quality indicators health care: Topics by WorldWideScience.org

Usage Patterns of a Personal Health Record by Elderly and Disabled Users

BackgroundParents of chronically ill children are at risk for a lower Health Related Quality of Life (HRQoL). Insight in the dynamics of factors influencing parental HRQoL is necessary...Full Text Available

3

Care programmes and integrated care pathways

Personal Health Records (PHRs) are increasingly recognized as a strategy to improve patient-provider communication, availability of health information, and quality of care, by making the delivery of...Full Text Available

2007-01-01

4

British Library Electronic Table of Contents (United Kingdom)

Purpose - The article discusses how care programmes and integrated care pathways can be linked, finding ways to improve healthcare process professional and logistical quality from a supply chain and a network point-of-view. Design/methodology/approach - The authors argue that owing to cost containment goals and increasing healthcare demand, healthcare services systems are challenged to improve service quality, whilst at the same time finding ways to improve delivery processes. It explores if the combination of two instruments, care programmes and integrated care pathways, can meet both goals. This combination is illustrated by an example from the Institute of Mental Health Care Eindhoven en de Kempen. Findings - Analysis suggests that care programmes can be combined with integrated ...

2008-01-01

5

Validation of the treatment identification strategy of the HEDIS addiction quality measures: concordance with medical record review

Improving safety and quality: how can education help?

BackgroundStrategies to accurately identify the occurrence of specific health care events in administrative data is central to many quality improvement and research efforts. Many...Full Text Available

6

Developing a Performance Measurement Framework and Indicators for Community Health Service Facilities in Urban China

National efforts to improve the quality and safety of health care present challenges for medical education and training. Today's doctors need to be skilled communicators who know how to identify, prevent and manage adverse events and near misses, how to use evidence and information, how to work safely in a team, how to practise ethically, and how to be workplace teachers and learners. These competencies (knowledge, skills and attitudes) are set out in the National Patient Safety Education Framework (NPSF) of the Australian Council for Safety and Quality in Health Care. The NPSF is designed to help medical schools, vocational colleges, health organisations and private practitioners develop curricula to enable health professionals to work safely. The NPSF describes what doctors (depending on their level of knowledge and ...

2006-05-15

7

Development and Validation of the Convalescence And Recovery Evaluation (CARE) for Measuring Quality of Life after Surgery

BackgroundChina has had no effective and systematic information system to provide guidance for strengthening PHC (Primary Health Care) or account to citizens on progress. We report...Full Text Available

8

Veterans Affairs: Health Care and Benefits for Veterans ...

PurposeTo develop a generic instrument for measuring short-term health status in the recovery period among patients undergoing abdominal and pelvic surgery.Full Text Available

2008-08-01

9

Correctional health care: implications for public health policy.

... Accession Number : ADA535776. Title : Veterans Affairs: Health Care and Benefits for Veterans Exposed to Agent Orange. ...

2010-09-22

10

Effects and side-effects of integrating care: the case of mental health care in the Netherlands

"Correctional Health Care: Implications for Public Health Policy" is the first in a series of articles that examines the special health care needs of persons who are incarcerated in America's correctional...Full Text Available

2002-05-01

11

Update on well-baby and well-child care from 0 to 5 years

PurposeDescription and analysis of the effects and side-effects of integrated mental health care in the Netherlands.Context of caseDue...Full Text Available

12

The Impact of Proactive Chronic Care Management on Hospital Admissions in a German Senior Population

AbstractOBJECTIVETo provide an overview of the 2009 edition of the Rourke Baby Record (RBR), which incorporates recent research in the literature relating to preventive health care for children aged 0 to 5 years.QUALITY OF EVIDENCERecommendations are identified as supported by good, fair, or consensus evidence, according to the classification of the Canadian Task Force on Preventive Health Care.MAIN MESSAGENew information and recommendations are given for growth monitoring, nutrition, developmental surveillance, physical examination maneuvers, immunization schedules, and advice for parents. Anticipatory guidance updates relate to injury prevention, infant swaddling, literacy facilitation, nonparental child care, parenting skills programs, serum lead levels, over-the-counter cough and cold medications, pacifiers, antipyretics, insect repellents, and dental ...

2010-12-01

13

British Library Electronic Table of Contents (United Kingdom)

Abstract An increase in chronic disease prevalence is contributing to health care cost growth and decreased quality of life in industrialized nations worldwide. Inadequate management of chronic diseases is a leading cause of hospitalizations and, thus, avoidable expenditures. In this study, we evaluated the impact of nurse-delivered care calls, the primary intervention of a proactive chronic care management (CCM) program, in a population aged 65 and older in Germany. In this analysis, hospital admission rates were evaluated among program enrollees who were diagnosed with diabetes, heart failure, coronary heart disease, or chronic obstructive pulmonary disease. The Intervention group comprised those members who participated in care calls (n?=?13,486), whereas the Comparison group included e...

2011-01-01

14

Psychology and health: contributions of psychology to the improvement of health and health care

45 CFR 162.404 - Compliance dates of the implementation of the standard unique health identifier for health care...

Psychology as both a science and a profession has been closely identified with other disciplines in the broad field of health since the turn of the present century. Recent advances in health care have...Full Text Available

1987-01-01

15

Unique health care utilization patterns in a homeless population in Ghent

...dates of the implementation of the standard unique health identifier for health care providers. 162.404 Section 162.404 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA...

2010-10-01

16

An enhanced primary health care role following psychological trauma: the Christchurch earthquakes.

BackgroundExisting studies concerning the health care use of homeless people describe higher utilisation rates for hospital-based care and emergency care, and lower rates for primary...Full Text Available

17

The BEACHES Study: health effects and exposures from non-point source microbial contaminants in subtropical recreational marine waters

Following the February 2011 earthquake in Christchurch, New Zealand (NZ), the authors participated in counselling local residents, and debriefing and supervising support teams. Indications were that risk for mental health disorders, including Post-Traumatic Stress Disorder (PTSD), may be elevated in residents, and that this risk may continue for some time. Patients may be de-prioritising their mental health issues when these become normalised throughout the city's population. The authors recommend that primary care patients are assessed using a brief, comprehensive tool (for example, the Case-finding and Help Assessment Tool) that targets many health and behavioural issues identified as increasing in the city following the earthquake. Anxiety and mood disorder symptoms may indicate assessment is appropriate to reduce harm arising from increased risk for PTSD. ...

2011-09-01

18

Telephone-Based Psychiatric Referral-Care Management Intervention Health Outcomes

Background Microbial water-quality indicators, in high concentrations in sewage, are used to determine whether water is safe for recreational purposes. Recently, the use of these indicators...Full Text Available

2010-10-01

19

Incorporating Patient Perspectives into the Personal Health Record: Implications for Care and Caring

AbstractObjective: This study examined the effectiveness of a telephone-based referral-care management (TBR-CM) intervention on psychiatric health...Full Text Available

2010-06-01

20

Mental Health and Resilience: Soldiers' Perceptions about ...

Electronic personal health records (ePHRs) can potentially maximize access and coordination of health information and improve patient/clinician collaboration, patient self-management, and health outcomes....Full Text Available

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Using a Computer to Conduct Utilization and Quality of Care Review in a Prepaid Medical Care Network

... Title : Mental Health and Resilience: Soldiers' Perceptions about Psychotherapy, Medications, and Barriers to Care in the United States Military. ...

2010-10-01

22

Cost-effectiveness of a barrier-strengthening moisturizing cream as maintenance therapy vs. no treatment after an initial steroid course in patients with atopic dermatitis in Sweden - with model applications for Denmark, Norway and Finland

This paper describes how a computerized MIS is used to assist HMO management to conduct utilization and quality of care review activities in a prepaid medical care network. The HMO is a ‘network’...Full Text Available

1982-11-02

23

British Library Electronic Table of Contents (United Kingdom)

Abstract Background Atopic dermatitis (AD) affects health and quality of life and it has great impact on both health-care costs and costs to the society. Objectives The objective of this study was to develop a model to analyse the cost-effectiveness of a barrier-strengthening moisturizing cream as maintenance therapy compared with no treatment after initial treatment with betamethasone valerate in adult patients with AD in Sweden. A further aim was to apply a similar health-economic analysis for Denmark, Norway and Finland. Methods A Markov simulation model was developed including data from three sources: (i) efficacy data from a randomized controlled trial including patients with moderate AD treated with either a moisturizing cream or no treatment, (ii) resource utilization and quality of...

2010-01-01

24

The appropriateness of fear appeal use for health care marketing to the elderly: is it OK to scare granny?

Can a mixed health care system be desirable on equity grounds ?

PMID:11659561

1993-01-01

25

Norwegian Open Research Archives (NORA)

Full Text Available

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A medication-estimated health status measure for predicting primary care visits: the Long-Term Therapeutic Groups Index.

Facial reconstruction in the developing world: a complicated matter

PMID:19923207

2009-11-18

27

British Library Electronic Table of Contents (United Kingdom)

Around the world there is a small industry of non-governmental organisations that provide health care in niche areas that cannot be met by national health care provision. One topic is facial deformity that can have a dramatic effect on quality of life. In this study we investigate the morbidity and outcome of a British surgical team working for a 2-week period in Ethiopia. Thirty-five patients who presented with facial deformities had 47 operations during a 2-week period. Data were recorded for a minimum of 3 weeks postoperatively. Operative techniques were classified as simple or complex. Postoperative complications were assessed and classified as major, intermediate, and minor. In addition, the character of each complication was recorded and the cause elucidated. After 3 weeks the clinic...

2011-01-01

28

Bacterial indicators of risk of diarrhoeal disease from drinking-water in the Philippines.

Technology assessment and resource allocation for predictive genetic testing: A study of the perspectives of Canadian genetic health care providers

Inadequate measures of water quality have been used in many studies of the health effects associated with water supplies in developing countries. The present 1-year epidemiological-microbiological study...Full Text Available

1991-01-01

29

Impact of Geographical Proximity on Health Care Seeking Behaviour in Northern Oman

BackgroundWith a growing number of genetic tests becoming available to the health and consumer markets, genetic health care providers in Canada are faced with the challenge of developing...Full Text Available

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Devising, Implementing, and Evaluating Interventions to Eliminate Health Care Disparities in Minority Children

Objectives:Despite its impact on health policy, the relationship between geographical proximity and health care seeking has received scant attention in the medical literature. This...Full Text Available

2008-11-01

31

Blowing in the Wind: Unanchored Patient Information Work during Cancer Care

Despite an accumulating body of literature addressing racial/ethnic disparities in children’s health and health care, there have been few published studies of interventions that have...Full Text Available

2009-11-01

32

Adjusting for Health Status in Non-Linear Models of Health Care Disparities

Patients do considerable information work. Technologies that help patients manage health information so they can play active roles in their health-care, such as personal health records, provide...Full Text Available

2010-01-01

33

45 CFR 146.145 - Special rules relating to group health plans.

This article compared conceptual and empirical strengths of alternative methods for estimating racial disparities using non-linear models of health care access. Three methods were presented...Full Text Available

2009-03-01

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45 CFR 146.121 - Prohibiting discrimination against participants and beneficiaries based on a health factor.

...2010-10-01 false Special rules relating to group health plans. 146.145 Section 146.145 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH...

2010-10-01

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...discrimination against participants and beneficiaries based on a health factor. 146.121 Section 146.121 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS REQUIREMENTS FOR THE GROUP HEALTH...

2010-10-01

36

The Effects of Capitation on Outpatient Mental Health Episodes of Children

This study was performed to assess the possibility that patient age may independently affect improvements in health-related quality of life following percutaneous coronary intervention. One hundred five patients undergoing elective percutaneous coronary intervention at a single tertiary referral center between January 10, 2001 and January 6, 2002 were enrolled and prospectively evaluated. Health-related quality of life was assessed before and 1 year following percutaneous coronary intervention using Short Form-12 and the Seattle Angina Questionnaire. For the purpose of analysis, patients were divided according to age (younger than 60, 60-70, and older than 70 years). One hundred patients (95%) completed both questionnaires. Baseline characteristics among the age groups were similar in terms of gender, cardiac risk factors, and procedural details. All health-related ...

37

The "Caring" Role in a Child Care Center. Staff Development Series, Military Child Care Project. Part II: Relating to Parents.

We analyzed the effects of the Colorado Medicaid Capitation Program on the duration and services of over 21,000 outpatient mental health episodes for young children. The study spanned a three year period before and after capitation was implemented, and compared episodes of outpatient care for children from 14 capitated Community Mental Health Centers (CMHCs) with those from three CMHCs that remained fee-for-service. Proportional hazards regressions revealed that capitation resulted in an increase in outpatient episode duration, over and above similar effects for the comparison fee-for-service episodes. The hypothesis that there were longer capitated episodes for children who were hospitalized was not supported. Children with behavioral and anxiety disorders had longer capitated episodes. Service intensity decreased over time in the managed care sites. Changes in case mix may have had an impact on ...

2006-02-01

38

Outdoor air quality and health effects : a case study

Material related to routine as well as sensitive aspects of parent/day care center relationships is presented in this training module, one of a series providing staff development information for programs operated for dependents of military personnel. The module offers a brief discussion of ways caregivers can help parents feel at ease about leaving their children in child care and presents a set of multiple-choice skill-building exercises for effectively working with parents. Exercises focus on various topics, including how parents can be approached when their child may have a health problem, when child abuse or neglect is suspected, and when parental cooperation is needed to stop a child's undesirable or disruptive behavior. Exercises are also devoted to the questions of whether or not caregivers should act as advisors to parents or tell parents about their child's behavior at the center. Concluding exercises ...

1982-04-01

39

Divorce, divorce rates, and professional care seeking for mental health problems in Europe: a cross-sectional population-based study

This paper presents the results of a study carried out at three sites in Madurai, India in order to assess ambient air quality levels and their impact on public health in urban areas. Indicators of public health were sought through primary and secondary health data and blood lead concentrations of male and female inhabitants and shopkeepers. Lean concentrations in blood samples were examined according to distance from the road, age, smoking status, hours of stay per day in the city, and period of stay in years in Madurai. Ambient air quality level indicators included the level of gaseous and particulate pollution using Central Pollution Control Board standard estimation methods. Observed atmospheric conditions across the three sites are examined according to mean solar insolation, mean temperature, mean relative humidity and mean wind ...

2005-07-01

40

Chronic pain in primary care. German figures from 1991 and 2006

BackgroundLittle is known about differences in professional care seeking based on marital status. The few existing studies show more professional care seeking among the divorced...Full Text Available

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A Bookshelf in Public Health, Medical Care, and Allied Fields

BackgroundUntil now only limited research has been done on the prevalence of chronic pain in primary care. The aim of this investigation was to study the health care utilisation...Full Text Available

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Using data warehousing and OLAP in public health care.

This bibliography of nonserial publications consists of 610 annotations. It is intended as a guide to the development of a collection for librarians and for health professionals in research and education....Full Text Available

1972-01-01

43

Restructuring Primary Health Care Markets in New Zealand: from Welfare Benefits to Insurance Markets

The paper describes the possibilities of using data warehousing and OLAP technologies in public health care in general and then our own experience with these technologies gained during the implementation...Full Text Available

2000-01-01

44

Migrant participation in Norwegian health care. A qualitative study using key informants

BackgroundNew Zealand's Primary Health Care Strategy (NZPHCS) was introduced in 2002. Its features are substantial increases in government funding delivered as capitation payments,...Full Text Available

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Lessons learned in developing community mental health care in Africa

Background Little is known about how migrants adapt to first-world public health systems. In Norway, patients are assigned a registered general practitioner (RGP) to provide basic care...Full Text Available

2011-03-01

46

Demographics, aging and health care: is there a crisis?

This paper summarizes the findings for the African Region of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. We present an overview...Full Text Available

2010-10-01

47

Glocalisation or globalisation? Travelling discourses of child poverty policy in South Korea

Will the aging of Canada's population bankrupt the health care system? In this issue (see pages 1555 to 1560) Dr. Marie Demers reports that the increase in physician service costs for elderly people...Full Text Available

1996-12-01

48

British Library Electronic Table of Contents (United Kingdom)

This article examines the interplay between globalising and localising forces occurring in a child welfare reform project in South Korea. Focusing especially on care and education services for children and families provided by the Korean 'Dream Start' programme, which provides comprehensive health, parental involvement and welfare services to low-income children and their families, I discuss its involvement in the process of 'glocalisation'. Drawing on Foucaultian ideas, I conducted a critical discourse analysis of the policy documents of Dream Start. The article concludes by discussing local resistance to the creation of a cosmopolitan child and the dual qualities of inclusion/exclusion inscribed in the Dream Start project.

2011-01-01

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Providing better indoor environmental quality brings economicbenefits

A b s t r a c t Vo l u m e

This paper summarizes the current scientific evidence that improved indoor environmental quality can improve work performance and health. The review indicates that work and school work performance is affected by indoor temperature and ventilation rate. Pollutant source removal can sometimes improve work performance. Based on formal statistical analyses of existing research results, quantitative relationships are provided for the linkages of work performance with indoor temperature and outdoor air ventilation rate. The review also indicates that improved health and related financial savings are obtainable from reduced indoor tobacco smoking, prevention and remediation of building dampness, and increased ventilation. Example cost-benefit analyses indicate that many measures to improve indoor temperature control and increase ventilation rates will be highly cost ...

2007-06-01

50

Contact Lenses

Medline Plus

... Exercises: Day and Night Classroom Exercises: Pinhole Focusing 3D Vision and Eye Health < Caring for Your Vision ...

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The ECOS-16 questionnaire for the evaluation of health related quality of life in post-menopausal women with osteoporosis

deodorants and sportswear and silver in washing ma- chines, refrigerators, health care products,

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BackgroundThe aim of this study is to validate the questionnaire ECOS-16 (Assessment of health related quality of life in osteoporosis) for the evaluation of health related quality...Full Text Available

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In the shadow of a new smoke free policy: A discourse analysis of health care providers' engagement in tobacco control in community mental health

...Programme Manager Interests Multilevel Statistical Modelling Geography of Health and Health Care Geographical Data Analysis Census Data Analysis Health Services Research (in particular Research Design, Statistical Analysis and Epidemiology) people/mgould.html Homepage | Contacts | Site Map | Privacy Statement | Webmaster | ...

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Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science

BackgroundThe prevalence of tobacco use among individuals with mental illness remains a serious public health concern. Tobacco control has received little attention in community...Full Text Available

55

Close Companions at Church, Health, and Health Care Use in Late Life

BackgroundMany interventions found to be effective in health services research studies fail to translate into meaningful patient care outcomes across multiple contexts. Health services...Full Text Available

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The research agenda in ICU telemedicine: a statement from the Critical Care Societies Collaborative.

ObjectivesTo see whether there are age variations in the relationships between having a close companion friend at church, health, and outpatient physician visits.Full Text Available

2010-06-01

57

Measuring quality of care in psychiatric emergencies: construction and evaluation of a Bayesian index.

ICU telemedicine uses audiovisual conferencing technology to provide critical care from a remote location. Research is needed to best define the optimal use of ICU telemedicine, but efforts are hindered by methodological challenges and the lack of an organized delivery approach. We convened an interdisciplinary working group to develop a research agenda in ICU telemedicine, addressing both methodological and knowledge gaps in the field. To best inform clinical decision-making and health policy, future research should be organized around a conceptual framework that enables consistent descriptions of both the study setting and the telemedicine intervention. The framework should include standardized methods for assessing the preimplementation ICU environment and describing the telemedicine program. This framework will facilitate comparisons across studies and improve generalizability by permitting context-specific interpretation. Research based on ...

2011-07-01

58

Impact of an Electronic Medical Record on Diabetes Quality of Care

OBJECTIVE. This study was conducted to determine whether an index for measuring quality of care for psychiatric emergencies is reliable and valid. DATA SOURCES/STUDY SETTING. The study used primary...Full Text Available

1993-06-01

59

Americans' political participation in the 1993-94 national health care reform debate.

PURPOSE This study was designed to evaluate the impact of electronic medical record (EMR) implementation on quality of diabetes care.METHODS We conducted a 5-year longitudinal...Full Text Available

2005-07-01

60

The health politics and policy communities are still struggling with the question of "what went wrong" in the 1993-94 health care reform effort. Here I identify which Americans were politically active and inactive during the health care reform debate to explore the role political participation may have had in determining the outcome of the debate. Using data from a national and California random-sample telephone surveys, and controlling for other demographic attributes, I found that those who engaged in political activity specifically related to health care reform were disproportionately more likely to be self-identified conservatives, less likely to favor an employer mandate plan, more likely to be fifty to sixty-four years old, more likely to be men, and more likely to have greater interest in and knowledge of the ...

1996-01-01

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Depression among Alumni of Foster Care: Decreasing Rates through Improvement of Experiences in Care

Health surveillance program This article outlines the principal components of quality control of laboratory rodents.

1986-02-01

62

RMIT - Professor named Chair at Epworth Hospital

The Northwest Foster Care Alumni Study examined the relation between experiences in foster care and depression among young adults who spent at least a year in foster care as adolescents. Results indicate that preparation for leaving foster care, nurturing supports from the foster family, school stability, access to tutoring, access to therapeutic service and support, and a shorter and more stable placement history were associated with a lower probability of depression in young adulthood. Results provide evidence that suggest ways to improve practice to decrease rates of depression among alumni of care. (Contains 2 tables.)

2008-12-01

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...named Chair at Epworth Hospital Professor Nilmini Wickramasinghe has been named Chair, Health Information Management , at Epworth HealthCare. Related links School of Business ...the College of Business at RMIT University has been named Epworth Chair, Health Information Management , by Epworth HealthCare. Professor Wickramasinghe has more than ... Professor Wickramasinghersquo;s appointment as Epworth Chair, Health Information Management , will help to further strengthen this clinical academic alliance, with RMIT now ...

64

Changes in health utilities and health-related quality of life over 12 months following radical prostatectomy

BackgroundMigrants everywhere face several demands for health and maintaining good health and quality of life could be challenging. Iraqis are the second largest refugee group that...Full Text Available

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Outcome of patients with systemic rheumatic disease admitted to medical intensive care units.

Introduction:Although radical prostatectomy (RP) is an effective treatment for prostate cancer, it has potentially deleterious effects on health-related quality of life (HRQoL)....Full Text Available

2009-12-01

66

Impact of the Internet on Primary Care Staff in Glasgow

The outcome of patients admitted to intensive care units is known to be influenced by such factors as age, previous health status, severity of disease, and diagnosis. To estimate the outcome of such...Full Text Available

1992-05-01

67

Accelerated surgical stay programs. A mechanism to reduce health care costs.

BackgroundThe Government has invested £7 million (approx. $11.5 million) to connect all Primary Care Practices in Scotland to the National Health Service...Full Text Available

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Report Central: Quality Reporting Tool in an Electronic Health Record

OBJECTIVE: To increase cost-efficiency while maintaining the standard of medical care, an accelerated surgical stay program for patients having breast surgery was instituted. SUMMARY BACKGROUND DATA:...Full Text Available

1994-04-01

69

The Use of Quality Benchmarking in Assessing Web Resources for the Dermatology Virtual Branch Library of the National electronic Library for Health (NeLH)

Quality reporting tools, integrated with ambulatory electronic health records, can help clinicians and administrators understand performance, manage populations, and improve quality. Report Central...Full Text Available

2006-01-01

70

Issues of security and network security in Health Care Information Systems.

BackgroundIn 1998, the U.K. National Health Service Information for Health Strategy proposed the implementation of a National electronic Library for Health...Full Text Available

71

Implementing network security guidelines in health care information systems.

A Health Care Establishment (HCE) is an establishment where medical services are rendered. The above services are provided by the health care personnel. The infrastructure of a HCE may include Information Technology (IT) equipment that stores and processes HC information. Previously, IT equipment consisted solely of stand-alone systems, whereas in recent years, the trend has been towards computer networks and distributed systems in HCEs. The spread of distributed information technology in HCEs have necessitated the implementation of Security in HCISs, to assure confidentiality, integrity and availability of HCE information. This paper discusses the issues of Security and Network Security in Health Care Information Systems (HCISs). It also suggests a method in establishing Network Security Guidelines and describes Principles for the provision of Network Security ...

1996-01-01

72

Cancer Patients' Self-Reported Attitudes About the Internet

A Health Care Establishment (HCE) is an establishment where medical services are rendered. These services are provided by the health care personnel. The infrastructure of a HCE may include Information Technology (IT) equipment that stores and processes HC information. The spread of distributed information technology in HCEs have necessitated the implementation of Network Security in Health Care Information System (HCISs), to assure confidentiality, integrity and availability of HC information being transmitted across HC networks. This paper presents a road map in implementing Network Security guidelines for the provision of Network Security in HCEs, work carried out within the Secure Environment for Information Systems in Medicine (SEISMED) project under the Advanced Informatics in Medicine (AIM) programme. PMID:8591295

1995-01-01

73

CDC - Injury - FOA CE01-015

Background Increasing numbers of cancer patients are using the Internet, but little is known about their attitudes toward online health care.Full Text Available

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Acute Physiology and Chronic Health Evaluation II and Simplified Acute Physiology Score II in predicting hospital mortality of neurosurgical intensive care unit patients.

of injuries, disabilities, and deaths; and 3. Encourage professionals from a wide spectrum of disciplines such as engineering, bioengineering, medicine, health care, public...

2011-08-20

75

Regional inventory of environmental health: experience in Southeastern France; Tableau de bord regional sante-environnement en Provence-Alpes-Cotes d'Azur: retour d'experience

Full Text Available

2009-06-01

76

Organic farming in the Nordic countries--animal health and production.

In 2004, the Southeastern France regional council asked the regional health observatory to conduct an environmental health inventory to i) identify environmental health problems in this area; ii) examine the relations between environmental exposure to pollutants and human health; and iii) help public officials to identify priorities in this area. We collected and validated data from national, regional and local institutions, constructed environmental (levels of emissions and pollutants), health (mortality, incidence, prevalence) and behavioral indicators (e.g., complaints about odors), and compared these over time and between places when possible. For each topic, we summarized current knowledge about the links between environment and health. In southeastern France, as in other French areas, indoor air pollution, home and leisure injuries and ...

2005-07-15

77

Who Should Receive Life Support During a Public Health Emergency? Using Ethical Principles to Improve Allocation Decisions

Organic farming (or ecological agriculture) is of growing importance in the agricultural sector worldwide. In the Nordic countries, 1-10% of the arable land was in organic production in 1999. Organic farming can be seen as an approach to agriculture where the aim is to create integrated, humane, environmentally and economically sustainable agricultural production systems. Principles like nutrient recycling, prevention rather than treatment and the precautionary principle are included in aims and standards. Animal welfare is another hallmark of organic livestock production but despite this, several studies have indicated severe health problems e.g. in organic poultry production in Denmark. Also the quality of animal food products in relation to human health, particularly the risk of zoonotic infections, has been debated. For these reasons there is a need for improvement of production methods and animal ...

2001-01-01

78

The Promise of Prevention: The Effects of Four Preventable Risk Factors on National Life Expectancy and Life Expectancy Disparities by Race and County in the United States

A public health emergency such as an influenza pandemic will lead to shortages of mechanical ventilators, critical care beds, and other potentially life saving treatments. This will raise difficult...Full Text Available

2009-01-20

79

Tendency to adhere to provider-recommended treatments and subsequent pain severity among individuals with cancer

BackgroundThere has been substantial research on psychosocial and health care determinants of health disparities in the United States (US) but less on the role of modifiable risk...Full Text Available

2010-03-01

80

Severely disabling chronic pain in young adults: prevalence from a population-based postal survey in North Staffordshire

BackgroundPatients’ general tendency to adhere to health care provider-recommended treatments is associated with a number of health outcomes, but whether it influences pain...Full Text Available

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Randomized controlled trial comparing four strategies for delivering e-curriculum to health care professionals [ISRCTN88148532

BackgroundSeverely disabling chronic pain in the adult population is strongly associated with a range of negative health consequences for individuals and high health care costs,...Full Text Available

82

Incidence and Determinants of Birth Defects and Enzyme Deficiencies among Live Births in Oman

BackgroundInternet education is increasingly provided to health professionals, but little is known about the most effective strategies for delivering the content. The purpose of...Full Text Available

83

Implementation and use of a web-based interface for confidential communication of data between the clinical and research environments

ObjectivesIn 2003, the Omani Ministry of Health Child Health Care Program initiated a national Birth Defects (BD) Register. This paper reviews the magnitude and risk factors of birth...Full Text Available

2010-04-01

84

Impact of Electronic Health Record Clinical Decision Support on Diabetes Care: A Randomized Trial

Policies and regulations in the current health care environment have impacted the manner in which patient data - especially protected health information (PHI) - are handled in the clinical and...Full Text Available

2008-02-20

85

Effect of household and village characteristics on financial catastrophe and impoverishment due to health care spending in Western and Central Rural China: A multilevel analysis

PURPOSE We wanted to assess the impact of an electronic health record–based diabetes clinical decision support system on control of hemoglobin A_1c (glycated hemoglobin),...Full Text Available

2011-01-01

86

Basic Principles of Information Technology Organization in Health Care Institutions

ObjectiveThe study aimed to examine the effect of household and community characteristics on financial catastrophe and impoverishment due to health payment in Western and Central...Full Text Available

87

A Web-based Interface for Communication of Data between the Clinical and Research Environments without Revealing Identifying Information

Abstract This paper focuses on the basic principles of information technology (IT) organization within health sciences centers. The paper considers the placement of the leader of the...Full Text Available

1997-03-01

88

Who is giving up the free lunch? The insured patients' decision to access health insurance benefits and its determinants: Evidence from a low-income country

Recent health care policies and regulations have impacted the manner in which patient data – especially protected health information (PHI) – are handled in both the clinical...Full Text Available

2007-06-01

89

British Library Electronic Table of Contents (United Kingdom)

Objectives This paper examines the determinants of the insureds decision to use their health insurance card when seeking outpatient and inpatient health care in Vietnam. Methods Uses Vietnams latest Household Living Standard Survey data and random-intercept logistic regression to assess the influence of the observed individual, household and commune/ward factors on the insureds decision to access health insurance benefits while controlling for the unobserved commune/ward-specific factors. Results Compared to the compulsory enrollees, the voluntary enrollees and the beneficiaries of the Health Care Fund for the Poor are less likely to use their card when seeking inpatient care. An individuals likelihood of accessing insurance benefits varies inversely with income and the level of education,...

2009-01-01

90

Is the Kaiser Permanente model superior in terms of clinical integration?: a comparative study of Kaiser Permanente, Northern California and the Danish healthcare system

Establishing the Irish Critical Care Trials Group: 'who wins in battle makes many calculations before the battle is fought'

BackgroundIntegration of medical care across clinicians and settings could enhance the quality of care for patients. To date, there is limited data on the levels of integration in...Full Text Available

91

Improving radiotherapy quality and safety: a common objective of A.S.N. and the Ile de France Regional Hospital Agency. Thoughts on successful cooperation in Ile de France; Ameliorer la qualite et la securite de la radiotherapie: un objectif conjoint de l'A.S.N. et de l'Agence regionale de l'hospitalisation Ile de France. Reflexions sur une cooperation feconde en Ile de France

Quality research, requiring large numbers of participants, in the intensive care unit (ICU) population requires multicentre collaboration. Although logistically challenging, this methodology reduces...Full Text Available

2008-01-01

92

Improving radiotherapy quality and safety: a common objective of A.S.N. and the Ile de France Regional Hospital Agency. Thoughts on successful cooperation in Ile de France

Radiotherapy recent development in cancer treatment needs strong procedures and quality assessment to improve safety both for patients and professionals. In Ile de France territory, a coordinated action between ASN inspectors and medical doctors specialized in public health (MISP), working as civil servants in health administration, was initiated at the end of 2007. An inspection guideline was implemented in a workshop between ASN and Regional Hospital Agency (ARH). The MISP as health administrator has to verify if care organisation responds to treatment cancer regulatory framework: as a doctor he is authorized to access to patient records to know which treatment was chosen. He has to assure if the therapeutic guidelines are respected. His comprehensive approach is essentially patient-oriented. The MISP inspection coordinated with ASN inspectors is a very pertinent ...

2009-02-15

93

Health effects of indoor odorants.

Radiotherapy recent development in cancer treatment needs strong procedures and quality assessment to improve safety both for patients and professionals. In Ile de France territory, a coordinated action between ASN inspectors and medical doctors specialized in public health (MISP), working as civil servants in health administration, was initiated at the end of 2007. An inspection guideline was implemented in a workshop between ASN and Regional Hospital Agency (ARH). The MISP as health administrator has to verify if care organisation responds to treatment cancer regulatory framework: as a doctor he is authorized to access to patient records to know which treatment was chosen. He has to assure if the therapeutic guidelines are respected. His comprehensive approach is essentially patient-oriented. The MISP inspection coordinated with ASN inspectors is a very pertinent ...

2009-02-01

94

ECONOMICS OF HEALTH ADMINISTRATION

People assess the quality of the air indoors primarily on the basis of its odors and on their perception of associated health risk. The major current contributors to indoor odorants are human occupant...Full Text Available

1991-11-01

95

How do patient characteristics influence informal payments for inpatient and outpatient health care in Albania: Results of logit and OLS models using Albanian LSMS 2005

Health administration lies at the foundation of economic prosperity. It is a business and like other business is subject to commercial laws. Quality, whether of brain or brawn may be appraised by the...Full Text Available

1920-02-01

96

Health care of the elderly at Tygerberg Geriatric Clinic and Goodwood Aftercare Hospital.

BackgroundInformal payments for health care are common in most former communist countries. This paper explores the demand side of these payments in Albania. By using data from the...Full Text Available

97

Patterns of preventive health services in rheumatoid arthritis patients compared to a primary care patient population

Comprehensive geriatric care should receive nation-wide attention in order to realize its objectives. An analysis of patient problems at the Geriatirc Clinic, Tygerberg Hospital and Goodwood Aftercare Hospital is presented. The training of personnel, with full motivation of the community, to render health services to the aged is discussed. PMID:7368010

1980-03-29

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To determine the proportion of rheumatoid arthritis (RA) patients receiving preventive health care according to US Preventive Services Task Force recommendations compared with a community-based population sample, with emphasis on dyslipidemia testing, given the increased risk of cardiovascular disease (CVD) in RA patients. Patients with RA (ICD-9 code 714.0 at ?2 office visits with a rheumatologist) and a primary care physician (PCP) at the Geisinger Health System (GHS) were identified through electronic health records. The records were searched back from 3/31/08 for the length of time required to satisfy each outcome measure. Percentages were compared with population testing rates using the Pearson Chi-square test. Eight hundred and thirty-one RA patients were compared to 169,476 subjects...

2011-01-01

99

QOI10/477: The medCERTAIN Project: Rating and certification of Internet health information using medPICS

ObjectivesThe objective of this paper is to describe the complex mixed-methods design of a study conducted to assess health-related quality of life (HRQOL) outcomes...Full Text Available

2008-07-01

100

Improved Long-term Health Related Quality of Life after Islet Transplantation

IntroductionHealth information on the Internet undergoes no quality control at the stage of production, thus its quality is highly variable, making it difficult...Full Text Available

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101

Estimating a preference-based index for a menopause specific health quality of life questionnaire

BackgroundHealth related quality of life (HRQoL) is one of the most important outcomes to measure effectiveness of an intervention, especially for islet transplantation...Full Text Available

2008-11-15

102

An interdisciplinary intervention for older Taiwanese patients after surgery for hip fracture improves health-related quality of life

BackgroundThe aim of the study was to develop a menopause-specific, preference-based health-related quality-of-life (HRQoL) index reflecting both menopausal symptoms and potential...Full Text Available

103

Importance of health and environment as quality traits in the buying decision of organic products

BackgroundThe effects of intervention programs on health-related quality of life (HRQOL) of patients with hip fracture have not been well studied. We hypothesized that older patients...Full Text Available

104

British Library Electronic Table of Contents (United Kingdom)

This paper aims to explore consumer preference for fresh vegetables labelled as organic in combination with health and environment related quality traits. The study decomposes organic farming into its main quality aspects and measures consumers' preference structure for organic, in general, and for specific organic quality traits in particular. By means of stated choice preference modelling, the following hypotheses are tested: consumers prefer health over environment related quality traits; the organic label plays a significant role in consumers' choice for organic products; organic farming is perceived as healthier and more environmentally friendly than conventional farming; purchase intention is mainly driven by health related quality traits; both health and environmental concerns influ...

2009-01-01

105

Coordination of health behavior counseling in primary care.

Coming together, moving apart: a history of the term allied health in education, accreditation, and practice.

PURPOSE We wanted to examine how coordinated care is implemented in primary care practices to address patients' health behavior change needs. METHODS Site visit notes, documents, interviews, and online implementation diaries were collected from July 2005 to September 2007 from practice-based research networks (PBRNs) participating in Prescription for Health: Promoting Healthy Behaviors in Primary Care Research Networks (P4H). An iterative group process was used to conduct a cross-case comparative analysis of 9 interventions. Published patient outcomes reports from P4H interventions were referenced to provide information on intervention effectiveness. RESULTS In-practice health risk assessment (HRA) and brief counseling, coupled with referral and outreach to a valued and known counseling resource, emerged as the best way to consistently coordinate and encourage ...

106

The New Quality Assurance Standard of the Joint Commission on Accreditation of Hospitals

In recent years, several groups, including the physician assistant, health information management, ophthalmic medical technician/technologist, and athletic training review committees, have left the Commission on Accreditation of Allied Health Education Programs (CAAHEP) system to form their own, profession-specific accrediting bodies. Their motivation was typically a desire for greater professional visibility and autonomy. Combined, these professions represented one third of the CAAHEP's programs. This article reviews the history of allied health and examines current attempts to bring cohesion and identity to this increasingly fractured segment of the U.S. health care system. PMID:18444439

2008-01-01

107

Poor Work Environments and Nurse Inexperience Are Associated with Burnout, Job Dissatisfaction, and Quality Deficits in Japanese Hospitals

The Joint Commission on Accreditation of Hospitals (JCAH) has continuously emphasized improvement in the quality of care provided in hospitals as the central purpose of the accreditation process. In...Full Text Available

1980-02-01

108

RMIT - Improving health and lifestyle

AimsTo describe nurse burnout, job dissatisfaction, and quality of care in Japanese hospitals, and to determine how these outcomes are associated with work environment...Full Text Available

2008-12-01

109

Evolution of health information management and information technology in emergency medicine.

... 03/08/2011 Professor named Chair at Epworth Hospital Professor Nilmini Wickramasinghe from the College of Business at RMIT University has been named Epworth Chair, Health Information Management , by Epworth HealthCare. 26/07/2011 Study investigates drug-free relief for tension headaches As Australia marks its first National Pain Week ...

110

To talk or not to talk: exploring culturally diverse patients' health information communication choices.

The implementation of information technology will continue to have important effects on the practice of emergency medicine. Patient registration and tracking systems, telemedicine electronic order entry systems, and the advent of electronic health records are some examples of applications that influence patient care in emergency departments. We review the literature regarding information technology advances in emergency medicine and outline the important role that emergency physicians play in developing and implementing a national health information technology strategy. PMID:16712540

2006-06-01

111

Summary of Information and Resources Related to Energy Use in Healthcare Facilities - Version 1

As care shifts from institutional to home- and community-based settings, consumer health information technology (IT) must be designed to support patients' new health information management responsibilities. We developed and piloted a new methodology grounded in social network analysis and human factors engineering to explore two often overlooked aspects of this phenomenon: the task of health information communication with members of the social network and the context of culture. Such knowledge is necessary to inform the appropriate design of consumer health IT. We asked a culturally diverse sample of participants to describe what, to whom, why, and how they communicate health information and to provide direct feedback about the methodology. The methodology was acceptable to all participants and able to capture similarities and differences in their ...

2010-11-13

112

Emergency medicine in Oman: current status and future challenges

This document presents the results of a review of publicly available information on energy use in health care facilities. The information contained in this document and in the sources cited herein provides the background and context for efforts to reduce energy use and costs in health care. Recognizing the breadth and diversity of relevant information, the author acknowledges that the report is likely not comprehensive. It is intended only to present a broad picture of what is currently known about health care energy use. This review was conducted as part of a 'High Performance Health Care Buildings' research study funded by the California Energy Commission. The study was motivated by the recognition that health care facilities collectively account for a ...

2009-09-08

113

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The Sultanate of Oman has a relatively young national health care system that could demonstrate its high performance at an international level. Emergency medicine as a specialty has developed rapidly in the country over the last decade. This has involved the parallel development of local emergency residency training, prehospital emergency care, and emergency nursing programs. This article reviews the progress of emergency care practice in this country from a general primary care system toward becoming an established specialty in hospital, prehospital, and private emergency care settings. It also describes aspects of undergraduate, postgraduate, and continuous emergency medicine education in the country. Further, a glimpse into academic emergency medicine and emergency nursing is provided. ...

2009-01-01

114

Thai Family Health Routines: scale development and psychometric testing.

Women's autonomy in household decision-making: a demographic study in Nepal

The aims of the study were to develop and test the psychometric properties of the Thai Family Health Routines (TFHR) scale, a 70-item self-report questionnaire used to measure the health of Thai families through their routine behaviors in daily life. Development of the TFHR was based on the structural domains of Denham's Family Health Model. The TFHR scale was initially composed of 85 items and tested on 1,040 families living in the central region of Thailand. The confirmatory factor analysis, with an acceptable factor structure model, yielded 70 items aligned with six factors: self-care, safety and prevention, mental health behavior, family care, family caregiving, and illness care routines. The preliminary psychometric properties demonstrated that the TFHR scale had satisfactory internal consistency, criterion validity, and construct ...

2009-05-01

115

What is the next step in patient decision support?

BackgroundHow socio-demographic factors influence women's autonomy in decision making on health care including purchasing goods and visiting family and relatives are very poorly...Full Text Available

116

The Medical Home Concept and Congenital Adrenal Hyperplasia: A Comfortable Habitat!

Patient decision support systems have a promising role in the delivery of health care. However, the best approach for further development of these systems is a matter of speculation. To help chart a...Full Text Available

2000-01-01

117

Technology architecture guidelines for a health care system.

Patient-centered interdisciplinary health care for children with chronic medical disorders represents an evolution from the traditional “stop and go” treatment for acute illnesses. This...Full Text Available

2010-01-01

118

Symbolic Anatomic Knowledge Representation in the Read Codes Version 3

Although the demand for use of information technology within the healthcare industry is intensifying, relatively little has been written about guidelines to optimize IT investments. A technology architecture...Full Text Available

2000-01-01

119

Skin Cancer in Skin of Color

Abstract The Read Thesaurus (Version 3 of the Read Codes) is a controlled medical vocabulary produced during the Clinical Terms Projects with the involvement of over 2,000 health care...Full Text Available

1997-01-01

120

Role-Reversal Exercise with Deaf Strong Hospital to Teach Communication Competency and Cultural Awareness

Skin cancers in skin of color often present atypically or with advanced stage in comparison to Caucasian patients. Health care providers must maintain a high index of suspicion when examining...Full Text Available

2009-01-01

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121

Randomised controlled trial of disclosure of emotionally important events in somatisation in primary care

ObjectiveTo implement a role-reversal exercise to increase first-year pharmacy students' awareness of communication barriers in the health care setting, especially for deaf and hard-of-hearing...Full Text Available

2011-04-11

122

Quantitative and Qualitative Usage Data of an Internet-Based Asthma Monitoring Tool

ObjectiveTo test whether a disclosure intervention improves subjective health and reduces medical consumption and sick leave in somatising patients in general practice.DesignNon-blind...Full Text Available

2001-07-14

123

Proof-of-concept Design and Development of an EN13606-based Electronic Health Care Record Service

Background In May 2000, AstraZeneca launched a Web service for asthma patients and health-care providers called LinkMedica, which includes an asthma diary for...Full Text Available

124

Prevention of cardiovascular disease: Obesity, diabetes and the metabolic syndrome

ObjectiveThe authors present an Electronic Healthcare Record (EHR) server, designed and developed as a proof of concept of the revised prEN13606:2005 European standard concerning...Full Text Available

2007-01-01

125

Oral cancer awareness amongst hospital nursing staff: a pilot study

The current obesity pandemic is expected to result in considerable downstream morbidity, mortality and incremental costs to health care systems around the world. The major metabolic complications of...Full Text Available

2010-08-01

126

Implementing a Web-based clinical information system using EMR middle layer services.

BackgroundOral cancer is as prevalent as cervical and testicular cancer in the United Kingdom. Nursing staff provide the oral health care for the patient population in hospital....Full Text Available

127

From Leningrad to the day-care center. The ubiquitous Giardia lamblia.

The Clinical Summary is a Web-based application for accessing the clinical database at the Massachusetts General Hospital. The application has been developed to give physicians in our health care community...Full Text Available

1996-01-01

128

Diabetes: An Investor's Perspective

Giardiasis is recognized as a worldwide public health problem. Seroprevalence data from both the developing and developed world show high rates of carriage in populations at risk for fecal-oral transmission,...Full Text Available

1990-08-01

129

Determinants of antiviral treatment initiation in a hepatitis C-infected population benefiting from universal health care coverage

Total health care expenditure in 2006 was $2.1 trillion. This figure is estimated to double within the next few years as the cost of treating diabetes and other chronic conditions continues to rise....Full Text Available

130

Content validity of manual spinal palpatory exams - A systematic review

BACKGROUND AND AIMS:In view of increasing therapeutic efficacy, the delivery of hepatitis C virus (HCV) antiviral treatment is expected to increase. Yet practical experience reveals...Full Text Available

2007-06-01

131

Assessment and management of patients with chronic cough by Certified Respiratory Educators: A randomized controlled trial

BackgroundMany health care professionals use spinal palpatory exams as a primary and well-accepted part of the evaluation of spinal pathology. However, few studies have explored...Full Text Available

132

Assessing Patient Attitudes to Computerized Screening in Primary Care: Psychometric Properties of the Computerized Lifestyle Assessment Scale

BACKGROUND:The value of other health care professionals is increasingly being recognized to compensate for the shortage of physicians in Canada. Chronic cough is one of the most...Full Text Available

2009-02-01

133

A survey of community members' perceptions of medical errors in Oman

BackgroundComputer-based health-risk assessments are electronic surveys which can be completed by patients privately, for example during their waiting time...Full Text Available

134

Independent oversight review of the Department of Energy Quality Assurance Program for suspect/counterfeit parts. Revision 1

BackgroundErrors have been the concern of providers and consumers of health care services. However, consumers' perception of medical errors in developing countries is rarely explored....Full Text Available

135

Systems-based approaches to osteoporosis and fracture care: policy and research recommendations from the workgroups

To address the potential threat that suspect/counterfeit parts could pose to DOE workers and the public, the Office of the Deputy Assistant Secretary for Oversight initiated a number of activities beginning in mid-1995. Oversight placed increased emphasis on the field`s quality assurance-suspect/counterfeit parts programs during safety management evaluations, in keeping with the Office of Environment, Safety and Health (EH) oversight responsibilities, which include oversight of the Department`s quality assurance (QA) programs. In addition, Oversight reviewed relevant policy documents and occurrence reports to determine the nature and magnitude of the problem within the Department. The results of that review, contained in an Office of Oversight report, Independent Oversight Analysis of Suspect/Counterfeit Parts Within the Department of Energy (November 1995), indicate a lack of consistency and ...

1996-05-01

136

British Library Electronic Table of Contents (United Kingdom)

Participants in the conference selected to attend two different working group sessions. The working groups discussed different perspectives of system-based approaches to osteoporosis and fracture care. The group on postfracture case management recommended that nurse case managers be used to improve communication among patients, orthopaedic surgeons, and those providing ongoing clinical care. The hospital working group discussed the impact of and barriers to improved postfracture management in the hospital setting. The health systems group emphasized the difference between a closed system in which long-term benefits of interventions were more likely to be appreciated than in fee for service systems. The health information technology group discussed the advantages and challenges of electroni...

2011-01-01

137

Auditing the Management of Vaccine-Preventable Disease Outbreaks: The Need for a Tool

Adapting developing country epidemiological assessment techniques to improve the quality of health needs assessments in developed countries

Public health activities, especially infectious disease control, depend on effective teamwork. We present the results of a pilot audit questionnaire aimed at assessing the quality of public health services...Full Text Available

138

A Wireless Health Outcomes Monitoring System (WHOMS): development and field testing with cancer patients using mobile phones

BackgroundWe were commissioned to carry out three health assessments in urban areas of Dublin in Ireland. We required an epidemiologically robust method that could collect data rapidly...Full Text Available

139

The epidemiology and experience of atopic eczema during childhood: a discussion paper on the implications of current knowledge for health care, public health policy and research

BackgroundHealth-Related Quality of Life assessment is widely used in clinical research, but rarely in clinical practice. Barriers including practical difficulties administering...Full Text Available

140

Practices for caring in nursing: Brazilian research groups

Atopic eczema is a chronic skin condition affecting between 5% and 20% of children aged up to 11 years at one time or other. Research suggests that prevalence is increasing and various environmental...Full Text Available

2000-08-01

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141

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ERDMANN A.L., DE ANDRADE S.R., FERREIRA DE MELLO A.L., KLOCK P., DO NASCIMENTO K.C., SANTOS KOERICH M. & STEIN BACKES D. (2011) Practices for caring in nursing: Brazilian research groups. International Nursing Review58, 379-385 Background:- The present study considers the production of knowledge and the interactions in the environment of research and their relationships in the system of caring in nursing and health. Aim:- To elaborate a theoretical model of the organization of the practices used for caring, based on the experiences made by the research groups of administration and management in nursing, in Brazil. Methods:- The study is based on grounded theory. Twelve leaders of research groups, working as professors in public universities in the south and the south-east of Brazil, distri...

2011-01-01

142

Cost-effectiveness of educational outreach to primary care nurses to increase tuberculosis case detection and improve respiratory care: economic evaluation alongside a randomised trial

British Library Electronic Table of Contents (United Kingdom)

Summary Objective To evaluate the cost-effectiveness of an educational outreach intervention to improve primary respiratory care by South African nurses. Methods Cost-effectiveness analysis alongside a pragmatic cluster randomised controlled trial, with individual patient data. The intervention, the Practical Approach to Lung Health in South Africa (PALSA), comprised educational outreach based on syndromic clinical practice guidelines for tuberculosis, asthma, chronic obstructive pulmonary disease, pneumonia and other respiratory diseases. The study included 1999 patients aged 15 or over with cough or difficult breathing, attending 40 primary care clinics staffed by nurses in the Free State province. They were interviewed at first presentation, and 1856 (93%) were interviewed 3 months late...

2010-01-01

143

Use of electron beam irradiation to improve the microbiological safety of Hippophae rhamnoides

Health and environmental chemistry: Analytical techniques, data management, and quality assurance. Volume 1, Manual

Sea buckthorn (Hippophae rhamnoides) is increasingly used in food supplements due to its dietary and medicinal compounds with a beneficial role in human diet and health. As many other medicinal plants, sea buckthorn can be contaminated with microorganisms which exerts an important impact on the overall quality of the products. Irradiation is an effective method for food preservation because it is able to destroy pathogenic microorganisms keeping the organoleptic and nutritional characteristics of the foods. The objective of the present study was to investigate the application of electron beam irradiation in order to improve the microbiological safety of sea buckthorn. The experimental results indicated that the electron beam treatment might be a good method to remove undesirable microorganisms from sea buckthorn without significant changes in its active principles.

2007-09-21

144

A T-2 translational research perspective on interventions to improve post-fracture osteoporosis care

Analytical procedures are described for the determination of organic compounds, metals and radioisotopes in environmental materials, human tissues, urine, feces, and waste water.

1993-11-01

145

British Library Electronic Table of Contents (United Kingdom)

The objectives of this paper are to: quickly outline the extent of the care gap in osteoporosis; define T-2 (knowledge) translation and its relationship to quality improvement; discuss the barriers to best practice in osteoporosis care after a fracture; convey the importance of rigor in design and evaluation of translational interventions by drawing upon examples from the broader literature; describe in some detail a series of post-fracture intervention trials conducted in Alberta, Canada; and make some conclusions specifically about osteoporosis interventions and more generally about T-2 translational research.

2011-01-01

146

Quality-of-Life and Surgical Treatments for Rectal Cancer-a Longitudinal Analysis Using the California Cancer Registry

Quality of life in the Iranian Blind War Survivors in 2007: a cross-sectional study

BackgroundHeterogeneous results for research investigating health-related quality of life (HRQL) in patients undergoing sphincter-ablating procedures for rectal cancer...Full Text Available

2010-08-01

147

Data Quality of General Practice Electronic Health Records: The Impact of a Program of Assessments, Feedback, and Training

BackgroundQuality of Life measurements are necessary tools for effectively evaluating health services. In the population of patients afflicted with war-related blindness in Iran,...Full Text Available

148

Design of the Endobronchial Valve for Emphysema Palliation Trial (VENT): a non-surgical method of lung volume reduction

Objective: The aim of this study was to investigate the impact of a program of repeated assessments, feedback, and training on the quality of coded clinical data in general practice.Design:...Full Text Available

2004-01-01

149

The need for water quality criteria for frogs.

BackgroundLung volume reduction surgery is effective at improving lung function, quality of life, and mortality in carefully selected individuals with advanced emphysema. Recently,...Full Text Available

150

Laser-assisted solar cell-metallization processing. Quarterly report, June 13-September 12, 1984

Amphibians are considered reliable indicators of environmental quality. In the western United States, a general decline of frog populations parallels an apparent worldwide decline. The factors thought...Full Text Available

1995-04-01

151

NO_x emissions from large point sources: variability in ozone production, resulting health damages and economic costs

High-quality solar cells have been fabricated by utilizing localized argon-ion laser decomposition of silver neodecanoate spun onto diffused silicon substrates and subsequent electroplating. Early adhesion problems during electroplating have been carefully studied and finally solved using a novel coating procedure. The laser-metallized solar cells have been characterized using lighted and dark current-voltage measurements and compared with baseline cells metallized using standard photolithographic procedures. Non-AR-coated cell efficiencies ranging from 10 to over 11% have been obtained for the laser-metallized cells, comparable with the best baseline cells. The laser-metallized cells have 30 to 40% lower series resistance than the unsintered baseline cells, indicating that in-situ sintering takes place during laser writing. A dramatic new and simpler laser metallization process on which patent protection is currently being ...

1984-10-30

152

A survey of point of care testing in Irish hospitals: room for improvement

We present a proof-of-concept analysis of the measurement of the health damage of ozone (O_3) produced from nitrogen oxides (NO_x=NO+NO_2) emitted by individual large point sources in the eastern United States. We use a regional atmospheric model of the eastern United States, the Comprehensive Air quality Model with Extensions (CAMx), to quantify the variable impact that a fixed quantity of NO_x emitted from individual sources can have on the downwind concentration of surface O_3, depending on temperature and local biogenic hydrocarbon emissions. We also examine the dependence of resulting O_3-related health damages on the size of the exposed population. The investigation is relevant to the increasingly widely used 'cap and trade' approach to NO_x regulation, which presumes that shifts of emission over time and space, holding the total fixed over the course of the summer O_3 season, will have minimal effect on the ...

2005-05-01

153

British Library Electronic Table of Contents (United Kingdom)

Background ?Guidelines for safe and effective management and use of point of care testing? have been recently launched in Ireland. Aims To survey point of care testing (POCT) services in the Republic of Ireland. Methods A questionnaire covering accreditation status, existence of POCT committees, quality management systems, and staff resources was distributed by the Irish External Quality Assessment Scheme (IEQAS). Results Of those that returned completed questionnaires, 56% had assigned specific POCT responsibilities to designated staff. Most support was for blood gases and glucose analysis. Compared with other published studies, Irish laboratories gave similar support for blood gases, less for glucose and much less for urinalysis. Conclusions This survey demonstrated poor IT support for P...

2011-01-01

154

Implementation of an inclusive radiation monitoring system in the Bragin district in Belarus

Quality of drinking water in Italy in relation to WHO guidelines and European community and national regulations; Stato di qualita` delle acque potabili in Italia in relazione alle linee guida dell`Organizzazione Mondiale della Sanita` e alla normativa comunitaria e nazionale

This paper presents results from one of the projects developed within the general framework of the international Programme 'CORE' (Cooperation for Rehabilitation in Belarus). The overall objective of the programme is to make sustainable improvements to the living conditions of the inhabitants of the territories affected by the Chernobyl disaster. The CORE Programme is currently developed in four contaminated districts of Belarus (Bragin, Cherchersk, Slavgorod and Stolyn) in the following four areas: economic and social development; health care and surveillance; education and culture; and radiological quality. The project that is presented here refers specifically to the field of 'radiological quality' and will last until the end of 2008. The project named 'implementation of an inclusive radiation monitoring system' was launched in April 2004 in the ...

2006-07-01

155

New aspects for the evaluation of radioactive waste disposal methods

The causes and processes of contamination, as well as the possible human health implications for the main contaminants of drinking water are described. The quality of drinking water in Italy is defined through the comparison of the pollutant levels with the World Health Organization guidelines published in 1993 and the USEPA HAs (Health Advisories) of 1994 (annexed to the report).

1995-09-01

156

Self-valued health in Danish women after cervix cancer surgery-A retrospective questionnaire study

For the performance assessment of radioactive and hazardous waste disposal sites, risk assessments are usually performed for the long term, i.e., over an interval in space and time for which one can predict movement and behavior of toxic agents in the environment. This approach is based on at least three implicit assumptions: One, that the engineering layout will take care of the immediate endangerment of potential receptors; two, that one has carefully evaluated just how far out in space and time the models can be extrapolated, and three, that one can evaluate potential health effects for very low exposures. A few of these aspects will be discussed here in the framework of the scientific method.

1996-08-18

157

British Library Electronic Table of Contents (United Kingdom)

Women treated of localised stages of cervix cancer have a very good prognosis. But do health care professionals have a tendency to underestimate the potential need for rehabilitation of this group? To be able to answer this question this study aimed to develop knowledge concerning these women's own perception of their health during a long period after surgical cancer treatment. A total of 398 women who underwent radical hysterectomy in the period from the 1 January 1983 to 31 December 2000 participated in the study at Aarhus University Hospital, Skejby in Denmark 2001-2003. All patients initially filled in an internally validated questionnaire. Subsequently a sample of 100 women filled in the questionnaires Short Form -36 and Sense of Coherence to evaluate their self-reported health. Analy...

2007-01-01

158

Help-Seeking for Children with Mental Health Problems: Parents? Efforts and Experiences

British Library Electronic Table of Contents (United Kingdom)

Parents who contacted 1 of 15 children?s mental health agencies in Ontario, Canada reported on where and why they were seeking mental health services for their 4- to 17-year-old children. Parents contacted?an average of four agencies (?1.7; range?=?1?14) in the previous year. Approximately one-half of parents were looking for either multiple types of treatment, or help for different problems, across agencies. The complex pattern of help-seeking evidenced in our study likely increases the burden on the mental health care system and on families, and may reduce the likelihood that families will connect with the most appropriate treatment.

2011-01-01

159

Usage pattern of personal care products in California households

British Library Electronic Table of Contents (United Kingdom)

Given the concern over the potential for health risks associated with certain ingredients (e.g., phthalates) in personal care products, usage patterns of 30 types of personal care products (e.g., shampoo, sunscreen, fragrance, etc.) were collected in 604 California households through a telephone interview. Preferences in selecting products, e.g., scented or unscented, aerosol, and brand loyalty, were also investigated. Participants were recruited in three age groups, children (mostly preschoolers), their parents, and adults age 55 or older. Use frequencies of various product types varied by sex, age group, race, education, and climatic region. Product use by parent and child from the same household were correlated. Use frequencies of products in the same class (e.g., skincare) were moderat...

2010-01-01

160

Improving osteoporosis care through multimodal interventions: insights from the University of Alabama at Birmingham Center for Education and Research on Therapeutics

British Library Electronic Table of Contents (United Kingdom)

Despite the many advances in scientific research over the last several decades, cutting edge technologies and therapeutics often take many years to find their way into widespread use. The dissemination and uptake of best practices into clinical care is sometimes a neglected component of research that is essential to improve the population?s health. Type 2 translational research, sometimes called ?Proof in Practice Research,? seeks to maximize the yield of what has been learned from the bench and from carefully controlled clinical trials and to extend those benefits to a larger population. One aspect of type 2 translational research, sometimes called evidence implementation or implementation science, applies what has been learned about clinical medicine to achieve best practices across prov...

2011-01-01

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161

Upsetting categories? The consequences of pharmacogenomics for making knowledge-based reimbursement decisions in Sweden

British Library Electronic Table of Contents (United Kingdom)

This paper contributes to an understanding of pharmacogenomics-in-the-making by foregrounding a regulatory setting in which these technologies must be situated: decision-making about pharmaceutical reimbursement. Health care assessment organizations have been introduced in many countries to systematically address the issue of health care coverage. Using the example of Sweden, the process of deciding reimbursement status is shown to hinge on the creation of stable and clinically feasible categories of patients, diseases and drug responses. Through a series of analogous examples concerning conventional pharmaceuticals, it is argued that current mechanisms for categorizing reimbursable drugs could be upset when pharmacogenomic advances provide a means of making patients more specific objects ...

2010-01-01

162

Insights in the use of health care services in chronic benign pain in childhood and adolescence.

Approaches to the evaluation of chemical-induced immunotoxicity.

The utilization of health care services in children and adolescents with chronic benign pain was studied in a Dutch population sample of 254 chronic pain sufferers aged 0-18 years. Children and adolescents who had reported chronic pain (continuous or recurrent pain >3 months) in our previous prevalence study were asked to keep a 3-week diary on their pain and to fill out questionnaires on background factors, health care use and the impact of pain. Parent ratings were used for children aged 0-11 years, self-report was used in adolescents (12-18 years). In a 3-month period, in 53.4% of the cases medication was used for pain, and general practitioners and specialists were consulted for pain in 31.1% and 13.9% of subjects, respectively. Physiotherapists, psychologists and alternative health providers were visited by 11.5, 2.8, and 4.0%, respectively. In the preceding year, 6.4% had ...

2001-11-01

163

Pain characteristics of adults 65 years of age and older referred to a tertiary care pain clinic

The immune system plays a crucial role in maintaining health; however, accumulating evidence indicates that this system can be the target for immunotoxic effects caused by a variety of chemicals including...Full Text Available

1995-12-01

164

F-Area Seepage Basins groundwater monitoring report -- third and fourth quarters 1993. Volume 1

BACKGROUND:Reports indicate that characteristics of older adults with chronic pain may be different than those of younger persons.OBJECTIVE:To study...Full Text Available

2008-09-01

165

A PDA-Based ECG Beat Detector for Home Cardiac Care.

During the second half of 1993, the groundwater at the F-Area Seepage Basins (FASB) was monitored in compliance with Module 3, Section C, of South Carolina Hazardous Waste Permit SC1-890-008-989, effective November 2, 1992. The monitoring well network is composed of 87 FSB wells screened in the three hydrostratigraphic units that make up the uppermost aquifer beneath the FASB. A detailed description of the uppermost aquifer is included in the Resource Conservation and Recovery Act Part B post-closure care permit application for the F-Area Hazardous Waste Management Facility submitted to the South Carolina Department of Health and Environmental Control (SCDHEC) in December 1990. Beginning in the first quarter of 1993, the standard for comparison became the SCDHEC Groundwater Protection Standard (GWPS) specified in the approved F-Area Seepage Basins Part B permit. Currently and historically, gross alpha, nitrate, nonvolatile beta, and tritium are ...

1994-03-01

166

SO2 Emission Reductions from Acid Rain Program Sources and Improvements in Air Quality | Cap and Trade | US EPA

Recent rapid growth in mobile computing technologies enables telemedicine applications to operate on mobile devices. Our focus is on the design of an integrated electrocardiogram (ECG) beat detector on a Personal Digital Assistant (PDA) platform for the health screening process. The ECG beat detector module will be supported by the PDA version of Personal Health Information Management System (PHIMS) and Facilitated Accurate Referral Management System (FARMS) through wireless network infrastructure as a home-based mobile cardiac monitoring solution. PMID:17282192

2005-01-01

167

Planning and operational considerations for units utilizing military workingn> dogs.

... The colored background is an isopleth map showing change in sulfate concentrations as measured by the CASTNET rural air quality monitoring network , leading to significant improvements in air quality and human health. Wet sulfate deposition decreased 43 percent in the Northeast and 44 percent in the ...

168

Intermittent preventive treatment of malaria during pregnancy: a qualitative study of knowledge, attitudes and practices of district health managers, antenatal care staff and pregnant women in Korogwe District, North-Eastern Tanzania

Military working dogs are rapidly becoming integral to military operations. While they bring many valuable capabilities to the battlefield, it is important that Special Operations leaders consider canine team capabilities and requirements when planning missions. Careful logistical and operational planning can optimize the health, performance, and readiness of the working dog while protecting the safety and well-being of the team members working with them. We also offer recommendations for medical treatment of dog bites. PMID:19813342

2009-01-01

169

First Report of the Emergence of CTX-M-Type Extended-Spectrum ?-Lactamases (ESBLs) as the Predominant ESBL Isolated in a U.S. Health Care System?

BackgroundIntermittent preventive treatment of malaria during pregnancy (IPTp) is a key intervention in the national strategy for malaria control in Tanzania. SP, the current drug...Full Text Available

170

Extended Spectrum ?-Lactamases among Gram-negative bacteria of nosocomial origin from an Intensive Care Unit of a tertiary health facility in Tanzania

CTX-M-type extended-spectrum β-lactamases (ESBLs) have become increasingly common worldwide, with the notable exception of the United States, where TEM- and SHV-type ESBLs have appeared to predominate....Full Text Available

2007-11-01

171

BackgroundResistance to third generation cephalosporins due to acquisition and expression of extended spectrum β-lactamase (ESBL) enzymes among Gram-negative bacteria is...Full Text Available

172

Areva in Niger

The prevalence, management and outcome for acute wounds identified in a wound care survey within one English health care district

Niger is the second poorest country in the world but it has natural resources underground in the form of uranium ores deposits. This uranium is currently mined by two companies incorporated under Nigerian law: Somair and Cominak, operated by the principal shareholder Areva (through its subsidiary Cogema). After a presentation of Somair and Cominak key figures, this document details the working conditions and radiological protection, the environmentally friendly operations, the production traceability, the local economic development, the strengthening of the health care system and the development of the infrastructure. (A.L.B.)

2005-02-01

173

British Library Electronic Table of Contents (United Kingdom)

This paper reports the characteristics and local management of 826 acute wounds identified during an audit across all health care providers serving the population of Bradford, UK. Of the wounds encountered 303 were traumatic wounds and 237 primary closures with smaller numbers of other acute wound types. Of the 303 traumatic wounds 174 occurred in women (57.4%). Men predominated in the under 45s (65M:26F), this being largely accounted for by hand and finger trauma (n=62) particularly in patients of working age (M32:F12). Women predominated in the over 65s (50M:130F), this being largely accounted for by lower limb traumatic wounds (M24:F91), the majority of these being in patients 65 and over (M14:F82). In this sub-group of 96 patients 25 had wounds of 6 weeks or longer duration, only 3 had...

2009-01-01

174

Multi-scale evaluation of river health in Liao River Basin, China

British Library Electronic Table of Contents (United Kingdom)

Previous studies on river health evaluation mainly focused on characterizations at a river-corridor scale and ignored the complex interactions between the river ecosystem and other components of the river basin. Based on the consideration of the interactions among rivers, associated river basin and habitats, an assessment framework with multi-scale indicators was developed. An index system divided among these three scales to characterize the health of river ecosystems in China???s Liao River Basin was established. Set pair analysis was applied to integrate the multi-scale indicators and determine the health classes. The evaluation results indicated that the rivers in the western and eastern zones of the Liao River were classified as sick, and rivers in the main stream of the Liao and Hunta...

2011-01-01

175

Development of the Palliative Care Parental Self-Efficacy Measure.

Impact of Cannabis Use on Male Sexual Health

Caring for a child with a potentially fatal medical condition is a challenge for parents or caregivers. The ability to measure parental self-efficacy in pediatric palliative care may be an important component of targeting supportive services that address individual needs of families. Therefore, the goal was to develop a Pediatric Palliative Care Parental Self-Efficacy Measure (PCPEM). First, a list of questions were generated that asked parents their level of confidence in carrying out tasks involved in caring for a child with a potentially fatal medical condition in 6 palliative care domains: 1) medical discussion/decisions; 2) symptom management/medication; 3) daily activities; 4) feelings/concerns; 5) spirituality; and 6) end-of-life care. The PCPEM was narrowed to 58 questions after expert reviews. Then, 16 caregivers of children receiving palliative ...

2011-07-26

176

British Library Electronic Table of Contents (United Kingdom)

Abstract Introduction.- Cannabis (marijuana) is the most widely used illicit drug globally. Given the prevalence of nonprescription illicit drug abuse, there is a growing interest in the study of its potential effects on male sexual health. In this review, we discuss the effects of cannabis on male sexual health. Objective.- In this review, we discuss the effects of cannabis on male sexual health. Methods and Main Outcome Measure.- Critical review of scientific literature examining the impact of cannabis use on male sexual health. Results.- Studies examining the effects of cannabis use on male sexual function have been limited in both quality and quantity. Most results of these studies are conflicting and contradictory. While some did outline the beneficial effects of cannabis in enhancing...

2011-01-01

177

Upward migration of underground injected wastes through hydrologic conduits around the wellbore

Application of the microbiological method DEFT/APC to detect minimally processed vegetables treated with gamma radiation

Underground injection, compared to other waste disposal methods, is considered to have the advantages of isolating wastes in a confined brine aquifer well below the horizon of human activity and underground sources of drinking water (USDWs). While most of injected wastes move laterally in the injection zone, posing a long-term concern to the human health and environment, a small amount can migrate upward to the upper aquifers, causing a greater threat to the quality of USDWs. Both the dual porosity and the single porosity models were used to investigate the migration of injected wastes through these hydrologic conduits. The results indicate that regional upward migration through an extensive confining formation is a slow process. Nevertheless, injected wastes can move upward rapidly through microannuli and channels in the cement sheath and spread over a distance in the upper aquifer. The wastes can also migrate fast through ...

1988-01-01

178

Air pollutants emissions from waste treatment and disposal facilities.

Marketing of minimally processed vegetables (MPV) are gaining impetus due to its convenience, freshness and apparent health effect. However, minimal processing does not reduce pathogenic microorganisms to safe levels. Food irradiation is used to extend the shelf life and to inactivate food-borne pathogens. In combination with minimal processing it could improve safety and quality of MPV. A microbiological screening method based on the use of direct epifluorescent filter technique (DEFT) and aerobic plate count (APC) has been established for the detection of irradiated foodstuffs. The aim of this study was to evaluate the applicability of this technique in detecting MPV irradiation. Samples from retail markets were irradiated with 0.5 and 1.0 kGy using a {sup 60}Co facility. In general, with a dose increment, DEFT counts remained similar independent of the irradiation while APC counts decreased gradually. The difference of the two counts ...

2009-07-15

179

Moving Towards Inclusive Education Policies and Practices? Basic Education for AIDS Orphans and Other Vulnerable Children in Zambia

This study examined the atmospheric pollution created by some waste treatment and disposal facilities in the State of Kuwait. Air monitoring was conducted in a municipal wastewater treatment plant, an industrial wastewater treatment plant established in a petroleum refinery, and at a landfill site used for disposal of solid wastes. Such plants were selected as models for waste treatment and disposal facilities in the Arabian Gulf region and elsewhere. Air measurements were made over a period of 6 months and included levels of gaseous emissions as well as concentrations of volatile organic compounds (VOCs). Samples of gas and bioaerosols were collected from ambient air surrounding the treatment facilities. The results obtained from this study have indicated the presence of VOCs and other gaseous pollutants such as methane, ammonia, and hydrogen sulphide in air surrounding the waste treatment and disposal facilities. In some cases the levels exceeded the ...

2006-01-01

180

Increased Mercury Bioaccumulation Follows Water Quality Improvement

The global spread of HIV and AIDS has presented a major threat to development, affecting the health of the poor and many aspects of social and economic development. The greatest impact of the epidemic has been felt in sub-Saharan Africa, and Zambia ranks among the worst hit countries. The Free Basic Education Policy in Zambia upholds the right of all children to a universal basic education. This study explored staff and student perceptions of the impact of the epidemic on access to, and the quality of, basic education for AIDS-affected children, orphans and other vulnerable children (OVCs) in the Copperbelt Province of Zambia, where the HIV/AIDS prevalence rate ranges from 34 to 40%, and life expectancy has dropped to 33 years. Data were collected from education personnel in six districts of the Copperbelt with the highest prevalence of HIV and AIDS and from staff and students in six schools. The data indicated a range of ...

2007-07-01

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181

The future of dentistry: new challenges, new directions.

Changes in physical and chemical characteristics of aquatic habitats made to reduce or eliminate ecological risks can sometimes have unforeseen consequences. Environmental management activities on the U.S. Dept. of Energy reservation in Oak Ridge, Tennessee,have succeeded in improving water quality in streams impacted by discharges fi-om industrial facilities and waste disposal sites. The diversity and abundance of pollution-sensitive components of the benthic macroinvertebrate communities of three streams improved after new waste treatment systems or remedial actions reduced inputs of various toxic chemicals. Two of the streams were known to be mercury-contaminated from historical spills and waste disposal practices. Waterborne mercury concentrations in the third were typical of uncontaminated systems. In each case, concentrations of mercury in fish, or the apparent biological availability of mercury increased over the period during which ecological metrics ...

182

Symptom Burden, Depression, and Quality of Life in Chronic and End-Stage Kidney Disease

The challenge to our profession today is to improve the quality of oral health while overcoming both extrinsic and intrinsic factors which may adversely affect our progress toward this goal. The combined...Full Text Available

1990-05-01

183

Background and objectives: While many patients with end-stage renal disease (ESRD) have impaired physical and psychologic well-being, less is known about these health domains in patients with advanced...Full Text Available

2009-06-01

184

Exercise training for systolic heart failure: Cochrane systematic review and meta-analysis

PurposeIntestinal stomas can pose significant challenges for long-term (≥ 5 years) rectal cancer (RC) survivors. Specifying common challenges and sociodemographic or clinical...Full Text Available

2009-10-01

185

Quality assurance considerations in nuclear waste management

AimsTo determine the effect of exercise training on clinical events and health-related quality of life (HRQoL) of patients with systolic heart failure.Methods...Full Text Available

2010-07-01

186

USGS Water-Quality Information: Fecal Indicator Bacteria

Proper use of quality assurance will provide the basis for an effective management control system for nuclear waste management programs. Control is essential for achieving successful programs free from costly losses and failures and for assuring the public and regulators that the environment and health and safety are being protected. The essence of quality assurance is the conscientious use of planned and systematic actions, based on selecting and applying appropriate requirements from an established quality assurance standard. Developing a quality assurance program consists of using knowledge of the technical and managerial aspects of a project to identify and evaluate risks of loss and failure and then to select appropriate quality assurance requirements that will minimize the risks. Those requirements are integrated into the project planning documents and are ...

187

Organisation of care for Swedish patients with an implantable cardioverter defibrillator, a national survey

USGS - science for a changing world USGS Home Contact USGS Search USGS USGS Water-Quality Information * Home * Data * Methods * Labs * Publications * Topics * Programs * Contact Us...

2011-08-27

188

British Library Electronic Table of Contents (United Kingdom)

Aim.- To describe the clinical aspects of implantable cardioverter defibrillators care in Sweden with focus on organisation, the role and education of nurses, patient information and education and areas in need of improvement. Background.- Implantable cardioverter defibrillators implantations have developed rapidly in recent years and are now an established arrhythmia treatment. The expanding indication for implantable cardioverter defibrillators implantation demands new competencies and resources in the implantable cardioverter defibrillators team members. Methods.- Participants were recruited among physicians and nurses in all of the hospitals implanting implantable cardioverter defibrillators (n-=-16). Data were collected by a questionnaire. Additionally, all written educational materia...

2011-01-01

189

Occupational health impacts: offshore crane lifts in life cycle assessment

British Library Electronic Table of Contents (United Kingdom)

Background, Aim, and Scope The identification and assessment of environmental tradeoffs is a strongpoint of life cycle assessment (LCA). A tradeoff made in many product systems is the exchange of potential for occupational accidents with the additional use of energy and materials. Net benefits of safety measures with respect to human health are best illustrated if the consequences avoided and health impacts induced by additional emissions are assessed using commensurable metrics. Our aim is to develop a human health impact indicator for offshore crane lifts. Crane lifts are a major cause of accidents on offshore oil and gas (O & G) rigs, and health impacts from crane lift accidents should be included in comparative LCA of O & G technologies if the alternatives differ in the use of crane li...

2008-01-01

190

Quality assurance requirements for the design of nuclear fuel reprocessing facilities

Photovoltaic mini power plants for integration in the third world and Eastern Europe. Market analysis aimed at health and education

Requirements and guidance are provided for a quality assurance program for the design of nuclear fuel reprocessing facilities involving structures, systems and components whose satisfactory performance is required to prevent accidents that could cause undue risk to the health and safety of the public, or to mitigate the consequences of such accidents if they were to occur. The standard is to be used in conjunction with ANSI N46.2.

191

Methodological Quality of Studies on the Measurement Properties of Neck Pain and Disability Questionnaires: A Systematic Review

Energy is a critical factor which determines the progress of rural development. Energy is therefore an area of concern. The quality, availability and cost of conventional energies, plus the associated environmental effects are a growing problem - not only for the health infrastructure but also for agriculture and domestic life. This is true not only in developing countries where the fast growing industries and urban populations demand a soaring proportion of available energy at the expense of the rural communities, but also in the poorest countries with weak energy infrastructure. Renewable energies, much studied in the last 20 years, can meet the needs of rural health and education services and communities by providing high quality, low cost, non-polluting energy. Solar energy, in particular, has the flexibility to produce electricity, heat and cooling. Solar technologies, furthermore, are backed by an ...

1994-12-01

192

British Library Electronic Table of Contents (United Kingdom)

Objective: The aim of this study was to obtain an overview of the methodological quality of studies on the measurement properties of neck pain and disability questionnaires and to describe how well various aspects of the design and statistical analyses of studies on measurement properties are performed. Methods: A systematic review was performed of published studies on the measurement properties of neck pain and disability questionnaires. Two reviewers independently rated the quality of the studies using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. This checklist was developed in an international Delphi consensus study. Results: A total of 47 articles were included on the measurement properties of 8 different questionnaires. The meth...

2011-01-01

193

Organization and safety in nuclear power plants

EHR's effect on the revenue cycle management Coding function.

Perspectives from industry, academe, and the NRC are brought together in this report and used to develop a logical framework that links management and organization factors and safety in nuclear power plant performance. The framework focuses on intermediate outcomes which can be predicted by organizational and management factors, and which are subsequently linked to safety. The intermediate outcomes are efficiency, compliance, quality, and innovation. The organization and management factors can be classified in terms of environment, context, organizational governance, organizational design, and emergent processes. Initial empirical analyses were conducted on a limited set of hypotheses derived from the framework. One set of hypotheses concerned the relationships between one of the intermediate outcome variables, efficiency, as measured by critical hours and outage rate, and safety, as measured by 5 NRC indicators. Results of the analysis suggest ...

194

Howard Hughes Medical Institute dose assessment survey

Without administrative terminologies there is no revenue to manage. The use of healthcare IT to capture the codes for administrative and financial support functions will impact the revenue cycle and the management of it. This is presumed to occur because clinical data coded at the point of care becomes the source for claims data. Thus, as electronic health record system applications utilizing terminologies are implemented, healthcare providers need to systematically consider the effect on the coding function and management of the revenue cycle. A key factor is the sequence of events changes, i.e., instead of a health information management professional selecting billing codes at the conclusion of an encounter based on the review of the record, clinical data generates the claims data via mapping. Efficiencies and management challenges result. PMID:19267004

2008-01-01

195

Sacroiliac joint dysfunction: From a simple pain in the butt to integrated care for complex low back pain

Biomedical science researchers often express frustration that health physics practices vary widely between individual institutions. A survey examining both internal and external dose assessment practices was devised and mailed to fifty institutions supporting biomedical science research. The results indicate that health physics dose assessment practices and policies are highly variable. Factors which may contribute to the degree of variation are discussed. 2 tabs.

1996-12-01

196

British Library Electronic Table of Contents (United Kingdom)

In the last 40 years, significant advances have been made in the understanding of the neurophysiologic processes involved in the experience of trauma and pain. This knowledge, together with the rapid growth and understanding in the behavioral health sciences, has expanded to include a much better appreciation of how these fields are converging and contribute to a process called neuroplasticity. These basic mechanisms common to all patients have important implications for clinical outcome and for improving clinical practice. This article is written for clinicians who manage patients with sacroiliac joint dysfunction, a specific type of nonspecific low back pain.

2011-01-01

197

Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed

British Library Electronic Table of Contents (United Kingdom)

Objective: Results of reliability and agreement studies are intended to provide information about the amount of error inherent in any diagnosis, score, or measurement. The level of reliability and agreement among users of scales, instruments, or classifications is widely unknown. Therefore, there is a need for rigorously conducted interrater and intrarater reliability and agreement studies. Information about sample selection, study design, and statistical analysis is often incomplete. Because of inadequate reporting, interpretation and synthesis of study results are often difficult. Widely accepted criteria, standards, or guidelines for reporting reliability and agreement in the health care and medical field are lacking. The objective was to develop guidelines for reporting reliability and...

2011-01-01

198

Longitudinal Evaluation of Sexual Function in a Male Cohort: The Olmsted County Study of Urinary Symptoms and Health Status among Men

Quality control in Nuclear Magnetic Resonance Imaging. Indications et strategies pour le controle de qualite en IRM

IntroductionThe presence of erectile or ejaculatory dysfunction may indicate physical problems; however, individual perceptions (e.g., sexual satisfaction) may reflect...Full Text Available

2009-09-01

199

Care of military workingn> dogs.

In this article, the authors recall the factors apt to influence image quality in NMR Imaging and present the european works that have been developed in MRIQA to set 5 quality assurance tests: EUROSPIN 1 to 5.

1993-01-01

200

Birth Weight and Health and Developmental Outcomes in US Children, 1997?2005

PMID:14756516

2004-01-17

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201

British Library Electronic Table of Contents (United Kingdom)

The primary goal of this study was to assess the association between the full birth weight distribution and prevalence of specific developmental disabilities and related measures of health and special education services utilization in US children. Using data from the 1997?2005 National Health Interview Survey (NHIS) Sample Child Core, we identified 87,578 children 3?17?years of age with parent-reported information on birth weight. We estimated the prevalences of DDs (attention-deficit/hyperactivity disorder [ADHD], autism, cerebral palsy, hearing impairment, learning disability without mental retardation, mental retardation, seizures, stuttering/stammering, and other developmental delay) and several indicators of health services utilization within a range of birth weight categories. We cal...

2011-01-01

202

Klickitat Cogeneration Project : Final Environmental Assessment.

Constitution of a centralised data base for the internal quality control in radiotherapy; Constitution d'une base de donnees centralisee pour le controle de qualite interne en radiotherapie

To meet BPA`s contractual obligation to supply electrical power to its customers, BPA proposes to acquire power generated by Klickitat Cogeneration Project. BPA has prepared an environmental assessment evaluating the proposed project. Based on the EA analysis, BPA`s proposed action is not a major Federal action significantly affecting the quality of the human environment within the meaning of the National Environmental Policy Act of 1969 for the following reasons: (1)it will not have a significant impact land use, upland vegetation, wetlands, water quality, geology, soils, public health and safety, visual quality, historical and cultural resources, recreation and socioeconomics, and (2) impacts to fisheries, wildlife resources, air quality, and noise will be temporary, minor, or sufficiently offset by mitigation. Therefore, the preparation of an environmental impact statement is not ...

1994-09-01

203

Environmental Restoration Program quality assurance system requirements for the Hanford Site

The objective of this project was to implement a centralised data base of internal quality control in radiotherapy according to the criteria of the decree of A.f.s.s.a.p.s. (French agency of sanitary safety of health products on 27 july 2007, about the internal quality control of external radiotherapy facilities. The software on one year meets the objectives: compliance by comparison with A.f.s.s.a.p.s. criteria but particularly optimization of the centralisation and analysis of the internal quality controls. (N.C.)

2009-10-15

204

Free Time Management Contributes to Better Quality of Life: A Study of Undergraduate Students in Taiwan

This document defines the quality assurance program requirements for the US Department of Energy, Richland Field Office, Environmental Restoration program at the Hanford Site. This document integrates quality assurance requirements from US Department of Energy Orders, the Hanford Federal Facility Agreement and Consent Order, and applicable industry standards into a single source document for the development of quality assurance programs applicable to the Environmental Restoration program items and activities. This document has been configured into three parts and fifteen criteria to provide user organizations with a workable document that best facilitates line operations. When developing individual user organization quality assurance programs, the document configuration provides each organization with the Flexibility to incorporate only those parts and criteria that are applicable to their individual ...

205

British Library Electronic Table of Contents (United Kingdom)

This study was designed to identify the relationship between free time management and quality of life, exploring whether the amount of free time or the way people using their free time relates to their quality of life. Data were collected from National Pingtung University of Science and Technology in Taiwan. Of the 500 questionnaires distribute, 403 usable questionnaires were received with an 81% response rate. The result has found a positive relationship between free time management and quality of life. Contrary to this, there was no significant relationship between time allocation and quality of life. Results might indicate that people who manage their free time well lead to better quality of life. Suggestions based on the observed relationship and directions for future researches were d...

2011-01-01

206

Prevalence and Associations of Anxiety Disorders in Adults with Intellectual Disabilities

Sound climate installations. Gezonde klimaatinstallaties

Background: Anxiety disorders are known to be common in the general population. Previous studies with adults with intellectual disabilities (IDs) report a prevalence of general anxiety disorder ranging from less than 2% to 17.4%. Little is known about associated factors in this population. This study investigates point prevalence of anxiety disorders and determines the factors independently associated with them. Methods: Information was collected with 1023 adults with IDs who participated in a large-scale, population-based study. All had a comprehensive physical and mental health assessment. The point prevalence of anxiety disorders according to different diagnostic criteria was determined, as were independently associated factors by using logistic regression analysis. Results: Three point eight per cent (95% CI = 2.7-5.2%) of the cohort had an anxiety disorder at the time of assessment. Generalised anxiety disorder was the most common (1.7%), then agoraphobia ...

2011-02-01

207

Awareness of Rabies Risks and Knowledge About Preventive Measures Among Experienced German Travel Health Advisors

An uncomfortable thermal climate, draft complaints and a bad airquality are often related to the climate installation. To avoid badfunctioning of the system a number of preconditions has to be fulfilledwith regard to design, planning and execution, adjustments, completion,control, maintenance and management of the installations. First threetypes of health problems in buildings are shortly discussed: buildingrelated illness, sick building syndrome and building or installationrelated complaints. Then some functions of the climate installationsare described: air filtration, filter classes and filter quality, aswell as investment costs for better filters. Next the causes for thecomplaints are dealt with: air conditioning, ventilation, air quality,and temperatures. Subsequently health affecting aspects in relation tothe climate systems are discussed: outdoor air pollution,microorganisms, bacteria (legionella ...

1989-10-01

208

British Library Electronic Table of Contents (United Kingdom)

Background. Every year, millions of people travel to countries where rabies is enzootic. However, the quality of rabies-specific information provided by travel health advisors and the extent of their knowledge about pre- and postexposure prophylaxis have not been examined on a large-scale basis up to now. Methods. 5,780 German physicians and pharmacists, who identified themselves as active travel health advisors, were chosen from a database. The selected providers were asked to complete an Internet-based questionnaire. The form requested both demographic information and the assessment of different concrete scenarios, each of which featured individuals seeking pretravel advice on rabies or appropriate postexposure treatment after returning from abroad. Results. Overall, 496 physicians and p...

2006-01-01

209

Mining in the Alligator Rivers Region, northern Australia: Assessing potential and actual effects on ecosystem and human health

Dynamic programming and graph algorithms in computer vision.

This paper presents an overview of issues related to surface water contamination arising from uranium mining activities in the Alligator Rivers Region (ARR) of northern Australia, and a program of research and monitoring that must assess the potential and actual effects on ecosystem and human health. The program of assessing effects on aquatic ecosystems involves a four-tiered approach including the derivation of local water quality guideline trigger values, direct toxicity assessment of mine waters prior to their release, creekside or in situ monitoring for early warning of adverse effects during mine water release, and longer-term monitoring of macroinvertebrate and fish communities. Bioaccumulation in aquatic biota is also assessed, and is an issue of importance not only to ecosystem health, but also to the health of local Aboriginal people. The aquatic animals they consume represent potential ...

2002-12-27

210

A study on reliability of electro-hydraulic governor control system for large steam turbine in power plant

Optimization is a powerful paradigm for expressing and solving problems in a wide range of areas, and has been successfully applied to many vision problems. Discrete optimization techniques are especially interesting since, by carefully exploiting problem structure, they often provide nontrivial guarantees concerning solution quality. In this paper, we review dynamic programming and graph algorithms, and discuss representative examples of how these discrete optimization techniques have been applied to some classical vision problems. We focus on the low-level vision problem of stereo, the mid-level problem of interactive object segmentation, and the high-level problem of model-based recognition. PMID:20660950

2011-04-01

211

Environmental Restoration Remedial Action quality assurance requirements document

In this work, the right management procedure for hydraulic power oil will be discussed and suggested. A thermal power plant turbine should respond to the change of load status. However, to satisfy the frequency of alternating current, the revolution per minute should be kept constant. Therefore, by controlling the flow rate of the steam to the turbine, the governor satisfies the load variation without alternating the revolution per minutes of the turbine. To protect the governor, the hydraulic power unit should be managed carefully by controlling the quality and the flow rate of the oil.

2008-07-01

212

Methodologies for estimating shipping emissions in the Netherlands. A documentation of currently used emission factors and related activity data

This document defines the quality assurance requirements for the US Department of Energy-Richland Operations Office Environmental Restoration Remedial Action program at the Hanford Site. The Environmental Restoration Remedial Action program implements significant commitments made by the US Department of Energy in the Hanford Federal Facility Agreement and Consent Order entered into with the Washington State Department of Ecology and the US Environmental Protection Agency. This document combines quality assurance requirements from various source documents into one set of requirements for use by the US Department of Energy-Richland Operations Office and other Environmental Restoration Remedial Action program participants. This document will serve as the basis for developing Quality Assurance Program Plans and implementing procedures by the participants. The requirements of this document will be applied to activities affecting ...

213

Organic livestock production in Uganda: potentials, challenges and prospects.

Proper estimation of shipping emissions is essential for an impact assessment of shipping on air quality and health in port cities and coastal regions. In the Netherlands shipping is an important source of particulate matter. This report provides an internationally accessible and transparent summary and description of the methodologies used in the Netherlands Pollutant Release and Transfer Register (PRTR) to estimate PM emissions from shipping, including recently implemented updates.

2010-04-15

214

Supplementary quality assurance requirements for installation, inspection and testing of mechanical equipment and systems for the construction phase of nuclear power plants - reaffirmed 1980

Development in organic farming has been stimulated by farmers and consumers becoming interested in healthy food products and sustainable environment. Organic agriculture is a holistic production management system which is based on the principles of health, ecology, care, and fairness. Organic development in Uganda has focused more on the crop sector than livestock sector and has primarily involved the private sector, like organic products export companies and non-governmental organizations. Agriculture in Uganda and many African countries is predominantly traditional, less mechanized, and is usually associated with minimum use of chemical fertilizers, pesticides, and drugs. This low external input agriculture also referred to as "organic by default" can create basis for organic farming where agroecological methods are introduced and present an alternative in terms of intensification to the current low-input/low-output systems. Traditional ...

2011-01-12

215

Matching the needs of a nation: The strategic roles of indicators for decisionmaking

This standard provides requirements and guidelines for installation, inspection and testing activities that assure the quality of important mechanical parts of a nuclear power plant not covered by the ASME Boiler and Pressure Vessel Code, Section III, during construction. These parts include those mechanical systems and components whose satisfactory performance is required: for the plant to operate reliably; to prevent accidents that could cause undue risk to the health and safety of the public; or to mitigate the consequences of such accidents if they were to occur. The requirements of this standard deal with the protection and control necessary to assure that the requisite quality of those important parts of the plant are preserved from the time items are removed from storage or receiving until they are incorporated into the plant up to but not including fuel loading for PWR plants and the completion of cold functional ...

216

Phenotypic characterization of human pathogenic bacteria in fish from the coastal waters of South West Cameroon: public health implications.

Indicators are important tools for communicating and making accessible scientific and technical information to policymakers and the general public. They therefore play an important role in transforming information into action. Worldwide, many initiatives are underway to construct indicators for a variety of purposes, including those for reporting on sustainable development. This paper briefly describes the attempts made so far, but stresses that the users of the indicators should play a greater role in indicator construction. In developing countries, a substantial lack of data has meant that specific policy formulation may develop without adequate technical input. In developed countries also, data gaps may hinder policy formulation, implementation, and evaluation. However, the development of indicators as tools to assist in the management of hazardous wastes and toxic chemicals is ...

1996-12-31

217

British Library Electronic Table of Contents (United Kingdom)

Increasing economic and recreational opportunities, attractive scenery and a perception of a better quality of life are luring people to the coast. Unfortunately, these activities together with the commensurate increase in population in the area inevitably result in pollution of coastal waters with excessive microorganisms and other pollutants. Microbial pollutants not only contaminate the coastal water but also aquatic food sources, thus posing a health risk to consumers. Fish is a major source of protein in Cameroon, especially in the coastal areas. In this study, we investigated the microbiological quality of fish from the Limbe and Tiko beaches in South West Cameroon from May to October 2007. We isolated human pathogenic bacteria from three anatomic sites (skin, gills, intestine) of 50 fish (150 specimens) and investigated their susceptibility patterns to a battery of antibiotics. Data were analyzed statistically using ...

218

Percutaneous coronary revascularisation [PCR] improves angina and health related quality of life [HRQOL] compared to standard medical therapy. It is unknown whether PCR has the same benefits for patients with a history of CABG. Over a period of 5?years, we assessed HRQOL of patients undergoing PCR using Part 1 of the Nottingham Health Profile [NHP] at baseline 3, 12 and 24?months. We compared HRQOL after PCR in 255 patients with CABG to 2680 without. There were more males [81.1% v 69.6% p?=?0.002] and older patients [mean age 60.1?years v. 58.0 p?=?0.03] in CABG group. Perceived HRQOL improved at 24?months for pain, energy and emotional reaction but the improvement was less in the CABG group. However, mean NHP scores at 24?months for those with CABG had returned to baseline levels for slee...

2011-01-01

219

Clinical-HINTS: integrated intelligent ICU patient monitoring and information management system.

The Association of Patient-Physician Gender Concordance with Cardiovascular Disease Risk Factor Control and Treatment in Diabetes

Clinical-HINTS (Health Intelligence System) is a horizontally integrated decision support system (DSS) designed to meet the requirements for intelligent real-time clinical information management in critical care medical environments and to lay the foundation for the development of the next generation of intelligent medical instrumentation. The system presented was developed to refine and complement the information yielded by clinical laboratory investigations, thereby benefiting the management of the intensive care unit (ICU) patient. More specifically, Clinical-HINTS was developed to provide computer-based assistance with the acquisition, organisation and display, storage and retrieval, communication and generation of real-time patient-specific clinical information in an ICU. Clinical-HINTS is an object-oriented system developed in C+2 to run under Microsoft Windows as an embryo intelligent agent. Current generic reasoning ...

1997-01-01

220

Surgery for hip fractures: Does surgical delay affect outcomes?

AbstractBackgroundGender concordance between patients and their physicians is related to prevention screening and other quality indicators. Research suggests female...Full Text Available

2009-12-01

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221

Hip fractures are associated with a high rate of mortality and profound temporary and sometimes permanent impairment of quality of life. Current guidelines indicate that surgeons should perform surgery...Full Text Available

2011-01-01

222

Research - Keyword Index

Occurrence and distribution of bacterial indicators and pathogens in canal communities along the Texas coast.

...and biological processes acting on recruitment and post-recruitment EU-Agrinet - Project sheet: Biological performance testing methodology to evaluate the durability of plywood as a quality indicator ... Project sheet: Biological performance testing methodology to evaluate the durability of plywood as a quali EU-Agrinet - Project sheet: Genetic evaluation of European ...

223

Electronic Health Records An Audit and Internal Control Guide

Increased construction of residential canal communities along the southern coastline of the United States has led to a concern about their impact on water quality. Pollution of such dead-end canals...Full Text Available

1977-08-01

224

CERN Document Server

Electronic Health Records

2008-01-01

225

Study of coastal water zone ecosystem health in Zhejiang Province based on remote sensing data and GIS

British Library Electronic Table of Contents (United Kingdom)

The coastal ecosystem health assessment is a field of increasing importance. In this paper, a preliminary assessment of ecosystem health in Zhejiang coastal water zone was made, mainly based on remote sensing data and GIS technique. Its spatial and quantitative evaluation was facilitated by the progress of remote sensing and GIS technique development. Firstly, human activities, hydrology and ecosystem problems in the study area were discussed and analyzed. Secondly, from 4 aspects of human stress, physical, chemical and biological responses to anthropogenic activities and natural stress, several indicators such as water transparency (Secchi Disk Depth, SDD), suspended substance concentration, dissolved inorganic nitrogen, active phosphate, chlorophyll, harmful algae bloom, as well as distr...

2010-01-01

226

Effect of the quality of the iron-ore-bearing raw materials and coke on the performance indices of blast furnaces at the Novolipetsk metallurgical combine

British Library Electronic Table of Contents (United Kingdom)

Results are presented from an evaluation of the effect of the quality of the iron-ore-bearing raw materials and coke on the performance of blast furnaces at the Novolipetsk Metallurgical Combine. It is shown that the technical-economic indices of the smelting operation are improved by increasing the pellet content of the charge, the basicity of the sinter, and the sinter?s content of the ?5 mm fraction. An analysis of the performance of the blast furnaces on coke with a hot-strength index CSR = 40?60% confirmed the qualitative and quantitative effect of this index on furnace productivity and coke consumption. The analysis also showed that the magnitude of this effect depends on smelting rate and the basicity of the furnace slag.

2010-01-01

227

Trends and Controls on Summer Surface-Water Temperatures in Salmonid-Bearing Headwater Streams in Two Common Geomorphic Settings, Kenai Peninsula, Alaska

BBSRC CASE studentship: The impact of nutrition on the gluten composition and processing quality of wheat

Stream temperature is an important physical characteristic of headwater streams that plays a critical role in the presence and health of juvenile salmonids. Headwater stream temperature was documented in two geomorphic settings on the Kenai Peninsula, Alaska, focusing on the variation in temperature induced by diffuse groundwater discharge and variable air temperature. Eighteen headwater stream reaches were studied in four watersheds, with 11 drainageway sites and seven discharge-slope sites. In drainageway sites, low-gradient streams flow through broad valleys with groundwater-fed fen wetlands; in discharge-slope sites, high-gradient streams flow through narrow valleys with groundwater-fed slope wetlands. At all 18 sites, hourly stream temperatures were measured for one year. At one drainageway and one discharge-slope site, groundwater temperatures, stream stages, and groundwater heads in the local groundwater flow systems were also measured hourly for a year. A ...

2010-12-01

228

Environmental Research Database

DescriptionThe objective of this project is to relate the processing quality of wheat to the composition of the developing and mature grain using material grown under a range of nutrient regimes including long term organic and fertilised systems from the Rothamsted Broadbalk experiment, variety trials and organically grown wheat. Preliminary studies have indicated substantial differences in the transcriptome profiles of wheat grown with artificial fertiliser and with organic fertiliser on Broadbalk and tru [continued...

2008-01-31

229

Environmental Restoration Project quality system requirements for the Hanford Site. Revision 3

Outcomes of Severely Injured Adult Trauma Patients in an Australian Health Service: Does Trauma Center Level Make a Difference?

This document defines the quality system requirements for the US Department of Energy, Richland Operations Office (DOE-RL), Environmental Restoration (ER) Project at the Hanford Site. The Environmental Restoration Project Quality System Requirements for the Hanford Site integrates quality assurance requirements from the DOE Orders, the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement), the Hanford Facility Resource Conservation and Recovery Act of 1976 (RCRA) Permit, and applicable Federal and Washington State regulations. This document, based on ten criteria, provides user organizations with the flexibility to incorporate only those criteria and paragraphs applicable to their specific scopes of work. The requirements of this document are to be applied based on a graded approach that takes into consideration the risk inherent in, as well as the importance of, specific items, services, and ...

230

British Library Electronic Table of Contents (United Kingdom)

Background Trauma centers are designated to provide systematized multidisciplinary care to injured patients. Effective trauma systems reduce patient mortality by facilitating the treatment of injured patients at appropriately resourced hospitals. Several U.S. studies report reduced mortality among patients admitted directly to a level I trauma center compared with those admitted to hospitals with less resources. It has yet to be shown whether there is an outcome benefit associated with the ?level of hospital? initially treating severely injured trauma patients in Australia. This study was designed to determine whether the level of trauma center providing treatment impacts mortality and/or hospital length of stay. Methods Outcomes were evaluated for severely injured trauma patients with an ...

2011-01-01

231

Detection of 36 antibiotics in coastal waters using high performance liquid chromatography-tandem mass spectrometry

British Library Electronic Table of Contents (United Kingdom)

Among pharmaceuticals and personal care products released into the aquatic environment, antibiotics are of particular concern, because of their ubiquity and health effects. Although scientists have recently paid more attention to the threat of antibiotics to coastal ecosystems, researchers have often focused on relatively few antibiotics, because of the absence of suitable analytical methods. We have therefore developed a method for the rapid detection of 36 antibiotic residues in coastal waters, including tetracyclines (TCs), sulfanilamides (SAs), and quinolones (QLs). The method consists of solid-phase extraction (SPE) and liquid chromatography-tandem mass spectrometry (LC-MS/MS) analysis, using electrospray ionization (ESI) in positive mode. The SPE was performed with Oasis HLB and Oasi...

2011-01-01

232

Causes of morbidity among HIV-infected children on antiretroviral therapy in primary care facilities in Lusaka, Zambia

British Library Electronic Table of Contents (United Kingdom)

Summary Objectives To describe the pattern of incident illness in children after initiation of antiretroviral therapy (ART) in a large public health sector programme in Lusaka, Zambia. Methods Systematic chart review to retrospectively extract data from medical records of children (i.e. <15 years) initiating ART in the Lusaka, Zambia public sector. Incident conditions were listed separately and then grouped according to broad categories. Predictors for incident diagnoses were determined using univariate and multivariable analysis. Results Between May 2004 and June 2006, 1705 HIV-infected children initiated ART. Of these, 1235 (72%) had their medical records reviewed. Median age at ART initiation was 77 months and 554 (45%) were females. Eight hundred and forty-one (68%) children had an inc...

2009-01-01

233

Health@Home: the work of health information management in the household (HIMH): implications for consumer health informatics (CHI) innovations.

Accuracy of patient dose calculation for lung IMRT: A comparison of Monte Carlo, convolution/superposition, and pencil beam computations

PMID:16049230

2005-07-27

234

Devolution and human resources in primary healthcare in rural Mali

The accuracy of dose computation within the lungs depends strongly on the performance of the calculation algorithm in regions of electronic disequilibrium that arise near tissue inhomogeneities with large density variations. There is a lack of data evaluating the performance of highly developed analytical dose calculation algorithms compared to Monte Carlo computations in a clinical setting. We compared full Monte Carlo calculations (performed by our Monte Carlo dose engine MCDE) with two different commercial convolution/superposition (CS) implementations (Pinnacle-CS and Helax-TMS's collapsed cone model Helax-CC) and one pencil beam algorithm (Helax-TMS's pencil beam model Helax-PB) for 10 intensity modulated radiation therapy (IMRT) lung cancer patients. Treatment plans were created for two photon beam qualities (6 and 18 MV). For each dose calculation algorithm, patient, and beam quality, the following set of clinically relevant dose-volume ...

2006-09-01

235

Quality assurance requirements for packaging and transportation of radioactive materials

Devolution, as other types of decentralization (e.g. deconcentration, delegation, privatization), profoundly changes governance relations in the health system. Devolution is meant to affect performance of the health system by transferring responsibilities and authority to locally elected governments. The key question of this article is: what does devolution mean for human resources for health in Mali?This article assesses the key advantages and dilemmas associated with devolution such as responsiveness to local needs, downward accountability and health worker retention. Challenges of politics and capacities are also addressed in relation to human resources for health at the local level. Examples are derived from experiences in Mali with a capacity development programme and from case studies of other countries. It is not research findings that are presented, but highlights of key ...

2011-06-08

236

NHSnet in Scottish primary care: lessons for the future

This paper discusses the new quality assurance regulations of the Nuclear Regulatory Commission (NRC) for packaging and transportation of radioactive materials. These regulations became effective on October 18, 1977. Background information concerning these regulations and packaging and transportation history is included. The quality assurance program is described with indications of how it is composed of general (administrative) provisions which must meet the 18 quality assurance criteria and be approved by the NRC; specific provisions which appear in the DOT and NRC regulations and in the individual package design approval; and other specific procedures which are not required by regulations but which are necessary for the proper control of quality. The quality assurance program is to be developed using a graded approach for the application of pertinent criteria ...

237

Risks and safety aspects related to PET/MR examinations

ObjectiveTo evaluate the primary care communications initiative, which introduced NHSnet to primary care in Scotland.DesignSemi-structured telephone...Full Text Available

2000-10-07

238

Exploring the concept of climate surprises. A review of the literature on the concept of surprise and how it is related to climate change

The introduction of positron emission tomography (PET)/magnetic resonance (MR) systems into medical practice in the foreseeable future may not only lead to a gain in clinical diagnosis compared to PET/computed tomography (CT) imaging due to the superior soft-tissue contrast of the MR technology but can also substantially reduce exposure of patients to ionizing radiation. On the other hand, there are also risks and health effects associated with the use of diagnostic MR devices that have to be considered carefully. This review article summarizes biophysical and biological aspects, which are of relevance for the assessment of health effects related to the exposure of patients to both ionizing radiation in PET and magnetic and electromagnetic fields in MR. On this basis, some considerations concerning the justification and optimization of PET/MR examinations are presented - as far as this is possible at this very early stage. ...

2009-03-01

239

Calendar year 1993 groundwater quality report for the Chestnut Ridge Hydrogeologic Regime Y-12 Plant, Oak Ridge, Tennessee. 1993 Groundwater quality data interpretations and proposed program modifications

This report examines the concept of climate surprise and its implications for environmental policymaking. Although most integrated assessment models of climate change deal with average values of change, it is usually the extreme events or surprises that cause the most damage to human health and property. Current models do not help the policymaker decide how to deal with climate surprises. This report examines the literature of surprise in many aspects of human society: psychology, military, health care, humor, agriculture, etc. It draws together various ways to consider the concept of surprise and examines different taxonomies of surprise that have been proposed. In many ways, surprise is revealed to be a subjective concept, triggered by such factors as prior experience, belief system, and level of education. How policymakers have reacted to specific instances of climate change or climate surprise in the past is considered, ...

1998-01-01

240

Electron temperature diagnostics in the RFX reversed field pinch experiment

This groundwater quality report (GWQR) contains an evaluation of the groundwater quality data obtained during the 1993 calendar year (CY) at several hazardous and non-hazardous waste management facilities associated with the US DOE Y-12 Plant located on the DOE Oak Ridge Reservation (ORR) southeast of Oak Ridge, Tennessee. The groundwater quality data are presented in Part 1 of the GWQR submitted by Martin Marietta Energy Systems, Inc. to the Tennessee Department of Environment and Conservation (TDEC) in February 1994. Groundwater quality data evaluated in this report were obtained at several hazardous and non-hazardous waste management sites located within the Chestnut Ridge Hydrogeologic Regime (Chestnut Ridge Regime). The Chestnut Ridge Regime encompasses a section of Chestnut Ridge south of the Y-12 Plant and is one of three hydrogeologic regimes defined for the purposes of groundwater ...

1994-09-01

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241

Plugging indicator for controlling the sodium quality. Indicateur de bouchage pour le controle de la qualite du sodium

The paper presents an integrated approach to the problem of electron temperature diagnostics of the plasma in a reversed field pinch. Three different methods, sampling different portions of the electron distribution function, are adopted, namely Thomson scattering, soft X-ray spectroscopy by pulse-height analysis and filtered soft X-ray intensity ratio. A careful analysis of the different sources of systematic errors is performed and a novel statistical approach is adopted to mutually validate the three independent measurements. A satisfactory agreement is obtained over a large range of experimental conditions, indicating that in the plasma core the energy distribution function is well represented by a maxwellian. (author)

2000-08-01

242

Health and social impacts of biomass gasification for household energy in rural China: Assessment from three perspectives and emergent insights from their synthesis

This device has and head-race pipe with an external part and a coaxial inner part. A measuring head is mounted movable between these 2 parts and has at least a thermocouple and a mobile grid for varying the section and the sodium flow to facilitate the impurities dissolution. This ensemble is completed by a longitudinal body containing the main parts of the indicator and surrounded by a thermal exchanger to cool the sodium.

1991-09-20

243

Health Topics beginning with A - National Institutes of Health...

Solid fuels such as coal, wood, and crop straw supply some fraction of household cooking and heating fuel for more than one billion people in China. As these fuels do not generally combust cleanly in household stoves, their use levies large health and environmental burdens, particularly in rural regions. Production of clean-burning fuels from agricultural residue offers one prospect for mitigating health and social burdens imposed by household use of solid fuels. This dissertation explores the question: how might production of clean-burning household fuels from agricultural residues affect human health and social conditions in rural China? I approach this question from three perspectives. First, a technically plausible but currently unproven village-scale energy technology is explored in a scenario bounded by natural resources and substantiated by engineering specifications, estimates of indoor exposures to air pollution, ...

2005-01-01

244

Study of Water Quality Value in Sub of the Stream Area of Cisadane Rivers Upstream as Reference Area Based on Macro invertebrate Composition

Skip Over Navigation Links U.S. Department of Health & Human Services National Institutes of Health NIH...Turning Discovery into Health For Employees Staff Directory En Español...

2011-08-26

245

Advancing High-Quality Literacy Research in Juvenile Justice: Methodological and Practical Considerations

Specific structure of biota community condition can used as indicator for the ecosystem stability value or the waters pollution level where the aquatic biota exist. the macro invertebrates as bio indicator organism can used to assess the upper Cisadane Sub River Basin water quality. The grouping and calculation result from family number, Ept presences (sensitive macro invertebrate), Diversity index (H"'), DO value and TOC value showed 5 criteria of water quality as reference site. This criteria is used to determine water quality level from ten branches of rivers in the upper Cisadane Sub River Basin, Cijeruk districts. The biotic index calculation for ASPT (Average Score Per Taxon) and T and T (index Trihadiningrum and Tjindronegoro) is used to asses water quality based on macro invertebrate composition indicator. Both biotic index system ...

2001-11-01

246

Lighting in indoor environments: Visual and non-visual effects of light sources with different spectral power distributions

Special education researchers have made noteworthy progress toward conceptualizing literacy research questions, designing quality studies, and disseminating the results of their research. These advancements have been made through the establishment and refinement of quality research indicators. Unfortunately, this progress has mostly eluded the arena of juvenile justice special education research. The purpose of this article is to review juvenile justice literacy studies and provide juvenile justice personnel and researchers with methodological and practical considerations for improving the quality of juvenile justice literacy research. The focus is on advancing group designs. Practical concerns are based on the first-year experiences of researchers who implemented an Institute of Education Sciences Goal 3 study with the aim of determining the efficacy of literacy instructional programs in a juvenile ...

2010-11-01

247

British Library Electronic Table of Contents (United Kingdom)

Since the end of the 1990s, good quality lighting was that which balanced the needs of humans, economic and environmental issues, and architectural design. Recent studies aimed to find a correlation between environmental lighting and human performance and health, with positive results. What is known, is that insufficient or inappropriate light exposure can disrupt standard human rhythms which may result in adverse consequences for performance, safety, health. By studying the relationship between human physiology and light, research in photobiology has advanced to the point where some attempts to foresee what the lighting practice will be in future. The question is if lighting practice and lighting practitioners are ready for changes. This paper has the aim of introducing the recent discove...

2011-01-01

248

45 CFR 170.210 - Standards for health information technology to protect electronic health information created...

Reliability analysis of stiff versus flexible piping. Final project report

...2010-10-01 false Standards for health information technology to protect electronic health information...DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION TECHNOLOGY STANDARDS, IMPLEMENTATION...

2010-10-01

249

[International legal aspects of rendering medical care at sea].

This research project is to develop a technical basis for flexible piping designs which will improve piping reliability and minimize the use of pipe supports, snubbers, and pipe whip restraints. This study indicated that piping design can be made more reliable by some reduction of rigid supports and/or snubbers. This study also confirmed that the malfunction of pipe whip restraints introduced higher thermal stresses and tended to reduce the overall piping reliability. Finally, our results indicated that supports in a flexible piping design may need to be reevaluated and that the elimination of pipe supports which are close to components should be done with care in order to minimize the impact on the component reliability.

1985-05-01

250

Continuity of Care with a Primary Care Physician and Mortality in Older Adults

PMID:3176400

1988-06-01

251

Chronic care, chronic I.T. problems.

BackgroundWe examined whether older adults who had continuity of care with a primary care physician (PCP) had lower mortality.MethodsSecondary analyses...Full Text Available

2010-04-01

252

HEALTH POLICY INTERVENTION IN SCHOOLS PROMOTE PHYSICAL ACTIVITIES AMONG THE PUPILS

PMID:21877636

2011-08-01

253

DEFF Research Database (Denmark)

Now, more than ever, there are serious health concerns for obese and overweight children. Schools are the perfect setting for children to learn, and this influence can play an important role in preventing children from becoming obese and overweight. The study concerns the behaviors of Health Promoting School (HPS) according to a broad definition of HPS in World Health Organization (WHO), or dependent on schools own health promoting policies. The purpose of study research is to examine whether promoting physical activity among the children at schools in relation to a school health policy such as Food and Nutrition Policy (FNP). This was determined through the comparisons between the FNP based schools and non policy based schools. The study undertook surveys among school food coordinators in the selected Danish primary schools through a web-based questionnaire. The questions in the ...

254

Lyophilized human whole blood for internal and external quality assurance of lead in blood assays

[The indicators of biological age and accelerated aging in liquidators of the consequences of radiation emergency].

Lyophilized human whole blood control material containing lead was prepared for internal and external quality assurance to evaluate and improve the analytical performance of lead. The samples were prepared in four different concentrations from outdated human whole blood stabilized with glucose and a citrate/phosphate buffer and provided under clean room conditions to avoid contamination. The lyophilized samples are easy to reconstitute with water. The materials were evaluated according to a statistical model. The lead concentrations in the specimens are close to blood lead levels usually following environmental and industrial exposure, particular in occupational health to the control of lead exposure at work regulations. The materials are available to the commercial as well as the scientific community. The Danish External Quality Assessment Scheme (DEQAS) for lead in blood is intended to complement the internal ...

1990-10-01

255

Microwaves - the hidden danger. Mikrowellen - die verheimlichte Gefahr

The biological age (BA) of the majority of the liquidators of the consequences of the radiation accidents in the Navy and of the liquidators of the Chernobyl' APS accident exceeds the medium standard and the DBA (due BA). The index of the BA can be a characteristic of the influence of the social-hygienic factors on the health condition of the Special Risk Subunit--the liquidators of the consequences of the radiation accidents. It was established, that the radiation influence concerns to the factors dramatically increasing the BA and the rate of senescence of the liquidators of the consequences of the radiation accidents. PMID:21809627

2011-01-01

256

Aquatic macroinvertebrates and water quality in Sandia Canyon

Today, highly frequent radio waves are regarded as undangerous to man. Diseases seen at radar-technicians during the 2nd World War, however, indicated that microwaves applied in radar systems were hazardous to health. The Russian work medicine has been knowing microwave-caused hazards in industry since the beginning of the thirties. Therefore in some East-European countries there are terms of protection and severe norms of safety for the staying of persons in the radiation sphere of microwaves.

1987-01-01

257

The National Food and Nutrient Analysis Program: A decade of progress

In 1990, field studies of water quality and stream macroinvertebrate communities were initiated in Sandia Canyon at Los Alamos National Laboratory. The studies were designed to establish baseline data and to determine the effects of routine discharges of industrial and sanitary waste. Water quality measurements were taken and aquatic macroinvertebrates sampled at three permanent stations within the canyon. Two of the three sample stations are located where the stream regularly receives industrial and sanitary waste effluents. These stations exhibited a low diversity of macroinvertebrates and slightly degraded water quality. The last sample station, located approximately 0.4 km (0.25 mi) downstream from the nearest wastewater outfall, appears to be in a zone of recovery where water quality parameters more closely resemble those found in natural streams in the Los Alamos area. A large increase in ...

2005-09-01

258

British Library Electronic Table of Contents (United Kingdom)

The National Food and Nutrient Analysis Program (NFNAP) was designed to expand the quantity and improve the quality of data in the United States Department of Agriculture (USDA) food composition databases through the collection and analysis of nationally representative samples of foods and beverages. This paper describes some of the findings from the NFNAP and its impact on the food composition databases produced by USDA. The NFNAP employs statistically valid sampling plans, comprehensive quality control, and USDA analytical oversight to generate new and updated analytical data for food components. USDA food consumption and composition data were used to target those foods that are major contributors of nutrients of public health significance to the U.S. diet (454 Key Foods). Foods were ran...

2008-01-01

259

Strategies to Promote High School Students’ Healthful Food Choices

British Library Electronic Table of Contents (United Kingdom)

Studies have suggested that skill-building through hands-on cooking as a nutrition education strategy, is effective to improve overall dietary quality among participants. FamilyCook Productions' ''Diet for a Healthy Planet with Teen Battle Chefs(TM)'' curriculum using this approach, was piloted in 2008 in a Brooklyn public high school resulting in a statistically significant improvements in dietary quality as well as attitudinal improvements and efforts by students to support changes in school food service. Program evaluation used the RE-AIM framework and employed both quantitative and qualitative strategies including pre and post program surveys, focus groups, and weekly electronic teacher feedback. The program has since grown to over 85 high schools in 16 states.

2011-01-01

260

Quality of life after surgery for rectal cancer with special reference to pelvic floor dysfunction

British Library Electronic Table of Contents (United Kingdom)

Abstract Aim- Conventional outcomes such as survival, tumour recurrence and complication rates after surgery for rectal cancer have been rigorously assessed, but the importance of maintaining quality of life (QOL) after surgery for rectal cancer has received less attention. The aim of the current study was to analyse QOL and the occurrence of pelvic dysfunction after the surgical treatment of rectal cancer. Method- Between May 2005 and May 2008, 150 patients with rectal cancer underwent abdominoperineal resection (APR) or anterior resection (AR). Seventy-four answered two preoperative questionnaires. At a follow up of 1-year, 65 were alive without sign of recurrence and answered the same questionnaires: (a) validated RAND 36-item health survey QOL questionnaire; and (b) self-administered d...

2011-01-01

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261

Mental health in patients with systemic sclerosis: a controlled investigation

British Library Electronic Table of Contents (United Kingdom)

Abstract Background Despite the undeniable impact of systemic sclerosis (SS) on quality of life, only a few studies so far have focused on its psychiatric or psychological aspects. We aimed at assessing psychiatric symptoms and self-image in inpatients with SS and comparing them with patients with either a very mild skin condition or a serious skin condition. Methods Three groups were recruited: (i) 38 consecutive female inpatients with SS; (ii) 38 age-matched female outpatients with melanocytic naevi; (iii) 35 age-matched female inpatients with melanoma. All participants completed the Zung Anxiety Scale, the Zung Depression Scale and a self-report questionnaire measuring self-perceived personal qualities. Patients with SS were also clinically interviewed by a psychologist. Results The cli...

2008-01-01

262

The application of irradiation techniques for food preservation and processing improvement

Overview of the environmental concerns of coal transportation

This project has intended to develop alternative techniques to be used in food industry for food processing and utilization by safe irradiation methods. For improvement of rheology and processing in corn starch by irradiation, the production of modified starch with low viscosity as well as with excellent viscosity stability became feasible by the control of gamma irradiation dose levels and the amount of added inorganic peroxides to starch. Also, this project was developed the improvement methods of hygienic quality and long-term storage of dried red pepper by gamma irradiation. And, in Korean medicinal plants, 10 kGy gamma irradiation was effective for improving sanitary quality and increasing extraction yield of major components. For the sanitization of health and convenience foods, gamma irradiation was more effective than ozone treatment in decontamination of microorganisms, with minimal effect on the physicochemical ...

1997-09-01

263

Are causes knowable? Some consequences of successional versus toxicological interpretations of the Great Lakes water quality agreement

More than 30 environmental concerns were analyzed for the transportation of coal by rail, roads (trucks), high voltage transmission lines (that is, from mine-mouth generating plants to distribution networks), coal slurry pipelines, and barges. The following criteria were used to identify these problems: (1) real physical environmetal impacts for which control technologies must be developed, or regulation made effective where control technologies presently exist; (2) the level of impact is uncertain, although the potential impact may be moderate to high; (3) the concerns identified by the first two criteria are specific to or exacerbated by coal transportation. Generic transportation problems are not included. The significant environmental problems identified as a result of this study are: (1) rail transport - community traffic disruption and human health, safety, and habitat destruction; (2) coal haul roads - road degradation, traffic congestion and safety, air ...

1980-02-01

264

[Neurodevelopmental follow-up of premature children in Lausanne and Geneva].

The focus of the present Great Lakes water quality agreement between Canada and the United States is on transboundary pollution and particularly the injury to health and property from exposures to persistent toxic substances. Several scientists and policy advisors have suggested, on the basis of the Ecosystem Approach and systems theory, that the agenda should move on to other demanding topics, such as the introduction of exotic species, biodiversity, habitat restoration, fisheries management, sustainable development, and governance of the Great Lakes basin. None of these issues, however, poses the same scale of threat to national sovereignty and bilateral interests as does transboundary pollution. Thus, none warrants the degree of attention that has been and should be paid, despite declining budgets, to assessing and controlling releases of persistent toxic substances that continue to injure fish, wildlife, and human ...

265

What factors influence the prevalence and accuracy of nursing diagnoses documentation in clinical practice? A systematic literature review

Preterm children born before 32 weeks of gestation represent 1% of the annual births in Switzerland, and are the most at risk of neurodevelopmental disabilities. A neurological surveillance is thus implemented in the neonatal units, and multidisciplinary neurodevelopmental follow-up is offered to all our preterm patients. The follow-up clinics of the University hospitals in Lausanne and Geneva follow the Swiss guidelines for follow-up. An extended history and neurological examination is taken at each appointment, and a standardized test of development is performed. These examinations, which take place between the ages of 3 months and 9 years old, allow the early identification and treatment of developmental disorders frequent in this population, such as motor, cognitive or behavioral disorders, as well as the monitoring of the quality of neonatal care. PMID:21452511

2011-02-23

266

British Library Electronic Table of Contents (United Kingdom)

Aim.- To identify what determinants influence the prevalence and accuracy of nursing diagnosis documentation in clinical practice. Background.- Nursing diagnoses guide and direct nursing care. They are the foundation for goal setting and provide the basis for interventions. The literature mentions several factors that influences nurses- documentation of diagnoses, such as a nurse-s level of education, patient-s condition and the ward environment. Design.- Systematic review. Method.- MEDLINE and CINAHL databases were searched using the following headings and keywords: nursing diagnosis, nursing documentation, hospitals, influence, utilisation, quality, implementation and accuracy. The search was limited to articles published between 1995-October 2009. Studies were only selected if they were...

2011-01-01

267

Digital Audio Sampling for Film and Video.

Development of sample handling procedures for foods under USDA's National Food and Nutrient Analysis Program

Digital audio sampling is explained, and some of its implications in digital sound applications are discussed. Digital sound equipment is rapidly replacing analog recording devices as the state-of-the-art in audio technology. The philosophy of digital recording involves doing away with the continuously variable analog waveforms and turning the patterns into numbers. A digital recording device rapidly samples the incoming sounds, quantifying the signal into a series of numerical values (binary codes). Although digital sound eliminates many of the traditional analog problems, digital signal processing presents key problems in sampling rates and synchronization. Careful control is necessary to check signals through each step in the audio chain. The advantages of digital audio processing include increased signal-to-noise ratio, no flutter, transparent generation of copies, and sound manipulation. These benefits come with increased quality control ...

1993-03-01

268

British Library Electronic Table of Contents (United Kingdom)

The National Food and Nutrient Analysis Program (NFNAP) was implemented in 1997 to update and improve the quality of food composition data maintained by the United States Department of Agriculture (USDA). NFNAP was designed to sample and analyze frequently consumed foods in the U.S. food supply using statistically rigorous sampling plans, established sample handling procedures, and qualified analytical laboratories. Methods for careful handling of food samples from acquisition to analysis were developed to ensure the integrity of the samples and subsequent generation of accurate nutrient values. The infrastructure of NFNAP, under which over 1500 foods have been sampled, mandates tested sample handling protocols for a wide variety of foods. The majority of these foods were categorized into ...

2010-01-01

269

35 years of Thermoluminescence Dosimetry (TLD) in personnel and environmental monitoring in India - a tribute to Dr. K G Vohra

Remote on-board coal quality sensing techniques in coal cutting and handling systems

Full text: Thermoluminescence (TL) is a phenomenon of light emission caused by heating a pre-irradiated material. When ionizing radiation hits a TL material, electrons are freed from some atoms and moved in the material, leaving behind 'holes' of positive charge. Subsequently when the TL material is heated, the electrons and the 'holes' re-combine, and release the extra energy in the form of light. The light intensity can be measured, and related to the amount of energy initially absorbed through exposure to the ionizing radiation. In nineteen sixties thermoluminescence dosimeters (TLD) became popular for dosimetric applications in view of their small size, sensitivity and accuracy. Consequently, in early seventies, several countries started adopting of TLD for personnel monitoring. The idea of introducing TLD to replace the then prevalent film dosimeter for personnel monitoring in India was mooted and successfully implemented by Dr. K G Vohra. Limitations of prevalent film dosimeters ...

270

New demands to satisfy for air quality monitoring organisms; De nouvelles demandes a satisfaire pour les organismes de surveillance de la qualite de l'air

A review of the literature was undertaken to determine the potential for development of instrumentation for on-board remote sensing of coal quality. This review report acts as an inventory of commercially available techniques being tested or under development, particularly in the areas of the cutting horizon measurement methods associated with longwall mining equipment and coal/waste monitoring techniques in coal handling systems. While technology is available which can discriminate rocks from coal on a conveyor belt, the literature indicates that this hardware has yet to be adapted to continuous surface mining machines. 23 refs., 18 figs.

1987-09-01

271

Multilayer reflective coatings for extreme-ultraviolet lithography

The measurement of air pollutants is no more sufficient. It is necessary to assess the risk induced by air pollution, and then to put in place actions to reduce it. The air quality monitoring takes into account different pollutants: nitrogen oxides, carbon monoxide, particulates for the traffic; sulfur dioxide and particulates for use of fuel or coal or chemical transformations in air; ozone and nitrogen dioxide from hydrocarbon and nitrogen oxides emissions; the use of simulation methods allow to calculate the concentrations levels for these pollutants taken as indicators. (N.C.)

2000-07-01

272

Fundamentals of Inter-cell Overhead Signaling in Heterogeneous Cellular Networks

Multilayer mirror coatings which reflect extreme ultraviolet (EUV) radiation are a key enabling technology for EUV lithography. Mo/Si multilayers with reflectances of 67.5% at 13.4 nm are now routinely achieved and reflectances of 70 2% at 11.4 nm were obtained with MO/Be multilayers. High reflectance is achieved with careful control of substrate quality, layer thicknesses, multilayer materials, interface quality, and surface termination. Reflectance and film stress were found to be stable relative to the requirements for application to EUV lithography. The run-to-run reproducibility of the reflectance peak position was characterized to be better than 0.2%, providing the required wavelength matching among the seven multilayer-coated mirrors used in the present lithography system design. Uniformity of coating was improved to better than 0.5% across 150 mm diameter substrates. These improvements in EUV multilayer mirror ...

1998-03-10

273

CERN Document Server

Heterogeneous base stations (e.g. picocells, microcells, femtocells and distributed antennas) will become increasingly essential for cellular network capacity and coverage. Up until now, little basic research has been done on the fundamentals of managing so much infrastructure -- much of it unplanned -- together with the carefully planned macro-cellular network. Inter-cell coordination is in principle an effective way of ensuring different infrastructure components behave in a way that increases, rather than decreases, the key quality of service (QoS) metrics. The success of such coordination depends heavily on how the overhead is shared, and the rate and delay of the overhead sharing. We develop a novel framework to quantify overhead signaling for inter-cell coordination, which is usually ignored in traditional 1-tier networks, and assumes even more importance in multi-tier heterogeneous cellular networks (HCNs). We derive the overhead ...

2011-01-01

274

42 CFR J - 2-Health Professions Recruitment Program for Indians

42 CFR 417.102 - Health benefits plan: Supplemental health services.

42 Public Health 1 2010-10-01 2010-10-01 false 2-Health Professions Recruitment Program for Indians J Subdivision J Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

2010-10-01

275

Structural health monitoring of constrained tapered beamlike structures using natural frequencies and nodal points

42 Public Health 3 2010-10-01 2010-10-01 false Health benefits plan: Supplemental health services. 417.102 Section 417.102 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF...

2010-10-01

276

Regional assessment of ambient volatile organic compounds from biopharmaceutical R&D complex

The integrity and safety of beam-like structures are dependent in part on their boundary conditions which can vary with time due to damage or aging. Structural health monitoring of such structures should therefore include attention to boundary conditions. Where the boundary conditions can be represented by a lumped spring then the identification of associated stiffness parameter values may be a means to quantifying the integrity of the support. This paper investigates such a method for identifying the equivalent translational and rotational stiffness of a constrained tapered beam-like structure. An analytical model of a beam of tapered width and thickness is adopted as a simplified representation of a tower-like structure. The model is used to explore in what scenarios natural frequencies and/or nodal points might be sufficiently sensitive to changes in support conditions to be measurable indicators of damage. The method is evaluated by Monte ...

2011-07-01

277

British Library Electronic Table of Contents (United Kingdom)

Biopharmaceutical R&D complexes are major emission sources of volatile organic compounds (VOCs), which may pose potential health risks for staff on site and residents nearby. In this paper health risk assessments were performed for the VOCs in the ambient air of a typical biopharmaceutical R&D complex in China. Results showed halogenated and alkyl compounds were dominant components among 24 major VOCs from 9 selected sampling sites, inside or around the complex. The principal component analysis (PCA) indicated VOCs were generated predominantly from the biopharmaceutical research activities (factor 1 (F1), 71.6%) and traffic vehicles (factor 2 (F2), 15.4%), which were confirmed by contour maps of five selected VOCs (benzene, toluene, chlorobenzene, methylene chloride and n-hexane) simulated...

2011-01-01

278

Onset of epilepsy and menarche-Is there any relationship?

British Library Electronic Table of Contents (United Kingdom)

SummaryPurposeWomen with epilepsy have increased frequency of reproductive health problems compared to women without epilepsy. In puberty, reproductive hormonal changes during sexual maturation may affect epilepsy and induce the debut of seizures as indicated in some studies. On the other hand, epileptic activity affects sex hormone function, which may induce alterations in pubertal endocrine maturation and thereby menarche age. We wanted to investigate the relation between epilepsy and menarche age in a larger population of female epilepsy patients.MethodsA retrospective, questionnaire study of a cohort of 265 female outpatients from three Norwegian hospitals and 142 controls, aged 18-45 years was conducted. Parameters regarding epilepsy and reproductive health issues were registered. Per...

2006-01-01

279

Enhancing the Delivery of Supplemental Nutrition Assistance Program Education through Geographic Information Systems

British Library Electronic Table of Contents (United Kingdom)

The Network for a Healthy California (Network) employs a Geographic Information System (GIS) to identify the target audience and plan program activities because GIS is a powerful tool for assisting in data integration and planning. This paper describes common uses of GIS by Network contractors as well as demonstrating the possibilities of GIS as a useful tool for public health programs and audience targeting in general. Narrative examples supported with graphics describe how 1) Network contractors use the GIS to identify eligible census tracts to carry out their work, 2) the GIS can map neighborhood assets in eligible census tracts throughout California, 3) the GIS can map health behavior data to the county level throughout California, and 4) the GIS can map selected indicators of healthy ...

2011-01-01

280

Effects of C-60 fullerenes and carbon nanotubes on marine mussels.

Environmental Research Database

Objectives1. We will use reduction of lysosomal stability as an indicator of cell injury induced by C-60 fullerenes and carbon nanotubes in the liver analogue or digestive gland (hepatopancreas) of marine mussels. Molluscan hepatopancreatic digestive cells are key to normal function and are a sensitive key interface with the environment. Reduction of lysosomal stability is mechanistically linked with impaired health of the whole animal. 2. We will also test the hepatopancreatic digestive cells for evide [continued...]DescriptionNanotechnology is a major innovative scientific and economic growth area, which may present a variety of hazards for environmental and human health. The surface properties and very small size of nanoparticles and nanotubes provides surfaces that may bind and transport toxic chemical pollutants, as well as possibly being toxic in their own right by generating reactive oxygen species (ROS). There is a ...

2008-01-25

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

281

Application of probabilistic methods to accident analysis at waste management facilities

Expanding the role of the cost engineer

Probabilistic risk assessment is a technique used to systematically analyze complex technical systems, such as nuclear waste management facilities, in order to identify and measure their public health, environmental, and economic risks. Probabilistic techniques have been utilized at the Waste Isolation Pilot Plant (WIPP) near Carlsbad, New Mexico, to evaluate the probability of a catastrophic waste hoist accident. A probability model was developed to represent the hoisting system, and fault trees were constructed to identify potential sequences of events that could result in a hoist accident. Quantification of the fault trees using statistics compiled by the Mine Safety and Health Administration (MSHA) indicated that the annual probability of a catastrophic hoist accident at WIPP is less than one in 60 million. This result allowed classification of a catastrophic hoist accident as ''not credible'' at WIPP per DOE ...

282

Changing communities, changing spaces: the challenges of health promotion outreach in cyberspace.

There have been many questions about the costs of providing medical services. These questions have resulted in the development of Resource-Based Relative Values Scale (RBRVS) at the national level. Policymakers view RBRVS as a potential tool to pay physicians. The questions, about the cost of operations of HSE-2 at Los Alamos National Laboratory, revolve around doing routine occupation health physicals for the Laboratory. Generally, these questions are concerned about why the costs appear to be high relative to what private physician suggests the costs should be. There is also an interest in trying to find methods to reduce these costs if possible. Many of the tools developed to help in construction estimating can be applied to estimating medical costs. With the need to perform many thousands of physicals each year the saving of even a few dollars for each exam can quickly add up to a large saving. There are a number of different types of physicals and different ...

1989-01-01

283

The use of artificial neural network analysis and multiple regression for trap quality evaluation: a case study of the Northern Kuqa Depression of Tarim Basin in western China

This article is a case study of an Internet chat room outreach project in Perth, Western Australia. The CyberReach project sought to adapt current peer based health promotion outreach, training and supervision frameworks to an online outreach setting in a way that was effective and supported by the online community. It targeted marginalised groups to trial the provision of online mental and sexual health promotion incorporating a participatory action research model into its development and implementation. Three 6-week trial periods were conducted and significant changes were made in response to changes in the online environment and to improve sustainability and effectiveness of the protocols. Four themes arose from CyberReach's experience: online group processes are unique due to the creation of extensive personal networks and occurrence of disclosure without face-to-face contact across potentially large geographic barriers; flexibility is ...

2007-01-01

284

Ignition delay as determined in a variable-compression ratio direct-injection diesel engine

Artificial neural network analysis is found to be far superior to multiple regression when applied to the evaluation of trap quality in the Northern Kuqa Depression, a gas-rich depression of Tarim Basin in western China. This is because this technique can correlate the complex and non-linear relationship between trap quality and related geological factors, whereas multiple regression can only describe a linear relationship. However, multiple regression can work as an auxiliary tool, as it is suited to high-speed calculations and can indicate the degree of dependence between the trap quality and its related geological factors which artificial neural network analysis cannot. For illustration, we have investigated 30 traps in the Northern Kuqa Depression. For each of the traps, the values of 14 selected geological factors were all known. While geologists were also able to assign individual trap ...

2004-03-01

285

IEEE [Institute of Electrical and Electronics Engineers] standards and nuclear software quality engineering

A variable-compression ratio, direct-injection diesel engine (VCR) has been designed and assembled at Southwest Research Institute with the intention of examining the current procedures for rating the ignition quality of diesel fuels and the meaning of ignition delay as an indicator of ignition and combustion quality. Using a slightly modified ASTM D 613 procedure, the engine has been used to rate the ignition quality of 43 different test fuels. The ratings obtained in the VCR engine are compared to the corresponding rating obtained using the standard cetane rating procedure. Some of the problems associated with the standard procedure became apparent during these experiments. The experimental results are discussed in terms of the problems and the advantages of a proposed VCR-based rating procedure.

1987-01-01

286

Evaluation of the Validity of Groundwater Samples Obtained Using the Purge Water Management System at SRS

Significant new nuclear-specific software standards have recently been adopted under the sponsorship of the American Nuclear Society and the American Society of Mechanical Engineers. The interest of the US Nuclear Regulatory Commission has also been expressed through their issuance of NUREG/CR-4640. These efforts all indicate a growing awareness of the need for thorough, referenceable expressions of the way to build in and evaluate quality in nuclear software. A broader professional perspective can be seen in the growing number of software engineering standards sponsored by the Institute of Electrical and Electronics Engineers (IEEE) Computer Society. This family of standards represents a systematic effort to capture professional consensus on quality practices throughout the software development life cycle. The only omission-the implementation phase-is treated by accepted American National Standards Institute or de facto ...

1988-06-12

287

The Study on the Health of Aroma Therapeutist

As part of the demonstration testing of the Purge Water Management System (PWMS) technology at the Savannah River Site (SRS), four wells were equipped with PWMS units in 1997 and a series of sampling events were conducted at each during 1997-1998. Three of the wells were located in A/M Area while the fourth was located at the Old Radioactive Waste Burial Ground in the General Separations Area.The PWMS is a ''closed-loop'', non-contact, system used to collect and return purge water to the originating aquifer after a sampling event without having significantly altered the water quality. One of the primary concerns as to its applicability at SRS, and elsewhere, is whether the PWMS might resample groundwater that is returned to the aquifer during the previous sampling event. The purpose of the present investigation was to compare groundwater chemical analysis data collected at the four test wells using the PWMS vs. historical data ...

1999-04-27

288

Environment in the European Union 1995. Report for review of the Fifth Environmental Action Programme

Full Text Available

2008-02-01

289

Research and development quality assurance planning

This report is an appraisal of the state of the European Union`s environment. It was requested by the European Commission as part of the review process of the Fifth Environmental Action Programme `Toward sustainability`. Main sections of the report are headed: societal developments and driving forces; environmental themes and topics; integration economy and environment. Themes covered are: climate change, ozone depletion, acidification, air pollution and quality, waste management, urban-issues, inland water resources, coastal zones and marine waters, risk management, soil quality, and nature and diversity. The main conclusions of this report are that the European Union is making progress towards reducing certain pressures on the environment, though this is not enough to improve the general quality of the environment and represents even less progress towards sustainability. Without accelerated policies, pressures on the ...

1995-12-31

290

Quantitative non-destructive evaluation of high-temperature superconducting materials

Planning for quality assurance (QA) in research and development (R D) is like stealing eggs without waking up the chickens. The QA program should be as unobtrusive as possible. Researchers require a QA program that affords them an environment capable of supporting repeatable experiments with accurate data without unduly stifling their creative abilities. Careful advance planning ensures that the intensity of control provided by quality-related systems is commensurate with the importance and scope of the activities being performed. Good scientific practices applied to small bench-scale projects may require minimal additional controls. As projects increase in size and complexity the controls imposed through planning must, by necessity, be increased. Research and development QA planning, just like any other planning, involves all affected individuals. The application of control systems is determined by factors such as customer ...

1990-05-14

291

Nursing Diagnosis of Activity Intolerance: Clinical Validation in Patients With Refractory Angina

Even though the currently intensive research efforts on high- temperature superconducting materials have not yet converged on a well specified practical material, the indications are that such a material may be quite brittle, anisotropic, and may contain many flaws such as microcracks and voids at grain boundaries. Consequently, practical applications of high temperature superconducting materials will require a very careful strength analysis based on fracture mechanics considerations. Because of the high sensitivity of the strength of such materials to the presence of defects, methods of quantitative non-destructive evaluation may be expected to play an important role in strength determinations. This proposal is concerned with the use of ultrasonic methods to detect and characterize isolated cracks, clusters of microcracks and microcracks distributed throughout the material. Particular attention has been, and will continue to be devoted to ...

1991-06-14

292

British Library Electronic Table of Contents (United Kingdom)

PURPOSE.- The study aims to clinically validate the defining characteristics (DCs) of the nursing diagnosis (ND) of Activity Intolerance for patients with ischemic heart disease and refractory angina. METHODS.- Cross-sectional study was used, involving 22 patients with ND of Activity Intolerance. The Fehring method was used to validate the ND. FINDINGS.- Most DCs presented reliability indexes between 0.5 and 0.79. Three DCs presented reliability indexes - 0.8. CONCLUSION.- All DCs were validated, and electrocardiographic changes indicating ischemia, verbal report of fatigue, and abnormal rate response to activity were considered as DC major. IMPLICATIONS FOR NURSING PRACTICE.- This study is relevant in daily nursing practice for guidance in establishing the care plan and describing the ass...

2011-01-01

293

Coping Style

British Library Electronic Table of Contents (United Kingdom)

Abstract The fit of patient coping style and psychotherapy focus has been suggested as improving treatment outcome. This article reviews the definitions, measures, and previous research surrounding this hypothesis. An original meta-analysis of 12 carefully selected studies (N = 1,291 patients) resulted in a weighted, mean effect size (d) of .55 in favor of a fit between externalizing patients and symptom-focused treatment or, alternatively, internalizing patients and insight-focused treatment. This medium-size effect indicates that nondiagnostic patient factors, like coping style, are important considerations in the selection of effective therapies. Clinical examples and clinical recommendations are provided. 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 67:176-183, 2011.

2011-01-01

294

The review of radioactive waste management in the world

Long-term effects of prenatal x-ray of human females: reproductive experience

Radioactive waste is generally classified on the basis of how much radiation and the type of radiation it emits as well as the length of time over which it will continue to emit radiation. Many activities dealing with radioactive materials produce nuclear wastes, including civilian nuclear power programs (nuclear Power plant operations and nuclear fuel-cycle activities), defense nuclear programs (nuclear weapons production, naval nuclear reactor programs, and related R and D), and industrial and institutional activities (scientific research, medical operations, and other industrial uses of Radioisotopic sources or Radio chemicals). To minimize the potential adverse health and environment impacts to people and other systems including of animals, plant and etc, during the entire lifetime of the radionuclides involved, nuclear waste must be carefully and properly managed. The scope of nuclear - waste management encompasses generation, processing ...

295

Hospital waste management in Lebanon

A cohort of singleton black human females exposed to diagnostic x-ray in utero and controls matched by parity, hospital of birth and birthdate have been followed to ages 25 to 30 years in Baltimore, Maryland. The search for possible effects of prenatal irradiation has focused on health, growth, development, and reproductive experience of exposed and control women. This paper reports findings related to reproductive experience. From an original data set of 1458 matched exposed-control pairs of women, questionnaire responses were received from 1109 exposed and 1124 control women including 852 each from pairs in which both the exposed and control woman responded. After careful search for alternative explanations of the findings, the authors concluded that females exposed in utero to low doses of x-ray (probably 1 to 5 rads) had significant increases in their rates of early onset of menses, births at age 15 years or less, numbers of living ...

1981-09-01

296

Electromagnetic fields and cancer: how ICNIRP has dealt with the issue

Hospital wastes comprises approximately 80% domestic waste components, also known as non-risk waste and 20% hazardous or risk waste. The 20% of the hospital waste stream or the risk waste (also known as infectious, medical, clinical wastes) comprises components which could be potentially contaminated with infections, chemical or radioactive agents. Therefore, it should be handled and disposed of in such a manner as to minimize potential human exposure and cross-contamination. Hospital risk waste and be subdivided into seven general categories as follows: infections, anatomical/pathological, chemical, pharmaceutical, radioactive waste, sharps and pressurised containers. These waste categories are generated by many types of health care establishments, including hospitals, clinics, infirmaries.... The document presents also tables of number of hospitals and estimated bed number in different regions in Lebanon; estimated hospital risk and non-risk ...

1999-06-02

297

Comparison of in vitro disc diffusion and time kill-kinetic assays for the evaluation of antimicrobial wound dressing efficacy.

Whether exposure to electromagnetic fields (EMFs) cause cancer has been vigorously debated for many years and has been the most vexing issue with which ICNIRP has had to deal during its short existence. There have been three parts of the electromagnetic spectrum that the issue of cancer has raised: static (0 Hz) magnetic fields, extremely low frequency (ELF) fields (defined as > 0-300 Hz, but concerns have been raised almost exclusively at the power frequencies of 50/60 Hz), and radiofrequency (RF) fields (300 Hz -300 GHz). By far the major problems have arisen during the construction of new high voltage transmission lines and mobile telephone systems. Actions by protest groups concerned with possible health effects, especially with cancer in children, has now reached such a scale that it is costing electrical utilities and communications companies billions of dollars annually world-wide. With such high stakes, ICNIRP has had to be extremely ...

1996-04-01

298

Behavioral Economics and Regulatory Analysis.

There is a plethora of new silver-containing dressings on the market today. Various manufacturers attempt to show that their dressings are the most efficacious and therefore should be preferentially employed by health care workers based on the results of their in vitro tests. However, there have been no studies that clearly identify which tests are appropriate for comparison purposes. The purpose of this study was to determine which in vitro test is most appropriate for evaluating the antimicrobial efficacy of silver-containing dressings. This was done by testing seven silver-containing dressings and two non-silver-containing topical agents against 17 clinically relevant microorganisms using zone of inhibition assays and time-kill kinetic assays in complex media. The results for the two assays were then correlated to determine whether the methods generated similar results. It was determined that the two methods do not correlate at all. This is ...

299

A Blueprint for Telerehabilitation Guidelines?October 2010

Behavioral economics has captured the interest of scholars and the general public by demonstrating ways in which individuals make decisions that appear irrational. While increasing attention is being focused on the implications of this research for the design of risk-reducing policies, less attention has been paid to how it affects the economic valuation of policy consequences. This article considers the latter issue, reviewing the behavioral economics literature and discussing its implications for the conduct of benefit-cost analysis, particularly in the context of environmental, health, and safety regulations. We explore three concerns: using estimates of willingness to pay or willingness to accept compensation for valuation, considering the psychological aspects of risk when valuing mortality-risk reductions, and discounting future consequences. In each case, we take the perspective that analysts should avoid making judgments about whether values are "rational" ...

2011-08-13

300

British Library Electronic Table of Contents (United Kingdom)

Committee Members Co-Chairs David Brennan, M.B.E., Senior Research Engineer, National Rehabilitation Hospital, Washington, District of Columbia. Lyn Tindall, Ph.D., Speech-Language Pathologist, Department of Veterans Affairs Medical Center, Lexington, Kentucky. Writing Committee Janet Brown, M.A., CCC-SLP, Director, Health Care Services, American Speech-Language-Hearing Association, Rockville, Maryland. Mike Campbell, M.S., M.B.A., CCC-SLP, Director of the Speech and Hearing Program, The University of North Carolina at Greensboro, Browns Summit, North Carolina. Jana Cason, D.H.S., OTR/L, Assistant Professor, Auerbach School of Occupational Therapy, Louisville, Kentucky. Diana Christiana, M.A.T., CCC-SLP, President/CEO, Clinical Communications, Sugar Land, TX. Alan Lee, Ph.D., P.T., D.P.T.,...

2011-01-01

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

301

The IAEA Code of Practice on quality assurance, and quality assurance requirements and practices in Member States

Palliative Care Physicians' Religious / World View and Attitude Towards Euthanasia: A Quantitative Study Among Flemish Palliative Care Physicians

The IAEA Code of Practice on Quality Assurance for Safety in Nuclear Power Plants and the corresponding Safety Guides are reviewed and compared with quality assurance (QA) practices in the IAEA Member States. The QA requirements stipulated by the Code place on the nuclear power plant owner the responsibility to establish an overall QA programme for the plant. In selecting the QA programme level for specific activities, the Code allows of a flexible approach but does not specify gradation in programme requirements. The Code is placing the burden of quality-achieving and quality-assuring functions on the task-performing organizations, namely the designers, manufacturers, constructors and plant operators. The plant owner provides for the management of the overall QA programme, surveillance of activities and verifications of the effectiveness of the constituent programmes of all project participants through ...

302

Paediatric Palliative Care: Theory to Practice

Aims:To Study the religious and ideological views and practice of Palliative Care physician towards Euthanasia.Materials and Methods:An...Full Text Available

2009-01-01

303

Most Antidepressant Use in Primary Care Is Justified; Results of the Netherlands Study of Depression and Anxiety

Paediatric palliative care is a holistic approach aimed at addressing the complex issues related to the care of children and families facing chronic life limiting illnesses. The needs of children are...Full Text Available

2011-01-01

304

A comparison of the level of care predictions of six long-term care patient assessment systems.

BackgroundDepression is a common illness, often treated in primary care. Many studies have reported undertreatment with antidepressants in primary care. Recently, some studies also...Full Text Available

305

A Patient Survey Assessing the Awareness and Acceptability of the Emergency Care Summary and Its Consent Model in Scotland

Six patient assessment systems that have explicit decision rules for replicating team judgments on level of care patient placement were selected for analysis. The six were selected because of their...Full Text Available

1980-11-01

306

Radiation exposure of the population of the GDR by X-ray diagnostics

BackgroundThe Emergency Care Summary (ECS) was introduced in 2006 to allow aspects of the general practitioner (GP; family doctor, equivalent to primary care physician) medical record...Full Text Available

307

How coal quality affects boiler design. Part 3. Flue gas desulfurization

The radiation burden of the people of the GDR in relation to biomedical radiography altogether as well as organ doses, gonad doses and genetically significant doses in detail are outlined. The concepts of radiation protection and standards of radiographic examination are demonstrated. Possibilities of influencing radiation exposure by scientifically based indication of X-ray examination, application of new and improvement of usual examination techniques are discussed with regard to quality assurance and control. Proposals concerning the reduction of radiation exposure of the GDR population are presented.

1986-01-01

308

Energy conservation by partial recirculation of peanut drying air

In this third, and concluding, article of the series the emission limits set by the US Clean Air Act and its amendements are set out. A number of flue gas desulfurization processes that have been developed for the utility and industrial markets are evaluated. Annual operating costs are indicated.

1982-08-01

309

Achieving more reliable operation of turbine generators at nuclear power plants by improving the water chemistry of the generator stator cooling system

Conventional, recirculating, and intermittent type peanut dryers were compared in a three-year study. Comparisons indicate that partial recirculation of peanut drying air may reduce energy consumption per unit of water removed by approximately 25% while also reducing required drying time and maintaining high quality.

1983-06-01

310

British Library Electronic Table of Contents (United Kingdom)

Ways of improving the water chemistry used in the turbine generator stator?s cooling systems at Russian nuclear power plants are considered. Data obtained from operational chemical monitoring of indicators characterizing the quality of cooling water in the turbine generator stator cooling systems of operating power units at nuclear power plants are presented.

2011-01-01

311

sup 131 I treatment of thyroid papillary carcinoma in a patient with renal failure

Assessment of tritium in the Savannah River Site environment

Procedures for {sup 131}I ablation in renal failure are not known. In one patient receiving dialysis, detailed dosimetry and health safety aspects were obtained. The results showed insignificant contamination of equipment, but a surprisingly significant reduction in biologic half-life of {sup 131}I due to efficient dialysis extraction. The data indicate that {sup 131}I ablation can be done safely and easily during dialysis but that much higher {sup 131}I doses must be used to achieve equivalent results to those obtained in patients with normal renal function.

1990-12-15

312

Promise and Possibility in Special Education Services for Students with Emotional or Behavioral Disorders: Peacock Hill Revisited

This report is the first revision to a series of reports on radionuclides inn the SRS environment. Tritium was chosen as the first radionuclide in the series because the calculations used to assess the dose to the offsite population from SRS releases indicate that the dose due to tritium, through of small consequence, is one of the most important the radionuclides. This was recognized early in the site operation, and extensive measurements of tritium in the atmosphere, surface water, and ground water exist due to the effort of the Environmental Monitoring Section. In addition, research into the transport and fate of tritium in the environment has been supported at the SRS by both the local Department of Energy (DOE) Office and DOE`s Office of Health and Environmental Research.

1993-10-01

313

Groundwater quality assessment plan for single-shell tank waste management Area U at the Hanford Site

This article provides an historical look at how programs and practices for students with emotional or behavior disorders (E/BD) have been evaluated since 1964, leading to a codified, although not universally recognized, set of recommendations for evaluating best practices for students with E/BD set out by The Peacock Hill Working Group (1991). The authors contend that, in addition to the programmatic features of best practice, the addition of the quality indicators and standards for research in special education add a critical dimension for examining the quality of the scientific research of identified best practices. Taken together, these set of recommendations and quality indicators represent the state of the art in program evaluation for best practice and programs for students with E/BD. The goal of this article is to outline the current recommendations and apply them to current ...

2010-08-01

314

An ecologically relevant exposure assessment for a polluted river using an integrated multivariate PLS approach

Waste Management Area U (WMA U) includes the U Tank Farm, is currently regulated under RCRA interim-status regulations, and is scheduled for closure probably post-2030. Groundwater monitoring has been under an evaluation program that compared general contaminant indicator parameters from downgradient wells to background values established from upgradient wells. One of the indicator parameters, specific conductance, exceeded its background value in one downgradient well triggering a change from detection monitoring to a groundwater quality assessment program. The objective of the first phase of this assessment program is to determine whether the increased concentrations of nitrate and chromium in groundwater are from WMA U or from an upgradient source. Based on the results of the first determination, if WMA U is not the source of contamination, then the site will revert to detection monitoring. If WMA U is the source, then a ...

2000-03-21

315

Testing the Right Question Project (RQP) Health Education Strategy in a Mental Health Setting

A case study is presented where an integrated, ecologically relevant exposure assessment is presented for a polluted lowland river. Using partial least squares regression of latent structures (PLS), an analysis of the impact of two effluents on physico-chemical water quality measures, macroinvertebrate and diatom communities, and in situ bioassay responses with four different test species are combined into an integrative exposure assessment. Bioassays focussed on growth and condition related endpoints, because they are key functional processes of organisms and populations. Integrating these multiple lines of evidence, we were able to discriminate among the impact of both effluents, link changes in physico-chemical water quality with bioassay endpoints and ecological quality of the ecosystem, and address the importance of integrating all information into one exposure assessment framework. The bioassays under field conditions ...

2004-11-01

316

Impact of Complementary Private Health Insurance on Public Health Spending in Korea

Diagnosis, Psychiatric

2010-10-08

317

Global Warming and California's Public Health

Full Text Available

2007-06-01

318

Residential proximity to high voltage transmission lines and depressive symptomatology

This fact sheet summarizes the potential impact of climate change as it relates to public health in California....

319

Healthy Buildings and Green Building Rating Systems; Gezond bouwen en duurzaamheidslabels

A number of epidemiological studies indicate an association between depression and proximity to high voltage transmission lines. These studies have been criticized, however, for using surrogate measures of electromagnetic fields (EMFs) and unstandardized measures of depression. In an effort to overcome these limitations, the Center for Epidemiological Studies Depression (CES-D) scale was administered to 152 women living either adjacent to a transmission line or one block away. Results indicate that homes adjacent to the transmission lines have an average EMF level of 4.86 milligauss at their front door and those one block away have an average of 0.68 milligauss. There was no significant difference in CES-D scores between the groups, controlling for demographic variables. There appeared to be an increase in other health effects, including cancer and miscarriages, but these findings were preliminary and need further ...

1992-01-01

320

Replacement of the Idaho National Engineering Laboratory Health Physics Instrumentation Laboratory

The awareness of health issues related to buildings has heightened past decades. Indoor Environmental Quality (IEQ) has been addressed in most Green Building Rating Systems nowadays. This article analyses the scope of IEQ (Indoor Environmental Quality) within Rating Systems GPR Gebouw, BREEAM-NL (Dutch version of Building Research Establishment's Environmental Assessment Method) and LEED (Leadership in Energy and Environmental Design). Each Rating System allocates health aspects. However, none of these Rating Systems addresses a complete set of relevant aspects. High ratings do not guarantee healthy buildings. It is concluded that, in general, credits for energy efficiency do not interfere with credits for enhanced indoor environmental quality. [Dutch] Gezondheidsaspecten van gebouwen hebben afgelopen decennia steeds meer en integraler aandacht gekregen. In de instrumenten ...

2010-11-15

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321

The Confidence in Diabetes Self-Care Scale

The DOE-Idaho Operations Office (DOE-ID) has prepared an environmental assessment (EA) on the replacement of the Idaho National Engineering Laboratory Health Physics Instrumentation Laboratory at the Idaho National Engineering Laboratory (INEL). The purpose of this project is to replace the existing Health Physics Instrumentation Laboratory (HPIL) with a new facility to provide a safe environment for maintaining and calibrating radiation detection instruments used at the Idaho National Engineering Laboratory. The existing HPIL facility provides portable health physics monitoring instrumentation and direct reading dosimetry procurement, maintenance and calibration of radiation detection instruments, and research and development support-services to the INEL and others. However, the existing facility was not originally designed for laboratory activities and does not provide an adequate, safe environment for calibration ...

1995-05-01

322

Networking of Palliative Care at the Corporate Level

OBJECTIVETo examine psychometric properties of the Confidence in Diabetes Self-Care (CIDS) scale, a newly developed instrument assessing diabetes-specific self-efficacy...Full Text Available

2003-03-01

323

This article is a story of networking of palliative care at the corporate level. This gives an insight that if you have will and dedication then you can imagine and make it true that networking can...Full Text Available

2011-01-01

324

Nemours Foundation

Costs of ambulatory care related to female pelvic floor disorders in the United States

... Harbor Township Vineland Voorhees Pediatric Partner Hospitals AtlantiCare Regional Medical Center- City Campus, Atlantic City AtlantiCare Regional Medical Center - ...

325

Barriers to Initiating Depression Treatment in Primary Care Practice

OBJECTIVETo evaluate trends in costs of ambulatory care related to female pelvic floor disorders (PFD) in the United States.STUDY DESIGNFull Text Available

2010-05-01

326

Sensors and instrumentation for atmospheric pollutions control; Capteurs et instrumentation pour le controle des pollutions atmospheriques

OBJECTIVE AND DESIGNThis study used qualitative and quantitative methods to examine the reasons primary care physicians and nurses offered for their inability to initiate guideline-concordant...Full Text Available

2002-02-01

327

Oral Health in Women During Preconception and Pregnancy: Implications for Birth Outcomes and Infant Oral Health

Reinforcement of the legislation concerning the emission of atmospheric pollutants, aerosols, refrigerants, solvents etc and the reduction of the greenhouse effect, has led to the development of performing instruments for the survey and control of ambient air quality and for the limitation of exhaust gases, combustion products, volatile organic compounds (VOC), particulates and noxious compounds in the atmosphere. This study is divided in 4 main parts. The first part describes the context of the air quality control: the problems linked with the environment and health, the pollutants characteristics, the pollution levels and the detection sensitivity of instruments according to the different type of pollutants (petroleum products, VOCs, ozone compounds, particulates, smells..), the protocols of air pollution measurements and their application (chimney smokes, industrial volatile compounds, indoor and ambient air ...

1996-11-01

328

Communicating human biomonitoring results to ensure policy coherence with public health recommendations: analysing breastmilk whilst protecting, promoting and supporting breastfeeding

The mouth is an obvious portal of entry to the body, and oral health reflects and influences general health and well being. Maternal oral health has significant implications for birth outcomes and infant...Full Text Available

2006-09-01

329

45 CFR 170.205 - Content exchange standards and implementation specifications for exchanging electronic health...

This article addresses the problem of how to ensure consistency in messages communicating public health recommendations on environmental health and on child health. The World Health Organization states...Full Text Available

330

42 CFR J - 8-Health Professions Pregraduate Scholarship Program for Indians

...standards and implementation specifications for exchanging electronic health information. 170.205 Section 170.205 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH INFORMATION TECHNOLOGY HEALTH INFORMATION TECHNOLOGY...

2010-10-01

331

42 CFR J - 3-Health Professions Preparatory Scholarship Program for Indians

42 Public Health 1 2010-10-01 2010-10-01 false 8-Health Professions Pregraduate Scholarship Program for Indians J Subdivision J Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF...

2010-10-01

332

Primary productivity C-14 and algal assay in the study of water pollution effects in the Citarum River and Jatiluhur Reservoir

42 Public Health 1 2010-10-01 2010-10-01 false 3-Health Professions Preparatory Scholarship Program for Indians J Subdivision J Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF...

2010-10-01

333

Safety performance indicators. Topical issues paper no. 5

Water quality of the Citarum River and the Jatiluhur Reservoir in Indonesia was evaluated using C-14 radioisotope. A close relationship between the abiotic (physical and chemical) and the biotic (algal growth potential, primary productivity, chlorophylla and diversity index of planktonic and benthic macroinvertebrate) parameters was obtained. Algal growth potential to abiotic parameters relationship has the highest correlation coefficient and can be used as a pollution indicator. The other biotic parameters do not show clear relationship with the abiotic parameters. The Citarum water quality is the lowest in those locations which receive human and industrial waste from Bandung and its environment. This water cannot be used for drinking purposes and fishery. The water quality in other locations of the river, however, meets the criteria for agriculture. Agricultural waste does not show any drastic effect ...

1983-03-01

334

Is energy imparted a good measure of the radiation risk associated with CT examinations

Since its creation the nuclear industry has been struggling with the question of how safe is safe enough. Safety is a common goal to all involved in the design, operation and regulation of a nuclear installation. As a concept safety is not easy to define. However, there is a general understanding of what attributes a nuclear power plant should have in order to operate safely. The challenge lies in measuring the attributes. The new competitive open electricity market, in many countries throughout the world, is increasing the economic pressure on operators to lower operating costs without jeopardizing safety. Challenges are occurring at a rate that is unprecedented in the nuclear industry: competitiveness; downsizing; ageing; policy changes; reorganization; restructuring; mergers; globalization; and takeovers demand increasing attention to the management of safety. There are various means to measure safety performance, some of which are more qualitative in nature and others which through ...

2001-09-03

335

Aquatic macroinvertebrates and water quality of Sandia Canyon, Los Alamos National Laboratory, December 1992--October 1993. Status report

The dose distribution in a Rando phantom has been measured for typical EMI 5005 CT scans of the head, chest, abdomen and pelvis. These dose distributions have been used to generate quantitative estimates of the somatic and genetic radiation risks associated with these CT examinations and also to measure the total energy imparted during each scan. A comparison has been made between the radiation risk estimates and the energy imparted measurements. The energy imparted measurements are not a good indicator of the somatic and/or genetic risks when one type of CT scan is compared with another. However, for a given type of scan, the energy imparted may be a reasonable indicator of the relative somatic risks associated with different CT examinations. Considerable care should be taken when interpreting and using any measured value of energy imparted in a radiological examination since published values of the risk per unit energy ...

336

Deforestation of Rondonia, Brazil, from 1975 to 2001

In the summer of 1990, an accidental spill from the TA-3 Power Plant Environment Tank released more than 3,785 liters of sulfuric acid into upper Sandia Canyon. The Biological Resource Evaluation Team (BRET) of EM-8 at Los Alamos National Laboratory (LANL) has collected aquatic samples from the stream within Sandia Canyon since then. These field studies gather water quality measurements and collect macroinvertebrates from permanent sampling sites. An earlier report by Bennett (1994) discusses previous BRET aquatic studies in Sandia Canyon. This report updates and expands Bennett's initial findings. During 1993, BRET collected water quality data and aquatic macroinvertebrates at five permanent stations within the canyon. The substrates of the upper three stations are largely sands and silts while the substrates of the two lower stations are largely rock and cobbles. The two upstream stations are located near outfalls that discharge industrial ...

2004-06-01

337

The impacts and costs of global warming. A review

Throughout much of the 1980s, deforestation in Brazil eliminated more than 15,000 square kilometers (9000 square miles) per year. That pace has only increased through the 90s and into the 21st century. Brazil is also home to more than a quarter of Earths tropical forests. Considering that the band of lush green that circles the globe through many equatorial nations is fundamental to the overall health of the whole planets environment, careful monitoring of forest health in the tropics is essential. Tropical forests act as major carbon sinks, places where ambient carbon dioxide in the atmosphere can be absorbed by growing things and sequestered for years. Definitive evidence shows that excess carbon dioxide can contribute to the greenhouse effect and speed global warming. Similarly, tropical forests also act as a primary producer of oxygen. In the respiration process that absorbs gaseous carbon dioxide, trees and other ...

2001-04-19

338

Studies on application of radiation and radioisotopes -The application of irradiation techniques for food preservation and process improvement-

There is now a scientific consensus that current rates of accumulation of greenhouses gases in the atmosphere will result in significant global warming and climate change. These changes are likely to have important impacts on a wide range of human activities and the natural environment. There has now been a considerable weight of literature published on the impacts of global warming, much of it very recent. This report seeks to summarise the important results, to analyse the uncertainties and to make a preliminary analysis of the feasibility of monetarising these environmental costs. The impacts of global warming are divided into ten major categories: agriculture, forests and forestry, terrestrial ecosystems and biodiversity, hydrology and water resources, sea level rise and coastal zones, energy, infrastructure/transport/industry, human health and air quality, oceans, and cryospheric impacts. The results of major summary reports are analysed, ...

1991-09-01

339

Some significant environmental issues in high-rise residential building design in urban areas

The project was designed to solve the infra structural problem required for commercialization of food irradiation. In improvement of physical properties of corn starch, gamma irradiation was effective for increasing glucose productivity and for substituting traditional modified starches (acid modified starch, oxidized starch). In immobilization of microorganisms, the mass production method of natural red pigment was developed by using immobilized mold pellets. In Korean medicinal plants, 10 kGy gamma irradiation was effective for improving sanitary quality and increasing extraction yield. In evaluation of wholesomeness, gamma irradiated red ginseng could be safe on the genotoxic point of view. And also, six items of irradiated foods approved for human consumption from Korea ministry of health and welfare in May 19, 1995. 30 figs, 20 tabs, 54 refs. (Author).

1995-07-01

340

Short-term impacts of air pollutants in Switzerland: Preliminary scenario calculations for selected Swiss energy systems

Almost in all the major cities in Asian countries, residential buildings are characterized with high-rise and high density. Under this circumstance, achieving comfortable and healthy indoor environment with minimized energy consumption becomes a very challenging engineering and societal issue. While the wide use of air-conditioning helped to improve thermal comfort, health problems associated with poor indoor air qualities have appeared more frequently. The increased energy consumption is also a great concern in view of its impact on the energy economics of the region. Drawn from some of the onsite measurements and survey, and also the author's personal observation, some of the key issues are discussed in this paper. (author)

2004-12-01

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341

Personal influence as key for a A+-climate; Persoonlijke beinvloeding als sleutel tot een A+ klimaat

In the frame of the comprehensive assessment of Swiss energy systems, air quality simulations were performed by using a 3-dimensional photo-chemical dispersion model. The objective is to investigate the impacts of pollutants in Switzerland for future options of Swiss energy systems. Four scenarios were investigated: Base Case: simulations with the projected emissions for the year 2030, Scenario 1) all nuclear power plants were replaced by oil-driven combined cycle plants (CCP), Scenarios 2 to 4) traffic emissions were reduced in whole Switzerland as well as in the cities and on the highways separately. Changes in the pollutant concentrations and depositions, and the possible short-term impacts are discussed on the basis of exceedences of critical levels for plants and limits given to protect the public health. (author) 2 figs., 7 refs.

1999-08-01

342

Ozone risk for crops and pastures in present and future climates

Several studies on individual control of the thermal indoor climate and indoor air quality are discussed. A distinction is made between the effect on health, the effect on comfort and the effect on performance. The underlying mechanisms are examined more closely, and concrete recommendations are made for future design norms. [Dutch] Een aantal studies op het gebied van beinvloeding van thermisch binnenklimaat en binnenluchtkwaliteit wordt besproken. Hierbij wordt onderscheid gemaakt tussen invloed op gezondheid, comfort en prestaties. Vervolgens wordt dieper ingegaan op achterliggende mechanismen en worden concrete aanbevelingen gedaan voor toekomstige ontwerpen.

2010-04-15

343

British Library Electronic Table of Contents (United Kingdom)

Ozone is the most important regional-scale air pollutant causing risks for vegetation and human health in many parts of the world. Ozone impacts on yield and quality of crops and pastures depend on precursor emissions, atmospheric transport and leaf uptake and on the plant?s biochemical defence capacity, all of which are influenced by changing climatic conditions, increasing atmospheric CO2 and altered emission patterns. In this article, recent findings about ozone effects under current conditions and trends in regional ozone levels and in climatic factors affecting the plant?s sensitivity to ozone are reviewed in order to assess implications of these developments for future regional ozone risks. Based on pessimistic IPCC emission scenarios for many cropland regions elevated mean ozone lev...

2009-01-01

344

Indoor climate seminar; Sisaeilmastoseminaari

Healthy buildings and installations. Trends at the Healthy Buildings Conference 2003; Gezonde gebouwen en installaties. Trends op Healthy Buildings 2003

The national energy research programme LVIS-2000: Future Building Services is concerned with the control of energy use and indoor climate in buildings of the future. The projects were presented at a one day seminar arranged by the Laboratory of Heating and Ventilation of the Technical Research Centre in Finland which is coordinating the programme. The presentations at the seminar were: Impurity emission from materials, Building materials and indoor air quality, analysis of organic compounds in indoor air, effect of the return air, effect of the return air on health and comfort, electric heating as an indoor climate factor, calculations of air flows in ventilated rooms, effect of energy saving measures on hospital hygiene, application of modern aerosol measurement technique on indoor climate research.

1989-12-31

345

Child labour: ground realities of Indian labour laws

At the 7th Healthy Buildings Conference, which was held in Singapore, 7-11 December 2003, more than 500 articles to improve public health and productivity of workers in buildings and the performance of installations. Special attention is paid to indoor air quality and thermal comfort in relation to energy efficiency. [Dutch] Op de laatste Healthy Buildings conferentie, december 2003 in Singapore, werden meer dan 500 artikelen gepresenteerd over het creeren van gezonde, productiviteit verhogende gebouwen en installaties. Deze keer lag de nadruk op binnenluchtkwaliteit en thermisch binnenklimaat, onder andere op het aspect energiezuinigheid. Opvallend was ook de aandacht die de problemen met binnenluchtkwaliteit in ontwikkelingslanden kreeg.

2004-02-01

346

British Library Electronic Table of Contents (United Kingdom)

There has been growing international consensus on issues related to child labour - evident in various declarations, platforms, conventions, programmes of action etc. Child labour is the economic exploitation of children, or performance of any work that is likely to be hazardous or to interfere with the child's health or physical, mental, spiritual, moral or social development. Poverty is the principal cause of child labour. Mostly the children work to support their families and also for their own survival. Paradoxically, however, child labour further aggravates the poverty syndrome as it usually deprives the children of education and opportunity to acquire skills for developing earning potentials. Other causes of child labour include family indebtedness, the lack or poor quality of schooli...

2011-01-01

347

Biological wound dressings sterilized with gamma radiation: Mexican clinical experience

British Library Electronic Table of Contents (United Kingdom)

Biological wound dressings sterilized with gamma radiation, such as amnion and pig skin, are a reality in Mexico. These tissues are currently processed in the tissue bank and sterilized in the Gamma Industrial Irradiation Plant; both facilities belong to the Instituto Nacional de Investigaciones Nucleares (ININ) (National Institute of Nuclear Research). With the strong support of the International Atomic Energy Agency, the bank was established at the ININ and the Mexican Ministry of Health issued its sanitary license on July 7, 1999. The Quality Management System of the bank was certified by ISO 9001:2000 on August 1, 2003; the scope of the system is "Research, Development and Processing of Biological Tissues Sterilized with Gamma Radiation". At present, more than 150 patients from 16 hosp...

2007-01-01

348

Assess Current and Potential Salmonid Production in Rattlesnake Creek Associated with Restoration Efforts; Yakama Indian Nation, Annual Report 2002-2003.

The WHO patient safety curriculum guide for medical schools.

This document represents the FY2002 BPA contract Statement of Work for the Yakama Nation (YN) portion of the project entitled 'Assessment of current and potential salmonid production in Rattlesnake Creek associated with restoration efforts'. The purpose of the project is to complete detailed surveys of water quality, fish populations, habitat conditions and riparian health in the Rattlesnake Creek sub-basin of the White Salmon River in south central Washington. Results of the surveys will be used to establish Rattlesnake Creek sub-basin baseline environmental factors prior to anticipated removal of Condit Dam in 2006 and enable cost-effective formulation of future watershed restoration strategies.

2003-05-01

349

Republished paper: The WHO patient safety curriculum guide for medical schools.

BACKGROUND: The urgent need for patient safety education for healthcare students has been recognised by many accreditation bodies, but to date there has been sporadic attention to undergraduate/graduate medical programmes. Medical students themselves have identified quality and safety of care as an important area of instruction; as future doctors and healthcare leaders, they must be prepared to practise safe healthcare. Medical education has yet to fully embrace patient safety concepts and principles into existing medical curricula. Universities are continuing to produce graduate doctors lacking in the patient safety knowledge, skills and behaviours thought necessary to deliver safe care. A significant challenge is that patient safety is still a relatively new concept and area of study; thus, many medical educators are unfamiliar with the literature and unsure how to integrate patient safety learning into existing ...

2010-12-01

350

Prevention of panic attacks and panic disorder in COPD.

BACKGROUND: The urgent need for patient safety education for healthcare students has been recognised by many accreditation bodies, but to date there has been sporadic attention to undergraduate/graduate medical programmes. Medical students themselves have identified quality and safety of care as an important area of instruction; as future doctors and healthcare leaders, they must be prepared to practise safe healthcare. Medical education has yet to fully embrace patient safety concepts and principles into existing medical curricula. Universities are continuing to produce graduate doctors lacking in the patient safety knowledge, skills and behaviours thought necessary to deliver safe care. A significant challenge is that patient safety is still a relatively new concept and area of study; thus, many medical educators are unfamiliar with the literature and unsure how to integrate patient safety learning into existing ...

2011-04-01

351

Providing clean air to Canadians

This study examined whether cognitive behavioural therapy (CBT) could prevent the development or worsening of panic-spectrum psychopathology and anxiety symptoms in chronic obstructive pulmonary disease (COPD). 41 patients with COPD, who had undergone pulmonary rehabilitation, were randomised to either a four-session CBT intervention condition (n = 21) or a routine care condition (n = 20). Assessments were at baseline, post-intervention, and at 6-, 12- and 18-month follow-ups. Primary outcomes were the rates of panic attacks, panic disorder and anxiety symptoms. Secondary outcomes were depressive symptoms, catastrophic cognitions about breathing difficulties, disease-specific quality of life and hospital admission rates. There were no significant differences between the groups on outcome measures at baseline. By the 18-month follow-up assessment, 12 (60%) routine care group participants had experienced at least one panic ...

2009-09-09

352

Development of advanced residential cooktop burner with low NOx emissions. Annual report on phase 1, Feb 82-Oct 83

This document provides details on a $120.2 million package of initiatives to implement the Ozone Annex, an agreement signed in December 2000 between Canada and the United States to significantly reduce transboundary smog causing pollutants and to improve air quality. Taking action under the Ozone Annex will address health and environmental challenges by reducing emissions of nitrogen oxides and volatile organic compounds which are precursors to ground-level ozone. This document described the actions that will be taken by the Government of Canada to reduce emissions from vehicles and the fuels that power them. It also described the measures that will be taken to improve air quality monitoring networks. The National Pollutant Release Inventory will be used to meet new reporting commitments contained in the Annex. This document also highlights the initial actions that will be taken to reduce pollution from industrial sources ...

2001-02-01

353

[Medicine and truth: between science and narrative].

This report describes the result of work completed during February, 1982 to October 1983. The aim of the work was to develop a low NO(x) emission range top burner. Discussed is the development of a flame insert modification to an existing burner which reduces NO(x) emission by 45 percent and NO2 emission by 25 percent. This relatively simple burner add-on device appears to be an economically viable low NO(x) burner. It was developed in cooperation with a major range manufacturer. The levels of NO(x) (NO2) reduction achieved should significantly reduce the impact of a gas range to indoor quality. The report also discusses the results of a literature search that preceeded the burner development. The search helped to direct the burner development by reviewing the state-of-the-art of low NO(x) burner design and covered factors which affect the indoor impact of range emissions such as air infiltration and ventilation trends, air quality standards, ...

1983-11-01

354

Review and Understanding of Screen-Printed Contacts and Selective-Emitter Formation: Preprint

To which idea of truth may medicine refer? Evidence-based medicine (EBM) is rooted in the scientific truth. To explain the meaning and to trace the evolution of scientific truth, this article outlines the history of the Scientific Revolution and of the parable of Modernity, up to the arrival of pragmatism and hermeneutics. Here, the concept of truth becomes somehow discomfiting and the momentum leans towards the integration of different points of view. The fuzzy set theory for the definition of disease, as well as the shift from disease to syndrome (which has operational relevance for geriatrics), seems to refer to a more complex perspective on knowledge, albeit one that is less defined as compared to the nosology in use. Supporters of narrative medicine seek the truth in the interpretation of the patients' stories, and take advantage of the medical humanities to find the truth in words, feelings and contact with the patients. Hence, it is possible to mention the parresia, which is the ...

355

Reduction of exhaust pollutants from a direct-injection diesel engine using oxygenated fuels. Fumigation of oxygenates and addition of oxygenated additives to fuel; Gansanso nenryo ni yoru chokusetsu funshashiki diesel kikan no haiki joka. Gansanso nenryo no kyukikan eno hojo funsha to keiyu eno tenka

A comparison of the loss mechanisms in screen-printed solar cells relative to buried contact cells and cells with photolithography-defined contacts is presented in this paper. Model calculations show that emitter recombination accounts for about 0.5% absolute efficiency loss in conventional screen-printed cells with low-sheet-resistance emitters. Ohmic contact to high-sheet-resistance emitters by screen-printing has been investigated to regain this efficiency loss. Our work shows that good quality ohmic contacts to high sheet-resistance emitters can be achieved if the glass frit chemistry and Ag particle size are carefully tailored. The melting characteristics of the glass frit determine the firing scheme suitable for low contact resistance and high fill factors. In addition, small to regular Ag particles were found to help achieve a higher open-circuit voltage and maintain a low contact resistance. This work has resulted in cells with high ...

2004-08-01

356

Electron diodes and cavity design for the new 4-MeV injector of the recirculating linear accelerator (RLA)

The effects on engine emissions resulting from the intake manifold fumigation of oxygenated fuel and the addition of oxygenates to the fuel have been investigated using a direct-injection diesel engine. The results show that carefully selected oxygenated fuels effectively work to increase the ignition delay because of their low ignition quality and to decrease the combustion temperature due to the low compression gas temperature produced from their large heat of vaporization, thereby reducing levels of Bosch smoke and nitrogen oxides simultaneously. However, supplementary injection of the oxygenates into the intake air causes a drastic increase in the levels of exhaust total hydrocarbons and CO; thus, it can be said that the addition of oxygenates to the fuel is more practical and effective than fumigation if phase separation of the blended fuel may not be occurred. In the case of addition of the oxygenates to the fuel, it is clarified that ...

1997-03-25

357

Digital luminescent radiography: A substitute for conventional chest radiography?

The authors have designed and constructed four types of electron-beam diodes for the new 4-MV RLA injector: a non-immersed foilless diode, a magnetically immersed foilless diode, a foil diode and an ion-focused foilless diode, They are tailored to fit the new injector cavity. The design goals were to produce high quality 10-kA to 20-kA electron beams with a #beta# perpendicular smaller than 0.2 and a beam radius of the order of 2 cm. These beams will be matched to the RLA IFR channel so #beta# perpendicular must be equal to or smaller than the square root of the ratio of the beam current versus Alfven current for f_e = 1. A reentrant anode geometry was selected for the injector cavity design, because it offers substantial savings on the required amount of feromagnetic cores. The inner radius of the outside shell, now only 30 cm, would have been twice as large (60 cm) if a coaxial non-reentrant geometry had been adopted. The shape of the anode and cathode electrodes ...

1991-03-01

358

Controlling federal costs for coal liquefaction program hinges on management and contracting improvements

The image quality of digital luminescent radiography (DLR) is sufficient for routine biplane chest radiography and for follow-up studies of heart size, pulmonary congestion, coin lesions, infiltrations, atelectasis, pleural effusions, and mediastinal and hilar lymph node enlargement. Chest radiography in the intensive care unit may in most cases be performed using the DLR technique. there is no need for repeat shots because of incorrect exposure, and the position of catheters, tubes, pacemakers, drains and artificial heart valves, the mediastinum, and the retrocardiac areas of the left lung are more confidently assessed on the edge-enhanced DLR films than on conventional films. Nevertheless, DLR is somewhat inferior to conventional film-screen radiography of the chest as it can demonstrate or rule out subtle pulmonary interstitial disease less confidently. There is no reduction of radiation exposure of the chest in DLR compared with modern ...

359

42 CFR 417.101 - Health benefits plan: Basic health services.

GAO's review of the H-Coal and Exxon projects showed inadequacies in DOE's contracting practices and a failure by DOE to properly plan, manage, and monitor, especially the H-Coal project. The initial Government-industry H-Coal agreements regarding the level of investment by private sponsors and the ceilings imposed on sharing in cost growth were imbalanced. Larger investments by private sponsors and sharing of cost growth provides an incentive to private sponsors to control costs and helps to assure that each party is fully committed to the success of the project. DOE started the H-Coal project prematurely before sufficiently detailed designs were available and without adequate project planning for functions such as construction scheduling, materials handling, inventory systems, and quality control. DOE staffing was inadequate at both projects to effectively monitor progress and contribute to timely decisions. Its contracts for the H-Coal plants ...

1981-02-04

360

Validation of the Simplified Acute Physiology Score 3 scoring system in a Korean intensive care unit.

42 Public Health 3 2010-10-01 2010-10-01 false Health benefits plan: Basic health services. 417.101 Section 417.101 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND...

2010-10-01

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361

The canine ehrlichiosis (tropical canine pancytopenia) epizootic in Vietnam and its implications for the veterinary care of military workingn> dogs.

Full Text Available

2011-01-01

362

Advance Supply of Emergency Contraception Compared to Routine Postpartum Care in Teens

PMID:6429572

1984-06-01

363

Prenatal Care Visits

Medline Plus

... a test for HIV, the virus that causes AIDS. Do a Pap smear to check for cervical ...

364

A Survey on Pain and Self-Care Behavior of Patients with Chronic Arthritis

Post Partum

2011-08-08

365

The use of long-term and seasonal trends of elemental compounds as an aid to the identification of sources of airborne pollutants

Full Text Available

2003-08-01

366

The use of long-term and seasonal trends of elemental compounds as an aid to the identification of sources of airborne pollutants

New York City data indicate that seasonal and annual variations in dispersion-normalized air pollutant concentrations appear to accurately reflect changes in source emission patterns. The normalized concentrations make it possible to observe the impact of regulatory changes on ambient air quality without these impacts being obscured by meteorological fluctuations. It is found that numerical modeling techniques and regression analysis can be powerful tools for extracting information from large sets of air quality data. The use of differential, as opposed to absolute, pollutant concentration values will reduce artifact correlations caused by seasonal, weekly, or daily meteorological fluctuations and will permit more accurate estimation of the regression coefficients. This technique was successfully applied to a set of daily pollution measurements whose absolute concentrations were found not to yield a statistically ...

1980-01-01

367

Measuring e-CRM service quality in the library context: a preliminary study

New York City data indicate that seasonal and annual variations in dispersion-normalized air pollutant concentrations appear to accurately reflect changes in source emission patterns. The normalized concentrations make it possible to observe the impact of regulatory changes on ambient air quality without these impacts being obscured by meteorological fluctuations. It is found that numerical modeling techniques and regression analysis can be powerful tools for extracting information from large sets of air quality data. The use of differential, as opposed to absolute, pollutant concentration values will reduce artifact correlations caused by seasonal, weekly, or daily meteorological fluctuations and will permit more accurate estimation of the regression coefficients. This technique was successfully applied to a set of daily pollution measurements whose absolute concentrations were found not to yield a statistically ...

368

British Library Electronic Table of Contents (United Kingdom)

Purpose - Customer relationship management (CRM) indicates a comprehensive strategy and an interactive process intended to achieve an optimum balance between corporate investment and the satisfaction of customer needs to generate the maximum profit. E-CRM refers to CRM using internet technology plus a database, OLAP, data warehouse, data mining, etc. In order to gain an understanding of the efficiency of implementing an e-CRM system within the library context, to develop theoretically and empirically an evaluation process for the e-CRM system and survey its impact on service quality, a pilot scheme was initiated in 2004. The pilot scheme was to design and implement an e-CRM prototype system for a particular academic library in Taiwan and to survey the system's performances. This paper aims...

2008-01-01

369

Decreased semen quality in a male infected with malaria.

Atmospheric pollution 1980. Proceedings of the fourteenth international colloquium, Paris, France, May 5-8, 1980

A 33-year-old male of proven fertility suffered six attacks of malaria while resident in an African country. For this he received anti-malarial drugs. Semen analysis performed after the fourth attack, and repeated during the following 2 years after his return to Israel, revealed severe oligozoospermia, necrozoospermia and occasionally even azoospermia. Immunological examination of the patient revealed an inverse ratio of T-cell subsets and mast cell degranulation in response to palludrin. Twenty-five months after the last attack of malaria a significant improvement was found in semen quality and there was an increase in the ratio of T-helper to T-suppressor cytotoxic cells. These observations indicate that although malaria and its treatment may affect spermatogenesis, recovery may be expected eventually. PMID:3500921

1987-10-01

370

Assessing variability of water quality in a groundwater-fed perennial lake of Kashmir Himalayas using linear geostatistics

Papers are presented on the modeling, dispersion, formation, transformation, monitoring and biological effects of atmospheric pollution. Specific topics include a prognostic mesoscale model for pollutant transport and diffusion, commuter exposure modeling, a Gaussian plume model for an urban area, carbon monoxide dispersion in an urbanized area, wind-tunnel modeling of flue gas dispersion, the regional-scale transport of fine aerosol components in eastern North America, and a Markov process for the generation of hourly average wind vectors. Attention is also given to photochemical aerosol formation in multicomponent systems, heterogeneous nitrogen oxide-particulate reactions, the generation and measurement of primary soot aerosols of size between 50 and 400 A, inertial particle size classification techniques, the design of air quality monitoring networks, visibilities in polluted and unpolluted areas, and monitoring air quality according to an ...

1980-01-01

371

British Library Electronic Table of Contents (United Kingdom)

This paper presents a study on Manasbal lake, which is one of the high altitude lakes in the Kashmir Valley, India. Eighteen water samples were analysed for major ions and trace elements to assess the variability of water quality of the lake for various purposes. Geostatistics, the theory of regionalized variables, was then used to enhance the dataset and estimate some missing spatial values. Results indicated that the concentration of major ions in the water samples in winter was higher than in summer. The scatter diagrams suggested the dominance of alkaline earths over the alkali elements. Three types of water were identified in the lake that are referred to as Ca?HCO3, Mg?HCO3 and hybrid types. The lake water was found to be controlled by rock?water interaction with carbonate lithology ...

2011-01-01

372

Appendix B : Environment report : Securing a sustainable future for Canada`s oil sands industry

Active biomonitoring of heavy metal pollution using Rosa rugosa plants

The oil sands industry in Canada was said to be committed to environmentally sustainable economic development, i.e. a development that recognizes the mutual dependence of a healthy environment and a healthy economy. To indicate progress toward this goal, the report pointed out the investment of millions of dollars in environmental research and tens of millions of dollars in plant equipment already made. These infrastructure investments have paid dividends in terms of energy conservation, reduction of greenhouse gas emissions, land reclamation, air quality monitoring, water conservation, and water quality and biodiversity protection. A number of recommendations governing provincial jurisdictions over regulations were made. Particular concern was expressed over fairness, and overlapping of regulations by different levels of government.

1995-12-01

373

British Library Electronic Table of Contents (United Kingdom)

The purpose of this work was to evaluate the quality of a rural area near Faenza (Italy) by using an active biomonitoring approach, i.e., by placing homogeneous individuals of the perennial shrub Rosa rugosa in different sites throughout the area. Further sites, within the city or its environs, were used for comparison. Soil and leaves of R. rugosa were analyzed for their heavy metal content. The total heavy metal pattern of leaves closely paralleled the pattern registered in soil, with the highest content (both in total and assimilable forms) at the site in the urban area, which is exposed to heavy traffic. Pollen quality (abortiveness and viability) was also tested as a potential indicator of pollution. Pollen abortiveness was strictly related to Pb levels in leaves, while viability was ...

2007-01-01

374

Development of quality assurance requirements as part of the regulatory framework in the United Kingdom

Within the United Kingdom, the regulatory body having responsibility for the licensing of nuclear installations is the Health and Safety Executive (HSE). The Nuclear Installations Inspectorate (NII) is that part of HSE which administers this function. Discussions on the applicability of quality assurance (QA) to licensed sites began in 1974, and an internal report was published in 1975. In parallel with work going on at the International Atomic Energy Agency (IAEA) to prepare Quality Assurance for Safety in Nuclear Power Plants: A Code of Practice, Safety Series No. 50-C-QA, NII published a second report in 1978 entitled A Guide to the Quality Assurance Programme for Nuclear Power Plants. In 1980, the construction of advanced gas cooled reactors at Heysham 2 and at Torness was licensed, and a condition was attached to the licences requiring the licensees to submit their QA arrangements to the NII for ...

1988-11-07

375

USAID Health: Overview

Public health implications of environmental exposures.

Careers Business / Policy USAID: From The American People - Link to USAID Home Page Health USAID's 50th Anniversary Health Overview » Overview Technical Areas Countries...

2011-08-28

376

Mental Health and Traumatic Events

The Agency for Toxic Substances and Disease Registry (ATSDR) is a public health agency with responsibility for assessing the public health implications associated with uncontrolled releases of hazardous...Full Text Available

1998-02-01

377

Health Information for Travelers to Somalia - Travelers' Health...

News Jobs Grants/Funding Families Prevention Diseases Regulations Preparedness Mental Health and Traumatic Events Find Local Mental Health Services Information for: Parents and...

2011-08-27

378

Health Information for Travelers to Rwanda - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Somalia Regions Vaccinations News & Announcements Travel...

2011-08-28

379

Health Information for Travelers to Mozambique - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Rwanda Regions Vaccinations News & Announcements Travel...

2011-08-28

380

Health Information for Travelers to Malawi - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Mozambique Regions Vaccinations News & Announcements Travel...

2011-08-28

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

381

Health Information for Travelers to Kenya - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Malawi Regions Vaccinations News & Announcements Travel...

2011-08-28

382

Health Information for Travelers to Iran - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Kenya Regions Vaccinations News & Announcements Travel Notices...

2011-08-28

383

Health Information for Travelers to Gabon - Travelers' Health...

please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Iran Regions Vaccinations News & Announcements Travel Notices Diseases Yellow Book Contents...

2011-09-04

384

Health Information for Travelers to Ethiopia - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Gabon Regions Vaccinations News & Announcements Travel Notices...

2011-08-28

385

Health Information for Travelers to Eritrea - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Ethiopia Regions Vaccinations News & Announcements Travel...

2011-08-28

386

Health Information for Travelers to Djibouti - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Eritrea Regions Vaccinations News & Announcements Travel...

2011-08-28

387

Health Information for Travelers to Antarctica - Travelers' Health...

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Djibouti Regions Vaccinations News & Announcements Travel...

2011-08-28

388

Surface-water-resources information for the Ho-Chunk Nation lands and vicinity, Wisconsin

more information about this message, please visit this page: About CDC.gov. Travelers' Health Home Destinations (238) Antarctica Regions Vaccinations News & Announcements Travel...

2011-08-28

389

Perceived control, voluntariness and emotional reactions. A study conducted in relocated areas of Russia, Ukraine and Belarus

The Ho-Chunk Nation is interested in documenting water-quality conditions in streams adjacent to their Reservation lands in Wisconsin and developing management plans to protect these water resources. The Nation uses these waterways for recreation and as a source for food, and therefore, is dedicated to maintaining and restoring their quality. Ho-Chunk lands encompass more than 10,000 acres ranging primarily over 17 counties in Wisconsin. The study areas for this report include streams adjacent to Ho-Chunk Nation residential lands: Potch-Hah-Chee, Sandpillow, Mission, Bluewing, Chakh Hah Chee, Winnebago Heights, Indian Heights, and Ho-Chunk Village. These residential areas, or housing sites, are located along or near the Middle Branch Embarrass, Black, Lemonweir, and Wisconsin Rivers or their tributaries. Water-quality data were compiled and summarized, and basin maps showing land cover and previous sampling sites are ...

2003-01-01

390

New intelligent monitor for CANDU type NPP

This paper use data from a pilot study to analyse relationships between type of resettlement (voluntary or involuntary) and individuals' everyday feelings, perceptions of risk, health status and control. The data were collected in 1995, within the Joint Study Project 2, i.e., a collaborative research project of the European Union and the Commonwealth of Independent States of Russia, Ukraine and Belarus, 1991/92 - 95/96. The aim of the study was to investigate reactions to change and new life conditions of people who had been resettled due to the Chernobyl accident. Participants from the respective countries included adult individuals sampled from two age groups of less than 45 years and 45 years and older, with approximately the same number of men and women. The questionnaire presented various topics to which responses were indicated on quantitative response scales, as well as in open ended response formats. The results presented here focus on ...

1999-12-01

391

Responses of aquatic organisms to metal pollution in a lowland river in Flanders: A comparison of diatoms and macroinvertebrates

Nuclear energy provides a third of Europe's electricity with nearly no greenhouse-gas emissions. Sustained efforts are now being conducted to harmonize regulations all over Europe through WENRA and to converge on technical nuclear safety practices within the TSO network ETSON (European Technical Safety Organizations Network). In CANDU type NPP the tritiated water occurs by the neutron bombardment of deuterium. The tritiated water vapors imply health hazard (in the critical organs of the body the water presents a 10 day average biological half-life) and the early detection in nuclear plants of tritium emissions is important because the tritiated water vapors have the same characteristics as of atmospheric water vapors. By detecting tritiated vapors, the monitoring system ensures the following objectives: (a) indicates levels of tritium generally due to heavy water leakage, (b) reduces the possibility of health hazard. In ...

2009-10-12

392

Analysis of work-environment data from three army field stations

The role of macroinvertebrates and diatoms as indicator for metal pollution was investigated by assessing both biota along a metal gradient in the Belgian river the Dommel. Macroinvertebrates and diatoms were sampled in summer and winter and physical-chemical characteristics of the water were measured at four different sample periods and related to sediment characteristics. Although metal concentrations, except cadmium, in the water nowhere exceeded water quality standards, high metal concentrations were measured in the sediment, indicating historical contamination of the Dommel. At the sites that were situated downstream of the pollution source, high levels of conductivity and chloride were measured in the water. Redundancy Analysis (RDA) indicated pH, phosphate and zinc as the significant environmental variables explaining each respectively 7.7%, 11.6% and 22.6% of the macroinvertebrate community ...

2008-12-15

393

Investigations on the quality of polysilicon film-gate dielectric interface in polysilicon thin film transistors

Data from a detailed evaluation of environment conditions in three U.S. Army field stations are presented. Three field stations were evaluated: Kunia, Augsburg, and Berlin. Results from a questionnaire administered to over 600 people at all sites in three job types (operator, analyst, and administrative/other) are given which indicate major concerns with conditions such as temperature, lighting, space, furniture, equipment functioning, and general environmental quality. Physical data obtained from measurements of over 270 work stations indicated the presence of cold temperatures, low light levels, reduced VDT screen contrast, glare, and distracting noises. The report provides the basic data that support the concerns expressed by Headquarters; namely, that field-station personnel perform their jobs under conditions likely to impair their effectiveness. Suggestions for improving conditions are given in a companion report by ...

1988-10-01

394

A dynamic approach to the Environmental Kuznets Curve hypothesis

The effective electron mobility was measured as a function of surface field in polysilicon thin film transistors having the following three types of gate dielectrics; silicon dioxide deposited by low temperature (350degC) plasma-enhanced chemical vapor deposition (PECVD), low temperature (400degC) nitrogen-rich PECVD silicon nitride and high temperature (1050degC) thermally grown silicon dioxide. At low surface fields, the maximum true effective electron mobility was 40[+-]3 cm[sup 2] V[sup -1] s[sup -1] in all devices independent of the type of gate dielectric, indicating that the quality of the interface is the same. However, at high surface fields a stronger degradation of the mobility was observed in devices having the thermally grown silicon dioxide as gate dielectric, indicating the presence of surface roughness within the interfacial region. The polysilicon structure was studied by transmission electron microscopy in ...

1992-08-28

395

A dynamic approach to the Environmental Kuznets Curve hypothesis

The Environmental Kuznets Curve (EKC) hypothesis states that pollution levels increase as a country develops, but begin to decrease as rising incomes pass beyond a turning point. In EKC analyses, the relationship between environmental degradation and income is usually expressed as a quadratic function with the turning point occurring at a maximum pollution level. Other explanatory variables have been included in these models, but income regularly has had the most significant effect on indicators of environmental quality. One variable consistently omitted in these relationships is the price of energy. This paper analyzes previous models to illustrate the importance of prices in these models and then includes prices in an econometric EKC framework testing energy/income and CO{sub 2}/income relationships. These long-run price/income models find that income is no longer the most relevant indicator of environmental ...

1999-02-01

396

Systematic review and gamma radiosensitivity of medicinal plants: development of protocol for quality control; Revisao sistematica e radiossensitividade gama de plantas medicinais: desenvolvimento de protocolo para controle de qualidade

The Environmental Kuznets Curve (EKC) hypothesis states that pollution levels increase as a country develops, but begin to decrease as rising incomes pass beyond a turning point. In EKC analyses, the relationship between environmental degradation and income is usually expressed as a quadratic function with the turning point occurring at a maximum pollution level. Other explanatory variables have been included in these models, but income regularly has had the most significant effect on indicators of environmental quality. One variable consistently omitted in these relationships is the price of energy. This paper analyzes previous models to illustrate the importance of prices in these models and then includes prices in an econometric EKC framework testing energy/income and CO_2/income relationships. These long-run price/income models find that income is no longer the most relevant indicator of environmental ...

1999-02-01

397

[The legal bases of military naval health matters].

The present study discusses the contribution of the adoption of more rigorous and objective criteria to the selection and analysis of information sources, leading to more scientific rigour when registering phytotherapic drugs. To this end, it is herein proposed the adoption of a previously tested and acknowledged methodology, namely the Systematic Revision, as a standard for phytotherapic drug analyses. In order to show differences brought about by the Systematic Revision during the registration procedures of phytotherapic drugs, the case of the Maytenus ilicifolia (known popularly in Brazil as 'espinheira-santa') is presented. As it is well known, the use of ionizing radiation is expanding, especially in medicine and pharmacy. Therefore, gamma radiation was applied to the microbiological quality control of phytotherapic matrices. Results indicated a positive contribution of Systematic Revision to the registration procedures ...

2006-07-01

398

Strategies for Protecting Waste Collectors' Health and Safety

PMID:2077726

1990-11-01

399

Redefining the health information management privacy and security role.

Full Text Available

2010-06-01

400

National Institutes of Health (NIH) Health Matters Podcasts

PMID:20052319

2009-09-16

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

401

Earthbeat - 25/5/2002: Woodsmoke, Health & the Environment

60 http://www.nih.gov/news/radio/healthmatters/index.htm 60-second Health Matters spots-one unique health report for each weekday of the month. en-us 2010 Mon, 01 Feb 2010 12:00:00...

2011-08-26

402

45 CFR 162.925 - Additional requirements for health plans.

...wood smoke, emissions, pollution, heaters, environment, Earthbeat - 25/5/2002: Woodsmoke, Health & the Environment Love that Planet All in the Mind The Buzz Health Report In Conversation Ockhams Razor Science Show The Lab Health Matters Catalyst Quantum ...

403

45 CFR 1304.24 - Child mental health.

...false Additional requirements for health plans. 162.925 Section 162.925 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE...925 Additional requirements for health plans. (a) General rules....

2010-10-01

404

On the problem of blast furnace coke quality

... 2010-10-01 false Child mental health. 1304.24 Section 1304.24 Public...HUMAN DEVELOPMENT SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION...AGENCIES Early Childhood Development and Health Services § 1304.24 Child...

2010-10-01

405

Employing exergy-optimized pin fins in the design of an absorber in a solar air heater

The introduction of large blast furnaces, oxygen-enriched blast and natural gas firing means that the coke rate is determined mainly by the ability of the coke charge to loosen up the burden and ensure a high level of permeability. Coke strength is now of great importance to the steelmaker, alongside ash and sulphur contents. The article suggests that moisture still offers a useful negotiating base for furnace operators and suppliers. It is important to know the moisture content and a sampling procedure is recommended for determining the moisture desorption time. Such tests also indicate any relationship between different quenching plants and the product.

1982-10-01

406

Biotoxicity characterization of a produced-water discharge in Wyoming

Fins serve as heat transfer augmentation features in solar air heaters; however, they increase pressure drop in flow channels. Pin fins are relatively good heat transfer augmentation features with superior aerodynamic performance, and as a result find application in some solar air heaters. The exergy optimization method is employed in sizing the pin fin. Results indicate that high efficiency of the optimized fin improves the heat absorption and dissipation potential of a solar air heater. With optimum fin efficiency and superior absorptive coating quality, useful energy losses can be minimized. Some important observations pertinent in design are made. (author)

2010-02-15

407

Discrepancies in molar extinction coefficients of Fe"3"+ in Fricke dosimetry

The objectives of this paper are to document the physicochemical and aquatic toxicological quality of a beneficial-use produced-water discharge and its effect on a receiving stream in Wyoming. Fish and water-flea survival, growth, and reproduction tests indicated that the discharge and all other sampling stations passed the state effluent biomonitoring acute toxicity testing endpoints. while benthic macroinvertebrates were absent at the discharge point designated by the Natl. Pollutant Discharge Elimination System (NPDES), productive and reproducing populations were present at all other downstream and mixing-zone stations. This investigation confirmed the validity of the beneficial-use subcategory for this oilfield discharge.

408

Enabling Technology for Monitoring & Predicting Gas Turbine Health & Performance in IGCC Powerplants

Values of the chemical yield, G, and of the molar extinction coefficient, epsilon, for Fricke dosimetry, have been recommended by ICRU. For epsilon, the value in ICRU Reports 17 and 21, 2205 1.mol"-"1.cm"-"1, based on an analysis of 83 reported values. It was suggested that, where neither a careful wavelength calibration nor absorbance linearity checks had been performed, a standard error of 1.5% should be assumed; otherwise 0.15% could be accepted. Alternatively, the accuracy in applying this chemical dose meter was considered improved if there was an independent determination of epsilon with the same spectrophotometer as was used for the determination of the optical density of irradiated Fricke solution. The accuracy claimed for both methods remains questionable, since no complete argumentation could be given for the differences of up to 13% in the published values. Taking into account the discussion of the sources of error by Bryant, Broszkiewicz and Ellis, we ...

1977-12-09

409

Marketers report on oil quality

The ''Enabling & Information Technology To Increase RAM for Advanced Powerplants'' program, by DOE request, was re-directed, de-scoped to two tasks, shortened to a 2-year period of performance, and refocused to develop, validate and accelerate the commercial use of enabling materials technologies and sensors for coal/IGCC powerplants. The new program was re-titled ''Enabling Technology for Monitoring & Predicting Gas Turbine Health & Performance in IGCC Powerplants''. This final report summarizes the work accomplished from March 1, 2003 to March 31, 2004 on the four original tasks, and the work accomplished from April 1, 2004 to July 30, 2005 on the two re-directed tasks. The program Tasks are summarized below: Task 1--IGCC Environmental Impact on high Temperature Materials: The first task was refocused to address IGCC environmental impacts on high temperature materials used in gas ...

2005-12-01

410

Using the Child Behavior Checklist with African American and Caucasian American Adopted Youth

The quality of fuel oils is discussed. The problems that the fuel oil marketer must deal with that relate to the quality of the fuel oil are described.

1985-04-01

411

Online monitoring of steel casting processes using multivariate statistical technologies: From continuous to transitional operations

The purpose of this study is to examine the cross-ethnic measurement equivalence of the "Child Behavior Checklist" (CBCL) for 6- to 18-year-olds (2001, parent version) using a sample of African American special needs adopted children, along with a comparison group of Caucasian American special needs adopted children. Reliability and multiple sources of postdictive criterion-related validity were analyzed, and a confirmatory factor analysis of the CBCL within and between participating groups was performed. The results indicate that for practical purposes, the CBCL items appear reliable but not valid in terms of assessing the mental health profiles of both African American and Caucasian youth. These findings are significant because they have important implications for the practical utility of the CBCL in the field for adopted youth. (Contains 6 tables.)

2011-03-01

412

British Library Electronic Table of Contents (United Kingdom)

This paper describes a state-of-the-art online monitoring system using multivariate statistical technologies for continuous steel casting process, which was commissioned at Dofasco's No. 2 caster to provide consistent indication of process health for caster's start-up, continuous production and transitional operations. The paper particularly focuses on development of a novel scheme to synchronize process trajectories for monitoring specific transitional operations such as equipment or steel product grade changes. The proposed scheme is demonstrated by several industrial examples with the results showing good detectability of various process abnormalities. With the aid of this fully integrated, innovative monitoring system, Dofasco has generated significant value through improved productivi...

2006-01-01

413

High-Voltage Transmission Lines: The Ongoing Search for Biological Effects.

Estimation and characterization of PCDD/Fs and dioxin-like PCBs from Chinese iron foundries

During the early 1970s, controversy developed over the possible biological effects of electric fields from new 500-kilovolt and 765-kilovolt transmission lines. This, along with growing interest in advancing transmission voltage into the ultrahigh-voltage range (1000 kilovolts and above), led to the initiation of numerous research projects. Several reviews of this research by scientists in the US and other countries indicate that transmission lines have not been proven to be a health hazard to people or animals. The issue remains controversial, however, because research has confirmed some subtle effects of electric fields, and because it is an inseparable part of the public opposition that often accompanies the siting of high-voltage transmission lines. In addition, there is renewed interest in magnetic fields, including a possible association between such fields and human cancers. 2 figures, 2 tables.

1984-12-20

414

British Library Electronic Table of Contents (United Kingdom)

The iron foundry industry is considered to be a potential source of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs). This study investigated the emission factors and total emission amounts of PCDD/Fs and dioxin-like polychlorinated biphenyls (DL-PCBs) from iron foundries in China. The concentrations and the World Health Organization toxicity equivalents (WHO-TEQs) are presented and the congener profiles are discussed in this paper. In the present work, 26 fly ash samples were collected and tested to quantify the PCDD/Fs and DL-PCBs generated by 14 plants of different scales, and five stack gas samples were collected from two (named as EFG and LFG) of those plants. The emission levels of PCDD/Fs and DL-PCBs indicated that hot-air cupolas had lower emissions than cold-air cupol...

2011-01-01

415

Effects of food processing on pesticide residues in fruits and vegetables: A meta-analysis approach

British Library Electronic Table of Contents (United Kingdom)

Pesticides are widely used in food production to increase food security despite the fact that they can have negative health effects on consumers. Pesticide residues have been found in various fruits and vegetables; both raw and processed. One of the most common routes of pesticide exposure in consumers is via food consumption. Most foods are consumed after passing through various culinary and processing treatments. A few literature reviews have indicated the general trend of reduction or concentration of pesticide residues by certain methods of food processing for a particular active ingredient. However, no review has focused on combining the obtained results from different studies on different active ingredients with differences in experimental designs, analysts and analysis equipment. In...

2010-01-01

416

Economic impact analysis for proposed effluent limitations guidelines and standards for the coastal subcategory of the oil and gas extraction point source category

E-commerce usage and business performance in the Malaysian tourism sector: empirical analysis

This economic impact analysis (EIA) examines compliance costs and economic impacts resulting from the U.S. Environmental Protection Agency`s (EPA`s) proposed revisions to effluent limitations guidelines and standards for the Coastal Subcategory of the U.S. oil and gas industry. The EIA estimates economic impacts in terms of annualized costs; production losses; and changes in equity, working capital, and other indicators of financial health at the firm level. In addition, impacts on employment and affected communities, foreign trade, and new sources are considered. A Regulatory Flexibility Analysis detailing the impacts on small businesses within the coastal oil and gas industry also is included in the EIA.

1995-01-01

417

British Library Electronic Table of Contents (United Kingdom)

Purpose - Based upon the E-VALUE model developed, this paper aims to investigate the impact of e-commerce usage on business performance in the tourism sector. Design/methodology/approach - A cross-sectional survey is carried out on 165 Malaysian firms involved in the tourism sector (hotels, resorts, and hospitals engaged in health tourism) through the use of a structured questionnaire. Findings - The structural equation modeling results indicate that technology competency, firm size, firm scope, web-technology investment, pressure intensity, and back-end usage have significant influence on e-commerce usage. Among these variables, back-end integration is found to function as a mediator. E-commerce experience (in years) is found to moderate the relationship between e-commerce usage and busin...

2009-01-01

418

Auswirkungen akuter H?henexposition: Welche H?he ist gesundheitlich vertr?glich?

British Library Electronic Table of Contents (United Kingdom)

Summary Exposures to natural and simulated altitudes are combined with a reduction of the available oxygen (hypoxia) and may provoke health problems or even emergencies. Although millions of people are living at high altitudes, are regularly or occasionally performing mountain sport activities, are transported by airplanes, and are increasingly frequently exposed to hypoxia at their workplace, e.g. with fire control systems, there is no consensus about the level of hypoxia which is well tolerated by most of human beings. Thus, the present mini review tries to define such a level. This review indicates that although humans show adaptive responses even to altitudes below 2000 m or corresponding normobaric hypoxia (FiO2: >16%) most of these subjects without severe pre-existing diseases well t...

2010-01-01

419

An assessment of health impacts of electrical power transmission lines

The crescent and the periluminal halo: Two Computed Tomography signs of aortic aneurysm impending rupture?

The types of investigations undertaken to test for possible biological effects of extremely low frequency electric fields have been numerous. However, neither animal and plant experimentation nor clinical studies nor experience with operating extremely high voltage transmission lines have to date provided convincing evidence of a harmful effect from exposure to electric fields associated with transmission lines in spite of numerous attempts to find such effects. Analysis of internal fields and currents supports these observations as the levels appear to be too low to affect mammalian cells. Thus, while one can never prove the negative (i.e. that there is no effect), the overwhelming body of evidence indicates that the electric fields associated with high-voltage lines have no deleterious biological effects. (author).

1981-06-26

420

Pump application desk book

Purpose: To assess the prevalence, significance and practical value of two recently described CT signs of instable aneurysm: the crescent sign and the periluminal halo (a low-attenuating internal layer of the thrombus around the patent lumen). Material and methods: Among the CT examination performed in the last 5 years, they retrospectively selected the nonruptured aneurysms with a diameter exceeding 4 cm (no. = 93 average diameter 5.1 cm, unenhanced images in 28 cases and enhanced in 84) and the ruptured aneurysms (no. = 16, average diameter 6.7 cm, unenhanced images in 9 cases and enhanced in 9). They studied the prevalence of the crescent and halo sing, their relationship with the aneurysm diameter, and the effect of contrast enhancement. Results: The crescent sign was identified with a statistically significant prevalence in ruptured ( 37.5 % or cases) over asymptomatic aneurysms (5.5 %); the halo had the same frequency in the 2 groups (12.5 % and 9.5 %). Both signs were more ...

1997-01-01

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

421

Production of bone cement composites: effect of fillers, co-monomer and particles properties

The large number of forms and types of pump equipment in common use have different purposes and varying application requirements. This text has been prepared to bring together necessary information for those who are required to select and apply pumps in systems for all kinds of fluids and purposes. It is not a design manual. It limits the discussion of design to those factors which are necessary for an understanding of pump operation. The book contains not only descriptive information of many types of designs, but also the effect of design variation on use, economy, and reliability. Systems, an integral part of application, are discussed, so that the user of such equipment may properly select and install machines to reliably and economically satisfy his requirements. Reading of appropriate sections of the text will indicate possible problems to be avoided, and economics to be gained. The engineering design of pumps is a science; their proper application is an art. ...

1990-01-01

422

An optimal design method for improving the lightning performance of overhead high voltage transmission lines

Artificial bone cements (BCs) based on poly(methyl methacrylate) (PMMA) powders and methyl methacrylate (MMA) liquid monomer also present in their formulation small amounts of other substances, including a chemical initiator compound and radiopaque agents. Because inadequate mixing of the recipe components during the manufacture of the bone cement may compromise the mechanical properties of the final pieces, new techniques to incorporate the fillers into the BC and their effect upon the mechanical properties of BC pieces were investigated in the present study. PMMA powder composites were produced in situ in the reaction vessel by addition of X-ray contrasts to the reacting MMA mixture. It is shown that this can lead to much better mechanical properties of test pieces, when compared to standard bone cement formulations, because enhanced dispersion of the radiopaque agents can be achieved. Moreover, it is shown that the addition of hydroxyapatite (HA) and acrylic acid (AA) to the bone ...

423

Acute myelogenous leukemia following chemotherapy and radiation for rectal cancer

This paper presents a method for the optimal design of high voltage transmission lines taking into consideration shielding and backflashover failure rates. The minimization of suitably defined performance indices, which relate the failures caused by lightning in a transmission line to both line insulation level and tower footing resistance, is aimed. Optimum values for both line insulation level and tower footing resistance are calculated. The method is applied on several operating Hellenic transmission lines of 150 and 400kV, respectively, carefully selected among others, due to their high failure rates during lightning thunderstorms. Special attention has been paid on open loop lines, where a possible failure could bring the system out of service causing significant problems. The obtained design parameters, which reduce the failure rates caused by lightning, are compared with the existing design parameters of the transmission lines leading up ...

2006-04-15

424

Modeling microbial spoilage and quality of gilthead seabream fillets: combined effect of osmotic pretreatment, modified atmosphere packaging, and nisin on shelf life.

In August 1982, a 44-year-old man was diagnosed as having rectal cancer, histologically diagnosed as well differentiated adenocarcinoma, and abdominoperineal resection and colostomy were performed. Postoperatively, he received chemotherapy with mitomycin C up to a total dose of 100 mg. In September 1986, lung metastasis occurred and he was treated with a combination chemotherapy consisting of cisplatin, pirarubicin and 5-fluorouracil. In the following year, radiation treatment (total: 6900 rad) was given for a recurrent pelvic lesion. Peripheral blood on April 30, 1988, showed anemia, thrombocytopenia and appearance of myeloblasts, and a diagnosis of acute myelogenous leukemia (FAB: M1) was made. Combination chemotherapy (including aclarubicin, vincristine, behenoyl ara-C, daunorubicin, 6-mercaptopurine, cytarabine, etoposide and prednisolone) failed to induce remission and the patient died in June 1988. This case was thought to be one of secondary leukemia occurring after chemotherapy ...

1989-03-01

425

Energy indicators for sustainable development: Country studies on Brazil, Cuba, Lithuania, Mexico, Russian Federation, Slovakia and Thailand

The objective of the study was the kinetic modeling of the effect of storage temperature on the quality and shelf life of chilled fish, modified atmosphere-packed (MAP), and osmotically pretreated with the addition of nisin as antimicrobial agent. Fresh gilthead seabream (Sparus aurata) fillets were osmotically treated with 50% high dextrose equivalent maltodextrin (DE 47) plus 5% NaCl. Water loss, solid gain, salt content, and water activity were monitored throughout treatment and treatment conditions were selected for the shelf life study. Untreated and osmotically pretreated slices with and without nisin (2 x 10(4) IU/100 g osmotic solution), packed in air or modified atmosphere (50% CO(2)-50% air), and stored at controlled isothermal conditions (0, 5, 10, and 15 degrees C) were studied. Quality assessment and modeling were based on growth of several microbial indices, total volatile nitrogen, trimethylamine nitrogen, ...

2010-05-01

426

A Software Quality Engineering Maturity Model

This publication presents seven national case studies from a coordinated research project on Indicators for Sustainable Energy Development conducted during the 2002-2005 time period. The project was led by the International Atomic Energy Agency (IAEA) in cooperation with the United Nations Department of Economic and Social Affairs (UNDESA). The case studies were developed by research organizations from Brazil, Cuba, Lithuania, Mexico, Russia, Slovakia and Thailand. This publication is being issued just prior to the 15th session of the United Nations Commission on Sustainable Development for which energy for sustainable development is a major theme. The 15th session of the Commission will focus on policy decisions on practical measures and options to expedite implementation in selected clusters of energy issues. The application the energy indicator, especially their quantification, enables systematic monitoring of progress made towards the ...

1994-03-01

427

Analysis of thermal comfort and indoor air quality in a mechanically ventilated theatre

No abstract prepared.

2009-05-08

428

Air pollution exposure monitoring and estimating. Part 1: Integrated air quality monitoring system

Theatres are the most complex of all auditorium structures environmentally. They usually have high heat loads, which are of a transient nature as audiences come and go, and from lighting which changes from scene to scene, and they generally have full or nearly full occupancy. Theatres also need to perform well acoustically, both for the spoken word and for music, and as sound amplification is less used than in other auditoria, background noise control is critically important. All these factors place constraints on the ventilation design, and if this is poor, it can lead to the deterioration of indoor air quality and thermal comfort. To analyse the level of indoor air quality and thermal comfort in a typical medium-sized mechanically ventilated theatre, and to identify where improvements could typically be made, a comprehensive post-occupancy evaluation study was carried out on a theatre in Belgrade. The evaluation, based on the results of ...

2008-07-01

429

Health-hazard evaluation report HETA 88-108-2146, Asarco New Market/Young Mines, Mascot, Tennessee

This paper presents an integrated exposure monitoring system, based on an expansion of existing air quality monitoring systems using dispersion modelling. The system allows: (1) identifying geographical areas whose inhabitants are most exposed to ambient pollution; (2) identifying how many people in an area are exposed to concentrations of pollution exceeding air quality guidelines: (3) describing the exposure of population subgroups (e.g. children): (4) planning pollution abatement measures and quantifying their effects; (5) establishing risk assessment and management programs, and (6) investigating the short- and long-term effects of both pollutants and pollution sources on public health. The effect of pollution is rarely very large and in order to discover it, exposure estimation must provide data that reflects both spatial and temporal variations. Estimates of pollution exposure are obtained using an integrated approach ...

1999-08-01

430

D & D screening risk evaluation guidance

In response to a request from the International Chemical Workers Union, Akron, Ohio, an investigation was made into possible hazardous working conditions at two American Smelting and Refining Company (SIC-1031) zinc mines (New Market and Young) in Mascot, Tennessee. Specifically, exposures to asbestos (1332214), silica (14808607), and diesel emissions were determined. At both mines overexposures were found to nitrogen-dioxide (10102440) (NO2) and coal-tar pitch volatiles. Twenty-four percent of the NO2 measurements taken were above the NIOSH recommended ceiling of 1 part per million (ppm), but none exceeded the Mine Safety and Health Administration's (MSHA) ceiling of 5ppm. Exposure to diesel particulates ranged from 0.24 to 1.06mg/cu m. None of the 52 respirable dust samples collected exceeded the calculated MSHA limits for free silica exposure. A medical evaluation was offered and 83 of the 400 current employees and one retired employee participated. ...

1991-10-01

431

Rapid toxicity testing based on mitochondrial respiratory activity

The Screening Risk Evaluation (SRE) guidance document is a set of guidelines provided for the uniform implementation of SREs performed on decontamination and decommissioning (D&D) facilities. Although this method has been developed for D&D facilities, it can be used for transition (EM-60) facilities as well. The SRE guidance produces screening risk scores reflecting levels of risk through the use of risk ranking indices. Five types of possible risk are calculated from the SRE: current releases, worker exposures, future releases, physical hazards, and criticality. The Current Release Index (CRI) calculates the current risk to human health and the environment, exterior to the building, from ongoing or probable releases within a one-year time period. The Worker Exposure Index (WEI) calculates the current risk to workers, occupants and visitors inside contaminated D&D facilities due to contaminant exposure. The Future Release Index ...

1995-09-01

432

Magical Thinking in Somatoform Disorders: An Exploratory Study among Patients with Suspected Allergies.

The need exists for rapid and inexpensive methods to determine the health effects of environmental contaminants on biological systems. One of the current research approaches for assessing cytotoxicity is to monitor the respiratory activity of the mitochondrion, a sensitive, nonspecific subcellular target site. Detected changes in mitochondrial function after the addition of a test chemical could be correlated to toxic effects. Mitochondrial respiration can be characterized by three indices: state 3 and state 4 respiratory rates, and the respiratory control ratio (RCR). State 4, the idle or resting state, results when coupled mitochondrial respire in a medium containing inorganic phosphate and a Kreb's cycle substrate in the absence of a phosphate acceptor such as adenosine diphosphate (ADP). In the presence of ADP the respiration rate increases to a maximum (state 3), accompanied by phosphorylation of ADP to adenosine triphosphate ...

1990-05-01

433

Utilization of a Marketing Strategy at Naval Regional Medical Center Great Lakes, Great Lakes, Illinois.

Background: In order to reconceptualize somatoform disorders (SFDs), the psychological characteristics of SFD patients are increasingly investigated. The cognitive style of magical thinking (MT) has not been studied so far in patients with SFDs. Sampling and Methods: In a cross-sectional study, 201 allergy workup patients were interviewed using the Structured Clinical Interview for DSM-IV; they answered a set of self-report questionnaires including the Schizotypal Personality Questionnaire subscale for MT and the Patient Health Questionnaire (PHQ). The expression of MT was explored in 61 patients with SFDs compared to 140 patients without SFDs. Results: Patients with SFDs reached higher scores of MT, also when controlled for gender, depression, and anxiety. In particular, they stated more frequently that they were believers in telepathy (64 vs. 44%) and clairvoyance (43 vs. 16%). MT correlated only weakly with somatization/somatic symptom severity, depression, and ...

2011-06-09

434

The management of children with chronic fatigue syndrome-like illness in primary care: a cross-sectional study

The study examines the question of whether or not civilian marketing practices and principles can be applied in the military care setting. Using the NRMC Great Lakes as a basis, the answer is yes--consumers of military medical care are ready to be the rec...

1983-01-01

435

The Perceived Care Needs of Breast Cancer Patients in Korea

BackgroundMost studies on children with chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME) have been undertaken in tertiary care and little is known about their management...Full Text Available

2006-01-01

436

Telephone consulting in primary care: a triangulated qualitative study of patients and providers

By analyzing the data of 459 patients who completed the Supportive Care Needs Survey (SCNS), the prevalence, medical and non-medical predictors of unmet needs were investigated. Breast cancer patients...Full Text Available

2006-08-31

437

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study

BackgroundInternationally, there is increasing use of telephone consultations, particularly for triaging requests for acute care. However, little is known about how this mode of...Full Text Available

2009-06-01

438

Specialized palliative care services are associated with improved short- and long-term caregiver outcomes

Objectives To evaluate the extent to which intensive care units participating in the initial Keystone ICU project sustained reductions in rates of catheter related bloodstream infections.Design...Full Text Available

2010-01-01

439

Should fresh blood be recommended for intensive care patients?

Goals of workThe goal of this study was to evaluate, at a population level, the association between specialized palliative care services (SPCS) and short- and long-term caregiver...Full Text Available

2008-06-01

440

Robust parameter extraction for decision support using multimodal intensive care data

Fresh blood has many potential advantages over older blood, but there is no evidence that these properties translate into clinical benefit for intensive care patients. The observational multicenter...Full Text Available

2010-01-01

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441

Prevalence of potential drug interactions in patients in an intensive care unit of a university hospital in Brazil

Digital information flow within the intensive care unit (ICU) continues to grow, with advances in technology and computational biology. Recent developments in the integration and archiving of these...Full Text Available

2009-01-28

442

Patient-reported-outcomes in subjects with painful lumbar or cervical radiculopathy treated with pregabalin: evidence from medical practice in primary care settings

OBJECTIVES:To investigate the prevalence of potential drug interactions at the intensive care unit of a university hospital in Brazil and to analyze their clinical significance.METHODS:This...Full Text Available

2011-01-01

443

Patient-Care Practices Associated With an Increased Prevalence Of Hepatitis C Virus Infection among Chronic Hemodialysis Patients

The objective of this study was to evaluate the effect of pregabalin in painful cervical or lumbosacral radiculopathy treated in Primary Care settings under routine clinical practice. An observational,...Full Text Available

2010-06-01

444

Outcome of children with life-threatening asthma necessitating pediatric intensive care

ObjectiveTo identify patient-care practices related to an increased prevalence of hepatitis C virus (HCV) infection among chronic hemodialysis patients.Full Text Available

2011-05-01

445

Medicaid policy and the substitution of hospital outpatient care for physician care.

ObjectiveTo report the outcome of children with life-threatening asthma (LTA) admitted to a university Pediatric Intensive Care Unit (PICU).MethodsRetrospective...Full Text Available

446

Management of the early and late presentations of rheumatoid arthritis: a survey of Ontario primary care physicians.

This article explores the effects of reimbursement and utilization control policies on utilization patterns and spending for physician and hospital outpatient services under state Medicaid programs....Full Text Available

1989-04-01

447

Interference by new-generation mobile phones on critical care medical equipment

OBJECTIVE: To examine primary care physicians' management of rheumatoid arthritis, ascertain the determinants of management and compare management with that recommended by a current practice panel....Full Text Available

1996-09-15

448

Has general practitioner computing made a difference to patient care? A systematic review of published reports.

IntroductionThe aim of the study was to assess and classify incidents of electromagnetic interference (EMI) by second-generation and third-generation mobile phones on critical care...Full Text Available

2007-01-01

449

Finding Answers: Information Needs of a Multidisciplinary Patient Care Team in an Emergency Department

OBJECTIVE--To review findings from studies of the influence of desktop computers on primary care consultations. DESIGN--Systematic review of world reports from 1984 to 1994. SETTING--The computerised...Full Text Available

1995-09-30

450

Evaluation of patients' assessment of day hospital care.

Emergency Departments (ED) are fast-paced, information-intensive environments where patient care team members must address their information needs quickly and accurately. We conducted a qualitative...Full Text Available

2006-01-01

451

Evaluation of Croatian Community Pharmacists' Patient Care Competencies Using the General Level Framework

The method of linear analogue self-assessment (LASA) was used to quantify the views concerning day care which were held by patients attending a geriatric day hospital. The results suggest that day hospitals...Full Text Available

1977-09-01

452

Evaluating Computer Capabilities in a Primary Care Practice-Based Research Network

ObjectivesTo assess Croatian community pharmacists' patient care competencies using the General Level Framework (GLF).MethodsThe competencies of...Full Text Available

2011-03-10

453

Effect of structured postgraduate medical education on the care of patients with diabetes.

PURPOSE We wanted to assess computer capabilities in a primary care practice-based research network and to understand how receptive the practices were to new ideas for automation of practice...Full Text Available

2004-09-01

454

Comparing the Diagnostic Performance of 2 Clinical Decision Rules to Rule Out Deep Vein Thrombosis in Primary Care Patients

BACKGROUND. Diabetes can be effectively treated and monitored in general practice. Postgraduate medical education at a local level is required to support this strategic shift of medical care from hospital...Full Text Available

1995-03-01

455

Cognitive Expertise, Emotional Development and Reflective Capacity: Clinical Skills for Improved Pain Care

PURPOSE The Wells rule is widely used for clinical assessment of patients with suspected deep vein thrombosis (DVT), especially in the secondary care setting. Recently a new clinical decision...Full Text Available

2011-01-01

456

Canadian Emergency DepartmentTriage and Acuity Scale: implementation in a tertiary care center in Saudi Arabia

The overarching goal of medical training is to nurture the growth of knowledgeable, caring and insightful clinicians guided by the ideals of medical professionalism. Recent definitions of professional...Full Text Available

2008-11-01

457

Advances in the Clinical Care of Burned Patients

BackgroundThe Canadian Emergency Department Triage and Acuity Scale (CTAS) is a well recognized and validated triage system that prioritizes patient care by severity of illness....Full Text Available

458

Access Intervention in an Integrated, Prepaid Group Practice: Effects on Primary Care Physician Productivity

Very few areas of medical science have experienced more rapid development of new and beneficial treatment approaches during the past two decades than the disciplines required for total care of patients...Full Text Available

1975-10-01

459

The student tutor experience in a problem-based learning course: A case study

ObjectiveTo estimate the joint effect of a multifaceted access intervention on primary care physician (PCP) productivity in a large, integrated prepaid group practice.Data...Full Text Available

2008-10-01

460

The 10 basic requirements for a scientific paper reporting antioxidant, antimutagenic or anticarcinogenic potential of test substances in in vitro experiments and animal studies in vivo

This case study, conducted from an interpretive paradigm, illuminates contextual factors related to the tutor experience when senior undergraduate dental hygiene students served as tutors for beginning undergraduate dental hygiene students, or sophomores, in a 1-semester, 2-hour long problem-based learning (PBL) course in a Baccalaureate Dental Hygiene (BDH) curriculum during the spring semester of 2008. Data were collected using various sources and methods. Six tutors and three administrators were interviewed, tutees completed an anonymous questionnaire, the tutorial process and tutor training sessions were observed, and related documents were examined. Data analysis included open and axial coding, creation of tutor profiles, and identification of patterns. Tutor behaviors varied with respect to the nature of intervention (e.g., telling, asking, clarifying, acknowledging), emphasis (process, content, social), and facilitation style (directive, suggestive, empowering). Patterns in ...

2009-01-01

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461

Medline Plus

... Obstructive Pulmonary Disease) Crohn's Disease Cystic Fibrosis Depression Diabetes - Eye Complications Diabetes - Foot Care Diabetes - Introduction Diabetes - ...

462

DEFF Research Database (Denmark)

There is increasing evidence that chemicals/test substances cannot only have adverse effects, but that there are many substances that can (also) have a beneficial effect on health. As this journal regularly publishes papers in this area and has every intention in continuing to do so in the near future, it has become essential that studies reported in this journal reflect an adequate level of scientific scrutiny. Therefore a set of essential characteristics of studies has been defined. These basic requirements are default properties rather than non-negotiables: deviations are possible and useful, provided they can be justified on scientific grounds. The 10 basic requirements for a scientific paper reporting antioxidant, antimutagenic or anticarcinogenic potential of test substances in in vitro experiments and animal studies in vivo concern the following areas: (1) Hypothesis-driven study design; (2) The nature of the test substance; (3) Valid and invalid test ...

2003-01-01

463

Strategic principles workshops: Discussion drafts and workshop notes

Engagement in Advocacy and Policy Research: The Critical Role of Motivation, Obstacles, and Resources

The Office of Civilian Radioactive Waste-Management in the Department of Energy (DOE) is responsible for disposing of this nation`s spent fuel and high-level radioactive waste in a manner that protects the health and safety of the public and the quality of the environment. Although embodied in the Federal repository program that began with studies in the late 1950s, this mission was explicitly established by the Nuclear Waste Policy Act of 1982 and reaffirmed by the Nuclear Waste Policy Amendments Act of 1987. To fulfill our mission, we are developing a waste management system consisting of a geologic repository for permanent disposal deep beneath the surface of the earth, a facility for monitored retrievable storage, and a system for transporting the waste. This discussion draft was developed to help involve parties affected by or interested in the waste-management program in the formulation of the basic principles on which the program will be ...

1991-09-01

464

Development of advanced residential cooktop burner with low NO/sub x/ emissions. Annual report Feb 82-Jan 83

In the present political climate, politicians are singling out children's programs and services for budget cuts. The need for teacher education programs to prepare early childhood teachers as children's advocates is becoming ever more evident. For years, the National Association for the Education of Young Children has called for greater involvement of early childhood educators as advocates for programs and services that promote children's health and education. In teacher education programs, however, this call has largely gone unheeded. The purpose of this article is to discuss the importance of involving teacher candidates in advocacy activities and policy research, the obstacles that teacher educators can face when incorporating advocacy components into their teacher education courses and programs, and resources and strategies they can use. This discussion builds upon a motivation-obstacles-resources framework developed for adoption of innovative practices ...

2003-12-01

465

DOE explosives safety manual

This report describes the results of work conducted during February 1982 - January 1983. A literature search was initiated to identify the state-of-the-art of NOx (NO + NO/sub 2/) reduction technologies, including NOx measurement methodologies, air infiltration and ventilation trends, the impact of NOx (NO/sub 2/) emissions on health, and air quality standards. As a result of the literature search NOx (NO/sub 2/) reduction goals were established for the project and technologies to achieve these goals identified. This report also covers the development of a prototype burner which examined flue gas recirculation, burner designs, secondary air baffling and flame inserts as potential technologies to reduce NOx (NO/sub 2/). Because of their potential for NOx (NO/sub 2/) reduction shown by initial experiments, an in-depth analysis of ring insert configurations was conducted. These results, along with other technological experiments, are presented in ...

1983-02-28

466

Climate change: the Intergovernmental Panel on Climate Change impacts assessment

The Department of Energy (DOE) policy requires that all activities be conducted in a manner that protects the safety of the public and provides a safe and healthful workplace for employees. DOE has also prescribed that all personnel be protected in any explosives operation undertaken. The level of safety provided shall be at least equivalent to that of the best industrial practice. The risk of death or serious injury shall be limited to the lowest practicable minimum. DOE and contractors shall continually review their explosives operations with the aim of achieving further refinements and improvements in safety practices and protective features. This manual describes the Department's explosive safety requirements applicable to operations involving the development, testing, handling, and processing of explosives or assemblies containing explosives. It is intended to reflect the state-of-the-art in explosives safety. In addition, it is essential that ...

1990-05-01

467

Biological wound dressings sterilized with gamma radiation: Mexican clinical experience

The report was prepared for the IPCC by Working Group II. The remit of Working Group II was to describe the environmental and socioeconomic implications of possible climate changes over the next decades caused by increasing concentrations of greenhouse gases. The scenarios used include the following features: an effective doubling of atmospheric CO{sub 2} between now and 2025-2050; a consequent increase of global mean temperature of 1.5-4.5{degree}C; an unequal global distribution of the temperature increase; a sea level rise of 0.3 to 0.5m by 2050. The impacts of possible climate change were assessed for the following: agriculture and forestry; natural terrestrial ecosystems; hydrology and water resources; human settlements including the energy, transport and industrial sectors; human health; air quality and changes in UV-B radiation; oceans and coastal zones; seasonal snow cover; ice and permafrost. Further action is recommended. 1015 refs., ...

1990-01-01

468

Personal health information management: consumers' perspectives.

Biological wound dressings sterilized with gamma radiation, such as amnion and pig skin, are a reality in Mexico. These tissues are currently processed in the tissue bank and sterilized in the Gamma Industrial Irradiation Plant; both facilities belong to the Instituto Nacional de Investigaciones Nucleares (ININ) (National Institute of Nuclear Research). With the strong support of the International Atomic Energy Agency, the bank was established at the ININ and the Mexican Ministry of Health issued its sanitary license on July 7, 1999. The Quality Management System of the bank was certified by ISO 9001:2000 on August 1, 2003; the scope of the system is 'Research, Development and Processing of Biological Tissues Sterilized with Gamma Radiation'. At present, more than 150 patients from 16 hospitals have been successfully treated with these tissues. This paper presents a brief description of the tissue processing, as well as the present Mexican ...

2007-11-01

469

The effects of high voltage transmission lines on the health of adjacent resident populations

Personal health information management (PHIM) refers to activities that support consumers' access, integration, organization, and use of their personal health information. We investigated PHIM in the health consumer population using a focus group and participatory design. In collaboration with health consumers, we identified PHIM activities and explored the design of new supportive technology. Our findings describe prominent PHIM activities such as monitoring and assessing health, as well as health-related decision making, planning, and action. We describe design principles our participants used during the participatory design of a PHIM tool. These include individual control, sharing, integration, security and flexibility. These findings provide new insights into emerging ideas in consumer health informatics research and technology design. ...

2006-01-01

470

Y Chromosome microdeletion and altered sperm quality in human males with high concentration of seminal hexachlorocyclohexane (HCH).

A community health survey of 438 individuals was taken to detect health problems related to high voltage electrical transmission among an adjacent residential population. Results revealed no significant or consistent relationships between exposure to a high voltage DC power line and the perceived health problems that were measured. The sample was not, however, large enough to draw statistically significant conclusions regarding possible health effects with a very low incidence.

1984-01-01

471

Sperm investment in male meadow voles is affected by the condition of the nearby male conspecifics.

Recent studies have shown Y chromosome microdeletions associated with male infertility. The factors responsible for Y chromosome microdeletions in spermatozoa remain unresolved. However, the environmental pollutants are known to damage DNA in differentiating and maturing germ cells in the male reproductive tract. Therefore, the aim of this study was to investigate the effects of seminal hexachlorocyclohexane (HCH) and its isomers, an environmental pollutant, in 50 fertile and 50 infertile males in relation to semen quality and the incidence of Y chromosome microdeletion in azoospermic factor (AZF) region. As compared to control, an increased HCH level and significantly decreased semen quality were observed in the infertile males. A positive significant association was found between sperm count with alpha-HCH and beta-HCH in the infertile males. A negative significant association was observed between sperm counts with gamma-HCH in asthenospermia ...

2010-06-18

472

Nonlinear stochastic modeling of river dissolved-oxygen

Sperm competition occurs when 2 or more males copulate with a particular female during the same reproductive cycle, and their sperm compete to fertilize the female's available eggs. One strategy that male voles use to assess the risk and intensity of sperm competition involves responding to the presence of scent marks of conspecific males found near a sexually receptive female. Previously, we have shown that if a male vole copulated with a female while he was in the presence of the odors of another male he increased his sperm investment relative to his investment if another male's odors were not present. The aim of the present study was to test the hypothesis that males assess differences in the relative quality of competing males and adjust their sperm investment accordingly. We did so by allowing males to copulate when they were exposed to the scent mark of a 24-h food-deprived male (low-quality male) or the scent mark of a male that was not ...

2008-07-30

473

Influence of gamma rays and some pre and post harvest treatments on behavior of some fruits during cold storage

An important aspect of water quality modeling is forecasting water quality variables for real-time management and control applications to enhance, maintain and sustain desirable water qualities. The major objective of this research is to develop daily time series models for forecasting river dissolved-oxygen (DO). The modeling approach adopted herein combines deterministic and stochastic concepts for determining properties of the DO process based on time series data and dynamic mechanisms governing the said process. This is accomplished by deriving a general DO stochastic model structure based on a modified Streeter-Phelps DO-BOD dynamic model. Then some types of nonlinear models namely, self-exciting threshold autoregressive-moving average (SETARMA), amplitude-dependent autoregressive (ADAR) and bilinear (BL) models, and the class of linear autoregressive-moving average (ARMA) models are adopted for model identification ...

1984-01-01

474

Savannah River Site production reactor safety analysis report. K production reactor

Apricot fruits usually harvested relatively mature but hard enough to withstand-post harvest handling through the marketing chain. These fruits have considerably lower edible quality than tree-ripened fruit. Fruit quality can be improved by delaying harvest least until physiological maturation is completed on the tree (Bonghi et al. 1999) Apricots containing 11% soluble solids concentration, or higher are in high demand by consumers, as fruit have developed considerable taste, aroma and handling for long distance markets. (Kader, 1999). These fruit will be highly perishable, so rapid cold storage to the lowest safe temperature and supplementary treatments (Mc Donald et al, 1999) such as irradiation with the recommend doses (Sillano et al, 1994) or pre-storage heat treatments will be necessary to retard ripening (mainly softening) during 1-2 weeks post harvest life necessary for distribution to distant markets (Mc Donald et al 1999). Therefore, ...

2003-03-01

475

Full scale heavily reinforced concrete beam-column joints of NPP structures-quality assurance and construction in the laboratory

Nuclear facilities of the Department of Energy (DOE) located at the Savannah River Site must comply with DOE orders as implemented at DOE-SR. The DOE orders cover safety criteria, design criteria, environmental protection, occupational health and safety. The program applies to DOE and contractors. In this section, the Nuclear Regulatory Commission (NRC) criteria and industry codes and standards are addressed as well as DOE orders. Specific DOE orders which add additional criteria have also been noted. A program for assessing and implementing contractor applicable DOE orders has been established. This program ensures that compliance is achieved through developing and implementing policies, programs, and procedures. The primary emphasis is placed on safe, efficient reactor restart and operation. DOE has classified orders applicable to restart as Level I, Category I while those applicable to post-restart are classified as Level I, Category II. Category I and II orders ...

476

Climate change impacts and adaptation : a Canadian perspective

Under the current design philosophy, reactor structures are to be designed to withstand large inelastic deformation caused by strong and severe ground motion. The design of the main structural elements and their connections are to be such that they always fail in ductile mode. This will ensure large energy absorption capacity of the structures under seismic excitation and avoid sudden and brittle failure of the structure. Over the years, a number of experimental investigations have been carried out on RC beam- column joints to study their behaviour and strength. However, these studies mostly pertain to small scale joints of moment resisting frame of residential buildings and commercial complexes. Information on full scale joints existing in NPP structures are scanty. Therefore, experimental programme was planned in the laboratory to construct identical large sized joints with the same reinforcement percentage and detail as that of the existing joints in NPP structures built in 1960's. ...

2003-02-01

477

VGB guidelines on the consideration of noise emission in ordering power plant equipment

This book summarizes the research that has been conducted in Canada over the past five years on the issue of climate change impacts on key sectors such as water resources, agriculture, forestry, fisheries, coastal zones, transportation, and human health and well-being. The book refers to the growing evidence that climate change is occurring. The Intergovernmental Panel on Climate Change (IPCC) believes that these changes have already contributed to increases in annual precipitation, cloud cover and extreme temperatures over the last 50 years. It suggests that it in order to develop an effective strategy for adaptation, it is necessary to understand the vulnerability of each sector to climate change in terms of the nature of climate change, the climatic sensitivity of the region being considered, and the capacity to adapt to the changes. Adaptation will require a reduction in greenhouse gas emissions in order to lower the rate of climate change. Problems associated ...

478

Untersuchung von Bildqualitat und Genauigkeit der Dosisberechnung bei cone-beam-CT-Aufnahmen mit reduziertem Projektionsdatensatz (half scan, half fan) im Hinblick auf die Verwendbarkeit fur die adaptive Bestrahlungsplanung

The present guidelines supplement the 'VGB guidelines for the reduction of noise in thermal power plants' with indications for the ordering and quality assurance of the individual noise-producing machines and equipment of power plant operation. These guides are to simplify the commissioning and delivering for the orderer and deliverer. In addition, these guidelines are to lead to a successful cooperation of all parties in the reduction of the sound radiation. A precondition for this is an explanation of the sound technical demands which must be made on the single machines or mechanical equipment in power plant systems. A protection of the neighbourhood as well as operational personnel against noise according to the state of technology is to be achieved by a clear form of ordering and quality assurance. The ordering and assurance procedure for all aggregates in the region of the grounds of a power plant up to the ...

479

British Library Electronic Table of Contents (United Kingdom)

Subject of this study is the question of whether cone beam CT (CBCT) images with reduced projection data are suitable for use in adaptive radiation therapy (ART) treatment planning. For this purpose image quality and dose calculation accuracy depending on imaging modality were analysed. In this context, two CBCT-methods will be indicated having reduced projection data sets: Scans acquired with 200^o rotation angle in order to accelerate the CBCT process (half scan), or scans with an asymmetric cone beam and detector offset, used to enlarge the field-of-view (half fan). Methods: For three different CBCT-modes (On-Board-Imaging, Varian Medical Systems), two of them based on reduced projection data, and a conventional multidetector CT system, the main image quality parameters were studied. Tr...

2011-01-01

480

Toward an environmental and natural resources management strategy for ANE countries in the 1990s

The dosimetric verification of a pencil beam based treatment planning system

An initial draft of an environmental and natural resource strategy for the Asia Near/East region in the 1990's is presented. The report contains five chapters. Chapter I provides an analytic framework that links natural resources, their extent, quality, and management with economic growth in the region. Chapter II contains a more detailed description and analysis of key resource problems that are restricting economic growth and have a severe negative impact on standard of living and quality of life. The most serious of these are soil and water degradation; destruction of natural forests, wetlands, and coastal zones; inefficient energy use and industrial pollution; and lack of environmental services. Chapters III and IV describe 20 specific opportunities for working toward sustainable economic growth through protection and enhancement of the natural resource base. Opportunities for action were chosen on the basis of the urgency and ...

1990-01-01

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481

The Development of an Audio Computer-Based Classroom Test of ESL Listening Skills.

A new three-dimensional treatment planning system (TPS) based on convolution/superposition algorithms (TMS-Radix from HELAX AB, Uppsala, Sweden) was recently installed at the University Hospital in Lund. The purpose of the present study was to design a quality assurance and acceptance testing programme to meet the specific characteristics of this convolution model. The model is based on parametrization of a non-measurable quantity - the polyenergetic pencil beam. However, the verification of the treatment planning model is still dependent on numerous comparisons of measured depth-doses and dose profiles. The test programme was divided in two basic parts: (i) model implementation and beam data consistency and (ii) model performance and limitations in special situations. The first part was scheduled for all photon beam qualities available before they could be used for clinical treatment planning. The second part was performed for selected ...

482

Phosphorus and nitrogen in the eutrophication of waters. Fosfori ja typpi vesien rehevoeittaejinae - vaikutusten arviointi

There are very few examples of audio-based computerized tests, but for many disciplines, such as foreign language and music, there appear to be many benefits to this type of testing. The purpose of the present study was to develop and compare computer-delivered and audiocassette/paper-and-pencil versions of a listening test. The test was a measure of progress achievement of academic listening comprehension and vocabulary for high-intermediate level students of English as a Second Language (ESL) at a university-affiliated institute. The underlying assumption investigated was that the use of computer and audio technology for classroom progress tests would provide benefits of convenience and improved sound quality while providing measurement quality and validity that were at least comparable to the paper form of such tests. Results with 28 students indicate that the computerized test performed at least as well as the ...

1999-04-01

483

Milk yield and quality in Guernsey cows fed cottonseed cake-based diets partially substituted with baobab (Adansonia digitata L.) seed cake

This report is a summary of the contribution of nitrogen and phosphorus in the eutrophication process of inland and coastal waters. Special attention was paid to the mechanisms of these nutrients in regulating biological processes and to the methods available in estimating their effects in the eutrophication of water bodies. The report includes five chapters which are entitled: Introduction, which is a general background to the subject with special attention to the requirements of the Finnish Water Act. Phosphorus and nitrogen as factors regulating biological processes. The topics included are: definition of eutrophication, forms of phosphorus and nitrogen and their sources to inland and coastal waters, effects of these nutrients as growth factors of phytoplankton and macrophytes and consequences of eutrophication. Estimation of the effects of phosphorus and nitrogen. The topics discussed from the point of view of the tasks of the National Board of Waters and the Environment are: ...

1992-01-01

484

British Library Electronic Table of Contents (United Kingdom)

The objective of this study was to determine the effects of partially substituting cottonseed cake with graded levels of baobab (Adansonia digitata L.) seed cake (BSC) on milk yield and quality in Guernsey cows. Sixteen cows in mid-lactation and in their third parity were allocated to diets containing 0% (control), 5%, 10%, and 15% BSC in a completely randomized design. Each cow was given a daily feed ration of 6?kg and a basal diet of soya bean stover ad libitum. There were no differences in daily feed intake (P?>?0.05), but basal intake differed among all treatment groups with cows on the control diet having the highest intake (30???0.34?kg/day). Mean daily milk yield differed (P?P?P?P?P?>?0.05). These results indicate that BSC can substitute soya bean cake in dairy diets, but milk produ...

2011-01-01

485

Influence of moisture on flow property indicators of poor quality anthracite

Evaluation of performance and characteristics of neutron radiography and standardization

Describes investigations into flow density, angle of repose, coefficients of friction and adhesion using poor quality anthracite culm (from the 50-letie Ukrainy mine) and anthracite slurry with a high ash content (from the Tsentral'naya and Partizanskaya mines) on samples of varying moisture content (2-22%). The results show that flow properties are impaired when anthracite has a moisture content of 8.5 to 9.5%; when these anthracites are used in electric power plants they should be stored in bunkers with walls with a slope of greater than 70 degrees (or dried) to prevent sticking. Results of investigations into internal and external friction, adhesion and cohesion varied for the different samples, but the highest coefficient of internal friction was found with concrete where it increases continuously with moisture content. With rubber, PVC, St. 3 steel and stainless steel, the friction coefficient increases with moisture content at first, then gradually ...

1988-03-01

486

Determination and characteristics of the transition to two-phase slug flow in small horizontal channels

Neutron radiography has been put to practical use in foreign countries as one of nondestructive inspection technologies, but in Japan, its application to other scientific fields is mainly researched. The reason is, the neutron radiography apparatuses installed in Japan are hard to be industrially utilized for a number of reasons, but also the characteristics of neutron radiography are not clearly established, and it is not standardized. The part from a collimator through an object to a detector is called ``upstream``, the part of an image detector is called ``midstream``, and the part of image processing is called ``downstream``. The nonparallel property of beam, image distortion and the lack of sharpness, beam quality and the interaction of neutron beam with an object are discussed about the upstream. The intensity of neutron beam, the energy spectra, the effective total macroscopic cross section, the effective energy, the evaluation of scattered beam and ...

1995-02-01

487

Active biomonitoring of heavy metal pollution using Rosa rugosa plants

Two-phase pressure drop and fluctuating static pressures were measured in a small horizontal rectangular channel (hydraulic diameter = 5.44 mm). The two-phase fluid was an air/water mixture at atmospheric pressure tested over a mass flux range of 50 to 2,000 kg/m[sup 2] [center dot] s. Two-phase flow patterns were identified and an objective method was found for determining the flow pattern transition from bubble or plug flow to slug flow. The method is based on an RMS static pressure measurement. In particular, it is shown that the transition is accompanied by a clear and abrupt increase in the RMS pressure when plotted as a function of mass quality. Use of the RMS pressure as a two-phase flow pattern transition indicator is shown to have advantages over pressure-versus-time trace evaluations reported in the literature. The transition is substantiated by a clear local change in slope in the curve of two-phase pressure drop plotted as a ...

1994-03-01

488

Active biomonitoring of heavy metal pollution using Rosa rugosa plants

The purpose of this work was to evaluate the quality of a rural area near Faenza (Italy) by using an active biomonitoring approach, i.e., by placing homogeneous individuals of the perennial shrub Rosa rugosa in different sites throughout the area. Further sites, within the city or its environs, were used for comparison. Soil and leaves of R. rugosa were analyzed for their heavy metal content. The total heavy metal pattern of leaves closely paralleled the pattern registered in soil, with the highest content (both in total and assimilable forms) at the site in the urban area, which is exposed to heavy traffic. Pollen quality (abortiveness and viability) was also tested as a potential indicator of pollution. Pollen abortiveness was strictly related to Pb levels in leaves, while viability was inversely related to leaf Cr content. Our results suggest that R. rugosa has the potential to be a good biomonitoring system. - Rosa ...

2007-09-15

489

A growing interest for healthy houses; Meer belangstelling voor gezonde woningen

The purpose of this work was to evaluate the quality of a rural area near Faenza (Italy) by using an active biomonitoring approach, i.e., by placing homogeneous individuals of the perennial shrub Rosa rugosa in different sites throughout the area. Further sites, within the city or its environs, were used for comparison. Soil and leaves of R. rugosa were analyzed for their heavy metal content. The total heavy metal pattern of leaves closely paralleled the pattern registered in soil, with the highest content (both in total and assimilable forms) at the site in the urban area, which is exposed to heavy traffic. Pollen quality (abortiveness and viability) was also tested as a potential indicator of pollution. Pollen abortiveness was strictly related to Pb levels in leaves, while viability was inversely related to leaf Cr content. Our results suggest that R. rugosa has the potential to be a good biomonitoring system. - Rosa ...

2007-09-01

490

The effects of high voltage transmission lines on the health of adjacent resident populations.

An overview is given of the interest of the Dutch government, several organizations and consumers in the quality of the indoor environment. Main aspects, sub-aspects and indicators for the indoor environment of dwellings are listed: site selection, thermal comfort, air quality, light, view, privacy, noise, safety, and radiation. [Dutch] In het veld wordt onvoldoende aandacht en prioriteit gegeven aan de kwaliteit van het binnenmilieu. Het ligt voor de hand de kennis over de relatie gezondheid en binnenmilieu bij professionele partijen te vergroten. In dit kader is het Binnenmilieuprofiel voor de kantooromgeving geintroduceerd. Aan de hand hiervan kan de discussie worden gevoerd tussen vrager en aanbieder over de kwaliteit van het binnenmilieu. Het zou de basis kunnen zijn voor een keurmerk Gezond Gebouw. Dezelide binnenmilieuproblematiek doet zich natuurlijk ook voor bij woningen. In dit artikel wordt een introductie ...

2003-10-01

491

Perceptions of tobacco health warnings in China compared with picture and text-only health warnings from other countries: an experimental study

A community health survey of 438 individuals was taken to detect health problems related to high voltage electrical transmission among an adjacent residential population. Results revealed no significant...Full Text Available

1984-01-01

492

Methodological Issues in Monitoring Health Services and Outcomes for Stroke Survivors: A Case Study

ObjectiveTo assess the perceived effectiveness of cigarette health warnings in China, compared with picture and text-only warnings from other countries.Method1169...Full Text Available

2010-10-01

493

Impact of periodic health examination on surgical treatment for uterine fibroids in Beijing: a case-control study

BackgroundObtaining comprehensive health outcomes and health services utilization data on stroke patients has been difficult. This research grew out of a memorandum...Full Text Available

2010-10-01

494

Health Literacy and Access to Kidney Transplantation

BackgroundDuring the past 2 decades, there has been a rapid proliferation of "health examination center (HEC)" across China. The effects of their services on public's health have...Full Text Available

495

Global Health and Foreign Policy

Background and objectives: Few studies have examined health literacy in patients with end stage kidney disease. We hypothesized that inadequate health literacy in a hemodialysis population is common...Full Text Available

2009-01-01

496

Effects of a community mental health service on the practice and attitudes of general practitioners.

Health has long been intertwined with the foreign policies of states. In recent years, however, global health issues have risen to the highest levels of international politics and have become accepted...Full Text Available

2010-04-01

497

Decline of Ambient Air Pollution Levels and Improved Respiratory Health in Swiss Children

Recent years have seen closer links developing between general practitioners and mental health specialists. A study was undertaken in Manchester to determine the effects of a new community mental health...Full Text Available

1993-12-01

498