 'Radon'), in co-operation with the International Atomic Energy Agency (IAEA), has developed expertise and provided trainingmore » to waste management personnel for the last 10 years. During this period, more than 300 specialists from 26 European and Asian countries, (mostly) sponsored by the IAEA, have increased their knowledge and skills in radioactive waste management. The current experience of the SIA 'Radon' in the organisation of the IAEA sponsored training is summarized and an outline of some strategic educational elements, which IETC will continue to pursue in the coming years, is provided. (authors)« less

Energy aspects of solid waste management: Proceedings

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

Not Available

1990-01-01

The Eighteenth Annual Illinois Energy Conference entitled Energy Aspects of Solid Waste Management'' was held in Chicago, Illinois on October 29--30, 1990. The conference program was developed by a planning committee that drew upon Illinois energy and environmental specialists from the major sectors including energy industries, environmental organizations, research universities, utility companies, federal, state and local government agencies, and public interest groups. Within this framework, the committee identified a number of key topic areas surrounding solid waste management in Illinois which were the focus of the conference. These issues included: review of the main components of the solid waste cyclemore » in the Midwest and what the relative impact of waste reduction, recycling, incineration and land disposal might be on Illinois' and the Midwest's solid waste management program. Investigation of special programs in the Midwest dealing with sewage sludge, combustion residuals and medical/infectious wastes. Review of the status of existing landfills in Illinois and the Midwest and an examination of the current plans for siting of new land disposal systems. Review of the status of incinerators and waste-to-energy systems in Illinois and the Midwest, as well as an update on activities to maximize methane production from landfills in the Midwest.« less

STS-44 MS Musgrave looks out OV-104's side hatch viewport on middeck

NASA Technical Reports Server (NTRS)

1991-01-01

STS-44 Mission Specialist (MS) F. Story Musgrave, wearing communications kit assembly lightweight headset (HDST), looks out side hatch viewport on Atlantis', Orbiter Vehicle (OV) 104's, middeck. Just behind him is the waste management compartment (WMC). The stainless steel cylinder is the temporary wet trash can.

Skill/Knowledge Commonalities in Selected Electronics Specialties.

DTIC Science & Technology

1986-10-01

Maintenance Specialist 241 19 30750 Telecomunications Systems Control Specialist 498 35 30950A Missile Det and Warning Radar Specialistc 18 30 309506... Telecomunications Systems Control Specialist 59 ( 5) 125 (10) 259 (21) :. aNumbers in parenthesis are percentage of total possible (1,257). bBased on principles

78 FR 41993 - Transport Handling Specialists, Inc.-Continuance in Control Exemption-RSL Railroad, LLC

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-12

... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. FD 35726] Transport Handling Specialists, Inc.--Continuance in Control Exemption--RSL Railroad, LLC Transport Handling Specialists, Inc. (THS), has filed a verified notice of exemption (Notice) under 49 CFR 1180.2(d)(2) to continue in...

Helping the auto repair industry manage hazardous wastes: an education project in King County, Washington.

PubMed

McKenrick, Laurence L; Ii, Keiko; Lawrence, Bill; Kaufmann, Michael; Marshall, Mark

2003-11-01

From January 1, 2000, to August 31, 2001, a team of environmental health specialists from Public Health-Seattle & King County, a partner in King County's Local Hazardous Waste Management Program, made educational visits to 981 automotive repair shops. The purpose was to give the auto repair industry technical assistance on hazardous waste management without using enforcement action. Through site inspections and interviews, the environmental health staff gathered information on the types and amounts of conditionally exempt small-quantity generator (CESQG) hazardous wastes and how they were handled. Proper methods of hazardous waste management, storage, and disposal were discussed with shop personnel. The environmental health staff measured the impact of these educational visits by noting changes made between the initial and follow-up visits. This report focuses on nine major waste streams identified in the auto repair industry. Of the 981 shops visited, 497 were already practicing proper hazardous waste management and disposal. The remaining 484 shops exhibited 741 discrepancies from proper practice. Environmental health staff visited these shops again within six months of the initial visit to assess changes in their practices. The educational visits and technical assistance produced a 76 percent correction of all the discrepancies noted.

Staff Views of the Importance of Relationships for Knowledge Development: Is Training by Specialists a Waste of Money?

ERIC Educational Resources Information Center

Bradshaw, Jill; Goldbart, Juliet

2013-01-01

Background: The provision of skilled support is dependent on staff knowledge and understanding (Beadle-Brown J., Beecham J., Mansell J., Baumker T., Leigh J., Whelton R. & Richardson L, unpublished data). Influencing staff knowledge and understanding is an important component of interventions. Materials and Methods: Fourteen individual…

[Health care waste management of potentially infectious medical waste by healthcare professionals in a private medical practice: a study of practices].

PubMed

Brunot, Alain; Thompson, Céline

2010-01-01

A cross-sectional study was conducted with a sample of 278 health professionals (GPs and specialists, dentists, physical therapists and nurses) in a private medical practice in Paris to study the medical waste management practices related to the production and disposal of potentially hazardous health care waste. With the exception of physical therapists, most professionals produced medical waste (72% to 96,2% according to occupation), with a monthly median of 3 liters (inter-quartile range 1-15 liters). All sharp objects and needles were separated and 91% of them eliminated via a specific process for that sector. These percentages were respectively 84% and 69% concerning contaminated waste that was neither needles or used for cutting. 48% of the professionals reported the existence of documents that could track the disposal of their medical waste. To improve practice, professionals cited collection on-site at the office (74%) and reliability of the contracted service provider to collect the waste (59%). The study showed that health professionals need information on the regulations regarding potentially infectious medical waste, in particular on the traceability of its elimination. They also noted the lack of clarity and precision with regard to the definition of risk of infection: 31,7% of professionals only declare the production of sharp or cutting waste without having specified criteria for risk of infection.

Energy aspects of solid waste management: Proceedings

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

Not Available

1990-12-31

The Eighteenth Annual Illinois Energy Conference entitled ``Energy Aspects of Solid Waste Management`` was held in Chicago, Illinois on October 29--30, 1990. The conference program was developed by a planning committee that drew upon Illinois energy and environmental specialists from the major sectors including energy industries, environmental organizations, research universities, utility companies, federal, state and local government agencies, and public interest groups. Within this framework, the committee identified a number of key topic areas surrounding solid waste management in Illinois which were the focus of the conference. These issues included: review of the main components of the solid waste cyclemore » in the Midwest and what the relative impact of waste reduction, recycling, incineration and land disposal might be on Illinois` and the Midwest`s solid waste management program. Investigation of special programs in the Midwest dealing with sewage sludge, combustion residuals and medical/infectious wastes. Review of the status of existing landfills in Illinois and the Midwest and an examination of the current plans for siting of new land disposal systems. Review of the status of incinerators and waste-to-energy systems in Illinois and the Midwest, as well as an update on activities to maximize methane production from landfills in the Midwest.« less

Air traffic control specialist visual scanning II : task load, visual noise, and intrusions into controlled airspace.

DOT National Transportation Integrated Search

1999-12-01

The Federal Aviation Administration (FAA) started an Air Traffic Control Specialist (ATCS) information-scanning program a number : of years ago. The goal is to learn about how controllers use information displays and develop techniques for reducing a...

Improving cancer patients' pain: the impact of the hospital specialist palliative care team.

PubMed

Jack, B; Hillier, V; Williams, A; Oldham, J

2006-12-01

Pain is reported to occur in the majority of patients with advanced cancer and is one of the main reasons for referral to a hospital specialist palliative care team. Yet despite this, there is a paucity of research into the impact the hospital specialist palliative care team has on pain control in patients. A non-equivalent control group design using a quota sample investigated 100 cancer patients who had been admitted to hospital for symptom control. Fifty patients received specialist hospital palliative care team intervention compared with 50 patients receiving traditional care. Outcome was assessed using the Palliative Care Assessment (PACA) tool on three occasions. There was no difference between the groups on the initial assessment and the results indicated that all cancer patients admitted to hospital had a significant improvement in their pain control. However, the patients who had the additional input of the palliative care team demonstrated a statistically significant greater improvement than the control group (P<0.001). Potential explanations are made for the results including the enhanced knowledge and skills of the hospital specialist palliative care team.

Motivational Profiles and Motivation for Lifelong Learning of Medical Specialists.

PubMed

van der Burgt, Stéphanie M E; Kusurkar, Rashmi A; Wilschut, Janneke A; Tjin A Tsoi, Sharon L N M; Croiset, Gerda; Peerdeman, Saskia M

2018-05-22

Medical specialists face the challenge of maintaining their knowledge and skills and continuing professional development, that is, lifelong learning. Motivation may play an integral role in many of the challenges facing the physician workforce today including maintenance of a high performance. The aim of this study was to determine whether medical specialists show different motivational profiles and if these profiles predict differences in motivation for lifelong learning. An online questionnaire was sent to every medical specialist working in five hospitals in the Netherlands. The questionnaire included the validated Multidimensional Work Motivation Scale and the Jefferson Scale of Physician Lifelong Learning together with background questions like age, gender, and type of hospital. Respondents were grouped into different motivational profiles by using a two-step clustering approach. Four motivational profiles were identified: (1) HAMC profile (for High Autonomous and Moderate Controlled motivation), (2) MAMC profile (for Moderate Autonomous and Moderate Controlled motivation), (3) MALC profile (for Moderate Autonomous and Low Controlled motivation), and (4) HALC profile (for High Autonomous and Low Controlled motivation). Most of the female specialists that work in an academic hospital and specialists with a surgical specialty were represented in the HALC profile. Four motivational profiles were found among medical specialists, differing in gender, experience and type of specialization. The profiles are based on the combination of autonomous motivation (AM) and controlled motivation (CM) in the specialists. The profiles that have a high score on autonomous motivation have a positive association with lifelong learning.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

Military Curriculum Materials for Vocational and Technical Education. Plumbing Specialist 3-2. Volume 1.

ERIC Educational Resources Information Center

Ohio State Univ., Columbus. National Center for Research in Vocational Education.

This individualized, self-paced course for independent study in plumbing was adapted from military curriculum materials for use in vocational education. The course provides the theory to accompany on-the-job training in the plumbing trade. It provides basic information on job safety and tools, waste systems, and water supply systems and fixtures.…

Asthma management in a specialist setting: Results of an Italian Respiratory Society survey.

PubMed

Braido, Fulvio; Baiardini, Ilaria; Alleri, Pietro; Bacci, Elena; Barbetta, Carlo; Bellocchia, Michela; Benfante, Alida; Blasi, Francesco; Bucca, Caterina; Busceti, Maria Teresa; Centanni, Stefano; Colanardi, Maria Cristina; Contoli, Marco; Corsico, Angelo; D'Amato, Maria; Di Marco, Fabiano; Marco, Dottorini; Ferrari, Marta; Florio, Giovanni; Fois, Alessandro Giuseppe; Foschino Barbaro, Maria Pia; Silvia, Garuti; Girbino, Giuseppe; Grosso, Amelia; Latorre, Manuela; Maniscalco, Sara; Mazza, Francesco; Mereu, Carlo; Molinengo, Giorgia; Ora, Josuel; Paggiaro, Pierluigi; Patella, Vincenzo; Pelaia, Girolamo; Pirina, Pietro; Proietto, Alfio; Rogliani, Paola; Santus, Pierachille; Scichilone, Nicola; Simioli, Francesca; Solidoro, Paolo; Terraneo, Silvia; Zuccon, Umberto; Canonica, Giorgio Walter

2017-06-01

Asthma considerably impairs patients' quality of life and increases healthcare costs. Severity, morbidity, and degree of disease control are the major drivers of its clinical and economic impact. National scientific societies are required to monitor the application of international guidelines and to adopt strategies to improve disease control and better allocate resources. to provide a detailed picture of the characteristics of asthma patients and modalities of asthma management by specialists in Italy and to develop recommendations for the daily management of asthma in a specialist setting. A quantitative research program was implemented. Data were collected using an ad hoc questionnaire developed by a group of specialists selected by the Italian Pneumology Society/Italian Respiratory Society. The records of 557 patients were analyzed. In the next few years, specialists are expected to focus their activity patients with more severe disease and will be responsible for selection of patients for personalized biological therapy; however, only 20% of patients attending Italian specialist surgery can be considered severe. In 84.4% of cases, the visit was a follow-up visit requested in 82.2% of cases by the specialist him/herself. The Asthma Control Test is used only in 65% of patients. When available, a significant association has been observed between the test score and asthma control as judged by the physician, although concordance was only moderate (κ = 0.68). Asthma was considered uncontrolled by the specialist managing the case in 29.1% of patients; nevertheless, treatment was not stepped up in uncontrolled or partly controlled patients (modified in only 37.2% of patients). The results of this survey support re-evaluation of asthma management by Italian specialists. More resources should be made available for the initial visit and for more severely ill patients. In addition, more extensive use should be made of validated tools, and available drugs should be used more appropriately. Copyright © 2017 Elsevier Ltd. All rights reserved.

Impact of referral letters on scheduling of hospital appointments: a randomised control trial.

PubMed

Jiwa, Moyez; Meng, Xingqiong; O'Shea, Carolyn; Magin, Parker; Dadich, Ann; Pillai, Vinita

2014-07-01

Communication is essential for triage, but intervention trials to improve it are scarce. Referral Writer (RW), a referral letter software program, enables documentation of clinical data and extracts relevant patient details from clinical software. To evaluate whether specialists are more confident about scheduling appointments when they receive more information in referral letters. Single-blind, parallel-groups, controlled design with a 1:1 randomisation. Australian GPs watched video vignettes virtually. GPs wrote referral letters after watching vignettes of patients with cancer symptoms. Letter content was scored against a benchmark. The proportions of referral letters triagable by a specialist with confidence, and in which the specialist was confident the patient had potentially life-limiting pathology were determined. Categorical outcomes were tested with χ(2) and continuous outcomes with t-tests. A random-effects logistic model assessed the influence of group randomisation (RW versus control), GP demographics, clinical specialty, and specialist referral assessor on specialist confidence in the information provided. The intervention (RW) group referred more patients and scored significantly higher on information relayed (mean difference 21.6 [95% confidence intervals {CI} = 20.1 to 23.2]). There was no difference in the proportion of letters for which specialists were confident they had sufficient information for appointment scheduling (RW 77.7% versus control 80.6%, P = 0.16). In the logistic model, limited agreement among specialists contributed substantially to the observed differences in appointment scheduling (P = 35% [95% CI 16% to 59%]). In isolation, referral letter templates are unlikely to improve the scheduling of specialist appointments, even when more information is relayed. © British Journal of General Practice 2014.

Results of a hospital waste survey in private hospitals in Fars province, Iran

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

Askarian, Mehrdad; Vakili, Mahmood; Kabir, Gholamhosein

2004-07-01

Hospital waste is considered dangerous because it may possess pathogenic agents and can cause undesirable effects on human health and the environment. In Iran, neither rules have been compiled nor does exact information exist regarding hospital waste management. The survey presented in this article was carried out in all 15 private hospitals of Fars province (Iran) from the total numbers of 50 governmental and private hospitals located in this province, in order to determine the amount of different kinds of waste produced and the present situation of waste management. The results indicated that the waste generation rate is 4.45 kg/bed/day,more » which includes 1830 kg (71.44%) of domestic waste, 712 kg (27.8%) of infectious waste, and 19.6 kg (0.76%) of sharps. Segregation of the different types of waste is not carried out perfectly. Two (13.3%) of the hospitals use containers without lids for on-site transport of wastes. Nine (60%) of the hospitals are equipped with an incinerator and six of them (40%) have operational problems with the incinerators. In all hospitals municipal workers transport waste outside the hospital premises daily or at the most on alternative days. In the hospitals under study, there aren't any training courses about hospital waste management and the hazards associated with them. The training courses that are provided are either ineffective or unsuitable. Performing extensive studies all over the country, compiling and enacting rules, establishing standards and providing effective personnel training are the main challenges for the concerned authorities and specialists in this field.« less

Human factors for air traffic control specialists : a user's manual for your brain

DOT National Transportation Integrated Search

1999-11-01

This document presents the findings of human factors research and other information useful to air traffic control specialists in a succinct and easy-to-read format. Topics include: controller-pilot voice communications, memory, fatigue and the effect...

Human factors for air traffic control specialists: a user's manual for your brain.

DOT National Transportation Integrated Search

1999-11-01

This document presents the findings of human factors research and other information useful to air traffic control specialists in a succinct and easy-to-read format. Topics include: controller-pilot voice communications, memory, fatigue, and the effec...

Toward the development of a new selection battery for air traffic control specialists.

DOT National Transportation Integrated Search

1979-09-01

In an effort to update and refine the selection battery for air traffic controllers, five experimental tests measuring aptitudes and skills considered important in air traffic work were administered to newly selected Air Traffic Control Specialist (A...

Manpower Requirements for Air Traffic Control and Flight Service Specialists in Indiana.

ERIC Educational Resources Information Center

Purdue Univ., Lafayette, IN. Office of Manpower Studies.

As of January 1, 1968 the Federal Aviation Administration (FAA) of the United States Department of Transportation employed 6,963 controllers in airport towers, 7,617 controllers in Air Route Traffic Control Centers, and 4,459 flight service specialists at airport locations. Projected needs are as follows: (1) Controllers in airport towers:…

Evaluation of an alternative method for hiring air traffic control specialists with prior military experience.

DOT National Transportation Integrated Search

1992-01-01

This study was conducted to assess an FAA program to hire former military air traffic control specialists to enter ATC field training directly without first attending the Academy screening program. Selection of military controllers was based on meeti...

Air traffic control specialist performance measurement database.

DOT National Transportation Integrated Search

1999-06-01

The Air Traffic Control Specialist (ATCS) Performance Measurement Database is a compilation of performance measures and : measurement techniques that researchers have used. It may be applicable to other human factor research related to air traffic co...

A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering Rates.

PubMed

Chien, Alyna T; Lehmann, Lisa Soleymani; Hatfield, Laura A; Koplan, Kate E; Petty, Carter R; Sinaiko, Anna D; Rosenthal, Meredith B; Sequist, Thomas D

2017-04-01

Prior studies have demonstrated how price transparency lowers the test-ordering rates of trainees in hospitals, and physician-targeted price transparency efforts have been viewed as a promising cost-controlling strategy. To examine the effect of displaying paid-price information on test-ordering rates for common imaging studies and procedures within an accountable care organization (ACO). Block randomized controlled trial for 1 year. A total of 1205 fully licensed clinicians (728 primary care, 477 specialists). Starting January 2014, clinicians in the Control arm received no price display; those in the intervention arms received Single or Paired Internal/External Median Prices in the test-ordering screen of their electronic health record. Internal prices were the amounts paid by insurers for the ACO's services; external paid prices were the amounts paid by insurers for the same services when delivered by unaffiliated providers. Ordering rates (orders per 100 face-to-face encounters with adult patients): overall, designated to be completed internally within the ACO, considered "inappropriate" (e.g., MRI for simple headache), and thought to be "appropriate" (e.g., screening colonoscopy). We found no significant difference in overall ordering rates across the Control, Single Median Price, or Paired Internal/External Median Prices study arms. For every 100 encounters, clinicians in the Control arm ordered 15.0 (SD 31.1) tests, those in the Single Median Price arm ordered 15.0 (SD 16.2) tests, and those in the Paired Prices arms ordered 15.7 (SD 20.5) tests (one-way ANOVA p-value 0.88). There was no difference in ordering rates for tests designated to be completed internally or considered to be inappropriate or appropriate. Displaying paid-price information did not alter how frequently primary care and specialist clinicians ordered imaging studies and procedures within an ACO. Those with a particular interest in removing waste from the health care system may want to consider a variety of contextual factors that can affect physician-targeted price transparency.

Childhood Attention-Deficit/Hyperactivity Disorder Prescribing by Prescriber Type and Specialty in Oregon Medicaid.

PubMed

Klein, Tracy A; Panther, Shannon; Woo, Teri; Odom-Maryon, Tamara; Daratha, Kenn

2016-08-01

This study compares nurse practitioner (NP) and physician (MD/DO) prescribing patterns for treatment of children with an attention-deficit/hyperactivity disorder (ADHD)-related diagnosis covered by Oregon Medicaid from 2012 to 2013. This study is a limited data set review of Oregon pharmacy claims for youth aged 3-18 at time of prescription fill, who were continuously enrolled for at least 10 months of the index year. Claims with selected ICD-9 codes (n = 197,364) were further defined by 30-day prescriptions and prescription drug events (PDE) linked to each prescriber type of interest. Descriptive statistical analysis of variables included prescriber type (NP vs. physician) and specialty (generalist vs. specialist), child age, and controlled versus noncontrolled drug type. A total of 82,754 complete 30-day prescriptions for 10,753 children from 1785 unique prescribers (78 NP specialists; 303 NP generalists; 162 physician specialists; and 1242 physician generalist prescribers) and 16,669 PDE were analyzed. Physicians prescribed more than 81% of all ADHD medications, and physician generalists prescribed nearly 60% of all prescriptions. Sixty-four percent of 30-day supply prescriptions (n = 52,678) were controlled substances. Generalists, both NPs and physician prescribers, prescribed controlled medications more often than specialists. Physician specialists consistently prescribed controlled substances for all age groups, while NP specialists prescribed more controlled substances as child age increased. Rates of controlled medications prescribed generally increased, as children got older, regardless of provider type. NPs overall prescribe in a similar pattern to physicians when given the authority to prescribe controlled substances for ADHD. Comparisons between prescriber types for controlled substance prescribing by age should be explored further to identify possible variance from national guidelines.

Impact of referral letters on scheduling of hospital appointments: a randomised control trial

PubMed Central

Jiwa, Moyez; Meng, Xingqiong; O’Shea, Carolyn; Magin, Parker; Dadich, Ann; Pillai, Vinita

2014-01-01

Background Communication is essential for triage, but intervention trials to improve it are scarce. Referral Writer (RW), a referral letter software program, enables documentation of clinical data and extracts relevant patient details from clinical software. Aim To evaluate whether specialists are more confident about scheduling appointments when they receive more information in referral letters. Design and setting Single-blind, parallel-groups, controlled design with a 1:1 randomisation. Australian GPs watched video vignettes virtually. Method GPs wrote referral letters after watching vignettes of patients with cancer symptoms. Letter content was scored against a benchmark. The proportions of referral letters triagable by a specialist with confidence, and in which the specialist was confident the patient had potentially life-limiting pathology were determined. Categorical outcomes were tested with χ2 and continuous outcomes with t-tests. A random-effects logistic model assessed the influence of group randomisation (RW versus control), GP demographics, clinical specialty, and specialist referral assessor on specialist confidence in the information provided. Results The intervention (RW) group referred more patients and scored significantly higher on information relayed (mean difference 21.6 [95% confidence intervals {CI} = 20.1 to 23.2]). There was no difference in the proportion of letters for which specialists were confident they had sufficient information for appointment scheduling (RW 77.7% versus control 80.6%, P = 0.16). In the logistic model, limited agreement among specialists contributed substantially to the observed differences in appointment scheduling (P = 35% [95% CI 16% to 59%]). Conclusion In isolation, referral letter templates are unlikely to improve the scheduling of specialist appointments, even when more information is relayed. PMID:24982494

Air traffic control specialist decision making and strategic planning : a field survey

DOT National Transportation Integrated Search

2001-03-01

This study investigated Air Traffic Control Specialists' perspective regarding decision making and planning and related cognitive processes such as learning, memory, and situation awareness. The results of 100 semi-structured interviews indicated tha...

Organizational Analysis of Food Service Management

DTIC Science & Technology

2011-06-01

35  d.  Senior Culinary Specialists on “Twilight” Tour ...................35  e.  NAVSUP Controls Quality of Life...Supply Centers COMSUBFOR Commander Submarine Force CS Culinary Specialist CSCS Culinary Specialist Senior Chief CVN Carrier Vessel Nuclear DDG Guided...attention of the Culinary Specialists. The type of assist visit can be tailored to the requirements identified by the requesting command. Normally

The relationships between chronological age, length of experience, and job performance ratings of air route traffic control specialists.

DOT National Transportation Integrated Search

1967-06-01

The survey-type study of several hundred journeymen radar control specialists of four Air Route Traffic Control Centers was conducted in order to determine the extent to which job performance might be associative with chronological age and length of ...

Ophthalmic requirements and considerations for the en route air traffic control specialist : an ergonomic analysis of the visual work environment.

DOT National Transportation Integrated Search

1996-04-01

The Federal Air Surgeon requested continued investigation of visual disorders and vision corrective devices as to their relevance to the medical certification of airmen and controllers. The en route Air Traffic Control Specialist (ATCS) works with a ...

Three studies of biographical factors associated with success in air traffic control specialist screening/training at the FAA Academy.

DOT National Transportation Integrated Search

1983-04-01

The current Air Traffic Control Specialist (ATCS) selection procedure requires that all applicants pass the Office of Personnel Management (OPM) air traffic control aptitude test. In addition to the test scores, applicants may also receive points for...

NASA/ESA CV-990 Spacelab Simulation (ASSESS 2)

NASA Technical Reports Server (NTRS)

1977-01-01

Cost effective techniques for addressing management and operational activities on Spacelab were identified and analyzed during a ten day NASA-ESA cooperative mission with payload and flight responsibilities handled by the organization assigned for early Spacelabs. Topics discussed include: (1) management concepts and interface relationships; (2) experiment selection; (3) hardware development; (4) payload integration and checkout; (5) selection and training of mission specialists and payload specialists; (6) mission control center/payload operations control center interactions with ground and flight problems; (7) real time interaction during flight between principal investigators and the mission specialist/payload specialist flight crew; and (8) retrieval of scientific data and its analysis.

Negotiating jurisdiction in the workplace: a multiple-case study of nurse prescribing in hospital settings.

PubMed

Kroezen, M; Mistiaen, P; van Dijk, L; Groenewegen, P P; Francke, A L

2014-09-01

This paper reports on a multiple-case study of prescribing by nurse specialists in Dutch hospital settings. Most analyses of interprofessional negotiations over professional boundaries take a macro sociological approach and ignore workplace jurisdictions. Yet boundary blurring takes place and healthcare professionals renegotiate formal policies in the workplace. This paper studies the division of jurisdictional control over prescribing between nurse specialists and medical specialists in the workplace, and examines the relationship between workplace jurisdiction and legal jurisdiction over prescribing. Data collection took place in the Netherlands during the first half of 2013. The study used in-depth interviews with fifteen nurse specialists and fourteen medical specialists, non-participant observation of nurse specialists' prescribing consultations and document analysis. Great variety was found in the extent to which and way in which nurse specialists' legal prescriptive authority had been implemented. These findings suggest that there is considerable discrepancy between the division of jurisdictional control over prescribing at the macro (legal) level and the division at the micro (workplace) level. Copyright © 2014 Elsevier Ltd. All rights reserved.

Construction, Startup and Operation of a New LLRW Disposal Facility in Andrews County, Texas - 12151

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

Van Vliet, James A.

2012-07-01

During this last year, Waste Control Specialists LLC (WCS) completed construction and achieved start of operations of a new low level radioactive waste (LLRW) disposal facility in Andrews County Texas. Disposal operations are underway for commercial LLRW, and start up evolutions are in progress for disposal of Department of Energy (DOE) LLRW. The overall approach to construction and start up are presented as well as some of the more significant challenges and how they were addressed to achieve initial operations of the first new commercial low level radioactive waste disposal facility in more than 30 years. The WCS disposal facilitymore » consists of two LLRW disposal cells, one for Texas Compact waste, and a separate disposal cell for DOE waste. Both disposal cells have very robust and unique designs. The cells themselves are constructed entirely in very low permeability red bed clay. The cell liners include a 0.91 meter thick clay liner meeting unprecedented permeability limits, 0.3 meter thick reinforced concrete barriers, as well as the standard geo-synthetic liners. Actions taken to meet performance criteria and install these liners will be discussed. Consistent with this highly protective landfill design, WCS chose to install a zero discharge site water management system. The considerations behind the design and construction of this system will be presented. Other activities essential to successful start of LLRW disposal operations included process and procedure development and refinement, staffing and staff development, and training. Mock ups were built and used for important evolutions and functions. Consistent with the extensive regulation of LLRW operations, engagement with the Texas Commission on Environmental Quality (TCEQ) was continuous and highly interactive. This included daily activity conference calls, weekly coordination calls and numerous topical conference calls and meetings. TCEQ staff and consultants frequently observed specific construction evolutions, such as geological feature mapping of designated excavation faces, disposal cell clay liner installation, disposal cell concrete barrier construction, etc. (author)« less

Development, validation, and fairness of a biographical data questionnaire for the air traffic control specialist occupation.

DOT National Transportation Integrated Search

2012-12-01

Development and validation of a biographical data (biodata) instrument for selection into the Air Traffic : Control Specialist occupation is described. Bootstrapping was used to estimate correlations between item : responses to the Applicant Ba...

Incremental Validity of Biographical Data in the Prediction of En Route Air Traffic Control Specialist Technical Skills

DOT National Transportation Integrated Search

2012-07-01

Previous research demonstrated that an empirically-keyed, response-option scored biographical data (biodata) : scale predicted supervisory ratings of air traffic control specialist (ATCS) job performance (Dean & Broach, : 2011). This research f...

Validity of clinical color vision tests for air traffic control specialists.

DOT National Transportation Integrated Search

1992-10-01

An experiment on the relationship between aeromedical color vision screening test performance and performance on color-dependent tasks of Air Traffic Control Specialists was replicated to expand the data base supporting the job-related validity of th...

Studies of poststrike air traffic control specialist trainees. II., Selection and screening programs.

DOT National Transportation Integrated Search

1988-07-01

Specific contributions of aviation psychologists to the selection and Academy training of FAA air traffic control specialists are presented in an historical context. Research results which formed the basis for the written aptitude selection tests, Th...

Relationships of Type A behavior with biographical characteristics and training performance of air traffic control specialists.

DOT National Transportation Integrated Search

1994-07-01

While there has been a considerable amount of research concerning the relationships between various cognitive measures and the selection and subsequent performance of Air Traffic Control Specialists (ATCSs), data concerning the potential importance o...

Problems in air traffic management. VII., Job training performance of air traffic control specialists - measurement, structure, and prediction.

DOT National Transportation Integrated Search

1965-07-01

A statistical study of training- and job-performance measures of several hundred Air Traffic Control Specialists (ATCS) representing Enroute, Terminal, and Flight Service Station specialties revealed that training-performance measures reflected: : 1....

Performance of air traffic control specialists (ATCS'S) on a laboratory radar monitoring task : an exploratory study of complacency and a comparison of ATCS and non-ATCS performance.

DOT National Transportation Integrated Search

1982-04-01

The role of the air traffic control specialist (ATCS) is proposed highly automated air traffic systems of the future is currently receiving considerable attention. At the present time, a prevalent conception of the controller's role in such systems i...

Validation of the Federal Aviation Administration Air Traffic Control Specialist Pre-Training Screen.

DOT National Transportation Integrated Search

1994-02-01

Two formal validation studies of the Air Traffic Control Specialist Pre Training Screen (ATCS/PTS), a 5 day computer administered test battery, are described. The ATCS/PTS was designed to replace the 9 week US Federal Aviation Administration (FAA) Ac...

A formative evaluation of the collegiate training initiative--air traffic control specialist (CTI-ATCS) program.

DOT National Transportation Integrated Search

1996-02-01

This report describes the initial formative evaluation of the Federal Aviation Administration (FAA) College Training Initiative - Air Traffic Control Specialist (CTI-ATCS) Program. The purpose of the CTI-ATCS program is to test "the concept that non-...

Fidelity of Implementation in Project Towards No Drug Abuse (TND): A Comparison of Classroom Teachers and Program Specialists

PubMed Central

Dent, Clyde W.; Skara, Silvana; Sun, Ping; Sussman, Steve

2011-01-01

This paper presents the results of an effectiveness trial of Project Towards No Drug Abuse [TND], in which we compared program delivery by regular classroom teachers and program specialists within the same high schools. Within 18 schools that were randomly assigned to the program or control conditions, health classrooms were assigned to program delivery by teachers or (outside) specialists. Classroom sessions were observed by pairs of observers to assess three domains of implementation fidelity: adherence, classroom process, and perceived student acceptance of the program. Pre- and immediate posttest survey data were collected from 2331 students. Of the four composite indexes of implementation fidelity that were examined, only one (quality of delivery) showed a difference between specialists and teachers, with marginally higher ratings of specialists (p < .10). Both teachers and program specialists achieved effects on three of the five immediate outcome measures, including program-specific knowledge, addiction concern, and social self-control. Students’ posttest ratings of the program overall and the quality of program delivery failed to reveal differences between the teacher- and specialist-led classrooms. These results suggest that motivated, trained classroom teachers can implement evidence-based prevention programs with fidelity and achieve immediate effects. PMID:17180722

[Research activity in clinical biochemistry].

PubMed

Jørgensen, Henrik L; Larsen, Birger; Ingwersen, Peter; Rehfeld, Jens F

2008-09-01

Quantitative bibliometric measurements of research activity are frequently used, e.g. for evaluating applicants for academic positions. The purpose of this investigation is to assess research activity within the medical speciality of Clinical Biochemistry by comparing it with a matched control group from other medical specialities in Denmark. A list of all physicians registered in Denmark (23,127 persons) was drawn from the database "Laeger.dk". Of these, 5,202 were generalists (not included) while 11,691 were from other specialities. Of the 126 specialists from Clinical Biochemistry, 57 fulfilled the inclusion criteria. Each of these 57 was matched according to medical title with two randomly chosen specialists from other specialities, totaling 114. Using Medline and the Web of Science, the number of publications and the number of citations were then ascertained. 25% of the 11,691 specialists held a PhD degree or doctoral degree, DMSci, (Clinical Biochemistry: 61%). The 171 specialists included in the study had 9,823 papers in Medline and 10,140 papers in the Web of Science. The number of Medline papers per specialist was 71 for Clinical Biochemistry compared to 51 for the control group. The number of citations per specialist was 1,844 for Clinical Biochemistry compared to 816 for the control group. The top ten H-indices (of which 8 were in Clinical Biochemistry) ranged from 30 to 69. Both the number of papers and the number of citations were higher for Clinical Biochemistry than for the control group. The difference was most pronounced among professors.

Association between the 2012 Health and Social Care Act and specialist visits and hospitalisations in England: A controlled interrupted time series analysis.

PubMed

Lopez Bernal, James A; Lu, Christine Y; Gasparrini, Antonio; Cummins, Steven; Wharam, J Frank; Soumerai, Steven B

2017-11-01

The 2012 Health and Social Care Act (HSCA) in England led to among the largest healthcare reforms in the history of the National Health Service (NHS). It gave control of £67 billion of the NHS budget for secondary care to general practitioner (GP) led Clinical Commissioning Groups (CCGs). An expected outcome was that patient care would shift away from expensive hospital and specialist settings, towards less expensive community-based models. However, there is little evidence for the effectiveness of this approach. In this study, we aimed to assess the association between the NHS reforms and hospital admissions and outpatient specialist visits. We conducted a controlled interrupted time series analysis to examine rates of outpatient specialist visits and inpatient hospitalisations before and after the implementation of the HSCA. We used national routine hospital administrative data (Hospital Episode Statistics) on all NHS outpatient specialist visits and inpatient hospital admissions in England between 2007 and 2015 (with a mean of 26.8 million new outpatient visits and 14.9 million inpatient admissions per year). As a control series, we used equivalent data on hospital attendances in Scotland. Primary outcomes were: total, elective, and emergency hospitalisations, and total and GP-referred specialist visits. Both countries had stable trends in all outcomes at baseline. In England, after the policy, there was a 1.1% (95% CI 0.7%-1.5%; p < 0.001) increase in total specialist visits per quarter and a 1.6% increase in GP-referred specialist visits (95% CI 1.2%-2.0%; p < 0.001) per quarter, equivalent to 12.7% (647,000 over the 5,105,000 expected) and 19.1% (507,000 over the 2,658,000 expected) more visits per quarter by the end of 2015, respectively. In Scotland, there was no change in specialist visits. Neither country experienced a change in trends in hospitalisations: change in slope for total, elective, and emergency hospitalisations were -0.2% (95% CI -0.6%-0.2%; p = 0.257), -0.2% (95% CI -0.6%-0.1%; p = 0.235), and 0.0% (95% CI -0.5%-0.4%; p = 0.866) per quarter in England. We are unable to exclude confounding due to other events occurring around the time of the policy. However, we limited the likelihood of such confounding by including relevant control series, in which no changes were seen. Our findings suggest that giving control of healthcare budgets to GP-led CCGs was not associated with a reduction in overall hospitalisations and was associated with an increase in specialist visits.

Association between the 2012 Health and Social Care Act and specialist visits and hospitalisations in England: A controlled interrupted time series analysis

PubMed Central

Lu, Christine Y.; Wharham, J. Frank; Soumerai, Steven B.

2017-01-01

Background The 2012 Health and Social Care Act (HSCA) in England led to among the largest healthcare reforms in the history of the National Health Service (NHS). It gave control of £67 billion of the NHS budget for secondary care to general practitioner (GP) led Clinical Commissioning Groups (CCGs). An expected outcome was that patient care would shift away from expensive hospital and specialist settings, towards less expensive community-based models. However, there is little evidence for the effectiveness of this approach. In this study, we aimed to assess the association between the NHS reforms and hospital admissions and outpatient specialist visits. Methods and findings We conducted a controlled interrupted time series analysis to examine rates of outpatient specialist visits and inpatient hospitalisations before and after the implementation of the HSCA. We used national routine hospital administrative data (Hospital Episode Statistics) on all NHS outpatient specialist visits and inpatient hospital admissions in England between 2007 and 2015 (with a mean of 26.8 million new outpatient visits and 14.9 million inpatient admissions per year). As a control series, we used equivalent data on hospital attendances in Scotland. Primary outcomes were: total, elective, and emergency hospitalisations, and total and GP-referred specialist visits. Both countries had stable trends in all outcomes at baseline. In England, after the policy, there was a 1.1% (95% CI 0.7%–1.5%; p < 0.001) increase in total specialist visits per quarter and a 1.6% increase in GP-referred specialist visits (95% CI 1.2%–2.0%; p < 0.001) per quarter, equivalent to 12.7% (647,000 over the 5,105,000 expected) and 19.1% (507,000 over the 2,658,000 expected) more visits per quarter by the end of 2015, respectively. In Scotland, there was no change in specialist visits. Neither country experienced a change in trends in hospitalisations: change in slope for total, elective, and emergency hospitalisations were −0.2% (95% CI −0.6%–0.2%; p = 0.257), −0.2% (95% CI −0.6%–0.1%; p = 0.235), and 0.0% (95% CI −0.5%–0.4%; p = 0.866) per quarter in England. We are unable to exclude confounding due to other events occurring around the time of the policy. However, we limited the likelihood of such confounding by including relevant control series, in which no changes were seen. Conclusions Our findings suggest that giving control of healthcare budgets to GP-led CCGs was not associated with a reduction in overall hospitalisations and was associated with an increase in specialist visits. PMID:29135978

Relationships of anxiety scores to academy and field training performance of air traffic control specialists.

DOT National Transportation Integrated Search

1989-05-01

State-trait anxiety scores were used prior to the 1981 strike of air traffic control specialists (ATCSs) to estimate perceived levels of job stress in field studies of this occupational group. The present study assessed the relationship between anxie...

Evaluation of functional color vision requirements and current color vision screening tests for air traffic control specialists.

DOT National Transportation Integrated Search

1990-08-01

An experiment was conducted to evaluate the relation of type and degree of color vision deficiency and aeromedical color vision screening test scores to performance of color-dependent tasks of Air Traffic Control Specialists. The subjects included 37...

STS-98 Flight Control Team Photo in the WFCR

NASA Image and Video Library

2001-01-08

JSC2001-00001 (January 2001) --- The STS-98 astronaut crew poses with about five dozen flight controllers making up its ascent/entry team in the shuttle flight control room of the Johnson Space Center's Mission Control Center (MCC). Standing with the STS-98 insignia is flight director LeRoy Cain. He is flanked by astronauts Marsha S. Ivins, mission specialist, and Kenneth D. Cockrell, mission commander. Behind Cockrell is astronaut Robert L. Curbeam, Jr., mission specialist; and behind Ivins and Cain is astronaut Mark L. Polansky, pilot. Astronaut Thomas D. Jones, mission specialist (blue shirt) stands near the flight director sign. Astronaut Scott D. Altman, CAPCOM or Spacecraft Communicator, is immediately behind Cain. Launch is currently scheduled for February 6, 2001.

[The fiscal position of medical specialists].

PubMed

Stevens, S; Moors, M

2013-01-01

Independent medical specialists in the Netherlands are treated as entrepreneurs for tax purposes and therefore enjoy tax benefits. A change in the legal relationship between medical specialists and hospitals is foreseen in 2015. Independent medical specialists will then no longer be considered to be entrepreneurs. This could negatively affect their tax position. The Dutch government has adopted a policy aimed at controlling expenses arising from medical specialists' fees. According to this policy, the formation of regional practices or mega-practices of specialists will be discouraged. In contrast, the current fiscal legislation encourages medical specialists to incorporate their practice into regional practices or mega-practices or to become shareholders of their hospitals. It has been proposed that fiscal benefits be linked to certain aspects of entrepreneurship, such as investing in medical equipment or employing medical personnel.

A facility specialist model for improving retention of nursing home staff: results from a randomized, controlled study.

PubMed

Pillemer, Karl; Meador, Rhoda; Henderson, Charles; Robison, Julie; Hegeman, Carol; Graham, Edwin; Schultz, Leslie

2008-07-01

This article reports on a randomized, controlled intervention study designed to reduce employee turnover by creating a retention specialist position in nursing homes. We collected data three times over a 1-year period in 30 nursing homes, sampled in stratified random manner from facilities in New York State and Connecticut and randomly assigned to treatment and control conditions. Staff outcomes were measured through certified nursing assistant interviews, and turnover rates were measured over the course of the year. In the intervention condition, a staff member was selected to be the facility retention specialist, who would advocate for and implement programs to improve staff retention and commitment throughout the facility. Retention specialists received an intensive 3-day training in retention leadership and in a number of evidence-based retention programs. Ongoing support was provided throughout the project. Treatment facilities experienced significant declines in turnover rates compared to control facilities. As predicted, we found positive effects on certified nursing assistant assessments of the quality of retention efforts and of care provided in the facility; we did not find effects for job satisfaction or stress. The study provides evidence for the effectiveness of the retention specialist model. Findings from a detailed process evaluation suggest modifications of the program that may increase program effects.

Stress, anxiety, and the air traffic control specialist : some conclusions from a decade of research.

DOT National Transportation Integrated Search

1980-09-01

This paper summarizes a decade of research evaluating possible stress effects of work on Air Traffic Control Specialists (ATCSs).Studies were conducted at a variety of large and small air traffic facilities. A visit of several days to each facility w...

The selection of air traffic control specialists. I., History and review of contributions by the Civil Aeromedical Institute.

DOT National Transportation Integrated Search

1980-06-01

For two decades the FAA Civil Aeromedical Institute (CAMI) has engaged in active research programs exploring most aspects of the problems of effectively selecting air traffic control specialists (ATCSs) for the FAA. The results of those efforts have ...

An Investigation of the Relationship Between Chronological Age and Indicators of Job Performance for Incumbent Air Traffic Control Specialists

DOT National Transportation Integrated Search

1999-06-01

Over the last few decades, researchers have consistently found a negative relationship between the age of air traffic control specialists (ATCSs) and both training success and ratings of job performance. As more ATCSs reach retirement age and the Fed...

Internal Corrosion Control of Water Supply Systems Code of Practice

EPA Science Inventory

This Code of Practice is part of a series of publications by the IWA Specialist Group on Metals and Related Substances in Drinking Water. It complements the following IWA Specialist Group publications: 1. Best Practice Guide on the Control of Lead in Drinking Water 2. Best Prac...

Validity of the air traffic control specialist nonradar screen as a predictor of performance in radar based ATC training.

DOT National Transportation Integrated Search

1994-04-01

Between January 1986 and March 1992, the Federal Aviation Administration's 42-day Nonradar Screen was used to identify Air Traffic Control Specialist (ATCS) candidates with the highest potential to succeed in the rigorous ATCS field training program....

Problems in air traffic management. VI., Interaction of training-entry age with intellectual and personality characteristics of air traffic control specialists.

DOT National Transportation Integrated Search

1965-07-01

Over 900 Enroute and Terminal Air Traffic Controller Specialist (ATCS) trainees were administered a large number of aptitude and personality tests. Examination of the relationships between the performance scores and age at entry into training reveale...

Performance of color-dependent tasks of air traffic control specialists as a function of type and degree of color vision deficiency.

DOT National Transportation Integrated Search

1992-08-01

This experiment was conducted to expand initial efforts to validate the requirement for normal color vision in Air Traffic Control Specialist (ATCS) personnel who work at en route center, terminal, and flight service station facilities. An enlarged d...

The selection of air traffic control specialists : two studies demonstrating methods to insure an accurate validity coefficient for selection devices.

DOT National Transportation Integrated Search

1979-03-01

There are several conditions that can influence the calculation of the statistical validity of a test battery such as that used to selected Air Traffic Control Specialists. Two conditions of prime importance to statistical validity are recruitment pr...

Differential prediction of FAA Academy performance on the basis of gender and written air traffic control specialist aptitude test scores.

DOT National Transportation Integrated Search

1996-04-01

The technical fairness of the written air traffic control specialist (ATCS) aptitude test battery was investigated within the framework of the Uniform Guidelines on Employee Selection Procedures (29 CFR 1607). First, the adverse impact of using a com...

The Low-Level Radioactive Waste Management Office: Thirty Years of Experience in Canada - 13308

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

Benitez, Liliana; Gardiner, Mark J.; Zelmer, Robert L.

2013-07-01

This paper reviews thirty years of progress by the Low-Level Radioactive Waste Management Office (LLRWMO) in developing and implementing low-level radioactive waste (LLRW) remediation projects and environmentally safe co-existence strategies. It reports on the present status and the future of the national historic waste program in Canada. There are over two million cubic metres of historic LLRW in Canada. Historic LLRW is broadly defined as LLRW that was managed in the past in a manner that is no longer considered acceptable and for which the original owner cannot reasonably be held accountable. In many cases, the original owner can notmore » be identified or no longer exists. The LLRWMO was established in 1982 as Canada's agent to carry out the responsibilities of the federal government for the management of historic LLRW. The LLRWMO is operated by Atomic Energy of Canada Limited (AECL) through a cost-recovery agreement with Natural Resources Canada (NRCan), the federal department that provides the funding and establishes national policy for radioactive waste management in Canada. The LLRWMO expertise includes project managers, environmental remediation specialists, radiation surveyors, communications staff and administrative support staff. The LLRWMO in providing all aspects of project oversight and implementation contracts additional resources supplementing core staff capacity as project/program demands require. (authors)« less

The use KPI's to determine the waste in production process

NASA Astrophysics Data System (ADS)

Borsos, G.; Iacob, C. C.; Calefariu, G.

2016-11-01

In theory and practice of management is well-known Lean approach about forms of waste from production processes (Muda) and the method VSM (Value Stream Map), one of the most effective methods for determining the activities generating value within industrial companies. It is also obvious concern of the specialists for performance measurement regardless of purview of the organizations. The literature review has shown that the link between performance indicators and the objectives of the companies is researched in detail. However, the correlation between indicators and the forms of waste that generate deviations from the setpoints is rather nature practical and it depends on the talent and managerial skills of those directing production processes. The paper presents the results of a applied study, performed by the authors, through which it was has sought to will create a system of performance indicators specific to manufacturing activity that to be a useful tool to quantify the losses and to determining ways to improve default losses.

Differences in quality standards when prescribing nutritional support: Differences between specialist and non-specialist physicians.

PubMed

Morán López, Jesús Manuel; Piedra León, María; Enciso Izquierdo, Fidel Jesús; Luengo Pérez, Luis Miguel; Amado Señaris, José Antonio

2016-01-01

Adequate nutritional support includes many different aspects, but poor understanding of clinical nutrition by health care professionales often results in an inadequate prescription. A study was conducted to compare enteral and parenteral nutritional support plans prescribed by specialist and non-specialist physicians. Non-specialist physicians recorded anthropometric data from only 13.3% of patients, and none of them performed nutritional assessments. Protein amounts provided by non-specialist physicians were lower than estimated based on ESPEN (10.29g of nitrogen vs 14.62; P<.001). Differences were not statistically significant in the specialist group (14.88g of nitrogen; P=.072). Calorie and glutamine provision and laboratory controls prescribed by specialists were significantly closer to those recommended by clinical guidelines. Nutritional support prescribed by specialists in endocrinology and nutrition at San Pedro de Alcántara Hospital was closer to clinical practice guideline standards and of higher quality as compared to that prescribed by non-specialists. Copyright © 2015 SEEN. Published by Elsevier España, S.L.U. All rights reserved.

Do bird assemblages predict susceptibility by e-waste pollution? A comparative study based on species- and guild-dependent responses in China agroecosystems.

PubMed

Zhang, Qiang; Wu, Jiangping; Sun, Yuxin; Zhang, Min; Mai, Bixian; Mo, Ling; Lee, Tien Ming; Zou, Fasheng

2015-01-01

Indirect effects of electronic waste (e-waste) have been proposed as a causal factor in the decline of bird populations, but analyses of the severity impacts on community assembly are currently lacking. To explore how population abundance/species diversity are influenced, and which functional traits are important in determining e-waste susceptibility, here we surveyed breeding and overwintering birds with a hierarchically nested sampling design, and used linear mixed models to analyze changes in bird assemblages along an exposure gradient in South China. Total bird abundance and species diversity decreased with e-waste severity (exposed < surrounding < reference), reflecting the decreasing discharge and consequent side effects. Twenty-five breeding species exclusively used natural farmland, and nine species decreased significantly in relative abundance at e-waste polluted sites. A high pairwise similarity between exposed and surrounding sites indicates a diffuse effect of pollutants on the species assembly at local scale. We show that sensitivity to e-waste severity varies substantially across functional guild, with the prevalence of woodland insectivorous and grassland specialists declining, while some open farmland generalists such as arboreal frugivores, and terrestrial granivores were also rare. By contrast, the response of waterbirds, omnivorous and non-breeding visitors seem to be tolerable to a wide range of pollution so far. These findings underscore that improper e-waste dismantling results in a severe decline of bird diversity, and the different bird assemblages on polluted and natural farmlands imply species- and guild-dependent susceptibility with functional traits. Moreover, a better understanding of the impact of e-waste with different pollution levels, combined multiple pollutants, and in a food-web context on bird is required in future.

Do Bird Assemblages Predict Susceptibility by E-Waste Pollution? A Comparative Study Based on Species- and Guild-Dependent Responses in China Agroecosystems

PubMed Central

Zhang, Qiang; Wu, Jiangping; Sun, Yuxin; Zhang, Min; Mai, Bixian; Mo, Ling; Lee, Tien Ming; Zou, Fasheng

2015-01-01

Indirect effects of electronic waste (e-waste) have been proposed as a causal factor in the decline of bird populations, but analyses of the severity impacts on community assembly are currently lacking. To explore how population abundance/species diversity are influenced, and which functional traits are important in determining e-waste susceptibility, here we surveyed breeding and overwintering birds with a hierarchically nested sampling design, and used linear mixed models to analyze changes in bird assemblages along an exposure gradient in South China. Total bird abundance and species diversity decreased with e-waste severity (exposed < surrounding < reference), reflecting the decreasing discharge and consequent side effects. Twenty-five breeding species exclusively used natural farmland, and nine species decreased significantly in relative abundance at e-waste polluted sites. A high pairwise similarity between exposed and surrounding sites indicates a diffuse effect of pollutants on the species assembly at local scale. We show that sensitivity to e-waste severity varies substantially across functional guild, with the prevalence of woodland insectivorous and grassland specialists declining, while some open farmland generalists such as arboreal frugivores, and terrestrial granivores were also rare. By contrast, the response of waterbirds, omnivorous and non-breeding visitors seem to be tolerable to a wide range of pollution so far. These findings underscore that improper e-waste dismantling results in a severe decline of bird diversity, and the different bird assemblages on polluted and natural farmlands imply species- and guild-dependent susceptibility with functional traits. Moreover, a better understanding of the impact of e-waste with different pollution levels, combined multiple pollutants, and in a food-web context on bird is required in future. PMID:25811881

Studies of poststrike air traffic control specialist trainees. I., Age, biographic factors, and selection test performance related to academy training success.

DOT National Transportation Integrated Search

1984-06-01

The August 1981 strike of air traffic control specialists (ATCS's) and their subsequent firing led to the air traffic strike recovery program, which included the unprecedented hiring and basic training of over 8,000 ATCS applicants in a 2-year period...

Comparison of performance on the Shipley Institute of Living Scale, air traffic control specialist selection test, and FAA Academy screen.

DOT National Transportation Integrated Search

1992-11-01

This study was conducted to establish norms for ATCS personnel on a group test of intellectual functioning, the Shipley Institute of Living Scale (SILS), to screen subjects for future research on the effects of Air Traffic Control Specialist (ATCS) r...

Some effects of 8- vs 10-hour work schedules on the test performance/alertness of air traffic control specialists.

DOT National Transportation Integrated Search

1995-12-01

A 10-hour, 4-day rotating shift schedule worked by some Air Traffic Control Specialists (ATCSs) was compared to the more traditional 8-hour, 2-2-1 rapidly rotating schedule. Measures of performance and alertness were obtained from a group of 52 ATCSs...

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

Boucher, Laurel A.

Successful collaboration requires effective communication and collective problem solving. Regardless of the subject area --- environmental remediation, waste management, program planning and budgeting --- those involved must focus their efforts in an orderly and cooperative manner. A thinking tool is a technique used to get individuals to focus on specific components of the task at the same time and to eliminate the 'noise' that accompanies communications among individuals with different objectives and different styles of communicating. For example, one of these thinking tools is a technique which enables a working group to delineate its roles, responsibilities and communication protocols somore » that it can deliver the right information to the right people at the right time. Another enables a group to objectively and collectively evaluate and improve a policy, plan, or program. A third technique enables a group to clarify its purpose and direction while generating interest and buy-in. A fourth technique makes it possible for a group with polarized opinions to acknowledge their differences as well as what they have in common. A fifth technique enables a group to consider a subject of importance from all perspectives so as to produce a more comprehensive and sustainable solution. These thinking tools make effective communication and collective problem solving possible in radioactive waste management and remediation. They can be used by a wide spectrum of professionals including policy specialists, program administrators, program and project managers, and technical specialists. (author)« less

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

Witherspoon, P.A.

The problem of isolating radioactive wastes from the biosphere presents specialists in the fields of earth sciences with some of the most complicated problems they have ever encountered. This is especially true for high level waste (HLW) which must be isolated in the underground and away from the biosphere for thousands of years. Essentially every country that is generating electricity in nuclear power plants is faced with the problem of isolating the radioactive wastes that are produced. The general consensus is that this can be accomplished by selecting an appropriate geologic setting and carefully designing the rock repository. Much newmore » technology is being developed to solve the problems that have been raised and there is a continuing need to publish the results of new developments for the benefit of all concerned. The 28th International Geologic Congress that was held July 9--19, 1989 in Washington, DC provided an opportunity for earth scientists to gather for detailed discussions on these problems. Workshop W3B on the subject, Geological Problems in Radioactive Waste Isolation -- A World Wide Review'' was organized by Paul A Witherspoon and Ghislain de Marsily and convened July 15--16, 1989 Reports from 19 countries have been gathered for this publication. Individual papers have been cataloged separately.« less

An EHR Prototype Using Structured ISO/EN 13606 Documents to Respond to Identified Clinical Information Needs of Diabetes Specialists: A Controlled Study on Feasibility and Impact

PubMed Central

Huebner-Bloder, Gudrun; Duftschmid, Georg; Kohler, Michael; Rinner, Christoph; Saboor, Samrend; Ammenwerth, Elske

2012-01-01

Cross-institutional longitudinal Electronic Health Records (EHR), as introduced in Austria at the moment, increase the challenge of information overload of healthcare professionals. We developed an innovative cross-institutional EHR query prototype that offers extended query options, including searching for specific information items or sets of information items. The available query options were derived from a systematic analysis of information needs of diabetes specialists during patient encounters. The prototype operates in an IHE-XDS-based environment where ISO/EN 13606-structured documents are available. We conducted a controlled study with seven diabetes specialists to assess the feasibility and impact of this EHR query prototype on efficient retrieving of patient information to answer typical clinical questions. The controlled study showed that the specialists were quicker and more successful (measured in percentage of expected information items found) in finding patient information compared to the standard full-document search options. The participants also appreciated the extended query options. PMID:23304308

Consumer satisfaction among patients and their general practitioners about involving nurse specialists in primary care for patients with urinary incontinence.

PubMed

Albers-Heitner, Pytha; Winkens, Ron; Berghmans, Bary; Joore, Manuela; Nieman, Fred; Severens, Johan; Lagro-Janssen, Toine

2013-06-01

Urinary incontinence (UI) is a very common problem, but existing guidelines on UI are not followed. To bring care in line with guidelines, we planned an intervention to involve nurse specialists on UI in primary care and assessed this in a randomised controlled trial. Alongside this intervention, we assessed consumer satisfaction among patients and general practitioners (GPs). Patients' satisfaction with the care provided by either nurse specialists (intervention group) or GPs (control group), respectively, was measured with a self-completed questionnaire. GPs' views on the involvement of nurse specialists were measured in a structured telephone interview. The patient satisfaction score on the care offered by nurse specialists was 8.4 (scale 1-10), vs. 6.7 for care-as-usual by GPs. Over 85% of patients would recommend nurse specialist care to their best friends and 77% of the GPs considered the role of the nurse specialist to be beneficial, giving it a mean score of 7.2. Although the sample was relatively small and the stability of the results only provisionally established, substituting UI care from GP to nurse specialist appears to be welcomed by both patients and GPs. Small changes like giving additional UI-specific information and devoting more attention to UI (which had been given little attention before) would provide a simple instrument to stimulate patients to change their behaviour in the right direction. © 2012 Nordic College of Caring Science.

International Atomic Energy Agency specialists meeting on experience in ageing, maintenance, and modernization of instrumentation and control systems for improving nuclear power plant availability

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

Not Available

1993-10-01

This report presents the proceedings of the Specialist`s Meeting on Experience in Aging, Maintenance and Modernization of Instrumentation and Control Systems for Improving Nuclear Power Plant Availability that was held at the Ramada Inn in Rockville, Maryland on May 5--7, 1993. The Meeting was presented in cooperation with the Electric Power Research Institute, Oak Ridge National Laboratory and the International Atomic Energy Agency. There were approximately 65 participants from 13 countries at the Meeting. Individual reports have been cataloged separately.

Preferential edge habitat colonization by a specialist weevil, Rhinoncomimus latipes (Coleoptera: Curculionidae)

Treesearch

J.A. Hough-Goldstein; E. Lake; V. D' Amico; S.H. Berg

2012-01-01

Understanding the behavioral basis of dispersal and colonization is critical in biological control systems, where success of a natural enemy depends in part on its ability to find and move to new host patches. We studied behavior of the specialist weevil Rhinoncomimus latipes Korotyaev, a biological control agent of mile-a-minute weed, ...

Problems in air traffic management. IV., Comparison of pre-employment, job-related experience with aptitude tests as predictors of training and job performance of air traffic control specialists.

DOT National Transportation Integrated Search

1963-12-01

In addition to passing a second class aviation medical examination, individuals applying for training as an Air Traffic Control Specialist (ATCS) with the Federal Aviation Agency have, in the past, been required to have previous experience which was ...

Impact of the introduction of a specialist critical care pharmacist on the level of pharmaceutical care provided to the critical care unit.

PubMed

Richter, Anja; Bates, Ian; Thacker, Meera; Jani, Yogini; O'Farrell, Bryan; Edwards, Caroline; Taylor, Helen; Shulman, Rob

2016-08-01

To evaluate the impact of a dedicated specialist critical care pharmacist service on patient care at a UK critical care unit (CCU). Pharmacist intervention data was collected in two phases. Phase 1 was with the provision of a non-specialist pharmacist chart review service and Phase 2 was after the introduction of a specialist dedicated pharmacy service. Two CCUs with established critical care pharmacist services were used as controls. The impact of pharmacist interventions on optimising drug therapy or preventing harm from medication errors was rated on a 4-point scale. There was an increase in the mean daily rate of pharmacist interventions after the introduction of the specialist critical care pharmacist (5.45 versus 2.69 per day, P < 0.0005). The critical care pharmacist intervened on more medication errors preventing potential harm and optimised more medications. There was no significant change to intervention rates at the control sites. Across all study sites the majority of pharmacist interventions were graded to have at least moderate impact on patient care. The introduction of a specialist critical care pharmacist resulted in an increased rate of pharmacist interventions compared to a non-specialist pharmacist service thus improving the quality of patient care. © 2016 The Authors. IJPP © 2016 Royal Pharmaceutical Society.

Human factors in waste management - potential and reality

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

Thompson, J.S.

There is enormous potential for human factors contributions in the realm of waste management. The reality, however, is very different from the potential. This is particularly true for low-level and low-level mixed-waste management. The hazards are less severe; therefore, health and safety requirements (including human factors) are not as rigorous as for high-level waste. High-level waste management presents its own unique challenges and opportunities. Waste management is strongly driven by regulatory compliance. When regulations are flexible and open to interpretation and the environment is driven so strongly by regulatory compliance, standard practice is to drop {open_quotes}nice to have{close_quotes} features, likemore » a human factors program, to save money for complying with other requirements. The challenge is to convince decision makers that human factors can help make operations efficient and cost-effective, as well as improving safety and complying with regulations. A human factors program should not be viewed as competing with compliance efforts; in fact, it should complement them and provide additional cost-effective means of achieving compliance with other regulations. Achieving this synergy of human factors with ongoing waste management operations requires educating program and facility managers and other technical specialists about human factors and demonstrating its value {open_quotes}through the back door{close_quotes} on existing efforts. This paper describes ongoing projects at Los Alamos National Laboratory (LANL) in support of their waste management groups. It includes lessons learned from hazard and risk analyses, safety analysis reports, job and task analyses, operating procedure development, personnel qualification/certification program development, and facility- and job-specific training program and course development.« less

A Facility Specialist Model for Improving Retention of Nursing Home Staff: Results from a Randomized, Controlled Study

ERIC Educational Resources Information Center

Pillemer, Karl; Meador, Rhoda; Henderson, Charles, Jr.; Robison, Julie; Hegeman, Carol; Graham, Edwin; Schultz, Leslie

2008-01-01

Purpose: This article reports on a randomized, controlled intervention study designed to reduce employee turnover by creating a retention specialist position in nursing homes. Design and Methods: We collected data three times over a 1-year period in 30 nursing homes, sampled in stratified random manner from facilities in New York State and…

KSC00pp1761

NASA Image and Video Library

2000-11-18

KENNEDY SPACE CENTER, FLA. -- In Orbiter Processing Facility bay 3, the STS-98 crew talks with United Space Alliance worker Larry Oshein (right). Standing left to right are Mission Specialist Robert Curbeam, Commander Ken Cockrell, Mission Specialist Tom Jones, and Mission Specialists Mark Polansky and Marsha Ivins. The crew is at KSC for Crew Equipment Interface Test activities. Launch on mission STS-98 is scheduled for Jan. 18, 2001. It will be transporting the U.S. Lab, Destiny, to the International Space Station with five system racks already installed inside of the module. After delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated

KSC-00pp1761

NASA Image and Video Library

2000-11-18

KENNEDY SPACE CENTER, FLA. -- In Orbiter Processing Facility bay 3, the STS-98 crew talks with United Space Alliance worker Larry Oshein (right). Standing left to right are Mission Specialist Robert Curbeam, Commander Ken Cockrell, Mission Specialist Tom Jones, and Mission Specialists Mark Polansky and Marsha Ivins. The crew is at KSC for Crew Equipment Interface Test activities. Launch on mission STS-98 is scheduled for Jan. 18, 2001. It will be transporting the U.S. Lab, Destiny, to the International Space Station with five system racks already installed inside of the module. After delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated

Functional specialization in regulation and quality control in thermal adaptive evolution.

PubMed

Yama, Kazuma; Matsumoto, Yuki; Murakami, Yoshie; Seno, Shigeto; Matsuda, Hideo; Gotoh, Kazuyoshi; Motooka, Daisuke; Nakamura, Shota; Ying, Bei-Wen; Yomo, Tetsuya

2015-11-01

Distinctive survival strategies, specialized in regulation and in quality control, were observed in thermal adaptive evolution with a laboratory Escherichia coli strain. The two specialists carried a single mutation either within rpoH or upstream of groESL, which led to the activated global regulation by sigma factor 32 or an increased amount of GroEL/ES chaperonins, respectively. Although both specialists succeeded in thermal adaptation, the common winner of the evolution was the specialist in quality control, that is, the strategy of chaperonin-mediated protein folding. To understand this evolutionary consequence, multilevel analyses of cellular status, for example, transcriptome, protein and growth fitness, were carried out. The specialist in quality control showed less change in transcriptional reorganization responding to temperature increase, which was consistent with the finding of that the two specialists showed the biased expression of molecular chaperones. Such repressed changes in gene expression seemed to be advantageous for long-term sustainability because a specific increase in chaperonins not only facilitated the folding of essential gene products but also saved cost in gene expression compared with the overall transcriptional increase induced by rpoH regulation. Functional specialization offered two strategies for successful thermal adaptation, whereas the evolutionary advantageous was more at the points of cost-saving in gene expression and the essentiality in protein folding. © 2015 The Authors. Genes to Cells published by Molecular Biology Society of Japan and Wiley Publishing Asia Pty Ltd.

Surveying air traffic control specialist perception of scheduling regulations

NASA Astrophysics Data System (ADS)

Thompson, Darrius E.

While there have been several studies conducted on air traffic controller fatigue, there is a lack of research on the subject since the scheduling policy changes that took place in 2012. The effectiveness of these changes has yet to be measured. The goal of this study was to investigate air traffic control specialist views towards the number of hours scheduled between shifts, changes in perception since 2012 regulation changes, and external factors that impact fatigue. A total of 54 FAA air traffic control specialist completed an online questionnaire. The results from the survey showed that the majority of respondents felt the 2012 regulation changes were not sufficient to address fatigue issues, and work with some amount sleep deprivation. The factors that appeared to have the most significant effect on fatigue included facility level, age group, availability of recuperative breaks, and children under 18 in the home.

From the promotion of biodiversity to the Recovery of organic waste

NASA Astrophysics Data System (ADS)

Jammoukh, Mustapha; Mansouri, Khalifa; Salhi, Bachir

2018-05-01

This article presents an empirical research to classify a new renewable resource material, as opposed to eco-composites, it has been neglected by the materials specialist. This classification is based on the typology of elastic behavior demonstrated by tensile tests. In addition, some identifying criterions of the usefulness of this material were examined. To justify the relevance of this classification, curves from the extension of tests focusing on the virgin material, illustrate significant results of the review. Obtained from waste, having a significant recycling possibilities and potential from renewable resources, bio-mechanically characterized loads will be injected into polymeric materials of different categories. All in the perspective of promoting changes in thermomechanical properties, whether static or dynamic; such as resistance to corrosion, heat, wear… They result in functional changes such as security, relief, coatings and stability…

Parent training for Attention Deficit/Hyperactivity Disorder: is it as effective when delivered as routine rather than as specialist care?

PubMed

Sonuga-Barke, Edmund J S; Thompson, Margaret; Daley, David; Laver-Bradbury, Cathy

2004-11-01

The effectiveness of parent training (PT) when delivered as part of specialist tier-two services for preschool AD/HD children has been recently demonstrated. To assess the effectiveness of the same PT programme when delivered as part of routine primary care by non-specialist nurses. A sample of 89 3-year-old children with preschool AD/HD took part in a controlled trial of an eight-week (one hour a week), health visitor delivered, PT package. Children, allocated randomly to PT (n = 59) and waiting list control (WLC; n = 30) groups, were compared. PT did not reduce AD/HD symptoms. Maternal well-being decreased in both PT and WLC groups. While PT is an effective intervention for preschool AD/HD when delivered in specialized settings, these benefits do not appear to generalize when programme are delivered as part of routine primary care by non-specialist nurses.

Impact of specialist home-based palliative care services in a tertiary oncology set up: a prospective non-randomized observational study.

PubMed

Dhiliwal, Sunil R; Muckaden, Maryann

2015-01-01

Home-based specialist palliative care services are developed to meet the needs of the patients in advanced stage of cancer at home with physical symptoms and distress. Specialist home care services are intended to improve symptom control and quality of life, enable patients to stay at home, and avoid unnecessary hospital admission. Total 690 new cases registered under home-based palliative care service in the year 2012 were prospectively studied to assess the impact of specialist home-based services using Edmonton symptom assessment scale (ESAS) and other parameters. Out of the 690 registered cases, 506 patients received home-based palliative care. 50.98% patients were cared for at home, 28.85% patients needed hospice referral and 20.15% patients needed brief period of hospitalization. All patients receiving specialist home care had good relief of physical symptoms (P < 0.005). 83.2% patients received out of hours care (OOH) through liaising with local general practitioners; 42.68% received home based bereavement care and 91.66% had good bereavement outcomes. Specialist home-based palliative care improved symptom control, health-related communication and psychosocial support. It promoted increased number of home-based death, appropriate and early hospice referral, and averted needless hospitalization. It improved bereavement outcomes, and caregiver satisfaction.

Corrosion Control Specialist Career Ladder AFSC 53530, 53550, 53570, and 53690

DTIC Science & Technology

1975-03-01

AD-AO08 189 CORROSION CONTROL SPECIALIST CAREER LADDER AFSC 53530, 53550, 53570, AND 53690 Air Force Occupational Measurement Center Lackland Air... Force Base, Texas 1 March 1975 I DISTRIBUTED BY: National Technical Information Service U. S. DEPARTMENT OF COMMERCE *I 11 5091 OCCUPATIONAL SURVEY...DISCUSSION OF BACKGROUJND INFORMATION --------------------------- xxvi 01L< R PREFACE This report presents the results cf detailed Air Force

The Development of a Technical Conceptual Structure for the Concepts Possessed by Selected Quality Control Specialists. Report of a Research Project.

ERIC Educational Resources Information Center

Nee, John G.

This project had as its specific objective the development and field testing of a procedure for identifying the structure of technical concepts possessed by a group of selected quality control specialists. The associative theory of verbal behavior served as the rationale by which conceptual structures depicted by graphical maps of technical…

Comparing specialist medical care with specialist medical care plus the Lightning Process for chronic fatigue syndrome or myalgic encephalomyelitis (CFS/ME): study protocol for a randomised controlled trial (SMILE Trial).

PubMed

Crawley, Esther; Mills, Nicola; Hollingworth, Will; Deans, Zuzana; Sterne, Jonathan A; Donovan, Jenny L; Beasant, Lucy; Montgomery, Alan

2013-12-26

Chronic fatigue syndrome or myalgic encephalomyelitis (CFS/ME) is a relatively common and potentially serious condition with a limited evidence base for treatment. Specialist treatment for paediatric CFS/ME uses interventions recommended by National Institute for Health and Clinical Excellence (NICE) including cognitive behavioural therapy, graded exercise therapy and activity management. The Lightning Process (LP) is a trademarked intervention derived from osteopathy, life-coaching and neuro-linguistic programming, delivered over three consecutive days as group sessions. Although over 250 children with CFS/ME attend LP courses each year, there are no reported studies on the effectiveness or cost-effectiveness. This pragmatic randomised controlled trial is set within a specialist paediatric CFS/ME service in the south west of England. Children and young people with CFS/ME (n = 80 to 112), aged 12 to 18 years old will be randomised to specialist medical care (SMC) or SMC plus the LP. The primary outcome will be physical function (SF-36 physical function short form) and fatigue (Chalder Fatigue Scale). This study will tell us whether adding the LP to SMC is effective and cost-effective compared to SMC alone. This study will also provide detailed information on the implementation of the LP and SMC. Current Controlled Trials ISRCTN81456207 (31 July 2012).

[Mobile geriatric consultant services for rest homes. Study of the effects of consultations by internal medicine specialists in the medical care of rest home residents].

PubMed

Schippinger, W; Hartinger, G; Hierzer, A; Osprian, I; Bohnstingl, M; Pilgram, E H

2012-12-01

Hospital admissions are frequent among long-term residents of nursing homes and can result in detrimental complications affecting the patients' somatic, psychological, and cognitive status. In this prospective controlled study, we investigated the effects of a mobile geriatric consultant service (GECO) offered by specialists in internal medicine on frequency of hospitalizations in nursing home residents. During a 10-month observation period, residents in a control nursing home received medical attendance by general practitioners as is common in Austrian nursing homes. Residents in the intervention nursing home also received the medical service of GECO. Within the group of rest home residents receiving GECO support, a statistically significant lower frequency of acute transports to hospitals was observed in comparison to residents of the control nursing home (mean number of acute transports to hospitals/100 residents/month: 6.1 versus 11.7; p < 0.01). The number of planned non-acute hospital and specialist office presentations was also lower in the intervention nursing home (mean number of hospital and specialist office presentations/100 residents/month: 14.4 versus 18.0); however, this difference did not reach statistical significance. This study shows that a mobile medical geriatric consultant service based on specialists in internal medicine can improve medical care in nursing homes resulting in a statistically significant reduction of acute transports to hospitals.

Building sustainability indicators in the health dimension for solid waste management 1

PubMed Central

Veiga, Tatiane Bonametti; Coutinho, Silvano da Silva; Andre, Silvia Carla Silva; Mendes, Adriana Aparecida; Takayanagui, Angela Maria Magosso

2016-01-01

ABSTRACT Objective: to prepare a list of sustainability indicators in the health dimension, for urban solid waste management. Methods: a descriptive and exploratory study performed jointly with 52 solid waste specialists, using a three-steps Delphi technique, and a scale measuring the degree of importance for agreement among the researchers in this area. Results: the subjects under study were 92,3% PhD's concentrated in the age group from 30 to 40 years old (32,7%) and 51% were men. At the end of the 3rd step of the Delphi process, the average and standard deviation of all the proposed indicators varied from 4,22 (±0,79) to 4,72 (±0,64), in a scale of scores for each indicator from 1 to 5 (from "dispensable" to "very important"). Results showed the level of correspondence among the participants ranging from 82% to 94% related to those indicators. Conclusion: the proposed indicators may be helpful not only for the identification of data that is updated in this area, but also to enlarge the field of debates of the environmental health policies, directed not only for urban solid waste but for the achievement of better health conditions for the Brazilian context. PMID:27508905

Basic diagnosis of solid waste generated at Agua Blanca State Park to propose waste management strategies.

PubMed

Laines Canepa, José Ramón; Zequeira Larios, Carolina; Valadez Treviño, Maria Elena Macías; Garduza Sánchez, Diana Ivett

2012-03-01

State parks are highly sensitive areas of great natural importance and tourism value. Herein a case study involving a basic survey of solid waste which was carried out in 2006 in Agua Blanca State Park, Macuspana, Tabasco, Mexico with two sampling periods representing the high and low tourist season is presented. The survey had five objectives: to find out the number of visitors in the different seasons, to consider the daily generation of solid waste from tourist activities, to determine bulk density, to select and quantify sub-products; and to suggest a possible treatment. A daily average of 368 people visited the park: 18,862 people in 14 days during the high season holiday (in just one day, Easter Sunday, up to 4425 visitors) and 2092 visitors in 43 days during the low season. The average weight of the generated solid waste was 61.267 kg day(-1) and the generated solid waste average per person was 0.155 kg person(-1 ) day(-1). During the high season, the average increased to 0.188 kg person(-1 ) day(-1) and during the low season, the average decreased to 0.144 kg person(-1 ) day(-1). The bulk density average was 75.014 kg m(-3), the maximum value was 92.472 kg m(-3) and the minimum was 68.274 kg m(-3). The sub-products comprised 54.52% inorganic matter; 32.03% organic matter, 10.60% non-recyclable and 2.85% others. Based on these results, waste management strategies such as reuse/recycling, aerobic and anaerobic digestion, the construction of a manual landfill and the employment of a specialist firm were suggested.

Basal insulin initiation in primary vs. specialist care: similar glycaemic control in two different patient populations.

PubMed

Orozco-Beltran, D; Pan, C; Svendsen, A L; Faerch, L; Caputo, S

2016-03-01

To investigate the effect of healthcare provider (HCP) type (primary vs. specialist) on glycaemic control and other treatment parameters. Study of Once-Daily Levemir (SOLVE(™) ) is an international, 24-week, observational study of insulin initiation in people with type 2 diabetes. A total of 17,374 subjects were included, comprising 4144 (23.9%) primary care subjects. Glycaemic control improved in both HCP groups from baseline to final visit [glycated haemoglobin (HbA1c) -1.2 ± 1.4% (-13.1 ± 15.3 mmol/mol) and -1.3 ± 1.6% (-14.2 ± 17.5 mmol/mol), respectively]. After adjustment for known confounders, there was no statistically significant effect of HCP group on final HbA1c [-0.04%, 95% confidence interval (CI) -0.09 to -0.01 (-0.4 mmol/mol, 95% CI -1.0-0.1 mmol/mol), p = 0.1590]. However, insulin doses at the final visit were higher in primary care patients (+0.06, 95% CI 0.06-0.07 U/kg, p < 0.0001). Logistic regression demonstrated a significant effect of HCP type (primary vs. specialist care) on hypoglycaemia risk [odds ratio (OR) 0.75, 95% CI 0.64-0.87, p = 0.0002]. Primary care physicians took more time to train patients and had more frequent contact with patients than specialists (both p < 0.0001). Primary care physicians and specialists achieved comparable improvements in glycaemic control following insulin initiation. © 2016 The Authors. International Journal of Clinical Practice Published by John Wiley & Sons Ltd.

Assessing Prior Experience in the Selection of Air Traffic Control Specialists

DTIC Science & Technology

2013-04-01

Crosstabulation --------------------------B1 APPENDIX C: IFR Operations Experience • Academy Training Performance Crosstabulation ---------C1 APPENDIX...Control Specialist (ATCS) rating? (n=9,333) BQ35 – Do you have prior Instrument Flight Rules ( IFR ) operations experience? (n = 9,349) 2. Hold or...not have a prior ATCS rating. Do you have prior IFR (Instrument Flight Rules) Operations experience? Of the 9,349 respondents to this question

Training Medical Specialists to Communicate Better with Patients with Medically Unexplained Physical Symptoms (MUPS). A Randomized, Controlled Trial

PubMed Central

Weiland, Anne; Blankenstein, Annette H.; Van Saase, Jan L. C. M.; Van der Molen, Henk T.; Jacobs, Mariël E.; Abels, Dineke C.; Köse, Nedim; Van Dulmen, Sandra; Vernhout, René M.; Arends, Lidia R.

2015-01-01

Background Patients with medically unexplained physical symptoms (MUPS) are prevalent 25–50% in general and specialist care. Medical specialists and residents often find patients without underlying pathology difficult to deal with, whereas patients sometimes don’t feel understood. We developed an evidence-based communication training, aimed to improve specialists’ interviewing, information-giving and planning skills in MUPS consultations, and tested its effectiveness. Methods The intervention group in this multi-center randomized controlled trial received a 14-hour training program to which experiential learning and feedback were essential. Using techniques from Cognitive Behavioral Therapy, they were stimulated to seek interrelating factors (symptoms, cognitions, emotions, behavior, and social environment) that reinforced a patient’s symptoms. They were taught to explain MUPS understandably, reassure patients effectively and avoid unnecessary diagnostic testing. Before and after the intervention training, specialists videotaped a total of six consultations with different MUPS patients. These were evaluated to assess doctors’ MUPS-focused communicating skills using an adapted version of the Four Habit Coding Scheme on five-point Likert scales. Participants evaluated the training by self-report on three-point Likert scales. Doctors in the control group received training after completion of the study. Results 123 doctors (40% specialists, 60% residents) and 478 MUPS patients from 11 specialties were included; 98 doctors completed the study (80%) and 449 videotaped consultations were assessed. Trained doctors interviewed patients more effectively than untrained ones (p < 0.001), summarized information in a more patient-centered way (p = 0.001), and better explained MUPS and the role of perpetuating factors (p < 0.05). No effects on planning skills were found. On a 3-point scale the training was evaluated with 2.79. Conclusion MUPS-focused communication training increases the interviewing and information-giving skills of medical specialists. We recommend that the training is incorporated in postgraduate education for medical specialists and residents who frequently encounter patients with MUPS. Trial Registration Dutch Trial Registration NTR2612 PMID:26381400

A multicentre non-blinded randomised controlled trial to assess the impact of regular early specialist symptom control treatment on quality of life in malignant mesothelioma (RESPECT-MESO): study protocol for a randomised controlled trial.

PubMed

Gunatilake, Samal; Brims, Fraser J H; Fogg, Carole; Lawrie, Iain; Maskell, Nick; Forbes, Karen; Rahman, Najib; Morris, Steve; Ogollah, Reuben; Gerry, Stephen; Peake, Mick; Darlison, Liz; Chauhan, Anoop J

2014-09-19

Malignant pleural mesothelioma is an incurable cancer caused by exposure to asbestos. The United Kingdom has the highest death rate from mesothelioma in the world and this figure is increasing. Median survival is 8 to 12 months, and most patients have symptoms at diagnosis. The fittest patients may be offered chemotherapy with palliative intent. For patients not fit for systemic anticancer treatment, best supportive care remains the mainstay of management. A study from the United States examining advanced lung cancer showed that early specialist palliative care input improved patient health related quality of life and depression symptoms 12 weeks after diagnosis. While mesothelioma and advanced lung cancer share many symptoms and have a poor prognosis, oncology and palliative care services in the United Kingdom, and many other countries, vary considerably compared to the United States. The aim of this trial is to assess whether regular early symptom control treatment provided by palliative care specialists can improve health related quality of life in patients newly diagnosed with mesothelioma. This multicentre study is an non-blinded, randomised controlled, parallel group trial. A total of 174 patients with a new diagnosis of malignant pleural mesothelioma will be minimised with a random element in a 1:1 ratio to receive either 4 weekly regular early specialist symptom control care, or standard care. The primary outcome is health related quality of life for patients at 12 weeks. Secondary outcomes include health related quality of life for patients at 24 weeks, carer health related quality of life at 12 and 24 weeks, patient and carer mood at 12 and 24 weeks, overall survival and analysis of healthcare utilisation and cost. Current practice in the United Kingdom is to involve specialist palliative care towards the final weeks or months of a life-limiting illness. This study aims to investigate whether early, regular specialist care input can result in significant health related quality of life gains for patients with mesothelioma and if this change in treatment model is cost-effective. The results will be widely applicable to many institutions and patients both in the United Kingdom and internationally. Current controlled trials ISRCTN18955704. Date ISRCTN assigned: 31 January 2014.

Heating Systems Specialist.

ERIC Educational Resources Information Center

Air Force Training Command, Sheppard AFB, TX.

This instructional package is intended for use in training Air Force personnel enrolled in a program for apprentice heating systems specialists. Training includes instruction in fundamentals and pipefitting; basic electricity; controls, troubleshooting, and oil burners; solid and gas fuel burners and warm air distribution systems; hot water…

Stress in air traffic personnel : low-density towers and flight service stations.

DOT National Transportation Integrated Search

1977-09-01

Stress and anxiety levels were measured in 10 air traffic control specialists (ATCS) at two low-traffic-density towers, Fayetteville (FYV), Arkansas, and Roswell (ROW), New Mexico, and in 24 flight service (FS) specialists at Oklahoma City (OKC), Okl...

STS-35 MS Hoffman and MS Parker on the middeck of Columbia, OV-102

NASA Image and Video Library

1990-12-10

STS035-49-029 (2-10 Dec 1990) --- Posing on the middeck of Columbia, Orbiter Vehicle (OV) 102, are Mission Specialist (MS) Jeffrey A. Hoffman (mustache) and MS Robert A. R. Parker. Determining who is right side up is complicated by the microgravity of space. Hoffman's head is at the middeck floor and his feet are at the ceiling. The two crewmembers are in front of OV-102's port side with the waste collection system (WCS) contingency unit, side hatch, and galley visible behind them.

U.S. Department of Energy Implementation of Chemical Evaluation Requirements for Transuranic Waste Disposal at the Waste Isolation Pilot Plant

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

Moon, Alison; Barkley, Michelle; Poppiti, James

This report summarizes new controls designed to ensure that transuranic waste disposed at the Waste Isolation Pilot Plant (WIPP) does not contain incompatible chemicals. These new controls include a Chemical Compatibility Evaluation, an evaluation of oxidizing chemicals, and a waste container assessment to ensure that waste is safe for disposal. These controls are included in the Chapter 18 of the Documented Safety Analysis for WIPP (1).

Improved Sweetpotato Whitefly and Potato Psyllid Control in Tomato by Combining the Mirid Dicyphus hesperus (Heteroptera: Miridae) With Specialist Parasitic Wasps.

PubMed

Calvo, F J; Torres-Ruiz, A; Velázquez-González, J; Rodríguez-Leyva, E; Lomeli-Flores, J R

2018-04-02

Bemisia tabaci Gennadius (Hemiptera: Aleyrodidae) and Bactericera cockerelli Sulcer (Hemiptera: Psyllidae) are important pests in tomato, and the mirid Dicyphus hesperus Knight (Heteroptera: Miridae) has been shown as an effective predator of both pests. Although the predator was able to suppress populations of both pests, the remaining levels could still exceed tolerable levels. Thus, we here hypothesized whether the combination of D. hesperus with the specialist parasitoids Eretmocerus eremicus Rose y Zolnerowich (Hymenoptera: Aphelinidae) (whitefly) and Tamarixia triozae (Burks) (Hymenoptera: Eulophidae) (psyllid) would result in better pest control on a greenhouse scale. For that, we conducted a trial in which we compared the results against B. tabaci and B. cockerelli in greenhouses treated with D. hesperus alone or the predator in combination with the specialist parasitoids. The results showed that the predator was able to establish and suppress B. tabaci and B. cockerelli in tomato, but the addition of the specialist parasitoids resulted in better and more cost-effective pest control. Implementation of this method would therefore increase the robustness and reliability of biocontrol-based integrated pest management programmes for tomato crops, over methods based exclusively on D. hesperus release.

Poor glycemic control as a reason for referral of diabetes patients to specialists in Israel

PubMed Central

Fogelman, Yacov; Karkabi, Khaled; Goldfracht, Margalit

2016-01-01

Aims/introduction Family physicians face the dilemma of when to refer patients with diabetes to specialists. This study examined attitudes of family physicians to referring patients with poor glucose control to diabetes specialists. Materials and methods At continuous medical education courses, family physicians were asked to respond anonymously, as to whether they generally manage the diabetes of their patients, and specifically those with poor glycemic control (HbA1c>9.0%). Results Of 470 respondents, 426 (90%) reported that they generally manage their patients’ diabetes; 202 (43%) reported that they manage the diabetes of patients with HbA1c>9.0%. Board certification in family medicine and affiliation to a health maintenance organization, but not sex, age, years of professional experience, or the proportion of patients with diabetes at their clinics, were associated with referral practices. Conclusions Family medicine residency and organizational support appear to promote treatment by family physicians of patients with poorly controlled diabetes in the primary care setting. PMID:27124172

Paediatric specialist registrars' views of educational supervision and how it can be improved: a questionnaire study.

PubMed

Lloyd, B W; Becker, D

2007-08-01

To determine what paediatric specialist registrars think of the educational supervision they have received and what advice they would give to a consultant who wanted to be a more effective educational supervisor. A questionnaire study. The North Thames Deanery, UK. 129 year 3, 4 or 5 paediatric specialist registrars in the North Thames Deanery. Reported value of educational supervision on a Likert scale; what elements of educational supervision were reported to be most useful; what elements of educational supervision were reported to be done poorly; what advice would specialist registrars give to a consultant who wanted to be a more effective educational supervisor. 86/129 specialist registrars responded (67%). The mean score on the Likert scale (0-a complete waste of time; 100-excellent) was 57 with 37% of respondents giving a score of less than 50. The most valued aspects of educational supervision were: feedback on performance--cited by 50 respondents (56% of respondents); career advice--cited by 43 (48%); objective setting--cited by 36 (40%); pastoral support--cited by 25 (28%). Aspects of educational supervision that were reported to be often not done well were: commitment to educational supervision--cited by 44 respondents (49% of respondents); ensuring sessions are bleep-free-cited by 43 (48%); listening rather than talking--cited by 23 (26%); being encouraging--cited by 18 (20%). Advice to consultants about how to improve educational supervision included: listen rather than talk; be encouraging; treat the trainee as an individual with individual needs. We can find no other study of trainees' views about how educational supervision can be improved. Although some trainees found educational supervision very valuable, many did not. Educational supervision should only be carried out by consultants who are committed to the task. An educational supervisor should listen carefully in order to understand the trainee's individual ambitions and needs, should provide specific feedback on performance and should be encouraging.

Parts Specialist.

ERIC Educational Resources Information Center

Fuqua, Lou; Fuqua, Debbie

Designed to address the skills that an auto parts specialist must master in order to be effective in the market place, this manual consists of 13 units of instruction. Covered in the units are orientation; human relations; communications; safety; parts and systems identification; stocking, shipping, and receiving; inventory control; cataloging and…

Validation of enhanced stabilization of municipal solid waste under controlled leachate recirculation using FTIR and XRD.

PubMed

Sethi, Sapna; Kothiyal, N C; Nema, Arvind K

2012-07-01

Leachate recirculation at neutral PH accompanied with buffer/nutrients addition has been used successfully in earlier stabilization of municipal solid waste in bioreactor landfills. In the present study, efforts were made to enhance the stabilization rate of municipal solid waste (MSW) and organic solid waste (OSW) in simulated landfill bioreactors by controlling the pH of recirculated leachate towards slightly alkaline side in absence of additional buffer and nutrients addition. Enhanced stabilization in waste samples was monitored with the help of analytical tools like Fourier Transform Infrared Spectroscopy (FTIR) and X-Ray Diffraction (XRD). Predominance of bands assigned to inorganic compounds and comparatively lower intensities of bands for organic compounds in the FTIR spectra of waste samples degraded with leachate recirculation under controlled pH confirmed higher rate of biodegradation and mineralization of waste than the samples degraded without controlled leachate recirculation. XRD spectra also confirmed to a greater extent of mineralization in the waste samples degraded under leachate recirculation with controlled pH. Comparison of XRD spectra of two types of wastes pointed out higher degree of mineralization in organic solid waste as compared to municipal solid waste.

STS-98 crew members take part in CEIT

NASA Technical Reports Server (NTRS)

2000-01-01

STS-98 Mission Specialist Robert Curbeam (right) raises his arms as he checks out equipment inside the U.S. Lab, Destiny. At left of center is Mission Specialist Marsha Ivins. Curbeam and Ivins, along with other crew members, are taking part in Crew Equipment Interface Test activities becoming familiar with equipment they will be handling during the mission. Others in the crew are Commander Ken Cockrell, Pilot Mark Polansky and Mission Specialist Thomas Jones. The mission will be transporting the Lab to the International Space Station with five system racks already installed inside of the module. With delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated. The STS-98 launch is scheduled for Jan. 18, 2001.

Host plant invests in growth rather than chemical defense when attacked by a specialist herbivore.

PubMed

Arab, Alberto; Trigo, José Roberto

2011-05-01

Plant defensive compounds may be a cost rather than a benefit when plants are attacked by specialist insects that may overcome chemical barriers by strategies such as sequestering plant compounds. Plants may respond to specialist herbivores by compensatory growth rather than chemical defense. To explore the use of defensive chemistry vs. compensatory growth we studied Brugmansia suaveolens (Solanaceae) and the specialist larvae of the ithomiine butterfly Placidina euryanassa, which sequester defensive tropane alkaloids (TAs) from this host plant. We investigated whether the concentration of TAs in B. suaveolens was changed by P. euryanassa damage, and whether plants invest in growth, when damaged by the specialist. Larvae feeding during 24 hr significantly decreased TAs in damaged plants, but they returned to control levels after 15 days without damage. Damaged and undamaged plants did not differ significantly in leaf area after 15 days, indicating compensatory growth. Our results suggest that B. suaveolens responds to herbivory by the specialist P. euryanassa by investing in growth rather than chemical defense.

Environmental Medicine Specialist (AFSC 90850).

ERIC Educational Resources Information Center

Air Univ., Gunter AFS, Ala. Extension Course Inst.

This five-volume student text is designed for use by Air Force personnel enrolled in a self-study extension course for environmental medical specialists. Covered in the individual volumes are (1) control of communicable diseases (principles of epidemiology and biology; food, waterborne, airborne, and sexually transmitted diseases; medical zoology;…

Response of pest control by generalist predators to local-scale plant diversity: a meta-analysis.

PubMed

Dassou, Anicet Gbèblonoudo; Tixier, Philippe

2016-02-01

Disentangling the effects of plant diversity on the control of herbivores is important for understanding agricultural sustainability. Recent studies have investigated the relationships between plant diversity and arthropod communities at the landscape scale, but few have done so at the local scale. We conducted a meta-analysis of 32 papers containing 175 independent measures of the relationship between plant diversity and arthropod communities. We found that generalist predators had a strong positive response to plant diversity, that is, their abundance increased as plant diversity increased. Herbivores, in contrast, had an overall weak and negative response to plant diversity. However, specialist and generalist herbivores differed in their response to plant diversity, that is, the response was negative for specialists and not significant for generalists. While the effects of scale remain unclear, the response to plant diversity tended to increase for specialist herbivores, but decrease for generalist herbivores as the scale increased. There was no clear effect of scale on the response of generalist predators to plant diversity. Our results suggest that the response of herbivores to plant diversity at the local scale is a balance between habitat and trophic effects that vary according to arthropod specialization and habitat type. Synthesis and applications. Positive effects of plant diversity on generalist predators confirm that, at the local scale, plant diversification of agroecosystems is a credible and promising option for increasing pest regulation. Results from our meta-analysis suggest that natural control in plant-diversified systems is more likely to occur for specialist than for generalist herbivores. In terms of pest management, our results indicate that small-scale plant diversification (via the planting of cover crops or intercrops and reduced weed management) is likely to increase the control of specialist herbivores by generalist predators.

Incremental Validity of Biographical Data in the Prediction of En Route Air Traffic Control Specialist Technical Skills

DTIC Science & Technology

2012-07-01

Incremental Validity of Biographical Data in the Prediction of En Route Air Traffic Control Specialist Technical Skills Dana Broach Civil Aerospace...Medical Institute Federal Aviation Administration Oklahoma City, OK 73125 July 2012 Final Report DOT/FAA/AM- 12 /8 Office of Aerospace Medicine...FAA/AM- 12 /8 4. Title and Subtitle 5. Report Date July 2012 Incremental Validity of Biographical Data in the Prediction of En Route Air

Preferential Edge Habitat Colonization by a Specialist Weevil, Rhinoncomimus latipes (Coleoptera: Curculionidae)

USDA-ARS?s Scientific Manuscript database

Understanding the behavioral basis of dispersal and colonization is critical in biological control systems, where success of a natural enemy depends in part on its ability to find and move to new host patches. We studied behavior of the specialist weevil Rhinoncomimus latipes Korotyaev, a biological...

Refrigeration and Cryogenics Specialist. J3ABR54530

ERIC Educational Resources Information Center

Air Force Training Command, Sheppard AFB, TX.

This document package contains an Air Force course used to train refrigeration and cryogenics specialists. The course is organized in six blocks designed for group instruction. The blocks cover the following topics: electrical principles; fundamentals of tubing and piping; metering devices, motor controls, domestic and commercial refrigeration;…

Post-graduate education for medical specialists focused on patients with medically unexplained physical symptoms; development of a communication skills training programme.

PubMed

Weiland, Anne; Blankenstein, Annette H; Willems, Mariëtte H A; Van Saase, Jan L C M; Van der Molen, Henk T; Van Dulmen, Alexandra M; Arends, Lidia R

2013-09-01

Stepwise description of the development of a post-graduate communication skills training programme for medical specialists focused on patients with medically unexplained physical symptoms (MUPS) to improve specialist interaction with MUPS patients. Using the 'intervention mapping approach' we accomplished a needs assessment (literature study and pilot) to formulate intervention objectives and identify methods and techniques for a MUPS-focused communication skills training programme for medical specialists. A 14-h training programme which consists of experiential learning, role-play and feedback. Using skills from Cognitive Behavioural Therapy, medical specialists are stimulated to explore interrelating factors that reinforce symptoms, to reassure patients effectively and to provide plausible and understandable explanations for MUPS. Dealing with complex referrals and informing GPs properly are also practiced. By applying the 'intervention mapping approach' we were able to create a feasible and promising intervention to improve specialist interaction with MUPS patients. Intervention effects are currently being assessed in a randomized controlled trial. If the RCT demonstrates sufficient effectiveness and efficiency of the MUPS focused communication skills training programme for medical specialists the intervention could be embedded in post-graduate education of medical specialists and residents. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Exploring the situational motivation of medical specialists: a qualitative study.

PubMed

van der Burgt, Stéphanie M E; Kusurkar, Rashmi A; Croiset, Gerda; Peerdeman, Saskia M

2018-02-26

The aim was to obtain insight into the factors in the work environment that motivate or demotivate a medical specialist during his/her working day. A qualitative ethnographic design was used, and a constructivist approach was adopted with the Self-Determination theory of motivation as a framework. Six medical specialists from VU University Medical Center in the Netherlands, recruited through convenience, snowball, and purposive sampling, were shadowed for one day each. Data were transcribed and open-coded. Themes were finalized through discussion and consensus. Sixty hours of observation data identified motivating and demotivating factors categorized into four themes that are important for specialists' motivation. Informational technology issues are demotivating factors. Working with colleagues can be both a motivating and demotivating factor, e.g., filling in for each other through feelings of relatedness was motivating. Being in control of one's planning through feelings of autonomy was motivating. Furthermore, patient care and teaching, especially in combination, stimulated specialists' motivation. Regarding the design of the study, we found that situational motivation is indeed observable. The basic psychological needs autonomy, competence, and relatedness are important for specialists' motivation. Investing in a more motivating, open, transparent, and basic-needs- supportive work environment for medical specialists is necessary. Keywords: Continuing professional development, motivation, medical specialists, self-determination theory, qualitative research.

KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialist Andrew Thomas (right) shows some of the mission equipment to other crew members (from left) Wendy Lawrence, mission specialist; Eileen Collins, commander; and Charles Camarda, mission specialist. Crew members are at KSC for equipment familiarization. STS-114 is classified as Logistics Flight 1 to the International Space Station, delivering new supplies and replacing one of the orbital outpost’s Control Moment Gyroscopes (CMGs). STS-114 will also carry a Raffaello Multi-Purpose Logistics Module and the External Stowage Platform-2. The crew is slated to conduct at least three spacewalks: They will demonstrate repair techniques of the Shuttle’s Thermal Protection System, replace the failed CMG with one delivered by the Shuttle, and install the External Stowage Platform.

NASA Image and Video Library

2004-01-27

KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialist Andrew Thomas (right) shows some of the mission equipment to other crew members (from left) Wendy Lawrence, mission specialist; Eileen Collins, commander; and Charles Camarda, mission specialist. Crew members are at KSC for equipment familiarization. STS-114 is classified as Logistics Flight 1 to the International Space Station, delivering new supplies and replacing one of the orbital outpost’s Control Moment Gyroscopes (CMGs). STS-114 will also carry a Raffaello Multi-Purpose Logistics Module and the External Stowage Platform-2. The crew is slated to conduct at least three spacewalks: They will demonstrate repair techniques of the Shuttle’s Thermal Protection System, replace the failed CMG with one delivered by the Shuttle, and install the External Stowage Platform.

Sexual health clinics for women led by specialist nurses or senior house officers in a central London GUM service: a randomised controlled trial.

PubMed

Miles, K; Penny, N; Mercey, D; Power, R

2002-04-01

To assess the care process and clinical outcomes for two different models of GUM clinic for women: one led by specialist nurses and the other by senior house officers (SHOs). An open randomised controlled trial was carried out in a central London genitourinary medicine (GUM) women's clinic. Of 1172 women telephoning for an appointment, 880 were randomised to provide 169 eligible patients in the specialist nurse arm and 178 in the SHO arm. Of the eligible patients a total of 224 attended their appointment. The clinical records of the randomised women were audited for adequacy of care according to local guidelines. 30 key variables were objectively assessed and recorded on a standard audit form. An overall unitary index score (%) was calculated for each patient. The main variables associated with the outcome of specialist nurse and SHO decision making (diagnostic test request, preliminary diagnosis, and treatment provided) were then analysed independently. The median documentation audit scores for specialist nurses (n=103) and SHOs (n=121) were 92% and 85% respectively (p<0.0001). The specialist nurses' documentation was significantly (p<0.05) more complete than the SHOs' for five variables: details of menstrual cycle, physical examination, medication instructions given to patients, health promotion discussion, and provision of condoms. Specialist nurses performed equally to the SHOs with regard to requesting the correct diagnostic tests, providing the correct preliminary diagnosis, and providing the correct treatment. A model of care using trained GUM nurses working within agreed protocols can provide comprehensive patient care for female patients that is equal to care provided by SHOs. Our results raise important issues regarding advanced GUM nursing education and training, protocol development, and accountability.

What motivates senior clinicians to teach medical students?

PubMed Central

Dahlstrom, Jane; Dorai-Raj, Anna; McGill, Darryl; Owen, Cathy; Tymms, Kathleen; Watson, D Ashley R

2005-01-01

Background This study was designed to assess the motivations of senior medical clinicians to teach medical students. This understanding could improve the recruitment and retention of important clinical teachers. Methods The study group was 101 senior medical clinicians registered on a teaching list for a medical school teaching hospital (The Canberra Hospital, ACT, Australia). Their motivations to teach medical students were assessed applying Q methodology. Results Of the 75 participants, 18 (24%) were female and 57 (76%) were male. The age distribution was as follows: 30–40 years = 16 participants (21.3%), 41–55 years = 46 participants (61.3%) and >55 years = 13 participants (17.3%). Most participants (n = 48, 64%) were staff specialists and 27 (36%) were visiting medical officers. Half of the participants were internists (n = 39, 52%), 12 (16%) were surgeons, and 24 (32%) were other sub-specialists. Of the 26 senior clinicians that did not participate, two were women; 15 were visiting medical officers and 11 were staff specialists; 16 were internists, 9 were surgeons and there was one other sub-specialist. The majority of these non-participating clinicians fell in the 41–55 year age group. The participating clinicians were moderately homogenous in their responses. Factor analysis produced 4 factors: one summarising positive motivations for teaching and three capturing impediments for teaching. The main factors influencing motivation to teach medical students were intrinsic issues such as altruism, intellectual satisfaction, personal skills and truth seeking. The reasons for not teaching included no strong involvement in course design, a heavy clinical load or feeling it was a waste of time. Conclusion This study provides some insights into factors that may be utilised in the design of teaching programs that meet teacher motivations and ultimately enhance the effectiveness of the medical teaching workforce. PMID:16022738

Economic evaluation of nurse practitioner and clinical nurse specialist roles: A methodological review.

PubMed

Lopatina, Elena; Donald, Faith; DiCenso, Alba; Martin-Misener, Ruth; Kilpatrick, Kelley; Bryant-Lukosius, Denise; Carter, Nancy; Reid, Kim; Marshall, Deborah A

2017-07-01

Advanced practice nurses (e.g., nurse practitioners and clinical nurse specialists) have been introduced internationally to increase access to high quality care and to tackle increasing health care expenditures. While randomised controlled trials and systematic reviews have demonstrated the effectiveness of nurse practitioner and clinical nurse specialist roles, their cost-effectiveness has been challenged. The poor quality of economic evaluations of these roles to date raises the question of whether current economic evaluation guidelines are adequate when examining their cost-effectiveness. To examine whether current guidelines for economic evaluation are appropriate for economic evaluations of nurse practitioner and clinical nurse specialist roles. Our methodological review was informed by a qualitative synthesis of four sources of information: 1) narrative review of literature reviews and discussion papers on economic evaluation of advanced practice nursing roles; 2) quality assessment of economic evaluations of nurse practitioner and clinical nurse specialist roles alongside randomised controlled trials; 3) review of guidelines for economic evaluation; and, 4) input from an expert panel. The narrative literature review revealed several challenges in economic evaluations of advanced practice nursing roles (e.g., complexity of the roles, variability in models and practice settings where the roles are implemented, and impact on outcomes that are difficult to measure). The quality assessment of economic evaluations of nurse practitioner and clinical nurse specialist roles alongside randomised controlled trials identified methodological limitations of these studies. When we applied the Guidelines for the Economic Evaluation of Health Technologies: Canada to the identified challenges and limitations, discussed those with experts and qualitatively synthesized all findings, we concluded that standard guidelines for economic evaluation are appropriate for economic evaluations of nurse practitioner and clinical nurse specialist roles and should be routinely followed. However, seven out of 15 current guideline sections (describing a decision problem, choosing type of economic evaluation, selecting comparators, determining the study perspective, estimating effectiveness, measuring and valuing health, and assessing resource use and costs) may require additional role-specific considerations to capture costs and effects of these roles. Current guidelines for economic evaluation should form the foundation for economic evaluations of nurse practitioner and clinical nurse specialist roles. The proposed role-specific considerations, which clarify application of standard guidelines sections to economic evaluation of nurse practitioner and clinical nurse specialist roles, may strengthen the quality and comprehensiveness of future economic evaluations of these roles. Copyright © 2017 Elsevier Ltd. All rights reserved.

Voluntarism, public engagement and the role of geoscience in radioactive waste management policy-making

NASA Astrophysics Data System (ADS)

Bilham, Nic

2014-05-01

In the UK, as elsewhere in Europe, there has been a move away from previous 'technocratic' approaches to radioactive waste management (RWM). Policy-makers have recognised that for any RWM programme to succeed, sustained engagement with stakeholders and the public is necessary, and any geological repository must be constructed and operated with the willing support of the community which hosts it. This has opened up RWM policy-making and implementation to a wider range of (often contested) expert inputs, ranging across natural and social sciences, engineering and even ethics. Geoscientists and other technical specialists have found themselves drawn into debates about how various types of expertise should be prioritised, and how they should be integrated with diverse public and stakeholder perspectives. They also have a vital role to play in communicating to the public the need for geological disposal of radioactive waste, and the various aspects of geoscience which will inform the process of implementing this, from identifying potential volunteer host communities, to finding a suitable site, developing the safety case, construction of a repository, emplacement of waste, closure and subsequent monitoring. High-quality geoscience, effectively communicated, will be essential to building and maintaining public confidence throughout the many decades such projects will take. Failure to communicate effectively the relevant geoscience and its central role in the UK's radioactive waste management programme arguably contributed to West Cumbria's January 2013 decision to withdraw from the site selection process, and may discourage other communities from coming forward in future. Across countries needing to deal with their radioactive waste, this unique challenge gives an unprecedented urgency to finding ways to engage and communicate effectively with the public about geoscience.

Tour by Saudi prince Salman Abdelazize Al-Saud prior to mission

NASA Technical Reports Server (NTRS)

1985-01-01

Tour by Saudi prince Salman Abdelazize Al-Saud, payload specialists for STS 51-G mission, prior to mission. Al-Saud and Abdulmohsen Hamad Al-Bassam, the backup payload specialist, man the controls on the flight deck of the crew compartment trainer in the Shuttle mockup and integration laboratory (29788); the Saudi payload specialists share the hatch of the crew compartment trainer (29789); Portrait view of Abdulmohsen Hamad Al-Bassam during a visit to the Shuttle mockup and integraion laboratory (29790); Don Sirroco, left, explains the middeck facilities in the Shuttle mockup and integration laboratory (29791); Portrait view of Sultan Salman Abdelazize Al-Saud in the Shuttle Mockup and Integration laboratory (29792); The Saudi payload specialists witness a space food demonstration in the life sciences laboratory at JSC. Al-Saud (left) and Al-Bassam (second left) listen as Rita M. Rapp, food specialist, discusses three preparations of re-hydratable food for space travelers. Lynn S. Coll

Small mammal populations at hazardous waste disposal sites near Houston, Texas, USA

USGS Publications Warehouse

Robbins, C.S.

1990-01-01

Small mammals were trapped, tagged and recaptured in 0?45 ha plots at six hazardous industrial waste disposal sites to determine if populations, body mass and age structures were different from paired control site plots. Low numbers of six species of small mammals were captured on industrial waste sites or control sites. Only populations of hispid cotton rats at industrial waste sites and control sites were large enough for comparisons. Overall population numbers, age structure, and body mass of adult male and female cotton rats were similar at industrial waste sites and control sites. Populations of small mammals (particularly hispid cotton rats) may not suffice as indicators of environments with hazardous industrial waste contamination.

40 CFR 261.8 - PCB wastes regulated under Toxic Substance Control Act.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 26 2011-07-01 2011-07-01 false PCB wastes regulated under Toxic... (CONTINUED) SOLID WASTES (CONTINUED) IDENTIFICATION AND LISTING OF HAZARDOUS WASTE General § 261.8 PCB wastes regulated under Toxic Substance Control Act. The disposal of PCB-containing dielectric fluid and electric...

40 CFR 261.8 - PCB wastes regulated under Toxic Substance Control Act.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 27 2013-07-01 2013-07-01 false PCB wastes regulated under Toxic... (CONTINUED) SOLID WASTES (CONTINUED) IDENTIFICATION AND LISTING OF HAZARDOUS WASTE General § 261.8 PCB wastes regulated under Toxic Substance Control Act. The disposal of PCB-containing dielectric fluid and electric...

40 CFR 261.8 - PCB wastes regulated under Toxic Substance Control Act.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 27 2012-07-01 2012-07-01 false PCB wastes regulated under Toxic... (CONTINUED) SOLID WASTES (CONTINUED) IDENTIFICATION AND LISTING OF HAZARDOUS WASTE General § 261.8 PCB wastes regulated under Toxic Substance Control Act. The disposal of PCB-containing dielectric fluid and electric...

40 CFR 261.8 - PCB wastes regulated under Toxic Substance Control Act.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 26 2014-07-01 2014-07-01 false PCB wastes regulated under Toxic... (CONTINUED) SOLID WASTES (CONTINUED) IDENTIFICATION AND LISTING OF HAZARDOUS WASTE General § 261.8 PCB wastes regulated under Toxic Substance Control Act. The disposal of PCB-containing dielectric fluid and electric...

40 CFR 261.8 - PCB wastes regulated under Toxic Substance Control Act.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 25 2010-07-01 2010-07-01 false PCB wastes regulated under Toxic... (CONTINUED) SOLID WASTES (CONTINUED) IDENTIFICATION AND LISTING OF HAZARDOUS WASTE General § 261.8 PCB wastes regulated under Toxic Substance Control Act. The disposal of PCB-containing dielectric fluid and electric...

STS-95 Day 09 Highlights

NASA Technical Reports Server (NTRS)

1998-01-01

On this ninth day of the STS-95 mission, the flight crew, Cmdr. Curtis L. Brown, Pilot Steven W. Lindsey, Mission Specialists Scott E. Parazynski, Stephen K. Robinson, and Pedro Duque, and Payload Specialists Chiaki Mukai and John H. Glenn, spend a good part of their day checking out important spacecraft systems for entry and landing. The commander and pilot begin the flight control system checkout by powering up one auxiliary power unit and evaluating the performance of aerodynamic surfaces and flight controls. The flight crew conducts a reaction control system hot fire, followed by a test of the communications system.

Medical Surveillance Monthly Report (MSMR). Volume 5, Number 6, August/September 1999

DTIC Science & Technology

1999-09-01

Medical, cardiovascular, respiratory specialist 234 19,338 12.1 (10.4, 13.5) 311 Medical lab, cytology , and sterile pharmacy specialist 26 2,163 12.0...7.9, 17.6) 121 Missile guidance and control repairer 19 1,583 12.0 (7.2, 18.7) 041 Cannon crewmember, field artillery senior sergeant 141 11,753 12.0...operator, senior sergeant 122 10,792 11.3 (9.2, 13.3) 321 Veterinary food inspection, animal care specialist 16 1,430 11.2 (6.4, 18.2) 000 Infantry, gun

Mission Specialist (MS) Ride on middeck

NASA Image and Video Library

1992-06-24

STS007-02-020 (21 June 1983) --- Astronaut Sally K. Ride, STS-7 mission specialist, STS-7 mission specialist, stands in the mid deck of the orbiting Space Shuttle Challenger near one of the experiment with which she has devoted a great deal of time. The continuous flow electrophoresis system (CFES) experiment, about the size of a household refrigerator, stands nearby. One of her fellow crewmembers moves partially out of frame in the background. The tube on her face is part of a communications system linking Dr. Ride to ground controllers in Houston.

STS-109 MS Massimino and Newman replace Reaction Wheel assembly during EVA 2

NASA Image and Video Library

2002-03-05

STS109-E-5401 (5 March 2002) --- With his feet secured on a platform connected to the remote manipulator system (RMS) robotic arm of the Space Shuttle Columbia, astronaut Michael J. Massimino, mission specialist, hovers over the shuttle's cargo bay while working in tandem with astronaut James H. Newman, mission specialist, during the STS-109 mission's second day of extravehicular activity (EVA). Inside Columbia's cabin, astronaut Nancy J. Currie, mission specialist, controlled the RMS. The image was recorded with a digital still camera.

STS-109 MS Massimino and Newman replace Reaction Wheel assembly during EVA 2

NASA Image and Video Library

2002-03-05

STS109-E-5402 (5 March 2002) --- With his feet secured on a platform connected to the remote manipulator system (RMS) robotic arm of the Space Shuttle Columbia, astronaut Michael J. Massimino, mission specialist, hovers over the shuttle's cargo bay while working in tandem with astronaut James H. Newman, mission specialist, during the STS-109 mission's second day of extravehicular activity (EVA). Inside Columbia's cabin, astronaut Nancy J. Currie, mission specialist, controlled the RMS. The image was recorded with a digital still camera.

2007 SB14 Source Reduction Plan/Report

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

Chang, L

2007-07-24

Aqueous solutions (mixed waste) generated from various LLNL operations, such as debris washing, sample preparation and analysis, and equipment maintenance and cleanout, were combined for storage in the B695 tank farm. Prior to combination the individual waste streams had different codes depending on the particular generating process and waste characteristics. The largest streams were CWC 132, 791, 134, 792. Several smaller waste streams were also included. This combined waste stream was treated at LLNL's waste treatment facility using a vacuum filtration and cool vapor evaporation process in preparation for discharge to sanitary sewer. Prior to discharge, the treated waste streammore » was sampled and the results were reviewed by LLNL's water monitoring specialists. The treated solution was discharged following confirmation that it met the discharge criteria. A major source, accounting for 50% for this waste stream, is metal machining, cutting and grinding operations in the engineering machine shops in B321/B131. An additional 7% was from similar operations in B131 and B132S. This waste stream primarily contains metal cuttings from machined parts, machining coolant and water, with small amounts of tramp oil from the machining and grinding equipment. Several waste reduction measures for the B321 machine shop have been taken, including the use of a small point-of-use filtering/tramp-oil coalescing/UV-sterilization coolant recycling unit, and improved management techniques (testing and replenishing) for coolants. The recycling unit had some operational problems during 2006. The machine shop is planning to have it repaired in the near future. A major source, accounting for 50% for this waste stream, is metal machining, cutting and grinding operations in the engineering machine shops in B321/B131. An additional 7% was from similar operations in B131 and B132S. This waste stream primarily contains metal cuttings from machined parts, machining coolant and water, with small amounts of tramp oil from the machining and grinding equipment. Several waste reduction measures for the B321 machine shop have been taken, including the use of a small point-of-use filtering/tramp-oil coalescing/UV-sterilization coolant recycling unit, and improved management techniques (testing and replenishing) for coolants. The recycling unit had some operational problems during 2006. The machine shop is planning to have it repaired in the near future. Quarterly waste generation data prepared by the Environmental Protection Department's P2 Team are regularly provided to engineering shops as well as other facilities so that generators can track the effectiveness of their waste minimization efforts.« less

Molecular identification of Azolla invasions in Africa: The Azolla specialist, Stenopelmus rufinasus proves to be an excellent taxonomist

USDA-ARS?s Scientific Manuscript database

Biological control of Azolla filiculoides in South Africa with the Azolla specialist Stenopelmus rufinasus has been highly successful. However, field surveys showed that the agent utilized another Azolla species, thought to be the native Azolla pinnata subsp. africana, which contradicted host specif...

Apprentice Heating Systems Specialist, 11-1. Military Curriculum Materials for Vocational and Technical Education.

ERIC Educational Resources Information Center

Ohio State Univ., Columbus. National Center for Research in Vocational Education.

This military-developed text consists of four volumes of materials for use by those studying to become apprentice heating system specialists. Covered in the individual volumes are the following topics: related subjects (basic electricity, electrical controls, pipe and copper tubing, the principles of heating, fuels, and fuel systems); heating…

Remote mission specialist - A study in real-time, adaptive planning

NASA Technical Reports Server (NTRS)

Rokey, Mark J.

1990-01-01

A high-level planning architecture for robotic operations is presented. The remote mission specialist integrates high-level directives with low-level primitives executable by a run-time controller for command of autonomous servicing activities. The planner has been designed to address such issues as adaptive plan generation, real-time performance, and operator intervention.

STS-90 Day 14 Highlights

NASA Technical Reports Server (NTRS)

1998-01-01

On this fourteenth day of the STS-90 mission, the flight crew, Cmdr. Richard A. Searfoss, Pilot Scott D. Altman, and Mission Specialists Richard M. Linnehan, Dafydd Rhys Williams and Kathryn P. Hire, and Payload Specialists Jay C. Buckey and James A. Pawelczyk focus on the efforts of Neurolab's Neuronal Plasticity Team to better understand how the adult nervous system adapts to the new environment of space. Columbia's science crew -- Mission Specialists Rick Linnehan and Dave Williams and Payload Specialists Jay Buckey and Jim Pawelczyk -- perform the second and final in-flight dissections of the adult male rats on board. The crew euthanizes and dissects nine rats and remove the vestibular or balance organs of the inner ear; the cerebellum, the part of the brain critical for maintaining balance and for processing information from the limbs so they can be moved smoothly; and the cerebrum, one part of which controls automatic functions such as body temperature regulation and the body's internal clock, and the cortical region that controls cognitive functions such as thinking. The first dissection, which was performed on the second day of the flight, went extremely well, according to Neurolab scientists.

Specialist Bibliographic Databases

PubMed Central

2016-01-01

Specialist bibliographic databases offer essential online tools for researchers and authors who work on specific subjects and perform comprehensive and systematic syntheses of evidence. This article presents examples of the established specialist databases, which may be of interest to those engaged in multidisciplinary science communication. Access to most specialist databases is through subscription schemes and membership in professional associations. Several aggregators of information and database vendors, such as EBSCOhost and ProQuest, facilitate advanced searches supported by specialist keyword thesauri. Searches of items through specialist databases are complementary to those through multidisciplinary research platforms, such as PubMed, Web of Science, and Google Scholar. Familiarizing with the functional characteristics of biomedical and nonbiomedical bibliographic search tools is mandatory for researchers, authors, editors, and publishers. The database users are offered updates of the indexed journal lists, abstracts, author profiles, and links to other metadata. Editors and publishers may find particularly useful source selection criteria and apply for coverage of their peer-reviewed journals and grey literature sources. These criteria are aimed at accepting relevant sources with established editorial policies and quality controls. PMID:27134485

Specialist Bibliographic Databases.

PubMed

Gasparyan, Armen Yuri; Yessirkepov, Marlen; Voronov, Alexander A; Trukhachev, Vladimir I; Kostyukova, Elena I; Gerasimov, Alexey N; Kitas, George D

2016-05-01

Specialist bibliographic databases offer essential online tools for researchers and authors who work on specific subjects and perform comprehensive and systematic syntheses of evidence. This article presents examples of the established specialist databases, which may be of interest to those engaged in multidisciplinary science communication. Access to most specialist databases is through subscription schemes and membership in professional associations. Several aggregators of information and database vendors, such as EBSCOhost and ProQuest, facilitate advanced searches supported by specialist keyword thesauri. Searches of items through specialist databases are complementary to those through multidisciplinary research platforms, such as PubMed, Web of Science, and Google Scholar. Familiarizing with the functional characteristics of biomedical and nonbiomedical bibliographic search tools is mandatory for researchers, authors, editors, and publishers. The database users are offered updates of the indexed journal lists, abstracts, author profiles, and links to other metadata. Editors and publishers may find particularly useful source selection criteria and apply for coverage of their peer-reviewed journals and grey literature sources. These criteria are aimed at accepting relevant sources with established editorial policies and quality controls.

Specialist outreach clinics in primary care and rural hospital settings.

PubMed

Gruen, R L; Weeramanthri, T S; Knight, S E; Bailie, R S

2004-01-01

Specialist medical practitioners have conducted clinics in primary care and rural hospital settings for a variety of reasons in many different countries. Such clinics have been regarded as an important policy option for increasing the accessibility and effectiveness of specialist services and their integration with primary care services. To undertake a descriptive overview of studies of specialist outreach clinics and to assess the effectiveness of specialist outreach clinics on access, quality, health outcomes, patient satisfaction, use of services, and costs. We searched the Cochrane Effective Practice and Organisation of Care (EPOC) specialised register (March 2002), the Cochrane Controlled Trials Register (CCTR) (Cochrane Library Issue 1, 2002), MEDLINE (including HealthStar) (1966 to May 2002), EMBASE (1988 to March 2002), CINAHL (1982 to March 2002), the Primary-Secondary Care Database previously maintained by the Centre for Primary Care Research in the Department of General Practice at the University of Manchester, a collection of studies from the UK collated in "Specialist Outreach Clinics in General Practice" (Roland 1998), and the reference lists of all retrieved articles. Randomised trials, controlled before and after studies and interrupted time series analyses of visiting specialist outreach clinics in primary care or rural hospital settings, either providing simple consultations or as part of complex multifaceted interventions. The participants were patients, specialists, and primary care providers. The outcomes included objective measures of access, quality, health outcomes, satisfaction, service use, and cost. Four reviewers working in pairs independently extracted data and assessed study quality. 73 outreach interventions were identified covering many specialties, countries and settings. Nine studies met the inclusion criteria. Most comparative studies came from urban non-disadvantaged populations in developed countries. Simple 'shifted outpatients' styles of specialist outreach were shown to improve access, but there was no evidence of impact on health outcomes. Specialist outreach as part of more complex multifaceted interventions involving collaboration with primary care, education or other services was associated with improved health outcomes, more efficient and guideline-consistent care, and less use of inpatient services. The additional costs of outreach may be balanced by improved health outcomes. This review supports the hypothesis that specialist outreach can improve access, outcomes and service use, especially when delivered as part of a multifaceted intervention. The benefits of simple outreach models in urban non-disadvantaged settings seem small. There is a need for good comparative studies of outreach in rural and disadvantaged settings where outreach may confer most benefit to access and health outcomes.

Information given to patients before appointments and its effect on non-attendance rate

PubMed Central

Hardy, K J; O'Brien, S V; Furlong, N J

2001-01-01

Problem Wasted outpatient appointments as a result of clinic non-attendance, exacerbating outpatient waiting times. Design Single centre, prospective, non-randomised, controlled study. Background and setting Diabetes clinic in a district general hospital run by a consultant, one or two diabetes nurse specialists, a dietitian, and a podiatrist. Clinic receives 10-15 new referrals a week in a health district with a population of 340 000. Key measure for improvement Non-attendance rate in 325 new patients who attended after the intervention compared with 1336 historical controls from the same clinic in the three years before the scheme. Strategy for change Two weeks before their outpatient appointment new patients were sent an information pack telling them when and where to come, where to park, what to bring, who they will see, and what to expect. One week before the appointment they received a supplementary phone call. Effects of change Telling patients what to expect reduced non-attendance rate overall from 15% (201/1336) to 4.6% (15/325), P<0.0001. Non-attendance rate was 7.3% (13/178) in those sent a pack but not phoned and 1.4% (2/147) in those sent a pack and phoned, P=0.01. Lesson learnt Giving new patients detailed information reduces non-attendance to almost 1%. PMID:11731398

Effect of Food Waste Co-Digestion on Digestion, Dewatering, and Cake Quality.

PubMed

Higgins, Matthew; Rajagopalan, Ganesh; Miller, Andre; Brown, Jeffrey; Beightol, Steven

2017-01-01

  The objective of this study was to evaluate the effect of food waste addition on anaerobic digestion performance as well as downstream parameters including dewatering, cake quality, and filtrate quality. Laboratory-scale digesters were fed processed food waste at rates of 25%, 45%, and 65% increased chemical oxygen demand (COD) loading rates compared to a control fed only primary and secondary solids. The specific methane yield increased from 370 L CH4/kg VSadded for the control to 410, 440, and 470 L CH4/kg VSadded for the 25, 45, and 65% food waste addition, respectively. The cake solids after dewatering were all higher for the food waste digesters compared to the control, with the highest cake solids being measured for the 45% food-waste loading. Compared to the control digester, the biosolids odorant concentration increased for the lowest dose of food waste. Odorant concentrations were below detection for the highest food waste loading.

ESP`s Tank 42 washwater transfer to the 241-F/H tank farms

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

Aponte, C.I.; Lee, E.D.

1997-12-01

As a result of the separation of the High-Level Liquid Waste Department into three separate organizations (formerly there were two) (Concentration, Storage, and Transfer (CST), Waste Pre-Treatment (WPT) and Waste Disposition (WD)) process interface controls were required. One of these controls is implementing the Waste the waste between CST and WPT. At present, CST`s Waste Acceptance Criteria is undergoing revision and WPT has not prepared the required Waste Compliance Plan (WCP). The Waste Pre-Treatment organization is making preparations for transferring spent washwater in Tank 42 to Tank 43 and/or Tank 22. The washwater transfer is expected to complete the washingmore » steps for preparing ESP batch 1B sludge. This report is intended to perform the function of a Waste Compliance Plan for the proposed transfer. Previously, transfers between the Tank Farm and ITP/ESP were controlled by requirements outlined in the Tank Farm`s Technical Standards and ITP/ESP`s Process Requirements. Additionally, these controls are implemented primarily in operating procedure 241-FH-7TSQ and ITP Operations Manual SW16.1-SOP-WTS-1 which will be completed prior to performing the waste transfers.« less

Controlling changes - lessons learned from waste management facilities

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

Johnson, B.M.; Koplow, A.S.; Stoll, F.E.

This paper discusses lessons learned about change control at the Waste Reduction Operations Complex (WROC) and Waste Experimental Reduction Facility (WERF) of the Idaho National Engineering Laboratory (INEL). WROC and WERF have developed and implemented change control and an as-built drawing process and have identified structures, systems, and components (SSCS) for configuration management. The operations have also formed an Independent Review Committee to minimize costs and resources associated with changing documents. WROC and WERF perform waste management activities at the INEL. WROC activities include storage, treatment, and disposal of hazardous and mixed waste. WERF provides volume reduction of solid low-levelmore » waste through compaction, incineration, and sizing operations. WROC and WERF`s efforts aim to improve change control processes that have worked inefficiently in the past.« less

Environmental Support Specialist, Blocks III & IV, 17-5. Military Curriculum Materials for Vocational and Technical Education.

ERIC Educational Resources Information Center

Ohio State Univ., Columbus. National Center for Research in Vocational Education.

This military-developed text contains the second section of a four-part course to train environmental support specialists. Covered in the individual course blocks are operative principles of water treatment plants (principles of water treatment plants, the clarification process, water systems filters, chemical disinfection, taste and odor control,…

Aircraft Electrical Systems Specialist (AFSC 42350), Volumes 1-3, and Change Supplement, Volume 3.

ERIC Educational Resources Information Center

Savage, Leslie R.

This three-volume student text is designed for use by Air Force personnel enrolled in a self-study extension course for aircraft electrical systems specialists. Covered in the individual volumes are career field fundamentals, electrical systems and test equipment, and aircraft control and warning systems. Each volume in the set contains a series…

Referrals in Primary Care: Is the Family Physician a “Gatekeeper”?

PubMed Central

Norton, Peter G.; Dunn, Earl V.; Bestvater, David

1989-01-01

The increasing financial restraints on the use of health care resources make it important to examine the appropriateness of present usage patterns. The authors studied referral patterns for a group of academic family physicians practising in a health service organization in Ontario. They found that for all consultant encounters, the family physician directly controlled 65% of these consultations, whereas 13% were continuing consultations with the specialist without direct family physician referral. The remainder were either unknown or referred from other sources, for example, emergency room or specialist-to-specialist referrals. The family physician made the exact same diagnosis as the consultant in 73.4% of cases for which data were available, and the patient was referred to an inappropriate specialist in only 2.7% of cases. PMID:21249055

Controller response to conflict resolution advisory

DOT National Transportation Integrated Search

1992-12-01

Conflict Resolution Advisory (CRA) is an automated software aid for air traffic control specialists at air route traffic control centers (ARTCCs). CRA calculates, validates, and displays to the en route controller a single resolution for predicted se...

Controller Response to Conflict Resolution Advisory

DOT National Transportation Integrated Search

1992-12-01

Conflict Resolution Advisory (CRA) is an automated software aid for air traffic : control specialists at air route traffic control centers (ARTCCs). CRA calculates, : validates, and displays to the en route controller a single resolution for predicte...

Controller Response to Conflict Resolution Advisory Prototype

DOT National Transportation Integrated Search

1991-01-01

Conflict Resolution Advisory (CRA) is an automated software aid for air traffic : control specialists at air route traffic control centers (ARTCCs). CRA calculates, : validates, and displays to the en route controller a single resolution for predicte...

Referral physician marketing.

PubMed

Lewis, A

1993-01-01

Marketing of specialist services to referring physicians can be highly effective at influencing referral patterns if the referring physician's needs are taken into account. Furthermore, it is possible to generate referrals from nonreferring physicians by approaching them correctly. The ideal approach is for a specialist to treat non-referring physicians as though they referred the patient, even when they didn't. This practice allows the specialist to demonstrate communications service quality in a non-aggressive, non-sales context. The United Weight Control case study summarizes the impact of a referral-generation strategy with "before" and "after" analyses of the strategy's cost and effectiveness.

STS-125 MS5 Feustel during EVA5

NASA Image and Video Library

2009-05-18

S125-E-010049 (18 May 2009) --- Astronaut Andrew Feustel, STS-125 mission specialist, participates in the mission?s fifth and final session of extravehicular activity (EVA) as work continues to refurbish and upgrade the Hubble Space Telescope. During the seven-hour and two-minute spacewalk, Feustel and astronaut John Grunsfeld (out of frame), mission specialist, installed a battery group replacement, removed and replaced a Fine Guidance Sensor and three thermal blankets (NOBL) protecting Hubble?s electronics. Astronaut Megan McArthur, STS-125 mission specialist, at the controls of the remote manipulator system (RMS), can be seen through an aft flight deck window.

Predictors of Acquisition of Competitive Employment for People Enrolled in Supported Employment Programs.

PubMed

Corbière, Marc; Lecomte, Tania; Reinharz, Daniel; Kirsh, Bonnie; Goering, Paula; Menear, Matthew; Berbiche, Djamal; Genest, Karine; Goldner, Elliot M

2017-04-01

This study aims at assessing the relative contribution of employment specialist competencies working in supported employment (SE) programs and client variables in determining the likelihood of obtaining competitive employment. A total of 489 persons with a severe mental illness and 97 employment specialists working in 24 SE programs across three Canadian provinces were included in the study. Overall, 43% of the sample obtained competitive work. Both client variables and employment specialist competencies, while controlling for the quality of SE programs implementation, predicted job acquisition. Multilevel analyses further indicated that younger client age, shorter duration of unemployment, and client use of job search strategies, as well as the working alliance perceived by the employment specialist, were the strongest predictors of competitive employment for people with severe mental illness, with 51% of variance explained. For people with severe mental illness seeking employment, active job search behaviors, relational abilities, and employment specialist competencies are central contributors to acquisition of competitive employment.

STS-88 Pilot Sturckow and Mission Specialist Currie arrive for launch

NASA Technical Reports Server (NTRS)

1998-01-01

Pilot Frederick W. 'Rick' Sturckow and Mission Specialist Nancy J. Currie walk across the landing strip at the Shuttle Landing Facility after exiting the T-38 jet aircraft behind them that brought them to KSC. They join other crew members Mission Commander Robert D. Cabana, Mission Specialist Jerry L. Ross, Mission Specialist James H. Newman and Mission Specialist Sergei Konstantinovich Krikalev, a Russian cosmonaut, for pre-launch preparations for mission STS-88 aboard Space Shuttle Endeavour. The scheduled time of launch is 3:56 a.m. EST on Dec. 3 from Launch Pad 39A. The mission is the first U.S. launch for the International Space Station. Endeavour carries the Unity connecting module which the crew will be mating with the Russian- built Zarya control module already in orbit. In addition to Unity, two small replacement electronics boxes are on board for possible repairs to Zarya batteries. Endeavour is expected to land at KSC at 10:17 p.m. on Monday, Dec. 14.

40 CFR 63.1213 - How can the compliance date be extended to install pollution prevention or waste minimization...

Code of Federal Regulations, 2013 CFR

2013-07-01

... extended to install pollution prevention or waste minimization controls? 63.1213 Section 63.1213 Protection... extended to install pollution prevention or waste minimization controls? (a) Applicability. You may request... pollution prevention or waste minimization measures will significantly reduce the amount and/or toxicity of...

40 CFR 63.1213 - How can the compliance date be extended to install pollution prevention or waste minimization...

Code of Federal Regulations, 2014 CFR

2014-07-01

... extended to install pollution prevention or waste minimization controls? 63.1213 Section 63.1213 Protection... extended to install pollution prevention or waste minimization controls? (a) Applicability. You may request... pollution prevention or waste minimization measures will significantly reduce the amount and/or toxicity of...

"Control-alt-delete": rebooting solutions for the E-waste problem.

PubMed

Li, Jinhui; Zeng, Xianlai; Chen, Mengjun; Ogunseitan, Oladele A; Stevels, Ab

2015-06-16

A number of efforts have been launched to solve the global electronic waste (e-waste) problem. The efficiency of e-waste recycling is subject to variable national legislation, technical capacity, consumer participation, and even detoxification. E-waste management activities result in procedural irregularities and risk disparities across national boundaries. We review these variables to reveal opportunities for research and policy to reduce the risks from accumulating e-waste and ineffective recycling. Full regulation and consumer participation should be controlled and reinforced to improve local e-waste system. Aiming at standardizing best practice, we alter and identify modular recycling process and infrastructure in eco-industrial parks that will be expectantly effective in countries and regions to handle the similar e-waste stream. Toxicity can be deleted through material substitution and detoxification during the life cycle of electronics. Based on the idea of "Control-Alt-Delete", four patterns of the way forward for global e-waste recycling are proposed to meet a variety of local situations.

Specificity of extrafloral nectar induction by herbivores differs among native and invasive populations of tallow tree.

PubMed

Wang, Yi; Carrillo, Juli; Siemann, Evan; Wheeler, Gregory S; Zhu, Lin; Gu, Xue; Ding, Jianqing

2013-08-01

Invasive plants can be released from specialist herbivores and encounter novel generalists in their introduced ranges, leading to variation in defence among native and invasive populations. However, few studies have examined how constitutive and induced indirect defences change during plant invasion, especially during the juvenile stage. Constitutive extrafloral nectar (EFN) production of native and invasive populations of juvenile tallow tree (Triadica sebifera) were compared, and leaf clipping, and damage by a native specialist (Noctuid) and two native generalist caterpillars (Noctuid and Limacodid) were used to examine inducible EFN production. Plants from introduced populations had more leaves producing constitutive EFN than did native populations, but the content of soluble solids of EFN did not differ. Herbivores induced EFN production more than simulated herbivory. The specialist (Noctuid) induced more EFN than either generalist for native populations. The content of soluble solids in EFN was higher (2·1 times), with the specialist vs. the generalists causing the stronger response for native populations, but the specialist response was always comparable with the generalist responses for invasive populations. These results suggest that constitutive and induced indirect defences are retained in juvenile plants of invasive populations even during plant establishment, perhaps due to generalist herbivory in the introduced range. However, responses specific to a specialist herbivore may be reduced in the introduced range where specialists are absent. This decreased defence may benefit specialist insects that are introduced for classical biological control of invasive plants.

Service innovation in glaucoma management: using a Web-based electronic patient record to facilitate virtual specialist supervision of a shared care glaucoma programme.

PubMed

Wright, Heathcote R; Diamond, Jeremy P

2015-03-01

To assess the importance of specialist supervision in a new model of glaucoma service delivery. An optometrist supported by three technicians managed each glaucoma clinic. Patients underwent testing and clinical examination before the optometrist triaged them into one of five groups: 'normal', 'stable', 'low risk', 'unstable' and 'high risk'. Patient data were uploaded to an electronic medical record to facilitate virtual review by a glaucoma specialist. 24 257 glaucoma reviews at three glaucoma clinics during a 31-month period were analysed. The clinic optometrists and glaucoma specialists had substantial agreement (κ 0.69). 13 patients were identified to be high risk by the glaucoma specialist that had not been identified as such by the optometrist. Glaucoma specialists amended 13% of the optometrists' interim decisions resulting in an overall reduction in review appointments by 2.4%. Employing technicians and optometrists to triage glaucoma patients into groups defined by risk of blindness allows higher risk patients to be directed to a glaucoma specialist. Virtual review allows the glaucoma specialist to remain in overall control while reducing the risk that patients are treated or followed-up unnecessarily. Demand for glaucoma appointments can be reduced allowing scarce medical resources to be directed to patients most in need. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Clinician Agreement, Self-Efficacy, and Adherence with the Guidelines for the Diagnosis and Management of Asthma.

PubMed

Cloutier, Michelle M; Salo, Paivi M; Akinbami, Lara J; Cohn, Richard D; Wilkerson, Jesse C; Diette, Gregory B; Williams, Sonja; Elward, Kurtis S; Mazurek, Jacek M; Spinner, Jovonni R; Mitchell, Tracey A; Zeldin, Darryl C

The 2007 Guidelines for the Diagnosis and Management of Asthma provide evidence-based recommendations to improve asthma care. Limited national-level data are available about clinician agreement and adherence to these guidelines. To assess clinician-reported adherence with specific guideline recommendations, as well as agreement with and self-efficacy to implement guidelines. We analyzed 2012 National Asthma Survey of Physicians data for 1412 primary care clinicians and 233 asthma specialists about 4 cornerstone guideline domains: asthma control, patient education, environmental control, and pharmacologic treatment. Agreement and self-efficacy were measured using Likert scales; 2 overall indices of agreement and self-efficacy were compiled. Adherence was compared between primary care clinicians and asthma specialists. Logistic regression models assessed the association of agreement and self-efficacy indices with adherence. Asthma specialists expressed stronger agreement, higher self-efficacy, and greater adherence with guideline recommendations than did primary care clinicians. Adherence was low among both groups for specific core recommendations, including written asthma action plan (30.6% and 16.4%, respectively; P < .001); home peak flow monitoring, (12.8% and 11.2%; P = .34); spirometry testing (44.7% and 10.8%; P < .001); and repeated assessment of inhaler technique (39.7% and 16.8%; P < .001). Among primary care clinicians, greater self-efficacy was associated with greater adherence. For specialists, self-efficacy was associated only with increased odds of spirometry testing. Guideline agreement was generally not associated with adherence. Agreement with and adherence to asthma guidelines was higher for specialists than for primary care clinicians, but was low in both groups for several key recommendations. Self-efficacy was a good predictor of guideline adherence among primary care clinicians but not among specialists. Published by Elsevier Inc.

Management by Trajectory Trade Study of Roles and Responsibilities Between Participants and Automation Report

NASA Technical Reports Server (NTRS)

Fernandes, Alicia D.; Kaler, Curt; Leiden, Kenneth; Atkins, Stephen; Bell, Alan; Kilbourne, Todd; Evans, Mark

2017-01-01

This report describes a trade study of roles and responsibilities associated with the Management by Trajectory (MBT) concept. The MBT concept describes roles, responsibilities, and information and automation requirements for providing air traffic controllers and managers the ability to quickly generate, evaluate and implement changes to an aircraft's trajectory. In addition, the MBT concept describes mechanisms for imposing constraints on flight operator preferred trajectories only to the extent necessary to maintain safe and efficient traffic flows, and the concept provides a method for the exchange of trajectory information between ground automation systems and the aircraft that allows for trajectory synchronization and trajectory negotiation. The participant roles considered in this trade study include: airline dispatcher, flight crew, radar controller, traffic manager, and Air Traffic Control System Command Center (ATCSCC) traffic management specialists. The proposed allocation of roles and responsibilities was based on analysis of several use cases that were developed for this purpose as well as for walking through concept elements. The resulting allocation of roles and responsibilities reflects both increased automation capability to support many aviation functions, as well as increased flexibility to assign responsibilities to different participants - in many cases afforded by the increased automation capabilities. Note that the selection of participants to consider for allocation of each function is necessarily rooted in the current environment, in that MBT is envisioned as an evolution of the National Airspace System (NAS), and not a revolution. A key feature of the MBT allocations is a vision for the traffic management specialist to take on a greater role. This is facilitated by the vision that separation management functions, in addition to traffic management functions, will be carried out as trajectory management functions. This creates an opportunity for flexibility, allowing the traffic management specialist to carry out tasks that today can only be carried out by the controller currently in contact with the aircraft. This additional tasking for the traffic management specialist comes with requirements for workload management. An increased role for the Data-side (D-side) controller relative to the Radar-side (R-side) controller is a potential approach to mitigating workload for the traffic management specialist, as the D-side controller would have similar ability to perform separation management functions in what today might be considered the "trajectory management" timeframe. This analysis did not distinguish between the D-side and R-side controllers since in many cases the R-side controller works unassisted.

STS-112 crew with President of Ajara in Georgia (Russia)

NASA Technical Reports Server (NTRS)

2002-01-01

KENNEDY SPACE CENTER, FLA. -- In the Operations and Checkout Building, Aslan Abashidze (right), President of the Autonomous Republic of Ajara in Georgia (Russia), visits with the STS-112 crew. From left, they are Mission Specialist Piers J. Sellers; Pilot Pamela Ann Melroy; Mission Specialist Fyodor N. Yurchikhin, a cosmonaut with the Russian Space Agency; Mission Specialist Sandra H. Magnus; and CommanderJeffrey S. Ashby. Mission Specialist David A. Wolf, not pictured, is also a member of the crew. The crew is awaiting launch on mission STS-112 to the International Space Station aboard Space Shuttle Atlantis. The launch has been postponed to no earlier than Monday, Oct. 7, so that the Mission Control Center, located at the Lyndon B. Johnson Space Center in Houston, Texas, can be secured and protected from potential storm impacts from Hurricane Lili.

The STS-92 crew is ready to leave KSC after CEIT

NASA Technical Reports Server (NTRS)

2000-01-01

The STS-92 crew strides across the runway at KSC's Shuttle Landing Facility, heading toward the aircraft that will take them back to Houston. They were at KSC for Crew Equipment Interface Test (CEIT) activities, looking over their mission payload and related equipment. From left are Mission Specialists Bill McArthur and Jeff Wisoff, Pilot Pam Melroy, Mission Specialist Michael Lopez-Alegria, Commander Brian Duffy and Mission Specialist Koichi Wakata, who is with the Japanese space agency. Not seen is Mission Specialist Leroy Chiao, who was also at KSC for the CEIT. STS-92 is scheduled to launch Oct. 5 on Shuttle Discovery from Launch Pad 39A on the fifth flight to the International Space Station. Discovery will carry the Integrated Truss Structure (ITS) Z1, the PMA-3, Ku-band Communications System, and Control Moment Gyros (CMGs).

Assessing musculoskeletal disorders among municipal waste loaders of Mumbai, India.

PubMed

Salve, Pradeep; Chokhandre, Praveen; Bansod, Dhananjay

2017-10-06

The study aims to assess the impact of municipal waste loading occupation upon developing musculoskeletal disorders (MSDs) and thereby disabilities among waste loaders. Additionally, the study has identified the potential risk factors raising MSDs and disabilities. A cross-sectional case-control design survey was conducted in 6 out of 24 municipal wards of Mumbai during March-September 2015. The study population consisted of municipal waste loaders (N = 180) and a control group (N = 180). The Standardized Modified Nordic questionnaire was adopted to measures the MSDs and thereby disabilities in the past 12 months. A Propensity Score Matching (PSM) method was applied to assess the impact of waste loading occupation on developing MSDs and disabilities. Waste loaders had a significantly higher risk of developing MSDs as well as disabilities than the control group particularly for low back, hip/ thigh upper back and shoulder. Propensity Score Matching results revealed that the MSDs were significantly higher among waste loaders for hip/thigh (22%), low back (19%), shoulder (18%), and upper back (15%) than matched control group. Likewise, MSDs-related disabilities were found to be significantly higher among waste loaders for low back (20%), hip/ thigh (18%) upper back (13%) and shoulder (8%) than the control group. Duration of work, substance use and mental health were found to be the potential psychosocial factors for developing the risk of MSDs and disabilities. The municipal waste loading occupation raised the risk of MSDs and related disabilities among waste loaders compared to the control group. The preventive and curative measures are strongly recommended to minimize the burden of MSDs and disabilities. Int J Occup Med Environ Health 2017;30(6):875-886. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

A meta-analysis of crop pest and natural enemy response to landscape complexity.

PubMed

Chaplin-Kramer, Rebecca; O'Rourke, Megan E; Blitzer, Eleanor J; Kremen, Claire

2011-09-01

Many studies in recent years have investigated the relationship between landscape complexity and pests, natural enemies and/or pest control. However, no quantitative synthesis of this literature beyond simple vote-count methods yet exists. We conducted a meta-analysis of 46 landscape-level studies, and found that natural enemies have a strong positive response to landscape complexity. Generalist enemies show consistent positive responses to landscape complexity across all scales measured, while specialist enemies respond more strongly to landscape complexity at smaller scales. Generalist enemy response to natural habitat also tends to occur at larger spatial scales than for specialist enemies, suggesting that land management strategies to enhance natural pest control should differ depending on whether the dominant enemies are generalists or specialists. The positive response of natural enemies does not necessarily translate into pest control, since pest abundances show no significant response to landscape complexity. Very few landscape-scale studies have estimated enemy impact on pest populations, however, limiting our understanding of the effects of landscape on pest control. We suggest focusing future research efforts on measuring population dynamics rather than static counts to better characterise the relationship between landscape complexity and pest control services from natural enemies. © 2011 Blackwell Publishing Ltd/CNRS.

Hazardous waste management in the Pacific basin

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

Cirillo, R.R.; Chiu, S.; Chun, K.C.

1994-11-01

Hazardous waste control activities in Asia and the Pacific have been reviewed. The review includes China (mainland, Hong Kong, and Taiwan), Indonesia, Korea, Malaysia, Papua New Guinea, the Philippines, Singapore, and Thailand. It covers the sources of hazardous waste, the government structure for dealing with hazardous waste, and current hazardous waste control activities in each country. In addition, the hazardous waste program activities of US government agencies, US private-sector organizations, and international organizations are reviewed. The objective of these reviews is to provide a comprehensive picture of the current hazardous waste problems and the waste management approaches being used tomore » address them so that new program activities can be designed more efficiently.« less

Military Hazardous Wastes: An Overview and Analysis.

DTIC Science & Technology

1981-12-01

the soil as fertilizers or soil conditioners * Mining overburden returned to the mine site Utility wastes (fly ash, flue gas desulfurization sludge...19 3.3.2 What Is the Significance of Superfund to Military Wastes? ...... ............... 20 3.4 Toxic Substances Control Act...Hazardous Wastes From Current and Future Operations .... ......... 34 4.4 Organizational Responsibilities ... ............. .. 42 5. CONTROL TECHNOLOGY

Geological problems in radioactive waste isolation - A world wide review

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

Witherspoon, P.A.

1991-06-01

The problem of isolating radioactive wastes from the biosphere presents specialists in the earth sciences with some of the most complicated problems they have ever encountered. This is especially true for high-level waste (HLW), which must be isolated in the underground and away from the biosphere for thousands of years. The most widely accepted method of doing this is to seal the radioactive materials in metal canisters that are enclosed by a protective sheath and placed underground in a repository that has been carefully constructed in an appropriate rock formation. Much new technology is being developed to solve the problemsmore » that have been raised, and there is a continuing need to publish the results of new developments for the benefit of all concerned. Table 1 presents a summary of the various formations under investigation according to the reports submitted for this world wide review. It can be seen that in those countries that are searching for repository sites, granitic and metamorphic rocks are the prevalent rock type under investigation. Six countries have developed underground research facilities that are currently in use. All of these investigations are in saturated systems below the water table, except the United States project, which is in the unsaturated zone of a fractured tuff.« less

Microbial community structure and dynamics during anaerobic digestion of various agricultural waste materials.

PubMed

Ziganshin, Ayrat M; Liebetrau, Jan; Pröter, Jürgen; Kleinsteuber, Sabine

2013-06-01

The influence of the feedstock type on the microbial communities involved in anaerobic digestion was investigated in laboratory-scale biogas reactors fed with different agricultural waste materials. Community composition and dynamics over 2 months of reactors' operation were investigated by amplicon sequencing and profiling terminal restriction fragment length polymorphisms of 16S rRNA genes. Major bacterial taxa belonged to the Clostridia and Bacteroidetes, whereas the archaeal community was dominated by methanogenic archaea of the orders Methanomicrobiales and Methanosarcinales. Correlation analysis revealed that the community composition was mainly influenced by the feedstock type with the exception of a temperature shift from 38 to 55 °C which caused the most pronounced community shifts. Bacterial communities involved in the anaerobic digestion of conventional substrates such as maize silage combined with cattle manure were relatively stable and similar to each other. In contrast, special waste materials such as chicken manure or Jatropha press cake were digested by very distinct and less diverse communities, indicating partial ammonia inhibition or the influence of other inhibiting factors. Anaerobic digestion of chicken manure relied on syntrophic acetate oxidation as the dominant acetate-consuming process due to the inhibition of aceticlastic methanogenesis. Jatropha as substrate led to the enrichment of fiber-degrading specialists belonging to the genera Actinomyces and Fibrobacter.

Design of a cluster-randomized minority recruitment trial: RECRUIT.

PubMed

Tilley, Barbara C; Mainous, Arch G; Smith, Daniel W; McKee, M Diane; Amorrortu, Rossybelle P; Alvidrez, Jennifer; Diaz, Vanessa; Ford, Marvella E; Fernandez, Maria E; Hauser, Robert A; Singer, Carlos; Landa, Veronica; Trevino, Aron; DeSantis, Stacia M; Zhang, Yefei; Daniels, Elvan; Tabor, Derrick; Vernon, Sally W

2017-06-01

Racial/ethnic minority groups remain underrepresented in clinical trials. Many strategies to increase minority recruitment focus on minority communities and emphasize common diseases such as hypertension. Scant literature focuses on minority recruitment to trials of less common conditions, often conducted in specialty clinics and dependent on physician referrals. We identified trust/mistrust of specialist physician investigators and institutions conducting medical research and consequent participant reluctance to participate in clinical trials as key-shared barriers across racial/ethnic groups. We developed a trust-based continuous quality improvement intervention to build trust between specialist physician investigators and community minority-serving physicians and ultimately potential trial participants. To avoid the inherent biases of non-randomized studies, we evaluated the intervention in the national Randomized Recruitment Intervention Trial (RECRUIT). This report presents the design of RECRUIT. Specialty clinic follow-up continues through April 2017. We hypothesized that specialist physician investigators and coordinators trained in the trust-based continuous quality improvement intervention would enroll a greater proportion of minority participants in their specialty clinics than specialist physician investigators in control specialty clinics. Specialty clinic was the unit of randomization. Using continuous quality improvement, the specialist physician investigators and coordinators tailored recruitment approaches to their specialty clinic characteristics and populations. Primary analyses were adjusted for clustering by specialty clinic within parent trial and matching covariates. RECRUIT was implemented in four multi-site clinical trials (parent trials) supported by three National Institutes of Health institutes and included 50 associated specialty clinics from these parent trials. Using current data, we have 88% power or greater to detect a 0.15 or greater difference from the currently observed control proportion adjusting for clustering. We detected no differences in baseline matching criteria between intervention and control specialty clinics (all p values > 0.17). RECRUIT was the first multi-site randomized control trial to examine the effectiveness of a trust-based continuous quality improvement intervention to increase minority recruitment into clinical trials. RECRUIT's innovations included its focus on building trust between specialist investigators and minority-serving physicians, the use of continuous quality improvement to tailor the intervention to each specialty clinic's specific racial/ethnic populations and barriers to minority recruitment, and the use of specialty clinics from more than one parent multi-site trial to increase generalizability. The effectiveness of the RECRUIT intervention will be determined after the completion of trial data collection and planned analyses.

STS-107 Flight Day 13 Highlights

NASA Technical Reports Server (NTRS)

2003-01-01

This video shows the activities of the STS-107 crew on flight day 13 of the Columbia orbiter's final mission. The crew members include: Rick Husband, Commander; William McCool, Pilot; Kalpana Chawla, David Brown, Michael Anderson, Laurel Clark, Mission Specialists; Ilan Ramon, Payload Specialist. The primary activities of flight day 13 are spaceborne experiments, including troubleshooting undertaken by Mission Specialist Chawla on the Water Mist Fire Suppression (MIST) experiment. Chawla performs troubleshooting tasks relayed to her by Mission Control. She shows Mission Control the location of air and water in a transparent hose that is part of the atomizer on the exterior of the combustion module. She also changes the atomizer head. All six Space Technology and Research Students (STARS) experiments are profiled in the video. These experiments are on ants, crystal growth in a chemical garden, fish embryos, carpenter bees, spiders, and silkworms. The video also includes a view of the southeast Texas coast near Houston, and a view of Portugal, Spain, Gibraltar, Morocco, and the Sahara Desert. The video ends with an explanation of roses at Mission Control which commemorate astronauts who have died on missions.

STS-120 Mission Specialist Doug Wheelock During EVA

NASA Technical Reports Server (NTRS)

2007-01-01

Astronaut Doug Wheelock, STS-120 mission specialist, participated in the mission's fourth session of extravehicular activity (EVA) while Space Shuttle Discovery was docked with the International Space Station (ISS). During the 7-hour and 19-minute space walk, astronaut Scott Parazynski (out of frame), mission specialist, cut a snagged wire and installed homemade stabilizers designed to strengthen the structure and stability of the damaged P6 4B solar array wing. Wheelock assisted from the truss by keeping an eye on the distance between Parazynski and the array. Once the repair was complete, flight controllers on the ground successfully completed the deployment of the array.

STS-109 MS Newman replace Reaction Wheel assembly during EVA 2

NASA Image and Video Library

2002-03-05

STS109-E-5399 (5 March 2002) --- Astronaut James H. Newman, mission specialist, moves about in the Space Shuttle Columbia's cargo bay while working in tandem with astronaut Michael J. Massimino (out of frame), mission specialist, during the STS-109 mission's second day of extravehicular activity (EVA). Inside Columbia's cabin, astronaut Nancy J. Currie, mission specialist, controlled the Remote Manipulator System (RMS) to assist the two in their work on the Hubble Space Telescope (HST). Part of the giant telescope's base, latched down in the payload bay, can be seen just above Newman. The image was recorded with a digital still camera.

Leptospira Exposure and Waste Pickers: A Case-Control Seroprevalence Study in Durango, Mexico.

PubMed

Alvarado-Esquivel, Cosme; Hernandez-Tinoco, Jesus; Sanchez-Anguiano, Luis Francisco; Ramos-Nevarez, Agar; Cerrillo-Soto, Sandra Margarita; Guido-Arreola, Carlos Alberto

2015-08-01

Infection with Leptospira may occur by contact with Leptospira-infected animals. Waste pickers are in contact with rodents and dogs while picking in the garbage. Whether waste pickers are at risk for Leptospira infection is largely unknown. This study was aimed to determine the association of Leptospira IgG seroprevalence with the occupation of waste picking, and to determine the epidemiological characteristics of the waste pickers with Leptospira exposure. Through a case-control study, we determined the seroprevalence of anti-Leptospira IgG antibodies in 90 waste pickers and 90 age- and gender-matched control subjects in Durango City, Mexico using an enzyme immunoassay. Data were analyzed by bivariate and multivariate analyses. The prevalence of anti-Leptospira IgG antibodies was similar in waste pickers (4/90: 4.4%) to that in control subjects (5/90: 5.6%) (P = 1.00). Bivariate analysis showed that Leptospira exposure in waste pickers was associated with increasing age (P = 0.009), no education (P = 0.008), and consumption of rat meat (P = 0.04). However, these associations were no longer found by multivariate analysis. Leptospira exposure in waste pickers was not associated with health status, duration in the activity, wearing hand gloves and facemasks, history of injuries with sharp material of the garbage, or contact with animals or soil. This is the first study about Leptospira exposure in waste pickers. Results suggest that waste pickers are not at increasing risk for Leptospira exposure in Durango City, Mexico. Further research with a larger sample size to elucidate the association of Leptospira exposure with waste picking activity is needed.

Time to ditch non-SI units in physics teaching?

NASA Astrophysics Data System (ADS)

Atkin, Keith

2015-08-01

The current use of two sets of units in the UK continues to be a source of muddle and confusion. Young people are taught metric (SI) units in school but, in the outside world, still have to contend with units such as inches, feet, pounds, stones and miles. Specialist teachers and practitioners of the sciences are not blameless. This paper considers the fact that some units commonly used in physics, astronomy, and physics education are unnecessary, involve time-wasting conversions and frequently lead to confusion or even error. This unsatisfactory situation is illustrated by examples, and suggestions are made for a radical improvement.

WASTE HANDLING BUILDING ELECTRICAL SYSTEM DESCRIPTION DOCUMENT

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

S.C. Khamamkar

2000-06-23

The Waste Handling Building Electrical System performs the function of receiving, distributing, transforming, monitoring, and controlling AC and DC power to all waste handling building electrical loads. The system distributes normal electrical power to support all loads that are within the Waste Handling Building (WHB). The system also generates and distributes emergency power to support designated emergency loads within the WHB within specified time limits. The system provides the capability to transfer between normal and emergency power. The system provides emergency power via independent and physically separated distribution feeds from the normal supply. The designated emergency electrical equipment will bemore » designed to operate during and after design basis events (DBEs). The system also provides lighting, grounding, and lightning protection for the Waste Handling Building. The system is located in the Waste Handling Building System. The system consists of a diesel generator, power distribution cables, transformers, switch gear, motor controllers, power panel boards, lighting panel boards, lighting equipment, lightning protection equipment, control cabling, and grounding system. Emergency power is generated with a diesel generator located in a QL-2 structure and connected to the QL-2 bus. The Waste Handling Building Electrical System distributes and controls primary power to acceptable industry standards, and with a dependability compatible with waste handling building reliability objectives for non-safety electrical loads. It also generates and distributes emergency power to the designated emergency loads. The Waste Handling Building Electrical System receives power from the Site Electrical Power System. The primary material handling power interfaces include the Carrier/Cask Handling System, Canister Transfer System, Assembly Transfer System, Waste Package Remediation System, and Disposal Container Handling Systems. The system interfaces with the MGR Operations Monitoring and Control System for supervisory monitoring and control signals. The system interfaces with all facility support loads such as heating, ventilation, and air conditioning, office, fire protection, monitoring and control, safeguards and security, and communications subsystems.« less

Determinants of consumer food waste behaviour: Two routes to food waste.

PubMed

Stancu, Violeta; Haugaard, Pernille; Lähteenmäki, Liisa

2016-01-01

Approximately one quarter of the food supplied for human consumption is wasted across the food supply chain. In the high income countries, the food waste generated at the household level represents about half of the total food waste, making this level one of the biggest contributors to food waste. Yet, there is still little evidence regarding the determinants of consumers' food waste behaviour. The present study examines the effect of psycho-social factors, food-related routines, household perceived capabilities and socio-demographic characteristics on self-reported food waste. Survey data gathered among 1062 Danish respondents measured consumers' intentions not to waste food, planning, shopping and reuse of leftovers routines, perceived capability to deal with household food-related activities, injunctive and moral norms, attitudes towards food waste, and perceived behavioural control. Results show that perceived behavioural control and routines related to shopping and reuse of leftovers are the main drivers of food waste, while planning routines contribute indirectly. In turn, the routines are related to consumers' perceived capabilities to deal with household related activities. With regard to intentional processes, injunctive norms and attitudes towards food waste have an impact while moral norms and perceived behavioural control make no significant contribution. Implications of the study for initiatives aimed at changing consumers' food waste behaviour are discussed. Copyright © 2015 Elsevier Ltd. All rights reserved.

An Updated Performance Assessment For A New Low-Level Radioactive Waste Disposal Facility In West Texas - 12192

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

Dornsife, William P.; Kirk, J. Scott; Shaw, Chris G.

2012-07-01

This Performance Assessment (PA) submittal is an update to the original PA that was developed to support the licensing of the Waste Control Specialists LLC Low-Level Radioactive Waste (LLRW) disposal facility. This update includes both the Compact Waste Facility (CWF) and the Federal Waste Facility (FWF), in accordance with Radioactive Material License (RML) No. R04100, License Condition (LC) 87. While many of the baseline assumptions supporting the initial license application PA were incorporated in this update, a new transport code, GoldSim, and new deterministic groundwater flow codes, including HYDRUS and MODFLOWSURFACT{sup TM}, were employed to demonstrate compliance with the performancemore » objectives codified in the regulations and RML No. R04100, LC 87. A revised source term, provided by the Texas Commission on Environmental Quality staff, was used to match the initial 15 year license term. This updated PA clearly confirms and demonstrates the robustness of the characteristics of the site's geology and the advanced engineering design of the disposal units. Based on the simulations from fate and transport models, the radiation doses to members of the general public and site workers predicted in the initial and updated PA were a small fraction of the criterion doses of 0.25 mSv and 50 mSv, respectively. In a comparison between the results of the updated PA against the one developed in support of the initial license, both clearly demonstrated the robustness of the characteristics of the site's geology and engineering design of the disposal units. Based on the simulations from fate and transport models, the radiation doses to members of the general public predicted in the initial and updated PA were a fraction of the allowable 25 mrem/yr (0.25 m sievert/yr) dose standard for tens-of-thousands of years into the future. Draft Texas guidance on performance assessment (TCEQ, 2004) recommends a period of analysis equal to 1,000 years or until peak doses from the more mobile radionuclides occur. The EPA National Emissions Standards for Hazardous Air Pollutants limits radionuclide doses through the air pathway to 10 mrem/yr. Gaseous radionuclide doses from the CWF and the FWF, due to decomposition gases, are a small fraction of the dose limit. The radon flux from the CWF and FWF were compared to the flux limit of 20 pCi/m{sup 2}-s from 40 CFR 192. Because of the thick cover system, the calculated radon flux was a very small fraction of the limit. (authors)« less

STS-47 MS Davis holds mixed protein sample while working at SLJ Rack 7 FFEU

NASA Image and Video Library

1992-09-20

STS047-03-024 (12 - 20 Sept 1992) --- Astronaut N. Jan Davis, mission specialist, talks to ground controllers as she works with the Free Flow Electrophoresis Unit (FFEU) in the Science Module of the Earth-orbiting Space Shuttle Endeavour. Davis joined five other NASA astronauts and a Japanese payload specialist for eight days of scientific research onboard Endeavour.

Mission Specialist (MS) Ride adjusts headset (HDST) on middeck

NASA Image and Video Library

1983-06-24

STS007-11-495 (18-24 June 1983) --- Astronaut Sally K. Ride, STS-7 mission specialist, communicates with ground controllers from the mid deck of the Earth-orbiting Space Shuttle Challenger. She has just opened one of the large lockers during the operation and monitoring of the continuous flow electrophoresis system (CFES) experiment at left edge. This photograph was made with a 35mm camera.

STS-87 Day 04 Highlights

NASA Technical Reports Server (NTRS)

1997-01-01

On this fourth day of the STS-87 mission, the flight crew, Cmdr. Kevin R. Kregel, Pilot Steven W. Lindsey, Mission Specialists Winston E. Scott, Kalpana Chawla, and Takao Doi, and Payload Specialist Leonid K. Kadenyuk check out the spacesuits for the EVA planned for later during the mission. Mission Control developed plans that may allow Scott and Doi to recapture the Spartan satellite by hand during that EVA.

Non-Specialist Psychosocial Interventions for Children and Adolescents with Intellectual Disability or Lower-Functioning Autism Spectrum Disorders: A Systematic Review

PubMed Central

Yasamy, M. Taghi; Barbui, Corrado; Saxena, Shekhar

2013-01-01

Background The development of effective treatments for use by non-specialists is listed among the top research priorities for improving the lives of people with mental illness worldwide. The purpose of this review is to appraise which interventions for children with intellectual disabilities or lower-functioning autism spectrum disorders delivered by non-specialist care providers in community settings produce benefits when compared to either a no-treatment control group or treatment-as-usual comparator. Methods and Findings We systematically searched electronic databases through 24 June 2013 to locate prospective controlled studies of psychosocial interventions delivered by non-specialist providers to children with intellectual disabilities or lower-functioning autism spectrum disorders. We screened 234 full papers, of which 34 articles describing 29 studies involving 1,305 participants were included. A majority of the studies included children exclusively with a diagnosis of lower-functioning autism spectrum disorders (15 of 29, 52%). Fifteen of twenty-nine studies (52%) were randomized controlled trials and just under half of all effect sizes (29 of 59, 49%) were greater than 0.50, of which 18 (62%) were statistically significant. For behavior analytic interventions, the best outcomes were shown for development and daily skills; cognitive rehabilitation, training, and support interventions were found to be most effective for improving developmental outcomes, and parent training interventions to be most effective for improving developmental, behavioral, and family outcomes. We also conducted additional subgroup analyses using harvest plots. Limitations include the studies' potential for performance bias and that few were conducted in lower- and middle-income countries. Conclusions The findings of this review support the delivery of psychosocial interventions by non-specialist providers to children who have intellectual disabilities or lower-functioning autism spectrum disorders. Given the scarcity of specialists in many low-resource settings, including many lower- and middle-income countries, these findings may provide guidance for scale-up efforts for improving outcomes for children with developmental disorders or lower-functioning autism spectrum disorders. Protocol Registration PROSPERO CRD42012002641 Please see later in the article for the Editors' Summary PMID:24358029

Specialist teams for neonatal transport to neonatal intensive care units for prevention of morbidity and mortality.

PubMed

Chang, Alvin S M; Berry, Andrew; Jones, Lisa J; Sivasangari, Subramaniam

2015-10-28

Maternal antenatal transfers provide better neonatal outcomes. However, there will inevitably be some infants who require acute transport to a neonatal intensive care unit (NICU). Because of this, many institutions develop services to provide neonatal transport by specially trained health personnel. However, few studies report on relevant clinical outcomes in infants requiring transport to NICU. To determine the effects of specialist transport teams compared with non-specialist transport teams on the risk of neonatal mortality and morbidity among high-risk newborn infants requiring transport to neonatal intensive care. We used the standard search strategy of the Cochrane Neonatal Review Group to search the Cochrane Central Register of Controlled Trials (CENTRAL 2015, Issue 7), MEDLINE (1966 to 31 July 2015), EMBASE (1980 to 31 July 2015), CINAHL (1982 to 31 July 2015), conference proceedings, and the reference lists of retrieved articles for randomised controlled trials and quasi-randomised trials. randomised, quasi-randomised or cluster randomised controlled trials. neonates requiring transport to a neonatal intensive care unit. transport by a specialist team compared to a non-specialist team. any of the following outcomes - death; adverse events during transport leading to respiratory compromise; and condition on admission to the neonatal intensive care unit. The methodological quality of the trials was assessed using the information provided in the studies and by personal communication with the author. Data on relevant outcomes were extracted and the effect size estimated and reported as risk ratio (RR), risk difference (RD), number needed to treat for an additional beneficial outcome (NNTB) or number needed to treat for an additional harmful outcome (NNTH) and mean difference (MD) for continuous outcomes. Data from cluster randomised trials were not combined for analysis. One trial met the inclusion criteria of this review but was considered ineligible owing to serious bias in the reporting of the results. There is no reliable evidence from randomised trials to support or refute the effects of specialist neonatal transport teams for neonatal retrieval on infant morbidity and mortality. Cluster randomised trial study designs may be best suited to provide us with answers on effectiveness and clinical outcomes.

Cost-Effectiveness of a Specialist Geriatric Medical Intervention for Frail Older People Discharged from Acute Medical Units: Economic Evaluation in a Two-Centre Randomised Controlled Trial (AMIGOS).

PubMed

Tanajewski, Lukasz; Franklin, Matthew; Gkountouras, Georgios; Berdunov, Vladislav; Edmans, Judi; Conroy, Simon; Bradshaw, Lucy E; Gladman, John R F; Elliott, Rachel A

2015-01-01

Poor outcomes and high resource-use are observed for frail older people discharged from acute medical units. A specialist geriatric medical intervention, to facilitate Comprehensive Geriatric Assessment, was developed to reduce the incidence of adverse outcomes and associated high resource-use in this group in the post-discharge period. To examine the costs and cost-effectiveness of a specialist geriatric medical intervention for frail older people in the 90 days following discharge from an acute medical unit, compared with standard care. Economic evaluation was conducted alongside a two-centre randomised controlled trial (AMIGOS). 433 patients (aged 70 or over) at risk of future health problems, discharged from acute medical units within 72 hours of attending hospital, were recruited in two general hospitals in Nottingham and Leicester, UK. Participants were randomised to the intervention, comprising geriatrician assessment in acute units and further specialist management, or to control where patients received no additional intervention over and above standard care. Primary outcome was incremental cost per quality adjusted life year (QALY) gained. We undertook cost-effectiveness analysis for 417 patients (intervention: 205). The difference in mean adjusted QALYs gained between groups at 3 months was -0.001 (95% confidence interval [CI]: -0.009, 0.007). Total adjusted secondary and social care costs, including direct costs of the intervention, at 3 months were £4412 (€5624, $6878) and £4110 (€5239, $6408) for the intervention and standard care groups, the incremental cost was £302 (95% CI: 193, 410) [€385, $471]. The intervention was dominated by standard care with probability of 62%, and with 0% probability of cost-effectiveness (at £20,000/QALY threshold). The specialist geriatric medical intervention for frail older people discharged from acute medical unit was not cost-effective. Further research on designing effective and cost-effective specialist service for frail older people discharged from acute medical units is needed. ISRCTN registry ISRCTN21800480 http://www.isrctn.com/ISRCTN21800480.

Ageing Mechanisms and Control. Specialists’ Meeting on Life Management Techniques for Ageing Air Vehicles (Les mecanismes vieillissants et le controle) (Reunions des specialistes des techniques de gestion du cycle de vie pour vehicules aeriens vieillissants)

DTIC Science & Technology

2003-02-01

Beam Weld Repair and Qualification of Titanium Fan Blades for Military Gas Turbine Engines”, NATO-RTO-AVT Workshop on Cost Effective Applications of...announced in the Meeting Announcement Research of Extension of the Life Cycle of Helicopter Rotor Blade in Hungary 39 by M. Balaskó, G. Endröczi, J...and Power Systems MP-069(I), February 2003 Low Cost Composite Structures / Cost Effective Application of Titanium Alloys in Military Platforms MP-069

STS-103 crew perform virtual reality training in building 9N

NASA Image and Video Library

1999-05-24

S99-05678 (24 May 1999)--- Astronaut Jean-Francois Clervoy (right), STS-103 mission specialist representing the European Space Agency (ESA), "controls" the shuttle's remote manipulator system (RMS) during a simulation using virtual reality type hardware at the Johnson Space Center (JSC). Looking on is astronaut John M. Grunsfeld, mission specialist. Both astronauts are assigned to separate duties supporting NASA's third Hubble Space Telescope (HST) servicing mission. Clervoy will be controlling Discovery's RMS and Grunsfeld is one of four astronauts that will be paired off for a total of three spacewalks on the mission.

Interfacility boundary adjustment.

DOT National Transportation Integrated Search

2000-07-01

The objective of the study was to examine the impact of inter-facility dynamic resectorization on Air Traffic Control Specialists : (ATCSs) performance, workload, communication, situational awareness, and control strategies. As a preliminary in...

Specificity of extrafloral nectar induction by herbivores differs among native and invasive populations of tallow tree

PubMed Central

Wang, Yi; Carrillo, Juli; Siemann, Evan; Wheeler, Gregory S.; Zhu, Lin; Gu, Xue; Ding, Jianqing

2013-01-01

Background and Aims Invasive plants can be released from specialist herbivores and encounter novel generalists in their introduced ranges, leading to variation in defence among native and invasive populations. However, few studies have examined how constitutive and induced indirect defences change during plant invasion, especially during the juvenile stage. Methods Constitutive extrafloral nectar (EFN) production of native and invasive populations of juvenile tallow tree (Triadica sebifera) were compared, and leaf clipping, and damage by a native specialist (Noctuid) and two native generalist caterpillars (Noctuid and Limacodid) were used to examine inducible EFN production. Key results Plants from introduced populations had more leaves producing constitutive EFN than did native populations, but the content of soluble solids of EFN did not differ. Herbivores induced EFN production more than simulated herbivory. The specialist (Noctuid) induced more EFN than either generalist for native populations. The content of soluble solids in EFN was higher (2·1 times), with the specialist vs. the generalists causing the stronger response for native populations, but the specialist response was always comparable with the generalist responses for invasive populations. Conclusions These results suggest that constitutive and induced indirect defences are retained in juvenile plants of invasive populations even during plant establishment, perhaps due to generalist herbivory in the introduced range. However, responses specific to a specialist herbivore may be reduced in the introduced range where specialists are absent. This decreased defence may benefit specialist insects that are introduced for classical biological control of invasive plants. PMID:23761685

Effects of health-related physical education on academic achievement: project SPARK.

PubMed

Sallis, J F; McKenzie, T L; Kolody, B; Lewis, M; Marshall, S; Rosengard, P

1999-06-01

The effects of a 2-year health-related school physical education program on standardized academic achievement scores was assessed in 759 children who completed Metropolitan Achievement Tests before and after the program. Schools were randomly assigned to condition: (a) Specialists taught the Sports, Play, and Active Recreation for Kids curriculum; (b) classroom teachers were trained to implement the curriculum; and (c) controls continued their usual programs. The Trained Teacher condition was superior to Control on Language, Reading, and Basic Battery. The Specialist condition was superior to Control on Reading, but inferior on Language. Despite devoting twice as many minutes per week to physical education as Controls, the health-related physical education program did not interfere with academic achievement. Health-related physical education may have favorable effects on students' academic achievement.

Control technology assessment of hazardous waste disposal operations in chemicals manufacturing: walk-through survey report of Olin Chemicals Group, Charleston, Tennessee

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

Crandall, M.S.

1983-08-01

A walk through survey was conducted to assess control technology for hazardous wastes disposal operations at Olin Chemicals Group (SIC-2800, SIC-2812, SIC-2819), Charleston, Tennessee in May 1982. Hazardous wastes generated at the facility included brine sludge, thick mercury (7439954) (Hg) butter, and calcium-hypochlorite (7778543). An estimated 8500 tons of waste were disposed of annually. The Hg waste underwent a retorting process that recycled the Hg. The final detoxified waste was land filled. Brine sludge and calcium-hypochlorite were also land filled. No controls beyond those normally used at such sites were found at the landfills. Periodic monitoring of Hg vapor concentrationsmore » was conducted by the company. Medical monitoring of urine for Hg exposure was conducted. Specific limits were set for urinary Hg concentrations. When these limits were exceeded the workers were removed from exposure. Personal protective equipment consisted of hard hats, safety glasses, and spirators specially designed for Hg exposure. The author concludes that the hazardous waste disposal and treatment operations at the facility are well controlled.« less

Double shell tanks (DST) chemistry control data quality objectives

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

BANNING, D.L.

2001-10-09

One of the main functions of the River Protection Project is to store the Hanford Site tank waste until the Waste Treatment Plant (WTP) is ready to receive and process the waste. Waste from the older single-shell tanks is being transferred to the newer double-shell tanks (DSTs). Therefore, the integrity of the DSTs must be maintained until the waste from all tanks has been retrieved and transferred to the WTP. To help maintain the integrity of the DSTs over the life of the project, specific chemistry limits have been established to control corrosion of the DSTs. These waste chemistry limitsmore » are presented in the Technical Safety Requirements (TSR) document HNF-SD-WM-TSR-006, Sec. 5 . IS, Rev 2B (CHG 200 I). In order to control the chemistry in the DSTs, the Chemistry Control Program will require analyses of the tank waste. This document describes the Data Quality Objective (DUO) process undertaken to ensure appropriate data will be collected to control the waste chemistry in the DSTs. The DQO process was implemented in accordance with Data Quality Objectives for Sampling and Analyses, HNF-IP-0842, Rev. Ib, Vol. IV, Section 4.16, (Banning 2001) and the U.S. Environmental Protection Agency EPA QA/G4, Guidance for the Data Quality Objectives Process (EPA 1994), with some modifications to accommodate project or tank specific requirements and constraints.« less

Composition and analysis of a model waste for a CELSS (Controlled Ecological Life Support System)

NASA Technical Reports Server (NTRS)

Wydeven, T. J.

1983-01-01

A model waste based on a modest vegetarian diet is given, including composition and elemental analysis. Its use is recommended for evaluation of candidate waste treatment processes for a Controlled Ecological Life Support System (CELSS).

40 CFR 262.82 - General conditions.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., other Federal environmental statutes (e.g., the Toxic Substances Control Act) restrict certain waste... to EPA in accordance with § 262.87(b). (e) Duty to return wastes subject to the Amber control....82 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED...

40 CFR 262.82 - General conditions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... (e.g., the Toxic Substances Control Act) restrict certain waste imports or exports. Such restrictions... to EPA in accordance with § 262.87(b). (e) Duty to return wastes subject to the Amber control....82 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED...

KSC-98pc316

NASA Image and Video Library

1998-02-26

Members of the STS-90 crew participate in the Crew Equipment Interface Test (CEIT) in Kennedy Space Center's Orbiter Processing Facility Bay 3. The CEIT gives astronauts an opportunity to get a hands-on look at the payloads with which they will be working on-orbit. Investigations during the STS-90 Neurolab mission will focus on the effects of microgravity on the nervous system. Specifically, experiments will study the adaptation of the vestibular system, the central nervous system, and the pathways that control the ability to sense location in the absence of gravity, as well as the effect of microgravity on a developing nervous system. The crew of STS-90, slated for launch in April, are, left to right, Pilot Scott Altman; Payload Specialist James Pawelczyk, Ph.D.; Commander Richard Searfoss; Mission Specialists Dafydd (Dave) Williams, M.D., and Kathryn (Kay) Hire; Payload Specialist Jay Buckey, M.D.; and Mission Specialist Richard Linnehan

Relative costs of specialist services in a family practice population

PubMed Central

Norton, Peter G.; Nelson, Wendy; Rudner, Howard L.; Dunn, Earl V.

1985-01-01

The frequency and cost of referrals to specialists in March 1984 for 8980 rostered patients attending a family practice clinic located in a teaching hospital were analysed. The patients made 1891 visits to specialists. In all age groups and for all specialties female patients were more likely to be seen. The total direct provider costs were higher for female patients than for male patients. However, costs per patient seen were higher for male patients, except for psychiatry and medicine. Visits to surgeons had the highest total cost, while visits to psychiatrists had the highest cost per patient seen. Of the direct provider costs 61% was for specialist services. The family physician, in the “gatekeeper” role, has an opportunity to control some of the costs of the health care system by ensuring that the best and most efficient use is made of the referral network. PMID:4042059

Assessing the impact of waste picking on musculoskeletal disorders among waste pickers in Mumbai, India: a cross-sectional study

PubMed Central

Singh, Shrikant; Chokhandre, Praveen

2015-01-01

Objective To assess the prevalence of musculoskeletal disorders (MSDs) as well as the impact of the occupation of waste picking on complaints of MSDs among waste pickers. The study attempts to understand the risk factors for MSDs in various areas of the body. Design A cross-sectional household survey was conducted using a case-control design. The survey instrument for measuring musculoskeletal symptoms was adopted from a standardised Nordic questionnaire. The impact of the occupation of waste picking on MSDs was analysed using the propensity score matching (PSM) method. Participants The study population consisted of waste pickers (n=200) who had been working for at least a year and a control group (n=213) selected from among or living close to the same communities. Results The 12-month prevalence of MSDs was higher among waste pickers (79%) compared to controls (55%) particularly in the lower back (54–36%), knee (48–35%), upper back (40–21%) and shoulder (32–12%). Similar patterns were observed in the 12-month prevalence of MSDs which prevented normal activity inside and outside the home, particularly for the lower back (36–21%), shoulder (21–7%) and upper back (25–12%) for waste pickers and controls. Analysis of the impact of waste picking on complaints of MSDs suggests that the occupation of waste picking raises the risk of MSDs particularly in the shoulder, lower and upper back. Older age and longer duration of work are significant risk factors for MSDs. Conclusions The findings suggest a relatively higher prevalence of MSDs among waste pickers, particularly in the lower and upper back and shoulder, compared to controls. Preventive measures and treatment to minimise the burden of MSDs among waste pickers are strongly recommended. PMID:26408284

Leptospira Exposure and Waste Pickers: A Case-Control Seroprevalence Study in Durango, Mexico

PubMed Central

Alvarado-Esquivel, Cosme; Hernandez-Tinoco, Jesus; Sanchez-Anguiano, Luis Francisco; Ramos-Nevarez, Agar; Cerrillo-Soto, Sandra Margarita; Guido-Arreola, Carlos Alberto

2015-01-01

Background Infection with Leptospira may occur by contact with Leptospira-infected animals. Waste pickers are in contact with rodents and dogs while picking in the garbage. Whether waste pickers are at risk for Leptospira infection is largely unknown. This study was aimed to determine the association of Leptospira IgG seroprevalence with the occupation of waste picking, and to determine the epidemiological characteristics of the waste pickers with Leptospira exposure. Methods Through a case-control study, we determined the seroprevalence of anti-Leptospira IgG antibodies in 90 waste pickers and 90 age- and gender-matched control subjects in Durango City, Mexico using an enzyme immunoassay. Data were analyzed by bivariate and multivariate analyses. Results The prevalence of anti-Leptospira IgG antibodies was similar in waste pickers (4/90: 4.4%) to that in control subjects (5/90: 5.6%) (P = 1.00). Bivariate analysis showed that Leptospira exposure in waste pickers was associated with increasing age (P = 0.009), no education (P = 0.008), and consumption of rat meat (P = 0.04). However, these associations were no longer found by multivariate analysis. Leptospira exposure in waste pickers was not associated with health status, duration in the activity, wearing hand gloves and facemasks, history of injuries with sharp material of the garbage, or contact with animals or soil. Conclusions This is the first study about Leptospira exposure in waste pickers. Results suggest that waste pickers are not at increasing risk for Leptospira exposure in Durango City, Mexico. Further research with a larger sample size to elucidate the association of Leptospira exposure with waste picking activity is needed. PMID:26124911

Beliefs about personal control and self-management in 30-40 year olds living with Inflammatory Bowel Disease: a qualitative study.

PubMed

Cooper, Joanne M; Collier, Jacqueline; James, Veronica; Hawkey, Christopher J

2010-12-01

Inflammatory Bowel Disease is a collective term for two distinct long term conditions: Ulcerative Colitis and Crohn's disease. There is increasing emphasis on patients taking greater personal control and self-management of this condition, reflecting earlier research into the management of chronic illness. Nurses play a pivotal role in this process, yet how optimal personal control is self-assessed and self-managed in Inflammatory Bowel Disease is poorly understood. This study set out to explore beliefs about personal control and self-management of Inflammatory Bowel Disease. It focused on the role of physical, psychological and socio-economic factors within the individual's life experience. A qualitative approach was used comprising 24, one-to-one, semi-structured interviews with participants aged 30-40 years. Participants with a histological diagnosis of Inflammatory Bowel Disease for at least 12 months were eligible and recruited by gastrointestinal specialist staff from outpatient clinics at a large National Health Service Trust in the United Kingdom. Interviews were transcribed verbatim. Data analysis was informed by existing theories of personal control and used the 'systematic framework analysis' approach. In addition to existing theories of personal control, self-discrepancy theory helped to explain how people viewed the control and self-management of Inflammatory Bowel Disease. One main theme emerged from the findings: 'Reconciliation of the self in IBD', this was supported by three sub-themes and eight basic themes. Some participants found that being unable to control and predict the course of their condition was distressing, however for others this limited control was not viewed as a negative outcome. Being able to share control of IBD with specialist health care staff was beneficial, and participants stated that other priorities in life were as equally important to manage and control. A key barrier to ensuring greater personal control and self-management was a lack of knowledge and awareness by non-specialist health care staff, employers and the wider society. Nurses involved in the care of individuals with Inflammatory Bowel Disease should support and prepare patients for the discrepancies and uncertainties of living with the condition. Greater training about Inflammatory Bowel Disease is recommended, specifically for non-specialist health care staff and employers. Copyright © 2010 Elsevier Ltd. All rights reserved.

Structured education can improve primary-care management of headache: the first empirical evidence, from a controlled interventional study.

PubMed

Braschinsky, Mark; Haldre, Sulev; Kals, Mart; Iofik, Anna; Kivisild, Ave; Korjas, Jaanus; Koljal, Silvia; Katsarava, Zaza; Steiner, Timothy J

2016-01-01

Headache disorders are under-recognized and under-diagnosed. A principal factor in their suboptimal management is lack of headache-related training among health-care providers, especially in primary care. In Estonia, general practitioners (GPs) refer many headache patients to neurological specialist services, mostly unnecessarily. GPs request "diagnostic" investigations, which are usually unhelpful and therefore wasteful. GP-made headache diagnoses are often arcane and non-specific, and treatments based on these are inappropriate. The aim of this study was to develop, implement and test an educational model intended to improve headache-related primary health care in Estonia. This was a controlled study consisting of baseline observation, intervention and follow-up observation using the same measures of effect. It involved six GPs in Põlva and the surrounding region in Southern Estonia, together with their future patients presenting consecutively with headache as their main complaint, all with their consent. The primary outcome measure was referral rate (RR) to neurological specialist services. Secondary measures included number of GP-requested investigations, GP-made headache diagnoses and how these conformed to standard terminology (ICD-10), and GP-recommended or initiated treatments. RR at baseline (n = 490) was 39.5 %, falling to 34.7 % in the post-intervention group (n = 295) (overall reduction 4.8 %; p = 0.21). In the large subgroup of patients (88 %) for whom GPs made clearly headache-related ICD-10 diagnoses, RR fell by one fifth (from 40 to 32 %; p = 0.08), but the only diagnosis-related RR that showed a statistically significant reduction was (pericranial) myalgia (19 to 3 %; p = 0.03). There was a significant increase towards use of more specific diagnoses. Use of investigations in diagnosing headache reduced from 26 to 4 % (p < 0.0001). Initiation of treatment by GPs increased from 58 to 81 % (p < 0.0001). These were modest changes in GPs' entrenched behaviour. Nevertheless they were empirical evidence that GPs' practice in the field of headache could be improved by structured education. Furthermore, the changes were likely to be cost-saving. To our knowledge this study is the first to produce such evidence.

Current biomedical waste management practices and cross-infection control procedures of dentists in India.

PubMed

Singh, Balendra Pratap; Khan, Suleman A; Agrawal, Neeraj; Siddharth, Ramashanker; Kumar, Lakshya

2012-06-01

To investigate the knowledge, attitudes and behaviour of dentists working in dental clinics and dental hospitals regarding biomedical waste management and cross-infection control. A national survey was conducted. Self-administered questionnaires were sent to 800 dentists across India. A total of 494 dentists responded, giving a response rate of 61.8%. Of these, 228 of 323 (70.6%) general dentists reported using boiling water as a sterilising medium and 339 (68.6%) dentists reported disposing of hazardous waste such as syringes, blades and ampoules in dustbins and emptying these into municipal corporation bins. Dentists should undergo continuing education programmes on biomedical waste management and infection control guidelines. Greater cooperation between dental clinics and hospitals and pollution control boards is needed to ensure the proper handling and disposal of biomedical waste. © 2012 FDI World Dental Federation.

The Extent of Restrictions on the Service of Active-Component Military Women

DTIC Science & Technology

2012-01-01

from www.rand.org as a public service of the RAND Corporation. CHILDREN AND FAMILIES EDUCATION AND THE ARTS ENERGY AND ENVIRONMENT HEALTH AND...EN engineman, GM gunner’s mate, IT information systems, ET electronics technician, FC fire control, LS logistics spe- cialist, and CS culinary ...sonar technician rating. Women in non–submarine- specific ratings, such as YN yeoman, CS culinary specialist, and LS logistics specialist, are

KENNEDY SPACE CENTER, FLA. - While touring the SRB Retrieval Ship Freedom Star, STS-114 Commander Eileen Collins and Mission Specialist Soichi Noguchi point at something on the Banana River. Noguchi is with the Japanese space agency NASDA. The ships routinely are docked at Hangar AF on the river. On their mission, the crew - which also includes Pilot James Kelly and Mission Specialist Stephen Robinson - will carry the MultiPurpose Logistics Module (MPLM) Raffaello and External Stowage Platform 2 to the International Space Station. The MPLM will contain supplies and equipment. Another goal of the mission is to remove and replace a Control Moment Gyro. Launch date for mission STS-114 is under review.

NASA Image and Video Library

2003-08-13

KENNEDY SPACE CENTER, FLA. - While touring the SRB Retrieval Ship Freedom Star, STS-114 Commander Eileen Collins and Mission Specialist Soichi Noguchi point at something on the Banana River. Noguchi is with the Japanese space agency NASDA. The ships routinely are docked at Hangar AF on the river. On their mission, the crew - which also includes Pilot James Kelly and Mission Specialist Stephen Robinson - will carry the MultiPurpose Logistics Module (MPLM) Raffaello and External Stowage Platform 2 to the International Space Station. The MPLM will contain supplies and equipment. Another goal of the mission is to remove and replace a Control Moment Gyro. Launch date for mission STS-114 is under review.

KENNEDY SPACE CENTER, FLA. - The STS-114 crew poses on deck with the captain of the Liberty Star, one of the SRB Retrieval Ships docked at Hangar AF on the Banana River. From left are Pilot James Kelly, Mission Specialist Soichi Noguchi, Capt. Bren Wade, Commander Eileen Collins and Mission Specialist Stephen Robinson. Noguchi is with the Japanese space agency NASDA. Mission STS-114 will carry the MultiPurpose Logistics Module (MPLM) Raffaello and External Stowage Platform 2 to the International Space Station. The MPLM will contain supplies and equipment. Another goal of the mission is to remove and replace a Control Moment Gyro. Launch date for mission STS-114 is under review.

NASA Image and Video Library

2003-08-13

KENNEDY SPACE CENTER, FLA. - The STS-114 crew poses on deck with the captain of the Liberty Star, one of the SRB Retrieval Ships docked at Hangar AF on the Banana River. From left are Pilot James Kelly, Mission Specialist Soichi Noguchi, Capt. Bren Wade, Commander Eileen Collins and Mission Specialist Stephen Robinson. Noguchi is with the Japanese space agency NASDA. Mission STS-114 will carry the MultiPurpose Logistics Module (MPLM) Raffaello and External Stowage Platform 2 to the International Space Station. The MPLM will contain supplies and equipment. Another goal of the mission is to remove and replace a Control Moment Gyro. Launch date for mission STS-114 is under review.

KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialist Soichi Noguchi, who is with the Japanese space agency NASDA, poses on the deck of one of the SRB Retrieval Ships docked at Hangar AF on the Banana River. He and other crew members Commander Eileen Collins, Pilot James Kelly and Mission Specialist Stephen Robinson toured the ships. Mission STS-114 will carry the MultiPurpose Logistics Module (MPLM) Raffaello and External Stowage Platform 2 to the International Space Station. The MPLM will contain supplies and equipment. Another goal of the mission is to remove and replace a Control Moment Gyro. Launch date for mission STS-114 is under review.

NASA Image and Video Library

2003-08-13

KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialist Soichi Noguchi, who is with the Japanese space agency NASDA, poses on the deck of one of the SRB Retrieval Ships docked at Hangar AF on the Banana River. He and other crew members Commander Eileen Collins, Pilot James Kelly and Mission Specialist Stephen Robinson toured the ships. Mission STS-114 will carry the MultiPurpose Logistics Module (MPLM) Raffaello and External Stowage Platform 2 to the International Space Station. The MPLM will contain supplies and equipment. Another goal of the mission is to remove and replace a Control Moment Gyro. Launch date for mission STS-114 is under review.

Effectiveness and Persistence of Liraglutide Treatment Among Patients with Type 2 Diabetes Treated in Primary Care and Specialist Settings: A Subgroup Analysis from the EVIDENCE Study, a Prospective, 2-Year Follow-up, Observational, Post-Marketing Study.

PubMed

Martinez, Luc; Penfornis, Alfred; Gautier, Jean-Francois; Eschwège, Eveline; Charpentier, Guillaume; Bouzidi, Amira; Gourdy, Pierre

2017-03-01

The objective of this subgroup analysis is to investigate the effectiveness of liraglutide in people with type 2 diabetes (T2D) treated within the primary care physician (PCP) and specialist care settings. EVIDENCE is a prospective, observational study of 3152 adults with T2D recently starting or about to start liraglutide treatment in France. We followed patients in the PCP and specialist settings for 2 years to evaluate the effectiveness of liraglutide in glycemic control and body weight reduction. Furthermore, we evaluated the changes in combined antihyperglycemic treatments, the reasons for prescribing liraglutide, patient satisfaction, and safety of liraglutide in these two treatment settings. After 2 years of follow-up, 477 out of 1209 (39.0%) of PCP and 297 out of 1398 (21.2%) of specialist-treated patients still used liraglutide and maintained the glycated hemoglobin (HbA 1c ) target of <7.0%. Significant reductions from baseline were observed in both PCP- and specialist-treated cohorts in mean HbA 1c (-1.22% and -0.8%, respectively), fasting plasma glucose (FPG) concentration (-39 and -23 mg/dL), body weight (-4.4 and -3.8 kg), and body mass index (BMI) (-1.5 and -1.4 kg/m 2 ), all p < 0.0001. Reductions in HbA 1c and FPG were significantly greater among PCP- compared with specialist-treated patients, p < 0.0001 for both. Patient treatment satisfaction was also significantly increased in both cohorts. Reported gastrointestinal adverse events were less frequent among PCP-treated patients compared with specialist-treated patients (4.5% vs. 16.1%). Despite differences in demography and clinical characteristics of patients treated for T2D in PCP and specialty care, greater reduction in HbA 1c and increased glycemic control durability were observed with liraglutide in primary care, compared with specialist care. These data suggest that liraglutide treatment could benefit patients in primary care by delaying the need for further treatment intensification. ClinicalTrials.gov identifier, NCT01226966. Novo Nordisk A/S.

Regulatory Exclusions and Alternative Standards for the Recycling of Materials, Solid Wastes and Hazardous Wastes

EPA Pesticide Factsheets

Determining the Level of Regulation for Hazardous Waste Recycling, Recycled Materials that are not Subject to RCRA Hazardous Waste Regulation, Materials Subject to Alternative Regulatory Controls, Materials Subject to Full Hazardous Waste Regulations.

Influence of cnicin, a sesquiterpene lactone ofCentaurea maculosa (Asteraceae), on specialist and generalist insect herbivores.

PubMed

Landau, I; Müller-Schärer, H; Ward, P I

1994-04-01

The sesquiterpene lactone cnicin was extracted fromCentaurea maculosa andCentaurea vallesiaca. We examined its effects on the ovipositional response and larval development of generalist and specialist insect herbivores associated withC. maculosa. For the oviposition trials, three plant species (C. maculosa, Achillea millefolium, andCichorium intybus), half of which were sprayed with 3% of cnicin, were exposed to the specialist mothsStenodes straminea, Agapeta zoegana, andPterolonche inspersa in field cages. All three species significantly preferredC. maculosa to other plants andP. inspersa significantly preferred cnicin-sprayed plants to untreated plants for oviposition. Tested over all species, cnicin significantly increased the number of eggs laid on a given plant. A larval diet test examined the toxicity of cnicin for larvae of the generalist noctuid mothSpodoptera littoralis. Cnicin concentrations of 3% and 6% were lethal and 1% and 0.5% seriously inhibited growth and development. The larvae of theC. maculosa specialistStenodes straminea survived at 6% cnicin, but none of the pupae hatched.Agapeta zoegana was able to survive at 1% and 3% cnicin. Both specialists had difficulties with the artificial diet, but weight increase and survival was not further reduced when cnicin was present compared with on the control diet. In conclusion, cnicin influenced host recognition by the specialist species, and larvae of the generalist did not survive on natural levels of cnicin. Growth and survival of the specialist were not influenced by cnicin but were considerably hampered on artificial diet.

Environmental control and waste management system design concept

NASA Technical Reports Server (NTRS)

Gandy, A. R.

1974-01-01

Passive device contains both solid and liquid animal waste matter for extended period without being cleaned and without contaminating animal. Constant airflow dries solid waste and evaporates liquid matter. Technique will maintain controlled atmospheric conditions and cage cleanliness during periods of 6 months to 1 year.

40 CFR 258.23 - Explosive gases control.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Section 258.23 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES CRITERIA FOR MUNICIPAL SOLID WASTE LANDFILLS Operating Criteria § 258.23 Explosive gases control. (a) Owners or... of MSWLFs that dispose of 20 tons of municipal solid waste per day or less, based on an annual...

40 CFR 258.23 - Explosive gases control.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Section 258.23 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES CRITERIA FOR MUNICIPAL SOLID WASTE LANDFILLS Operating Criteria § 258.23 Explosive gases control. (a) Owners or... of MSWLFs that dispose of 20 tons of municipal solid waste per day or less, based on an annual...

75 FR 60457 - Underground Injection Control Program Hazardous Waste Injection Restrictions; Petition for...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-30

... ENVIRONMENTAL PROTECTION AGENCY [FRL-9208-4] Underground Injection Control Program Hazardous Waste Injection Restrictions; Petition for Exemption--Class I Hazardous Waste Injection Dow Chemical Company (DOW... Petition. SUMMARY: Notice is hereby given that an exemption to the land disposal restrictions under the...

78 FR 42776 - Underground Injection Control Program; Hazardous Waste Injection Restrictions; Petition for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-17

... ENVIRONMENTAL PROTECTION AGENCY [FRL9834-8] Underground Injection Control Program; Hazardous Waste Injection Restrictions; Petition for Exemption--Class I Hazardous Waste Injection; Blanchard Refining... migration petition reissuance. SUMMARY: Notice is hereby given that a reissuance of an exemption to the land...

A comparison of research into cachexia, wasting and related skeletal muscle syndromes in three chronic disease areas.

PubMed

Stewart Coats, Andrew J; Shewan, Louise G

2017-05-15

We compared the frequency of cancer, heart and lung related cachexia and cachexia-related research articles in the specialist journal, Journal of Cachexia, Sarcopenia and Muscle (JCSM) to those seen in a leading European journal in each specialist area during 2015 and 2016 to assess whether work on cachexia and related fields is relatively over or under represented in each specialist area. In the dedicated journal, Journal of Cachexia, Sarcopenia and Muscle, there were 44 references related to cancer, 5 related to respiratory disease, 5 related to heart failure, and 21 related to more than one of these chronic diseases. Despite this cancer preponderance, in the European Journal of Cancer in the two publication years, there were only 5 relevant publications (0.67% of the journal output), compared to 16 (1.41%) in the European Respiratory Journal and 10 (2.19%) in the European Journal of Heart Failure. There is considerable under-representation of cancer cachexia-related papers in the major European Cancer journal despite a high proportion in the dedicated cachexia journal. The under-representation is even more marked when expressed as a percentage, 0.67%, compared to 1.41% and 2.19% of the lung and heart journals respectively. These results are consistent with a worrying lack of interest in, or publication of, cachexia and related syndromes research in the cancer literature in Europe compared to its importance as a clinical syndrome. Greater interest is shown in lung and cardiology journals. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

Specialist mental health consultation for depression in Australian aged care residents with dementia: a cluster randomized trial.

PubMed

McSweeney, Kate; Jeffreys, Aimee; Griffith, Joanne; Plakiotis, Chris; Kharsas, Renee; O'Connor, Daniel W

2012-11-01

This cluster randomized controlled trial sought to determine whether multidisciplinary specialist mental health consultation was more effective than care as usual in treating the depression of aged care residents with dementia. Three hundred and eighty nine aged care residents were screened for dementia and major depression. Forty four were ultimately included in the intervention sample, selected from 20 aged care facilities located in Melbourne, Australia. Facilities were randomly allocated to an intervention condition involving the provision of multidisciplinary specialist consultation regarding the best-practice management of depression in dementia, or to a care as usual condition. Consultations involved individually tailored medical and psychosocial recommendations provided to care staff and general practitioners. All residents participated in a comprehensive pre-intervention diagnostic assessment, including the administration of the Cornell Scale for Depression in Dementia. This assessment was repeated approximately 15 weeks post-intervention by a rater blind to study condition. Multidisciplinary specialist mental health consultation was significantly more effective than care as usual in treating the clinical depression of aged care residents with dementia (p < 0.05, partial η(2)  = 0.16). At follow-up, the mean Cornell Scale for Depression in Dementia score for the intervention group was 9.47, compared with 14.23 for the control group. In addition, 77% of the intervention group no longer met criteria for major depression. The results of this study suggest that the psychosocial and medical management of depressed aged care residents can be improved by increasing access to specialist mental health consultation. Copyright © 2012 John Wiley & Sons, Ltd.

Reproductive intentions and use of reproductive health care among female survivors of childhood cancer.

PubMed

van Dijk, M; van den Berg, M H; Overbeek, A; Lambalk, C B; van den Heuvel-Eibrink, M M; Tissing, W J; Kremer, L C; van der Pal, H J; Loonen, J J; Versluys, B; Bresters, D; Kaspers, G J L; van Leeuwen, F E; van Dulmen-den Broeder, E

2018-06-01

Do female childhood cancer survivors (CCSs) express a decreased desire to have children and do they use reproductive health care more often compared to women without a history of cancer? Overall, no difference was found in the desire to have children between CCSs and controls, whereas CCSs consult a fertility specialist more often, at a younger age, and sooner after their first attempt at conceiving. Female CCSs may face a shorter than anticipated reproductive window as a result of their cancer treatment. Little is known about their desire to have children and use of reproductive health care, especially in relation to their former cancer treatment. This study is part of the DCOG LATER-VEVO study, a nationwide retrospective cohort study on female fertility in Dutch CCSs. In total, 1749 CCSs and 1673 controls were invited for the study. Data collection took place between January 2008 and May 2014. Data on the desire to have children and use of reproductive health care were collected by questionnaire. The control group consisted of sisters from CCSs and females from the general population. In total, 1106 (63%) CCSs and 818 (49%) controls completed the questionnaire. Overall, no difference was found in the desire to have children between CCSs and controls (86% and 89%, respectively). However, survivors of a CNS tumour were less likely to desire children and CCSs without biological children at time of study were more likely to report that their desire to have children was unfulfilled because of medical reasons (9%), compared to controls (1%). In total, 12% of CCSs ever consulted a fertility specialist compared to 10% of controls (OR = 1.7, 95% CI: 1.3-2.4). Mean (SD) age at time of their first visit was 27.7 (4.4) years for CCSs and 29.9 (3.9) years for controls (P < 0.01). In total, 43% of CCSs consulted a fertility specialist within 12 months after they had started trying to achieve a pregnancy, compared to 27% of controls. Risk factors for consulting a fertility specialist included a previous diagnosis of renal tumour, leukaemia, lymphoma or a CNS tumour, and treatment with alkylating chemotherapy, gonadotoxic radiotherapy or both. In total, 70% of CCSs reported a female factor as cause of subfertility compared to 34% of controls (OR = 4.5, 95% CI: 2.3-8.7) and in this specific group, CCSs seemed more likely to use fertility treatment (OR = 2.9, 95% CI: 1.0-8.2). Because of the low number of CCSs who used fertility treatment, we were not able to look at specific diagnoses and treatment types associated with using fertility treatment. Nevertheless, we were able to identify diagnostic- and treatment-related risk factors for consulting a fertility specialist. Details regarding consultations with a fertility specialist and fertility treatment were based on self-report and may therefore be subject to recall bias. Decisions about parenthood affect all CCSs. It's important to evaluate reproductive intentions and function timely after cancer treatment, so CCSs can be adequately counselled regarding family planning and fertility treatment. This work was supported by the Dutch Cancer Society (Grant no. VU 2006-3622) and the Children Cancer Free Foundation (Project no. 20). NTR2922.

KSC00pp1770

NASA Image and Video Library

2000-11-18

KENNEDY SPACE CENTER, FLA. -- Lowered into the payload bay of the orbiter Atlantis, some of the STS-98 crew look over part of the payload. At center is Mission Specialist Robert Curbeam; at right are Mission Specialists Marsha Ivins (standing) and Tom Jones (kneeling). They and the rest of the crew are at KSC for Crew Equipment Interface Test activities. Launch on mission STS-98 is scheduled for Jan. 18, 2001. It will be transporting the U.S. Lab, Destiny, to the International Space Station with five system racks already installed inside of the module. After delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated

KSC-00pp1770

NASA Image and Video Library

2000-11-18

KENNEDY SPACE CENTER, FLA. -- Lowered into the payload bay of the orbiter Atlantis, some of the STS-98 crew look over part of the payload. At center is Mission Specialist Robert Curbeam; at right are Mission Specialists Marsha Ivins (standing) and Tom Jones (kneeling). They and the rest of the crew are at KSC for Crew Equipment Interface Test activities. Launch on mission STS-98 is scheduled for Jan. 18, 2001. It will be transporting the U.S. Lab, Destiny, to the International Space Station with five system racks already installed inside of the module. After delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated

Waste management system

NASA Technical Reports Server (NTRS)

Sauer, R. L.; Jorgensen, G. K.

1975-01-01

The function of the waste management system was to control the disposition of solid and liquid wastes and waste stowage gases. The waste management system consisting of a urine subsystem and a fecal subsystem is described in detail and its overall performance is evaluated. Recommendations for improvement are given.

Treatment of CELSS and PCELSS waste to produce nutrients for plant growth. [Controlled Ecological Life Support Systems and Partially Controlled Ecological Life Support Systems

NASA Technical Reports Server (NTRS)

Modell, M.; Meissner, H.; Karel, M.; Carden, J.; Lewis, S.

1981-01-01

The research program entitled 'Development of a Prototype Experiment for Treating CELSS (Controlled Ecological Life Support Systems) and PCELSS (Partially Controlled Ecological Life Support Systems) Wastes to Produce Nutrients for Plant Growth' consists of two phases: (1) the development of the neccessary facilities, chemical methodologies and models for meaningful experimentation, and (2) the application of what methods and devices are developed to the interfacing of waste oxidation with plant growth. Homogeneous samples of freeze-dried human feces and urine have been prepared to ensure comparability of test results between CELSS waste treatment research groups. A model of PCELSS food processing wastes has been developed, and an automated gas chromatographic system to analyze oxidizer effluents was designed and brought to operational status. Attention is given the component configuration of the wet oxidation system used by the studies.

A new mode of community continuing care service for COPD patients in China: participation of respiratory nurse specialists.

PubMed

Li, Pingdong; Gong, Yucui; Zeng, Guangqiao; Ruan, Liang; Li, Guifen

2015-01-01

This study explored a community nursing service mode in which respiratory nurse specialists cared for patients with chronic obstructive pulmonary disease (COPD) in a 12-week period after hospital discharge, with the aim of better preventing acute exacerbations, improving health-related quality of life (HRQOL) and reducing medical expenses in these patients. We carried out a prospective randomized controlled study in which 68 COPD patients discharged were recruited from a general hospital in Guangzhou, China, were randomized divided into two groups. The control group underwent conventional nursing care, and the intervention group received community continuing care by respiratory nurse specialists. The observation period was 12 weeks. The results of intervention were evaluated using the Seattle Obstructive Lung Disease Questionnaire (SOLDQ) and the COPD Self-Efficacy Scale (CSES). In addition, the frequency of acute exacerbations, emergency treatments or hospitalizations, and medical expenses were recorded in the 12-week observation period. After six weeks, the total and subscale scores (P < 0.05) of SOLDQ and CSES significantly improved compared to the baseline ones in the intervention group. The control group had significantly higher scores in the treatment satisfaction (TS) of SOLDQ, the total score, and the weather/environment and behavioral risk factors of CSES. After 12 weeks, the total and subscale scores of SOLDQ and CSES showed a sustained and significant growth in the intervention group (P < 0.05). The control group had significantly higher scores only in the weather/environment risk factor of CSES. During the 12-week observation, the intervention group had significantly fewer acute exacerbations, emergency treatments or re-hospitalizations and significantly lower average medical expenses than the control group (P < 0.05). Community continuing care by respiratory nurse specialists may improve HRQOL, increase self-efficacy, reduce incidence of acute exacerbation, and lower medical expenses in patients with COPD after hospital discharge.

A new mode of community continuing care service for COPD patients in China: participation of respiratory nurse specialists

PubMed Central

Li, Pingdong; Gong, Yucui; Zeng, Guangqiao; Ruan, Liang; Li, Guifen

2015-01-01

Objective: This study explored a community nursing service mode in which respiratory nurse specialists cared for patients with chronic obstructive pulmonary disease (COPD) in a 12-week period after hospital discharge, with the aim of better preventing acute exacerbations, improving health-related quality of life (HRQOL) and reducing medical expenses in these patients. Methods: We carried out a prospective randomized controlled study in which 68 COPD patients discharged were recruited from a general hospital in Guangzhou, China, were randomized divided into two groups. The control group underwent conventional nursing care, and the intervention group received community continuing care by respiratory nurse specialists. The observation period was 12 weeks. The results of intervention were evaluated using the Seattle Obstructive Lung Disease Questionnaire (SOLDQ) and the COPD Self-Efficacy Scale (CSES). In addition, the frequency of acute exacerbations, emergency treatments or hospitalizations, and medical expenses were recorded in the 12-week observation period. Results: After six weeks, the total and subscale scores (P < 0.05) of SOLDQ and CSES significantly improved compared to the baseline ones in the intervention group. The control group had significantly higher scores in the treatment satisfaction (TS) of SOLDQ, the total score, and the weather/environment and behavioral risk factors of CSES. After 12 weeks, the total and subscale scores of SOLDQ and CSES showed a sustained and significant growth in the intervention group (P < 0.05). The control group had significantly higher scores only in the weather/environment risk factor of CSES. During the 12-week observation, the intervention group had significantly fewer acute exacerbations, emergency treatments or re-hospitalizations and significantly lower average medical expenses than the control group (P < 0.05). Conclusions: Community continuing care by respiratory nurse specialists may improve HRQOL, increase self-efficacy, reduce incidence of acute exacerbation, and lower medical expenses in patients with COPD after hospital discharge. PMID:26629091

Conversion of the TRACON operations concepts database into a formal sentence outline job task taxonomy.

DOT National Transportation Integrated Search

1995-05-01

FAA Air Traffic Control Operations Concepts Volume VII.- TRACON Controllers (1989) developed by CTA, Inc., a technical description of the duties of a TRACON air traffic control specialist (ATCS), formatted in User Interface Language, was restructured...

Controls for Burning Solid Wastes

ERIC Educational Resources Information Center

Toro, Richard F.; Weinstein, Norman J.

1975-01-01

Modern thermal solid waste processing systems are becoming more complex, incorporating features that require instrumentation and control systems to a degree greater than that previously required just for proper combustion control. With the advent of complex, sophisticated, thermal processing systems, TV monitoring and computer control should…

Long-term effects of different type and rates of organic amendments on reclamation of copper mine tailing in Central Chile.

NASA Astrophysics Data System (ADS)

Arellano, Eduardo; Garreton, Bruna; Ginocchio, Rosanna

2016-04-01

A study was conducted to evaluate the long-term effects of a single application of organic amendments on a copper mine tailings. Seven years after seeding of a mix of herbaceous plant and planting of ten native trees, and the application of organic amendment, plant community and soil fertility was measured in replicated plots that received six different treatments of waste water treatment plant biosolids (100 ton/ha, and 200 ton/ha), olive oil waste (100 ton/ha, and 200 ton/ha) and pisco grapes waste (90 ton/ha, and 200 ton/ha). A control treatment that received no organic amendment was also measured after seven years. Field measurements demonstrated that application of biosolids and pisco grapes waste, at both rates significantly improved vegetation coverage in comparison to the control treatment (80 and 100% vs control, 25%). The high rates of pisco waste had the highest vegetation diversity and survival in comparison to the other treatments. The high rate of olive oil waste had a negative effect on vegetation development in comparison to the control treatment. The application of organic amendment improved soil fertility in the long-term. All the treatments had a significant higher nitrogen concentration in comparison to the control treatment. The high rates of biosolids and pisco grape waste had a significantly effect of soil carbon concentration. Soil macro-aggregate in the high rate of pisco grape waste were also higher than the control, showing a positive relation between soil recover and vegetation development. We can conclude assisted phytostabilization of mine tailings is likely a technically effective solution for the valorisation of organic residues.

Solid Waste Management with Emphasis on Environmental Aspect

NASA Astrophysics Data System (ADS)

Sinha, Navin Kr.; Choudhary, Binod Kumar; Shree, Shalini

2011-12-01

In this paper focus on Solid waste management. Its comprises of purposeful and systematic control of generation, storage, collection, transport, separations, processing, recycling, recovery and disposal of solid waste. Awareness of Four R's management & EMS support also for management Solid waste. Basel convention on the Control of transboundary movements of hazardous wastes and their Disposal usually known simply as the Basel Convention, is an international treaty that was designed to reduce the movements of hazardous waste between nations, and specifically to prevent transfer of hazardous waste from developed to less developed countries (LDCs). it came into force 5 May 1992. According to this "Substances or objects which are disposed of or are intended to be disposed of or are required to be disposed of by the provisions of national law"(UNEP).

40 CFR 761.65 - Storage for disposal.

Code of Federal Regulations, 2011 CFR

2011-07-01

... storage of non-liquid PCB/ radioactive wastes must be designed to prevent the buildup of liquids if such... conditions: (i) The waste is placed in a pile designed and operated to control dispersal of the waste by wind...) A run-on control system designed, constructed, operated, and maintained such that: (1) It prevents...

40 CFR 63.1213 - How can the compliance date be extended to install pollution prevention or waste minimization...

Code of Federal Regulations, 2010 CFR

2010-07-01

... to install pollution prevention or waste minimization controls? 63.1213 Section 63.1213 Protection of... pollution prevention or waste minimization controls? (a) Applicability. You may request from the.... An extension may be granted if you can reasonably document that the installation of pollution...

40 CFR 63.1213 - How can the compliance date be extended to install pollution prevention or waste minimization...

Code of Federal Regulations, 2011 CFR

2011-07-01

... extended to install pollution prevention or waste minimization controls? 63.1213 Section 63.1213 Protection... pollution prevention or waste minimization controls? (a) Applicability. You may request from the.... An extension may be granted if you can reasonably document that the installation of pollution...

40 CFR 63.1213 - How can the compliance date be extended to install pollution prevention or waste minimization...

Code of Federal Regulations, 2012 CFR

2012-07-01

... to install pollution prevention or waste minimization controls? 63.1213 Section 63.1213 Protection of... pollution prevention or waste minimization controls? (a) Applicability. You may request from the.... An extension may be granted if you can reasonably document that the installation of pollution...

Recruitment and Employment of the Water Pollution Control Specialist.

ERIC Educational Resources Information Center

Sherrard, J. H.; Sherrard, F. A.

1979-01-01

Presented are the basic principles of personnel recruitment and employment for the water pollution control field. Attention is given to determination of staffing requirements, effective planning, labor sources, affirmative action, and staffing policies. (CS)

Anxiety, Depression, and Asthma Control: Changes After Standardized Treatment.

PubMed

Sastre, Joaquín; Crespo, Astrid; Fernandez-Sanchez, Antonio; Rial, Manuel; Plaza, Vicente

2018-02-15

It has been documented that anxiety and depression are prevalent in patients with asthma and are associated with greater frequency of exacerbations, increased use of health care resources, and poor asthma control. To examine the association of asthma diagnosis with symptoms of depression/anxiety and asthma control not only at baseline but also over a 6-month period of specialist supervision. We enrolled 3182 patients with moderate to severe asthma. All were evaluated with spirometry, the Asthma Control Test, and the Hospital Anxiety and Depression Scale at baseline and at 6 months. Treatments were decided by specialists according to published guidelines. At baseline, 24.2% and 12% of the patients were diagnosed with anxiety and depression, respectively, according to the Hospital Anxiety and Depression Scale. After 6 months, anxiety and depression improved, affecting 15.3% and 8.1% of patients, respectively (P < .001); mean FEV 1 and asthma control also improved (FEV 1 from 81.6% ± 20.9% to 86% ± 20.8%; Asthma Control Test score from 15.8 ± 4.7 to 19.4 ± 4.4; both P < .001). Patients with anxiety and depression used significantly more health care resources and had more exacerbations. A multivariate analysis showed that patients with anxiety, depression, and lower FEV 1 (odds ratio, 0.20, 0.34, 0.62, respectively; P < .001) were independently associated with poor asthma control. A multiple linear regression analysis showed that anxiety had a nearly 4-fold greater influence over asthma control than depression (0.326/0.85 = 4.075). Under standardized asthma care and after a specific visit with the specialist, patients present significant improvement in these psychological disorders and exhibit better asthma control and functional parameters. Copyright © 2018 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

[Level of knowledge and action on lipaemia among Spanish primary and specialist care doctors. Press cholesterol study].

PubMed

Abellán Alemán, José; Leal Hernández, Mariano; Martínez Pastor, Antonio; Hernández Menárguez, Fernando; García-Galbis Marín, José Antonio; Jara Gómez, Purificación

2006-09-01

To find the level of knowledge, the guidelines for action and the monitoring of lipaemia by Spanish primary care and specialist doctors. A self-defined questionnaire of 12 items was designed. Data on the population treated and the subjective evaluation of objectives, and on the management and monitoring of lipid parameters were filled in. A total of 1998 doctors from the whole of Spain took part; 68.8% of the doctors interviewed worked in primary health care and 30.2% in specialist centres or hospitals. A 91% of the doctors said they followed international consensus on monitoring lipaemia. The most commonly used objective therapeutic parameter for treating lipaemia was LDL-cholesterol (83%), followed by total cholesterol (62%), HDL-cholesterol (56%) and triglycerides (51%). If the patient's lipaemia was well controlled, then 21.8% of doctors reduced the doses of lipid-lowerers. In general terms, no great differences were appreciated between the criteria followed by PC and by specialist doctors. The criteria for action on lipaemia could be improved. There are no important differences of view or action in clinical and therapeutic criteria for Lipaemia cases between PC and specialist doctors.

76 FR 55908 - Underground Injection Control Program; Hazardous Waste Injection Restrictions; Petition for...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-09

... of an exemption to the land disposal restrictions, under the 1984 Hazardous and Solid Waste... Waste Injection Restrictions; Petition for Exemption--Class I Hazardous Waste Injection; Great Lakes... from the injection zone for as long as the waste remains hazardous. This final decision allows the...

78 FR 23246 - Underground Injection Control Program; Hazardous Waste Injection Restrictions; Petition for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-18

... exemption to the land disposal Restrictions, under the 1984 Hazardous and Solid Waste [[Page 23247... Waste Injection Restrictions; Petition for Exemption--Class I Hazardous Waste Injection; BASF... from the injection zone for as long as the waste remains hazardous. This final decision allows the...

77 FR 26755 - Underground Injection Control Program; Hazardous Waste Injection Restrictions; Petition for...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-07

... reissuance of an exemption to the land disposal Restrictions, under the 1984 Hazardous and Solid Waste... Waste Injection Restrictions; Petition for Exemption--Class I Hazardous Waste Injection; Diamond... from the injection zone for as long as the waste remains hazardous. This final decision allows the...

Life-cycle-assessment of the historical development of air pollution control and energy recovery in waste incineration.

PubMed

Damgaard, Anders; Riber, Christian; Fruergaard, Thilde; Hulgaard, Tore; Christensen, Thomas H

2010-07-01

Incineration of municipal solid waste is a debated waste management technology. In some countries it is the main waste management option whereas in other countries it has been disregarded. The main discussion point on waste incineration is the release of air emissions from the combustion of the waste, but also the energy recovery efficiency has a large importance. The historical development of air pollution control in waste incineration was studied through life-cycle-assessment modelling of eight different air pollution control technologies. The results showed a drastic reduction in the release of air emissions and consequently a significant reduction in the potential environmental impacts of waste incineration. Improvements of a factor 0.85-174 were obtained in the different impact potentials as technology developed from no emission control at all, to the best available emission control technologies of today (2010). The importance of efficient energy recovery was studied through seven different combinations of heat and electricity recovery, which were modelled to substitute energy produced from either coal or natural gas. The best air pollution control technology was used at the incinerator. It was found that when substituting coal based energy production total net savings were obtained in both the standard and toxic impact categories. However, if the substituted energy production was based on natural gas, only the most efficient recovery options yielded net savings with respect to the standard impacts. With regards to the toxic impact categories, emissions from the waste incineration process were always larger than those from the avoided energy production based on natural gas. The results shows that the potential environmental impacts from air emissions have decreased drastically during the last 35 years and that these impacts can be partly or fully offset by recovering energy which otherwise should have been produced from fossil fuels like coal or natural gas. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

Diagnosis and treatment of chronic bacterial prostatitis and chronic prostatitis/chronic pelvic pain syndrome: a consensus guideline.

PubMed

Rees, Jon; Abrahams, Mark; Doble, Andrew; Cooper, Alison

2015-10-01

To improve awareness and recognition of chronic bacterial prostatitis (CBP) and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) among non-specialists and patients. To provide guidance to healthcare professionals treating patients with CBP and CP/CPPS, in both non-specialist and specialist settings. To promote efficient referral of care between non-specialists and specialists and the involvement of the multidisciplinary team (MDT). The guideline population were men with CBP or CP/CPPS (persistent or recurrent symptoms and no other urogenital pathology for ≥3 of the previous 6 months). Consensus recommendations for the guidelines were based on a search to identify literature on the diagnosis and management of CBP and CP/CPPS (published between 1999 and February 2014). A Delphi panel process was used where high-quality, published evidence was lacking. CBP and CP/CPPS can present with a wide range of clinical manifestations. The four main symptom domains are urogenital pain, lower urinary tract symptoms (LUTS - voiding or storage symptoms), psychological issues and sexual dysfunction. Patients should be managed according to their individual symptom pattern. Options for first-line treatment include antibiotics, α-adrenergic antagonists (if voiding LUTS are present) and simple analgesics. Repeated use of antibiotics, such as quinolones, should be avoided if there is no obvious symptomatic benefit from infection control or cultures do not support an infectious cause. Early use of treatments targeting neuropathic pain and/or referral to specialist services should be considered for patients who do not respond to initial measures. An MDT approach (urologists, pain specialists, nurse specialists, specialist physiotherapists, general practitioners, cognitive behavioural therapists/psychologists, and sexual health specialists) is recommended. Patients should be fully informed about the possible underlying causes and treatment options, including an explanation of the chronic pain cycle. Chronic prostatitis can present with a wide variety of signs and symptoms. Identification of individual symptom patterns and a symptom-based treatment approach are recommended. Further research is required to evaluate management options for CBP and CP/CPPS. © 2015 The Authors BJU International published by John Wiley & Sons Ltd on behalf of BJU International.

MS Ivins at the Atlantis aft flight deck controls

NASA Image and Video Library

2001-02-10

STS98-E-5078 (10 February 2001) --- Astronaut Marsha S. Ivins, STS-98 mission specialist, monitors communications from ground controllers from her post at the aft flight deck controls on the Space Shuttle Atlantis. The scene was recorded with a digital still camera.

STS-120 Mission Specialist Scott Parazynski Repairs ISS Solar Array

NASA Technical Reports Server (NTRS)

2007-01-01

While anchored to a foot restraint on the end of the Orbiter Boom Sensor System (OBSS), astronaut Scott Parazynski, STS-120 mission specialist, participated in the mission's fourth session of extravehicular activity (EVA) while Space Shuttle Discovery was docked with the International Space Station (ISS). During the 7-hour and 19-minute space walk, Parazynski cut a snagged wire and installed homemade stabilizers designed to strengthen the structure and stability of the damaged P6 4B solar array wing. Astronaut Doug Wheelock (out of frame), mission specialist, assisted from the truss by keeping an eye on the distance between Parazynski and the array. Once the repair was complete, flight controllers on the ground successfully completed the deployment of the array.

STS-120 Mission Specialist Scott Parazynski Repairs ISS Solar Array

NASA Technical Reports Server (NTRS)

2006-01-01

While anchored to a foot restraint on the end of the Orbiter Boom Sensor System (OBSS), astronaut Scott Parazynski, STS-120 mission specialist, participated in the mission's fourth session of extravehicular activity (EVA) while Space Shuttle Discovery was docked with the International Space Station (ISS). During the 7-hour and 19-minute space walk, Parazynski cut a snagged wire and installed homemade stabilizers designed to strengthen the structure and stability of the damaged P6 4B solar array wing. Astronaut Doug Wheelock (out of frame), mission specialist, assisted from the truss by keeping an eye on the distance between Parazynski and the array. Once the repair was complete, flight controllers on the ground successfully completed the deployment of the array.

9 CFR 55.21 - Administration.

Code of Federal Regulations, 2014 CFR

2014-01-01

... COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Herd Certification Program § 55.21 Administration. The CWD Herd Certification...

9 CFR 55.21 - Administration.

Code of Federal Regulations, 2012 CFR

2012-01-01

... COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Herd Certification Program § 55.21 Administration. The CWD Herd Certification...

9 CFR 55.21 - Administration.

Code of Federal Regulations, 2010 CFR

2010-01-01

... COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Herd Certification Program § 55.21 Administration. The CWD Herd Certification...

9 CFR 55.21 - Administration.

Code of Federal Regulations, 2013 CFR

2013-01-01

... COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Herd Certification Program § 55.21 Administration. The CWD Herd Certification...

Preliminary observation on the effect of baking soda volume on controlling odour from discarded organic waste.

PubMed

Qamaruz-Zaman, N; Kun, Y; Rosli, R-N

2015-01-01

Food wastes with high moisture and organic matter content are likely to emit odours as a result of the decomposition process. The management of odour from decomposing wastes is needed to sustain the interest of residents and local councils in the source separation of kitchen wastes. This study investigated the potential of baking soda (at 50 g, 75 g and 100g per kg food waste) to control odour from seven days stored food waste. It was found that 50 g of baking soda, spread at the bottom of 8l food wastes bin, can reduce the odour by about 70%. A higher amount (above 100g) is not advised as a pH higher than 9.0 may be induced leading to the volatilization of odorous ammonia. This research finding is expected to benefit the waste management sector, food processing industries as well as the local authorities where malodour from waste storage is a pressing issue. Copyright © 2014 Elsevier Ltd. All rights reserved.

[The National Reference Centres and Reference Laboratories. Importance and tasks].

PubMed

Laude, G; Ammon, A

2005-09-01

Since 1995, the German Federal Ministry for Health and Social Security funds National Reference Centres (NRC) for the laboratory surveillance of important pathogens and syndromes. Which pathogens or syndromes are selected to be covered by a NRC depends on their epidemiological relevance, the special diagnostic tools, problems with antimicrobial resistance and necessary infection control measures. Currently, there are 15 NRC, which are appointed for a period of 3 years (currently from January 2005 through December 2007). Towards the end of their appointment all NRC are evaluated by a group of specialists. The assessment of their achievements is guided by a catalogue of tasks for the NRC. In addition to the NRC, a total of 50 laboratories are appointed which provide specialist expertise for additional pathogens in order to have a broad range of pathogens for which specialist laboratories are available. Their predominant task is to give advice and support for special diagnostic problems. Both NRC and the specialist laboratories are important parts of the network for infectious disease epidemiology.

Physiological stress in air traffic controllers : a review.

DOT National Transportation Integrated Search

1982-08-01

Ten years of research on physiological stress in air traffic control specialists (ATCS's) is reviewed. Data were derived from 20 tasks involving the experimental variables of workload, shift-rotation patterns, and automation. : Laboratories at the Ci...

Astronaut Dale Gardner rehearses control of MMU during EVA practice

NASA Technical Reports Server (NTRS)

1984-01-01

Astronaut Dale A. Gardner, 51-A mission specialist, rehearses control of manned maneuvering unit (MMU) during a practice for an extravehicular activity (EVA). Gardner is in the Shuttle mockup and integration laboratory at JSC.

Situation awareness in air traffic control : enhanced displays for advanced operations

DOT National Transportation Integrated Search

2000-01-01

Future changes in the National Airspace System indicate a self-separation operational concept. This study examined the Air Traffic : Control Specialists ability to maintain situation awareness and provide needed monitoring and separation functions...

Currie on the aft flight deck

NASA Image and Video Library

2013-11-19

STS088-335-031 (4-15 Dec. 1998) --- Astronaut Nancy J. Currie, mission specialist, makes a notation in a log book on Endeavour's flight deck as astronaut Jerry L. Ross, mission specialist, eyes a control display near the commander's station. The two were joined by a Russian cosmonaut and three NASA astronauts for eleven days in Earth orbit, spending the majority of their time and efforts in support of important initial links to the International Space Station (ISS).

KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialist Charles Camarda (left) watches as Mission Specialist Andrew Thomas manipulates equipment that will be used on the mission. Crew members are at KSC for equipment familiarization. STS-114 is classified as Logistics Flight 1 to the International Space Station, delivering new supplies and replacing one of the orbital outpost’s Control Moment Gyroscopes (CMGs). STS-114 will also carry a Raffaello Multi-Purpose Logistics Module and the External Stowage Platform-2. The crew is slated to conduct at least three spacewalks: They will demonstrate repair techniques of the Shuttle’s Thermal Protection System, replace the failed CMG with one delivered by the Shuttle, and install the External Stowage Platform.

NASA Image and Video Library

2004-01-27

KENNEDY SPACE CENTER, FLA. - STS-114 Mission Specialist Charles Camarda (left) watches as Mission Specialist Andrew Thomas manipulates equipment that will be used on the mission. Crew members are at KSC for equipment familiarization. STS-114 is classified as Logistics Flight 1 to the International Space Station, delivering new supplies and replacing one of the orbital outpost’s Control Moment Gyroscopes (CMGs). STS-114 will also carry a Raffaello Multi-Purpose Logistics Module and the External Stowage Platform-2. The crew is slated to conduct at least three spacewalks: They will demonstrate repair techniques of the Shuttle’s Thermal Protection System, replace the failed CMG with one delivered by the Shuttle, and install the External Stowage Platform.

LISREL Model Medical Solid Infectious Waste Hazardous Hospital Management In Medan City

NASA Astrophysics Data System (ADS)

Simarmata, Verawaty; Siahaan, Ungkap; Pandia, Setiaty; Mawengkang, Herman

2018-01-01

Hazardous and toxic waste resulting from activities at most hospitals contain various elements of medical solid waste ranging from heavy metals that have the nature of accumulative toxic which are harmful to human health. Medical waste in the form of gas, liquid or solid generally include the category or the nature of the hazard and toxicity waste. The operational in activities of the hospital aims to improve the health and well-being, but it also produces waste as an environmental pollutant waters, soil and gas. From the description of the background of the above in mind that the management of solid waste pollution control medical hospital, is one of the fundamental problems in the city of Medan and application supervision is the main business licensing and control alternatives in accordance with applicable regulations.

[Co-composting high moisture vegetable waste and flower waste in a sequential fed operation].

PubMed

Zhang, Xiangfeng; Wang, Hongtao; Nie, Yongfeng

2003-11-01

Co-composting of high moisture vegetable wastes (celery and cabbage) and flower wastes (carnation) were studied in a sequential fed bed. The preliminary materials of composting were celery and carnation wastes. The sequential fed materials of composting were cabbage wastes and were fed every 4 days. Moisture content of mixture materials was between 60% and 70%. Composting was done in an aerobic static bed of composting based temperature feedback and control via aeration rate regulation. Aeration was ended when temperature of the pile was about 40 degrees C. Changes of composting of temperature, aeration rate, water content, organic matter, ash, pH, volume, NH4(+)-N, and NO3(-)-N were studied. Results show that co-composting of high moisture vegetable wastes and flower wastes, in a sequential fed aerobic static bed based temperature feedback and control via aeration rate regulation, can stabilize organic matter and removal water rapidly. The sequential fed operation are effective to overcome the difficult which traditional composting cannot applied successfully where high moisture vegetable wastes in more excess of flower wastes, such as Dianchi coastal.

9 CFR 55.2 - Payment of indemnity.

Code of Federal Regulations, 2014 CFR

2014-01-01

... COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.2 Payment of indemnity. The Administrator is...

9 CFR 55.2 - Payment of indemnity.

Code of Federal Regulations, 2011 CFR

2011-01-01

... COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.2 Payment of indemnity. The Administrator is...

9 CFR 55.22 - Participation and enrollment.

Code of Federal Regulations, 2013 CFR

2013-01-01

... AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Herd Certification Program § 55.22 Participation and enrollment. (a...

9 CFR 55.22 - Participation and enrollment.

Code of Federal Regulations, 2012 CFR

2012-01-01

... AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Herd Certification Program § 55.22 Participation and enrollment. (a...

9 CFR 55.2 - Payment of indemnity.

Code of Federal Regulations, 2010 CFR

2010-01-01

... COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.2 Payment of indemnity. The Administrator is...

9 CFR 55.2 - Payment of indemnity.

Code of Federal Regulations, 2013 CFR

2013-01-01

... COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.2 Payment of indemnity. The Administrator is...

9 CFR 55.2 - Payment of indemnity.

Code of Federal Regulations, 2012 CFR

2012-01-01

... COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.2 Payment of indemnity. The Administrator is...

9 CFR 55.22 - Participation and enrollment.

Code of Federal Regulations, 2010 CFR

2010-01-01

... AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Herd Certification Program § 55.22 Participation and enrollment. (a...

Implications of reduced involvement in en route air traffic control.

DOT National Transportation Integrated Search

1999-08-01

The expansion of the National Route Program will allow airlines to be more flexible in filing and amending flight plans. This may : result in a change in the role of the air traffic control specialist from direct control to a position with more monit...

MERCURY CONTROL IN MUNICIPAL WASTE COMBUSTORS AND COAL-FIRED UTILITIES

EPA Science Inventory

Control of mercury (Hg) emissions from municipal waste combustors (MWCs) and coal-fired utilities has attracted attention due to current and potential regulations. Among several techniques evaluated for Hg control, dry sorbent injection (primarily injection of activated carbon) h...

Minimum intervention dentistry approach to managing early childhood caries: a randomized control trial.

PubMed

Arrow, Peter; Klobas, Elizabeth

2015-12-01

A pragmatic randomized control trial was undertaken to compare the minimum intervention dentistry (MID) approach, based on the atraumatic restorative treatment procedures (MID-ART: Test), against the standard care approach (Control) to treat early childhood caries in a primary care setting. Consenting parent/child dyads were allocated to the Test or Control group using stratified block randomization. Inclusion and exclusion criteria were applied. Participants were examined at baseline and at follow-up by two calibrated examiners blind to group allocation status (κ = 0.77), and parents completed a questionnaire at baseline and follow-up. Dental therapists trained in MID-ART provided treatment to the Test group and dentists treated the Control group using standard approaches. The primary outcome of interest was the number of children who were referred for specialist pediatric care. Secondary outcomes were the number of teeth treated, changes in child oral health-related quality of life and dental anxiety and parental perceptions of care received. Data were analyzed on an intention to treat basis; risk ratio for referral for specialist care, test of proportions, Wilcoxon rank test and logistic regression were used. Three hundred and seventy parents/carers were initially screened; 273 children were examined at baseline and 254 were randomized (Test = 127; Control = 127): mean age = 3.8 years, SD 0.90; 59% male, mean dmft = 4.9, SD 4.0. There was no statistically significant difference in age, sex, baseline caries experience or child oral health-related quality of life between the Test and Control group. At follow-up (mean interval 11.4 months, SD 3.1 months), 220 children were examined: Test = 115, Control = 105. Case-notes review of 231 children showed Test = 6 (5%) and Control = 53 (49%) were referred for specialist care, P < 0.0001. More teeth were filled in the Test group (mean = 2.93, SD 2.48) than in the Control group (mean = 1.54, SD 2.20), Wilcoxon's test, P < 0.0001. Logistic regression, after controlling for age and baseline caries experience, showed a higher risk of referral by allocation to control group, OR 32.6, 95% CI 10.8-98.4, P < 0.0001. The MID-ART approach reduced significantly the likelihood of referral for specialist care, and more children and teeth were provided with treatment. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

KSC-00pp1605

NASA Image and Video Library

2000-10-23

Inside the U.S. Lab, Destiny, members of the STS-98 crew work with technicians (in the background) to learn more about the equipment in the module. They are taking part in Crew Equipment Interface Test activities. At left, back to camera, is Mission Specialist Marsha Ivins. Standing are Mission Specialists Thomas Jones (left) and Robert Curbeam (right). Other crew members not seen are Commander Ken Cockrell and Pilot Mark Polansky. The mission will be transporting the Lab to the International Space Station with five system racks already installed inside of the module. With delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated. The STS-98 launch is scheduled for Jan. 18, 2001

KSC-00pp1604

NASA Image and Video Library

2000-10-23

In the Space Station Processing Facility, STS-98 Mission Specialist Marsha Ivins wields a tool on part of the U.S. Lab, Destiny. The crew is checking out equipment inside the lab as part of Crew Equipment Interface Test activities, becoming familiar with equipment it will be handling during the mission. Others in the crew are Commander Ken Cockrell, Pilot Mark Polansky and Mission Specialists Robert Curbeam and Thomas Jones. The mission will be transporting the Lab to the International Space Station with five system racks already installed inside of the module. With delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated. The STS-98 launch is scheduled for Jan. 18, 2001

KSC-00pp1603

NASA Image and Video Library

2000-10-23

In the Space Station Processing Facility, STS-98 Mission Specialist Marsha Ivins maneuvers a part of the U.S. Lab, Destiny. The crew is checking out equipment inside the lab as part of Crew Equipment Interface Test activities, becoming familiar with equipment it will be handling during the mission. Others in the crew are Commander Ken Cockrell, Pilot Mark Polansky and Mission Specialists Robert Curbeam and Thomas Jones. The mission will be transporting the Lab to the International Space Station with five system racks already installed inside of the module. With delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated. The STS-98 launch is scheduled for Jan. 18, 2001

KSC-00pp1607

NASA Image and Video Library

2000-10-23

In the Space Station Processing Facility, members of the STS-98 crew, sitting in front of the U.S. Lab, Destiny, listen to a trainer during Crew Equipment Interface Test (CEIT) activities. Seen, left to right, are Mission Specialist Thomas Jones, Pilot Mark Polansky and Mission Specialists Robert Curbeam and Marsha Ivins (with camera). The CEIT allows a crew to become familiar with equipment they will be handling during the mission. With launch scheduled for Jan. 18, 2001, the STS-98 mission will be transporting the Lab to the International Space Station with five system racks already installed inside of the module. After delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated

STS-98 crew members take part in CEIT

NASA Technical Reports Server (NTRS)

2000-01-01

In the Space Station Processing Facility, STS-98 Mission Specialist Marsha Ivins maneuvers a part of the U.S. Lab, Destiny. The crew is checking out equipment inside the lab as part of Crew Equipment Interface Test activities, becoming familiar with equipment it will be handling during the mission. Others in the crew are Commander Ken Cockrell, Pilot Mark Polansky and Mission Specialists Robert Curbeam and Thomas Jones. The mission will be transporting the Lab to the International Space Station with five system racks already installed inside of the module. With delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated. The STS-98 launch is scheduled for Jan. 18, 2001.

KSC-00pp1766

NASA Image and Video Library

2000-11-18

KENNEDY SPACE CENTER, FLA. -- Some of the STS-98 crew look over the Canadian robotic arm in the payload bay of orbiter Atlantis, which is undergoing testing in the Orbiter Processing Facility bay 3. At right, pointing, is Mission Specialist Tom Jones. Second from right is Mission Specialist Robert Curbeam. They and the rest of the crew are at KSC for Crew Equipment Interface Test activities. Launch on mission STS-98 is scheduled for Jan. 18, 2001. It will be transporting the U.S. Lab, Destiny, to the International Space Station with five system racks already installed inside of the module. After delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated

KSC00pp1766

NASA Image and Video Library

2000-11-18

KENNEDY SPACE CENTER, FLA. -- Some of the STS-98 crew look over the Canadian robotic arm in the payload bay of orbiter Atlantis, which is undergoing testing in the Orbiter Processing Facility bay 3. At right, pointing, is Mission Specialist Tom Jones. Second from right is Mission Specialist Robert Curbeam. They and the rest of the crew are at KSC for Crew Equipment Interface Test activities. Launch on mission STS-98 is scheduled for Jan. 18, 2001. It will be transporting the U.S. Lab, Destiny, to the International Space Station with five system racks already installed inside of the module. After delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated

Noise control of waste water pipes

NASA Astrophysics Data System (ADS)

Lilly, Jerry

2005-09-01

Noise radiated by waste water pipes is a major concern in multifamily housing projects. While the most common solution to this problem is to use cast-iron pipes in lieu of plastic pipes, this may not be sufficient in high-end applications. It should also be noted that many (if not most) multifamily housing projects in the U.S.A. are constructed with plastic waste piping. This paper discusses some of the measures that developers are currently using to control noise from both plastic and cast-iron waste pipes. In addition, results of limited noise measurements of transient water flow in plastic and cast-iron waste pipes will be presented.

Overview of waste reduction techniques leading to pollution prevention

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

Hunt, G.E.

Liquid, solid, and/or gaseous waste materials are always generated during the manufacture of any product. In addition to creating environmental hazards, these wastes represent losses of valuable materials and energy from the production process and require a significant investment in pollution control. Traditionally, pollution control relies on ``end-of-the-pipe`` and ``out-the-back-door`` management approaches that require labor hours, energy, materials, and capital expenditures. Such an approach removes pollutants from one source, such as wastewater, but places them somewhere else, such as in a landfill. More regulations, higher disposal expenses, increased liability costs, and increased public awareness have caused industrial and governmental leadersmore » to begin critical examinations of end-of-the-pipe control technologies. The value of reducing waste during the manufacturing process has become apparent to many industries. These companies are looking at broader environmental management objectives, rather than concentrating solely on pollution control. Waste reduction not only is very often economically beneficial for an industry, it also improves the quality of the environment.« less

Early discharge with tube feeding at home for preterm infants is associated with longer duration of breast feeding.

PubMed

Meerlo-Habing, Z E; Kosters-Boes, E A; Klip, H; Brand, P L P

2009-07-01

Mothers of preterm infants are more likely to discontinue breast feeding early than mothers of term infants. We evaluated the effect of early discharge with tube feeding of preterm infants under close supervision by paediatric nurse specialists on the duration of breast feeding. Case-control study. Medium/high-care neonatal unit of a large district general hospital. Preterm infants (<37 weeks' gestational age). Early discharge with tube feeding under close supervision by paediatric nurse specialists or regular follow-up of preterm infants discharged with oral feeding. Duration of breast feeding assessed by telephone interview 6 months after birth. There were 50 preterm infants in the early discharge group and 78 in the control group. Mothers in the early discharge group continued to breast feed longer than mothers in the control group (log rank test, p = 0.028). Four months after discharge, 63% of preterm infants in the control group were fed formula compared to 36% in the early discharge group (95% CI for difference 9% to 43%, p = 0.04). The relative risk of breast feeding cessation 6 months after birth in the early discharge group compared to the control group was 0.63 (95% CI 0.41 to 0.96). After adjustment for smoking, gestational age and birth weight, this relative risk was 0.67 (95% CI 0.43 to 1.05). Close supervision and follow-up by paediatric nurse specialists of preterm infants discharged early with tube feeding appears to increase duration of breast feeding. A randomised controlled trial to confirm these findings is warranted.

Tick control: trapping, biocontrol, host management and other alternative strategies

USGS Publications Warehouse

Ginsberg, Howard S.; Edited by Sonenshine, Daniel E.; Roe, R. Michael

2014-01-01

Biology of Ticks is the most comprehensive work on tick biology and tick-borne diseases. This second edition is a multi-authored work, featuring the research and analyses of renowned experts across the globe. Spanning two volumes, the book examines the systematics, biology, structure, ecological adaptations, evolution, genomics and the molecular processes that underpin the growth, development and survival of these important disease-transmitting parasites. Also discussed is the remarkable array of diseases transmitted (or caused) by ticks, as well as modern methods for their control. This book should serve as a modern reference for students, scientists, physicians, veterinarians and other specialists. Volume I covers the biology of the tick and features chapters on tick systematics, tick life cycles, external and internal anatomy, and others dedicated to specific organ systems, specifically, the tick integument, mouthparts and digestive system, salivary glands, waste removal, salivary glands, respiratory system, circulatory system and hemolymph, fat body, the nervous and sensory systems and reproductive systems. Volume II includes chapters on the ecology of non-nidicolous and nidicolous ticks, genetics and genomics (including the genome of the Lyme disease vector Ixodes scapularis) and immunity, including host immune responses to tick feeding and tick-host interactions, as well as the tick's innate immune system that prevents and/or controls microbial infections. Six chapters cover in depth the many diseases caused by the major tick-borne pathogens, including tick-borne protozoa, viruses, rickettsiae of all types, other types of bacteria (e.g., the Lyme disease agent) and diseases related to tick paralytic agents and toxins. The remaining chapters are devoted to tick control using vaccines, acaricides, repellents, biocontrol, and, finally, techniques for breeding ticks in order to develop tick colonies for scientific study.

Performance Measures for Evaluating Public Participation Activities in the Office of Environmental Management (DOE)

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

Carnes, S.A.

2001-02-15

Public participation in Office of Environmental Management (EM) activities throughout the DOE complex is a critical component of the overall success of remediation and waste management efforts. The challenges facing EM and its stakeholders over the next decade or more are daunting (Nuclear Waste News 1996). Achieving a mission composed of such challenges will require innovation, dedication, and a significant degree of good will among all stakeholders. EM's efforts to date, including obtaining and using inputs offered by EM stakeholders, have been notable. Public participation specialists have accepted and met challenges and have consistently tried to improve their performance. Theymore » have reported their experiences both formally and informally (e.g., at professional conferences and EM Public Participation Network Workshops, other internal meetings of DOE and contractor public participation specialists, and one-on-one consultations) in order to advance the state of their practice. Our research, and our field research in particular (including our interactions with many representatives of numerous stakeholder groups at nine DOE sites with diverse EM problems), have shown that it, is possible to develop coherent results even in a problem domain as complex as that of EM. We conclude that performance-based evaluations of public participation appear possible, and we have recommended an approach, based on combined and integrated multi-stakeholder views on the attributes of successful public participation and associated performance indicators, that seems workable and should be acceptable to diverse stakeholders. Of course, as an untested recommendation, our approach needs the validation that can only be achieved by application (perhaps at a few DOE sites with ongoing EM activities). Such an application would serve to refine the proposed approach in terms of its clarity, its workability, and its potential for full-scale use by EM and, potentially, other government agencies and private sector concerns.« less

9 CFR 55.5 - Presentation of claims for indemnity.

Code of Federal Regulations, 2014 CFR

2014-01-01

... OF AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.5 Presentation of claims for...

9 CFR 55.5 - Presentation of claims for indemnity.

Code of Federal Regulations, 2012 CFR

2012-01-01

... OF AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.5 Presentation of claims for...

9 CFR 55.5 - Presentation of claims for indemnity.

Code of Federal Regulations, 2010 CFR

2010-01-01

... OF AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.5 Presentation of claims for...

9 CFR 55.5 - Presentation of claims for indemnity.

Code of Federal Regulations, 2013 CFR

2013-01-01

... OF AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.5 Presentation of claims for...

9 CFR 55.5 - Presentation of claims for indemnity.

Code of Federal Regulations, 2011 CFR

2011-01-01

... OF AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.5 Presentation of claims for...

Population dynamics in controlled unsteady-state systems: An application to the degradation of glyphosate in a sequencing batch reactor

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

Devarakonda, M.S.

1988-01-01

Control over population dynamics and organism selection in a biological waste treatment system provides an effective means of engineering process efficiency. Examples of applications of organism selection include control of filamentous organisms, biological nutrient removal, industrial waste treatment requiring the removal of specific substrates, and hazardous waste treatment. Inherently, full scale biological waste treatment systems are unsteady state systems due to the variations in the waste streams and mass flow rates of the substrates. Some systems, however, have the capacity to impose controlled selective pressures on the biological population by means of their operation. An example of such a systemmore » is the Sequencing Batch Reactor (SBR) which was the experimental system utilized in this research work. The concepts of organism selection were studied in detail for the biodegradation of a herbicide waste stream, with glyphosate as the target compound. The SBR provided a reactor configuration capable of exerting the necessary selective pressures to select and enrich for a glyphosate degrading population. Based on results for bench scale SBRs, a hypothesis was developed to explain population dynamics in glyphosate degrading systems.« less

Control technology assessment of hazardous waste disposal operations in chemicals manufacturing: walk-through survey report of E. I. Du Pont de Nemours and Company, Chambers Works, Deepwater, New Jersey

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

Anastas, M.

1984-01-01

A walk through survey was conducted to assess control technology for hazardous wastes disposal operations at du Pont de Nemours and Company (SIC-2800), Deepwater, New Jersey in November 1981. Hazardous wastes generated at the facility were disposed of by incineration, wastewater and thermal treatment, and landfilling. Engineering controls for the incineration process and at the landfill were noted. At the landfill, water from a tank trailer was sprayed periodically to suppress dust generation. Vapor control devices, such as spot scrubbers, were used during transfer of organic wastes from trailers and drums to storage prior to incineration. Wastes were also recirculatedmore » to prevent build up of grit in the strainers. The company conducted area monitoring for nitrobenzene (98953) and amines at the landfill and personal monitoring for chloramines at the incinerator. Half mask dust respirators were worn by landfill operators. Operators who unloaded and emptied drums at the incinerator were required to wear face masks, rubber gloves, and boots. The author concludes that disposal of hazardous wastes at the facility is state of the art. An in depth survey is recommended.« less

The Impact of State Tort Reforms on Imaging Utilization.

PubMed

Li, Suhui; Dor, Avi; Deyo, Darwyyn; Hughes, Danny R

2017-02-01

Defensive medicine, broadly defined as medical practices that protect physicians from malpractice lawsuits without providing benefits to patients, can lead to wasteful use of health care resources and higher cost. Although physicians cite malpractice liability as an important factor driving their decisions to order imaging tests, little research has been done to examine the systematic impact of liability pressure on overall imaging. The authors examined the extent to which radiography use is influenced by malpractice liability pressure among office-based physicians. Using National Ambulatory Medical Care Survey data from 1999 to 2010, the authors used multivariate difference-in-difference logistic regression to examine the effects of different types of state tort reforms on the probability of radiography orders by primary care physicians (PCPs) and specialists. The probability that a PCP ordered radiography decreased when states enacted permanent caps on noneconomic damages (-1.0%, P < .01), periodic payment reforms (-1.6%, P < .05), and the total number of tort reforms (-0.5%, P < .05). Specialist physicians were responsive to two reforms: caps on punitive damages (-6.1%, P < .01) and the total number of medical tort laws (-1.2%, P < .01). The passage of new indirect reforms was found to reduce radiography orders for PCPs (-1.8%, P < .05), and the repeal of indirect reforms was found to increase radiography orders for specialists (+3.4%, P < .01). State tort reform seems to reduce physicians' ordering of radiography. This analysis also suggests that reforms that make it harder to sue physicians have a stronger impact than reforms that directly reduce physicians' malpractice claim payments. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

D and D Knowledge Management Information Tool - 2012 - 12106

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

Upadhyay, H.; Lagos, L.; Quintero, W.

2012-07-01

Deactivation and decommissioning (D and D) work is a high priority activity across the Department of Energy (DOE) complex. Subject matter specialists (SMS) associated with the different ALARA (As-Low-As-Reasonably-Achievable) Centers, DOE sites, Energy Facility Contractors Group (EFCOG) and the D and D community have gained extensive knowledge and experience over the years in the cleanup of the legacy waste from the Manhattan Project. To prevent the D and D knowledge and expertise from being lost over time from the evolving and aging workforce, DOE and the Applied Research Center (ARC) at Florida International University (FIU) proposed to capture and maintainmore » this valuable information in a universally available and easily usable system. D and D KM-IT provides single point access to all D and D related activities through its knowledge base. It is a community driven system. D and D KM-IT makes D and D knowledge available to the people who need it at the time they need it and in a readily usable format. It uses the World Wide Web as the primary source for content in addition to information collected from subject matter specialists and the D and D community. It brings information in real time through web based custom search processes and its dynamic knowledge repository. Future developments include developing a document library, providing D and D information access on mobile devices for the Technology module and Hotline, and coordinating multiple subject matter specialists to support the Hotline. The goal is to deploy a high-end sophisticated and secured system to serve as a single large knowledge base for all the D and D activities. The system consolidates a large amount of information available on the web and presents it to users in the simplest way possible. (authors)« less

Aerospace vehicle water-waste management

NASA Technical Reports Server (NTRS)

Pecoraro, J. N.

1973-01-01

The collection and disposal of human wastes, such as urine and feces, in a spacecraft environment are performed in an aesthetic and reliable manner to prevent degradation of crew performance. The waste management system controls, transfers, and processes materials such as feces, emesis, food residues, used expendables, and other wastes. The requirements, collection, transport, and waste processing are described.

Let's Waste Less Waste, Level 4. Teacher Guide. Operation Waste Watch.

ERIC Educational Resources Information Center

Virginia State Dept. of Waste Management, Richmond. Div. of Litter & Recycling.

Operation Waste Watch is a series of seven sequential learning units which addresses the subject of litter control and solid waste management. Each unit may be used in a variety of ways, depending on the needs and schedules of individual schools, and may be incorporated into various social studies, science, language arts, health, mathematics, and…

9 CFR 55.4 - Disinfection of premises, conveyances, and materials.

Code of Federal Regulations, 2012 CFR

2012-01-01

... SERVICE, DEPARTMENT OF AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.4 Disinfection of...

9 CFR 55.4 - Disinfection of premises, conveyances, and materials.

Code of Federal Regulations, 2014 CFR

2014-01-01

... SERVICE, DEPARTMENT OF AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.4 Disinfection of...

9 CFR 55.4 - Disinfection of premises, conveyances, and materials.

Code of Federal Regulations, 2013 CFR

2013-01-01

... SERVICE, DEPARTMENT OF AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Indemnification Program § 55.4 Disinfection of...

Rationale for classical biological control of cattle fever ticks and proposed methods for field collection of natural enemies

USDA-ARS?s Scientific Manuscript database

Classical biological control using specialist parasitoids, predators and/or nematodes from the native ranges of cattle fever ticks Rhipicephalus microplus and Rhipicephalus annulatus could complement existing control strategies for this livestock pest in the transboundary region between Mexico and T...

Conversion of the CTA, Inc., en route operations concepts database into a formal sentence outline job task taxonomy.

DOT National Transportation Integrated Search

1993-01-01

FAA Air Traffic Control Operations Concepts Volume VI: ARTCC-Host En Route Controllers (1990) developed by CTA, Inc., a technical description of the duties of an En Route air traffic control specialist (ATCS), formatted in User Interface Language, wa...

Evaluation of Hydraulically Significant Discontinuities in Dockum Group Mudrocks in Andrews County, Texas

NASA Astrophysics Data System (ADS)

Holt, R. M.; Kuszmaul, J. S.; Cao, S.; Powers, D. W.

2013-12-01

Triassic mudrocks of the Dockum Group (Cooper Canyon Formation) host four, below-grade landfills at the Waste Control Specialists (WSC) site in Andrews County, Texas, including: a hazardous waste landfill and three radioactive waste landfills. At the study site, the Dockum consists of mudrocks with sparse siltstone/sandstone interbeds that developed in a semi-arid environment from an ephemeral meandering fluvial system. Sedimentary studies reveal that the mudrocks are ancient floodplain vertisols (soils with swelling clays) and siltstone/sandstone interbeds are fluvial channel deposits that were frequently subaerially exposed. Rock discontinuities, including fractures and syndepositional slickensided surfaces, were mapped during the excavation of the WCS radioactive waste landfills along vertical faces prepared by the construction contractor. Face locations were selected to insure a sampled area with nearly complete vertical coverage for each landfill. Individual discontinuities were mapped and their strike, dip, length, roughness, curvature, staining, and evidence of displacement were described. In the three radioactive waste disposal landfills, over 1750 discontinuities across 35 excavated faces were mapped and described, where each face was nominally 8 to 10 ft tall and 50 to 100 ft long. Genetic units related to paleosol development were identified. On average, the orientation of the discontinuities was horizontal, and no other significant trends were observed. Mapping within the landfill excavations shows that most discontinuities within Dockum rocks are horizontal, concave upward, slickensided surfaces that developed in the depositional environment, as repeated wetting and drying cycles led to shrinking and swelling of floodplain vertisols. Fractures that showed staining (a possible indicator of past or present hydraulic activity) are rare, vertical to near-vertical, and occur mainly in, and adjacent to, mechanically stiff siltstone and sandstone interbeds. No interconnected fracture networks were observed during mapping. A series of pressurized air tests conducted in three pairs of vertical and three pairs of inclined boreholes were tested at depths, ranging from 40 to 215 feet below ground surface, also showed no evidence of fracture interconnection. Genetic units generally consist of fining upward sequences that show increasing pedogenic alteration upward. Arcuate, slickensided discontinuities are more abundant near the top of genetic units, while stained fractures are more common in the more mechanically competent materials near the base of genetic units. A statistical analysis of fractures and discontinuities revealed limited differences between most genetic units. A series of discrete fracture network models were developed to evaluate the uncertainty in our fracture observations. Slickensided discontinuities showing no evidence of staining or past fluid movement were excluded from the analysis. Monte Carlo simulations show no continuous fracture interconnections across the landfill depth intervals.

A review of people who did not attend an epilepsy clinic and their clinical outcomes.

PubMed

Minshall, I; Neligan, A

2017-08-01

To review the clinical outcomes of people who failed to attend or failed subsequent follow up in a Primary Care based specialist epilepsy service. The case notes of 200 people who had failed to initially attend the service or subsequent follow up from 2005 to 2013 were reviewed. Clinical outcomes were determined for 152 people, with the remaining 48 having left the area. For those not attending at all, 64% had no further recorded events, a further 22% came under alternative specialist care and were managed appropriately, 6% were already in remission at the time of referral or at follow up and stayed seizure free. For people attending, but were subsequently lost to follow up, 78% were in remission, had improved seizure frequency, and normal pregnancies. In total 6% of those with poor control came under subsequent Neurological care. This study suggests that for the majority of people who fail to attend or are lost to follow up in a primary care specialist epilepsy clinic, the primary reasons appear to be that they had no further events, improved seizure control or that seizure remission has been achieved. The majority with persistent poor control came under Neurological care. Copyright © 2017 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

Referral by outreach specialist reduces hospitalisation costs of rural patients with digestive tract cancer: a report from medical consortium in China.

PubMed

Shi, Ge; Zhou, Bin; Cai, Zhi-Chang; Wu, Tao; Li, Xian-Feng; Xu, Weiguo

2014-01-01

The authors examined the effect of referrals from outreach specialists on total hospitalisation costs of rural Chinese patients receiving surgical treatment for digestive tract cancer at a tertiary hospital within a vertically integrated medical consortium. A retrospective cohort study was conducted within the Taiyuan Central Hospital medical consortium between January 2008 and December 2010. This consortium consists of Taiyuan Central Hospital (a tertiary hospital) and three county hospitals in Taiyuan city, the capital of Shanxi province in China. Patients admitted for surgery to treat digestive tract cancer (N=359) were assigned to control (direct admission without referral), referral by local doctor (RL), or referral by outreach specialist (RO) groups according to referral type. Length of stay (LOS) and hospitalisation costs were examined. Regression-adjusted costs were estimated by a multivariate model that controlled for gender, age, type of cancer, Charlson Comorbidity Index (CCI) score, and referral type. Significant differences were found between the three groups (p<0.001) for LOS and total hospitalisation costs. Both were highest for the control group, followed by RL and then the RO groups (LOS: 28.3 ± 4.9, 24.2 ± 5.9, and 19.2 ± 3.7 days; hospitalisation cost: Chinese yuan (CNY)35,087.87 ± 6208.30, 32,853.38 ± 5195.40, and 29,794.56 ± 5250.20). A strong association was found between RO and substantially reduced hospitalisation costs in patients receiving digestive tract cancer surgery within the medical consortium as compared to RL. This finding suggests that the strengthened collaboration between outreach specialists and local doctors, herein referred to as the green referral channel, is the key factor leading to reduced hospitalisation costs.

[The frequency of performing smoking cessation outpatient clinic in chest disease specialists who are members of Turkish Thoracic Society and factors affecting this performance].

PubMed

Pazarli Bostan, Pınar; Elbek, Osman; Kilinç, Oğuz; Akçay, Müşerref Şule; Kiran, Sibel

2014-01-01

Although helping patients to stop smoking is a good clinical practice that has to be carried out by physicians everywhere and in every area, it is known that carrying out this help systematically in accordance to a programme in smoking cessation outpatient clinics significantly improves the chance of success. The study is a cross-sectional survey performed among chest disease specialists who are members of Turkish Thoracic Society (TTS), between June 2010 and February 2011. As independent variables relevant to status of performing/not performing Smoking Cessation Outpatient Clinic (SCOC); sex, age (younger or older than 40), being graduated before or after 1996, being or not being in a consultant position, work place (Hospital of Ministry of Health/private hospital/university hospital), having or not having an education for smoking cessation help and being or not being member of a City Tobacco Control Committee (CTCC) were investigated. Data was collected via a web-questionnaire prepared by using WHO Global Health Professionals Questionnaire which was sent to members through TTS secreteriat. 41% (699/1701) of members of TTS responded. 39.5% of responders reported that they perform SCOC. When the factors possibly affecting the performance of SCOC are evaluated with logistic regression analysis; being graduated after 1996, having an education for smoking cessation help, being a member of CTCC and not being an active smoker are found to improve this performance. Our study showed that having an education for smoking cessation help (and tobacco control) makes chest disease specialists get more responsibility on this topic. Accordingly, continuous efforts for improving awareness of personal and social responsibilities of all physicians, especially chest disease specialists, have to be made to provide their taking active roles in tobacco control.

Impact of electronic waste disposal on lead concentrations in landfill leachate.

PubMed

Spalvins, Erik; Dubey, Brajesh; Townsend, Timothy

2008-10-01

Lead is the element most likely to cause discarded electronic devices to be characterized as hazardous waste. To examine the fate of lead from discarded electronics in landfills, five columns were filled with synthetic municipal solid waste (MSW). A mix of electronic devices was added to three columns (6% by weight), while two columns served as controls. A sixth column contained waste excavated from an existing MSW landfill. Leachate quality was monitored for 440 days. In columns with the synthetic waste, leachate pH indicated that the simulated landfill environment was characteristic of the acid phase of waste decomposition; lead leachability should be greater in the acid phase of landfill degradation as compared to the methanogenic phase. Lead concentrations ranged from 7 to 66 microg/L in the columns containing electronic waste and ranged from < 2 to 54 microg/L in the control columns. Although the mean lead concentrations in the columns containing electronic devices were greater than those in the controls, the difference was not found to be statistically significant when comparing the data sets over the entire monitoring period. Lead results from the excavated waste column suggest that lead concentrations in all columns will decrease as the pH increases toward more neutral methanogenic conditions.

Creature co-op: Achieving robust remote operations with a community of low-cost robots

NASA Technical Reports Server (NTRS)

Bonasso, R. Peter

1990-01-01

The concept is advanced of carrying out space based remote missions using a cooperative of low cost robot specialists rather than monolithic, multipurpose systems. A simulation is described wherein a control architecture for such a system of specialists is being investigated. Early results show such co-ops to be robust in the face of unforeseen circumstances. Descriptions of the platforms and sensors modeled and the beacon and retriever creatures that make up the co-op are included.

MS Thomas on middeck with TIPS messages

NASA Image and Video Library

2016-08-12

STS083-309-003 (4-8 April 1997) --- Astronaut Donald A. Thomas, mission specialist, checks a fresh delivery of messages from ground controllers onboard the Earth-orbiting Space Shuttle Columbia. The Thermal Impulse Imaging System (TIPS) is located on the mid deck of Columbia. Thomas, along with four other NASA astronauts and two payload specialists supporting the Microgravity Sciences Laboratory (MSL-1) mission were less than a fourth of the way through a scheduled 16-day flight when a power problem cut short their planned stay.

Inclusion of Specialist and Generalist Stimuli in Attract-and-Kill Programs: Their Relative Efficacy in Apple Maggot Fly (Diptera: Tephritidae) Pest Management.

PubMed

Morrison, William R; Lee, Doo-Hyung; Reissig, W Harvey; Combs, David; Leahy, Kathleen; Tuttle, Arthur; Cooley, Daniel; Leskey, Tracy C

2016-08-01

Investigating the chemical ecology of agricultural systems continues to be a salient part of integrated pest management programs. Apple maggot fly, a key pest of apple in eastern North America, is a visual specialist with attraction to host fruit-mimicking cues. These cues have been incorporated into red spherical traps used for both monitoring and behaviorally based management. Incorporating generalist or specialist olfactory cues can potentially increase the overall success of this management system. The primary aim of this study was to evaluate the attractiveness of a generalist olfactory cue, ammonium carbonate, and the specialist olfactory cue, a five-component apple volatile blend, when included as a component of a red attracticidal sphere system. Secondly, we assessed how critical it was to maintain minimal deviation from the optimal, full-round specialist visual stimulus provided by red spheres. Finally, attracticidal spheres were deployed with specialist olfactory cues in commercial apple orchards to evaluate their potential for effective management of apple maggot. Ammonium carbonate did not increase residency, feeding time, or mortality in the laboratory-based trials. Field deployment of specialist olfactory cues increased apple maggot captures on red spheres, while the generalist cue did not. Apple maggot tolerated some deviation from the optimal visual stimulus without reducing captures on red spheres. Attracticidal spheres hung in perimeter trees in orchards resulted in acceptable and statistically identical levels of control compared with standard insecticide programs used by growers. Overall, our study contributes valuable information for developing a reliable attract-and-kill system for apple maggot. Published by Oxford University Press on behalf of Entomological Society of America 2016. This work is written by US Government employees and is in the public domain in the United States.

Private or public? An empirical analysis of the importance of work values for work sector choice among Norwegian medical specialists.

PubMed

Midttun, Linda

2007-03-01

In the aftermath of the Norwegian hospital reform of 2002, the private supply of specialized healthcare has increased substantially. This article analyses the likelihood of medical specialists working in the private sector. Sector choice is operationalized in two ways: first, as the likelihood of medical specialists working in the private sector at all (at least 1% of the total work hours), and second, as the likelihood of working full-time (90-100%) privately. The theoretical framework is embedded in work values theory and the results suggest that work values are important predictors of sector choice. All analyses are based on a postal questionnaire survey of medical specialists working in private contract practices and for-profit hospitals and a control group of specialists selected from the Norwegian Medical Association's member register. The analyses revealed that while autonomy values impact positively on the propensity for allocating any time at all to the private sector, professional values have a negative effect. Given that the medical specialist already works in the private sector, a high valuation of professional values and payment and benefit values increases the likelihood of having a dual sector job rather than a full-time private position. However, due to the cross-sectional structure of the data and limitations in the dataset, causality questions cannot be fully settled on the basis of the analyses. The relationship between work values and sector choice should, therefore, be regarded as associations rather than causality links. Finally, the likelihood of working in the private sector varies significantly at the municipality level, suggesting that medical specialist's location is important for sector choice.

[Main ways of improvements of the systems of medical rehabilitation of military servicemen after cardiovascular surgery].

PubMed

Iudin, V E; Klimko, V V; Shkarupa, O F; Guzenko, I E

2014-08-01

For better improvement of medical rehabilitation referred to effective restoration of functional status of servicemen after cardiovascular surgery it is necessary to introduce standards of medical rehabilitation at all stages of rehabilitation, syndrome-pathologic principle of grouping patients, multidisciplinary organisation of medical activity: cardiologist-physician, specialist of functional diagnostics, specialist of physical therapy, psychotherapist, physical therapeutic, surgeon and specialist of professional rehabilitation. Basic ways of improvement of the system of rehabilitation were organisational technologies of interaction during early and late stages of rehabilitation and persistent control of quality and effectiveness of rehabilitation. Optimization of organisation of late stage of hospitalisation allowed to reduce the average time of rehabilitation to 33,3% and at the same time to improve effectiveness of rehabilitation.

20. VIEW OF WASTE TREATMENT CONTROL ROOM IN BUILDING 374. ...

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

20. VIEW OF WASTE TREATMENT CONTROL ROOM IN BUILDING 374. THE BUILDING 371/374 COMPLEX WAS DESIGNED TO EMPHASIZE AUTOMATICALLY CONTROLLED, REMOTELY OPERATED PROCESSES. (1/80) - Rocky Flats Plant, Plutonium Recovery Facility, Northwest portion of Rocky Flats Plant, Golden, Jefferson County, CO

Liquid and Gaseous Waste Operations Department annual operating report CY 1996

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

Maddox, J.J.; Scott, C.B.

1997-03-01

This annual report summarizes operating activities dealing with the process waste system, the liquid low-level waste system, and the gaseous waste system. It also describes upgrade activities dealing with the process and liquid low-level waste systems, the cathodic protection system, a stack ventilation system, and configuration control. Maintenance activities are described dealing with nonradiological wastewater treatment plant, process waste treatment plant and collection system, liquid low-level waste system, and gaseous waste system. Miscellaneous activities include training, audits/reviews/tours, and environmental restoration support.

Process control plan for 242-A Evaporator Campaign 95-1

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

Le, E.Q.; Guthrie, M.D.

1995-05-18

The wastes from tanks 106-AP, 107-AP, and 106-AW have been selected to be candidate feed wastes for Evaporator Campaign 95-1. The wastes in tank 106-AP and 107-AP are primarily from B-Plant strontium processing and PUREX neutralized cladding removal, respectively. The waste in tank 106-AW originated primarily from the partially concentrated product from 242-A Evaporator Campaign 94-2. Approximately 8.67 million liters of waste from these tanks will be transferred to tank 102-AW during the campaign. Tank 102-AW is the dedicated waste feed tank for the evaporator and currently contains 647,000 liters of processable waste. The purpose of the 242-A Evaporator Campaignmore » 95-1 Process Control Plan (hereafter referred to as PCP) is to certify that the wastes in tanks 106-AP, 107-AP, 102-AW, and 106-AW are acceptable for processing through evaporator and provide a general description of process strategies and activities which will take place during Campaign 95-1. The PCP also summarizes and presents a comprehensive characterization of the wastes in these tanks.« less

Cytogenetic Biomonitoring in Buccal Mucosal Cells from Municipal Solid Waste Collectors.

PubMed

Andrade, Mariana Carvalho; Dos Santos, Jean Nunes; Cury, Patricia Ramos; Flygare, Ana Carolina Correa; Claudio, Samuel Rangel; Oshima, Celina Tizuko Fujiyama; Ribeiro, Daniel Araki

2017-02-01

Waste collectors collect, transport, and process the garbage produced by people living in the city. Nowadays, this activity requires special attention due to the environmental impact of garbage and its potential consequences on human health. The aim of this study was to evaluate potential cytotoxic and mutagenic effects of garbage collection on waste collectors. For this purpose, a total of 47 male waste collectors aged from 24 to 53 years were included in the experimental group. A total of 30 men matched by age were used as the control group. Cytotoxicity and mutagenicity were analyzed by micronucleus test in buccal mucosaI cells. No statistically significant difference (p>0.05) in the frequency of micronuclei was detected in the waste collectors when compared to controls. Nevertheless, higher frequencies of karyolysis and pyknosis (p<0.05) were detected in buccal mucosaI cells from waste collectors when compared to matched controls. Taken together, our results indicate that waste collectors comprise an at-risk group as a result of increased cytotoxicity apparent from buccal mucosa cells. Copyright© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Dysregulation of temperature and liver cytokine gene expression in immunodeficient wasted mice

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

Libertin, C.R.; Ling-Indeck, L.; Weaver, P.

1995-04-25

Wasted mice bear the spontaneous autosomal recessive mutation wst/wst; this genotype is associated with weight loss beginning at 21 days of age, neurologic dysfunction, immunodeficiency at mucosal sites, and increased sensitivity to the killing effects of ionizing radiation. The pathology underlying the disease symptoms is unknown. Experiments reported here were designed to examine thermoregulation and liver expression of specific cytokines in wasted mice and in littermate and parental controls. Our experiments found that wasted mice begin to show a drop in body temperature at 21-23 days following birth, continuing until death at the age of 28 days. Concomitant with that,more » livers from wasted mice expressed increased amounts of mRNAs specific for cytokines IL,6 and IL-1, the acute phase reactant C-reactive protein, c-jun, and apoptosis-associated Rp-8 when compared to littermate and parental control animals. Levels of {beta}-transforming growth factor (TGF), c-fos, proliferating cell nuclear antigen (PCNA), and ornithine amino transferase (OAT) transcripts were the same in livers from wasted mice and controls. These results suggest a relationship between an acute phase reactant response in wasted mice and temperature dysregulation.« less

Studies of next generation air traffic control specialists : why be an air traffic controller?

DOT National Transportation Integrated Search

2011-08-01

With phrases such as Managing Millennials (Gimbel, 2007), descriptions of generational differences are a staple in the : human resources (HR) trade press and corporate training. The Federal Aviation Administration (FAA) offers a course in : man...

Exploring the situational motivation of medical specialists: a qualitative study

PubMed Central

Kusurkar, Rashmi A.; Croiset, Gerda; Peerdeman, Saskia M.

2018-01-01

Objectives The aim was to obtain insight into the factors in the work environment that motivate or demotivate a medical specialist during his/her working day. Methods A qualitative ethnographic design was used, and a constructivist approach was adopted with the Self-Determination theory of motivation as a framework. Six medical specialists from VU University Medical Center in the Netherlands, recruited through convenience, snowball, and purposive sampling, were shadowed for one day each. Data were transcribed and open-coded. Themes were finalized through discussion and consensus. Results Sixty hours of observation data identified motivating and demotivating factors categorized into four themes that are important for specialists’ motivation. Informational technology issues are demotivating factors. Working with colleagues can be both a motivating and demotivating factor, e.g., filling in for each other through feelings of relatedness was motivating. Being in control of one’s planning through feelings of autonomy was motivating. Furthermore, patient care and teaching, especially in combination, stimulated specialists’ motivation. Regarding the design of the study, we found that situational motivation is indeed observable. Conclusions The basic psychological needs autonomy, competence, and relatedness are important for specialists’ motivation. Investing in a more motivating, open, transparent, and basic-needs- supportive work environment for medical specialists is necessary. Keywords: Continuing professional development, motivation, medical specialists, self-determination theory, qualitative research. PMID:29485972

Yolo County's Accelerated Anaerobic and Aerobic Composting (Full-Scale Controlled Landfill Bioreactor) Project

NASA Astrophysics Data System (ADS)

Yazdani, R.; Kieffer, J.; Akau, H.; Augenstein, D.

2002-12-01

Sanitary landfilling is the dominant method of solid waste disposal in the United States, accounting for about 217 million tons of waste annually (U.S. EPA, 1997) and has more than doubled since 1960. In spite of increasing rates of reuse and recycling, population and economic growth will continue to render landfilling as an important and necessary component of solid waste management. Yolo County Department of Planning and Public Works, Division of Integrated Waste Management is demonstrating a new landfill technology called Bioreactor Landfill to better manage solid waste. In a Bioreactor Landfill, controlled quantities of liquid (leachate, groundwater, gray-water, etc.) are added and recirculated to increase the moisture content of the waste and improve waste decomposition. As demonstrated in a small-scale demonstration project at the Yolo County Central Landfill in 1995, this process significantly increases the biodegradation rate of waste and thus decreases the waste stabilization and composting time (5 to 10 years) relative to what would occur within a conventional landfill (30 to 50 years or more). When waste decomposes anaerobically (in absence of oxygen), it produces landfill gas (biogas). Biogas is primarily a mixture of methane, a potent greenhouse gas, carbon dioxide, and small amounts of Volatile Organic Compounds (VOC's) which can be recovered for electricity or other uses. Other benefits of a bioreactor landfill composting operation include increased landfill waste settlement which increases in landfill capacity and life, improved leachate chemistry, possible reduction of landfill post-closure management time, opportunity to explore decomposed waste for landfill mining, and abatement of greenhouse gases through highly efficient methane capture over a much shorter period of time than is typical of waste management through conventional landfilling. This project also investigates the aerobic decomposition of waste of 13,000 tons of waste (2.5 acre) for elimination of methane production and acceleration of waste decomposition. In the first phase of this project a 12-acre module that contains a 9.5-acre anaerobic cell and a 2.5-acre aerobic cell has been constructed and filled with over 220,000 tons of municipal solid waste. Water and leachate addition began in April 2002 and to date less than 200,000 gallons of liquid has been added to the 3.5-acre anaerobic cell. The waste filling phase of the aerobic cell was completed in June of 2002 and a 12-inches soil cover and 12-inches of greenwaste compost cover was placed on top of the cell. A vacuum will be applied to the piping within the waste to draw air through the landfill. Instrumentations have been installed to monitor the following parameters: waste temperature, moisture, leachate volumes, leachate hydraulic head over the primary liner, leachate composition, gas volumes and composition. A supervisory Control and Data Acquisition (SCADA) system has been installed to monitor and control the operation of the bioreactor cells. Waste samples were taken from each cell for laboratory testing in early June 2002.

After flow control: The steps taken by Dade County to ensure continued operation of its solid waste management system

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

Mauriello, P.J.; Ragbeer, D.

1997-12-01

In the wake of the U.S. Supreme Court decision in the Carbone vs. Clarkstown case striking down waste flow control as unconstitutional, Dade County, Florida, one of the most severely impacted communities in the nation, has managed to stabilize its waste stream and balance its solid waste department finances; although the road taken to restabilization has been a difficult one. At its peak in 1995, Dade County experienced an annual loss of solid waste in excess of 1,000,000 tons, or over 40 percent of the waste stream normally handled by the County. This diversion of waste was accompanied by amore » net revenue loss of $30 million per year. The County lost its ability to plan for future capacity needs, or to assure sufficient future waste flows to meet its put-or-pay obligation to the County`s Resources Recovery plant operator. The County`s solid waste management system bonds were downgraded by Moody`s Investors Service and Standard and Poors. With the help of a special solid waste management team, appointed by the County Manager, the department was able to rightsize its waste disposal operations to fit its reduced waste flows, stabilize its waste stream, and develop strategies to solve its long-term funding shortfall.« less

Installation Restoration Program Records Search for Davis-Monthan Air Force Base, Arizona.

DTIC Science & Technology

1982-08-01

inspection labs, and corrosion -2- control shops. These industrial operations generate varying quantities of waste oils , fuels , *solvents, and cleaners. The...standard procedures for the disposition of the majority of the waste oils , fuels , solvents, and cleaners has been (1) fire department training...and corrosion control shops. These industrial operations generate varying quantities of waste oils , fuels , solvents, and cleaners. The total quantity

Lesion detectability in 2D-mammography and digital breast tomosynthesis using different targets and observers

NASA Astrophysics Data System (ADS)

Elangovan, Premkumar; Mackenzie, Alistair; Dance, David R.; Young, Kenneth C.; Wells, Kevin

2018-05-01

This work investigates the detection performance of specialist and non-specialist observers for different targets in 2D-mammography and digital breast tomosynthesis (DBT) using the OPTIMAM virtual clinical trials (VCT) Toolbox and a 4-alternative forced choice (4AFC) assessment paradigm. Using 2D-mammography and DBT images of virtual breast phantoms, we compare the detection limits of simple uniform spherical targets and irregular solid masses. Target diameters of 4 mm and 6 mm have been chosen to represent target sizes close to the minimum detectable size found in breast screening, across a range of controlled contrast levels. The images were viewed by a set of specialist observers (five medical physicists and six experienced clinical readers) and five non-specialists. Combined results from both observer groups indicate that DBT has a significantly lower detectable threshold contrast than 2D-mammography for small masses (4 mm: 2.1% [DBT] versus 6.9% [2D]; 6 mm: 0.7% [DBT] versus 3.9% [2D]) and spheres (4 mm: 2.9% [DBT] versus 5.3% [2D]; 6 mm: 0.3% [DBT] versus 2.2% [2D]) (p  <  0.0001). Both observer groups found spheres significantly easier to detect than irregular solid masses for both sizes and modalities (p  <  0.0001) (except 4 mm DBT). The detection performances of specialist and non-specialist observers were generally found to be comparable, where each group marginally outperformed the other in particular detection tasks. Within the specialist group, the clinical readers performed better than the medical physicists with irregular masses (p  <  0.0001). The results indicate that using spherical targets in such studies may produce over-optimistic detection thresholds compared to more complex masses, and that the superiority of DBT for detecting masses over 2D-mammography has been quantified. The results also suggest specialist observers may be supplemented by non-specialist observers (with training) in some types of 4AFC studies.

ELECTRICAL AND ELECTRONIC INDUSTRIAL CONTROL, STATIC CONTROL SERIES. BASIC CONTROL FUNCTIONS, UNIT 9A.

ERIC Educational Resources Information Center

SUTTON, MACK C.

THIS SELF-INSTRUCTIONAL PROGRAMED TEXT IS FOR INDIVIDUAL STUDENT USE IN STUDYING STATIC CONTROL IN ELECTRICAL-ELECTRONIC PROGRAMS. IT WAS DEVELOPED BY AN INSTRUCTIONAL MATERIALS SPECIALIST AND ADVISERS AND HAS BEEN TESTED BY STUDENT USE. THE OBJECTIVE OF THE COURSE IS TO HELP THE ELECTRICAL-TECHNICIAN DEVELOP AN UNDERSTANDING OF STATIC CONTROL…

Cleanup Verification Package for the 118-C-1, 105-C Solid Waste Burial Ground

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

M. J. Appel and J. M. Capron

2007-07-25

This cleanup verification package documents completion of remedial action for the 118-C-1, 105-C Solid Waste Burial Ground. This waste site was the primary burial ground for general wastes from the operation of the 105-C Reactor and received process tubes, aluminum fuel spacers, control rods, reactor hardware, spent nuclear fuel and soft wastes.

40 CFR 761.65 - Storage for disposal.

Code of Federal Regulations, 2010 CFR

2010-07-01

... conditions: (i) The waste is placed in a pile designed and operated to control dispersal of the waste by wind...) A run-on control system designed, constructed, operated, and maintained such that: (1) It prevents... 761.65 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL...

40 CFR 761.65 - Storage for disposal.

Code of Federal Regulations, 2012 CFR

2012-07-01

... conditions: (i) The waste is placed in a pile designed and operated to control dispersal of the waste by wind...) A run-on control system designed, constructed, operated, and maintained such that: (1) It prevents... 761.65 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL...

Lymphocytes from wasted mice express enhanced spontaneous and {gamma}-ray-induced apoptosis

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

Woloschak, G.E.; Chang-Liu, Chin-Mei; Chung, Jen

1993-09-01

Mice bearing the autosomal recessive mutation wasted (wst/wst) display a disease pattern including faulty repair of DNA damage in lymphocytes after radiation exposure, neurologic abnormalities, and immunodeficiency. Many of the features of this mouse model have suggested a premature or increased spontaneous frequency of apoptosis in thymocytes; past work has shown an inability to establish cultured T cell lines, an abnormally high death rate of stimulated T cells in culture, and an increased sensitivity of T cells to the killing effects of ionizing radiations in wst/wst mice relative to controls. The experiments reported here were designed to examine splenic andmore » thymic lymphocytes from wasted and control mice for signs of early apoptosis. Our results revealed enhanced expression of Rp-8 mRNA (associated with apoptosis) in thymic lymphocytes and reduced expression in splenic lymphocytes of wst/wst mice relative to controls; expression of Rp-2 and Td-30 mRNA (induced during apoptosis) were not detectable in spleen or thymus. Higher spontaneous DNA fragmentation was observed in wasted mice than in controls; however, {gamma}-ray-induced DNA fragmentation peaked at a lower dose and occurred to a greater extent in wasted mice relative to controls. These results provide evidence for high spontaneous and {gamma}-ray-induced apoptosis in T cells of wasted mice as a mechanism underlying the observed lymphocyte and DNA repair abnormalities.« less

Waste Controls at Base Metal Mines

ERIC Educational Resources Information Center

Bell, Alan V.

1976-01-01

Mining and milling of copper, lead, zinc and nickel in Canada involves an accumulation of a half-million tons of waste material each day and requires 250 million gallons of process water daily. Waste management considerations for handling large volumes of wastes in an economically and environmentally safe manner are discussed. (BT)

A Primer on Waste Water Treatment.

ERIC Educational Resources Information Center

Department of the Interior, Washington, DC. Federal Water Pollution Control Administration.

This information pamphlet is for teachers, students, or the general public concerned with the types of waste water treatment systems, the need for further treatment, and advanced methods of treating wastes. Present day pollution control methods utilizing primary and secondary waste treatment plants, lagoons, and septic tanks are described,…

40 CFR 266.104 - Standards to control organic emissions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... DRE trial burn. (5) Low risk waste. Owners and operators of boilers or industrial furnaces that burn... HAZARDOUS WASTE MANAGEMENT FACILITIES Hazardous Waste Burned in Boilers and Industrial Furnaces § 266.104...) of this section, a boiler or industrial furnace burning hazardous waste must achieve a destruction...

40 CFR 266.104 - Standards to control organic emissions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... DRE trial burn. (5) Low risk waste. Owners and operators of boilers or industrial furnaces that burn... HAZARDOUS WASTE MANAGEMENT FACILITIES Hazardous Waste Burned in Boilers and Industrial Furnaces § 266.104...) of this section, a boiler or industrial furnace burning hazardous waste must achieve a destruction...

78 FR 76294 - Underground Injection Control Program; Hazardous Waste Injection Restrictions; Petition for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-17

... Waste Injection Restrictions; Petition for Exemption--Class I Hazardous Waste Injection; Mosaic... decision on a no migration petition. SUMMARY: Notice is hereby given that an exemption to the land disposal Restrictions, under the 1984 Hazardous and Solid Waste Amendments to the Resource Conservation and Recovery Act...

76 FR 36129 - Underground Injection Control Program; Hazardous Waste Injection Restrictions; Petition for...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-21

... Waste Injection Restrictions; Petition for Exemption--Class I Hazardous Waste Injection; ExxonMobil... final decision on a no migration petition. SUMMARY: Notice is hereby given that an exemption to the land disposal Restrictions, under the 1984 Hazardous and Solid Waste Amendments to the Resource Conservation and...

76 FR 42125 - Underground Injection Control Program; Hazardous Waste Injection Restrictions; Petition for...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-18

... Waste Injection Restrictions; Petition for Exemption--Class I Hazardous Waste Injection; ConocoPhillips... no migration petition. SUMMARY: Notice is hereby given that an exemption to the land disposal Restrictions, under the 1984 Hazardous and Solid Waste Amendments to the Resource Conservation and Recovery Act...

Strategy of Water Pollution Control Base On Social Economic Activitiy, in Karang Mumus River, Samarinda East Kalimantan, Indonesia

NASA Astrophysics Data System (ADS)

Pramaningsih, Vita; Suprayogi, Slamet; Purnama, Setyawan

2018-02-01

Water Pollution in Karang Mumus River caused society behavior along the river. Daily activity such as bath, washing and defecate at the river. Garbage, sediment, domestic waste and flood are river problems should be solved. Purpose this research is make strategy of water pollution control in the Karang Mumus River. Method used observation in the field, interview to the society, industry, public activity along the river and government of environment department. Further create data using tool of Analysis Hierarchy Process (AHP) to get the strategy to control water pollution in the river. Actors have contribute pollution control are government, industry and society. Criteria to pollution control are society participation, low, human resources and sustainable. Alternative of pollution control are unit garbage storage; license loyalty for industry and waste; communal waste water installation; monitoring of water quality. Result for actor priority are government (0.4); Industry (0.4); Society (0.2). Result for priority criteria are society participation (0.338), low (0.288), human resources (0.205) and sustainable (0.169). Result for priority alternative are unit garbage storage (0.433); license loyalty for industry and waste (0.238); communal waste water installation (0.169); monitoring of water quality (0.161).

A&M. Hot liquid waste building (TAN616). Interior of evaporator control ...

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

A&M. Hot liquid waste building (TAN-616). Interior of evaporator control room. Date: 1962. INEEL negative no. 62-6824 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

Progress Towards International Repositories

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

McCombie, C.; Chapman, N.

2002-02-27

The nuclear fuel cycle is designed to be very international, with some specialist activities (e.g. fuel fabrication, reprocessing, etc.) being confined to a few countries. Nevertheless, political and public opposition has in the past been faced by proposals to internationalise the back-end of the cycle, in particular waste disposal. Attitudes, however, have been changing recently and there is now more acceptance of the general concept of shared repositories and of specific proposals such as that of Pangea. However, as for national facilities, progress towards implementation of shared repositories will be gradual. Moreover, the best vehicle for promoting the concept maymore » not be a commercial type of organization. Consequently the Pangea project team are currently establishing a widely based Association for this purpose.« less

The effectiveness of telemedicine for paediatric retrieval consultations: rationale and study design for a pragmatic multicentre randomised controlled trial.

PubMed

Armfield, Nigel R; Coulthard, Mark G; Slater, Anthony; McEniery, Julie; Elcock, Mark; Ware, Robert S; Scuffham, Paul A; Bensink, Mark E; Smith, Anthony C

2014-11-11

In many health systems, specialist services for critically ill children are typically regionalised or centralised. Studies have shown that high-risk paediatric patients have improved survival when managed in specialist centres and that volume of cases is a predictor of care quality. In acute cases where distance and time impede access to specialist care, clinical advice may be provided remotely by telephone. Emergency retrieval services, attended by medical and nursing staff may be used to transport patients to specialist centres. Even with the best quality retrieval services, stabilisation of the patient and transport logistics may delay evacuation to definitive care. Several studies have examined the use of telemedicine for providing specialist consultations for critically ill children. However, no studies have yet formally examined the clinical effectiveness and economic implications of using telemedicine in the context of paediatric patient retrieval. The study is a pragmatic, multicentre randomised controlled trial running over 24 months which will compare the use of telemedicine with the use of the telephone for paediatric retrieval consultations between four referring hospitals and a tertiary paediatric intensive care unit. We aim to recruit 160 children for whom a specialist retrieval consultation is required. The primary outcome measure is stabilisation time (time spent on site at the referring hospital by the retrieval team) adjusted for initial risk. Secondary outcome measures are change in patient's physiological status (repeated measure, two time points) scored using the Children's Emergency Warning Tool; change in diagnosis (repeated measure taken at three time points); change in destination of retrieved patients at the tertiary hospital (general ward or paediatric intensive care unit); retrieval decision, and length of stay in the Paediatric Intensive Care Unit for retrieved patients. The trial has been approved by the Human Research Ethics Committees of Children's Health Services Queensland and The University of Queensland, Australia. Health services are adopting telemedicine, however formal evidence to support its use in paediatric acute care is limited. Generalisable evidence is required to inform clinical use and health system policy relating to the effectiveness and economic implications of the use in telemedicine in paediatric retrieval. Australian and New Zealand Clinical Trials Registry ACTRN12612000156886 .

46 CFR 11.472 - Officer endorsements as barge supervisor.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., mechanic, electrician, crane operator, subsea specialist, ballast control operator or equivalent... 168 days of service as driller, assistant driller, toolpusher, assistant toolpusher, mechanic...

46 CFR 11.472 - Officer endorsements as barge supervisor.

Code of Federal Regulations, 2013 CFR

2013-10-01

..., mechanic, electrician, crane operator, subsea specialist, ballast control operator or equivalent... 168 days of service as driller, assistant driller, toolpusher, assistant toolpusher, mechanic...

46 CFR 11.472 - Officer endorsements as barge supervisor.

Code of Federal Regulations, 2012 CFR

2012-10-01

..., mechanic, electrician, crane operator, subsea specialist, ballast control operator or equivalent... 168 days of service as driller, assistant driller, toolpusher, assistant toolpusher, mechanic...

Gravity packaging final waste recovery based on gravity separation and chemical imaging control.

PubMed

Bonifazi, Giuseppe; Serranti, Silvia; Potenza, Fabio; Luciani, Valentina; Di Maio, Francesco

2017-02-01

Plastic polymers are characterized by a high calorific value. Post-consumer plastic waste can be thus considered, in many cases, as a typical secondary solid fuels according to the European Commission directive on End of Waste (EoW). In Europe the practice of incineration is considered one of the solutions for waste disposal waste, for energy recovery and, as a consequence, for the reduction of waste sent to landfill. A full characterization of these products represents the first step to profitably and correctly utilize them. Several techniques have been investigated in this paper in order to separate and characterize post-consumer plastic packaging waste fulfilling the previous goals, that is: gravity separation (i.e. Reflux Classifier), FT-IR spectroscopy, NIR HyperSpectralImaging (HSI) based techniques and calorimetric test. The study demonstrated as the proposed separation technique and the HyperSpectral NIR Imaging approach allow to separate and recognize the different polymers (i.e. PolyVinyl Chloride (PVC), PolyStyrene (PS), PolyEthylene (PE), PoliEtilene Tereftalato (PET), PolyPropylene (PP)) in order to maximize the removal of the PVC fraction from plastic waste and to perform the full quality control of the resulting products, can be profitably utilized to set up analytical/control strategies finalized to obtain a low content of PVC in the final Solid Recovered Fuel (SRF), thus enhancing SRF quality, increasing its value and reducing the "final waste". Copyright © 2016 Elsevier Ltd. All rights reserved.

Diagnostic Accuracy of Nonmydriatic Fundus Photography for the Detection of Glaucoma in Diabetic Patients.

PubMed

Muñoz-Negrete, Francisco J; Contreras, Inés; Oblanca, Noelia; Pinazo-Durán, M Dolores; Rebolleda, Gema

2015-01-01

To determine the diagnostic accuracy for glaucoma of a set of criteria with nonmydriatic monoscopic fundus photography (NMFP) in diabetics. Diabetics recruited from a screening program for diabetic retinopathy and diabetic glaucoma patients recruited from our glaucoma unit were included. Any patient with evidence of diabetic retinopathy was excluded. Diabetic patients had to have no visual field defects to be included as controls. Glaucoma patients had to have a glaucomatous field defect in at least one eye to be included. One NMFP was taken per eye for all subjects. These photographs were evaluated by two masked glaucoma specialists for the presence of the following: bilateral cup to disc (C/D) ratio ≥ 0.6, notching or thinning of the neuroretinal rim, disc hemorrhages, and asymmetry in the C/D ratio between both eyes ≥ 0.2. This evaluation led to a dichotomous classification: if any of the above criteria was present, the patient was classified as glaucoma. If none were present, the patient was classified as normal. 72 control subjects and 72 glaucoma patients were included. Evaluation of NMFP had a sensitivity of 79.17% and a specificity of 80.56% for specialist 1 and a sensitivity of 72.22% and a specificity of 88.88% for specialist 2 for the detection of glaucoma. The overall accuracy was 79.83% and 80.55%, respectively. NMFP evaluation by a glaucoma specialist may be useful for the detection of glaucoma in diabetics.

KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-114 Mission Specialist Andrew Thomas (left) works with equipment while Mission Specialist Soichi Noguchi watches. Noguchi is with the Japanese Aerospace Exploration Agency (JAXA). They and other crew members are at KSC for equipment familiarization. STS-114 is classified as Logistics Flight 1 to the International Space Station, delivering new supplies and replacing one of the orbital outpost’s Control Moment Gyroscopes (CMGs). STS-114 will also carry a Raffaello Multi-Purpose Logistics Module and the External Stowage Platform-2. The crew is slated to conduct at least three spacewalks: They will demonstrate repair techniques of the Shuttle’s Thermal Protection System, replace the failed CMG with one delivered by the Shuttle, and install the External Stowage Platform.

NASA Image and Video Library

2004-01-27

KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-114 Mission Specialist Andrew Thomas (left) works with equipment while Mission Specialist Soichi Noguchi watches. Noguchi is with the Japanese Aerospace Exploration Agency (JAXA). They and other crew members are at KSC for equipment familiarization. STS-114 is classified as Logistics Flight 1 to the International Space Station, delivering new supplies and replacing one of the orbital outpost’s Control Moment Gyroscopes (CMGs). STS-114 will also carry a Raffaello Multi-Purpose Logistics Module and the External Stowage Platform-2. The crew is slated to conduct at least three spacewalks: They will demonstrate repair techniques of the Shuttle’s Thermal Protection System, replace the failed CMG with one delivered by the Shuttle, and install the External Stowage Platform.

View of MS Mastracchio participating in EVA 2 during STS-118/Expedition 15 Joint Operations

NASA Image and Video Library

2007-08-13

S118-E-06969 (13 Aug. 2007) --- Astronaut Rick Mastracchio, STS-118 mission specialist, participates in the mission's second planned session of extravehicular activity (EVA) as construction and maintenance continue on the International Space Station. During the 6-hour, 28-minute spacewalk, Mastracchio and astronaut Dave Williams (out of frame), mission specialist representing the Canadian Space Agency, removed a faulty control moment gyroscope (CMG-3) and installed a new CMG into the station's Z1 truss. The failed CMG will remain at its temporary stowage location on the station's exterior until it is returned to Earth on a later shuttle mission. The new gyroscope is one of four CMGs that are used to control the station's attitude in orbit.

View of MS Williams installing the new CMG during Expedition 15/STS-118 EVA 2

NASA Image and Video Library

2007-08-13

ISS015-E-22358 (13 Aug. 2007) --- Astronaut Dave Williams, STS-118 mission specialist representing the Canadian Space Agency, participates in the mission's second planned session of extravehicular activity (EVA) as construction and maintenance continue on the International Space Station. During the 6-hour, 28-minute spacewalk Williams and astronaut Rick Mastracchio (out of frame), mission specialist, removed a faulty control moment gyroscope (CMG-3) and installed a new CMG into the station's Z1 truss. The failed CMG will remain at its temporary stowage location on the station's exterior until it is returned to Earth on a later shuttle mission. The new gyroscope is one of four CMGs that are used to control the station's attitude in orbit.

View of MS Mastracchio participating in EVA 2 during STS-118/Expedition 15 Joint Operations

NASA Image and Video Library

2007-08-13

S118-E-06968 (13 Aug. 2007) --- Astronaut Rick Mastracchio, STS-118 mission specialist, participates in the mission's second planned session of extravehicular activity (EVA) as construction and maintenance continue on the International Space Station. During the 6-hour, 28-minute spacewalk, Mastracchio and astronaut Dave Williams (out of frame), mission specialist representing the Canadian Space Agency, removed a faulty control moment gyroscope (CMG-3) and installed a new CMG into the station's Z1 truss. The failed CMG will remain at its temporary stowage location on the station's exterior until it is returned to Earth on a later shuttle mission. The new gyroscope is one of four CMGs that are used to control the station's attitude in orbit.

View of MS Williams installing the new CMG during Expedition 15/STS-118 EVA 2

NASA Image and Video Library

2007-08-13

ISS015-E-22371 (13 Aug. 2007) --- Astronaut Dave Williams, STS-118 mission specialist representing the Canadian Space Agency, participates in the mission's second planned session of extravehicular activity (EVA) as construction and maintenance continue on the International Space Station. During the 6-hour, 28-minute spacewalk, Williams and astronaut Rick Mastracchio (out of frame), mission specialist, removed a faulty control moment gyroscope (CMG-3) and installed a new CMG into the station's Z1 truss. The failed CMG will remain at its temporary stowage location on the station's exterior until it is returned to Earth on a later shuttle mission. The new gyroscope is one of four CMGs that are used to control the station's attitude in orbit.

View of MS Williams installing the new CMG during Expedition 15/STS-118 EVA 2

NASA Image and Video Library

2007-08-13

ISS015-E-22355 (13 Aug. 2007) --- Astronaut Dave Williams, STS-118 mission specialist representing the Canadian Space Agency, participates in the mission's second planned session of extravehicular activity (EVA) as construction and maintenance continue on the International Space Station. During the 6-hour, 28-minute spacewalk Williams and astronaut Rick Mastracchio (out of frame), mission specialist, removed a faulty control moment gyroscope (CMG-3) and installed a new CMG into the station's Z1 truss. The failed CMG will remain at its temporary stowage location on the station's exterior until it is returned to Earth on a later shuttle mission. The new gyroscope is one of four CMGs that are used to control the station's attitude in orbit.

KSC-00pp1606

NASA Image and Video Library

2000-10-23

In the Space Station Processing Facility, STS-98 Mission Specialist Thomas Jones works on a part of the U.S. Lab, Destiny. Watching at right is Pilot Mark Polansky. Jones and Polansky, along with other crew members, are taking part in Crew Equipment Interface Test activities to become familiar with equipment they will be handling during the mission. Others in the crew are Commander Ken Cockrell and Mission Specialists Robert Curbeam and Marsha Ivins. The mission will be transporting the Lab to the International Space Station with five system racks already installed inside of the module. With delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated. The STS-98 launch is scheduled for Jan. 18, 2001

View of MS Williams installing the new CMG during Expedition 15/STS-118 EVA 2

NASA Image and Video Library

2007-08-13

ISS015-E-22364 (13 Aug. 2007) --- Astronaut Dave Williams, STS-118 mission specialist representing the Canadian Space Agency, participates in the mission's second planned session of extravehicular activity (EVA) as construction and maintenance continue on the International Space Station. During the 6-hour, 28-minute spacewalk, Williams and astronaut Rick Mastracchio (out of frame), mission specialist, removed a faulty control moment gyroscope (CMG-3) and installed a new CMG into the station's Z1 truss. The failed CMG will remain at its temporary stowage location on the station's exterior until it is returned to Earth on a later shuttle mission. The new gyroscope is one of four CMGs that are used to control the station's attitude in orbit.

View of MS Mastracchio as he makes his way to the ESP2 during EVA 2

NASA Image and Video Library

2007-08-13

S118-E-07019 (13 Aug. 2007) --- Astronaut Rick Mastracchio, STS-118 mission specialist, participates in the mission's second planned session of extravehicular activity (EVA) as construction and maintenance continue on the International Space Station. During the 6-hour, 28-minute spacewalk, Mastracchio and astronaut Dave Williams (out of frame), mission specialist representing the Canadian Space Agency, removed a faulty control moment gyroscope (CMG-3) and installed a new CMG into the station's Z1 truss. The failed CMG will remain at its temporary stowage location on the station's exterior until it is returned to Earth on a later shuttle mission. The new gyroscope is one of four CMGs that are used to control the station's attitude in orbit.

STS-98 crew members take part in CEIT

NASA Technical Reports Server (NTRS)

2000-01-01

Inside the U.S. Lab, Destiny, members of the STS-98 crew work with technicians (in the background) to learn more about the equipment in the module. They are taking part in Crew Equipment Interface Test activities. At left, back to camera, is Mission Specialist Marsha Ivins. Standing are Mission Specialists Thomas Jones (left) and Robert Curbeam (right). Other crew members not seen are Commander Ken Cockrell and Pilot Mark Polansky. The mission will be transporting the Lab to the International Space Station with five system racks already installed inside of the module. With delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated. The STS-98 launch is scheduled for Jan. 18, 2001.

KSC-00pp1602

NASA Image and Video Library

2000-10-23

In the Space Station Processing Facility, members of the STS-98 crew check out equipment in the U.S. Lab, Destiny, with the help of workers. In the background, looking over her shoulder, is Mission Specialist Marsha Ivins. Others in the crew are Commander Ken Cockrell, Pilot Mark Polansky and Mission Specialists Robert Curbeam and Thomas Jones. The crew is taking part in Crew Equipment Interface Test activities, becoming familiar with equipment it will be handling during the mission. The mission will be transporting the Lab to the International Space Station with five system racks already installed inside of the module. With delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated. The STS-98 launch is scheduled for Jan. 18, 2001

STS-98 crew members take part in CEIT

NASA Technical Reports Server (NTRS)

2000-01-01

In the Space Station Processing Facility, members of the STS-98 crew, sitting in front of the U.S. Lab, Destiny, listen to a trainer during Crew Equipment Interface Test (CEIT) activities. Seen, left to right, are Mission Specialist Thomas Jones, Pilot Mark Polansky and Mission Specialists Robert Curbeam and Marsha Ivins (with camera). The CEIT allows a crew to become familiar with equipment they will be handling during the mission. With launch scheduled for Jan. 18, 2001, the STS-98 mission will be transporting the Lab to the International Space Station with five system racks already installed inside of the module. After delivery of electronics in the lab, electrically powered attitude control for Control Moment Gyroscopes will be activated.

Astronaut Anna Fisher practices control of the RMS in a trainer

NASA Technical Reports Server (NTRS)

1984-01-01

Astronaut Anna Lee Fisher, mission specialist for 51-A, practices control of the remote manipulator system (RMS) at a special trainer at JSC. Dr. Fisher is pictured in the manipulator development facility (MDF) of JSC's Shuttle mockup and integration laboratory.

STS-33 MS Carter operates translation hand control (THC) on aft flight deck

NASA Technical Reports Server (NTRS)

1989-01-01

STS-33 Mission Specialist (MS) Manley L. Carter, Jr operates translation hand control (THC) at the aft flight deck onorbit station while peering out overhead window W7. Carter's communications kit assembly headset microphone extends across his face.

Relationship of employee attitudes and supervisor-controller ratio to en route operational error rates : final report.

DOT National Transportation Integrated Search

2002-05-01

An operational error (OE) results when an air traffic control specialist (ATCS) fails to maintain appropriate separation between aircraft, obstacles, etc. Recent research on OEs has focused on situational and individual characteristics (Center for Na...

A proposed new test for aptitude screening of air traffic controller applicants.

DOT National Transportation Integrated Search

1972-05-01

The study concerns the development and experimental validation of a novel aptitude test, referred to as 'Directional Headings' (or DHT), for the selection of Air Traffic Control Specialist (ATCS) trainees. The test requires the subject to rapidly int...

Kavandi at controls of Canadarm2 in Destiny module

NASA Image and Video Library

2001-07-16

S104-E-5114 (16 July 2001) --- Janet L. Kavandi, STS-104 mission specialist, looks over the Canadarm2, Space Station Remote Manipulator System (SSRMS), control station in the Destiny laboratory during STS-104's visit to the International Space Station (ISS).

Glycemic control and type 1 diabetes: the differential impact of model of care and income.

PubMed

Hatherly, Kristy; Smith, Lorraine; Overland, Jane; Johnston, Christine; Brown-Singh, Lin; Waller, Dan; Taylor, Sue

2011-03-01

To examine the effect of model of care (specialist care vs. shared care), and income, on glycemic control in a sample of young people with type 1 diabetes. A total of 158 children and young people with type 1 diabetes, aged 8-19 yr, and their families, were recruited independent of their source of care as part of a longitudinal, cross-sectional exploratory study. At enrollment, participants completed a series of questionnaires and underwent a structured interview to gather data regarding the type of specialist and healthcare services attended, as well as demographic, healthcare, and self-care information. Capillary sample was taken for HbA1c determination. The mean HbA1c for the group as a whole was 8.6 ± 1.4%. There was no effect for model of care on glycemic control. However, young people living in households with a family income of less than AUS$83,000 (US$73,500) per year had a significantly higher mean HbA1c than their counterparts reporting a higher household income (8.8 ± 1.4% vs. 8.3 ± 1.1%; p = 0.019). Although no differences were found with respect to the short-term impact of specialist vs. shared care, it is evident that more support is required to improve glycemic control in this sample of young people where the mean level of HbA1c was significantly higher than target. Further research is also indicated to determine the relationship between glycemic control and socioeconomic status. © 2010 John Wiley & Sons A/S.

[The main directions of improving the system of state accounting and control of radioactive substances and radioactive waste products].

PubMed

2012-01-01

This paper describes a modification of the basic directions of state accounting and control of radioactive substances and radioactive waste products, whose implementation will significantly improve the efficiency of its operation at the regional level. Selected areas are designed to improve accounting and control system for the submission of the enterprises established by the reporting forms, the quality of the information contained in them, as well as structures of information and process for collecting, analyzing and data processing concerning radioactive substances and waste products.

Round-bale feeder design affects hay waste and economics during horse feeding.

PubMed

Martinson, K; Wilson, J; Cleary, K; Lazarus, W; Thomas, W; Hathaway, M

2012-03-01

Many horse owners find round bales convenient, less labor intensive, and more affordable than other hay types, but report an inability to control horse BW gain and excessive hay waste. The objectives were to compare hay waste, hay intake, and payback of 9 round-bale feeders and a no-feeder control when used during horse feeding. Nine round-bale feeders were tested: Cinch Net, Cone, Covered Cradle, Hayhut, Hay Sleigh, Ring, Tombstone, Tombstone Saver, and Waste Less. Each feeder design was placed on the ground in a dirt paddock. Five groups of 5 horses were fed in rotation for a 4-d period with each feeder. Every fourth day, groups were rotated among paddocks and a new round bale was placed in each feeder. In the 5 paddocks used, 5 feeders were installed for d 1 through 20, and the remaining 4 feeders and no-feeder control were installed for d 21 through 40. Groups of horses were sequentially assigned to feeders using two 5 × 5 Latin squares, the first for d 1 through 20, the second for d 21 through 40. Horse groups of similar age, BW, breed, and sex were formed from 25 Quarter Horse and Thoroughbred geldings and open mares (means: 11 yr; 541 kg of BW). Hay on the ground surrounding the feeder was collected daily, dried, and weighed. The total amount of hay removed around each feeder for a 4-d period was considered waste. Dry matter intake was estimated as the difference between hay disappearance and waste. Number of months for the reduction in waste to repay feeder cost (payback) were calculated using hay valued at $110/t, and improved feeder efficiency over the control. Feeder design did not affect hay intake (P > 0.05); all feeders resulted in an estimated hay intake of 2.0 to 2.4% BW; the no-feeder control resulted in a reduced intake of 1.3% BW (P = 0.001). Mean percentage of hay waste differed among feeders (P < 0.001): Waste Less, 5%; Cinch Net, 6%; Hayhut, 9%; Covered Cradle, 11%; Tombstone Saver, 13%; Tombstone, Cone, and Ring, 19%; Hay Sleigh, 33%; and no-feeder control, 57%. Feeder design also affected payback (P < 0.01). The Cinch Net paid for itself in less than 1 mo; Tombstone and Ring, 2 mo; Hayhut and Tombstone Saver, 4 mo; Hay Sleigh, 5 mo; Waste Less, 8 mo; Cone, 9 mo; and Covered Cradle, 20 mo. Round-bale feeder design affected hay waste and payback, but not estimated hay intake or BW change during horse feeding.

Criticality Safety Evaluations on the Use of 200-gram Pu Mass Limit for RHWM Waste Storage Operations

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

Chou, P

This work establishes the criticality safety technical basis to increase the fissile mass limit from 120 grams to 200 grams for Type A 55-gallon drums and their equivalents. Current RHWM fissile mass limit is 120 grams Pu for Type A 55-gallon containers and their equivalent. In order to increase the Type A 55-gallon drum limit to 200 grams, a few additional criticality safety control requirements are needed on moderators, reflectors, and array controls to ensure that the 200-gram Pu drums remain criticality safe with inadvertent criticality remains incredible. The purpose of this work is to analyze the use of 200-grammore » Pu drum mass limit for waste storage operations in Radioactive and Hazardous Waste Management (RHWM) Facilities. In this evaluation, the criticality safety controls associated with the 200-gram Pu drums are established for the RHWM waste storage operations. With the implementation of these criticality safety controls, the 200-gram Pu waste drum storage operations are demonstrated to be criticality safe and meet the double-contingency-principle requirement per DOE O 420.1.« less

ELECTRICAL AND ELECTRONIC INDUSTRIAL CONTROL. D-C MAGNETIC MOTOR CONTROL, UNIT 7, ASSIGNMENTS.

ERIC Educational Resources Information Center

SUTTON, MACK C.

THIS GUIDE IS FOR INDIVIDUAL STUDENT USE IN STUDYING DIRECT CURRENT MAGNETIC MOTOR CONTROL IN ELECTRICAL-ELECTRONIC PROGRAMS. IT WAS DEVELOPED BY AN INSTRUCTIONAL MATERIALS SPECIALIST AND ADVISERS. EACH OF THE 15 ASSIGNMENT SHEETS PROVIDES THE LESSON SUBJECT, PURPOSE, INTRODUCTORY INFORMATION, STUDY REFERENCES, AND PROBLEMS. SOME OF THE LESSONS…

ELECTRICAL AND ELECTRONIC INDUSTRIAL CONTROL. A-C CONVENTIONAL MAGNETIC MOTOR CONTROL, PART I, UNIT 5, ASSIGNMENTS.

ERIC Educational Resources Information Center

SUTTON, MACK C.

THIS GUIDE IS FOR INDIVIDUAL STUDENT USE IN STUDYING ALTERNATING CURRENT CONVENTIONAL MAGNETIC MOTOR CONTROL IN ELECTRICAL-ELECTRONIC PROGRAMS. IT WAS DEVELOPED BY AN INSTRUCTIONAL MATERIALS SPECIALIST AND ADVISERS. EACH OF THE 10 ASSIGNMENT SHEETS PROVIDES THE LESSON SUBJECT, PURPOSE, INTRODUCTORY INFORMATION, STUDY REFERENCES, SUPPLEMENTARY…

Challenges of pain control and the role of the ambulatory pain specialist in the outpatient surgery setting.

PubMed

Vadivelu, Nalini; Kai, Alice M; Kodumudi, Vijay; Berger, Jack M

2016-01-01

Ambulatory surgery is on the rise, with an unmet need for optimum pain control in ambulatory surgery centers worldwide. It is important that there is a proportionate increase in the availability of acute pain-management services to match the rapid rise of clinical patient load with pain issues in the ambulatory surgery setting. Focus on ambulatory pain control with its special challenges is vital to achieve optimum pain control and prevent morbidity and mortality. Management of perioperative pain in the ambulatory surgery setting is becoming increasingly complex, and requires the employment of a multimodal approach and interventions facilitated by ambulatory surgery pain specialists, which is a new concept. A focused ambulatory pain specialist on site at each ambulatory surgery center, in addition to providing safe anesthesia, could intervene early once problematic pain issues are recognized, thus preventing emergency room visits, as well as readmissions for uncontrolled pain. This paper reviews methods of acute-pain management in the ambulatory setting with risk stratification, the utilization of multimodal interventions, including pharmacological and nonpharmacological options, opioids, nonopioids, and various routes with the goal of preventing delayed discharge and unexpected hospital admissions after ambulatory surgery. Continued research and investigation in the area of pain management with outcome studies in acute surgically inflicted pain in patients with underlying chronic pain treated with opioids and the pattern and predictive factors for pain in the ambulatory surgical setting is needed.

Implementing Selective Waste Collection: The Articulation between Pedagogical Theory and Practice in the Pollution and Ecology Class in the Environmental Control Technical Course

ERIC Educational Resources Information Center

Rocas, Giselle; Gonzalez, Wania R. Coutinho; Araujo, Flavia Monteiro de Barros

2009-01-01

This study focuses on the implementation of selective waste collection in a school located on the outskirts of the city of Rio de Janeiro. The participants consisted mainly of 64 students taking an Environmental Control technical course during 2007 and 2008. By addressing selective waste collection, the pedagogical proposal aimed at: a) enabling…

Tank waste remediation system privatization infrastructure program requirements and document management process guide

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

ROOT, R.W.

1999-05-18

This guide provides the Tank Waste Remediation System Privatization Infrastructure Program management with processes and requirements to appropriately control information and documents in accordance with the Tank Waste Remediation System Configuration Management Plan (Vann 1998b). This includes documents and information created by the program, as well as non-program generated materials submitted to the project. It provides appropriate approval/control, distribution and filing systems.

The effect of leachate recirculation with enzyme cellulase addition on waste stability in landfill bioreactor

NASA Astrophysics Data System (ADS)

Saffira, N.; Kristanto, G. A.

2018-01-01

Landfill bioreactor with leachate recirculation is known to enhance waste stabilization. However, the composition of waste in Indonesia is comprised by organic waste which is lignocellulosic materials that considered take a long time to degrade under anaerobic condition. To accelerate the degradation process, enzyme addition is ought to do. Cellulase is an enzyme that can catalyse cellulose and other polysaccharide decomposition processes. Therefore, operation of waste degradation using leachate recirculation with a cellulase addition to enhance waste stabilization was investigated using anaerobic bioreactor landfill. The experiment was performed on 2 conditions; leachate recirculation with cellulase addition and recirculation only as a control. The addition of cellulase is reported to be significant in decreasing organic content, represented by volatile solid parameter. The volatile solid reduction in the cellulase augmented reactor and control reactor was 17.86% and 7.90%, respectively. Cellulase addition also resulted in the highest cellulose reduction. Settlement of the landfill in a bioreactor with enzyme addition (32.67%) was reported to be higher than the control (19.33%). Stabilization of landfill review by the decreasing rate constant of the cellulose and lignin ratio parameter was more rapidly achieved by the enzyme addition (0.014 day-1) compared to control (0.002 day-1).

Status of the waste assay for nonradioactive disposal (WAND) project

NASA Astrophysics Data System (ADS)

Arnone, Gaetano L.; Foster, Lynn A.; Foxx, Charles L.; Hagan, Roland C.; Martin, E. R.; Myers, Steven C.; Parker, Jack L.

1999-01-01

The WAND (Waste Assay for Nonradioactive Disposal) system scans thought-to-be-clean, low-density waste (mostly paper and plastics) to verify the absence of radioactive contaminants at very low-levels. Much of the low-density waste generated in radiologically controlled areas, formally considered `suspect' radioactive, is now disposed more cheaply at the Los Alamos County Landfill as opposed to the LANL Radioactive Waste Landfill.

Biogenic carbon in combustible waste: waste composition, variability and measurement uncertainty.

PubMed

Larsen, Anna W; Fuglsang, Karsten; Pedersen, Niels H; Fellner, Johann; Rechberger, Helmut; Astrup, Thomas

2013-10-01

Obtaining accurate data for the contents of biogenic and fossil carbon in thermally-treated waste is essential for determination of the environmental profile of waste technologies. Relations between the variability of waste chemistry and the biogenic and fossil carbon emissions are not well described in the literature. This study addressed the variability of biogenic and fossil carbon in combustible waste received at a municipal solid waste incinerator. Two approaches were compared: (1) radiocarbon dating ((14)C analysis) of carbon dioxide sampled from the flue gas, and (2) mass and energy balance calculations using the balance method. The ability of the two approaches to accurately describe short-term day-to-day variations in carbon emissions, and to which extent these short-term variations could be explained by controlled changes in waste input composition, was evaluated. Finally, the measurement uncertainties related to the two approaches were determined. Two flue gas sampling campaigns at a full-scale waste incinerator were included: one during normal operation and one with controlled waste input. Estimation of carbon contents in the main waste types received was included. Both the (14)C method and the balance method represented promising methods able to provide good quality data for the ratio between biogenic and fossil carbon in waste. The relative uncertainty in the individual experiments was 7-10% (95% confidence interval) for the (14)C method and slightly lower for the balance method.

Combined air and water pollution control system

NASA Technical Reports Server (NTRS)

Wolverton, Billy C. (Inventor); Jarrell, Lamont (Inventor)

1990-01-01

A bioaquatic air pollution control system for controlling both water and atmospheric pollution is disclosed. The pollution control system includes an exhaust for directing polluted gases out of a furnace and a fluid circulating system which circulates fluid, such as waste water, from a source, past the furnace where the fluid flow entrains the pollutants from the furnace. The combined fluid and pollutants are then directed through a rock/plant/microbial filtering system. A suction pump pumps the treated waste water from the filter system past the exhaust to again entrain more pollutants from the furnace where they are combined with the fluid (waste water) and directed to the filter system.

Primary health care utilization prior to suicide: a retrospective case-control study among active-duty military personnel.

PubMed

Hochman, Eldar; Shelef, Leah; Mann, J John; Portugese, Shirly; Krivoy, Amir; Shoval, Gal; Weiser, Mark; Fruchter, Eyal

2014-08-01

About 45% of civilians who died by suicide had contact with a doctor within 1 month of death. Thus, educating primary care physicians (PCP) to detect and mitigate depression is an important suicide-prevention strategy. However, the PCP consulting rate before suicide has not been examined in a military population. We investigated the utilization of primary health care and mental health services by active-duty military personnel suicide cases prior to death in comparison to matched military controls. All suicides (N = 170) were extracted from a cohort of all active-duty Israeli military male personnel between 2002 and 2012. Applying a retrospective, nested case-control design, we compared primary care services utilization by suicide cases with demographic and occupationally matched military controls (N = 500). Whereas 38.3% of suicide cases contacted a PCP within the last month before death, only 27.6% of suicide cases contacted a mental health specialist during their entire service time. The PCP contact rate within 1 month before death or index day did not differ between suicide cases and military controls (38.3% vs. 33.8%, χ²₁ = 1.05, P = .3). More suicide cases contacted a mental health specialist within service time than did military controls (27.6% vs. 13.6%, χ²₁ = 10.85, P = .001). Even though PCP contact rate by military personnel who died by suicide is slightly lower than that reported for civilians who died by suicide prior to their death, it is higher than mental health specialist contact rate and higher than that by age-matched civilians who died by suicide. These results imply that PCPs education is a viable approach to suicide prevention in a military setting. © Copyright 2014 Physicians Postgraduate Press, Inc.

Air Pollution Control and Waste Management

EPA Science Inventory

This special issue addresses air pollution control and waste management, two environmental problems that are usually considered separately. Indeed, one of the challenges of environmental protection is that problems are addressed in 'media-specific' ways. In reality, these problem...

The role of specialist nurses in multiple sclerosis: a rapid and systematic review.

PubMed

De Broe, S; Christopher, F; Waugh, N

2001-01-01

Multiple sclerosis (MS) is a disease of the central nervous system. The cause is unknown. There are about 80-160 people with MS per 100,000 population, with twice as many women affected as men. The management of individuals with MS includes treatment of acute relapses and chronic symptoms. The care of MS patients is provided by various healthcare professionals, such as general practitioners (GPs), neurologists, physiotherapists, occupational therapists and nurses. Some MS patients have access to an MS specialist nurse, although this provision varies geographically. The aim of this report is to assess the effectiveness and relative cost-effectiveness of MS specialist nurses in improving care and outcomes for patients with MS. A systematic review of the literature, involving a range of databases, was performed. Full details are described in the main report. Only one study was identified that tried to evaluate the benefit of MS specialist nurses. The study concluded that MS patients and their carers found the MS specialist nurse to be helpful, particularly in improving their knowledge of MS, ability to cope, mood and confidence about the future. GPs also reported finding the nurse to be helpful with their MS patients, and 40% of the GPs stated they would purchase the services of an MS specialist nurse if their practices became fundholding. However, there were considerable methodological weaknesses inherent in the study design, and it was unclear whether the results of the study could be extrapolated to other settings or to other MS patient groups. RESULTS - ONGOING RESEARCH: There are two ongoing research studies regarding MS specialist nurses. One of these studies involves the provision of MS nurses to several areas, but also has two control populations to allow evaluation of the health benefits of the nurses to MS patients and their carers. This study will help to fill the evidence gap. RESULTS - COSTS: The costs of providing MS specialist nurses consist of their yearly salary (usually NHS grade G), as well as additional costs for travelling, administration, computer and telephone use, a pension scheme, National Insurance and study leave. The MS Society of Great Britain and Northern Ireland allows a generous total yearly cost to the employer of 40,000 pounds. The present evidence does not make it possible to comment with any certainty on the value of specialist nurses in MS. The best evidence available to the authors is specialist opinion from neurologists and nurses, and comments from patients with MS; this opinion supports the provision of MS specialist nurses. CONCLUSIONS - RECOMMENDATIONS FOR RESEARCH: Further research is needed before it will be feasible to make firm recommendations on the value of MS specialist nurses relative to other possible uses of funds.

Views of the mission control center during STS-9

NASA Technical Reports Server (NTRS)

1983-01-01

The two backup payload specialists for Drs. Byron K. Lichtenberg and Ulf Merbold huddle in the mission control center during day three activity aboard Spacelab. Seated at the Console is Dr. Michael Lampton. Leaning over Lampton's shoulder is Dutch scientist Wubbo Ockels. The two are surrounded by a few of the flight controllers in the payload operations control center (POCC) portion of JSC's mission control center.

Community palliative care clinical nurse specialists as independent prescribers: part 2.

PubMed

Latham, Kathy; Nyatanga, Brian

2018-03-02

This study explored the lived experiences of clinical nurse specialists who can prescribe independently in their role of providing support to patients with palliative care needs within the community. Part 1 of this study examined how the study was carried out; this second part explores the findings. The nurses reported that being able to prescribe enabled them to provide seamless, holistic care, which gave patients faster access to medicines, especially at weekends when their GP was unavailable. Prompt availability of medicines led to effective symptom control and consequently a better quality of life for patients. The main barrier to prescribing was difficulty in accessing patient records. Independent prescribing by community nurse specialists is beneficial for patients receiving palliative care and their families while they are being cared for at home, and provides job satisfaction for the nurses.

KSC-07pd0229

NASA Image and Video Library

2007-02-02

KENNEDY SPACE CENTER, FLA. -- In the Space Station Processing Facility, members of the STS-118 crew learn important information from technicians about the control moment gyro (CMG) in front of them that is part of the payload on their mission. Second from left is Mission Specialist Tracy Caldwell; at center, behind the CMG, is Mission Specialist Richard Mastracchio; second from right is Mission Specialist Clayton Anderson, who will be flying on STS-118 to join the Expedition 15 crew as flight engineer on the International Space Station. The CMG will replace a faulty one on the International Space Station. The payload also includes the SPACEHAB single cargo module, the third starboard truss segment (ITS S5) and the external stowage platform 3 (ESP3). STS-118 is targeted to launch June 28 from Launch Pad 39A. Photo credit: NASA/Kim Shiflett

Waste disposal package

DOEpatents

Smith, M.J.

1985-06-19

This is a claim for a waste disposal package including an inner or primary canister for containing hazardous and/or radioactive wastes. The primary canister is encapsulated by an outer or secondary barrier formed of a porous ceramic material to control ingress of water to the canister and the release rate of wastes upon breach on the canister. 4 figs.

40 CFR 412.12 - Effluent limitations attainable by the application of the best practicable control technology...

Code of Federal Regulations, 2010 CFR

2010-07-01

... effluent limitations representing the application of BPT: There shall be no discharge of process waste water pollutants to navigable waters. (b) Process waste pollutants in the overflow may be discharged to... waste water from a facility designed, constructed and operated to contain all process generated waste...

LIFE-CYCLE EVALUATION OF GREENHOUSE GAS EMISSIONS FROM MUNICIPAL SOLID WASTE MANAGEMENT IN THE UNITED STATES

EPA Science Inventory

The paper discusses a life-cycle evaluation of greenhouse gas (GHG) emissions from municipal soild waste (MSW) management in the U.S. (NOTE: Using integrated waste management, recycling/composting, waste-to-energy, and better control of landfill gas, communities across the U.S. a...

National Airspace System. Operational Requirements.

DTIC Science & Technology

1984-10-01

1. Access to manned NAS tacilities shall be control’ed at all times to prevent intc.rruptio;i of service., distraction of specialists, and theft of...user requirements which cannot otherwise be accomplished. ALTRVs are approved by the appropriate FAA facility. AREA CONTROL1 FACILITY (ACF) - A

Practical color vision tests for air traffic control applicants : en route center and terminal facilities.

DOT National Transportation Integrated Search

1995-04-01

Two practical color vision tests were developed and validated for use in screening Air Traffic Control specialist (ATCS) applicants for work at en route center or terminal facilities. The development of the tests involved careful reproduction/simulat...

What Lies Beneath Can Be Imaged

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

Johnson, Tim

The Hanford Site was quickly established to help end World War II, making history for producing the plutonium used in the world’s first nuclear weapons. Throughout the Cold War years, Hanford employees produced plutonium for most of the more than 60,000 weapons in the U.S. nuclear arsenal stockpile. Today, the once highly active nuclear reactors are shut down. And the mission at Hanford turned full-circle as scientists, engineers and specialists work to clean up our nation’s most contaminated nuclear site. PNNL Computational Geophysicist Tim Johnson is helping decision-makers understand the complexity and breadth of the contamination in soils at Hanford.more » Tim and others are applying remote, high-resolution geophysical imaging to determine the extent of contamination in the soil below the surface and understand the processes controlling its movement. They also provide real-time imaging of remediation processes that are working to limit the movement of contaminants below the surface and toward water resources. Geophysical imaging simply means that PNNL scientists are combining the techniques of geology, physics, mathematics and chemistry with supercomputer modeling to create three-dimensional images of the waste and its movement. These real-time, remote images are essential in reducing the uncertainty associated with cleanup costs and remediation technologies.« less

Preliminary observation on the effect of baking soda volume on controlling odour from discarded organic waste

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

Qamaruz-Zaman, N., E-mail: cenastaein@usm.my; Kun, Y.; Rosli, R.-N.

Highlights: • Approximately 50 g baking soda reduced odour concentration by 70%. • Reducing volatile acid concentration reduces odour concentration. • Ammonia has less effect on odour concentration. - Abstract: Food wastes with high moisture and organic matter content are likely to emit odours as a result of the decomposition process. The management of odour from decomposing wastes is needed to sustain the interest of residents and local councils in the source separation of kitchen wastes. This study investigated the potential of baking soda (at 50 g, 75 g and 100 g per kg food waste) to control odour frommore » seven days stored food waste. It was found that 50 g of baking soda, spread at the bottom of 8 l food wastes bin, can reduce the odour by about 70%. A higher amount (above 100 g) is not advised as a pH higher than 9.0 may be induced leading to the volatilization of odorous ammonia. This research finding is expected to benefit the waste management sector, food processing industries as well as the local authorities where malodour from waste storage is a pressing issue.« less

Energy efficiency in waste-to-energy and its relevance with regard to climate control.

PubMed

Ragossnig, Arne M; Wartha, Christian; Kirchner, Andreas

2008-02-01

This article focuses on systematically highlighting the ways to optimize waste-to-energy plants in terms of their energy efficiency as an indicator of the positive effect with regard to climate control. Potentials for increasing energy efficiency are identified and grouped into categories. The measures mentioned are illustrated by real-world examples. As an example, district cooling as a means for increasing energy efficiency in the district heating network of Vienna is described. Furthermore a scenario analysis shows the relevance of energy efficiency in waste management scenarios based on thermal treatment of waste with regard to climate control. The description is based on a model that comprises all relevant processes from the collection and transportation up to the thermal treatment of waste. The model has been applied for household-like commercial waste. The alternatives compared are a combined heat and power incinerator, which is being introduced in many places as an industrial utility boiler or in metropolitan areas where there is a demand for district heating and a classical municipal solid waste incinerator producing solely electrical power. For comparative purposes a direct landfilling scenario has been included in the scenario analysis. It is shown that the energy efficiency of thermal treatment facilities is crucial to the quantity of greenhouse gases emitted.

Association between lung function in school children and exposure to three transition metals from an e-waste recycling area.

PubMed

Zheng, Guina; Xu, Xijin; Li, Bin; Wu, Kusheng; Yekeen, Taofeek Akangbe; Huo, Xia

2013-01-01

The informal processing of electronic waste or e-waste contributes to the release of high concentrations of transition metals into the ambient air. The damage caused by chromium, nickel and manganese exposure on lung function in school children from an e-waste recycling area and the role of oxidative stress in this process were evaluated. We recruited school children (n=144, 8-13 years) from an e-waste recycling area in China compared with the control. Spirometry was performed to assess lung function status. The blood levels of chromium, nickel and manganese, antioxidant enzyme activities and lipid peroxidation of the subjects were examined. The concentrations of blood manganese (bMn) and serum nickel (sNi) in the exposed group were significantly higher than those in controls for all three age groups. The forced vital capacity value of boys aged 8-9 years was significantly lower than that of the control. Malondialdehyde levels and superoxide dismutase activities increased significantly in children aged 8-9 years from e-waste environment, but catalase activities declined. School children from an e-waste recycling area were exposed to high levels of the three transition metals. The accumulation of bMn and sNi may be risk factors for oxidative damage and decreased pulmonary function.

40 CFR 258.26 - Run-on/run-off control systems.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Run-on/run-off control systems. 258.26 Section 258.26 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES CRITERIA FOR MUNICIPAL SOLID WASTE LANDFILLS Operating Criteria § 258.26 Run-on/run-off control systems. (a...

40 CFR 258.26 - Run-on/run-off control systems.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 25 2011-07-01 2011-07-01 false Run-on/run-off control systems. 258.26 Section 258.26 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES CRITERIA FOR MUNICIPAL SOLID WASTE LANDFILLS Operating Criteria § 258.26 Run-on/run-off control systems. (a...

APTI (Air Pollution Training Institute) Course 427: combustion evaluation, student manual

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

Beard, J.T.; Iachetta, F.A.; Lilleleht, L.U.

1980-02-01

This Student Manual is used in conjunction with Course No. 427, 'Combustion Evaluation' as applied to air pollution control situations. This manual was prepared by the EPA Air Pollution Training Institute (APTI) to supplement the course lecture materials and to present detailed reference information on the following topics: combustion fundamentals, fuel properties, combustion system design, pollutant emission evaluations, combustion control, gas, oil, and coal burning, solid waste and wood burning, incineration of wastes, sewage sludge incineration, waste gas flares, hazardous waste combustion, NOx control, and improved combustion systems. Note: There is also an Instructor's Guide to be used in conductingmore » the training course - (EPA-450/2-80-065) and a Student Workbook to be used for homework and in-class problem solving - (EPA-450/2-80-64).« less

Flow Distribution Control Characteristics in Marine Gas Turbine Waste- Heat Recovery Systems. Phase 2. Flow Distribution Control in Waste-Heat Steam Generators

DTIC Science & Technology

1982-07-01

waste-heat steam generators. The applicable steam generator design concepts and general design consideration were reviewed and critical problems...a once-through forced-circulation steam generator design should be selected because of stability, reliability, compact- ness and lightweight...consists of three sections and one appendix. In Section I, the applicable steam generator design conccpts and general design * considerations are reviewed

The STS-88 crew talks to media before DEPARTing for Houston

NASA Technical Reports Server (NTRS)

1998-01-01

The STS-88 crew meet with news media at the Cape Canaveral Air Station Skid Strip before leaving for Houston. From left, they are Mission Specialists Sergei Konstantinovich Krikalev and James H. Newman, Commander Robert D. Cabana (at microphone), Mission Specialists Jerry L. Ross and Nancy J. Currie, and Pilot Frederick W. 'Rick' Sturckow. The STS-88 crew returned Dec. 15 from a 12-day mission on orbit constructing the first elements of the International Space Station, the U.S.-built Unity connecting module and Russian-built Zarya control module.

The STS-88 crew talks to media before DEPARTing for Houston

NASA Technical Reports Server (NTRS)

1998-01-01

STS-88 Commander Robert D. Cabana (at microphone) speaks to the news media before the crew's departure at Cape Canaveral Air Station. At left are Mission Specialists Sergei Konstantinovich Krikalev and James H. Newman. The other crew members (not shown) are Mission Specialists Jerry L. Ross and Nancy J. Currie, and Pilot Frederick W. 'Rick' Sturckow. The STS-88 crew returned Dec. 15 from a 12-day mission on orbit constructing the first elements of the International Space Station, the U.S.-built Unity connecting module and Russian-built Zarya control module.

["Two professions for a single task". The introduction of chemical engineering in Spain during the first Francoism].

PubMed

Toca, Angel

2006-01-01

Through the first half of the 20th century, chemical engineering was established as an academic option in the training of specialists for the North-American and European chemical industry, whereas it was not a special field of study in Spain until the 1990s. The reason for this delay was a battle of interests between chemist and industrial engineers to control this career during the first Francoism. This article will try to show the development and professionalization of specialists for the Spanish chemical industry.

STS-88 Mission Specialist Currie prepares to enter Endeavour

NASA Technical Reports Server (NTRS)

1998-01-01

STS-88 Mission Specialist Nancy Jane Currie is assisted with her ascent and re-entry flight suit in the white room at Launch Pad 39A before entering Space Shuttle Endeavour for launch. During the nearly 12-day mission, the six-member crew will mate the first two elements of the International Space Station -- the already-orbiting Zarya control module with the Unity connecting module carried by Endeavour. She is making her third spaceflight as the crew's flight engineer and prime operator of the Remote Manipulator System, the robotic arm.

Impact on knowledge and behaviour of the general population of two different methods of solid waste management: An explorative cross-sectional study.

PubMed

Del Cimmuto, Angela; Mannocci, Alice; Ribatti, Domenico; Boccia, Antonio; La Torre, Giuseppe

2014-06-01

The objectives of the present study were to evaluate knowledge among general population about the risks factors of waste management, to estimate the feeling of anxiety concerning the waste, and to compare knowledge of two different methods for collecting municipal solid waste (MSW): a street separate collection system and a door-to-door separate collection system. A cross-sectional study was performed, administering an anonymous questionnaire to 180 inhabitants in Aprilia, Latium, Italy. The study sample consisted of 183 citizens: 64 in the intervention group and 119 in the control group. The intervention was represented by a campaign of door-to-door collection. The correct implementation of separate collection of waste was 87.5% in the intervention group and 63% in the control group (p<0.001). For both groups, the favourite type of waste collection was door-to-door (p=0.013); a high difference concerning the quality of information was found (p<0.0001): in the intervention group, 84% declared to be satisfied (67% sufficient and 17.2% good), while in the control group, 21% declared to be satisfied (16.8% sufficient and 4.2% good). The advice mainly reported from the control group respondents was to increase the size of the information pack (80.7%, p=0.024). The information campaign seemed to increase people's awareness about the problem, improving the management of waste and household waste. The door-to-door collection was appreciated and preferred by both groups. The adoption of a door-to-door scheme seems to be a winning option mostly because it is supported by an information and education system for the citizens. © The Author(s) 2014.

A paradigm of international environmental law: the case for controlling the transboundary movements of hazardous wastes.

PubMed

Asante-Duah, K; Nagy, I V

2001-06-01

The production of large quantities of wastes globally has created a commercial activity involving the transfrontier shipments of hazardous wastes, intended to be managed at economically attractive waste-handling facilities located elsewhere. In fact, huge quantities of hazardous wastes apparently travel the world in search of "acceptable" waste management facilities. For instance, within the industrialized countries alone, millions of tonnes of potentially hazardous waste cross national frontiers each year on their way for recycling or to treatment, storage, and disposal facilities (TSDFs) because there is no local disposal capacity for these wastes, or because legal disposal or reuse in a foreign country may be more environmentally sound, or managing the wastes in the foreign country may be less expensive than at home. The cross-boundary traffic in hazardous wastes has lately been under close public scrutiny, however, resulting in the accession of several international agreements and laws to regulate such activities. This paper discusses and analyzes the most significant control measures and major agreements in this new commercial activity involving hazardous wastes. In particular, the discussion recognizes the difficulties with trying to implement the relevant international agreements among countries of vastly different socioeconomic backgrounds. Nonetheless, it is also noted that global environmental agreements will generally be a necessary component of ensuring adequate environmental protection for the world community-and thus a need for the careful implementation of such agreements and regulations.

46 CFR 11.472 - National officer endorsements as barge supervisor.

Code of Federal Regulations, 2014 CFR

2014-10-01

..., toolpusher, assistant tool pusher, mechanic, electrician, crane operator, subsea specialist, ballast control... least 168 days of service as driller, assistant driller, toolpusher, assistant toolpusher, mechanic...

Effect of specialist palliative care services on quality of life in adults with advanced incurable illness in hospital, hospice, or community settings: systematic review and meta-analysis

PubMed Central

Siemens, Waldemar; Meerpohl, Joerg J; Antes, Gerd; Meffert, Cornelia; Xander, Carola; Stock, Stephanie; Mueller, Dirk; Schwarzer, Guido; Becker, Gerhild

2017-01-01

Objective To assess the effect of specialist palliative care on quality of life and additional outcomes relevant to patients in those with advanced illness. Design Systematic review with meta-analysis. Data sources Medline, Embase, Cochrane Central Register of Controlled Trials, PsycINFO, and trial registers searched up to July 2016. Eligibility criteria for selecting studies Randomised controlled trials with adult inpatients or outpatients treated in hospital, hospice, or community settings with any advanced illness. Minimum requirements for specialist palliative care included the multiprofessional team approach. Two reviewers independently screened and extracted data, assessed the risk of bias (Cochrane risk of bias tool), and evaluated the quality of evidence (GRADE tool). Data synthesis Primary outcome was quality of life with Hedges’ g as standardised mean difference (SMD) and random effects model in meta-analysis. In addition, the pooled SMDs of the analyses of quality of life were re-expressed on the global health/QoL scale (item 29 and 30, respectively) of the European Organization for Research and Treatment of Cancer QLQ-C30 (0-100, high values=good quality of life, minimal clinically important difference 8.1). Results Of 3967 publications, 12 were included (10 randomised controlled trials with 2454 patients randomised, of whom 72% (n=1766) had cancer). In no trial was integration of specialist palliative care triggered according to patients’ needs as identified by screening. Overall, there was a small effect in favour of specialist palliative care (SMD 0.16, 95% confidence interval 0.01 to 0.31; QLQ-C30 global health/QoL 4.1, 0.3 to 8.2; n=1218, six trials). Sensitivity analysis showed an SMD of 0.57 (−0.02 to 1.15; global health/QoL 14.6, −0.5 to 29.4; n=1385, seven trials). The effect was marginally larger for patients with cancer (0.20, 0.01 to 0.38; global health/QoL 5.1, 0.3 to 9.7; n=828, five trials) and especially for those who received specialist palliative care early (0.33, 0.05 to 0.61, global health/QoL 8.5, 1.3 to 15.6; n=388, two trials). The results for pain and other secondary outcomes were inconclusive. Some methodological problems (such as lack of blinding) reduced the strength of the evidence. Conclusions Specialist palliative care was associated with a small effect on QoL and might have most pronounced effects for patients with cancer who received such care early. It could be most effective if it is provided early and if it identifies though screening those patients with unmet needs. Systematic review registration PROSPERO CRD42015020674. PMID:28676557

Outcomes of a four-year specialist-taught physical education program on physical activity: a cluster randomized controlled trial, the LOOK study.

PubMed

Telford, Rohan M; Olive, Lisa S; Cochrane, Thomas; Davey, Rachel; Telford, Richard D

2016-06-08

The objective of this study was to investigate the effect of a 4-year specialist-taught Physical Education (PE) program on physical activity (PA) among primary school children. A 4-year cluster randomised controlled trial was conducted in children (initially aged 8 years) from 29 primary schools (13 Intervention, 16 Control). Intervention students (N = 457) received 2 × 45 min PE lessons per week from specialist-trained PE teachers (68 lessons per year, 272 lessons over 4 years). Control group students (N = 396) received usual practice PE from generalist classroom teachers. PA during PE lessons was examined using the System for Observing Fitness Instruction Time (SOFIT). Pedometers (steps/day) were worn for 7 days each year, and accelerometers were worn concurrently in the final two years to assess moderate to vigorous (MVPA) and sedentary activity. Linear and generalized mixed models were used to determine differences in Intervention and Control student PA and the proportion of students meeting PA guidelines. The intervention increased SOFIT-observed student MVPA during PE lessons by 6.5 mins (16.7 v 10.2, p < 0.001). Within intervention schools, participants increased their whole-day step counts (boys = 449 [CI,140 to 756]; girls = 424 [CI,222 to 626]) and minutes of MVPA (boys = 8.0 [CI,6.8 to 9.2]; girls = 3.5 [CI,1.7 to 5.4]) on PE days. However, compared to the Control group the Intervention did not: increase habitual steps/day or MVPA when averaged over 7 days; elicit greater improvements in these measures over time; or increase the odds of meeting step/day or MVPA recommendations. At age 11 years Intervention group boys were 20 mins less sedentary per day (380 [CI,369 to 391] vs 360 [CI,350 to 369]) and this effect was sustained at age 12 years. Well-designed specialist-taught PE can improve student PA during PE lessons. However for PE to be a significant contributor to improving habitual PA in pre-adolescent children, daily classes are likely to be required, and even this would need to be supplemented with a wider multicomponent strategy. Our finding of a reduction in sedentary time among Intervention boys warrants further investigation into the potential role PE could play in influencing sedentary behaviour.

Defense Waste Processing Facility (DWPF) Viscosity Model: Revisions for Processing High TiO 2 Containing Glasses

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

Jantzen, C. M.; Edwards, T. B.

Radioactive high-level waste (HLW) at the Savannah River Site (SRS) has successfully been vitrified into borosilicate glass in the Defense Waste Processing Facility (DWPF) since 1996. Vitrification requires stringent product/process (P/P) constraints since the glass cannot be reworked once it is poured into ten foot tall by two foot diameter canisters. A unique “feed forward” statistical process control (SPC) was developed for this control rather than statistical quality control (SQC). In SPC, the feed composition to the DWPF melter is controlled prior to vitrification. In SQC, the glass product would be sampled after it is vitrified. Individual glass property-composition modelsmore » form the basis for the “feed forward” SPC. The models transform constraints on the melt and glass properties into constraints on the feed composition going to the melter in order to guarantee, at the 95% confidence level, that the feed will be processable and that the durability of the resulting waste form will be acceptable to a geologic repository. The DWPF SPC system is known as the Product Composition Control System (PCCS). The DWPF will soon be receiving wastes from the Salt Waste Processing Facility (SWPF) containing increased concentrations of TiO 2, Na 2O, and Cs 2O . The SWPF is being built to pretreat the high-curie fraction of the salt waste to be removed from the HLW tanks in the F- and H-Area Tank Farms at the SRS. In order to process TiO 2 concentrations >2.0 wt% in the DWPF, new viscosity data were developed over the range of 1.90 to 6.09 wt% TiO 2 and evaluated against the 2005 viscosity model. An alternate viscosity model is also derived for potential future use, should the DWPF ever need to process other titanate-containing ion exchange materials. The ultimate limit on the amount of TiO 2 that can be accommodated from SWPF will be determined by the three PCCS models, the waste composition of a given sludge batch, the waste loading of the sludge batch, and the frit used for vitrification.« less

CONTROL OF PCDD/PCDF EMISSIONS FROM MUNICIPAL WASTE COMBUSTION SYSTEMS

EPA Science Inventory

The article gives results of tests on five modern municipal waste combustors (MWCs) to characterize or determine the performance of representative combustor types and associated air emission control systems in the regulatory development process. Test results for uncontrolled (com...

TECHNICAL GUIDANCE DOCUMENT: QUALITY ASSURANCE AND QUALITY CONTROL FOR WASTE CONTAINMENT FACILITIES

EPA Science Inventory

This Technical Guidance Document provides comprehensive guidance on procedures for quality assurance and quality control for waste containment facilities. he document includes a discussion of principles and concepts, compacted soil liners, soil drainage systems, geosynthetic drai...

TECHNICAL GUIDANCE DOCUMENT: QUALITY ASSURANCE AND QUALITY CONTROL FOR WASTE CONTAINMENT FACILITIES

EPA Science Inventory

This Technical Guidance Document provides comprehensive guidance on procedures for quality assurance and quality control for waste containment facilities. The document includes a discussion of principles and concepts, compacted soil liners, soil drainage systems, geosynthetic dr...

40 CFR 240.205-2 - Recommended procedures: Design.

Code of Federal Regulations, 2010 CFR

2010-07-01

....205-2 Section 240.205-2 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES GUIDELINES FOR THE THERMAL PROCESSING OF SOLID WASTES Requirements and Recommended Procedures... air pollution control technology. (b) All emissions, including dust from vents, should be controlled. ...

40 CFR 240.205-2 - Recommended procedures: Design.

Code of Federal Regulations, 2011 CFR

2011-07-01

....205-2 Section 240.205-2 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES GUIDELINES FOR THE THERMAL PROCESSING OF SOLID WASTES Requirements and Recommended Procedures... air pollution control technology. (b) All emissions, including dust from vents, should be controlled. ...

40 CFR 146.61 - Applicability

Code of Federal Regulations, 2010 CFR

2010-07-01

... INJECTION CONTROL PROGRAM: CRITERIA AND STANDARDS Criteria and Standards Applicable to Class I Hazardous Waste Injection Wells § 146.61 Applicability (a) This subpart establishes criteria and standards for underground injection control programs to regulate Class I hazardous waste injection wells. Unless otherwise...

COMBUSTION CONTROL OF TRACE ORGANIC AIR POLLUTANTS FROM MUNICIPAL WASTE COMBUSTORS

EPA Science Inventory

The US Environmental Protection Agency (EPA) is considering the use of combustion techniques for controlling air emissions of chlorinated dioxins, chlorinated furans, and other trace organics from municipal waste combustion (MWC) facilities. Recommendations for good combustion pr...

The work left undone. Understanding the challenge of providing holistic lung cancer nursing care in the UK.

PubMed

Leary, Alison; White, John; Yarnell, Laura

2014-02-01

In England best practice guidance in cancer recommends that all patients have access to a specialist nurse such as the tumour specific clinical nurse specialist. The role has become pivotal providing aspects of care e.g. meeting information needs, holistic nurse led follow up including symptom control, managing care and providing psychological and social interventions including referral to others in the role of keyworker. There are approximately 295 lung cancer nurse specialists in England and recent study to model optimum caseload used an on line survey to look at workload of lung cancer specialist nurses. A survey of 100 lung cancer nurses from across the UK (RR78%) examined the perception of the work left undone against best practice guidance, caseload size, workload and other factors. 67 of 78 respondents perceived they left work such as proactive management (52) undertaking holistic needs assessments (46) providing appropriate psychological care (26) and meeting information needs (16). The majority (70) worked unpaid overtime (mean 3.8 h range 1-10 h) per week. Although proactive management is thought to result in better outcomes for lung cancer patients in terms of survival, quality of life and decisions of end of life a substantial number of the specialist nurses felt that factors such as caseload and organisational factors inhibited this. Copyright © 2013 Elsevier Ltd. All rights reserved.

Work-related stress, job resources, and well-being among psychiatrists and other medical specialists in Finland.

PubMed

Heponiemi, Tarja; Aalto, Anna-Mari; Puttonen, Sampsa; Vänskä, Jukka; Elovainio, Marko

2014-06-01

Previous studies suggest that psychiatrists may be more stressed than other medical specialists and mental health professionals. This study examined differences in stress factors, job resources, psychological distress, and job satisfaction between psychiatrists and other medical specialists. In addition, the study examined whether stress factors or job resources accounted for possible differences between the groups in psychological distress or job satisfaction. In 2010, the authors obtained cross-sectional, Web-based survey data from a random sample of 2,776 Finnish physicians, including 1,647 women (59%), ranging in age from 25 to 69 years old. Comparisons between the two groups used analyses of covariance adjusted for gender, age, and employment sector. Psychiatrists were less satisfied with their jobs, felt more stressed about patients, and experienced more psychological distress compared with other medical specialists. However, psychiatrists had more opportunities to control their jobs and better team climate compared with other medical specialists. High psychological distress among psychiatrists was partly accounted for by high patient-related stress. The differences in psychological distress and job satisfaction between the two groups were not accounted for by work-family conflicts or optimism. It is important to try to alleviate the high levels of patient-related stress among psychiatrists and to further increase their job resources. Doing so may enhance the attractiveness of psychiatry as a specialty choice.

Opportunities to improve the conversion of food waste to lactate: Fine-tuning secondary factors.

PubMed

RedCorn, Raymond; Engelberth, Abigail S

2017-11-01

Extensive research has demonstrated the potential for bioconversion of food waste to lactate, with major emphasis on adjusting temperature, pH, and loading rate of the fermentation. Each of these factors has a significant effect on lactate production; however, additional secondary factors have received little attention. Here we investigate three additional factors where opportunities exist for process improvement: freezing of samples during storage, discontinuous pH control, and holdover of fermentation broth between fermentations. Freezing samples prior to fermentation was shown to reduce the production rate of lactate by 8%, indicating freeze-thaw should be avoided in experiments. Prior work indicated a trade-off in pH control strategies, where discontinuous pH control correlated with higher lactate accumulation while continuous pH control correlated with higher production rate. Here we demonstrate that continuous pH control can achieve both higher lactate accumulation and higher production rate. Finally, holding over fermentation broth was shown to be a simple method to improve production rate (by 18%) at high food waste loading rates (>140 g volatile solids L -1 ) but resulted in lower lactate accumulation (by 17%). The results inform continued process improvements within the waste treatment of food waste through fermentation to lactic acid.

Population-level compensation impedes biological control of an invasive forb and indirect release of a native grass

Treesearch

Yvette K. Ortega; Dean E. Pearson; Lauren P. Waller; Nancy J. Sturdevant; John L. Maron

2012-01-01

The intentional introduction of specialist insect herbivores for biological control of exotic weeds provides ideal but understudied systems for evaluating important ecological concepts related to top-down control, plant compensatory responses, indirect effects, and the influence of environmental context on these processes. Centaurea stoebe (spotted knapweed) is a...

Molecular comparison of cattle fever ticks from native and introduced ranges with insights into optimal search areas for classical biological control agents

USDA-ARS?s Scientific Manuscript database

Classical biological control using specialist parasitoids, predators and/or nematodes from the native ranges of cattle fever ticks could complement existing control strategies for this livestock pest in the transboundary region between Mexico and Texas. DNA fingerprinting tools were used to compare ...

Prediction of success in FAA air traffic control field training as a function of selection and screening test performance.

DOT National Transportation Integrated Search

1989-05-01

This study compared correlations between Office of Personnel Management (OPM) selection test scores for Air Traffic Control Specialists (ATCSs) and scores from the FAA Academy's second-stage screening program with measures of field training performan...

Correlates of two experimental tests with performance in the FAA Academy air traffic control nonradar screen program.

DOT National Transportation Integrated Search

1990-08-01

This study was designed to determine the relationships among experimental tests, the tests currently used to select entrants into the FAA's Air Traffic Control Specialist (ATCS) Academy Nonradar Screening Program, and Academy success. A battery of pa...

Brown at RMS controls on the aft flight deck

NASA Image and Video Library

1998-11-24

STS095-366-031 (29 Oct-7 Nov 1998) --- Astronaut Curtis L. Brown, Jr., mission commander, operates controls on the aft flight deck of the Space Shuttle Discovery. Brown was joined by four other NASA astronauts and two payload specialists for the nine-day mission.

Brown, Rominger and Curbeam conduct flight control systems checkout

NASA Image and Video Library

1997-08-29

STS085-330-034 (7 - 19 August 1997) --- From the left, astronauts Curtis L. Brown, Jr., mission commander; Robert L. Curbeam, Jr., mission specialist; and Kent V. Rominger, pilot, are pictured on the Space Shuttle Discovery's flight deck during a checkout of flight control systems.

Environmental Impact Analysis Process, Environmental Assessment Space Test Experiments Platform Mission 1, Vandenberg Air Force Base, CA

DTIC Science & Technology

1994-01-05

Information LOCAL AGENCIES Santa Barbara County Air Pollution Control District, California Hallerman , Richard Air Quality Specialist City of...Base. Provided by Richard Hallerman , SBCAPCD, to Bob Baxter, Engineering-Science. 11 June. ____, 1991. Santa Barbara County Air Pollution Control

Waste Out of Place, Level 1. Teacher Guide. Operation Waste Watch.

ERIC Educational Resources Information Center

Virginia State Dept. of Waste Management, Richmond. Div. of Litter & Recycling.

Operation Waste Watch is a series of seven sequential learning units which addresses the subject of litter control and solid waste management. Each unit may be used in a variety of ways, depending on the needs and schedules of individual schools, and may be incorporated into various social studies, science, language arts, health, mathematics, and…

Health maintenance organization penetration and the practice location choices of new physicians: a study of large metropolitan areas in the United States.

PubMed

Escarce, J J; Polsky, D; Wozniak, G D; Pauly, M V; Kletke, P R

1998-11-01

The rapid growth of health maintenance organizations is reshaping the practice opportunities available to physicians. The practice location decisions of new physicians provide a sensitive bellwether of these changes. This study assessed the effect of health maintenance organization penetration on practice location for physicians completing graduate medical education (GME). Conditional logit regression analysis was used to determine the effect of health maintenance organization penetration on practice location, controlling for other market characteristics. Subjects were physicians who finished GME between 1989 and 1994 and who located in one of the 98 US metropolitan areas with more than 500,000 population. The outcome measure was the particular metropolitan area chosen by each new physician. Early in the study period, new generalists were significantly more likely to locate in metropolitan areas with high health maintenance organization penetration than in low penetration areas, whereas new specialists' practice location choices were not associated with health maintenance organization penetration. The likelihood of choosing a high penetration relative to a low penetration area declined with time, however, for both generalists and specialists. Consequently, by the end of the study period, health maintenance organization penetration had a weak but significant negative effect on practice location for generalists and a strong negative influence on practice location for specialists. New generalists who completed graduate medical education between 1989 and 1994 were more likely than new specialists to locate in market areas with high health maintenance organization penetration; however, the proportions of both generalists and specialists who chose high penetration areas decreased during the study period. This finding may reflect reduced practice opportunities in high penetration areas relative to low penetration areas as health maintenance organizations' systems for controlling utilization began to yield results. Alternatively, new physicians may have become more hesitant to accept available positions in high penetration areas.

Human dietary intake of organohalogen contaminants at e-waste recycling sites in Eastern China.

PubMed

Labunska, Iryna; Abdallah, Mohamed Abou-Elwafa; Eulaers, Igor; Covaci, Adrian; Tao, Fang; Wang, Mengjiao; Santillo, David; Johnston, Paul; Harrad, Stuart

2015-01-01

This study reports concentrations and human dietary intake of hexabromocyclododecanes (HBCDs), polychlorinated biphenyls (PCBs) as well as selected "novel" brominated flame retardants (NBFRs) and organochlorine pesticides, in ten staple food categories. Samples were sourced from areas in Taizhou City, eastern China, where rudimentary recycling and disposal of e-waste is commonplace, as well as from nearby non-e-waste impacted control areas. In most instances, concentrations in foods from e-waste recycling areas exceeded those from control locations. Concentrations of 2-ethylhexyl-2,3,4,5-tetrabromobenzoate (EH-TBB) and bis-(2-ethylhexyl)-3,4,5,6-tetrabromophthalate (BEH-TBP) in samples from e-waste sites were 3.09-62.2ng/g and 0.81-16.3ng/g lipid weight (lw), respectively; exceeding consistently those in foods acquired from control sites by an order of magnitude in many cases. In contrast, while concentrations of HBCD in some foods from e-waste impacted areas exceed those from control locations; concentrations in pork, shrimp, and duck liver are higher in control samples. This highlights the potential significance of non-e-waste sources of HBCD (e.g. building insulation foam) in our study areas. While concentrations of DDT in all foods examined except pork were higher in e-waste impacted samples than controls; our exposure estimates were well below the provisional tolerable daily intake of 0.01mg/kgbw/day derived by the Joint FAO/WHO Meeting on Pesticide Residues. Concentrations of ΣPCBs resulted in exposures (650 and 2340ng/kgbw/day for adults and children respectively) that exceed substantially the Minimal Risk Levels (MRLs) for ΣPCBs of 20ng/kgbw/day derived by the Agency for Toxic Substances & Disease Registry. Moreover, when expressed in terms of dioxin-like toxicity equivalency based on the four dioxin-like PCBs monitored in this study (DL-PCBs) (PCB-105, 118, 156, and 167); concentrations in e-waste impacted foods exceed limits set by the European Union in 6 of the 8 food groups studied and result in dietary exposures for children (10.2pgTEQ/kgbw/day) that exceed the WHO tolerable daily intake of 1-4pgTEQ/kgbw/day. Copyright © 2014 Elsevier Ltd. All rights reserved.

Quality and quantity of construction and demolition waste in Tehran.

PubMed

Asgari, Alireza; Ghorbanian, Tahereh; Yousefi, Nader; Dadashzadeh, Dariush; Khalili, Fatemeh; Bagheri, Amin; Raei, Mehdi; Mahvi, Amir Hossein

2017-01-01

In recent years the generation rate of construction and demolition waste (C&D) has significantly augmented. The aim of this study was to assessed the quality and quantity of construction and demolition waste in Tehran (capital of Iran). Questionnaire methods were used for estimating the amount of generated C&D wastes national statistical data and typical waste generation data. In order to defining the composition of C&D waste, trucks were randomly selected and their wastes were separated and weighted. According to obtained results, about 82,646,051 m 3 of C&D waste (average 16,529,210 m 3 per year) were generated during 2011 to 2016 which only about 26% of them has been recycled. Mixing sand and cement, concrete, broken bricks and soil have the highest amount of the composition of C&D waste in Tehran that was 30, 19, 18 and 11%, respectively. Based on the results, about 2,784,158 t of the waste will generate in 2025 and this is approximately 122% higher than wastes generate in 2016. Based on MAPSA's data, 360 teams of personnel cruise and control the illegal disposals, but due to the expansion of Tehran this number of teams is inadequate and can't be effective in controlling the situation. In general, the overall condition of C&D waste management in Tehran seems undesirable and needs to be updated based on the experience of successful countries in this field.

Residents’ Waste Separation Behaviors at the Source: Using SEM with the Theory of Planned Behavior in Guangzhou, China

PubMed Central

Zhang, Dongliang; Huang, Guangqing; Yin, Xiaoling; Gong, Qinghua

2015-01-01

Understanding the factors that affect residents’ waste separation behaviors helps in constructing effective environmental campaigns for a community. Using the theory of planned behavior (TPB), this study examines factors associated with waste separation behaviors by analyzing responses to questionnaires distributed in Guangzhou, China. Data drawn from 208 of 1000-field questionnaires were used to assess socio-demographic factors and the TPB constructs (i.e., attitudes, subjective norms, perceived behavioral control, intentions, and situational factors). The questionnaire data revealed that attitudes, subjective norms, perceived behavioral control, intentions, and situational factors significantly predicted household waste behaviors in Guangzhou, China. Through a structural equation modeling analysis, we concluded that campaigns targeting moral obligations may be particularly effective for increasing the participation rate in waste separation behaviors. PMID:26274969

Auditing Operating Room Recycling: A Management Case Report.

PubMed

McGain, Forbes; Jarosz, Katherine Maria; Nguyen, Martin Ngoc Hoai Huong; Bates, Samantha; O'Shea, Catherine Jane

2015-08-01

Much waste arises from operating rooms (ORs). We estimated the practical and financial feasibility of an OR recycling program, weighing all waste from 6 ORs in Melbourne, Australia. Over 1 week, 237 operations produced 1265 kg in total: general waste 570 kg (45%), infectious waste 410 kg (32%), and recyclables 285 kg (23%). The achieved recycling had no infectious contamination. The achieved recycling/potential recycling rate was 285 kg/517 kg (55%). The average waste disposal costs were similar for general waste and recycling. OR recycling rates of 20%-25% total waste were achievable without compromising infection control or financial constraints.

Phytoavailability and extractability of copper and zinc in calcareous soil amended with composted urban wastes.

PubMed

Gallardo-Lara, F; Azcón, M; Quesada, J L; Polo, A

1999-11-01

A greenhouse experiment was conducted under simulated field conditions using large-capacity plastic pots, filled each one with 25 kg of air-dried calcareous soil. Besides the control, four treatments were prepared by applying separately two rates (20 and 80 Mg ha-1) of municipal solid waste (MSW) compost, and co-composted municipal solid waste and sewage sludge (MSW-SS). Lettuce was planted and harvested 2.5 months later. The application of composted urban wastes tended to increase Cu concentration in lettuce with respect to the control, but it was only significant when the higher rate of MSW compost was applied. The control showed values of Zn concentration in plant within a deficient range. In general, composted urban wastes treatments had increased Zn concentration values, which were within the sufficiency range. Both treatments with MSW compost increased Cu and Zn uptake in comparison with MSW-SS co-compost treatments. At the postharvest, all composted urban wastes treatments increased significantly DTPA-extractable Cu content in soil with respect to the control; it was also significant the increase in AAAc-EDTA-extractable Cu in soil produced by the addition of the higher rate of MSW compost. The application of composted urban wastes increased significantly DTPA-extractable and AAAc-EDTA-extractable Zn contents in soil versus the control, except for the lower rate of MSW-SS co-compost. The values of DTPA-extractable/total ratio for Cu and Zn were under 10%, except for the treatment applying the higher rate of MSW compost which promoted higher values. The values of AAAc-EDTA-extractable/total ratio for Cu were above 10% in all treatments including the control. This tendency was also observed in AAAc-EDTA-extractable/total ratio for Zn when applying both rates of MSW compost or the higher rate of MSW-SS co-compost.

Community mobilization and household level waste management for dengue vector control in Gampaha district of Sri Lanka; an intervention study.

PubMed

Abeyewickreme, W; Wickremasinghe, A R; Karunatilake, K; Sommerfeld, J; Axel, Kroeger

2012-12-01

Waste management through community mobilization to reduce breeding places at household level could be an effective and sustainable dengue vector control strategy in areas where vector breeding takes place in small discarded water containers. The objective of this study was to assess the validity of this assumption. An intervention study was conducted from February 2009 to February 2010 in the populous Gampaha District of Sri Lanka. Eight neighborhoods (clusters) with roughly 200 houses each were selected randomly from high and low dengue endemic areas; 4 of them were allocated to the intervention arm (2 in the high and 2 in the low endemicity areas) and in the same way 4 clusters to the control arm. A baseline household survey was conducted and entomological and sociological surveys were carried out simultaneously at baseline, at 3 months, at 9 months and at 15 months after the start of the intervention. The intervention programme in the treatment clusters consisted of building partnerships of local stakeholders, waste management at household level, the promotion of composting biodegradable household waste, raising awareness on the importance of solid waste management in dengue control and improving garbage collection with the assistance of local government authorities. The intervention and control clusters were very similar and there were no significant differences in pupal and larval indices of Aedes mosquitoes. The establishment of partnerships among local authorities was well accepted and sustainable; the involvement of communities and households was successful. Waste management with the elimination of the most productive water container types (bowls, tins, bottles) led to a significant reduction of pupal indices as a proxy for adult vector densities. The coordination of local authorities along with increased household responsibility for targeted vector interventions (in our case solid waste management due to the type of preferred vector breeding places) is vital for effective and sustained dengue control.

Community mobilization and household level waste management for dengue vector control in Gampaha district of Sri Lanka; an intervention study

PubMed Central

Abeyewickreme, W; Wickremasinghe, A R; Karunatilake, K; Sommerfeld, Johannes; Kroeger, Axel

2012-01-01

Introduction Waste management through community mobilization to reduce breeding places at household level could be an effective and sustainable dengue vector control strategy in areas where vector breeding takes place in small discarded water containers. The objective of this study was to assess the validity of this assumption. Methods An intervention study was conducted from February 2009 to February 2010 in the populous Gampaha District of Sri Lanka. Eight neighborhoods (clusters) with roughly 200 houses each were selected randomly from high and low dengue endemic areas; 4 of them were allocated to the intervention arm (2 in the high and 2 in the low endemicity areas) and in the same way 4 clusters to the control arm. A baseline household survey was conducted and entomological and sociological surveys were carried out simultaneously at baseline, at 3 months, at 9 months and at 15 months after the start of the intervention. The intervention programme in the treatment clusters consisted of building partnerships of local stakeholders, waste management at household level, the promotion of composting biodegradable household waste, raising awareness on the importance of solid waste management in dengue control and improving garbage collection with the assistance of local government authorities. Results The intervention and control clusters were very similar and there were no significant differences in pupal and larval indices of Aedes mosquitoes. The establishment of partnerships among local authorities was well accepted and sustainable; the involvement of communities and households was successful. Waste management with the elimination of the most productive water container types (bowls, tins, bottles) led to a significant reduction of pupal indices as a proxy for adult vector densities. Conclusion The coordination of local authorities along with increased household responsibility for targeted vector interventions (in our case solid waste management due to the type of preferred vector breeding places) is vital for effective and sustained dengue control. PMID:23318240

Biodegradation of Garden Waste, Market Waste Using Eisenia fetida and Eudrilus eugenia and Assessment of Manure Quality on Tomato

NASA Astrophysics Data System (ADS)

Mohan, S. Mariraj

2014-06-01

Comparative study was performed to evaluate the vermicomposting efficiency of two earthworm species Eisenia fetida, Eudrilus eugenia from the garden wastes, vegetable market wastes. Three different experimental works were conducted. For each experiment three plastic vermibins were used. Experiment (1) mentioned for control without earthworms. Experiment (2) bedded with Eudrilus eugenia, Experiment (3) comprised of bedding with Eisenia fetida. Pre composting was allowed for 10 days after that Eudrilus eugenia, Eisenia fetida were added in respective vermibins. The multiplication of earthworms in terms of number was calculated at the end of vermicomposting. The N, P, K value of the manure in each vermibin was estimated before and after the completion of the experiment. High N, P, K value was obtained in Experiment (2) and Experiment (3) compared to control. Among the solid wastes, the vegetable wastes were degraded quickly by Eudrilus eugenia and also it has the best quality of manure. Eudrilus eugenia was found to be efficient for quick degradation of both garden wastes and vegetable wastes. After manure production, field trials were conducted using different fertilizers to assess the manure quality in the growth and yield of tomato plants. Six types of experimental trial pots were prepared where one was kept as control and five others were treated with different category of fertilizers. The treatment pots (P3) showed better growth parameters (leaf numbers, stem diameter, plant height) than the rest of the trial.

STS-55 German Payload Specialist Schlegel manipulates ROTEX controls in SL-D2

NASA Technical Reports Server (NTRS)

1993-01-01

STS-55 German Payload Specialist 2 Hans Schlegel, wearing goggles (eye glasses) and positioned in front of Spacelab Deutsche 2 (SL-D2) Rack 4 System Rack controls, operates Robotics Technology Experiment (ROTEX) arm. ROTEX is a robotic arm that operates within an enclosed workcell in Rack 6 (partially visible in the foreground) and uses teleoperation from both an onboard station located nearby in Rack 4 and from a station on the ground. The device uses teleprogramming and artificial intelligence to look at the design, verification and operation of advanced autonomous systems for use in future applications. Schlegel represents the German Aerospace Research Establishment (DLR). SL-D2, a German-managed payload, is aboard Columbia, Orbiter Vehicle (OV) 102, for this science research mission.

Understanding the needs of hand control users, driver rehabilitation specialists, and dealers/installers.

PubMed

Lowe, Evan; Drouin, Nathalie; Venhovens, Paul J; Brooks, Johnell O

2014-10-01

Understanding unique perspectives from key stakeholder groups involved in the hand control (HC) industry, including driver rehabilitation specialists (DRSs) who train users how to use their HCs, dealers/installers, and users, may become increasingly important in the United States due to increases in elderly, diabetic, and wounded warrior amputee driving populations. In this exploratory study, phone interviews were conducted with 20 DRSs, 20 dealers/installers, and 20 users regarding their perspectives about HC training, maintenance and operation, and design improvements. Results revealed common views and differences in perspectives about whether HC users should receive training and for how long, when and how often users should receive maintenance on their HCs, and what DRSs, dealers/installers, and users would like to see in the future.

Climate impact analysis of waste treatment scenarios--thermal treatment of commercial and pretreated waste versus landfilling in Austria.

PubMed

Ragossnig, A M; Wartha, C; Pomberger, R

2009-11-01

A major challenge for modern waste management lies in a smart integration of waste-to-energy installations in local energy systems in such a way that the energy efficiency of the waste-to-energy plant is optimized and that the energy contained in the waste is, therefore, optimally utilized. The extent of integration of thermal waste treatment processes into regular energy supply systems plays a major role with regard to climate control. In this research, the specific waste management situation looked at scenarios aiming at maximizing the energy recovery from waste (i.e. actual scenario and waste-to-energy process with 75% energy efficiency [22.5% electricity, 52.5% heat]) yield greenhouse gas emission savings due to the fact that more greenhouse gas emissions are avoided in the energy sector than caused by the various waste treatment processes. Comparing dedicated waste-to-energy-systems based on the combined heat and power (CHP) process with concepts based on sole electricity production, the energy efficiency proves to be crucial with regard to climate control. This underlines the importance of choosing appropriate sites for waste-to-energy-plants. This research was looking at the effect with regard to the climate impact of various waste management scenarios that could be applied alternatively by a private waste management company in Austria. The research is, therefore, based on a specific set of data for the waste streams looked at (waste characteristics, logistics needed, etc.). Furthermore, the investigated scenarios have been defined based on the actual available alternatives with regard to the usage of treatment plants for this specific company. The standard scenarios for identifying climate impact implications due to energy recovery from waste are based on the respective marginal energy data for the power and heat generation facilities/industrial processes in Austria.

Comparison of slope stability in two Brazilian municipal landfills.

PubMed

Gharabaghi, B; Singh, M K; Inkratas, C; Fleming, I R; McBean, E

2008-01-01

The implementation of landfill gas to energy (LFGTE) projects has greatly assisted in reducing the greenhouse gases and air pollutants, leading to an improved local air quality and reduced health risks. The majority of cities in developing countries still dispose of their municipal waste in uncontrolled 'open dumps.' Municipal solid waste landfill construction practices and operating procedures in these countries pose a challenge to implementation of LFGTE projects because of concern about damage to the gas collection infrastructure (horizontal headers and vertical wells) caused by minor, relatively shallow slumps and slides within the waste mass. While major slope failures can and have occurred, such failures in most cases have been shown to involve contributory factors or triggers such as high pore pressures, weak foundation soil or failure along weak geosynthetic interfaces. Many researchers who have studied waste mechanics propose that the shear strength of municipal waste is sufficient such that major deep-seated catastrophic failures under most circumstances require such contributory factors. Obviously, evaluation of such potential major failures requires expert analysis by geotechnical specialists with detailed site-specific information regarding foundation soils, interface shearing resistances and pore pressures both within the waste and in clayey barrier layers or foundation soils. The objective of this paper is to evaluate the potential use of very simple stability analyses which can be used to study the potential for slumps and slides within the waste mass and which may represent a significant constraint on construction and development of the landfill, on reclamation and closure and on the feasibility of a LFGTE project. The stability analyses rely on site-specific but simple estimates of the unit weight of waste and the pore pressure conditions and use "generic" published shear strength envelopes for municipal waste. Application of the slope stability analysis method is presented in a case study of two Brazilian landfill sites; the Cruz das Almas Landfill in Maceio and the Muribeca Landfill in Recife. The Muribeca site has never recorded a slope failure and is much larger and better-maintained when compared to the Maceio site at which numerous minor slumps and slides have been observed. Conventional limit-equilibrium analysis was used to calculate factors of safety for stability of the landfill side slopes. Results indicate that the Muribeca site is more stable with computed factors of safety values in the range 1.6-2.4 compared with computed values ranging from 0.9 to 1.4 for the Maceio site at which slope failures have been known to occur. The results suggest that this approach may be useful as a screening-level tool when considering the feasibility of implementing LFGTE projects.

EPA ASSESSMENT OF TECHNOLOGIES FOR CONTROLLING EMISSIONS FROM MUNICIPAL WASTE COMBUSTION

EPA Science Inventory

The article examines EPA technical activities relating to the development of regulations pertaining to the control of both new and existing municipal waste combustion facilities (MWCs). The activities include: (1) assessing combustion and flue gas cleaning technologies, (2) colle...

A Subject Reference: Benefit-Cost Analysis of Toxic Substances, Hazardous Materials and Solid Waste Control (1977)

EPA Pesticide Factsheets

Discussion of methodological issues for conducting benefit-cost analysis and provides guidance for selecting and applying the most appropriate and useful mechanisms in benefit-cost analysis of toxic substances, hazardous materials, and solid waste control

A Guide for Environmental Health Planning

ERIC Educational Resources Information Center

Crawford, Gene M.

1972-01-01

Outlines objectives and resources to be assessed in a community environmental health plan. Considers: water; liquid waste disposal; housing maintenance; solid waste disposal; air pollution; food and food protection; rodent control; insect control; migrant labor camps; recreation sites; mobile homes - trailer parks; schools, institutions - public…

QUALITY ASSURANCE AND QUALITY CONTROL FOR WASTE CONTAINMENT FACILITIES. Project Summary

EPA Science Inventory

It is generally agreed that both quality assurance (QA) and quality control (QC) are essential to the proper installation and eventual performance of environmentally safe and secure waste containment systems. Even further, there are both manufacturing and construction aspects to...

HANDBOOK: OPERATION AND MAINTENANCE OF HOSPITAL WASTE INCINERATORS

EPA Science Inventory

Proper operation of the incinerator will reduce the emissions of most of these pollutants. ir pollution control devices are available to further control these pollutants. ecause of the national interest in hospital medical waste and the need for technology application, the Center...

HANDBOOK: QUALITY ASSURANCE/QUALITY CONTROL (QA/QC) PROCEDURES FOR HAZARDOUS WASTE INCINERATION

EPA Science Inventory

Resource Conservation and Recovery Act regulations for hazardous waste incineration require trial burns by permit applicants. uality Assurance Project Plan (QAPjP) must accompany a trial burn plan with appropriate quality assurance/quality control procedures. uidance on the prepa...

40 CFR 60.2600 - How do I comply with the increment of progress for submittal of a control plan?

Code of Federal Regulations, 2010 CFR

2010-07-01

... Emissions Guidelines and Compliance Times for Commercial and Industrial Solid Waste Incineration Units that...) of waste to be burned. (3) The maximum design waste burning capacity. (4) The anticipated maximum...

40 CFR 761.340 - Applicability.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT... Accordance With § 761.62, and Sampling PCB Remediation Waste Destined for Off-Site Disposal, in Accordance... generate new waste. (c) Non-liquid PCB remediation waste from processes that continuously generate new...

40 CFR 761.340 - Applicability.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT... Accordance With § 761.62, and Sampling PCB Remediation Waste Destined for Off-Site Disposal, in Accordance... generate new waste. (c) Non-liquid PCB remediation waste from processes that continuously generate new...

40 CFR 761.340 - Applicability.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT... Accordance With § 761.62, and Sampling PCB Remediation Waste Destined for Off-Site Disposal, in Accordance... generate new waste. (c) Non-liquid PCB remediation waste from processes that continuously generate new...

40 CFR 62.4178 - Identification of plan.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Existing Municipal Solid Waste Landfills § 62.4178 Identification of plan. (a) Identification of plan. Kansas plan for control of landfill gas emissions from existing municipal solid waste landfills and... to all existing municipal solid waste landfills for which construction, reconstruction, or...

Frequent Questions on International Agreements on Transboundary Shipments of Waste

EPA Pesticide Factsheets

Answers FAQs such as How does the OECD control the shipment of hazardous waste between Member countries? Where do I find the green and amber lists of waste? Why hasn't the United States ratified the Basel Convention?

Phytoavailability and fractions of iron and manganese in calcareous soil amended with composted urban wastes.

PubMed

Gallardo-Lara, Francisco; Azcón, Mariano; Polo, Alfredo

2006-01-01

Little is known about the effects of applying composted urban wastes on the phytoavailability and distribution of iron (Fe) and manganese (Mn) among chemical fractions in soil. In order to study this concern several experiments in pots containing calcareous soil were carried out. The received treatments by adding separately two rates (20 and 80 Mg ha-1) of municipal solid waste (MSW) compost and/or municipal solid waste and sewage sludge (MSW-SS) co-compost. The cropping sequence was a lettuce crop followed by a barley crop. It was observed that treatments amended with composted urban wastes tended to promote slight increases in lettuce yield compared to the control. The highest Fe levels in lettuce were found when higher rates of MSW-SS co-compost were applied; these values were significant compared to those obtained in the other treatments. In all cases, the application of organic materials increased the concentration and uptake of Mn in lettuce compared to the control; however, these increases were significant only when higher rates of MSW compost were applied. The organic amendments had beneficial delayed effects on barley yields, showing, in most cases, significant increases compared to the control. In this context, treatments with MSW compost were found to be more effective than the equivalent treatments amended with MSW-SS co-compost. Compared to the control, composted urban wastes increased Fe concentration in straw and rachis, and decreased Fe concentration in barley grain. Similarly, a decreased concentration of Mn in the dry matter of barley crop grown in soils treated with composted urban wastes was observed.

Feasibility of composting combinations of sewage sludge, olive mill waste and winery waste in a rotary drum reactor.

PubMed

Fernández, Francisco J; Sánchez-Arias, Virginia; Rodríguez, Lourdes; Villaseñor, José

2010-10-01

Representative samples of the following biowastes typically generated in Castilla La Mancha (Spain) were composted using a pilot-scale closed rotary drum composting reactor provided with adequate control systems: waste from the olive oil industry (olive mill waste; OMW), winery-distillery waste containing basically grape stalk and exhausted grape marc (WDW), and domestic sewage sludge. Composting these biowastes was only successful when using a bulking agent or if sufficient porosity was supported. OMW waste composting was not possible, probably because of its negligible porosity, which likely caused anaerobic conditions. WDW was successfully composted using a mixture of solid wastes generated from the same winery. SS was also successfully composted, although its higher heavy metal content was a limitation. Co-composting was an adequate strategy because the improved mixture characteristics helped to maintain optimal operating conditions. By co-composting, the duration of the thermophilic period increased, the final maturity level improved and OMW was successfully composted. Using the proposed reactor, composting could be accelerated compared to classical outdoor techniques, enabling easy control of the process. Moisture could be easily controlled by wet air feeding and leachate recirculation. Inline outlet gas analysis helped to control aerobic conditions without excessive aeration. The temperature reached high values in a few days, and sufficient thermal requirements for pathogen removal were met. The correct combination of biowastes along with appropriate reactor design would allow composting as a management option for such abundant biowastes in this part of Spain. (c) 2010 Elsevier Ltd. All rights reserved.

APTI (Air Pollution Training Institute) course 427: combustion evaluation, instructor's guide

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

Beard, J.T.; Iachetta, F.A.; Lilleleht, L.U.

1980-02-01

This Instructor's Guide is used in conjunction with Course No. 427, 'Combustion Evaluation' as applied to air pollution control situations. The teaching guide was prepared by the EPA Air Pollution Training Institute (APTI) to assist instructors in presenting course No. 427. The guide contains sections on the following topics: combustion fundamentals, fuel properties, combustion system design, pollutant emission calculations, combustion control, gas, oil, and burning, solid waste and wood burning, incineration of wastes, sewage sludge incineration, flame and catalytic incineration, waste gas flares, hazardous waste combustion, NOx control, improved combustion systems. Note: There is also a Student Workbook to bemore » used for homework and in-class problem solving (EPA-450/2-80-064) and a Student Manual for reference and additional subject material (EPA-450/2-80-063).« less

Improved glycemic control in veterans with poorly controlled diabetes mellitus using a Specialty Care Access Network-Extension for Community Healthcare Outcomes model at primary care clinics.

PubMed

Watts, Sharon A; Roush, Laura; Julius, Mary; Sood, Ajay

2016-06-01

An increasing number of patients with diabetes mellitus has created a need for innovative delivery of specialized care not only by diabetes specialists but also by primary care providers (PCPs) as well. A potential avenue to address this need is training of PCPs by specialists via telehealth. The Veteran Affairs (VA) Specialty Care Access Network-Extension for Community Healthcare Outcomes (SCAN-ECHO) program includes education and case-based learning for PCPs by a multidisciplinary specialty team utilizing videoconferencing technology. Two PCPs completed a year of SCAN-ECHO diabetes training. These two PCPs set up "diabetes mini-clinics" to treat difficult-to-control high-risk patients with diabetes mellitus from their own panel and from their colleagues in the same community-based outpatient clinic (CBOC). We utilized a retrospective program evaluation by t-test using pre/post glycated hemoglobin (HbA1c) lab values after being seen by the two PCPs. A total of 39 patients, all with HbA1c > 9.0%, were seen in the two PCP mini-clinics over 15 months. The mean HbA1c improved from 10.2 ± 1.4% to 8.4 ± 1.8% (p < 0.001) over the average follow-up period of five months. This was not explained by system-wide changes or improvements. Care of veteran patients with poorly controlled diabetes by PCPs who participated in SCAN-ECHO program leads to improvement in glycemic control. This model of health care delivery can be effective in remote or rural areas with limited availability of specialists. © The Author(s) 2015.

The impact of dysfunctional breathing on the assessment of asthma control.

PubMed

Veidal, Sandra; Jeppegaard, Maria; Sverrild, Asger; Backer, Vibeke; Porsbjerg, Celeste

2017-02-01

Dysfunctional breathing (DB) is a respiratory disorder, which involves a pattern of breathing too deeply, too superficially and/or too rapidly. In asthma patients, DB may lead to an overestimation of the severity of asthma symptoms, and hence potentially to overtreatment. However, it is not known to which degree DB may affect estimates of asthma control, in a specialist clinical setting. The MAPOut-study examined all patients referred consecutively over a 12-months period for specialist assessment of asthma at the Respiratory Outpatient Clinic at Bispebjerg Hospital in Copenhagen. All patients were examined with the Nijmegen questionnaire with a DB defined as a score ≥23 and the ACQ questionnaire. Linear regression analysis of predictors of ACQ score was performed. Asthma was defined as asthma symptoms and a positive asthma test. Of the 256 patients referred to the lung clinic, data on both the Nijmegen questionnaire and ACQ score was obtained in 127 patients, who were included in the present analysis. Median (range) age: 30 (15-63) years, and 76 (59.8%) were females. DB was found in 31 (24.4%). Asthmatic patients with co-existing DB had a poorer asthma control compared to asthmatics without DB (Median (range) ACQ score: 2.40 (0.20-4.60) vs 1.20 (0.00-4.40); p < 0.001.). A regression analysis showed that the effect of DB on asthma control was independent of airway hyperresponsiveness or airway inflammation in patients with DB. Dysfunctional breathing is common among asthma patients in a specialist setting, and results in a clinically significant underestimation of asthma control, which may potentially lead to overtreatment. Copyright © 2016 Elsevier Ltd. All rights reserved.

KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, astronaut Stephen Frick and STS-114 Mission Specialist Wendy Lawrence watch as crew members work with equipment that will be used on the mission. Frick is a tile specialist, who joined the STS-114 crew during equipment familiarization at KSC. STS-114 is classified as Logistics Flight 1 to the International Space Station, delivering new supplies and replacing one of the orbital outpost’s Control Moment Gyroscopes (CMGs). STS-114 will also carry a Raffaello Multi-Purpose Logistics Module and the External Stowage Platform-2. The crew is slated to conduct at least three spacewalks: They will demonstrate repair techniques of the Shuttle’s Thermal Protection System, replace the failed CMG with one delivered by the Shuttle, and install the External Stowage Platform.

NASA Image and Video Library

2004-01-27

KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, astronaut Stephen Frick and STS-114 Mission Specialist Wendy Lawrence watch as crew members work with equipment that will be used on the mission. Frick is a tile specialist, who joined the STS-114 crew during equipment familiarization at KSC. STS-114 is classified as Logistics Flight 1 to the International Space Station, delivering new supplies and replacing one of the orbital outpost’s Control Moment Gyroscopes (CMGs). STS-114 will also carry a Raffaello Multi-Purpose Logistics Module and the External Stowage Platform-2. The crew is slated to conduct at least three spacewalks: They will demonstrate repair techniques of the Shuttle’s Thermal Protection System, replace the failed CMG with one delivered by the Shuttle, and install the External Stowage Platform.

KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-114 Mission Specialists Andrew Thomas (center) and Soichi Noguchi (right) work with equipment while Mission Specialist Charles Camarda (left) watches. Noguchi is with the Japanese Aerospace Exploration Agency (JAXA). They and other crew members are at KSC for equipment familiarization. STS-114 is classified as Logistics Flight 1 to the International Space Station, delivering new supplies and replacing one of the orbital outpost’s Control Moment Gyroscopes (CMGs). STS-114 will also carry a Raffaello Multi-Purpose Logistics Module and the External Stowage Platform-2. The crew is slated to conduct at least three spacewalks: They will demonstrate repair techniques of the Shuttle’s Thermal Protection System, replace the failed CMG with one delivered by the Shuttle, and install the External Stowage Platform.

NASA Image and Video Library

2004-01-27

KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-114 Mission Specialists Andrew Thomas (center) and Soichi Noguchi (right) work with equipment while Mission Specialist Charles Camarda (left) watches. Noguchi is with the Japanese Aerospace Exploration Agency (JAXA). They and other crew members are at KSC for equipment familiarization. STS-114 is classified as Logistics Flight 1 to the International Space Station, delivering new supplies and replacing one of the orbital outpost’s Control Moment Gyroscopes (CMGs). STS-114 will also carry a Raffaello Multi-Purpose Logistics Module and the External Stowage Platform-2. The crew is slated to conduct at least three spacewalks: They will demonstrate repair techniques of the Shuttle’s Thermal Protection System, replace the failed CMG with one delivered by the Shuttle, and install the External Stowage Platform.

Compact, closed-loop controlled waste incinerator

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

Schadow, K.C.; Seeker, W.R.

1999-07-01

Technologies for solid and liquid waste destruction in compact incinerators are being developed in collaboration between industry, universities, and a Government laboratory. This paper reviews progress on one technology, namely active combustion control to achieve efficient and controlled afterburning of air-starved reaction products. This technology which uses synchronized waste gas injection into acoustically stabilized air vortices was transitioned to a simplified afterburner design and practical operational conditions. The full-scale, simplified afterburner, which achieved CO and NO{sub x} emissions of about 30 ppm with a residence time of less than 50 msec, was integrated with a commercially available marine incinerator tomore » increase throughput and reduce emissions. Closed-loop active control with diode laser sensors and novel control strategies was demonstrated on a sub-scale afterburner.« less

Comparative Effectiveness of Web-Based vs. Educator-Delivered HIV Prevention for Adolescent Substance Users: A Randomized, Controlled Trial.

PubMed

Marsch, Lisa A; Guarino, Honoria; Grabinski, Michael J; Syckes, Cassandra; Dillingham, Elaine T; Xie, Haiyi; Crosier, Benjamin S

2015-12-01

Young people who engage in substance use are at risk for becoming infected with HIV and diseases with similar transmission dynamics. Effective disease prevention programs delivered by prevention specialists exist but are rarely provided in systems of care due to staffing/resource constraints and operational barriers-and are thus of limited reach. Web-based prevention interventions could possibly offer an effective alternative to prevention specialist-delivered interventions and may enable widespread, cost-effective access to evidence-based prevention programming. Previous research has shown the HIV/disease prevention program within the Web-based therapeutic education system (TES) to be an effective adjunct to a prevention specialist-delivered intervention. The present study was the first randomized, clinical trial to evaluate the comparative effectiveness of this Web-based intervention as a standalone intervention relative to a traditional, prevention specialist-delivered intervention. Adolescents entering outpatient treatment for substance use participated in this multi-site trial. Participants were randomly assigned to either a traditional intervention delivered by a prevention specialist (n=72) or the Web-delivered TES intervention (n=69). Intervention effectiveness was assessed by evaluating changes in participants' knowledge about HIV, hepatitis, and sexually transmitted infections, intentions to engage in safer sex, sex-related risk behavior, self-efficacy to use condoms, and condom use skills. Participants in the TES intervention achieved significant and comparable increases in HIV/disease-related knowledge, condom use self-efficacy, and condom use skills and comparable decreases in HIV risk behavior relative to participants who received the intervention delivered by a prevention specialist. Participants rated TES as easier to understand. This study indicates that TES is as effective as HIV/disease prevention delivered by a prevention specialist. Because technology-based interventions such as TES have high fidelity, are inexpensive and scalable, and can be implemented in a wide variety of settings, they have the potential to greatly increase access to effective prevention programming. Copyright © 2015 Elsevier Inc. All rights reserved.

Selection of the next generation of air traffic control specialists : aptitude requirements for the air traffic control tower cab in 2018.

DOT National Transportation Integrated Search

2013-03-01

The Federal Aviation Administration (FAA) faces two significant organizational challenges in the 21st century: (1) transformation of the current NAS into the Next Generation Air Transportation System (NextGen); and (2) recruitment, selection, a...

STS-41 crew communicates with ground controllers from OV-103's flight deck

NASA Image and Video Library

1990-10-10

STS041-02-035 (6-10 Oct 1990) --- A fish-eye lens view shows two of STS-41's three mission specialists on the flight deck of Discovery. Astronaut William M. Shepherd, right, communicates with ground controllers as Astronaut Bruce E. Melnick looks on.

Problems in air traffic management. V., Identification and potential aptitude test measures for selection of tower air traffic controller trainees.

DOT National Transportation Integrated Search

1965-07-01

A study of over 200 Terminal Air Traffic Control Specialists indicated that their training performance could be well predicted by a composite of four aptitude tests measuring: numerical ability, non-verbal abstract reasoning, ability to solve simplif...

STS-33 MS Carter operates translation hand control (THC) on aft flight deck

NASA Image and Video Library

1989-11-27

STS033-93-011 (27 Nov 1989) --- Astronaut Manley L. Carter, Jr., STS-33 mission specialist, operates translation hand control (THC) at the aft flight deck on orbit station while peering out overhead window W7. Carter's communications kit assembly headset microphone extends across his face.

75 FR 14385 - Revocation of Class D and E Airspace; Panama City, FL

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-25

..., as the old airport and control tower is scheduled to be closed. Controlled airspace will be..., Airspace Specialist, Operations Support Group, Eastern Service Center, Air Traffic Organization, Federal... the proposed rule. The proposal contained in this notice may be changed in light of the comments...

VISITOR - SULTAN - JSC

NASA Image and Video Library

1985-04-04

S85-29711 (April 1985) --- Ronald C. Epps, right of the training division in the mission operations directorate, briefs the Saudi Arabian payload specialist, Sultan Salman Abdelazize Al-Saud, and his backup, Abdulmohsen Hamad Al-Bassam, in the flight control room (FCR) of the mission control center (MCC). Erlinda Stevenson is also pictured.

STS-94 Columbia Landing at KSC

NASA Technical Reports Server (NTRS)

1997-01-01

The Space Shuttle orbiter Columbia glides in for a touchdown on Runway 33 at KSCs Shuttle Landing Facility at approximately 6:46 a.m. EDT with Mission Commander James D. Halsell Jr. and Pilot Susan L. Still at the controls to complete the STS-94 mission. Also on board are Mission Specialist Donald A. Thomas, Mission Specialist Michael L. Gernhardt, Payload Commander Janice Voss, and Payload Specialists Roger K.Crouch and Gregory T. Linteris. During the Microgravity Science Laboratory-1 (MSL-1) mission, the Spacelab module was used to test some of the hardware, facilities and procedures that are planned for use on the International Space Station while the flight crew conducted combustion, protein crystal growth and materials processing experiments. This mission was a reflight of the STS-83 mission that lifted off from KSC in April of this year. That space flight was cut short due to indications of a faulty fuel cell.

Stigma Predicts Treatment Preferences and Care Engagement among Veterans Affairs Primary Care Patients with Depression

PubMed Central

Campbell, Duncan G.; Bonner, Laura M.; Bolkan, Cory R.; Lanto, Andrew B.; Zivin, Kara; Waltz, Thomas J.; Klap, Ruth; Rubenstein, Lisa V.; Chaney, Edmund F.

2016-01-01

Background Whereas stigma regarding mental health concerns exists, the evidence for stigma as a depression treatment barrier among patients in Veterans Affairs (VA) primary care (PC) is mixed. Purpose To test whether stigma, defined as depression label avoidance, predicted patients' preferences for depression treatment providers, patients' prospective engagement in depression care, and care quality. Methods We conducted cross-sectional and prospective analyses of existing data from 761 VA PC patients with probable major depression. Results Relative to low stigma patients, those with high stigma were less likely to prefer treatment from mental health specialists. In prospective controlled analyses, high stigma predicted lower likelihood of the following: taking medications for mood, treatment by mental health specialists, treatment for emotional concerns in PC, and appropriate depression care. Conclusions High stigma is associated with lower preferences for care from mental health specialists and confers risk for minimal depression treatment engagement. PMID:26935310

STS-94 Columbia Landing at KSC (before main gear touchdown)

NASA Technical Reports Server (NTRS)

1997-01-01

The Space Shuttle orbiter Columbia glides in for a touchdown on Runway 33 at KSCs Shuttle Landing Facility at approximately 6:46 a.m. EDT with Mission Commander James D. Halsell Jr. and Pilot Susan L. Still at the controls to complete the STS-94 mission. Also on board are Mission Specialist Donald A. Thomas, Mission Specialist Michael L. Gernhardt, Payload Commander Janice Voss, and Payload Specialists Roger K.Crouch and Gregory T. Linteris. During the Microgravity Science Laboratory-1 (MSL-1) mission, the Spacelab module was used to test some of the hardware, facilities and procedures that are planned for use on the International Space Station while the flight crew conducted combustion, protein crystal growth and materials processing experiments. This mission was a reflight of the STS-83 mission that lifted off from KSC in April of this year. That space flight was cut short due to indications of a faulty fuel cell.

High levels of PAH-metabolites in urine of e-waste recycling workers from Agbogbloshie, Ghana.

PubMed

Feldt, Torsten; Fobil, Julius N; Wittsiepe, Jürgen; Wilhelm, Michael; Till, Holger; Zoufaly, Alexander; Burchard, Gerd; Göen, Thomas

2014-01-01

The informal recycling of electronic waste (e-waste) is an emerging source of environmental pollution in Africa. Among other toxins, polycyclic aromatic hydrocarbons (PAHs) are a major health concern for exposed individuals. In a cross-sectional study, the levels of PAH metabolites in the urine of individuals working on one of the largest e-waste recycling sites of Africa, and in controls from a suburb of Accra without direct exposure to e-waste recycling activities, were investigated. Socioeconomic data, basic health data and urine samples were collected from 72 exposed individuals and 40 controls. In the urine samples, concentrations of the hydroxylate PAH metabolites (OH-PAH) 1-hydroxyphenanthrene (1-OH-phenanthrene), the sum of 2- and 9-hydroxyphenanthrene (2-/9-OH-phenanthrene), 3-hydroxyphenanthrene (3-OH-phenanthrene), 4-hydroxyphenanthrene (4-OH-phenanthrene) and 1-hydroxypyrene (1-OH-pyrene), as well as cotinine and creatinine, were determined. In the exposed group, median urinary concentrations were 0.85 μg/g creatinine for 1-OH-phenanthrene, 0.54 μg/g creatinine for 2-/9-OH-phenanthrene, 0.99 μg/g creatinine for 3-OH-phenanthrene, 0.22 μg/g creatinine for 4-OH-phenanthrene, and 1.33 μg/g creatinine for 1-OH-pyrene, all being significantly higher compared to the control group (0.55, 0.37, 0.63, 0.11 and 0.54 μg/g creatinine, respectively). Using a multivariate linear regression analysis including sex, cotinine and tobacco smoking as covariates, exposure to e-waste recycling activities was the most important determinant for PAH exposure. On physical examination, pathological findings were rare, but about two thirds of exposed individuals complained about cough, and one quarter about chest pain. In conclusion, we observed significantly higher urinary PAH metabolite concentrations in individuals who were exposed to e-waste recycling compared to controls who were not exposed to e-waste recycling activities. The impact of e-waste recycling on exposure to environmental toxins and health of individuals living in the surroundings of e-waste recycling sites warrant further investigation. © 2013 Elsevier B.V. All rights reserved.

The radioactive waste management policy and practice in the Czech Republic

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

Kucerka, M.

1996-12-31

In recent period, the new Czech Atomic Law is in the final stage of preparation, and the author expects that Parliament of the Czech Republic will approve it in the first half of the year 1996. Partly the law deals with new distribution of responsibilities among bodies involved in utilization of nuclear energy and ionizing radiation, the state and local authorities. The new provisions include also radioactive waste management activities. These provisions clarify the relations between radioactive waste generators and state, and define explicitly duties of waste generators. One of the most important duties is to cover all expenses formore » radioactive waste management now and in the future, including radioactive waste disposal and decommissioning of nuclear facilities. The law establishes radioactive waste management and decommissioning funds and the new, on waste generators independent radioactive waste management organization, controlled by state, to ensure the safety of inhabitants and the environment, and a optimization of expenses. Parallel to the preparation of the law, the Ministry of Industry and Trade prepares drafts of a statute of the radioactive waste management organization and its control board, and of the methodology and rules of management the radioactive waste fund. First drafts of these documents are expected to be complete in January 1996. The paper will describe recent practice and policy of the radioactive waste management including uranium mining and milling tailings, amounts of waste and its activities, economical background, and safety. A special attention will be paid to description of expected changes in connection with the new Atomic Law and expected steps and time schedule of reorganization of the radioactive waste management structure in the Czech Republic.« less

The Orbital Workshop Waste Management Compartment

NASA Technical Reports Server (NTRS)

1972-01-01

This image is a wide-angle view of the Orbital Workshop waste management compartment. The waste management facilities presented a unique challenge to spacecraft designers. In addition to collection of liquid and solid human wastes, there was a medical requirement to dry all solid human waste products and to return the residue to Earth for examination. Liquid human waste (urine) was frozen for return to Earth. Total quantities of each astronaut's liquid and solid wastes were precisely measured. Cabin air was drawn into the toilet, shown on the wall at right in this photograph, and over the waste products to generate a flow of the waste in the desired direction. The air was then filtered for odor control and antiseptic purposes prior to being discharged back into the cabin.

Community Solutions for Solid Waste Pollution, Level 6. Teacher Guide. Operation Waste Watch.

ERIC Educational Resources Information Center

Virginia State Dept. of Waste Management, Richmond. Div. of Litter & Recycling.

Operation Waste Watch is a series of seven sequential learning units which addresses the subject of litter control and solid waste management. Each unit may be used in a variety of ways, depending on the needs and schedules of individual schools, and may be incorporated into various social studies, science, language arts, health, mathematics, and…

Identification and analysis the illegal dumping spot of solid waste at Ciliwung segment 5 riverbanks

NASA Astrophysics Data System (ADS)

Indrawati, D.; Purwaningrum, P.

2018-01-01

Ciliwung River is the main river in the area of Jakarta that is divided into six segments across West Java and Jakarta. The study focuses on the fifth segment which is 30 km long, covering from Kelapa Dua Depok to Manggarai, South Jakarta. The survey of the river consists of 3 sub-segments: Lenteng Agung, Pejaten Timur and Manggarai. Objectives of the study are to describe the characteristics and typology of the residential surrounding the Ciliwung Segment 5 Riverbank, to identification the illegal dumping spot of solid waste, to measure the volume and composition of solid waste in the riverbank, to decide solid waste management for residential area surrounding river banks to control the river pollution. The study shows that there are 11 illegal dumping spot of solid waste consisting of 4.37 m3 solid waste volume. The average composition of solid waste consists of 44% organic, 14% woods, 12% papers, 11% plastics, 3% rubbers, 1% metals and 2% others. To control the river pollution efforts are restoring the function of riverbanks to become green open space area, installing the trash rack into the river, to manage domestic solid waste based on 3R (Reduce, Reuse, Recycle) concept.

Persistent toxic substances released from uncontrolled e-waste recycling and actions for the future.

PubMed

Man, Ming; Naidu, Ravi; Wong, Ming H

2013-10-01

The Basel Convention on the Control of Transboundary Movement of Hazardous Wastes and their Disposal was adopted on March 22, 1989 and enforced on May 5, 1992. Since then, the USA, one of the world's largest e-waste producers, has not ratified this Convention or the Basel Ban Amendment. Communities are still debating the legal loophole, which permits the export of whole products to other countries provided it is not for recycling. In January 2011, China's WEEE Directive was implemented, providing stricter control over e-waste imports to China, including Hong Kong, while emphasizing that e-waste recycling is the producers' responsibility. China is expected to supersede the USA as the principal e-waste producer, by 2020, according to the UNEP. Uncontrolled e-waste recycling activities generate and release heavy metals and POPs into the environment, which may be re-distributed, bioaccumulated and biomagnified, with potentially adverse human health effects. Greater efforts and scientific approaches are needed for future e-product designs of minimal toxic metal and compound use, reaping greater benefits than debating the definition and handling responsibilities of e-waste recycling. Copyright © 2012 Elsevier B.V. All rights reserved.

Computer tablet distraction reduces pain and anxiety in pediatric burn patients undergoing hydrotherapy: A randomized trial.

PubMed

Burns-Nader, Sherwood; Joe, Lindsay; Pinion, Kelly

2017-09-01

Distraction is often used in conjunction with analgesics to minimize pain in pediatric burn patients during treatment procedures. Computer tablets provide many options for distraction items in one tool and are often used during medical procedures. Few studies have examined the effectiveness of tablet distraction in improving the care of pediatric burn patients. This study examines the effectiveness of tablet distraction provided by a child life specialist to minimize pain and anxiety in pediatric burn patients undergoing hydrotherapy. Thirty pediatric patients (4-12) undergoing hydrotherapy for the treatment of burns participated in this randomized clinical trial. The tablet distraction group received tablet distraction provided by a child life specialist while those in the control group received standard care. Pain was assessed through self-reports and observation reports. Anxiety was assessed through behavioral observations. Length of procedure was also recorded. Nurses reported significantly less pain for the tablet distraction group compared to the control group. There was no significant difference between groups on self-reported pain. The tablet distraction group displayed significantly less anxiety during the procedure compared to the control group. Also, the tablet distraction group returned to baseline after the procedure while those in the control group displayed higher anxiety post-procedure. There was no difference in the length of the procedure between groups. These findings suggest tablet distraction provided by a child life specialist may be an effective method for improving pain and anxiety in children undergoing hydrotherapy treatment for burns. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

Hazardous waste generation and management in China: a review.

PubMed

Duan, Huabo; Huang, Qifei; Wang, Qi; Zhou, Bingyan; Li, Jinhui

2008-10-30

Associated with the rapid economic growth and tremendous industrial prosperity, continues to be the accelerated increase of hazardous waste generation in China. The reported generation of industrial hazardous waste (IHW) was 11.62 million tons in 2005, which accounted for 1.1% of industrial solid waste (ISW) volume. An average of 43.4% of IHW was recycled, 33.0% was stored, 23.0% was securely disposed, and 0.6% was discharged without pollution controlling. By the end of 2004, there were 177 formal treatment and disposal centers for IHW management. The reported quantity of IHW disposed in these centers was only 416,000 tons, 65% of which was landfilled, 35% was incinerated. The quantity of waste alkali and acid ranked the first among IHW categories, which accounted for 30.9%. And 39.0% of IHW was generated from the raw chemical materials and chemical products industry sectors. South west China had the maximum generation of IHW, accounted for 40.0%. In addition, it was extrapolated that 740,000 tons of medical wastes were generated per year, of which only 10% was soundly managed. The generation of discarded household hazardous waste (HHW) is another important source of hazardous waste. A great proportion of HHW was managed as municipal solid waste (MSW). Hazardous waste pollution controlling has come into being a huge challenge faced to Chinese environmental management.

CAPSULE REPORT: SOURCES AND AIR EMISSION CONTROL TECHNOLOGIES AT WASTE MANAGEMENT FACILITIES

EPA Science Inventory

The chemicals processed during waste management operations can volatilize into the atmosphere and cause carcinogenic or other toxic effects or contribute to ozone formation. Regulations have been developed to control air emissions from these operations. The EPA has promulgated st...

FAA Alleged Waste and Mismanagement of Air Route Traffic Control Centers Critical and Essential Power Systems Project

DOT National Transportation Integrated Search

1996-10-16

The Office of Inspector General (OIG) reviewed a complaint from Congressman Deal on behalf of a constituent. The constituent alleged waste and mismanagement occurred in the Federal Aviation Administration (FAA) Air Route Traffic Control Centers Criti...

MINE WASTE TECHNOLOGY PROGRAM - UNDERGROUND MINE SOURCE CONTROL DEMONSTRATION PROJECT

EPA Science Inventory

This report presents results of the Mine Waste Technology Program Activity III, Project 8, Underground Mine Source Control Demonstration Project implemented and funded by the U. S. Environmental Protection Agency (EPA) and jointly administered by EPA and the U. S. Department of E...

9 CFR 55.22 - Participation and enrollment.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Herd Certification Program § 55.22 Participation and enrollment. (a... National Center for Animal Health Program, VS, APHIS, 4700 River Road Unit 43, Riverdale, MD 20737-1235...

9 CFR 55.22 - Participation and enrollment.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AGRICULTURE COOPERATIVE CONTROL AND ERADICATION OF LIVESTOCK OR POULTRY DISEASES CONTROL OF CHRONIC WASTING DISEASE Chronic Wasting Disease Herd Certification Program § 55.22 Participation and enrollment. (a... to the National Center for Animal Health Program, VS, APHIS, 4700 River Road Unit 43, Riverdale, MD...

CONTROLLING EMISSIONS FROM FUEL AND WASTE COMBUSTION

EPA Science Inventory

Control of emissions from combustion of fuels and wastes has been a traditional focus of air pollution regulations. Significant technology developments of the '50s and '60s have been refined into reliable chemical and physical process unit operations. In the U.S., acid rain legis...

Carbon bed mercury emissions control for mixed waste treatment.

PubMed

Soelberg, Nick; Enneking, Joe

2010-11-01

Mercury has various uses in nuclear fuel reprocessing and other nuclear processes, and so it is often present in radioactive and mixed (radioactive and hazardous) wastes. Compliance with air emission regulations such as the Hazardous Waste Combustor (HWC) Maximum Achievable Control Technology (MACT) standards can require off-gas mercury removal efficiencies up to 99.999% for thermally treating some mixed waste streams. Test programs have demonstrated this level of off-gas mercury control using fixed beds of granular sulfur-impregnated activated carbon. Other results of these tests include (1) the depth of the mercury control mass transfer zone was less than 15-30 cm for the operating conditions of these tests; (2) MERSORB carbon can sorb mercury up to 19 wt % of the carbon mass; and (3) the spent carbon retained almost all (98.3-99.99%) of the mercury during Toxicity Characteristic Leachability Procedure (TCLP) tests, but when even a small fraction of the total mercury dissolves, the spent carbon can fail the TCLP test when the spent carbon contains high mercury concentrations.