WorldWideScience

Sample records for air ambulances

  1. 75 FR 62639 - Air Ambulance and Commercial Helicopter Operations, Part 91 Helicopter Operations, and Part 135...

    Science.gov (United States)

    2010-10-12

    ...). SUMMARY: This proposed rule addresses air ambulance and commercial helicopter operations, part 91... and commercial helicopter operations. The proposal aims to address safety concerns arising from an... factors that are addressed in this proposal. These accidents involving commercial helicopter...

  2. Mission impossible or border security – Practical and effective infection control on air ambulances

    Directory of Open Access Journals (Sweden)

    M. Kuhn*

    2013-12-01

    These principles have been applied to our air ambulance system based from Lanseria International Airport. By combining preventative and control measures, there has been no breach in our infection control strategies, as evidenced by no growth noted on specific and random swabs even when more and more ”super bugs” are being identified in hospital. As an air ambulance service flying patients from various African countries, we have the responsibility to conduct our own ”Border Security” to keep our hospitals, patients, aircraft and crews clean and safe. In this presentation we will share our ”Border Security” principles and experiences with the audience.

  3. Operational implementation and lessons learned from Haiti's first helicopter air ambulance.

    Science.gov (United States)

    DeGennaro, Vincent; Owen, Jordan; Chandler, Jerry; McDaniel, Ralph

    2016-05-01

    Critical-care helicopter transport has demonstrated improvements in morbidity and mortality to those patients who utilise the service, but this has largely excluded developing country populations due to set up costs. Haiti Air Ambulance is the first completely publicly-available helicopter ambulance service in a developing country. US standards were adopted for both aviation and aeromedical care in Haiti due to proximity and relationships. In order to implement properly, standards for aviation, critical care, and insurance reimbursement had to be put in place with local authorities. Haiti Air Ambulance worked with the Ministry of Health to author standards for medical procedures, medication usage, and staff training for aeromedical programs in the country. Utilisation criteria for the helicopter were drafted, edited, and constantly updated to ensure the program adapted to the clinical situation while maintaining US standard of care. During the first year, 76 patients were transferred; 13 of whom were children and 3 pregnant women. Three patients were intubated and two required bi-level mask ventilation. Traumatic injury and non-emergency interfacility transfers were the two most common indications for service. More than half of the transfers (54%) originated at one of six hospitals, mostly as a result of highly-involved staff. The program was limited by weather and the lack of weather reporting, radar, visual flight recognition, thus also causing an inability to fly at night. In partnership with the government and other non-governmental organisations, we seek to implement a more robust pre-hospital system in Haiti over the next 12-24 months, including more scene call capabilities. PMID:26739767

  4. Hospital survival upon discharge of ill-neonates transported by ground or air ambulance to a tertiary center

    Directory of Open Access Journals (Sweden)

    Jorge Luis Alvarado-Socarras

    2016-06-01

    Full Text Available Abstract Objective: To evaluate the differences in hospital survival between modes of transport to a tertiary center in Colombia for critically ill neonates. Methods: Observational study of seriously ill neonates transported via air or ground, who required medical care at a center providing highly complex services. Data on sociodemographic, clinical, the Transport Risk Index of Physiologic Stability (TRIPS, and mode of transport were collected. Patients were described, followed by a bivariate analysis with condition (live or dead at time of discharge as the dependent variable. A multiple Poisson regression with robust variance model was used to adjust associations. Results: A total of 176 neonates were transported by ambulance (10.22% by air over six months. The transport distances were longer by air (median: 237.5 km than by ground (median: 11.3 km. Mortality was higher among neonates transported by air (33.33% than by ground (7.79%. No differences in survival were found between the two groups when adjusted by the multiple model. An interaction between mode of transport and distance was observed. Live hospital discharge was found to be associated with clinical severity upon admittance, birth weight, hemorrhaging during the third trimester, and serum potassium levels when admitted. Conclusions: Mode of transport was not associated with the outcome. In Colombia, access to medical services through air transport is a good option for neonates in critical condition. Further studies would determine the optimum distance (time of transportation to obtain good clinical outcomes according type of ambulance.

  5. Monitoring the effect of air pollution episodes on health care consultations and ambulance call-outs in England during March/April 2014: A retrospective observational analysis.

    Science.gov (United States)

    Elliot, Alex J; Smith, Sue; Dobney, Alec; Thornes, John; Smith, Gillian E; Vardoulakis, Sotiris

    2016-07-01

    There is an increasing body of evidence illustrating the negative health effects of air pollution including increased risk of respiratory, cardiac and other morbid conditions. During March and April 2014 there were two air pollution episodes in England that occurred in close succession. We used national real-time syndromic surveillance systems, including general practitioner (GP) consultations, emergency department attendances, telehealth calls and ambulance dispatch calls to further understand the impact of these short term acute air pollution periods on the health seeking behaviour of the general public. Each air pollution period was comparable with respect to particulate matter concentrations (PM10 and PM2.5), however, the second period was longer in duration (6 days vs 3 days) and meteorologically driven 'Sahara dust' contributed to the pollution. Health surveillance data revealed a greater impact during the second period, with GP consultations, emergency department attendances and telehealth (NHS 111) calls increasing for asthma, wheeze and difficulty breathing indicators, particularly in patients aged 15-64 years. Across regions of England there was good agreement between air quality levels and health care seeking behaviour. The results further demonstrate the acute impact of short term air pollution episodes on public health and also illustrate the potential role of mass media reporting in escalating health care seeking behaviour.

  6. Investigation of the contamination of air and articles in ambulance and the effect of disinfection observation%救护车内空气、物品染菌量调查及干预效果观察

    Institute of Scientific and Technical Information of China (English)

    杨丽萍

    2011-01-01

    Objective: To investigate the bacterial contamination of air and articles in ambulance, and observe the effect of disinfection. Methods: The bacterial contamination of the air and articles in one ambulance were detected before and after disinfection in early,middle and end per month from May. 2009 to Oct. 2009. Results :The pollution situation of air and articles in ambulance was serious before disinfection. The bacterial contamination was decreased significantly after disinfection. And the difference was statistically significant( P < 0.01 ). Conclusions: The pollution situation of air and articles in ambulance is serious. It is necessary to establish a strict disinfection management system.%目的:调查救护车内空气、物品的染菌量情况,观察消毒处理的效果.方法:2009年5~10月的每月上、中、下旬对3辆救护车内空气和物品表面进行消毒前后染菌量监测.结果:消毒前救护车内空气和物品的污染情况严重,消毒后染菌量明显下降(P<0.01).结论:救护车内空气和物品的污染状况严重,需加强其消毒和监测工作.

  7. Ambulance 3G.

    Science.gov (United States)

    Banitsas, Konstantinos; Perakis, Konstantinos; Koutsouris, Dimitrios; Konis, Georgios; Tachakra, Sapal

    2005-01-01

    Minimising the time required for a patient to receive primary care has always been the concern of the Accidents and Emergency units. Ambulances are usually the first to arrive on the scene and to administer first aid. However, as the time that it takes to transfer the patient to the hospital increases, so does the fatality rate. In this paper, a mobile teleconsultation system is presented, based primarily on third generation mobile links and on Wi-Fi hotspots around a city. This system can be installed inside an ambulance and will permit high-resolution videoconferencing between the moving vehicle and a doctor or a consultant within a base station (usually a hospital). In addition to video and voice, high quality still images and screenshots from medical equipment can also be sent. The test was carried out in Athens, Greece where a 3G system was recently deployed by Vodafone. The results show that the system can perform satisfactory in most conditions and can effectively increase the patient's quality of service, while having a modest cost.

  8. Superior Ambulance Call Out Rate Forecasting Using Meteorological Data

    Science.gov (United States)

    Mahmood, M. A.; Thornes, J. E.; Bloss, W.; Pope, F.

    2015-12-01

    Ambulances are an integral part of a country's infrastructure ensuring its citizens and visitors are kept healthy. The impact of weather, climate and climate change on ambulance services around the world has received increasing attention in recent years but most studies have been area specific and there is a need to establish basic relationships between ambulance data (both response and illness data) and meteorological parameters. In this presentation, the effects of temperature and relative humidity on ambulance call out rates for different medical categories will be investigated. We use call out data obtained from the London Ambulance Service (LAS) and meteorological data from a central London meteorological station. A time-series analysis was utilized to understand the relation between temperature, relative humidity, air pollutants and different call out categories. There are statistically significant relationships between mean temperature and ambulance callout rate for most of the categories investigated. Most categories show a negative dependence on temperature, i.e. call outs increase with decreasing temperature but some categories showed a positive dependence such as alcohol related call outs. Relative humidity is significant for some categories but in general is much less important than temperature. Significant time lag effects were observed for most of the categories related to infectious illnesses, which are transferrable through human contact. These findings support the opinion that ambulance attendance callouts records are an effective and well-timed source of data and can be used for health early warning systems. Furthermore the presented results can much improve our understanding of the relationships between meteorological conditions and human health thereby allowing for better prediction of ambulance use through the application of long and short-term weather forecasts.

  9. A Theory of Ambulance Chasing

    CERN Document Server

    Backović, Mihailo

    2016-01-01

    Ambulance chasing is a common socio-scientific phenomenon in particle physics. I argue that despite the seeming complexity, it is possible to gain insight into both the qualitative and quantitative features of ambulance chasing dynamics. Compound-Poisson statistics suffices to accommodate the time evolution of the cumulative number of papers on a topic, where basic assumptions that the interest in the topic as well as the number of available ideas decrease with time appear to drive the time evolution. It follows that if the interest scales as an inverse power law in time, the cumulative number of papers on a topic is well described by a di-gamma function, with a distinct logarithmic behavior at large times. In cases where the interest decreases exponentially with time, the model predicts that the total number of papers on the topic will converge to a fixed value as time goes to infinity. I demonstrate that the two models are able to fit at least 9 specific instances of ambulance chasing in particle physics us...

  10. Riding Third: Social Work in Ambulance Work

    Science.gov (United States)

    Campbell, Hilary; Rasmussen, Brian

    2012-01-01

    This research explored the possible role of social work alongside emergency ambulance services. An ethnographic study included semistructured interviews and direct observations collected over 300 hours while riding in ambulances in an urban setting. The data suggest that social work could play a role by providing needed psychosocial care during…

  11. Ambulance Reasonable Charge Public Use Files

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Ambulance Reasonable Charge public use files for calendar years (CY) 2003 through 2005 are located in the Downloads section below. These public use files are...

  12. Robotic Assistance During Ambulation by Older Adults

    OpenAIRE

    Matthews, Judith; Engberg, Sandra; Montemerlo, Michael; Pineau, Joelle; Roy, Nicholas; Rogers, Joan; Thrun, Sebastian

    2002-01-01

    Some older adults require assistance with ambulation due to physical mobility limitations. Others lack the cognitive ability, either alone or in combination with physical impairment, to get where they need to go. Investigation of older adults' gait speed, social interaction, and responsiveness to a robot during ambulation is part of the Nursebot Project, a unique collaboration of health care professionals and technologists focused on developing a personal robotic assistant for frail elderly a...

  13. Application of 4 different sterilization methods applied for ambulance air disinfection%4种消毒方法在急救车物体表面消毒的应用效果

    Institute of Scientific and Technical Information of China (English)

    舒艳; 杨建国; 李素英; 王梅; 陈明

    2011-01-01

    目的 通过对北京市救护车污染状况、污染菌种的分析,研究探讨快速、有效、规范的救护车的消毒方法及卫生学监测标准. 方法 将164辆急救车分为4组,紫外线组、臭氧组、二氧化氯消毒剂组为3个试验组,清水组为对照组;每次急救车使用后及清洗消毒后对物体表面采样,并进行细菌培养计数及细菌鉴定. 结果 对照组、紫外线组、臭氧组及二氧化氯消毒剂组清洗消毒后菌落数分别是0.68、0.56、0.24、0.36 CFU/m2,均能达到消毒技术管理规范要求,符合Ⅲ类环境物体表面菌落总数≤10 CFU/m2范围,杀菌率分别为71.5%、82.9%、87.1%及82.1%,二氧化氯消毒剂擦拭的消毒效果明显好于对照组,差异有统计学意义(P<0.05),紫外线和臭氧的消毒效果与对照比较,差异无统计学意义. 结论 二氧化氯消毒剂擦拭方法快速、有效,适用于急救车内壁及院外急救设备的卫生学监测标准.%OBJECTIVE To explore a rapid, effective and normative disinfection method and hygiene monitoring standard by analyzing ambulance pollution status and bacteria species. METHODS A total of 164 ambulances were divided into 4 groups, namely UV group, Ozone group, chlorine dioxide disinfectant group was set as experimental group and pure water group as control group. Every time after the use of ambulance and disinfection,the surfaces of ambulances were sampled, bacterial culture counts and the bacterial identification were performed.RESULTS After being disinfected, the colonies of 4 different methods were 0. 68,0. 56,0. 24 and 0. 36 CFU/m2 ,respectively, which met the requirement of management regulation and the No. 3 environmental standard on the total number of surface colonies (≤ 10 CFU/m2 ). The sterilization rates were 71. 5 %, 82. 9%, 87. 1 % and 82. 1 %, respectively. By pairwise comparison, the effect of chlorine dioxide aerosols was significantly better than that of control group (P<0

  14. Ambulance officers' use of online clinical evidence

    Directory of Open Access Journals (Sweden)

    Westbrook Mary T

    2006-07-01

    Full Text Available Abstract Background Hospital-based clinicians have been shown to use and attain benefits from online evidence systems. To our knowledge there have been no studies investigating whether and how ambulance officers use online evidence systems if provided. We surveyed ambulance officers to examine their knowledge and use of the Clinical Information Access Program (CIAP, an online evidence system providing 24-hour access to information to support evidence-based practice. Methods A questionnaire was completed by 278 ambulance officers in New South Wales, Australia. Comparisons were made between those who used CIAP and officers who had heard of, but not used CIAP. Results Half the sample (48.6% knew of, and 28.8% had used CIAP. Users were more likely to have heard of CIAP from a CIAP representative/presentation, non-users from written information. Compared to ambulance officers who had heard of but had not used CIAP, users were more likely to report better computer skills and that their supervisors regarded use of CIAP as a legitimate part of ambulance officers' clinical role. The main reasons for non-use were lack of access(49.0% and training(31.4%. Of users, 51.3% rated their skills at finding information as good/very good, 67.5% found the information sought all/most of the time, 87.3% believed CIAP had the potential to improve patient care and 28.2% had directly experienced this. Most access to CIAP occurred at home. The databases frequently accessed were MIMS (A medicines information database (73.8% and MEDLINE(67.5%. The major journals accessed were Journal of Emergency Nursing(37.5%, American Journal of Medicine(30.0% and JAMA(27.5%. Conclusion Over half of ambulance officers had not heard of CIAP. The proportion who knew about and used CIAP was also low. Reasons for this appear to be a work culture not convinced of CIAP's relevance to pre-hospital patient care and lack of access to CIAP at work. Ambulance officers who used CIAP accessed it

  15. CERN'S Fire and Rescue Group Gets New Ambulance

    CERN Multimedia

    2000-01-01

    The ambulance is to replace another based on the off-road vehicle design which was originally acquired for the civil engineering phase of LEP construction. Just one figure, in 1999, the CERN ambulance was called out 195 times.

  16. User reflection on actions in ambulance telemedicine systems

    DEFF Research Database (Denmark)

    Hansen, Magnus

    2010-01-01

    Much information is shared, interpreted and recreated between caller, emergency dispatch personnel and ambulance crew during an emergency call. This paper studies the use of reflection in the ambulance control center based on the information an ambulance crew produces during patient treatment in ...... understand and use the feedback delivered through the system. The paper argues for broadening the scope of telemedicine use outside the boundaries of communication between ambulance and emergency department....

  17. Post-traumatic stress among Swedish ambulance personnel

    OpenAIRE

    Jonsson, A; Segesten, K; Mattsson, B

    2003-01-01

    Objective: Emergency workers, including ambulance personnel, must cope with a variety of duty related stressors including traumatic incident exposures. Little is known about the variables that might be associated with post-traumatic stress symptom in high risk occupational groups such as ambulance personnel. This study investigated the prevalence of post-traumatic stress disorder among Swedish ambulance personnel.

  18. Rushing Roulette: The State of Canada's Ambulance Services.

    Science.gov (United States)

    Scanlan, L

    1976-02-01

    In a Canada-wide survey, CANADIAN FAMILY PHYSICIAN found a startling divergence in provincial standards for ambulance crews and vehicles.While some provinces had developed a well-integrated ambulance system with central dispatching, rigorous standards for attendants and advanced paramedical training programs, in some the ambulances are run almost entirely by local undertakers. PMID:21308032

  19. Leg Spasticity and Ambulation in Multiple Sclerosis

    OpenAIRE

    Swathi Balantrapu; Sosnoff, Jacob J.; Pula, John H.; Brian M. Sandroff; Motl, Robert W.

    2014-01-01

    Background. Spasticity of the legs is common in multiple sclerosis (MS), but there has been limited research examining its association with ambulatory outcomes. Objective. This study examined spasticity of the legs and its association with multiple measures of ambulation in persons with MS. Methods. The sample included 84 patients with MS. Spasticity of the legs was measured using a 5-point rating scale ranging between 0 (normal) and 4 (contracted). Patients completed the 6-minute walk (6 MW)...

  20. Leg Spasticity and Ambulation in Multiple Sclerosis

    Directory of Open Access Journals (Sweden)

    Swathi Balantrapu

    2014-01-01

    Full Text Available Background. Spasticity of the legs is common in multiple sclerosis (MS, but there has been limited research examining its association with ambulatory outcomes. Objective. This study examined spasticity of the legs and its association with multiple measures of ambulation in persons with MS. Methods. The sample included 84 patients with MS. Spasticity of the legs was measured using a 5-point rating scale ranging between 0 (normal and 4 (contracted. Patients completed the 6-minute walk (6 MW, timed 25 foot walk (T25FW, and timed up-and-go (TUG, and O2 cost of walking was measured during the 6 MW. The patients undertook two walking trials on a GAITRite (CIR systems, Inc. for measuring spatial and temporal parameters of gait. The patients completed the Multiple Sclerosis Walking Scale-12 (MSWS-12 and wore an accelerometer over a seven-day period. Results. 52% (n=44 of the sample presented with spasticity of the legs. Those with leg spasticity had significantly worse ambulation as measured by 6 MW (P=0.0001, d=-0.86, T25FW (P=0.003,d=0.72, TUG (P=0.001, d=0.84, MSWS-12 (P=0.0001,d=1.09, O2 cost of walking (P=0.001, d=0.75, average steps/day (P<0.05, d=-0.45, and walking velocity (P<0.05, d=-0.53 and cadence (P<0.05, d=-0.46. Conclusion. Leg spasticity was associated with impairments in ambulation, including alterations in spatiotemporal parameters and free-living walking.

  1. Leg Spasticity and Ambulation in Multiple Sclerosis

    Science.gov (United States)

    Balantrapu, Swathi; Sosnoff, Jacob J.; Pula, John H.; Sandroff, Brian M.; Motl, Robert W.

    2014-01-01

    Background. Spasticity of the legs is common in multiple sclerosis (MS), but there has been limited research examining its association with ambulatory outcomes. Objective. This study examined spasticity of the legs and its association with multiple measures of ambulation in persons with MS. Methods. The sample included 84 patients with MS. Spasticity of the legs was measured using a 5-point rating scale ranging between 0 (normal) and 4 (contracted). Patients completed the 6-minute walk (6 MW), timed 25 foot walk (T25FW), and timed up-and-go (TUG), and O2 cost of walking was measured during the 6 MW. The patients undertook two walking trials on a GAITRite (CIR systems, Inc.) for measuring spatial and temporal parameters of gait. The patients completed the Multiple Sclerosis Walking Scale-12 (MSWS-12) and wore an accelerometer over a seven-day period. Results. 52% (n = 44) of the sample presented with spasticity of the legs. Those with leg spasticity had significantly worse ambulation as measured by 6 MW (P = 0.0001, d = −0.86), T25FW (P = 0.003, d = 0.72), TUG (P = 0.001, d = 0.84), MSWS-12 (P = 0.0001, d = 1.09), O2 cost of walking (P = 0.001, d = 0.75), average steps/day (P < 0.05, d = −0.45), and walking velocity (P < 0.05, d = −0.53) and cadence (P < 0.05, d = −0.46). Conclusion. Leg spasticity was associated with impairments in ambulation, including alterations in spatiotemporal parameters and free-living walking. PMID:24999434

  2. Numerical Simulation and Experimental Research on Air Pattern and Temperature Distribution Inside Compartment of All-Terrain Emergency Ambulance Vehicle%全地形履带式卫生急救车车厢内气流组织及温度分布的数值模拟与试验研究

    Institute of Scientific and Technical Information of China (English)

    赵秀国; 徐新喜; 刘亚军; 崔向东

    2011-01-01

    运用计算流体动力学方法,对全地形履带式卫生急救车车厢内的气流组织和温度分布进行了数值模拟,分析了车厢内气流组织形式和温度分布规律,同时将数值模拟结果与试验结果进行了对比分析,验证了数值模拟结果的准确性。结果表明:在人员活动的绝大部分区域内气流速度分布在0.5 m/s以下,仅在空调送风口射流区域内,气流速度较高,整个车厢内气流速度分布较均匀;车厢内垂直方向和前后方向上不存在明显的温度梯度,整个车厢内温度分布均匀性较好,温度分布在27.5℃左右,温差较小;车厢内人员的舒适性较好,能够满足相关医学作业要求。%The air pattern and the temperature distribution inside the compartment of all-terrain emergency ambulance vehicle are simulated by the technique of computational fluid dynamics(CFD),the air pattern and the temperature distribu-tion are analysed and the simulation result are compared with experimental result.The results show that the air velocity is under 0.5 m/s in the most zone of person activity and the air velocity is distributed uniformly in compartment.The high air velocity exists in the jet zone of the air conditioning.The obvious temperature gradient doesn’t exist in the vertical plane and the anteroposterior of the compartment.The temperature distribution in the compartment is quite uniform and the tempera-ture is almost at 27.5℃ with little temperature difference.The human thermal comfort is good in the compartment and the environment in the compartment can satisfy requirements of the medical operation.

  3. Actively-controlled Beds for Ambulances

    Institute of Scientific and Technical Information of China (English)

    Takahiko Ono; Hikaru Inooka

    2009-01-01

    During transportation by ambulance,a patient is exposed to inertial acceleration when an ambulance decelerates or turns a corner.Such acceleration often gives a patient physical stress such as blood pressure variation or body sway,which causes strong pain,feeling of discomfort or sometimes critical damage for seriously injured persons.To reduce this undesirable effect of the acceleration,the authors developed the actively-controlled bed (ACB) which controls the posture of a stretcher in real time to reduce foot-to-head and lateral acceleration acting on a supine person.This paper describes development of the ACB,including control system design and performance evaluation.The control system is designed by Zakian's framework,which comprises the principle of matching and the method of inequalities,so that the design specifications on the tracking error and the motor torque are satisfied.From the results of driving experiments and simulation,it is estimated that the ACB can reduce the acceleration acting on a patient by 65% in the foot-to-head direction and by 75% in the lateral direction.

  4. Design of an Efficient Integrated System for Ambulance Management

    Directory of Open Access Journals (Sweden)

    Raid S. Sarhan

    2015-08-01

    Full Text Available Because the increases in accidents and emergencies require less time and faster access whenever possible in order to reduce the chances of death, This study designed an ambulance management system (AMaSy which utilize GIS, GPS, and GPRS that was tested in principle in Al-Mansoura City - EGYPT. The proposed system takes into consideration the emergency cases that could possibly occur. The research work considers all possible cases. While an ambulance could already be occupied with one patient, the system considers it as an available ambulance and requests it for another case, being that the ambulance only needs a short period of time to drop-off the current case and that the second case is relatively close to the ambulance. This forces the ambulance to quicken the processes of drop-off and pick-up between the two cases. The main objective of this research work is to make an ambulance system which enables ambulances to have faster arrivals and take less time to reach accident sites

  5. Factors influencing ambulance nurses' adherence to a national protocol ambulance care: an implementation study in the Netherlands

    NARCIS (Netherlands)

    Ebben, R.H.; Vloet, L.C.M.; Grunsven, P.M. van; Breeman, W.; Goosselink, B.; Lichtveld, R.A.; Groot, J. de; Achterberg, T. van

    2015-01-01

    OBJECTIVES: Adherence to prehospital guidelines and protocols is suboptimal. Insight into influencing factors is necessary to improve adherence. The aim of this study was to identify factors that influence ambulance nurses' adherence to a National Protocol Ambulance Care (NPAC). METHODS: A questionn

  6. Ambulation after femoral sheath removal in percutaneous coronary intervention: a prospective comparison of early vs. late ambulation.

    NARCIS (Netherlands)

    Schiks, I.E.J.M.; Schoonhoven, L.J.; Aengevaeren, W.R.M.; Nogarede-Hoekstra, C.; Achterberg, T. van; Verheugt, F.W.A.

    2009-01-01

    AIM AND OBJECTIVES: To investigate if ambulation four hours after sheath removal can replace ambulation 10 hours or more after sheath removal with regard to puncture site complications after percutaneous coronary interventions and to examine patient comfort in both groups. BACKGROUND: Early ambulati

  7. Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients’ temperatures in prehospital emergency care – an intervention study

    Directory of Open Access Journals (Sweden)

    Jonas Aléx

    2015-09-01

    Full Text Available Background: The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients’ exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients’ temperatures in the prehospital emergency care. Methods: A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30 was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30 no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS, subjective comments on cold experiences, and finger, ear and air temperatures. Results: Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001 but decreased in the control group (p=0.014. A significant higher proportion (57% of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, p<0.001. At arrival, finger, ear and compartment air temperature showed no statistical significant difference between groups. Mean transport time was approximately 15 minutes. Conclusions: The use of active heat from underneath increases the patients’ thermal comfort and may prevent the negative consequences of cold stress.

  8. Understanding the factors that influence patient satisfaction with ambulance services.

    Science.gov (United States)

    Bogomolova, Svetlana; Tan, P J; Dunn, S P; Bizjak-Mikic, M

    2016-01-01

    The quality of ambulance services has an immense impact on patients' future well-being and quality of life. Patient satisfaction is one of the key metrics for evaluating the quality of this service. Yet, the patient satisfaction measurement may be limited in its ability to accurately reflect this service quality, and even reflect factors beyond the patient experiences. We analyze 10 years of survey data to reveal a number of factors that systematically bias ambulance satisfaction ratings. Taking into account these biases provides more robust comparison of ambulance performance over time or across different jurisdictions. PMID:27295008

  9. Older people's use of ambulance services: a population based analysis.

    OpenAIRE

    Clark, M J; Fitzgerald, G

    1999-01-01

    OBJECTIVE: To investigate the use of emergency and non-urgent ambulance transport services by people aged 65 years and over. SETTING: The study was undertaken in Queensland where the Queensland Ambulance Services (QAS) is the sole provider of emergency pre-hospital and non-urgent ambulance services for the entire state. METHODS: The age and sex of 351,000 emergency and non-urgent cases treated and transported by the QAS from July 1995 to June 1996 were analysed. RESULTS: People aged 65 years ...

  10. Private Ambulance Services, ambulance zone, Published in 2008, 1:24000 (1in=2000ft) scale, Box Elder County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Private Ambulance Services dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other information as of 2008. It is described as...

  11. Evaluation on Ambulance Design and Musculoskeletal Disorders Risk Factors among Ambulance Emergency Medical Service Per¬sonnel

    Directory of Open Access Journals (Sweden)

    Baba M. DEROS

    2016-03-01

    Full Text Available Background: Injuries or pains occurred at various body's joints, ligaments, muscles, nerves, tendons, limbs, back and neck are classified as musculoskeletal disorders (MSDs. A single forceful exertion or repeated exposure to force, vibration or awkward posture can result in MSDs. This study was carried out by evaluating the relevant physical measurements of Class B ambulance used in Malaysia. The two main objectives of the study are to evaluate on the ambulance physical dimensions and workstation design and to conduct a Rapid Entire Body Assessment (REBA to examine ambulance’s emergency medical service (EMS workers’ activities and their associated MSDs risk factors.Methods: The two methodologies adopted for the study conducted in 2014 were direct measurement of the ambulance physical dimensions and workstation layout; and in-depth interviews of five EMS workers that provides patient care during transporting patient to a public hospital in Kota Bharu, Kelantan. REBA was conducted on seven commonly performed activities by EMS workers for identifying postural risks.Results: The study found ambulance width is too narrow and workstation layout may exposed EMS workers to MSDs risks. REBA scores for the seven commonly performed activities in the ambulance ranges from medium to very high. Conclusion: Seven important MSDs risk factors to be considered in the design of the Class B ambulance for performing patient care activities that may lead towards EMS workers’ injury are awkward posture, bumping, instability, narrow workspace dimension, inappropriate arrangement of storage cabinet, inappropriate arrangement of medical equipment, inadequate railing and seat, and inappropriate stretcher.  Keywords: Musculoskeletal disorders, Ambulance, EMS, Workers, REBA, Risks

  12. CERN'S Fire and Rescue Group Gets New Ambulance

    CERN Multimedia

    2000-01-01

    The arrival of a new vehicle is always an important moment in the life of a fire station. So when a new ambulance was delivered to the CERN Fire Brigade on Wednesday 16 September 2000, it was given a warm welcome, attended by staff of the different divisions involved in its purchase. It took a year from the first administrative moves to the day of acquisition. On the one hand there were the calls for tender needed for such a purchase and on the other the development of this custom-designed ambulance with its unique features. Three visits to the manufacturer had to be made, including two to the head office of the Miesen factory at Bonn to study and incorporate in the ambulance the special requirements called for by its future users. These requirements, born from the past experience of CERN’s ambulance crews, concerned not only interior arrangements but also included a new side panel, opening up a stowage compartment where everything will be put that gets dirty during ambulance operations. This will minimize ...

  13. Influence of ambulance use on early reperfusion therapies for acute myocardial infarction

    Institute of Scientific and Technical Information of China (English)

    SONG Li; HU Da-yi; YAN Hong-bing; YANG Jin-gang; SUN Yi-hong; LI Chao; LIU Shu-shan; WU Dong; FENG Qi

    2008-01-01

    Background Ambulance use expedites the definitive treatment of acute myocardial infarction (AMI). The aim of this study was to evaluate the effect of ambulance use on the administration of early reperfusion therapies for patients with AMI in Beijing, China.Methods Data were prospectively collected from 498 patients with ST-elevation myocardial infarction (STEMI) who were admitted within 12 hours of symptom onset to 19 hospitals in Beijing between November 1,2005 and December 31, 2006. The baseline characteristics of and the initial management of the ambulance users and the non-ambulance users were compared.Results Only 186 (37.3%) patients used an ambulance as transportation to the hospital. Ambulance users were, on average, older and at relatively higher risk on presentation than the non-ambulance users. After adjustment for patient and hospital characteristics, ambulance use was associated with a greater early reperfusion rate, mainly because of a greater incidence of primary percutaneous coronary intervention. In addition, ambulance users had a significantly shorter median door-to-balloon (120 compared with 145 minutes, P<0.001) and symptom onset-to-balloon (223 compared with 300 minutes, P<0.001) time than non-ambulance users.Conclusions Ambulances are underused by AMI patients in Beijing. Ambulance use may lead to more frequent and faster receipt of early reperfusion therapies. New public health strategies should be developed to facilitate an increased use of ambulances by AMI patients.

  14. Efficacy and safety of intravenous fentanyl administered by ambulance personnel

    DEFF Research Database (Denmark)

    Friesgaard, Kristian Dahl; Nikolajsen, Lone; Giebner, Matthias;

    2016-01-01

    BACKGROUND: Management of pain in the pre-hospital setting is often inadequate. In 2011, ambulance personnel were authorized to administer intravenous fentanyl in the Central Denmark Region. The aim of this study was to evaluate the efficacy and safety of intravenous fentanyl administered...... by ambulance personnel. METHODS: Pre-hospital medical charts from 2348 adults treated with intravenous fentanyl by ambulance personnel during a 6-month period were reviewed. The primary outcome was the change in pain intensity on a numeric rating scale (NRS) from before fentanyl treatment to hospital arrival....... Secondary outcomes included the number of patients with reduction in pain intensity during transport (NRS ≥ 2), the number of patients with NRS > 3 at hospital arrival, and potential fentanyl-related side effects. RESULTS: Fentanyl reduced pain from before treatment (8, IQR 7-9) to hospital arrival (4, IQR...

  15. A framework for the design of ambulance sirens.

    Science.gov (United States)

    Catchpole, K; McKeown, D

    2007-08-01

    Ambulance sirens are essential for assisting the safe and rapid arrival of an ambulance at the scene of an emergency. In this study, the parameters upon which sirens may be designed were examined and a framework for emergency vehicle siren design was proposed. Validity for the framework was supported through acoustic measurements and the evaluation of ambulance transit times over 240 emergency runs using two different siren systems. Modifying existing siren sounds to add high frequency content would improve vehicle penetration, detectability and sound localization cues, and mounting the siren behind the radiator grill, rather than on the light bar or under the wheel arch, would provide less unwanted noise while maintaining or improving the effective distance in front of the vehicle. Ultimately, these considerations will benefit any new attempt to design auditory warnings for the emergency services. PMID:17558670

  16. Role of Nurses in Early Ambulation of Living Donor Liver Transplant Recipients

    OpenAIRE

    Sato, Orie; Osanai, Yumiko; Urushidate, Chie; Yamaguchi, Tomoko; Narumi, Shunji; Umehara, Minoru; Toyoki, Yoshikazu; Sugai, Michihiro; Hakamada, Kenichi; Kimura, Toshiko

    2013-01-01

    [Introduction] Liver transplant recipients suffer more complications than do patients undergoing other gastroenterological surgeries. Many factors inhibit ambulation in liver transplant patients, such as the level of restriction to bed rest and length of stay in the intensive care unit( ICU). Patients thus face ambulation difficulties. Support for ambulation is one of the major daily tasks of nurses. We reviewed the ambulation situations of patients who underwent living donor liver transplant...

  17. Mathematical model of ambulance resources in Saint-Petersburg

    Science.gov (United States)

    Shavidze, G. G.; Balykina, Y. E.; Lejnina, E. A.; Svirkin, M. V.

    2016-06-01

    Emergency medical system is one of the main elements in city infrastructure. The article contains analysis of existing system of ambulance resource distribution. Paper considers the idea of using multiperiodicity as a tool to increase the efficiency of the Emergency Medical Services. The program developed in programming environment Matlab helps to evaluate the changes in the functioning of the system of emergency medical service.

  18. Risk of Transmission of MRSA on Contact Surfaces in Ambulance

    NARCIS (Netherlands)

    Lukas, R. -P.; Keppler, P. -A.; Brinkrolf, P.; Friedrich, A. W.; Van Aken, H.; Bohn, A.

    2015-01-01

    The gram-positive bacterium methicillin-resistant Staphylococcus aureus (MRSA) is one of the most frequent causes of treatment-associated nosocomial infections. The incidence of MRSA among the population and in hospitalised patients is growing worldwide. Ambulance service is an interface between the

  19. Is the Ability to Ambulate Associated with Better Employment Outcomes in Participants with Traumatic Spinal Cord Injury?

    Science.gov (United States)

    Krause, James S.

    2010-01-01

    The author compares current employment status after spinal cord injury between participants who were independent in ambulation (required no assistance from others) and those who were dependent in ambulation (required assistance from at least one other person to ambulate). Those who were independent of assistance from others in ambulation were…

  20. Masculinity and Lifting Accidents among Danish Ambulance Personnel

    DEFF Research Database (Denmark)

    Hansen, Claus D.; Nielsen, Kent J

    alone. Aim This presentation investigates whether failure to use AT is linked to male ambulance workers’ gender identity? Is lifting patients alone a way of performing masculinity for AP’s? Method Data is taken from MARS, a panel study of AP workers in Denmark (n = 1606). Information from questionnaires...... measuring traditional male role norms (MRNI), safety attitudes and safety behavior will be linked to company register information on work injuries categorized as lifting accidents. Logistic regression is used to analyse associations between masculinity, lifting behavior, and lifting accidents. Results...... alone. For those 5% scoring lowest on MRNI the probability of reporting lifting alone was 6% while this figure was 17% for those scoring above the 95th percentile. Conclusion This study suggests that male ambulance workers performance of masculinity might pose a threat to their safety. AP...

  1. The Barbados Emergency Ambulance Service: High Frequency of Nontransported Calls

    Directory of Open Access Journals (Sweden)

    Sherwin E. Phillips

    2012-01-01

    Full Text Available Objectives. There are no published studies on the Barbados Emergency Ambulance Service and no assessment of the calls that end in nontransported individuals. We describe reasons for the nontransport of potential clients. Methods. We used the Emergency Medical Dispatch (Medical Priority Dispatch System instrument, augmented with five local call types, to collect information on types of calls. The calls were categorised under 7 headings. Correlations between call types and response time were calculated. Results. Most calls were from the category medical (54%. Nineteen (19% percent of calls were in the non-transported category. Calls from call type Cancelled accounted for most of these and this was related to response time, while Refused service was inversely related (. Conclusions. The Barbados Ambulance Service is mostly used by people with a known illness and for trauma cases. One-fifth of calls fall into a category where the ambulance is not used often due to cancellation which is related to response time. Other factors such as the use of alternative transport are also important. Further study to identify factors that contribute to the non-transported category of calls is necessary if improvements in service quality are to be made.

  2. Corticosteroid Treatments in Males With Duchenne Muscular Dystrophy: Treatment Duration and Time to Loss of Ambulation

    OpenAIRE

    Kim, Sunkyung; Campbell, Kimberly A.; Fox, Deborah J.; Matthews, Dennis J.; Valdez, Rodolfo

    2014-01-01

    This population-based study examines the association between corticosteroid treatment and time to loss of ambulation, stratifying by treatment duration (short: 0.25–3 years, long: >3 years), among 477 Duchenne muscular dystrophy cases identified by the Muscular Dystrophy Surveillance Tracking and Research Network (MDSTARnet). Those cases who received short-term corticosteroid treatment had a time to loss of ambulation that was 0.8 years shorter (t test) and an annual risk of losing ambulation...

  3. Effects of Weather and Heliophysical Conditions on Emergency Ambulance Calls for Elevated Arterial Blood Pressure

    Directory of Open Access Journals (Sweden)

    Jone Vencloviene

    2015-02-01

    Full Text Available We hypothesized that weather and space weather conditions were associated with the exacerbation of essential hypertension. The study was conducted during 2009–2010 in the city of Kaunas, Lithuania. We analyzed 13,475 cards from emergency ambulance calls (EACs, in which the conditions for the emergency calls were made coded I.10–I.15. The Kaunas Weather Station provided daily records of air temperature (T, wind speed (WS, relative humidity, and barometric pressure (BP. We evaluated the associations between daily weather variables and daily number of EACs by applying a multivariate Poisson regression. Unfavorable heliophysical conditions (two days after the active-stormy geomagnetic field or the days with solar WS > 600 km/s increased the daily number of elevated arterial blood pressure (EABP by 12% (RR = 1.12; 95% confidence interval (CI 1.04–1.21; and WS ≥ 3.5 knots during days of T < 1.5 °C and T ≥ 12.5 °C by 8% (RR = 1.08; CI 1.04–1.12. An increase of T by 10 °C and an elevation of BP two days after by 10 hPa were associated with a decrease in RR by 3%. An additional effect of T was detected during days of T ≥ 17.5 °C only in females. Women and patients with grade III arterial hypertension at the time of the ambulance call were more sensitive to weather conditions. These results may help in the understanding of the population’s sensitivity to different weather conditions.

  4. Perioperative transfusion threshold and ambulation after hip revision surgery

    DEFF Research Database (Denmark)

    Nielsen, Kamilla; Johansson, Pär I; Dahl, Benny;

    2014-01-01

    BACKGROUND: Transfusion with red blood cells (RBC) may be needed during hip revision surgery but the appropriate haemoglobin concentration (Hb) threshold for transfusion has not been well established. We hypothesized that a higher transfusion threshold would improve ambulation after hip revision...... received RBC. CONCLUSIONS: A Hb transfusion threshold of 8.9 g/dL was associated with a statistically significantly faster TUG after hip revision surgery compared to a threshold of 7.3 g/dL but the clinical importance is questionable and the groups did not differ in Hb at the time of testing....

  5. Physical fitness and occupational demands of the Belfast ambulance service.

    Science.gov (United States)

    Gamble, R P; Stevens, A B; McBrien, H; Black, A; Cran, G W; Boreham, C A

    1991-09-01

    The objectives of this study were to evaluate the current fitness of an area ambulance service based in Belfast and to quantify the physiological demands of accident and emergency work. From a total staff of 230, 105 (46%) volunteered to undergo a series of fitness tests subject to health state. Results based on body mass indices showed that 52% of subjects could be classified as overweight and 10% of subjects as obese. Fitness levels were similar to other comparable samples and showed the expected but not inevitable decrease with age. A simple work related task (walking at 6 km/h) performed in the laboratory showed that 54% of men over 40 years of age and 24% under 40 found it taxing. This would favour selection for accident and emergency work on the basis of functional capacity rather than chronological age. Accident and emergency work consisted of long periods of inactivity interspersed with shorter periods of relatively intense activity, often above the anaerobic threshold. Lactate concentrations measured during a staged emergency incident also suggested that personnel may work at intensities exceeding their anaerobic threshold. The incorporation of physical fitness standards in the ambulance service may be appropriate and consideration should be given to a reduced age of retirement. PMID:1911401

  6. An exploration of factors influencing ambulance and emergency nurses protocol adherence in the Netherlands

    NARCIS (Netherlands)

    Ebben, Remco; Vloet, Lilian; Mintjes, Joke; Achterberg, Theo van

    2012-01-01

    Adherence to ambulance and ED protocols is often suboptimal. Insight into factors influencing adherence is a requisite for improvement of adherence. This study aims to gain an in-depth understanding of factors that influence ambulance and emergency nurses’ adherence to protocols.

  7. An exploration of factors influencing ambulance and emergency nurses' protocol adherence in the Netherlands

    NARCIS (Netherlands)

    Ebben, R.H.A.; Vloet, L.C.M.; Schalk, D.M.; Mintjes-de Groot, J.; Achterberg, T. van

    2014-01-01

    INTRODUCTION: Adherence to ambulance and ED protocols is often suboptimal. Insight into factors influencing adherence is a requisite for improvement of adherence. This study aims to gain an in-depth understanding of factors that influence ambulance and emergency nurses' adherence to protocols. METHO

  8. The use and abuse of the emergency ambulance service: some of the factors affecting the decision whether to call an emergency ambulance.

    OpenAIRE

    Gardner, G J

    1990-01-01

    Over a 1-month period all patients arriving in the accident and emergency department by ambulance following a '999' call were questioned using a standard proforma. They were assessed as to whether their medical condition warranted ambulance transfer. A number of social and practical points were analyzed to see whether they would identify any group of patients who used the emergency service without medical need. Overall 289 patients were questioned. Of these 178 (62%) were considered to have m...

  9. Prognostic Predictors for Ambulation in Thai Children With Cerebral Palsy Aged 2 to 18 Years.

    Science.gov (United States)

    Keeratisiroj, Orawan; Thawinchai, Nuanlaor; Siritaratiwat, Wantana; Buntragulpoontawee, Montana

    2015-11-01

    The objectives of this study were to determine prognostic predictors for ambulation among Thai children with cerebral palsy and identify their ambulatory status. A retrospective cohort study was performed at 6 special schools or hospitals for children with physical disabilities. The prognostic predictors for ambulation were analyzed by multivariable ordinal continuation ratio logistic regression. The 533 participants aged 2 to 18 years were divided into 3 groups: 186 with independent ambulation (Gross Motor Function Classification System [GMFCS I-II]), 71 with assisted ambulation (Gross Motor Function Classification System III), and 276 with nonambulation (Gross Motor Function Classification System IV-V). The significant positive predictors for ambulation were type of cerebral palsy (spastic diplegia, spastic hemiplegia, dyskinesia, ataxia, hypotonia, and mixed type), sitting independently at age 2 years, and eating independently. These predictors were used to develop clinical scoring for predicting the future ability to walk among Thai children with cerebral palsy.

  10. Development of Training Programs to Optimize Planetary Ambulation

    Science.gov (United States)

    Bloomberg, J. J.; Mulavara, A. P.; Peters, B. T.; Cohen, H. S.; Miller, C. A.; Brady, R.; Warren, L. E.; Rutley, T. M.; Kozlovskaya, I. B.

    2007-01-01

    Astronauts experience disturbances in functional mobility following their return to Earth due to adaptive responses that occur during exposure to the microgravity conditions of space flight. Despite significant time spent performing in-flight exercise routines, these training programs have not been able to mitigate postflight alterations in postural and locomotor function. Therefore, the goal of our two inter-related projects (NSBRI-ground based and ISS flight study, "Mobility") is to develop and test gait training programs that will serve to optimize functional mobility during the adaptation period immediately following space flight, thereby improving the safety and efficiency of planetary ambulation. The gait training program entails manipulating the sensory conditions of treadmill exercise to systematically challenge the balance and gait control system. This enhances the overall adaptability of locomotor function enabling rapid reorganization of gait control to respond to ambulation in different gravitational environments. To develop the training program, we are conducting a series of ground-based studies evaluating the training efficacy associated with variation in visual flow, body loading, and support surface stability during treadmill walking. We will also determine the optimal method to present training stimuli within and across training sessions to maximize both the efficacy and efficiency of the training procedure. Results indicate that variations in both visual flow and body unloading during treadmill walking leads to modification in locomotor control and can be used as effective training modalities. Additionally, the composition and timing of sensory challenges experienced during each training session has significant impact on the ability to rapidly reorganize locomotor function when exposed to a novel sensory environment. We have developed the capability of producing support surface variation during gait training by mounting a treadmill on a six

  11. [Ambulance helicopters in the mountains. An evaluation of the 1-year activity at the Dombås base].

    Science.gov (United States)

    Karper, S; Stokstad, I; Hjort, P F; Indrebø, T

    1991-01-20

    On 1 January 1988 the Norwegian Air Ambulance Plan was put into effect. The operational base for the regional counties Oppland, parts of South Trøndelag, Møre and Romsdal and Hedmark was established in the township of Dombås. The base had a helicopter staffed with a specialist in emergency medicine. The operation of this base was evaluated for the period 1 February 1988 to 1 February 1989. 242 missions were undertaken. In 27 of 184 primary missions (15%) and in 11 of 32 secondary missions (33%) the service was judged to have given health benefit. It may have prevented the death of 13 patients. The service costs during the year were approximately NOK 10 million. The cost-benefit ratio is judged to be too high. In inland-Norway, with a widely scattered population, it is probably better to improve the quality of the emergency services offered by general practitioners and ordinary road ambulances than to use a helicopter staffed with a specialist in emergency medicine.

  12. How public ambulance arrivals impact on Emergency Department workload and resource use

    Directory of Open Access Journals (Sweden)

    Enrico Ferri

    2010-03-01

    Full Text Available Objectives: To examine patient’s characteristics associated with ED arrival mode, and to determine EMS impact on ED clinical resource use, workload and crowding. Methods: This is a retrospective study of patients seen at Sant’Andrea Hospital ED. Comparison focused on visit characteristics, and on resource use. Results: The use of EMS ambulance confirms association to older age, higher rate of hospital admission, longer length of stay, and severity of injury. Moreover our data show that ambulance referred patients are triaged into a higher acuity category and have a greater intensive care unit admission. Conclusion: Ambulance arrivals have a significant impact on ED resource use, workload and crowding.

  13. Air

    Science.gov (United States)

    ... house) Industrial emissions (like smoke and chemicals from factories) Household cleaners (spray cleaners, air fresheners) Car emissions (like carbon monoxide) *All of these things make up “particle pollution.” They mostly come from cars, trucks, buses, and ...

  14. The Fire Brigade acquires a new ambulance with all the bells and whistles!

    CERN Multimedia

    Anaïs Schaeffer

    2012-01-01

    On 19 April the Fire Brigade unveiled its latest acquisition: a brand-new ambulance specially designed for CERN.   One of the Fire Brigade's two ambulances has just been replaced by a state-of-the-art vehicle tailor-made to meet CERN's unique requirements. At 4.6 metres long it's much more spacious than its predecessors, providing plenty of room for patient, doctor and paramedic. The ambulance's design and manufacture are the result of a successful collaboration between the Fire Brigade and the technicians from Profile Vehicles, the Finnish company that won the contract following a call for tenders launched in June 2011. "It took us six months to finalise the specification for our new ambulance," explains Patrick Berlinghi, who is responsible for the Fire Brigade's logistics. "We wanted it to be spacious enough for us to be able to work comfortably and to have the latest safety and patient care equipment.  We also reques...

  15. [Design of a mechanical system for the balanceable system of ambulance].

    Science.gov (United States)

    Zheng, Yi; Luo, Yibin; Zhang, Guangpeng; Zhang, Zhide; Chen, Chaomin

    2010-08-01

    This is the design of a mechanical systems for use in the balanceable system of ambulance, which can keep the medical service bed at the ambulance level, whatever the terrain is. A level detector will detect the level state of the bed and turn it to a signal. The central processing unit will use this signal to analyse and control the movement of the motor. By this design (which uses the rolling rail as a drive transmission and makes three supports of the bed go up and down), the bed will keep level. With the use of this design, the balanceable system of ambulance can counteract 35 degrees. The error is controlled within +/- 1 degree. And the response time is within 0.3 s. The method of registration can be effective for keeping the bed at the ambulance level, and for reducing the chance of making the patient get hurt on the way to hospital.

  16. Air

    International Nuclear Information System (INIS)

    In recent years several regulations and standards for air quality and limits for air pollution were issued or are in preparation by the European Union, which have severe influence on the environmental monitoring and legislation in Austria. This chapter of the environmental control report of Austria gives an overview about the legal situation of air pollution control in the European Union and in specific the legal situation in Austria. It gives a comprehensive inventory of air pollution measurements for the whole area of Austria of total suspended particulates, ozone, volatile organic compounds, nitrogen oxides, sulfur dioxide, carbon monoxide, heavy metals, benzene, dioxin, polycyclic aromatic hydrocarbons and eutrophication. For each of these pollutants the measured emission values throughout Austria are given in tables and geographical charts, the environmental impact is discussed, statistical data and time series of the emission sources are given and legal regulations and measures for an effective environmental pollution control are discussed. In particular the impact of fossil-fuel power plants on the air pollution is analyzed. (a.n.)

  17. [Long-haul intensive care transports by air].

    Science.gov (United States)

    Graf, Jürgen; Seiler, Olivier; Pump, Stefan; Günther, Marion; Albrecht, Roland

    2013-03-01

    The need for inter-hospital transports over long distances aboard air ambulances or airlines has increased in recent years, both in the civil as well as the military sector. More often severely ill intensive care patients with multiple organ failure and appropriate supportive care (e.g. mechanical ventilation, catecholamines, dialysis, cardiac assist devices) are transported by air. Despite the fact that long-haul intensive care transports by air ambulance and airlines via Patient Transport Compartment (PTC) are considered established modes of transport they always provide a number of challenges. Both modes of transport have distinct logistical and medical advantages and disadvantages. These-as well as the principal risks of an air-bound long-haul intensive care transport -have to be included in the risk assessment and selection of means of transport. Very often long-haul intensive care transports are a combination of air ambulance and scheduled airlines utilizing the PTC. PMID:23504461

  18. Weather factors in the short-term forecasting of daily ambulance calls.

    Science.gov (United States)

    Wong, Ho-Ting; Lai, Poh-Chin

    2014-07-01

    The daily ambulance demand for Hong Kong is rising, and it has been shown that weather factors (temperature and humidity) play a role in the demand for ambulance services. This study aimed at developing short-term forecasting models of daily ambulance calls using the 7-day weather forecast data as predictors. We employed the autoregressive integrated moving average (ARIMA) method to analyze over 1.3 million cases of emergency attendance in May 2006 through April 2009 and the 7-day weather forecast data for the same period. Our results showed that the ARIMA model could offer reasonably accurate forecasts of daily ambulance calls at 1-7 days ahead of time and with improved accuracy by including weather factors. Specifically, the inclusion of average temperature alone in our ARIMA model improved the predictability of the 1-day forecast when compared to that of a simple ARIMA model (8.8% decrease in the root mean square error, RMSE=53 vs 58). The improvement in the 7-day forecast with average temperature as a predictor was more pronounced, with a 10% drop in prediction error (RMSE=62 vs 69). These findings suggested that weather forecast data can improve the 1- to 7-day forecasts of daily ambulance demand. As weather forecast data are readily accessible from Hong Kong Observatory's official website, there is virtually no cost to including them in the ARIMA models, which yield better prediction for forward planning and deployment of ambulance manpower.

  19. Weather factors in the short-term forecasting of daily ambulance calls

    Science.gov (United States)

    Wong, Ho-Ting; Lai, Poh-Chin

    2014-07-01

    The daily ambulance demand for Hong Kong is rising, and it has been shown that weather factors (temperature and humidity) play a role in the demand for ambulance services. This study aimed at developing short-term forecasting models of daily ambulance calls using the 7-day weather forecast data as predictors. We employed the autoregressive integrated moving average (ARIMA) method to analyze over 1.3 million cases of emergency attendance in May 2006 through April 2009 and the 7-day weather forecast data for the same period. Our results showed that the ARIMA model could offer reasonably accurate forecasts of daily ambulance calls at 1-7 days ahead of time and with improved accuracy by including weather factors. Specifically, the inclusion of average temperature alone in our ARIMA model improved the predictability of the 1-day forecast when compared to that of a simple ARIMA model (8.8 % decrease in the root mean square error, RMSE = 53 vs 58). The improvement in the 7-day forecast with average temperature as a predictor was more pronounced, with a 10 % drop in prediction error (RMSE = 62 vs 69). These findings suggested that weather forecast data can improve the 1- to 7-day forecasts of daily ambulance demand. As weather forecast data are readily accessible from Hong Kong Observatory's official website, there is virtually no cost to including them in the ARIMA models, which yield better prediction for forward planning and deployment of ambulance manpower.

  20. Demand Forecast Using Data Analytics for the Preallocation of Ambulances.

    Science.gov (United States)

    Chen, Albert Y; Lu, Tsung-Yu; Ma, Matthew Huei-Ming; Sun, Wei-Zen

    2016-07-01

    The objective of prehospital emergency medical services (EMSs) is to have a short response time. By increasing the operational efficiency, the survival rate of patients could potentially be increased. The geographic information system (GIS) is introduced in this study to manage and visualize the spatial distribution of demand data and forecasting results. A flexible model is implemented in GIS, through which training data are prepared with user-desired sizes for the spatial grid and discretized temporal steps. We applied moving average, artificial neural network, sinusoidal regression, and support vector regression for the forecasting of prehospital emergency medical demand. The results from these approaches, as a reference, could be used for the preallocation of ambulances. A case study is conducted for the EMS in New Taipei City, where prehospital EMS data have been collected for three years. The model selection process has chosen different models with different input features for the forecast of different areas. The best daily mean absolute percentage error during testing of the EMS demand forecast is 23.01%, which is a reasonable forecast based on Lewis' definition. With the acceptable prediction performance, the proposed approach has its potential to be applied to the current practice.

  1. Weather and Age-Gender Effects on the Projection of Future Emergency Ambulance Demand in Hong Kong

    OpenAIRE

    Lai, PC; Wong, FHT

    2012-01-01

    An accurate projection for ambulance demand is essential to enable better resource planning for the future that strives to either maintain current levels of services or reconsider future standards and expectations. More than 2 million cases of emergency room attendance in 2008 were obtained from the Hong Kong Hospital Authority to project the demand for its ambulance services in 2036. The projection of ambulance demand in 2036 was computed in consideration of changes in the age-gender structu...

  2. Ambulation following spinal cord injury and its correlates

    Directory of Open Access Journals (Sweden)

    Nitin Menon

    2015-01-01

    Full Text Available Objectives: To assess walking ability of spinal cord injury (SCI patients and observe its correlation with functional and neurological outcomes. Patients and Methods: The present prospective, observational study was conducted in a tertiary research hospital in India with 66 patients (46 males between January 2012 and December 2013. Mean age was 32.62 ± 11.85 years (range 16-65 years, mean duration of injury was 85.3 ± 97.6 days (range 14-365 days and mean length of stay in the rehabilitation unit was 38.08 ± 21.66 days (range 14-97 days in the study. Walking Index for spinal cord injury (WISCI II was used to assess ambulation of the SCI patients. Functional recovery was assessed using Barthel Index (BI and Spinal Cord Independence Measures (SCIM. Neurological recovery was assessed using ASIA impairment scale (AIS. We tried to correlate ambulatory ability of the patients with functional and neurological recovery. Results: Ambulatory ability of the patients improved significantly using WISCI II (P < 0.001 when admission and discharge scores were compared (1.4 ± 3.5 vs 7.6 ± 6.03. Similarly, functional (BI: 31.7 ± 20.5 vs 58.4 ± 23.7 and SCIM: 29.9 ± 15.1 vs 56.2 ± 20.6 and neurological recovery were found to be very significant (P < 0.001 when admission vs discharge scores were compared. Improvement in WISCI II scores was significantly correlated with improvement in neurological (using AIS scores and functional status (using BI and SCIM scores (P < 0.001. Conclusions: Significant improvement was seen in WISCI II, BI, and SCIM scores after in-patient rehabilitation. Improvement in WISCI II scores also significantly correlated with functional and neurological recovery.

  3. Calls Forecast for the Moscow Ambulance Service. The Impact of Weather Forecast

    Science.gov (United States)

    Gordin, Vladimir; Bykov, Philipp

    2015-04-01

    We use the known statistics of the calls for the current and previous days to predict them for tomorrow and for the following days. We assume that this algorithm will work operatively, will cyclically update the available information and will move the horizon of the forecast. Sure, the accuracy of such forecasts depends on their lead time, and from a choice of some group of diagnoses. For comparison we used the error of the inertial forecast (tomorrow there will be the same number of calls as today). Our technology has demonstrated accuracy that is approximately two times better compared to the inertial forecast. We obtained the following result: the number of calls depends on the actual weather in the city as well as on its rate of change. We were interested in the accuracy of the forecast for 12-hour sum of the calls in real situations. We evaluate the impact of the meteorological errors [1] on the forecast errors of the number of Ambulance calls. The weather and the Ambulance calls number both have seasonal tendencies. Therefore, if we have medical information from one city only, we should separate the impacts of such predictors as "annual variations in the number of calls" and "weather". We need to consider the seasonal tendencies (associated, e. g. with the seasonal migration of the population) and the impact of the air temperature simultaneously, rather than sequentially. We forecasted separately the number of calls with diagnoses of cardiovascular group, where it was demonstrated the advantage of the forecasting method, when we use the maximum daily air temperature as a predictor. We have a chance to evaluate statistically the influence of meteorological factors on the dynamics of medical problems. In some cases it may be useful for understanding of the physiology of disease and possible treatment options. We can assimilate some personal archives of medical parameters for the individuals with concrete diseases and the relative meteorological archive. As a

  4. Ambulation speed and corresponding mechanics are associated with changes in serum cartilage oligomeric matrix protein.

    Science.gov (United States)

    Denning, W Matt; Becker Pardo, Michael; Winward, Jason G; Hunter, Iain; Ridge, Sarah; Hopkins, J Ty; Reese, C Shane; Parcell, Allen C; Seeley, Matthew K

    2016-02-01

    Because serum cartilage oligomeric matrix protein (COMP) has been used to reflect articular cartilage condition, we aimed to identify walking and running mechanics that are associated with changes in serum COMP. Eighteen subjects (9 male, 9 female; age=23 ± 2 yrs.; mass=68.3 ± 9.6 kg; height=1.70 ± 0.08 m) completed 4000 steps on an instrumented treadmill on three separate days. Each day corresponded to a different ambulation speed: slow (preferred walking speed), medium (+50% of slow), and fast (+100% of slow). Synchronized ground reaction force and video data were collected to evaluate walking mechanics. Blood samples were collected pre-, post-, 30-minute post-, and 60-minute post-ambulation to determine serum COMP concentration at these times. Serum COMP increased 29%, 18%, and 5% immediately post ambulation for the fast, medium, and slow sessions (p<0.01). When the speeds were pooled, peak ankle inversion, knee extension, knee abduction, hip flexion, hip extension, and hip abduction moment, and knee flexion angle at impact explained 61.4% of total variance in COMP concentration change (p<0.001). These results indicate that (1) certain joint mechanics are associated with acute change in serum COMP due to ambulation, and (2) increased ambulation speed increases serum COMP concentration. PMID:27004646

  5. Availability of ambulance patient care reports in the emergency department.

    Science.gov (United States)

    Shelton, Dominick; Sinclair, Paul

    2016-01-01

    Clinical handovers of patient care among healthcare professionals is vulnerable to the loss of important clinical information. A verbal report is typically provided by paramedics and documented by emergency department (ED) triage nurses. Paramedics subsequently complete a patient care report which is submitted electronically. This emergency medical system (EMS) patient care report often contains details of paramedic assessment and management that is not all captured in the nursing triage note. EMS patient care reports are often unavailable for review by emergency physicians and nurses. Two processes occur in the distribution of EMS patient care reports. The first is an external process to the ED that is influenced by the prehospital emergency medical system and results in the report being faxed to the ED. The second process is internal to the ED that requires clerical staff to distribute the fax report to accompany patient charts. A baseline audit measured the percentage of EMS patient care reports that were available to emergency physicians at the time of initial patient assessments and showed a wide variation in the availability of EMS reports. Also measured were the time intervals from patient transfer from EMS to ED stretcher until the EMS report was received by fax (external process measure) and the time from receiving the EMS fax report until distribution to patient chart (internal process measure). These baseline measures showed a wide variation in the time it takes to receive the EMS reports by fax and to distribute reports. Improvement strategies consisted of: 1. Educating ED clerical staff about the importance of EMS reports 2. Implementing a new process to minimize ED clerical staff handling of EMS reports for nonactive ED patients 3. Elimination of the automatic retrieval of old hospital charts and their distribution for ED patients 4. Introduction of an electronic dashboard for patients arriving by ambulance to facilitate more efficient distribution of

  6. [An ambulance helicopter in Jamtland. A survival necessity in a county of tourism].

    Science.gov (United States)

    Ek, B; Zetterström, H

    2000-03-22

    The county of Jämtland is a sparsely populated area in which an ambulance-helicopter has been in use since the middle of the 1970's. A prospective study was undertaken during a six month period with the aim of evaluating the benefits of the helicopter as compared with the use of road-ambulance transport alone. Total number of patients involved was n = 249. Both flight nurses and receiving doctors found that in most cases, patients transported by helicopter manned with a flight nurse were given higher quality care. A follow-up study by specialists from the receiving departments confirmed that for 3% (n = 8), transport by ambulance-helicopter resulted in "probably better prognosis", and that for 2% (n = 6) the result was "lifesaving". PMID:10765625

  7. Tuning approximate dynamic programming policies for ambulance redeployment via direct search

    Directory of Open Access Journals (Sweden)

    Matthew S. Maxwell

    2014-01-01

    Full Text Available In this paper we consider approximate dynamic programming methods for ambulance redeployment. We first demonstrate through simple examples how typical value function fitting techniques, such as approximate policy iteration and linear programming, may not be able to locate a high-quality policy even when the value function approximation architecture is rich enough to provide the optimal policy. To make up for this potential shortcoming, we show how to use direct search methods to tune the parameters in a value function approximation architecture so as to obtain high-quality policies. Direct search is computationally intensive. We therefore use a post-decision state dynamic programming formulation of ambulance redeployment that, together with direct search, requires far less computation with no noticeable performance loss. We provide further theoretical support for the post-decision state formulation of the ambulance-deployment problem by showing that this formulation can be obtained through a limiting argument on the original dynamic programming formulation.

  8. Early ambulation following 6 French diagnostic left heart catheterization: a prospective randomized trial.

    Science.gov (United States)

    Wood, R A; Lewis, B K; Harber, D R; Kovack, P J; Bates, E R; Stomel, R J

    1997-09-01

    Outpatient cardiac catheterization is frequently performed, but the optimal recovery time after sheath removal has not been defined. Left heart catheterization was performed via the femoral artery utilizing 6 French catheters on 323 outpatients. One hundred thirty-five patients were randomized to ambulate at a mean of 2.5 hr (group 1) after puncture site compression, whereas 188 patients were randomized to ambulate at a mean of 4.1 hr (group 2). Telephone follow-up occurred within 48 hr. A small hematoma (< 5 cm) occurred in 2 (1.6%) patients in group 1 and in 4 (2.4%) patients in group 2. These results indicate that it is safe to ambulate patients 2.5 hr following 6 French diagnostic heart catheterization. PMID:9286529

  9. A Prevalence and Management Study of Acute Pain in Children Attending Emergency Departments by Ambulance.

    Science.gov (United States)

    Murphy, Adrian; McCoy, Siobhan; O'Reilly, Kay; Fogarty, Eoin; Dietz, Jason; Crispino, Gloria; Wakai, Abel; O'Sullivan, Ronan

    2016-01-01

    Pain is the most common symptom in the emergency setting and remains one of the most challenging problems for emergency care providers, particularly in the pediatric population. The primary objective of this study was to determine the prevalence of acute pain in children attending emergency departments (EDs) in Ireland by ambulance. In addition, this study sought to describe the prehospital and initial ED management of pain in this population, with specific reference to etiology of pain, frequency of pain assessment, pain severity, and pharmacological analgesic interventions. A prospective cross-sectional study was undertaken over a 12-month period of all pediatric patients transported by emergency ambulance to four tertiary referral hospitals in Ireland. All children (management of acute pain in children transferred by ambulance to the ED in Ireland is currently poor, with documentary evidence of only 26% receiving prehospital analgesic agents. PMID:26024309

  10. Prognostische Indices bei älteren Patienten mit ambulant erworbener Pneumonie

    OpenAIRE

    Niklaus, David

    2010-01-01

    Problem: Die Studie prüft, ob der CURBA-Index dem Pneumonie-Schwere-Index (PSI) bei älteren Patienten mit ambulant erworbener Pneumonie gleichwertig ist für die Abschätzung der Intrahospitalmortalität. Methode: Eine retrospektive Kohortenstudie wertet Daten stationärer Patienten ≥ 65 Jahre mit ambulant erworbener Pneumonie des Marienhospital Herne aus. Die Indices werden daraus generiert und evaluiert. Alle Patienten sind ≥ 65 Jahre, so wird der kürzere CURB-Score verwendet. Er...

  11. The Analysis of Vibration Characteristics and Motion Stability of the Tracked Ambulance Nonlinear Damping System

    Directory of Open Access Journals (Sweden)

    Meng Yang

    2013-01-01

    Full Text Available Considering the impact of the nonlinear stiffness, a 2 DOF dynamic nonlinear vibration model with cubic terms was established according to the structural feature and nonlinear behavior of the tracked ambulance. In the case of primary resonance and 1: 1 internal resonance, multiple scale method was used to obtain a first-order approximate solution for this model. Taking the parameters of the tracked ambulance for instance, the approximate solution was verified and the influence of the parameters on damping effect was investigated. Finally, the motion stability of the damping system was analyzed with singularity theory and the theoretical bases for improving efficiency of the damping system were provided.

  12. Assessing Pesticide Impact on Human Health in Nebraska: A Survey of Ambulance Services and Rescue Squads. Department Report No. 7.

    Science.gov (United States)

    Vitzthum, Edward F.; And Others

    A study examined the employment qualifications, job content, training, and training needs of ambulance service and rescue squad workers in Nebraska. Based on the 268 mail questionnaires that were completed and returned out of a total of 338 sent out, it was concluded that the strengths of the various ambulance and rescue services vary widely. The…

  13. Treatment of presumed acute cardiogenic pulmonary oedema in an ambulance system by nurses using Boussignac continuous positive airway pressure

    NARCIS (Netherlands)

    Dieperink, Willem; Weelink, E. E. M.; van der Horst, I. C. C.; de Vos, R.; Jaarsma, T.; Aarts, L. P. H. J.; Zijlstra, F.; Nijsten, M. W. N.

    2009-01-01

    Background: Early initiation of continuous positive airway pressure (CPAP) applied by face mask benefits patients with acute cardiogenic pulmonary oedema (ACPE). The simple disposable Boussignac CPAP (BCPAP) has been used in ambulances by physicians. In the Netherlands, ambulances are manned by nurs

  14. Impact of subtropical climate on frequency of ambulance use for trauma patients in a coastal area of China

    Institute of Scientific and Technical Information of China (English)

    Yuqiang Chen; Yucheng Lai; Jiajie Ke; Yuefeng Chen; Yuling Xu; Yuqin Ma; Jiayin Yuan

    2015-01-01

    Purpose:To explore the impact of subtropical maritime monsoon climate on the frequency of ambulance use for trauma patients in a coastal region in China.Method:Statistical analysis of data on ambulance use from the 120 Emergency Command Center in Shantou City,Guangdong Province,from January to December 2012 as well as daily meteorological data from a Shantou observatory was performed to determine how climatic factors (seasons,time,and weather) affect the frequency of ambulance use for trauma patients.Results:The daily ambulance use for trauma patients differed between spring and summer or autumn (p < 0.05),between sunny and rainy days (p < 0.05),and between cloudy and lightly or moderately rainy days (p < 0.05).We found a linear correlation between daily maximum temperature and daily ambulance use for trauma patients (R2 =0.103,p < 0.05).In addition,there was significant difference in ambulance use between good and bad weather (p < 0.05).Conclusion:Frequency of ambulance use for trauma patients is affected by the subtropical maritime monsoon climate in the coastal region.Better weather contributes to increased daily frequency of ambulance use,which is the highest in autumn and lowest in spring.

  15. Necessities detected in patients derived to sanitary center in an ambulance of the urgent transport network after being treated by the 061 emergency team

    OpenAIRE

    Sixto Cámara Anguita; Antonio J. Valenzuela Rodríguez

    2007-01-01

    The integral systems of urgencies and sanitary emergencies has, as resources for the urgent transport of patients, with nonwelfare ambulances, ambulances of basic life support and ambulances of advanced life support. In the two first, due to the ambiguity of the norm, the presence of a nurse to give care is not compulsory. Nevertheless, in the present study, it is detected that, the patients of this study, transferred in nonwelfare ambulance of the urgent transport network to a useful hospita...

  16. Telemedicin - en mulighed til kvinder der føder ambulant?

    DEFF Research Database (Denmark)

    Danbjørg, Dorthe Boe; Clemensen, Jane; Wagner, Lis;

    2009, s.36). Det overordnede formål er at udforske om telemedicin kan være en mulig løsning, når kvinder udskrives ambulant. Design og metoder: Projektet er et aktionsforskningsprojekt, nærmere bestemt arbejdes der ud fra Participartory Design. Metodologien er baseret på deltagelse af brugerne, og det...

  17. A new vibration isolation bed stage with magnetorheological dampers for ambulance vehicles

    International Nuclear Information System (INIS)

    The vibration experienced in an ambulance can lead to secondary injury to a patient and discourage a paramedic from providing emergency care. In this study, with the goal of resolving this problem, a new vibration isolation bed stage associated with magnetorheological (MR) dampers is proposed to ensure ride quality as well as better care for the patient while he/she is being transported. The bed stage proposed in this work can isolate vibrations in the vertical, rolling and pitching directions to reflect the reality that occurs in the ambulance. Firstly, an appropriate-sized MR damper is designed based on the field-dependent rheological properties of MR fluid, and the damping force characteristics of a MR damper are evaluated as a function of the current. A mechanical model of the proposed vibration isolation bed stage is then established to derive the governing equations of motion. Subsequently, a sliding mode controller is formulated to control the vibrations caused from the imposed excitation signals; those signals are directly measured using a real ambulance subjected to bump-and-curve road conditions. Using the controller based on the dynamic motion of the bed stage, the vibration control performance is evaluated in both the vertical and pitch directions. It is demonstrated that the magnitude of the vibration in the patient compartment of the ambulance can be significantly reduced by applying an input current to the MR dampers installed for the new bed stage. (technical note)

  18. Spinal fusion in children with spina bifida : influence on ambulation level and functional abilities

    NARCIS (Netherlands)

    Schoenmakers, MAGC; Gulmans, VAM; Gooskens, RHJM; Pruijs, JEH; Helders, PJM

    2005-01-01

    The aim of this study was to determine the influence of spinal fusion on ambulation and functional abilities in children with spina bifida for whom early mobilization was stimulated. Ten children (three males and seven females) with myelomeningocele were prospectively followed. Their mean age at ope

  19. A clinical prediction rule for ambulation outcomes after traumatic spinal cord injury: a longitudinal cohort study

    NARCIS (Netherlands)

    Middendorp, J.J. van; Hosman, A.J.F.; Donders, A.R.T.; Pouw, M.H.; Ditunno Jr., J.F.; Curt, A.; Geurts, A.C.H.; Meent, H. van de

    2011-01-01

    BACKGROUND: Traumatic spinal cord injury is a serious disorder in which early prediction of ambulation is important to counsel patients and to plan rehabilitation. We developed a reliable, validated prediction rule to assess a patient's chances of walking independently after such injury. METHODS: We

  20. A strategic approach for the ambulance covering of the province of Friesland

    NARCIS (Netherlands)

    Schreuder, J.A.M.; Macfarlane, J.D.

    1998-01-01

    In the summer of 1995 the University of Twente, commissioned by the Province of Friesland, carried out research into the consequences of alternative locations for ambulances. The approach to this research was based on a network model, which represents the area to be covered. With this model the atte

  1. Community ambulation in patients with chronic stroke : How is it related to gait speed?

    NARCIS (Netherlands)

    van de Port, Ingrid G.; Kwakkel, Gert; Lindeman, Eline

    2008-01-01

    Objective: To explore the strength of the association between gait speed and community ambulation and whether this association is significantly distorted by other variables. Design: Cross-sectional study conducted 3 years after stroke. Subjects: A total of 102 patients after first-ever stroke follow

  2. Ambulation with the reciprocating-gait orthosis - Experience in 15 children with myelomeningocele or paraplegia

    NARCIS (Netherlands)

    GerritsmaBleeker, CLE; Heeg, M; VosNiel, H

    1997-01-01

    We reviewed 15 children with spina bifida or paraplegia who have used a reciprocating-gait orthosis between 1985 and 1995. All were nonfunctional ambulators. The level of the spinal lesions ranged from Th10 to L3. The mean age of fitting the orthosis was 5 years. 8 children have stopped using it at

  3. Præhospital behandling. Ambulance-projektet Odense. En prospektiv undersøgelse

    DEFF Research Database (Denmark)

    Larsen, C F; Jørgensen, H R; Nielsen, J R;

    1990-01-01

    by the Danish National Board of Health was also tested. Experience from abroad and recent Danish trial arrangements demonstrate the positive effect of extended professional prehospital treatment. The authors consider, therefore, that an ambulance law is required as this would ensure better and more...

  4. Radiology trainer. Surgical ambulance. 2. rev. and enl. ed.; Roentgen-Trainer. Chirurgische Ambulanz

    Energy Technology Data Exchange (ETDEWEB)

    Ackermann, Ole [Wedau-Kliniken Duisburg (Germany). Klinik fuer Unfallchirurgie; Ruchholtz, Steffen [Universitaetsklinikum Giessen und Marburg GmbH, Marburg (Germany). Klinik fuer Unfall-, Hand- und Wiederherstellungschirurgie; Siemann, Holger [LVR Klinikum Essen (Germany); Barkhausen, Joerg [Universitaetsklinikum Schleswig-Holstein, Luebeck (Germany). Klinik fuer Radiologie und Nuklearmedizin

    2013-08-01

    The radiology trainer for surgical ambulance includes informative X-ray imaging examples for the following issues: zygoma, nasal bone, spinal cord, clavicle, shoulder, upper arms, elbow, forearms, wrist, hand, phalanx, thorax, sternum, pelvis, abdomen, hips, femur, knee, lower leg, ankle, feet.

  5. Promoting Ambulation Responses among Children with Multiple Disabilities through Walkers and Microswitches with Contingent Stimuli

    Science.gov (United States)

    Lancioni, Giulio E.; Singh, Nirbhay N.; O'Reilly, Mark F.; Sigafoos, Jeff; Oliva, Doretta; Smaldone, Angela; La Martire, Maria L.; Stasolla, Fabrizio; Castagnaro, Francesca; Groeneweg, Jop

    2010-01-01

    Children with severe or profound intellectual and motor disabilities often present problems of balance and ambulation and spend much of their time sitting or lying, with negative consequences for their development and social status. Recent research has shown the possibility of using a walker (support) device and microswitches with preferred…

  6. Design and methods of European Ambulance Acute Coronary Syndrome Angiography Trial (EUROMAX)

    DEFF Research Database (Denmark)

    Steg, Philippe Gabriel; van 't Hof, Arnoud; Clemmensen, Peter;

    2013-01-01

    In patients with ST-segment elevation myocardial infarction (STEMI) triaged to primary percutaneous coronary intervention (PCI), anticoagulation often is initiated in the ambulance during transfer to a PCI site. In this prehospital setting, bivalirudin has not been compared with standard-of-care...

  7. Ambulance services at hospital universiti sains malaysia and hospital kota bharu: a retrospective study of calls.

    Science.gov (United States)

    Shah Che Hamzah, Mohd Shaharudin; Ahmad, Rashidi; Nik Abdul Rahman, Nik Hisamuddin; Pardi, Kasmah Wati; Jaafar, Naimah; Wan Adnan, Wan Aasim; Jaalam, Kamaruddin; Sahil Jamalullail, Syed Mohsin

    2005-07-01

    This retrospective study attempted to identify the pattern of ambulance calls for the past two years at the Hospital Universiti Sains Malaysia (HUSM) and Hospital Kota Bharu (HKB). This study will provide a simple method of acquiring information related to ambulance response time (ART) and to test whether it met the international standards and needs of the client. Additionally, this paper takes into account the management of emergency calls. This included ambulance response time, which was part of Emergency Medical Services (EMS) episode: onset of ART, which started when details like phone number of the caller, exact location of the incident and the nature of the main complaint had been noted. ART ended when the emergency team arrived at the scene of incident. Information regarding ambulance calls from the record offices of HUSM and HKB was recorded for the year 2001 and 2002, tabulated and analyzed. There was a significant difference in the total number of calls managed by HUSM and HKB in the year 2001. It was noted that 645 calls were managed by HUSM while 1069 calls were recorded at HKB. In the year 2002, however, HUSM led with 613 extra numbers of calls as compare to HKB with 1193 numbers of calls. The pattern of ambulance calls observed is thought to possibly be influenced by social activities like local festivities, school holidays and the seasons. Further, it is observed that no studies were previously undertaken to compare the ART at both the HUSM and HKB to that of the international standards. In fact, a literature review undertaken so far showed no similar studies have been done for the whole Malaysia. PMID:22605956

  8. Self-paced brain-computer interface control of ambulation in a virtual reality environment

    Science.gov (United States)

    Wang, Po T.; King, Christine E.; Chui, Luis A.; Do, An H.; Nenadic, Zoran

    2012-10-01

    Objective. Spinal cord injury (SCI) often leaves affected individuals unable to ambulate. Electroencephalogram (EEG) based brain-computer interface (BCI) controlled lower extremity prostheses may restore intuitive and able-body-like ambulation after SCI. To test its feasibility, the authors developed and tested a novel EEG-based, data-driven BCI system for intuitive and self-paced control of the ambulation of an avatar within a virtual reality environment (VRE). Approach. Eight able-bodied subjects and one with SCI underwent the following 10-min training session: subjects alternated between idling and walking kinaesthetic motor imageries (KMI) while their EEG were recorded and analysed to generate subject-specific decoding models. Subjects then performed a goal-oriented online task, repeated over five sessions, in which they utilized the KMI to control the linear ambulation of an avatar and make ten sequential stops at designated points within the VRE. Main results. The average offline training performance across subjects was 77.2±11.0%, ranging from 64.3% (p = 0.001 76) to 94.5% (p = 6.26×10-23), with chance performance being 50%. The average online performance was 8.5±1.1 (out of 10) successful stops and 303±53 s completion time (perfect = 211 s). All subjects achieved performances significantly different than those of random walk (p ambulation after only 10 minutes training. The ability to achieve such BCI control with minimal training indicates that the implementation of future BCI-lower extremity prosthesis systems may be feasible.

  9. Weather and age-gender effects on the projection of future emergency ambulance demand in Hong Kong.

    Science.gov (United States)

    Lai, Poh-Chin; Wong, Ho-Ting

    2015-03-01

    An accurate projection for ambulance demand is essential to enable better resource planning for the future that strives to either maintain current levels of services or reconsider future standards and expectations. More than 2 million cases of emergency room attendance in 2008 were obtained from the Hong Kong Hospital Authority to project the demand for its ambulance services in 2036. The projection of ambulance demand in 2036 was computed in consideration of changes in the age-gender structure between 2008 and 2036. The quadratic relation between average daily temperature and daily ambulance demand in 2036 was further explored by including and excluding age-gender demographic changes. Without accounting for changes in the age-gender structure, the 2036 ambulance demand for age groups of 65 and above were consistently underestimated (by 38%-65%), whereas those of younger age groups were overestimated (by 6%-37%). Moreover, changes in the 2008 to 2036 age-gender structure also shift upward and emphasize relationships between average daily temperature and daily ambulance demand at both ends of the quadratic U-shaped curve. Our study reveals a potential societal implication of ageing population on the demand for ambulance services. PMID:23070758

  10. Short-term exposure to ambient particulate matter and emergency ambulance dispatch for acute illness in Japan.

    Science.gov (United States)

    Tasmin, Saira; Ueda, Kayo; Stickley, Andrew; Yasumoto, Shinya; Phung, Vera Ling Hui; Oishi, Mizuki; Yasukouchi, Shusuke; Uehara, Yamato; Michikawa, Takehiro; Nitta, Hiroshi

    2016-10-01

    Short-term exposure to air pollution may be linked to negative health outcomes that require an emergency medical response. However, few studies have been undertaken on this phenomenon to date. The aim of this study therefore was to examine the association between short-term exposure to ambient suspended particulate matter (SPM) and emergency ambulance dispatches (EADs) for acute illness in Japan. Daily EAD data, daily mean SPM and meteorological data were obtained for four prefectures in the Kanto region of Japan for the period from 2007 to 2011. The area-specific association between daily EAD for acute illness and SPM was explored using generalized linear models while controlling for ambient temperature, relative humidity, seasonality, long-term trends, day of the week and public holidays. Stratified analyses were conducted to evaluate the modifying effects of age, sex and medical conditions. Area-specific estimates were combined using meta-analyses. For the total study period the mean level of SPM was 23.7μg/m(3). In general, higher SPM was associated with a significant increase in EAD for acute illness [estimated pooled relative risk (RR): 1.008, 95% CI: 1.007 to 1.010 per 10μg/m(3) increase in SPM at lag 0-1]. The effects of SPM on EAD for acute illness were significantly greater for moderate/mild medical conditions (e.g. cases that resulted in 3weeks hospitalization or which resulted in death). Using EAD data, this study has shown the adverse health effects of ambient air pollution. This highlights the importance of reducing the level of air pollution in order to maintain population health and well-being.

  11. Short-term exposure to ambient particulate matter and emergency ambulance dispatch for acute illness in Japan.

    Science.gov (United States)

    Tasmin, Saira; Ueda, Kayo; Stickley, Andrew; Yasumoto, Shinya; Phung, Vera Ling Hui; Oishi, Mizuki; Yasukouchi, Shusuke; Uehara, Yamato; Michikawa, Takehiro; Nitta, Hiroshi

    2016-10-01

    Short-term exposure to air pollution may be linked to negative health outcomes that require an emergency medical response. However, few studies have been undertaken on this phenomenon to date. The aim of this study therefore was to examine the association between short-term exposure to ambient suspended particulate matter (SPM) and emergency ambulance dispatches (EADs) for acute illness in Japan. Daily EAD data, daily mean SPM and meteorological data were obtained for four prefectures in the Kanto region of Japan for the period from 2007 to 2011. The area-specific association between daily EAD for acute illness and SPM was explored using generalized linear models while controlling for ambient temperature, relative humidity, seasonality, long-term trends, day of the week and public holidays. Stratified analyses were conducted to evaluate the modifying effects of age, sex and medical conditions. Area-specific estimates were combined using meta-analyses. For the total study period the mean level of SPM was 23.7μg/m(3). In general, higher SPM was associated with a significant increase in EAD for acute illness [estimated pooled relative risk (RR): 1.008, 95% CI: 1.007 to 1.010 per 10μg/m(3) increase in SPM at lag 0-1]. The effects of SPM on EAD for acute illness were significantly greater for moderate/mild medical conditions (e.g. cases that resulted in 3weeks hospitalization or which resulted in death). Using EAD data, this study has shown the adverse health effects of ambient air pollution. This highlights the importance of reducing the level of air pollution in order to maintain population health and well-being. PMID:27235903

  12. Prediction of postoperative morbidity, mortality and rehabilitation in hip fracture patients: the cumulated ambulation score

    DEFF Research Database (Denmark)

    Foss, Nicolai Bang; Kristensen, Morten Tange; Kehlet, Henrik

    2006-01-01

    to short-term outcome parameters. RESULTS: The cumulated ambulation score was a highly significant predictor for length of hospitalization, time to discharge status, 30-day mortality and postoperative medical complications (P ...OBJECTIVE: To validate the cumulated ambulation score as an early postoperative predictor of short-term outcome in hip fracture patients. DESIGN: Prospective, descriptive study. SETTING: An orthopaedic hip fracture unit in a university hospital. PATIENTS: Four hundred and twenty-six consecutive hip...... fracture patients with an independent walking function admitted from their own home. Rehabilitation followed a well-defined multimodal rehabilitation regimen and discharge criteria. MAIN OUTCOME MEASURE: Admission tests with a new mobility score to assess prefracture functional mobility and a short mental...

  13. Prosthetic ambulation in a paraplegic patient with a transfemoral amputation and radial nerve palsy.

    Science.gov (United States)

    Shin, J C; Park, C; Kim, D Y; Choi, Y S; Kim, Y K; Seong, Y J

    2000-08-01

    Great importance and caution should be placed on prosthetic fitting for a paraplegic patient with an anesthetic residual limb if functional ambulation is to be achieved. The combination of paraplegia with a transfemoral amputation and radial nerve palsy is a complex injury that makes the rehabilitation process difficult. This article describes a case of L2 paraplegia with a transfemoral amputation and radial nerve palsy on the right side. Following the rehabilitation course, the patient independently walked using a walker at indoor level with a transfemoral prosthesis with ischial containment socket, polycentric knee assembly, endoskeletal shank and multiaxis foot assembly and a knee ankle foot orthosis on the sound side. The difficulties of fitting a functional prosthesis to an insensate limb and the rehabilitation stages leading to functional ambulation are reviewed. PMID:10992814

  14. Neurotherapeutic and neuroprosthetic effects of implanted functional electrical stimulation for ambulation after incomplete spinal cord injury.

    Science.gov (United States)

    Bailey, Stephanie Nogan; Hardin, Elizabeth C; Kobetic, Rudi; Boggs, Lisa M; Pinault, Gilles; Triolo, Ronald J

    2010-01-01

    The purpose of this single-subject study was to determine the neurotherapeutic and neuroprosthetic effects of an implanted functional electrical stimulation (FES) system designed to facilitate walking in an individual with a longstanding motor and sensory incomplete spinal cord injury. An implanted pulse generator and eight intramuscular stimulating electrodes were installed unilaterally, activating weak or paralyzed hip flexors, hip and knee extensors, and ankle dorsiflexors during 36 sessions of gait training with FES. The neurotherapeutic effects were assessed by a comparison of pre- and posttraining volitional walking. The neuroprosthetic effects were assessed by a comparison of posttraining volitional and FES-assisted walking. Treatment resulted in significant (p ambulation to limited community ambulation. Additionally, the subject could perform multiple walks per day when using FES-assisted gait, which was impossible with volitional effort alone.

  15. Pre-Hospital Fast Positive Cases Identified by DFB Ambulance Paramedics – Final Clinical Diagnosis

    LENUS (Irish Health Repository)

    Feeney, A

    2016-04-01

    Ischaemic stroke clinical outcomes are improved by earlier treatment with intravenous thrombolysis. An existing pathway at the Mater University Hospital for assessment of suspected acute stroke in the Emergency Department was updated, aiming to shorten ‘door to needle time’. This study examines the final clinical diagnosis of Dublin Fire Brigade Ambulance Paramedic identified Face Arm Speech Test (FAST) positive patients presenting to the Emergency Department over a 7 month period. A retrospective analysis was carried out of 177 consecutive FAST positive patients presenting between March and November 2014. The final clinical diagnosis was acute stroke in 57.1% (n=101) of patients. Of these, 76 were ischaemic strokes of whom 56.5% (n=43) were thrombolysed. In the pre-hospital setting Ambulance Paramedics can identify, with reasonable accuracy, acute stroke using the FAST test. Over half of the ischaemic stroke patients presenting via this pathway can be treated with intravenous thrombolysis

  16. Effects of adductor-canal-blockade on pain and ambulation after total knee arthroplasty

    DEFF Research Database (Denmark)

    Jenstrup, M T; Jæger, P; Lund, J;

    2012-01-01

    Total knee arthroplasty (TKA) is associated with intense post-operative pain. Besides providing optimal analgesia, reduction in side effects and enhanced mobilization are important in this elderly population. The adductor-canal-blockade is theoretically an almost pure sensory blockade. We...... hypothesized that the adductor-canal-blockade may reduce morphine consumption (primary endpoint), improve pain relief, enhance early ambulation ability, and reduce side effects (secondary endpoints) after TKA compared with placebo....

  17. Ambulance emergency services for patients with coronary heart disease in Lancashire: achieving standards and improving performance

    OpenAIRE

    Stoykova, B; Dowie, R; Bastow, P; Rowsell, K; GREGORY, R.

    2004-01-01

    Methods: Audit datasets on two cohorts of patients with chest pain and suspected AMI were assembled by the Lancashire Ambulance Service NHS Trust in north west England: 3706 patients during 1996/97 and 3423 in 2001. They were transported to four hospitals. The analyses covered journey timings, role of rapid response vehicles (RRV), and clinical procedures and the results were compared with prevailing national standards.

  18. Manager-employee interaction in ambulance services: an exploratory study of employee perspectives on management communication.

    Science.gov (United States)

    Nordby, Halvor

    2015-01-01

    Managers of ambulance stations face many communicative challenges in their interaction with employees working in prehospital first-line services. The article presents an exploratory study of how paramedics experience these challenges in communication with station leaders. On the basis of a dialogue perspective in qualitative method, 24 paramedics were interviewed in one-to-one and focus group settings. Naturalistic and phenomenological approaches were used to analyze the interviews. All the paramedics said that they wished to be more involved in decision processes and that station managers should provide better explanations of information "from above." The paramedics understood that it was difficult for the managers to find time for extensive dialogue, but many thought that the managers should give more priority to communication. The paramedics' views correspond to theoretical assumptions in human resource management. According to this model, employees should be involved in decision processes on management levels, as long as it is realistically possible to do so. Furthermore, expressing emotional support and positive attitudes does not take much time, and the study suggests that many ambulance managers should focus more on interpersonal relations to employees. It has been extensively documented that management communication affects organizational performance. The study indicates that managers of ambulance stations should be more aware of how their leadership style affects professional commitment and motivation in the first-line services.

  19. Reducing Time to First on Scene: An Ambulance-Community First Responder Scheme.

    Science.gov (United States)

    Campbell, Alan; Ellington, Matt

    2016-01-01

    The importance of early access to prehospital care has been demonstrated in many medical emergencies. This work aims to describe the potential time benefit of implementing a student Community First Responder scheme to support ambulance services in an inner-city setting in the United Kingdom. Twenty final and penultimate year medical students in the UK were trained in the "First Person on Scene" Business and Technology Education Council (BTEC) qualification. Over 12 months, they attended 89 emergency calls in an inner-city setting as Community First Responders (CFRs), alongside the West Midlands Ambulance Service, UK. At the end of this period, a qualitative survey investigated the perceived educational value of the scheme. The mean CFR response time across all calls was an average of 3 minutes and 8 seconds less than ambulance crew response times. The largest difference was to calls relating to falls (12 min). The difference varied throughout the day, peaking between 16:00 and 18:00. All questionnaire respondents stated that they felt more prepared in assessing and treating acutely unwell patients. In this paper, the authors present a symbiotic solution which has both reduced time to first on scene and provided training and experience in medical emergencies for senior medical students. PMID:27119024

  20. Manager-employee interaction in ambulance services: an exploratory study of employee perspectives on management communication.

    Science.gov (United States)

    Nordby, Halvor

    2015-01-01

    Managers of ambulance stations face many communicative challenges in their interaction with employees working in prehospital first-line services. The article presents an exploratory study of how paramedics experience these challenges in communication with station leaders. On the basis of a dialogue perspective in qualitative method, 24 paramedics were interviewed in one-to-one and focus group settings. Naturalistic and phenomenological approaches were used to analyze the interviews. All the paramedics said that they wished to be more involved in decision processes and that station managers should provide better explanations of information "from above." The paramedics understood that it was difficult for the managers to find time for extensive dialogue, but many thought that the managers should give more priority to communication. The paramedics' views correspond to theoretical assumptions in human resource management. According to this model, employees should be involved in decision processes on management levels, as long as it is realistically possible to do so. Furthermore, expressing emotional support and positive attitudes does not take much time, and the study suggests that many ambulance managers should focus more on interpersonal relations to employees. It has been extensively documented that management communication affects organizational performance. The study indicates that managers of ambulance stations should be more aware of how their leadership style affects professional commitment and motivation in the first-line services. PMID:25909398

  1. Design and validation of a platform robot for determination of ankle impedance during ambulation.

    Science.gov (United States)

    Rouse, Elliott J; Hargrove, Levi J; Peshkin, Michael A; Kuiken, Todd A

    2011-01-01

    In order to provide natural, biomimetic control to recently developed powered ankle prostheses, we must characterize the impedance of the ankle during ambulation tasks. To this end, a platform robot was developed that can apply an angular perturbation to the ankle during ambulation and simultaneously acquire ground reaction force data. In this study, we detail the design of the platform robot and characterize the impedance of the ankle during quiet standing. Subjects were perturbed by a 3° dorsiflexive ramp perturbation with a length of 150 ms. The impedance was defined parametrically, using a second order model to map joint angle to the torque response. The torque was determined using the inverted pendulum assumption, and impedance was identified by the least squares best estimate, yielding an average damping coefficient of 0.03 ± 0.01 Nms/° and an average stiffness coefficient of 3.1 ± 1.2 Nm/°. The estimates obtained by the proposed platform robot compare favorably to those published in the literature. Future work will investigate the impedance of the ankle during ambulation for powered prosthesis controller development.

  2. Feasibility, Reliability and Predictive Value Of In-Ambulance Heart Rate Variability Registration.

    Directory of Open Access Journals (Sweden)

    Laetitia Yperzeele

    Full Text Available Heart rate variability (HRV is a parameter of autonomic nervous system function. A decrease of HRV has been associated with disease severity, risk of complications and prognosis in several conditions.We aim to investigate the feasibility and the reliability of in-ambulance HRV registration during emergency interventions, and to evaluate the association between prehospital HRV parameters, patient characteristics, vital parameters and short-term outcome.We conducted a prospective study using a non-invasive 2-lead ECG registration device in 55 patients transported by the paramedic intervention team of the Universitair Ziekenhuis Brussel. HRV assessment included time domain parameters, frequency domain parameters, nonlinear analysis, and time-frequency analysis. The correlation between HRV parameters and patient and outcome characteristics was analyzed and compared to controls.Artifact and ectopic detection rates were higher in patients during ambulance transportation compared to controls in resting conditions, yet technical reasons precluding in-ambulance HRV analysis occurred in only 9.6% of cases. HRV acquisition was possible without safety issues or interference with routine emergency care. Reliability of the results was considered sufficient for Sample entropy (SampEn, good for the ratio of low frequency and high frequency components (LF/HF ratio in the frequency and the time frequency domain, and excellent for the triangular interpolation of the NN interval histogram (TINN, and for the short-term scaling exponent of the detrended fluctuation analysis (DFA α1. HRV indices were significantly reduced inpatients with unfavorable outcome compared to patients with favorable outcome and controls. Multivariate analysis identified lower DFA α1 as an independent predictor of unfavorable outcome (OR, 0.155; 95% CI 0.024-0.966; p = 0.049.In-ambulance HRV registration is technically and operationally feasible and produces reliable results for parameters

  3. Daily variations in ambulance calls for selected causes in Arkhangelsk, Russia: potential role of excessive alcohol consumption on weekends

    Directory of Open Access Journals (Sweden)

    Sergei N. Drachev

    2012-11-01

    Full Text Available Objectives. To assess daily variations in ambulance calls for cardiovascular diseases (CVDs, mental and behavioral disorders, and external causes in Arkhangelsk, Northwest Russia, in 2000–2008. Study design. A population-based study. Methods. Data about all ambulance calls during the years 2000–2008 were obtained from the Arkhangelsk ambulance station. Information about patient's gender, age, doctor's diagnosis according to International Classification of Diseases, 10th revision, and the date of call were recorded. Pearson's Chi-squared tests were used for comparing proportions of ambulance calls across the week for CVDs (I00-99, mental and behavioral disorders (F00-F99, and external causes (S00-T98, V01-Y98. The ratio of incidence of ambulance calls on Saturday, Sunday, and Monday versus the rest of week was also calculated. Results. There is a significant daily variation (p < 0.001 in calls for CVDs in men and women aged 18–59 and women aged 60 years and older, with increased numbers of calls on weekends and Mondays varying between 2 and 3% excess calls. For mental and behavioral disorders, a similar pattern was found in the age group of 18–59 year-olds. Ratios for the number of calls during weekends and Mondays vs. the rest of the week were 1.05 (95% CI: 1.02–1.08 among women and 1.02 (95% CI: 1.00–1.05 among men. For external causes, a significant variation and an increase in ambulance calls during Saturdays, Sundays, and Mondays from 4 to 17% excess calls was observed for both age and gender groups. Conclusions. The observed daily variations in ambulance calls with an increased number of calls on weekends and Mondays for CVDs, mental and behavioral disorders, and external causes may be associated with excessive alcohol consumption on the weekends. Further research using data on individual levels of alcohol consumption are warranted.

  4. Bed rest versus early ambulation with standard anticoagulation in the management of deep vein thrombosis: a meta-analysis.

    Directory of Open Access Journals (Sweden)

    Zhenlei Liu

    Full Text Available Bed rest has been considered as the cornerstone of management of deep vein thrombosis (DVT for a long time, though it is not evidence-base, and there is growing evidence favoring early ambulation.Electronic databases including Medline, PubMed, Cochrane Library and three Chinese databases were searched with key words of "deep vein thrombosis", "pulmonary embolism", "venous thrombosis", "bed rest", "immobilization", "mobilization" and "ambulation". We considered randomized controlled trials, prospective or retrospective cohort studies that compared the outcomes of acute DVT patients managed with early ambulation versus bed rest, in addition to standard anticoagulation. Meta-analysis pertaining to the incidence of new pulmonary embolism (PE, progression of DVT, and DVT related deaths were conducted, as well as the extent of remission of pain and edema.13 studies were included with a total of 3269 patients. Compared to bed rest, early ambulation was not associated with a higher incidence of new PE, progression of DVT, or DVT related deaths (RD -0.03, 95% CI -0.05∼ -0.02; Z = 1.24, p = 0.22; random effect model, Tau2 = 0.01. Moreover, if the patients suffered moderate or severe pain initially, early ambulation was related to a better outcome, with respect to remission of acute pain in the affected limb (SMD 0.42, 95%CI 0.09∼0.74; Z = 2.52, p = 0.01; random effect model, Tau2 = 0.04. Meta-analysis of alleviation of edema cannot elicit a solid conclusion because of significant heterogeneity among the few studies.Compared to bed rest, early ambulation of acute DVT patients with anticoagulation was not associated with a higher incidence of new PE, progression of DVT, and DVT related deaths. Furthermore, for the patients suffered moderate or severe pain initially, a better outcome can be seen in early ambulation group, regarding to the remission of acute pain in the affected limb.

  5. Automated personnel-assets-consumables-drug tracking in ambulance services for more effective and efficient medical emergency interventions.

    Science.gov (United States)

    Utku, Semih; Özcanhan, Mehmet Hilal; Unluturk, Mehmet Suleyman

    2016-04-01

    Patient delivery time is no longer considered as the only critical factor, in ambulatory services. Presently, five clinical performance indicators are used to decide patient satisfaction. Unfortunately, the emergency ambulance services in rapidly growing metropolitan areas do not meet current satisfaction expectations; because of human errors in the management of the objects onboard the ambulances. But, human involvement in the information management of emergency interventions can be reduced by electronic tracking of personnel, assets, consumables and drugs (PACD) carried in the ambulances. Electronic tracking needs the support of automation software, which should be integrated to the overall hospital information system. Our work presents a complete solution based on a centralized database supported by radio frequency identification (RFID) and bluetooth low energy (BLE) identification and tracking technologies. Each object in an ambulance is identified and tracked by the best suited technology. The automated identification and tracking reduces manual paper documentation and frees the personnel to better focus on medical activities. The presence and amounts of the PACD are automatically monitored, warning about their depletion, non-presence or maintenance dates. The computerized two way hospital-ambulance communication link provides information sharing and instantaneous feedback for better and faster diagnosis decisions. A fully implemented system is presented, with detailed hardware and software descriptions. The benefits and the clinical outcomes of the proposed system are discussed, which lead to improved personnel efficiency and more effective interventions. PMID:26777434

  6. Configuring a powered knee and ankle prosthesis for transfemoral amputees within five specific ambulation modes.

    Directory of Open Access Journals (Sweden)

    Ann M Simon

    Full Text Available Lower limb prostheses that can generate net positive mechanical work may restore more ambulation modes to amputees. However, configuration of these devices imposes an additional burden on clinicians relative to conventional prostheses; devices for transfemoral amputees that require configuration of both a knee and an ankle joint are especially challenging. In this paper, we present an approach to configuring such powered devices. We developed modified intrinsic control strategies--which mimic the behavior of biological joints, depend on instantaneous loads within the prosthesis, or set impedance based on values from previous states, as well as a set of starting configuration parameters. We developed tables that include a list of desired clinical gait kinematics and the parameter modifications necessary to alter them. Our approach was implemented for a powered knee and ankle prosthesis in five ambulation modes (level-ground walking, ramp ascent/descent, and stair ascent/descent. The strategies and set of starting configuration parameters were developed using data from three individuals with unilateral transfemoral amputations who had previous experience using the device; this approach was then tested on three novice unilateral transfemoral amputees. Only 17% of the total number of parameters (i.e., 24 of the 140 had to be independently adjusted for each novice user to achieve all five ambulation modes and the initial accommodation period (i.e., time to configure the device for all modes was reduced by 56%, to 5 hours or less. This approach and subsequent reduction in configuration time may help translate powered prostheses into a viable clinical option where amputees can more quickly appreciate the benefits such devices can provide.

  7. Configuring a powered knee and ankle prosthesis for transfemoral amputees within five specific ambulation modes.

    Science.gov (United States)

    Simon, Ann M; Ingraham, Kimberly A; Fey, Nicholas P; Finucane, Suzanne B; Lipschutz, Robert D; Young, Aaron J; Hargrove, Levi J

    2014-01-01

    Lower limb prostheses that can generate net positive mechanical work may restore more ambulation modes to amputees. However, configuration of these devices imposes an additional burden on clinicians relative to conventional prostheses; devices for transfemoral amputees that require configuration of both a knee and an ankle joint are especially challenging. In this paper, we present an approach to configuring such powered devices. We developed modified intrinsic control strategies--which mimic the behavior of biological joints, depend on instantaneous loads within the prosthesis, or set impedance based on values from previous states, as well as a set of starting configuration parameters. We developed tables that include a list of desired clinical gait kinematics and the parameter modifications necessary to alter them. Our approach was implemented for a powered knee and ankle prosthesis in five ambulation modes (level-ground walking, ramp ascent/descent, and stair ascent/descent). The strategies and set of starting configuration parameters were developed using data from three individuals with unilateral transfemoral amputations who had previous experience using the device; this approach was then tested on three novice unilateral transfemoral amputees. Only 17% of the total number of parameters (i.e., 24 of the 140) had to be independently adjusted for each novice user to achieve all five ambulation modes and the initial accommodation period (i.e., time to configure the device for all modes) was reduced by 56%, to 5 hours or less. This approach and subsequent reduction in configuration time may help translate powered prostheses into a viable clinical option where amputees can more quickly appreciate the benefits such devices can provide.

  8. Training Persons with Spinal Cord Injury to Ambulate Using a Powered Exoskeleton.

    Science.gov (United States)

    Asselin, Pierre K; Avedissian, Manuel; Knezevic, Steven; Kornfeld, Stephen; Spungen, Ann M

    2016-01-01

    Powered exoskeletons have become available for overground ambulation in persons with paralyses due to spinal cord injury (SCI) who have intact upper extremity function and are able to maintain upright balance using forearm crutches. To ambulate in an exoskeleton, the user must acquire the ability to maintain balance while standing, sitting and appropriate weight shifting with each step. This can be a challenging task for those with deficits in sensation and proprioception in their lower extremities. This manuscript describes screening criteria and a training program developed at the James J. Peters VA Medical Center, Bronx, NY to teach users the skills needed to utilize these devices in institutional, home or community environments. Before training can begin, potential users are screened for appropriate range of motion of the hip, knee and ankle joints. Persons with SCI are at an increased risk of sustaining lower extremity fractures, even with minimal strain or trauma, therefore a bone mineral density assessment is performed to reduce the risk of fracture. Also, as part of screening, a physical examination is performed in order to identify additional health-related contraindications. Once the person has successfully passed all screening requirements, they are cleared to begin the training program. The device is properly adjusted to fit the user. A series of static and dynamic balance tasks are taught and performed by the user before learning to walk. The person is taught to ambulate in various environments ranging from indoor level surfaces to outdoors over uneven or changing surfaces. Once skilled enough to be a candidate for home use with the exoskeleton, the user is then required to designate a companion-walker who will train alongside them. Together, the pair must demonstrate the ability to perform various advanced tasks in order to be permitted to use the exoskeleton in their home/community environment. PMID:27340808

  9. Emerging organizational structures in the ambulance industry in the United States.

    Science.gov (United States)

    Narad, R A

    2000-01-01

    This analysis seeks to identify emerging forms of organizations in emergency medical services (EMS) in the United States, to provide examples of them, to relate them to changes in healthcare generally, and to apply a classification scheme. Public policy issues related to these new forms of organizations and lessons from other areas of the healthcare system are identified. Recent changes in the healthcare system in the United States have been marked by modifications in the structure of organizations that provide and pay for health services. New forms of organizations and alliances among existing organizations have emerged in an effort to improve the efficiency of the services provided and to improve organizations' market positions. Reflecting increased competition within EMS and the demands of the changing health-care delivery system, several types of organizations have begun to emerge in EMS that resemble those occurring in health care generally. These include forms of horizontal integration, such as consolidated ambulance services and various models of ambulance service networks; and forms of vertical integration, such as demand management programs and public-private joint ventures. The ultimate end might be complete integration with a carve-out of all non-scheduled care. Although changes in EMS organizations result largely from marketplace decisions by sellers and purchasers, this does not mean that there is no public policy role. While new organizational forms may increase the ambulance industry's efficiency, public policy makers must be concerned about quality and access as well. Some policy responses will promote marketplace changes, others will accept them generally, but will seek to correct problems, and a third group will attempt to restrain the market.

  10. Lightweight physiologic sensor performance during pre-hospital care delivered by ambulance clinicians.

    Science.gov (United States)

    Mort, Alasdair J; Fitzpatrick, David; Wilson, Philip M J; Mellish, Chris; Schneider, Anne

    2016-02-01

    The aim of this study was to explore the impact of motion generated by ambulance patient management on the performance of two lightweight physiologic sensors. Two physiologic sensors were applied to pre-hospital patients. The first was the Contec Medical Systems CMS50FW finger pulse oximeter, monitoring heart rate (HR) and blood oxygen saturation (SpO2). The second was the RESpeck respiratory rate (RR) sensor, which was wireless-enabled with a Bluetooth(®) Low Energy protocol. Sensor data were recorded from 16 pre-hospital patients, who were monitored for 21.2 ± 9.8 min, on average. Some form of error was identified on almost every HR and SpO2 trace. However, the mean proportion of each trace exhibiting error was <10 % (range <1-50 % for individual patients). There appeared to be no overt impact of the gross motion associated with road ambulance transit on the incidence of HR or SpO2 error. The RESpeck RR sensor delivered an average of 4.2 (±2.2) validated breaths per minute, but did not produce any validated breaths during the gross motion of ambulance transit as its pre-defined motion threshold was exceeded. However, this was many more data points than could be achieved using traditional manual assessment of RR. Error was identified on a majority of pre-hospital physiologic signals, which emphasised the need to ensure consistent sensor attachment in this unstable and unpredictable environment, and in developing intelligent methods of screening out such error. PMID:25804608

  11. The use of intraluminal strain gauges for recording ambulant small bowel motility.

    Science.gov (United States)

    Gill, R C; Kellow, J E; Browning, C; Wingate, D L

    1990-04-01

    Perfused-tube manometry has hitherto been the standard technique for recording intraluminal intestinal pressure in humans, but it is unsuitable for ambulant use. The aim of our study was to evaluate the ability of resistive strain gauge transducers attached to a fine catheter to detect pressure change. Simultaneous strain gauge and perfused-tube manometry was performed on six fasting subjects; in four, strain gauge activation was continuous and in two, the transducers were activated in a pulsed mode with data encoded as a pulse train with an approximate frequency of 20 Hz. Eight thousand eight hundred eighty-eight pressure waves were recorded by strain gauge, of which 96% were detected by perfused-tube manometry. There was good agreement in both phases II and III of the migrating motor complex. The amplitude of pressure waves recorded by strain gauge was slightly but significantly greater. A proportion (14-17%) of pressure waves recorded by strain gauge were bifid; this was not seen with the perfused tube. These differences are best explained by the greater sensitivity and more rapid rise time of the strain gauges. There was no loss of fidelity in the pulse-interval recording mode. A seventh subject underwent a continuous 72-h recording with the strain gauge catheter attached to a battery-operated encoder and magnetic tape cassette recorder and was freely ambulant during this period. The procedure was well tolerated and motility patterns could be clearly identified. We conclude that intraluminal strain gauge catheters are suitable for prolonged use in ambulant subjects and produce data that are closely comparable to the data acquired from perfused-tube manometry under laboratory conditions. PMID:2333973

  12. Samarbeid og kompetanseutveksling mellom sykehus og kommune : evaluering av prosjektet "Ambulant team"

    OpenAIRE

    Lorentzen, Catherine

    2008-01-01

    Rapporten er en evaluering av prosjektet ”Ambulant team” som innbefattet ambulerende virksomhet fra Geriatrisk seksjon ved Sykehuset i Vestfold og ut i Horten, Nøtterøy og Sandefjord kommuner i forbindelse med hjemsending av pasienter. Hovedmålene med inneværende undersøkelse har vært å evaluere effekten av den ambulerende virksomheten på samhandlingen og kompetanseutvekslingen behandlingsnivåene imellom, samt å ta stilling til prosjektets videre- og overføringsverdi.

  13. Neurotherapeutic and neuroprosthetic effects of implanted functional electrical stimulation for ambulation after incomplete spinal cord injury

    Directory of Open Access Journals (Sweden)

    Ronald J. Triolo, PhD

    2010-03-01

    Full Text Available The purpose of this single-subject study was to determine the neurotherapeutic and neuroprosthetic effects of an implanted functional electrical stimulation (FES system designed to facilitate walking in an individual with a long-standing motor and sensory incomplete spinal cord injury. An implanted pulse generator and eight intramuscular stimulating electrodes were installed unilaterally, activating weak or paralyzed hip flexors, hip and knee extensors, and ankle dorsiflexors during 36 sessions of gait training with FES. The neurotherapeutic effects were assessed by a comparison of pre- and posttraining volitional walking. The neuroprosthetic effects were assessed by a comparison of posttraining volitional and FES-assisted walking. Treatment resulted in significant (p < 0.005 volitional improvements in 6-minute walking distance and speed, speed during maximum walk, double support time, and 10 m walking speed. Posttraining FES-assisted walking resulted in significant additional improvements in all these measures, except 10 m walking speed. When the subject was using FES-assisted gait, maximum walking distance, peak knee flexion in swing, peak ankle dorsiflexion in swing, and knee extension moment also significantly increased. Neuroprosthetic gains were sufficient to enable the subject to advance from household ambulation to limited community ambulation. Additionally, the subject could perform multiple walks per day when using FES-assisted gait, which was impossible with volitional effort alone.

  14. Ambulation and independence among Veterans with nontraumatic bilateral lower–limb loss

    Directory of Open Access Journals (Sweden)

    Sherene E. Sharath, MPH

    2015-11-01

    Full Text Available In describing functional outcomes and independent living in a cohort of bilateral major amputees, we sought to provide current estimates of function and independence after a second major amputation in an elderly Veteran population with peripheral arterial disease and/or diabetes. After retrospectively reviewing and excluding the electronic health records of those failing to meet the inclusion criteria, we identified 40 patients with a history of unilateral major amputation who underwent a second major amputation during the defined study period. Of these, 43% (17 were bilateral transfemoral amputations (TFAs; bilateral transtibial amputations (TTAs and TFA–TTA accounted for the rest (33% and 25%, respectively. Of the 19 (48% patients who were ambulatory prior to bilateral amputation, only 2 (11% remained ambulatory after the second amputation, while 17 (89% patients lost ambulatory capabilities. Compared with those who were ambulate precontralateral amputation (p = 0.03. All patients with bilateral TFA were nonambulatory. Independence postcontralateral amputation decreased from 88% (35 to 53% (21. When data were available (58%, pre and post Functional Independence Measure scores showed a decrease in 74% of patients, while 22% showed an increase. In conclusion, bilateral lower–limb amputation among dysvascular Veterans is highly associated with a loss of ambulation.

  15. Using HSPA to improve the telemedical links on a moving ambulance.

    Science.gov (United States)

    Banitsas, Konstantinos; Tachakra, Sapal; Stefanidis, Euclid; Boletis, Konstantinos

    2008-01-01

    As the demand for faster and more effective health care increases, there is a growing need to establish mobile, high-speed communications between a moving ambulance and a consultation point (usually a hospital). The recent addition of HSPA (HSDPA and HSUPA) into the UMTS suite provides higher bandwidth and reduced delays, making this choice ideal for real-time telemedical applications. In this paper, we will describe a set of scenarios that took place in a typical large city area, along with their equivalent results: a moving ambulance was linked with a consultation station using HSPA and several videoconferencing sessions were initiated. Best-case, worst-case and average scenarios were recorded. Furthermore, in areas where the UMTS reception was marginal, a repeater was placed on top of the vehicle to boost up the signal power and thus maintain the higher bandwidth. Finally, treating doctors were asked to evaluate the effectiveness of this system's outputs, based on a variety of objective and subjective criteria.

  16. Humeral fracture in non-ambulant infants - a possible accidental mechanism

    Energy Technology Data Exchange (ETDEWEB)

    Somers, John M.; Halliday, Katharine E. [Nottingham University Hospitals, Radiology Department, Nottingham (United Kingdom); Chapman, Stephen [Birmingham Children' s Hospital, Birmingham (United Kingdom)

    2014-10-15

    Humeral fracture in a non-ambulant infant younger than 1 year is suspicious for a non-accidental injury unless there is a credible accidental explanation. A previously unrecognised accidental mechanism was described in 1996 whereby a 5-month-old infant was rolled by a 3-year-old sibling from a prone to a supine position. To investigate the widely accepted view that an infant with limited mobility cannot sustain a fracture of the humerus by his or her own actions in the absence of the intervention of an external party. We present seven cases of non-ambulant infants between 4 and 7 months of age in whom an isolated humeral fracture was the only injury present. In each case the caregiver described the fracture occurring when the child rolled over, trapping the dependent arm, without the intervention of another party. There is no proof for this mechanism in the form of an independent witness or video recording. However, we propose that this mechanism is worthy of further consideration as a rare and unusual cause for the injury. Further study is required. (orig.)

  17. Benefits of microprocessor-controlled prosthetic knees to limited community ambulators: systematic review.

    Science.gov (United States)

    Kannenberg, Andreas; Zacharias, Britta; Pröbsting, Eva

    2014-01-01

    The benefits of microprocessor-controlled prosthetic knees (MPKs) have been well established in community ambulators (Medicare Functional Classification Level [MFCL]-3) with a transfemoral amputation (TFA). A systematic review of the literature was performed to analyze whether limited community ambulators (MFCL-2) may also benefit from using an MPK in safety, performance-based function and mobility, and perceived function and satisfaction. We searched 10 scientific databases for clinical trials with MPKs and identified six publications with 57 subjects with TFA and MFCL-2 mobility grade. Using the criteria of a Cochrane Review on prosthetic components, we rated methodological quality moderate in four publications and low in two publications. MPK use may significantly reduce uncontrolled falls by up to 80% as well as significantly improve indicators of fall risk. Performance-based outcome measures suggest that persons with MFCL-2 mobility grade may be able to walk about 14% to 25% faster on level ground, be around 20% quicker on uneven surfaces, and descend a slope almost 30% faster when using an MPK. The results of this systematic review suggest that trial fittings may be used to determine whether or not individuals with TFA and MFCL-2 mobility grade benefit from MPK use. Criteria for patient selection and assessment of trial fitting success or failure are proposed.

  18. Benefits of microprocessor-controlled prosthetic knees to limited community ambulators: Systematic review

    Directory of Open Access Journals (Sweden)

    Andreas Kannenberg, MD, PhD

    2015-03-01

    Full Text Available The benefits of microprocessor-controlled prosthetic knees (MPKs have been well established in community ambulators (Medicare Functional Classification Level [MFCL]-3 with a transfemoral amputation (TFA. A systematic review of the literature was performed to analyze whether limited community ambulators (MFCL-2 may also benefit from using an MPK in safety, performance-based function and mobility, and perceived function and satisfaction. We searched 10 scientific databases for clinical trials with MPKs and identified six publications with 57 subjects with TFA and MFCL-2 mobility grade. Using the criteria of a Cochrane Review on prosthetic components, we rated methodological quality moderate in four publications and low in two publications. MPK use may significantly reduce uncontrolled falls by up to 80% as well as significantly improve indicators of fall risk. Performance-based outcome measures suggest that persons with MFCL-2 mobility grade may be able to walk about 14% to 25% faster on level ground, be around 20% quicker on uneven surfaces, and descend a slope almost 30% faster when using an MPK. The results of this systematic review suggest that trial fittings may be used to determine whether or not individuals with TFA and MFCL-2 mobility grade benefit from MPK use. Criteria for patient selection and assessment of trial fitting success or failure are proposed.

  19. Assessing post-anterior cruciate ligament reconstruction ambulation using wireless wearable integrated sensors.

    Science.gov (United States)

    Arosha Senanayake, S M N; Ahmed Malik, Owais; Mohammad Iskandar, Pg; Zaheer, Dansih

    2013-11-01

    Abstract A hardware/software co-design for assessing post-Anterior Cruciate Ligament (ACL) reconstruction ambulation is presented. The knee kinematics and neuromuscular data during walking (2-6 km h(-1)) have been acquired using wireless wearable motion and electromyography (EMG) sensors, respectively. These signals were integrated by superimposition and mixed signals processing techniques in order to provide visual analyses of bio-signals and identification of the recovery progress of subjects. Monitoring overlapped signals simultaneously helps in detecting variability and correlation of knee joint dynamics and muscles activities for an individual subject as well as for a group. The recovery stages of subjects have been identified based on combined features (knee flexion/extension and EMG signals) using an adaptive neuro-fuzzy inference system (ANFIS). The proposed system has been validated for 28 test subjects (healthy and ACL-reconstructed). Results of ANFIS showed that the ambulation data can be used to distinguish subjects at different levels of recuperation after ACL reconstruction. PMID:24117351

  20. Effect of Planned Early Recommended Ambulation Technique on Selected Post caesarean Biophysiological Health Parameters

    Directory of Open Access Journals (Sweden)

    Jyoti V. Dube

    2014-01-01

    Full Text Available Background: Caesarean section has been a part of human culture since ancient times. It has been used effectively throughout the 20th century and among the major abdominal surgeries, it is the most common, oldest worldwide surgery performed in obstetrics. Despite the life saving advantages, there are several adverse consequences of caesarean delivery for a woman and to her household. The rate and risk of these complications increases due to the increasing incidence mainly in countries like India. The role of nurse midwife is to act in the best interest of patient and newborn and make the patient independent in carrying out the activities of daily living as soon as possible. This can lead to a faster recovery and shorter hospital stay. Also it can indirectly help in reducing the complications associated with prolonged bed rest and can improve the maternal newborn bonding. Aim and Objectives: The present study was done to evaluate the effect of planned early ambulation on selected biophysiological health parameters of post caesarean patients. Material and Methods: The study included total 500 study subjects, 250 in experimental and 250 in control group. Quasi experimental approach with multiple time series design was adopted for the study. The experimental group was given an early planned recommended ambulation technique starting from the day of surgery. This consisted of deep breathing exercise, cough exercise, leg exercise and early mobilization. Over and above, the routine general health care was given by the doctors and nurses. The control group received only by routine general care by doctors and nurses and mobilization on third post operative day as per strategy adopted by the hospital. The deep breathing exercises, coughing exercises and leg exercises were not given routinely and hence were not given to the control group. Post caesarean biophysiological parameters chart was used to assess the selected parameters for first five post operative

  1. Evaluation of an algorithm for estimating a patient's life threat risk from an ambulance call

    Directory of Open Access Journals (Sweden)

    Moriwaki Yoshihiro

    2009-10-01

    Full Text Available Abstract Background Utilizing a computer algorithm, information from calls to an ambulance service was used to calculate the risk of patients being in a life-threatening condition (life threat risk, at the time of the call. If the estimated life threat risk was higher than 10%, the probability that a patient faced a risk of dying was recognized as very high and categorized as category A+. The present study aimed to review the accuracy of the algorithm. Methods Data collected for six months from the Yokohama new emergency system was used. In the system, emergency call workers interviewed ambulance callers to obtain information necessary to assess triage, which included consciousness level, breathing status, walking ability, position, and complexion. An emergency patient's life threat risk was then estimated by a computer algorithm applying logistic models. This study compared the estimated life threat risk occurring at the time of the emergency call to the patients' state or severity of condition, i.e. death confirmed at the scene by ambulance crews, resulted in death at emergency departments, life-threatening condition with occurrence of cardiac and/or pulmonary arrest (CPA, life-threatening condition without CPA, serious but not life-threatening condition, moderate condition, and mild condition. The sensitivity, specificity, predictive values, and likelihood ratios of the algorithm for categorizing A+ were calculated. Results The number of emergency dispatches over the six months was 73,992. Triage assessment was conducted for 68,692 of these calls. The study targets account for 88.8% of patients who were involved in triage calls. There were 2,349 cases where the patient had died or had suffered CPA. The sensitivity, specificity, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio of the algorithm at predicting cases that would result in a death or CPA were 80.2% (95% confidence interval

  2. A comparison of general and ambulance specific stressors: predictors of job satisfaction and health problems in a nationwide one-year follow-up study of Norwegian ambulance personnel

    Directory of Open Access Journals (Sweden)

    Lau Bjørn

    2011-03-01

    Full Text Available Abstract Objectives To address the relative importance of general job-related stressors, ambulance specific stressors and individual characteristics in relation to job satisfaction and health complaints (emotional exhaustion, psychological distress and musculoskeletal pain among ambulance personnel. Materials and methods A nationwide prospective questionnaire survey of ambulance personnel in operational duty at two time points (n = 1180 at baseline, T1 and n = 298 at one-year follow up, T2. The questionnaires included the Maslach Burnout Inventory, The Job Satisfaction Scale, Hopkins Symptom Checklist (SCL-10, Job Stress Survey, the Norwegian Ambulance Stress Survey and the Basic Character Inventory. Results Overall, 42 out of the possible 56 correlations between job stressors at T1 and job satisfaction and health complaints at T2 were statistically significant. Lower job satisfaction at T2 was predicted by frequency of lack of leader support and severity of challenging job tasks. Emotional exhaustion at T2 was predicted by neuroticism, frequency of lack of support from leader, time pressure, and physical demands. Adjusted for T1 levels, emotional exhaustion was predicted by neuroticism (beta = 0.15, p Psychological distress at T2 was predicted by neuroticism and lack of co-worker support. Adjusted for T1 levels, psychological distress was predicted by neuroticism (beta = 0.12, p Musculoskeletal pain at T2 was predicted by, higher age, neuroticism, lack of co-worker support and severity of physical demands. Adjusted for T1 levels, musculoskeletal pain was predicted neuroticism, and severity of physical demands (beta = 0.12, p Conclusions Low job satisfaction at T2 was predicted by general work-related stressors, whereas health complaints at T2 were predicted by both general work-related stressors and ambulance specific stressors. The personality variable neuroticism predicted increased complaints across all health outcomes.

  3. Cumulated Ambulation Score to evaluate mobility is feasible in geriatric patients and in patients with hip fracture

    DEFF Research Database (Denmark)

    Kristensen, Morten Tange; Jakobsen, Thomas Linding; Nielsen, Jesper Westphal;

    2012-01-01

    Regaining basic mobility independence is considered important for elderly hospitalised patients. The Cumulated Ambulation Score (CAS) is a valid tool for evaluating these patients' basic mobility (getting in and out of bed, sit-to-stand from a chair and walking) in orthopaedic wards, and its use is...

  4. Early ambulance initiation versus in-hospital initiation of high dose clopidogrel in ST-segment elevation myocardial infarction

    NARCIS (Netherlands)

    Postma, S.; Dambrink, J.H.; Ottervanger, J.P.; Gosselink, A.T.M.; Koopmans, P.C.; Berg, J.M. van den; Suryapranata, H.; Hof, A.W. van 't

    2014-01-01

    Pre-hospital infarct diagnosis gives the opportunity to start anti-platelet and anti-thrombotic agents before arrival at the PCI centre. However, more evidence is necessary to demonstrate whether high dose (HD) clopidogrel (600 mg) administered in the ambulance is associated with improved initial pa

  5. 42 CFR 422.113 - Special rules for ambulance services, emergency and urgently needed services, and maintenance and...

    Science.gov (United States)

    2010-10-01

    ... representative instructs an enrollee to seek emergency services within or outside the plan; and (v) With a limit... pre-approved ends when— (i) A plan physician with privileges at the treating hospital assumes... 42 Public Health 3 2010-10-01 2010-10-01 false Special rules for ambulance services, emergency...

  6. Feasibility of AmbulanCe-Based Telemedicine (FACT) Study : Safety, Feasibility and Reliability of Third Generation Ambulance Telemedicine

    NARCIS (Netherlands)

    Yperzeele, Laetitia; Van Hooff, Robbert-Jan; De Smedt, Ann; Espinoza, Alexis Valenzuela; Van Dyck, Rita; Van de Casseye, Rohny; Convents, Andre; Hubloue, Ives; Lauwaert, Door; De Keyser, Jacques; Brouns, Raf

    2014-01-01

    Background: Telemedicine is currently mainly applied as an in-hospital service, but this technology also holds potential to improve emergency care in the prehospital arena. We report on the safety, feasibility and reliability of in-ambulance teleconsultation using a telemedicine system of the third

  7. Geographic information system data from ambulances applied in the emergency department: effects on patient reception

    DEFF Research Database (Denmark)

    Raaber, Nikolaj; Pedersen, Iben Duvald; Riddervold, Ingunn Skogstad;

    2016-01-01

    BACKGROUND: Emergency departments (ED) recognize crowding and handover from prehospital to in-hospital settings to be major challenges. Prehospital Geographical Information Systems (GIS) may be a promising tool to address such issues. In this study, the use of prehospital GIS data was implemented...... was displayed in the ED. Data included real-time estimated time of arrival, distance to ED, dispatch criteria, patient data and ambulance contact information. Data was used by coordinating nurses for time activation of TT and MET involved in the initial treatment of severely-injured or critically-ill patients....... DISCUSSION: The contradiction of measured median wait time and nurses perceived improved timing of team activation may result from having both RT- ETA and supplemental patient information not only for seriously-injured or critically-ill patients received by the TT and MET, but for all patients transported...

  8. [The evaluation of health of medical personnel of ambulance care and impacting factors].

    Science.gov (United States)

    2012-01-01

    The analysis of self-assessment of medical personnel of ambulance care revealed that 13.2% of respondents consider themselves as healthy persons, 35.1%--as practically healthy, 39.2%--as rarely being ill, 12%--as often being ill According to the poll data, deterioration of health is promoted by such personal factors as disregard of one's health (35%) and chronic diseases (25.3%). Its own role play such external factors as professional characteristics (34%). ecological conditions (23%), poor conditions of work (22.2%). The amelioration of health is supported mainly by sport exercises (42.8%). The significant role in this process play the improvement of work conditions, the enhancement of quality of medical examninations and the introduction of professional dispanserization.

  9. The Effect of Early Ambulation on Patient Outcomes for Total Joint Replacement.

    Science.gov (United States)

    Yager, Melissa; Stichler, Jaynelle

    2015-01-01

    The National Association of Orthopaedic Nurses published clinical practice guidelines in 2010 to improve outcomes with day of surgery mobilization in the total joint replacement patient (). With the cost of healthcare skyrocketing and reimbursement marginally covering costs, healthcare professionals must look for ways to reduce length of stay for elective procedures. The purpose of this change project was to provide and measure the effectiveness of an educational intervention on the benefits of day of surgery mobility for nurses and physical therapy staff. Acquisition of caregivers' knowledge, attitudes, and practice was measured along with three patient outcomes (length of stay, discharge destination, and day of ambulation). The findings from this change project resulted in improvements in structure (new practice protocol), processes (nursing and physical therapy care processes), and patient and organization outcomes. PMID:26213872

  10. Design and Development of an Intelligent Mobile Health Tele-assistance System in Ambulance Practice Service

    Directory of Open Access Journals (Sweden)

    Rachid Merzougui

    2013-01-01

    Full Text Available Our attention has focused on the choice of a relevant work. It concerns an implemented and conceived service of medical Teleassistance for monitoring risky persons brought by ambulance service. Thus, a medical bulletin is automatically filled on mobile terminal, immediately transmitted to the service of the emergency (on doctors mobile terminal, data base of clinic. This paper recalls a complete architecture of an economic wireless transmission system with the implementation of an effective application, adapted to the portable phone, allowing the doctor to have the medical information of patients who have a risk of accident. Thus, the stakes of setting up such systems are numerous, so much for patients, medical staff and the society in general.

  11. Use of Functional Ambulation Performance Score as measurement of gait ability: Review

    Directory of Open Access Journals (Sweden)

    Arnaud Gouelle, PhD

    2014-09-01

    Full Text Available Gait analysis systems are widely used for the assessment of gait disabilities and provide more accurate and detailed information than clinical tests. Scores and indexes have been proposed to summarize the large volume of data produced, each emphasizing different aspects of gait. Based on specific spatiotemporal gait parameters, the Functional Ambulation Performance Score (FAPS quantifies gait at a self-selected speed. Integrated within electronic walkways, the FAPS is commonly used for clinical evaluations and has been used in an increasing number of publications over the past few years. However, its use is sometimes distorted by misunderstandings of its composition and calculation, practical and/or conceptual limits, and even the meaning of the score. This technical report reviews the use of the FAPS for the evaluation of gait based on peer-reviewed articles and clinical experience and addresses important issues that must be considered for an optimal unbiased understanding and analysis of the score.

  12. A Study on Vibration Characteristics and Stability of the Ambulance Nonlinear Damping System

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    Meng Yang

    2013-01-01

    Full Text Available Considering the impact of the nonlinear stiffness, a 2-DOF vibration model with cubic terms was established according to the structural feature and nonlinear behavior. Ignoring the impact of nonlinear terms, the system was linearly analyzed. In the case of primary resonance and 1 : 1 internal resonance, a multiscale method was used to obtain a first-order approximate solution. Taking the parameters of one tracked ambulance for instance, the approximate solution was corroborated and the influence of the parameters on damping effect was investigated. Finally, motion stability of the damping system was analyzed with singularity theory. The theoretical bases for improving efficiency of the damping system were provided.

  13. The effects of liberal versus restrictive transfusion thresholds on ambulation after hip fracture surgery

    DEFF Research Database (Denmark)

    Foss, Nicolai B; Kristensen, Morten Tange; Jensen, Pia Søe;

    2009-01-01

    BACKGROUND: Perioperative anemia leads to increased morbidity and mortality and potentially inhibits rehabilitation after hip fracture surgery. As such, the optimum transfusion threshold after hip fracture surgery is unknown. PATIENTS AND METHODS: A total of 120 elderly, cognitively intact hip...... fracture patients admitted from their own home were randomly assigned to receive transfusion at a hemoglobin threshold of 10.0 g per dL (liberal) versus 8.0 g per dL (restrictive) in the entire perioperative period. Patients were treated according to a well-defined multimodal rehabilitation program....... Primary outcome was postoperative functional mobility measured with the cumulated ambulation score (CAS). RESULTS: Patients in the liberal group received transfusions more frequently than those in the restrictive group (44 patients vs. 22 patients; p transfusions during...

  14. Cross-cultural validation of the Italian version of the Cumulated Ambulation Score

    DEFF Research Database (Denmark)

    Grana, Elisa; Verzellotti, Simone; Grassi, Federico A;

    2016-01-01

    Hip fractures are common in elderly patients, and walking impairment is a frequent complication. The Cumulated Ambulation Score (CAS) is a validated functional scale used to monitor easily three basic mobility activities in patients with hip fracture. The aim of this study was to translate, cross...... was determined by comparing the total CAS-I (0-6 points) with the Index of Independence in Activities of Daily Living score (0-4 points). Internal consistency and inter-rater reliability of the CAS, evaluated with Cronbach's α and κ, respectively, were above 0.84 and 0.94. The SE of measurement for the total CAS......-I (0-6 points) 2 days and 3 months after surgery were 0.03 and 0.13 points, respectively. The CAS-I showed a significant correlation with the first four items of the Activities of Daily Living score scale (r≥0.85, P

  15. Evaluation of Bacterial Contamination on Pre Hospital Ambulances in Qom University of Medical Sciences of Iran in 2015

    Directory of Open Access Journals (Sweden)

    Roohollah Farhadloo

    2016-07-01

    Full Text Available Abstract Background & Aims of the Study: When the issue of the quality of the patient's care is addressed, determination of infection degrees in reference to the quality of such cares has gained a high priority. Therefore, infections in ambulance equipment might play a significant role in reduction of the quality of the hospital cares. This study was conducted wishing to determine bacterial infection degrees in ambulances servicing in pre-hospital emergency medical services of Qom University of Medical Sciences, Iran. Materials and Methods: In this analytical cross-sectional study, 132 sampling of the equipments of 12 ambulances were done. Samples were stored on BHI broth as an amplifier for 24 hours. Then, they were introduced to blood agar and Eosin Methylene Blue (EMB agar culture environments. After 24 hours, negative staphylococcus coagulase and bacillus were specified by different environments, solutions, diagnostic discs, gram staining, catalase test, oxidase test and coagulase test. Then data were analyzed by SPSS16. Results: The results showed that the highest infection prevalence rate was observed in stretchers (12 samples, 100% and the lowest in oxygenation moisturizers (1 sample, 8.4%. From infected equipments, in addition, four instruments (37% were mobile and eight of them (63% were immobile. Conclusion: Results indicated that an infection degree of the utensils and instruments which were used in ambulances employed servicing in the Qom Province Medical Emergency Response Center of Iran is high, that might have their roots in non-application of disinfectants for disinfecting ambulance surfaces and equipment. This is a mandatory for healthcare agents to utilize the protective covers, especially medical gloves.

  16. How urgent are cases brought to the emergency department by ambulance?

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    Melih Yuksel

    2015-06-01

    Full Text Available Objective: Emergency departments are the first places to which patients present with unexpected or unforeseen health problems. The purpose of this study was to assess the urgency of cases brought by ambulance to the Hospital on the basis of a three-level triage system. Methods: This study was performed between 01.06.2013 and 31.09.2013 at the Diyarbakır Education and Research Hospital. Our emergency service unit is a third degree service for all adult patient groups and all child trauma types. Triage of patients brought to the emergency department by ambulance was performed by emergency medicine specialists. Patients’ vital findings, identity data and triage categories were assessed. Results: 712 patients were included, 382 (53.7% male and 330 (46.3% female, with a mean age of 45. In this study, 619 (86.9% patients were transferred from the scene and 93 (13.1 between hospitals, 483 (67.8% patients were brought by emergency medicine technician (EMT teams, 107 (15% by physician-led teams, 107 (15 by paramedic teams and 15 (2.1% by other teams, 442 (62.1% patients were assessed as yellow, 141 (19.8% as green and 129 (19.1% as red zone. Five hundred eighty (81.5% patients were discharged and 115 (15.9% were hospitalized. Conclusion: Emergency health services are clearly developing rapidly in Turkey. In order for pre-hospital emergency health services not to be abused, we think that these services should be up to the standards of those in developed countries and that public awareness needs to be increased, particularly with regard to triage. J Clin Exp Invest 2015; 6 (2: 126-129

  17. Reducing Ambulance Diversion at Hospital and Regional Levels: Systemic Review of Insights from Simulation Models

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    M Kit Delgado

    2013-09-01

    Full Text Available Introduction: Optimal solutions for reducing diversion without worsening emergency department (ED crowding are unclear. We performed a systematic review of published simulation studies to identify: 1 the tradeoff between ambulance diversion and ED wait times; 2 the predicted impact of patient flow interventions on reducing diversion; and 3 the optimal regional strategy for reducing diversion.Methods: Data Sources: Systematic review of articles using MEDLINE, Inspec, Scopus. Additional studies identified through bibliography review, Google Scholar, and scientific conference proceedings. Study Selection: Only simulations modeling ambulance diversion as a result of ED crowding or inpatient capacity problems were included. Data extraction: Independent extraction by two authors using predefined data fields.Results: We identified 5,116 potentially relevant records; 10 studies met inclusion criteria. In models that quantified the relationship between ED throughput times and diversion, diversion was found to only minimally improve ED waiting room times. Adding holding units for inpatient boarders and ED-based fast tracks, improving lab turnaround times, and smoothing elective surgery caseloads were found to reduce diversion considerably. While two models found a cooperative agreement between hospitals is necessary to prevent defensive diversion behavior by a hospital when a nearby hospital goes on diversion, one model found there may be more optimal solutions for reducing region wide wait times than a regional ban on diversion.Conclusion: Smoothing elective surgery caseloads, adding ED fast tracks as well as holding units for inpatient boarders, improving ED lab turnaround times, and implementing regional cooperative agreements among hospitals. [West J Emerg Med. 2013;14(5:489-498.

  18. Benefits of glucocorticoids in non-ambulant boys/men with Duchenne muscular dystrophy: A multicentric longitudinal study using the Performance of Upper Limb test.

    Science.gov (United States)

    Pane, Marika; Fanelli, Lavinia; Mazzone, Elena Stacy; Olivieri, Giorgia; D'Amico, Adele; Messina, Sonia; Scutifero, Marianna; Battini, Roberta; Petillo, Roberta; Frosini, Silvia; Sivo, Serena; Vita, Gian Luca; Bruno, Claudio; Mongini, Tiziana; Pegoraro, Elena; De Sanctis, Roberto; Gardani, Alice; Berardinelli, Angela; Lanzillotta, Valentina; Carlesi, Adelina; Viggiano, Emanuela; Cavallaro, Filippo; Sframeli, Maria; Bello, Luca; Barp, Andrea; Bianco, Flaviana; Bonfiglio, Serena; Rolle, Enrica; Palermo, Concetta; D'Angelo, Grazia; Pini, Antonella; Iotti, Elena; Gorni, Ksenija; Baranello, Giovanni; Bertini, Enrico; Politano, Luisa; Sormani, Maria Pia; Mercuri, Eugenio

    2015-10-01

    The aim of this study was to establish the possible effect of glucocorticoid treatment on upper limb function in a cohort of 91 non-ambulant DMD boys and adults of age between 11 and 26 years. All 91 were assessed using the Performance of Upper Limb test. Forty-eight were still on glucocorticoid after loss of ambulation, 25 stopped steroids at the time they lost ambulation and 18 were GC naïve or had steroids while ambulant for less than a year. At baseline the total scores ranged between 0 and 74 (mean 41.20). The mean total scores were 47.92 in the glucocorticoid group, 36 in those who stopped at loss of ambulation and 30.5 in the naïve group (p < 0.001). The 12-month changes ranged between -20 and 4 (mean -4.4). The mean changes were -3.79 in the glucocorticoid group, -5.52 in those who stopped at loss of ambulation and -4.44 in the naïve group. This was more obvious in the patients between 12 and 18 years and at shoulder and elbow levels. Our findings suggest that continuing glucocorticoids throughout teenage years and adulthood after loss of ambulation appears to have a beneficial effect on upper limb function. PMID:26248957

  19. Necessities detected in patients derived to sanitary center in an ambulance of the urgent transport network after being treated by the 061 emergency team

    Directory of Open Access Journals (Sweden)

    Sixto Cámara Anguita

    2007-03-01

    Full Text Available The integral systems of urgencies and sanitary emergencies has, as resources for the urgent transport of patients, with nonwelfare ambulances, ambulances of basic life support and ambulances of advanced life support. In the two first, due to the ambiguity of the norm, the presence of a nurse to give care is not compulsory. Nevertheless, in the present study, it is detected that, the patients of this study, transferred in nonwelfare ambulance of the urgent transport network to a useful hospitable center with urgency character, once they have been attended by the 061 emergency team, presented/displayed a group of altered basic human necessities, medical levels of dependency as far as autonomy, nurse diagnoses, medical diagnoses, and necessities of pursuit of the restored evolution of the therapeutic technique and that cause the necessity of benefit of nursing care during this transfer.

  20. Use of the emergency ambulance service to an inner city accident and emergency department--a comparison of general practitioner and '999' calls.

    OpenAIRE

    Pennycook, A. G.; Makower, R M; Morrison, W G

    1991-01-01

    Over a 2-week period a prospective study was undertaken of patients brought to an inner city accident and emergency department by the emergency ambulance service. Criteria for assessing the appropriateness of use of the emergency ambulance service are not well defined and at worst entirely subjective. The author's finding that, of patients attending after a '999' call, 49.8% were discharged with no follow-up suggests that many of these journeys represented inappropriate use of the emergency a...

  1. Emergency department visits, ambulance calls, and mortality associated with an exceptional heat wave in Sydney, Australia, 2011: a time-series analysis

    Directory of Open Access Journals (Sweden)

    Schaffer Andrea

    2012-01-01

    Full Text Available Abstract Background From January 30-February 6, 2011, New South Wales was affected by an exceptional heat wave, which broke numerous records. Near real-time Emergency Department (ED and ambulance surveillance allowed rapid detection of an increase in the number of heat-related ED visits and ambulance calls during this period. The purpose of this study was to quantify the excess heat-related and all-cause ED visits and ambulance calls, and excess all-cause mortality, associated with the heat wave. Methods ED and ambulance data were obtained from surveillance and administrative databases, while mortality data were obtained from the state death registry. The observed counts were compared with the average counts from the same period from 2006/07 through 2009/10, and a Poisson regression model was constructed to calculate the number of excess ED visits, ambulance and deaths after adjusting for calendar and lag effects. Results During the heat wave there were 104 and 236 ED visits for heat effects and dehydration respectively, and 116 ambulance calls for heat exposure. From the regression model, all-cause ED visits increased by 2% (95% CI 1.01-1.03, all-cause ambulance calls increased by 14% (95% CI 1.11-1.16, and all-cause mortality increased by 13% (95% CI 1.06-1.22. Those aged 75 years and older had the highest excess rates of all outcomes. Conclusions The 2011 heat wave resulted in an increase in the number of ED visits and ambulance calls, especially in older persons, as well as an increase in all-cause mortality. Rapid surveillance systems provide markers of heat wave impacts that have fatal outcomes.

  2. Differences in police, ambulance, and emergency department reporting of traffic injuries on Karachi-Hala road, Pakistan

    Directory of Open Access Journals (Sweden)

    Lagarde Emmanuel

    2011-03-01

    Full Text Available Abstract Background Research undertaken in developing countries has assessed discrepancies in police reporting of Road Traffic Injury (RTI for urban settings only. The objective of this study was to assess differences in RTI reporting across police, ambulance, and hospital Emergency Department (ED datasets on an interurban road section in Pakistan. Methods The study setting was the 196-km long Karachi-Hala road section. RTIs reported to the police, Edhi Ambulance Service (EAS, and five hospital EDs in Karachi during 2008 (Jan to Dec were compared in terms of road user involved (pedestrians, motorcyclists, four-wheeled vehicle occupants and outcome (died or injured. Further, records from these data were matched to assess ascertainment of traffic injuries and deaths by the three datasets. Results A total of 143 RTIs were reported to the police, 531 to EAS, and 661 to hospital EDs. Fatality per hundred traffic injuries was twice as high in police records (19 per 100 RTIs than in ambulance (10 per 100 RTIs and hospital ED records (9 per 100 RTIs. Pedestrian and motorcyclist involvement per hundred traffic injuries was lower in police records (8 per 100 RTIs than in ambulance (17 per 100 RTIs and hospital ED records (43 per 100 RTIs. Of the 119 deaths independently identified after matching, police recorded 22.6%, EAS 46.2%, and hospital ED 50.4%. Similarly, police data accounted for 10.6%, EAS 43.5%, and hospital ED 54.9% of the 1 095 independently identified injured patients. Conclusions Police reporting, particularly of non-fatal RTIs and those involving vulnerable road users, should be improved in Pakistan.

  3. North Star Ambulatory Assessment, 6-minute walk test and timed items in ambulant boys with Duchenne muscular dystrophy.

    Science.gov (United States)

    Mazzone, Elena; Martinelli, Diego; Berardinelli, Angela; Messina, Sonia; D'Amico, Adele; Vasco, Gessica; Main, Marion; Doglio, Luca; Politano, Luisa; Cavallaro, Filippo; Frosini, Silvia; Bello, Luca; Carlesi, Adelina; Bonetti, Anna Maria; Zucchini, Elisabetta; De Sanctis, Roberto; Scutifero, Marianna; Bianco, Flaviana; Rossi, Francesca; Motta, Maria Chiara; Sacco, Annalisa; Donati, Maria Alice; Mongini, Tiziana; Pini, Antonella; Battini, Roberta; Pegoraro, Elena; Pane, Marika; Pasquini, Elisabetta; Bruno, Claudio; Vita, Giuseppe; de Waure, Chiara; Bertini, Enrico; Mercuri, Eugenio

    2010-11-01

    The North Star Ambulatory Assessment is a functional scale specifically designed for ambulant boys affected by Duchenne muscular dystrophy (DMD). Recently the 6-minute walk test has also been used as an outcome measure in trials in DMD. The aim of our study was to assess a large cohort of ambulant boys affected by DMD using both North Star Assessment and 6-minute walk test. More specifically, we wished to establish the spectrum of findings for each measure and their correlation. This is a prospective multicentric study involving 10 centers. The cohort included 112 ambulant DMD boys of age ranging between 4.10 and 17 years (mean 8.18±2.3 DS). Ninety-one of the 112 were on steroids: 37/91 on intermittent and 54/91 on daily regimen. The scores on the North Star assessment ranged from 6/34 to 34/34. The distance on the 6-minute walk test ranged from 127 to 560.6 m. The time to walk 10 m was between 3 and 15 s. The time to rise from the floor ranged from 1 to 27.5 s. Some patients were unable to rise from the floor. As expected the results changed with age and were overall better in children treated with daily steroids. The North Star assessment had a moderate to good correlation with 6-minute walk test and with timed rising from floor but less with 10 m timed walk/run test. The 6-minute walk test in contrast had better correlation with 10 m timed walk/run test than with timed rising from floor. These findings suggest that a combination of these outcome measures can be effectively used in ambulant DMD boys and will provide information on different aspects of motor function, that may not be captured using a single measure. PMID:20634072

  4. Does a waist-worn ActiGraph accelerometer quantify community ambulation in persons with multiple sclerosis?

    OpenAIRE

    Jacob J. Sosnoff, PhD; Michael J. Socie, MS; Morgan K. Boes, MS; Brian M. Sandroff, MS; Robert W. Motl, PhD

    2012-01-01

    Accelerometry has been recognized as a method of objectively measuring community ambulation in persons with multiple sclerosis (MS). However, the assumption that walking itself serves as a major contributor to the accelerometer signal has yet to be tested. This study examined the assumption that community-based walking is a primary contributor to accelerometer output in MS. Ambulatory persons (5 males/17 females; 13 without aid/9 with aid) with MS wore a triaxial accelerometer (ActiGraph GT3X...

  5. Strategies to reduce the configuration time for a powered knee and ankle prosthesis across multiple ambulation modes.

    Science.gov (United States)

    Simon, Ann M; Fey, Nicholas P; Finucane, Suzanne B; Lipschutz, Robert D; Hargrove, Levi J

    2013-06-01

    Recently developed powered lower limb prostheses allow users to more closely mimic the kinematics and kinetics of non-amputee gait. However, configuring such a device, in particular a combined powered knee and ankle, for individuals with a transfemoral amputation is challenging. Previous attempts have relied on empirical tuning of all control parameters. This paper describes modified stance phase control strategies - which mimic the behavior of biological joints or depend on the instantaneous loads within the prosthesis - developed to reduce the number of control parameters that require individual tuning. Three individuals with unilateral transfemoral amputations walked with a powered knee and ankle prosthesis across five ambulation modes (level ground walking, ramp ascent/descent, and stair ascent/descent). Starting with a nominal set of impedance parameters, the modified control strategies were applied and the devices were individually tuned such that all subjects achieved comfortable and safe ambulation. The control strategies drastically reduced the number of independent parameters that needed to be tuned for each subject (i.e., to 21 parameters instead of a possible 140 or approximately 4 parameters per mode) while relative amplitudes and timing of kinematic and kinetic data remained similar to those previously reported and to those of non-amputee subjects. Reducing the time necessary to configure a powered device across multiple ambulation modes may allow users to more quickly realize the benefits such powered devices can provide.

  6. Use of 3G mobile phone links for teleconsultation between a moving ambulance and a hospital base station.

    Science.gov (United States)

    Banitsas, Konstantinos A; Perakis, Konstantinos; Tachakra, Sapal; Koutsouris, Dimitrios

    2006-01-01

    We developed a mobile teleconsultation system based on third-generation mobile phone links. The system comprised a laptop computer and a digital camcorder. It was installed inside an ambulance to allow video-conferencing between the moving vehicle and a doctor at a base station. In addition to video and voice, high-quality still images could also be transmitted. A series of 17 trial runs with real ambulance patients was conducted in the city of Athens. In general, the videoconferencing sessions produced relatively clear video. The bandwidth was high enough for a satisfactory video of 10-15 frames/s. During a total testing period of 23 h and in an area of about 180 km2, there were nine instances of signal loss, amounting to a total of 17 min. The general opinion formed by the doctors was that the system produced good results. All initial diagnoses made using the system agreed with the final diagnoses of the patients. The study showed that the mobile system could reduce the time before an ambulance patient is seen by a doctor. PMID:16438775

  7. Resource planning for ambulance services in mass casualty incidents: a DES-based policy model.

    Science.gov (United States)

    Rauner, Marion S; Schaffhauser-Linzatti, Michaela M; Niessner, Helmut

    2012-09-01

    Due to an increasing number of mass casualty incidents, which are generally complex and unique in nature, we suggest that decision makers consider operations research-based policy models to help prepare emergency staff for improved planning and scheduling at the emergency site. We thus develop a discrete-event simulation policy model, which is currently being applied by disaster-responsive ambulance services in Austria. By evaluating realistic scenarios, our policy model is shown to enhance the scheduling and outcomes at operative and online levels. The proposed scenarios range from small, simple, and urban to rather large, complex, remote mass casualty emergencies. Furthermore, the organization of an advanced medical post can be improved on a strategic level to increase rescue quality, including enhanced survival of injured victims. In particular, we consider a realistic mass casualty incident at a brewery relative to other exemplary disasters. Based on a variety of such situations, we derive general policy implications at both the macro (e.g., strategic rescue policy) and micro (e.g., operative and online scheduling strategies at the emergency site) levels. PMID:22653522

  8. Leg Lengthening as a Means of Improving Ambulation Following an Internal Hemipelvectomy

    Directory of Open Access Journals (Sweden)

    Wakyo Sato

    2016-01-01

    Full Text Available Reconstructive surgery following an internal hemipelvectomy for a malignant pelvic tumor is difficult due to the structural complexity of the pelvis and the massive extension of the tumor. While high complication rates have been encountered in various types of reconstructive surgery, resection without reconstruction reportedly involved fewer complications. However, this method often results in limb shortening with resultant instability during walking. We reported herein leg lengthening performed to correct lower limb shortening after an internal hemipelvectomy, which improved ambulatory stability and overall QOL. An 18-year-old male patient came to our hospital to correct a lower limb discrepancy resulting from a left internal hemipelvectomy. His left pelvis and proximal femur had been resected, and the femur remained without an acetabular roof. His left lower limb was about 8 centimeters shorter. The left tibia was lengthened 8 centimeters with an external fixator. After the lengthening, the patient was able to walk without support and his gait remarkably improved. Additionally he no longer required placing a wallet in his back pocket as a pad as a means of raising the left side of his torso while sitting. Leg lengthening was a useful method of improving ambulation after an internal hemipelvectomy.

  9. Reliability and validity of the modified functional ambulation category scale in patients with hemiparalysis.

    Science.gov (United States)

    Park, Chang Sik; An, Seung Heon

    2016-08-01

    [Purpose] This study aimed to examine the inter- and intra-rater reliability and validity of the modified functional ambulation category (mFAC) scale. [Subjects and Methods] The participants were 66 stroke patients with hemiparalysis. The inter- and intra-rater validity of the mFAC was calculated using the Spearman correlation coefficient. A score comparison of the stable or maximum gait speed with regard to mFAC and modified Rivermead Mobility Index (mRMI) performances was performed as a univariate linear regression analysis to determine how the Kruskal-Wallis test affects the mRMI and stable/maximum gait speed with regard to mFAC. [Results] The inter-rater reliability of the mFAC (intraclass coefficient [ICC]) was 0.982 (0.971-0.989), with a kappa coefficient of 0.923 and a consistency ratio of 94%. In contrast, the intra-rater reliability of the mFAC (ICC) was 0.991 (0.986-0.995), with a kappa coefficient of 0.961 and a consistency ratio of 96%, showing higher reliability. Moreover, there was a significant difference in stable/maximum gait speed between the mFAC and the mRMI. [Conclusion] Since the mFAC has sufficient inter- and intra-reliability and high validity, it can be used as an assessment tool that reflects the gait performance and mobility of stroke patients. PMID:27630410

  10. Treadmill measures of ambulation rates in ovine models of spinal cord injury and neuropathic pain.

    Science.gov (United States)

    Safayi, S; Miller, J W; Wilson, S; Shivapour, S K; Oelfke, T F; Ford, A L; Klarmann Staudt, A; Abode-Iyamah, K; Reddy, C G; Jeffery, N D; Fredericks, D C; Gillies, G T; Howard, M A

    2016-01-01

    Our laboratories are developing treadmill-based gait analysis employing sheep to investigate potential efficacy of intra-dural spinal cord stimulation in the treatment of spinal cord injury and neuropathic pain. As part of efforts to establish the performance characteristics of the experimental arrangement, this study measured the treadmill speed via a tachometer, video belt-marker timing and ambulation-rate observations of the sheep. The data reveal a 0.1-0.3% residual drift in the baseline (unloaded) treadmill speed which increases with loading, but all three approaches agree on final speed to within 1.7%, at belt speeds of ≈ 4 km/h. Using the tachometer as the standard, the estimated upper limit on uncertainty in the video belt-marker approach is ± 0.18 km h(-1) and the measured uncertainty is ± 0.15 km h(-1). Employment of the latter method in determining timing differences between contralateral hoof strikes by the sheep suggests its utility in assessing severity of SCI and responses to therapeutic interventions. PMID:26785329

  11. Ambulation and independence among Veterans with nontraumatic bilateral lower-limb loss.

    Science.gov (United States)

    Sharath, Sherene; Henson, Helene; Flynn, Stacy; Pisimisis, George; Kougias, Panos; Barshes, Neal R

    2015-01-01

    In describing functional outcomes and independent living in a cohort of bilateral major amputees, we sought to provide current estimates of function and independence after a second major amputation in an elderly Veteran population with peripheral arterial disease and/or diabetes. After retrospectively reviewing and excluding the electronic health records of those failing to meet the inclusion criteria, we identified 40 patients with a history of unilateral major amputation who underwent a second major amputation during the defined study period. Of these, 43% (17) were bilateral transfemoral amputations (TFAs); bilateral transtibial amputations (TTAs) and TFA-TTA accounted for the rest (33% and 25%, respectively). Of the 19 (48%) patients who were ambulatory prior to bilateral amputation, only 2 (11%) remained ambulatory after the second amputation, while 17 (89%) patients lost ambulatory capabilities. Compared with those who were amputation (p = 0.03). All patients with bilateral TFA were nonambulatory. Independence postcontralateral amputation decreased from 88% (35) to 53% (21). When data were available (58%), pre and post Functional Independence Measure scores showed a decrease in 74% of patients, while 22% showed an increase. In conclusion, bilateral lower-limb amputation among dysvascular Veterans is highly associated with a loss of ambulation. PMID:26745753

  12. Successful trans-Atlantic air ambulance transfer of a patient supported by a bi-ventricular assist device.

    Science.gov (United States)

    McLean, Neilson; Copeland, Ryan; Casey, Neil; Samoukovic, Gordon; Quigley, Robert

    2011-08-01

    The ventricular assist device (VAD) is a hemodynamic support device that augments cardiac output for patients with severe ventricular dysfunction. With improved reliability and technological advances, the use of VADs to support patients is increasing. Many VAD-dependent patients ultimately require heart transplants that are only available in specialized centers, necessitating an interhospital transfer. To date there are few reports of long-distance fixed wing aeromedical transport of patients dependent on a VAD. Here we describe the successful transfer of a patient supported by a biventricular assist device (BiVAD) from Cambridge, UK, to Durham, NC, via fixed-wing jet aircraft. During this transfer, we observed hemodynamic alterations secondary to gravitational forces, which should be anticipated and may be mitigated with simple maneuvers. With high-level logistical planning and appropriate medical oversight, patients dependant on BiVADs can be safely transported by fixed wing aircraft over long distances.

  13. Long term natural history data in ambulant boys with Duchenne muscular dystrophy: 36-month changes.

    Directory of Open Access Journals (Sweden)

    Marika Pane

    Full Text Available The 6 minute walk test has been recently chosen as the primary outcome measure in international multicenter clinical trials in Duchenne muscular dystrophy ambulant patients. The aim of the study was to assess the spectrum of changes at 3 years in the individual measures, their correlation with steroid treatment, age and 6 minute walk test values at baseline. Ninety-six patients from 11 centers were assessed at baseline and 12, 24 and 36 months after baseline using the 6 minute walk test and the North Star Ambulatory Assessment. Three boys (3% lost the ability to perform the 6 minute walk test within 12 months, another 13 between 12 and 24 months (14% and 11 between 24 and 36 months (12%. The 6 minute walk test showed an average overall decline of -15.8 (SD 77.3 m at 12 months, of -58.9 (SD 125.7 m at 24 months and -104.22 (SD 146.2 m at 36 months. The changes were significantly different in the two baseline age groups and according to the baseline 6 minute walk test values (below and above 350 m (p<0.001. The changes were also significantly different according to steroid treatment (p = 0.01. Similar findings were found for the North Star Ambulatory Assessment. These are the first 36 month longitudinal data using the 6 minute walk test and North Star Ambulatory Assessment in Duchenne muscular dystrophy. Our findings will help not only to have a better idea of the progression of the disorder but also provide reference data that can be used to compare with the results of the long term extension studies that are becoming available.

  14. Long term natural history data in ambulant boys with Duchenne muscular dystrophy: 36-month changes.

    Science.gov (United States)

    Pane, Marika; Mazzone, Elena Stacy; Sivo, Serena; Sormani, Maria Pia; Messina, Sonia; D'Amico, Adele; Carlesi, Adelina; Vita, Gianluca; Fanelli, Lavinia; Berardinelli, Angela; Torrente, Yvan; Lanzillotta, Valentina; Viggiano, Emanuela; D Ambrosio, Paola; Cavallaro, Filippo; Frosini, Silvia; Barp, Andrea; Bonfiglio, Serena; Scalise, Roberta; De Sanctis, Roberto; Rolle, Enrica; Graziano, Alessandra; Magri, Francesca; Palermo, Concetta; Rossi, Francesca; Donati, Maria Alice; Sacchini, Michele; Arnoldi, Maria Teresa; Baranello, Giovanni; Mongini, Tiziana; Pini, Antonella; Battini, Roberta; Pegoraro, Elena; Previtali, Stefano; Bruno, Claudio; Politano, Luisa; Comi, Giacomo P; Bertini, Enrico; Mercuri, Eugenio

    2014-01-01

    The 6 minute walk test has been recently chosen as the primary outcome measure in international multicenter clinical trials in Duchenne muscular dystrophy ambulant patients. The aim of the study was to assess the spectrum of changes at 3 years in the individual measures, their correlation with steroid treatment, age and 6 minute walk test values at baseline. Ninety-six patients from 11 centers were assessed at baseline and 12, 24 and 36 months after baseline using the 6 minute walk test and the North Star Ambulatory Assessment. Three boys (3%) lost the ability to perform the 6 minute walk test within 12 months, another 13 between 12 and 24 months (14%) and 11 between 24 and 36 months (12%). The 6 minute walk test showed an average overall decline of -15.8 (SD 77.3) m at 12 months, of -58.9 (SD 125.7) m at 24 months and -104.22 (SD 146.2) m at 36 months. The changes were significantly different in the two baseline age groups and according to the baseline 6 minute walk test values (below and above 350 m) (p<0.001). The changes were also significantly different according to steroid treatment (p = 0.01). Similar findings were found for the North Star Ambulatory Assessment. These are the first 36 month longitudinal data using the 6 minute walk test and North Star Ambulatory Assessment in Duchenne muscular dystrophy. Our findings will help not only to have a better idea of the progression of the disorder but also provide reference data that can be used to compare with the results of the long term extension studies that are becoming available. PMID:25271887

  15. Medicare, Medicaid, and Children's Health Insurance Programs: Announcement of the Implementation and Extension of Temporary Moratoria on Enrollment of Part B Non-Emergency Ground Ambulance Suppliers and Home Health Agencies in Designated Geographic Locations and Lifting of the Temporary Moratoria on Enrollment of Part B Emergency Ground Ambulance Suppliers in All Geographic Locations. Extension, implementation, and lifting of temporary moratoria.

    Science.gov (United States)

    2016-08-01

    This document announces the extension of temporary moratoria on the enrollment of new Medicare Part B non-emergency ground ambulance suppliers and Medicare home health agencies (HHAs), subunits, and branch locations in specific locations within designated metropolitan areas in Florida, Illinois, Michigan, Texas, Pennsylvania, and New Jersey to prevent and combat fraud, waste, and abuse. It also announces the implementation of temporary moratoria on the enrollment of new Medicare Part B non-emergency ground ambulance suppliers and Medicare HHAs, subunits, and branch locations in Florida, Illinois, Michigan, Texas, Pennsylvania, and New Jersey on a statewide basis. In addition, it announces the lifting of the moratoria on all Part B emergency ground ambulance suppliers. These moratoria, and the changes described in this document, also apply to the enrollment of HHAs and non-emergency ground ambulance suppliers in Medicaid and the Children's Health Insurance Program.

  16. Medicare, Medicaid, and Children's Health Insurance Programs: Announcement of the Implementation and Extension of Temporary Moratoria on Enrollment of Part B Non-Emergency Ground Ambulance Suppliers and Home Health Agencies in Designated Geographic Locations and Lifting of the Temporary Moratoria on Enrollment of Part B Emergency Ground Ambulance Suppliers in All Geographic Locations. Extension, implementation, and lifting of temporary moratoria.

    Science.gov (United States)

    2016-08-01

    This document announces the extension of temporary moratoria on the enrollment of new Medicare Part B non-emergency ground ambulance suppliers and Medicare home health agencies (HHAs), subunits, and branch locations in specific locations within designated metropolitan areas in Florida, Illinois, Michigan, Texas, Pennsylvania, and New Jersey to prevent and combat fraud, waste, and abuse. It also announces the implementation of temporary moratoria on the enrollment of new Medicare Part B non-emergency ground ambulance suppliers and Medicare HHAs, subunits, and branch locations in Florida, Illinois, Michigan, Texas, Pennsylvania, and New Jersey on a statewide basis. In addition, it announces the lifting of the moratoria on all Part B emergency ground ambulance suppliers. These moratoria, and the changes described in this document, also apply to the enrollment of HHAs and non-emergency ground ambulance suppliers in Medicaid and the Children's Health Insurance Program. PMID:27487581

  17. Response times of ambulances to calls from Midwife Obstetric Units of the Peninsula Maternal and Neonatal Service (PMNS in Cape Town

    Directory of Open Access Journals (Sweden)

    J.K. Marcus

    2009-09-01

    Full Text Available Response times of ambulances to calls from Midwife Obstetric Units, although varied, are perceived as slow. Delays in transporting women experiencing complications during or after their pregnancies to higher levels of care may have negative consequences such as fetal, neonatal or maternal morbidity or death. An exploratory descriptive study was undertaken to investigate the response times of ambulances of the Western Cape Emergency Medical Services to calls from midwife obstetric units (MOUs in the Peninsula Maternal and Neonatal Services (PMNS in Cape Town. Response times were calculated from data collected in specific MOUs using a specifically developed instrument. Recorded data included time of call placed requesting transfer, diagnosis or reason for transfer, priority of call and the time of arrival of ambulance to the requesting facility. Mean, median and range of response times, in minutes, to various MOUs and priorities of calls were calculated. These were then compared using the Kruskal-Wallis test. A comparison was then made between the recorded and analysed response times to national norms and recommendations for ambulance response times and maternal transfer response times respectively.A wide range of response times was noted for the whole sample. Median response times across all priorities of calls and to all MOUs in sample fell short of national norms and recommendations. No statistical differences were noted between various priorities of calls and MOUs.The perception of delayed response times of ambulances to MOUs in the PMNS was confirmed in this pilot study.

  18. Characterization of Artifacts produced by gel displacement on non-invasive Brain-Machine Interfaces during ambulation

    Directory of Open Access Journals (Sweden)

    Alvaro eCosta

    2016-02-01

    Full Text Available So far, Brain-Machine Interfaces (BMIs have been mainly used to study brain potentials during movement-free conditions. Recently, due to the emerging concern of improving rehabilitation therapies, these systems are also being used during gait experiments. Under this new condition, the evaluation of motion artifacts has become a critical point to assure the validity of the results obtained. Due to the high signal to noise ratio provided, the use of wet electrodes is a widely accepted technic to acquire electroencephalographic (EEG signals. To perform these recordings it is necessary to apply a conductive gel between the scalp and the electrodes. This work is focused on the study of gel displacements produced during ambulation and how they affect the amplitude of EEG signals. Data recorded during three ambulation conditions (gait training and one movement-free condition (BMI motor imagery task are compared to perform this study.Two phenomenons, manifested as unusual increases of the signals' amplitude, have been identified and characterized during this work. Results suggest that they are caused by abrupt changes on the conductivity between the electrode and the scalp due to gel displacement produced during ambulation and head movements. These artifacts significantly increase the Power Spectral Density (PSD of EEG recordings at all frequencies from 5 to 90 Hz, corresponding to the main bandwidth of electrocortical potentials. They should be taken into consideration before performing EEG recordings in order to asses the correct gel allocation and to avoid the use of electrodes on certain scalp areas depending on the experimental conditions.

  19. Otimização da localização das bases de ambulâncias e do dimensionamento das suas regiões de cobertura em rodovias Optimizing the location of ambulance bases and the districting of their covering regions on highways

    Directory of Open Access Journals (Sweden)

    Ana Paula Iannoni

    2008-01-01

    Full Text Available Neste artigo combinamos extensões do modelo hipercubo de filas com algoritmos genéticos para otimizar a configuração e operação de sistemas médicos emergenciais em rodovias. Inicialmente apresentamos um método para localizar as bases de ambulâncias ao longo da rodovia, de forma a otimizar as principais medidas de desempenho do sistema. Em seguida estendemos a abordagem para apoiar duas decisões combinadas: a localização das bases de ambulâncias e o dimensionamento das regiões de cobertura de cada base na rodovia. Por exemplo, a abordagem permite determinar os locais para posicionar as bases de ambulâncias e dimensionar os tamanhos das suas áreas de atuação, tais que minimizem o tempo médio de resposta aos usuários e/ou o desbalanceamento das cargas de trabalho das ambulâncias do sistema. Para ilustrar a aplicação dos métodos propostos, analisamos os resultados de dois estudos de caso em rodovias brasileiras.In this paper we combine extensions of the hypercube queueing model with genetic algorithms to optimize the configuration and operation of emergency medical systems on highways. Initially we present a method to locate the ambulance bases along the highway so that the main system performance measures are optimized. Then we extend the approach to support combined decisions: the location of ambulance bases and the districting of the covering regions of each base on the highway. For instance, the approach can search for locals to place the ambulance bases and determine the sizes of their operation areas, such that the mean user response time and/or the ambulance workload imbalance are minimized. To illustrate the application of the proposed methods, we analyze the results of two case studies of Brazilian highways.

  20. Model application for rapid detection of the exact location when calling an ambulance using OGC Open GeoSMS Standards

    Science.gov (United States)

    Sukic, Enes; Stoimenov, Leonid

    2016-02-01

    The web has penetrated just about every sphere of human interest and using information from the web has become ubiquitous among different categories of users. Medicine has long being using the benefits of modern technologies and without them it cannot function. This paper offers a proposal of use and mutual collaboration of several modern technologies within facilitating the location and communication between persons in need of emergency medical assistance and the emergency head offices, i.e., the ambulance. The main advantage of the proposed model is the technical possibility of implementation and use of these technologies in developing countries and low implementation cost.

  1. Indications and results of the unilateral /sup 123/I-hippurate-clearance in an ambulant urological-nephrological patients collective

    Energy Technology Data Exchange (ETDEWEB)

    Mariss, P.; Haubold, E.

    1988-02-01

    In 572 nephrological-urological ambulant patients 688 estimations of unilateral renal plasma flow were performed after application of 300 kBq/kg /sup 123/I-hippurate using a large field scintillation camera, external scintillation probe over the right shoulder and a computer system. The indications were patients with hypertension, chronic pyelonephritis, unilateral nephrocirrhosis, exclusion or approval of renal failure, furthermore diverse malformations of the urovesical system, nephrolithiasis and follow-up after urological operations. The unilateral renal clearance by /sup 123/I-hippurate represents an important diagnostic tool in urological-nephrological patients with special diseases in addition to morphological and microbiological methods.

  2. Indications and results of the unilateral 123I-hippurate-clearance in an ambulant urological-nephrological patients collective

    International Nuclear Information System (INIS)

    In 572 nephrological-urological ambulant patients 688 estimations of unilateral renal plasma flow were performed after application of 300 kBq/kg 123I-hippurate using a large field scintillation camera, external scintillation probe over the right shoulder and a computer system. The indications were patients with hypertension, chronic pyelonephritis, unilateral nephrocirrhosis, exclusion or approval of renal failure, furthermore diverse malformations of the urovesical system, nephrolithiasis and follow-up after urological operations. The unilateral renal clearance by 123I-hippurate represents an important diagnostic tool in urological-nephrological patients with special diseases in addition to morphological and microbiological methods. (orig.)

  3. Physical and psychosocial work environment factors and their association with health outcomes in Danish ambulance personnel - a cross-sectional study

    DEFF Research Database (Denmark)

    Hansen, Claus D; Rasmussen, Kurt; Kyed, Morten;

    2012-01-01

    with higher levels of poor mental health and poor sleep quality. To improve work environment, attention should be paid to musculoskeletal problems and the presence of positive organizational support mechanisms that can prevent negative effects from the high levels of emotional demands.......,691) and was compared to reference samples of the Danish work force. The questionnaire contained measures of physical and psychosocial work environment as well as measures of musculoskeletal pain, mental health, self-rated health and sleep quality. Results Ambulance personnel have half the prevalence of poor self......-rated health compared to the core work force (5 % vs. 10 %). Levels of mental health were the same across the two samples whereas a substantially higher proportion of the ambulance personnel reported musculoskeletal pain (42% vs. 29%). The ambulance personnel had higher levels of emotional demands...

  4. Case Studies of Technology-aided Interventions to Promote Hand Reaching and Standing or Basic Ambulation in Persons with Multiple Disabilities.

    Science.gov (United States)

    Lancioni, Giulio E; Singh, Nirbhay N; O'Reilly, Mark F; Sigafoos, Jeff; Alberti, Gloria; Campodonico, Francesca

    2016-02-01

    Motor impairments such as lack of standing and/or independent ambulation are common among persons with multiple disabilities. These two studies assessed technology-aided programs for persons with those impairments. Specifically, Study I assessed a program to teach two non-ambulatory adults to hand reach a stimulation-linked object by standing up. Study II assessed a program to teach a child and a man to ambulate while holding a rail or following a corridor wall. Standing increased from below 15% to about or over 80% of the session duration in Study I. The participants of Study II managed to complete brief ambulation trials independent of guidance. These performance achievements were discussed in relation to the technology-aided programs employed in the studies and the programs' applicability in daily contexts. PMID:27420316

  5. Minimally Invasive Posterior Stabilization Improved Ambulation and Pain Scores in Patients with Plasmacytomas and/or Metastases of the Spine

    Directory of Open Access Journals (Sweden)

    Joseph H. Schwab

    2011-01-01

    Full Text Available Background. The incidence of spine metastasis is expected to increase as the population ages, and so is the number of palliative spinal procedures. Minimally invasive procedures are attractive options in that they offer the theoretical advantage of less morbidity. Purpose. The purpose of our study was to evaluate whether minimally invasive posterior spinal instrumentation provided significant pain relief and improved function. Study Design. We compared pre- and postoperative pain scores as well as ambulatory status in a population of patients suffering from oncologic conditions in the spine. Patient Sample. A consecutive series of patients with spine tumors treated minimally invasively with stabilization were reviewed. Outcome Measures. Visual analog pain scale as well as pre- and postoperative ambulatory status were used as outcome measures. Methods. Twenty-four patients who underwent minimally invasive posterior spinal instrumentation for metastasis were retrospectively reviewed. Results. Seven (29% patients were unable to ambulate secondary to pain and instability prior to surgery. All patients were ambulating within 2 to 3 days after having surgery (=0.01. The mean visual analog scale value for the preoperative patients was 2.8, and the mean postoperative value was 1.0 (=0.001. Conclusion. Minimally invasive posterior spinal instrumentation significantly improved pain and ambulatory status in this series.

  6. Does a waist-worn ActiGraph accelerometer quantify community ambulation in persons with multiple sclerosis?

    Directory of Open Access Journals (Sweden)

    Jacob J. Sosnoff, PhD

    2012-12-01

    Full Text Available Accelerometry has been recognized as a method of objectively measuring community ambulation in persons with multiple sclerosis (MS. However, the assumption that walking itself serves as a major contributor to the accelerometer signal has yet to be tested. This study examined the assumption that community-based walking is a primary contributor to accelerometer output in MS. Ambulatory persons (5 males/17 females; 13 without aid/9 with aid with MS wore a triaxial accelerometer (ActiGraph GT3X, Health One Technologies; Fort Walton Beach, Florida as well as an IDEEA system (MiniSun, Inc; Fresno, Florida over the course of a single day. Outcome measures for the accelerometer included movement counts/hour for the vertical, anterior-posterior, and mediolateral axes. Outcomes for the IDEEA system included percent time walking, sitting, and standing, as well as walking speed. Pearson product correlations (r were used to examine the associations between outcomes from the accelerometer and IDEEA system. Significant correlations were observed between percent walking time and movement counts/hour along the vertical (r = 0.84 and anterior-posterior (r = 0.69 axes. Significant correlations were further noted between movement counts/hour along the vertical axis and walking speed (r = 0.45 and self-report walking impairment (r = −0.50 and disability (r = −0.46. Such observations further support accelerometry as an objective marker of community ambulation in persons with MS.

  7. Living in critical times: The impact of critical incidents on frontline ambulance personnel--a qualitative perspective.

    LENUS (Irish Health Repository)

    Gallagher, Sharon

    2007-01-01

    Little is known about the impact of Critical Incidents (CIs) on the lives of ambulance personnel. One-to-one interviews were conducted with 27 participants who had experienced CIs during the previous 12 months in order to: assess the nature and impact of CIs on health and well-being; examine attitudes toward support services; and explore barriers to service use. The results showed that incidents involving children, suicides, and grotesque mutilation were the most distressing. Participants reported a wide range of physical and mental health problems including sleep difficulties, angry outbursts, irrationality and feelings of alienation. Key themes included: low support service uptake due to fears relating to confidentiality and machismo; a perceived lack of concern and support from management; and a need for professional counselling and stress awareness training. Emergency Medical Controllers (EMCs) also reported a number of difficulties unique to their role. The findings suggest that exposure to CIs has a significant impact on health and well-being; this has important implications for recognizing and appropriately addressing the health and training needs of ambulance personnel, including the effective management of Critical Incident Stress.

  8. Pre-hospital assessment by a single responder: The Swedish ambulance nurse in a new role: A pilot study.

    Science.gov (United States)

    Magnusson, Carl; Källenius, Christofer; Knutsson, Susanne; Herlitz, Johan; Axelsson, Christer

    2016-05-01

    When a person with vague symptoms calls 112, the dispatchers often have difficulty prioritising the severity of the call. Their only alternative has been to send an ambulance. In Gothenburg, Sweden, a nurse-manned single responder (SR) was initiated to assess this patient group. The study aims to describe patient characteristics and assessment level made by the SR nurse among patients assessed by the dispatcher as low priority and/or vague symptoms. A consecutive journal review was conducted. During six months, 529 patients were assessed; 329 (62%) attended the emergency department (ED) or inpatient care (IC). Of these, 85 patients (26%) were assessed as high priority. Only 108 were assessed as being in need of ambulance transport. ED/IC patients were significantly older. Two hundred (38%) stayed at the scene (SS) (n = 142) or were referred to primary care (PC) (n = 58). Of the 200 SS/PC patients, 38 (19%) attended the ED within 72 hrs with residual symptoms, 20 of whom were admitted to a ward. Nine patients (4% of 200 SS/PC patients) required inpatient treatment and 11 patients stayed overnight for observation. These results suggest a relatively high level of patient safety and the usefulness of an SR among patients assessed by the dispatcher as low priority. PMID:26472522

  9. Gaps between policy, protocols and practice: a qualitative study of the views and practice of emergency ambulance staff concerning the care of patients with non-urgent needs

    OpenAIRE

    Snooks, H.; Kearsley, N; Dale, J; Halter, M; Redhead, J; Foster, J.

    2005-01-01

    Aim: To describe emergency ambulance crews' views about (1) how they make decisions on whether to convey patients to hospital; (2) an intervention enabling them to triage patients to non-conveyance; and (3) their experience of using new protocols for undertaking such triage.

  10. The NSW Ambulance Service healthy lifestyle program--a case study in the evaluation of a health promotion program.

    Science.gov (United States)

    Gomel, M; Oldenburg, B

    1990-01-01

    A variety of approaches have been used to reduce Cardiovascular Disease (CVD) risk in the community, including programs based in the workplace. To date, it has been difficult to draw accurate conclusions on the effectiveness of worksite CVD risk reduction programs. Typically, such programs suffer from poor participation and high attrition rates and most lack physical and biochemical validation of self-reported lifestyle changes. The present paper describes an evaluation of four health promotion worksite interventions (screening, education, incentive and lifestyle change) conducted in the NSW Ambulance Service. The study achieved very high participation and low attrition rates. Self-reported changes in lifestyle were validated with physical and biochemical measures. The results suggest greater change in some risk factors for those individuals receiving the incentive and lifestyle change programs compared to screening alone or education. PMID:10109119

  11. Field testing of a remote controlled robotic tele-echo system in an ambulance using broadband mobile communication technology.

    Science.gov (United States)

    Takeuchi, Ryohei; Harada, Hiroshi; Masuda, Kohji; Ota, Gen-ichiro; Yokoi, Masaki; Teramura, Nobuyasu; Saito, Tomoyuki

    2008-06-01

    We report the testing of a mobile Robotic Tele-echo system that was placed in an ambulance and successfully transmitted clear real time echo imaging of a patient's abdomen to the destination hospital from where this device was being remotely operated. Two-way communication between the paramedics in this vehicle and a doctor standing by at the hospital was undertaken. The robot was equipped with an ultrasound probe which was remotely controlled by the clinician at the hospital and ultrasound images of the patient were transmitted wirelessly. The quality of the ultrasound images that were transmitted over the public mobile telephone networks and those transmitted over the Multimedia Wireless Access Network (a private networks) were compared. The transmission rate over the public networks and the private networks was approximately 256 Kbps, 3 Mbps respectively. Our results indicate that ultrasound images of far higher definition could be obtained through the private networks. PMID:18444361

  12. Effects of a Public Education Campaign on the Association Between Knowledge of Early Stroke Symptoms and Intention to Call an Ambulance at Stroke Onset: The Acquisition of Stroke Knowledge (ASK) Study

    Science.gov (United States)

    Nishikawa, Tomofumi; Okamura, Tomonori; Nakayama, Hirofumi; Miyamatsu, Naomi; Morimoto, Akiko; Toyoda, Kazunori; Suzuki, Kazuo; Toyota, Akihiro; Hata, Takashi; Yamaguchi, Takenori

    2016-01-01

    Background An immediate ambulance call offers the greatest opportunity for acute stroke therapy. Effectively using ambulance services requires strengthening the association between knowledge of early stroke symptoms and intention to call an ambulance at stroke onset, and encouraging the public to use ambulance services. Methods The present study utilized data from the Acquisition of Stroke Knowledge (ASK) study, which administered multiple-choice, mail-in surveys regarding awareness of early stroke symptoms and response to a stroke attack before and after a 2-year stroke education campaign in two areas subject to intensive and moderate intervention, as well as in a control area, in Japan. In these three areas, 3833 individuals (1680, 1088 and 1065 participants in intensive intervention, moderate intervention, and control areas, respectively), aged 40 to 74 years, who responded appropriately to each survey were included in the present study. Results After the intervention, the number of correctly identified symptoms significantly associated with intention to call an ambulance (P < 0.05) increased (eg, from 4 to 5 correctly identified symptoms), without increasing choice of decoy symptoms in the intensive intervention area. Meanwhile, in other areas, rate of identification of not only correct symptoms but also decoy symptoms associated with intention to call an ambulance increased. Furthermore, the association between improvement in the knowledge of stroke symptoms and intention to call an ambulance was observed only in the intensive intervention area (P = 0.009). Conclusions Our results indicate that intensive interventions are useful for strengthening the association between correct knowledge of early stroke symptoms and intention to call an ambulance, without strengthening the association between incorrect knowledge and intention to call an ambulance. PMID:26441211

  13. Air Pollution

    Science.gov (United States)

    Air pollution is a mixture of solid particles and gases in the air. Car emissions, chemicals from factories, dust, pollen and ... Ozone, a gas, is a major part of air pollution in cities. When ozone forms air pollution, ...

  14. Advanced glycation end-products in the peritoneal fluid and in the peritoneal membrane of continuous ambulant peritoneal dialysis patients.

    Science.gov (United States)

    Mahiout, A; Ehlerding, G; Brunkhorst, R

    1996-01-01

    In patients on continuous ambulant peritoneal dialysis (CAPD) treatment, the peritoneal membrane is continuously exposed to the high glucose concentration contained in the dialysate. This may lead to the local generation of advanced glycation end-products (AGEs). To test this hypothesis we evaluated the plasma and dialysate AGE concentrations in five CAPD patients. The dialysate was measured after a 1 h and after a 12 h dwell time. Additionally, in two patients an immunohistochemical investigation of the peritoneal membrane for AGE was performed. For the determination of AGE an ELISA using a polyclonal antibody against AGE bovine serum albumin was used; the immunohistochemical staining was performed using the streptavidin-biotin complex method. We found only low concentrations of AGE in the dialysate after a 1 h dwell time; after 12 h, however, the dialysate AGE was even greater than the plasma concentration. In both peritoneal specimens we found positive staining for AGE in the interstitium of the mesothelial layer. The dialysate AGE contained a high proportion of high-molecular-weight AGE proteins and low-molecular-weight AGE was found to be in the same concentration range as the total serum AGE. We conclude that there is local generation of AGE in the peritoneal membrane and a 'washing out' of AGE from the peritoneal membrane during longer dwell times. We speculate that the accumulation of AGE might lead to some of the functional and morphological alterations observed after long-term CAPD.

  15. An art therapy intervention for cancer patients in the ambulant aftercare - results from a non-randomised controlled study.

    Science.gov (United States)

    Geue, K; Richter, R; Buttstädt, M; Brähler, E; Singer, S

    2013-05-01

    Art therapy in psycho-oncology is gaining increasing importance, but systematic evaluations of its effects are rare. The aim of this study is to investigate the effects of an art therapy intervention for cancer patients in ambulant aftercare on psychological distress and coping. The intervention consisted of 22 sessions. At three points of measurement (t1: before intervention, t2: following intervention, t3: 6 months after t2), participants responded to questionnaires (Freiburg Questionnaire on Coping with Illness, Perceived Adjustment to Chronic Illness Scale, Hospital Anxiety and Depression Scale). A group of haemato-oncological patients served as the comparison group (CG). Pre-post comparisons and analyses of variance were applied for statistical analysis. Relevant confounders were controlled. Fifty-four patients (intervention group, IG) with various cancer diagnoses completed the intervention. One hundred and twenty-nine data sets were available for the CG. Analyses of variance included group membership (IG vs. CG) and the following factors: gender, other psychosocial help and major life events. None of these variables was a predictor for changes in depression, anxiety and coping. Therefore, we could not prove intervention effects over time. Our results contradict those of preliminary studies and raise important questions. Further work on evaluating art therapy is necessary to explore which intervention concepts in which setting at which treatment stage show significant effects. Therefore, controlling for relevant confounders is needed.

  16. Pilot Field Test: The Ability to Ambulate After Landing as Assessed with Seat Egress, Walk, and Obstacle Test

    Science.gov (United States)

    Fisher, E. A.; Fomina, E. V.; Reschke, M. F.; Cerisano, J. M.; Kofman, I. S.; Gadd, N. E.; Phillips, T. R.; Lee, S. M. C.; Laurie, S. S.; Stenger, M. B.; Bloomberg, J. J.; Mulavara, A. P.; Kozlovskaya, I. B.; Tomilovskaya, E. S.

    2016-01-01

    Astronauts experience alterations in multiple physiological systems due to exposure to the microgravity conditions of space flight. These changes lead to disruption in the ability to ambulate and perform functional tasks during the initial reintroduction to a gravitational environment. Figure 1 shows a schematic representation of the components involved in postflight ataxia. Full functional recovery has not been sufficiently investigated for long-duration crewmembers. The joint U.S./Russian Pilot Field Test (PFT) experiment (a pre-cursor to Field Test (FT)) was developed to address this gap in knowledge. The PFT was conducted on crewmembers traveling on Soyuz expeditions 34S - 41S and was comprised of several tasks designed to study the recovery of sensorimotor abilities of crewmembers during the first 24 hours after landing and for several days thereafter. Closing this gap will allow us to characterize the ability of crewmembers to perform critical mission tasks that they will be expected to perform after an unassisted landing following 6 to 12 months in microgravity. The Seat Egress, Walk and Obstacle (SEWO) Test will be discussed in this poster.

  17. Air Abrasion

    Science.gov (United States)

    ... delivered directly to your desktop! more... What Is Air Abrasion? Article Chapters What Is Air Abrasion? What Happens? The Pros and Cons Will I Feel Anything? Is Air Abrasion for Everyone? print full article print this ...

  18. Development of an implanted intramuscular EMG-triggered FES system for ambulation after incomplete spinal cord injury.

    Science.gov (United States)

    Dutta, Anirban; Kobetic, Rudi; Triolo, Ronald

    2009-01-01

    Ambulation after spinal cord injury is possible with the aid of neuroprosthesis employing functional electrical stimulation (FES). Individuals with incomplete spinal cord injury (iSCI) retain partial volitional control of muscles below the level of injury, necessitating careful integration of FES with intact voluntary motor function for efficient walking. In this study, the intramuscular electromyogram (iEMG) was used to detect the intent to step and trigger FES-assisted walking in a volunteer with iSCI via an implanted neuroprosthesis consisting of two channels of bipolar iEMG signal acquisition and 12 independent channels of stimulation. The detection was performed with two types of classifiers- a threshold-based classifier that compared the running mean of the iEMG with a discrimination threshold to generate the trigger and a pattern recognition classifier that compared the time-history of the iEMG with a specified template of activity to generate the trigger whenever the cross-correlation coefficient exceeded a discrimination threshold. The pattern recognition classifier generally outperformed the threshold-based classifier, particularly with respect to minimizing False Positive triggers. The overall True Positive rates for the threshold-based classifier were 61.6% and 87.2% for the right and left steps with overall False Positive rates of 38.4% and 33.3%. The overall True Positive rates for the left and right step with the pattern recognition classifier were 57.2% and 93.3% and the overall False Positive rates were 11.9% and 24.4%. The subject showed no preference for either the threshold or pattern recognition-based classifier as determined by the Usability Rating Scale (URS) score collected after each trial and both the classifiers were perceived as moderately easy to use.

  19. Physician presence in an ambulance car is associated with increased survival in out-of-hospital cardiac arrest: a prospective cohort analysis.

    Directory of Open Access Journals (Sweden)

    Akihito Hagihara

    Full Text Available The presence of a physician seems to be beneficial for pre-hospital cardiopulmonary resuscitation (CPR of patients with out-of-hospital cardiac arrest. However, the effectiveness of a physician's presence during CPR before hospital arrival has not been established. We conducted a prospective, non-randomized, observational study using national data from out-of-hospital cardiac arrests between 2005 and 2010 in Japan. We performed a propensity analysis and examined the association between a physician's presence during an ambulance car ride and short- and long-term survival from out-of-hospital cardiac arrest. Specifically, a full non-parsimonious logistic regression model was fitted with the physician presence in the ambulance as the dependent variable; the independent variables included all study variables except for endpoint variables plus dummy variables for the 47 prefectures in Japan (i.e., 46 variables. In total, 619,928 out-of-hospital cardiac arrest cases that met the inclusion criteria were analyzed. Among propensity-matched patients, a positive association was observed between a physician's presence during an ambulance car ride and return of spontaneous circulation (ROSC before hospital arrival, 1-month survival, and 1-month survival with minimal neurological or physical impairment (ROSC: OR = 1.84, 95% CI 1.63-2.07, p = 0.00 in adjusted for propensity and all covariates; 1-month survival: OR = 1.29, 95% CI 1.04-1.61, p = 0.02 in adjusted for propensity and all covariates; cerebral performance category (1 or 2: OR = 1.54, 95% CI 1.03-2.29, p = 0.04 in adjusted for propensity and all covariates; and overall performance category (1 or 2: OR = 1.50, 95% CI 1.01-2.24, p = 0.05 in adjusted for propensity and all covariates. A prospective observational study using national data from out-of-hospital cardiac arrests shows that a physician's presence during an ambulance car ride was independently associated with

  20. A Movement Monitor Based on Magneto-Inertial Sensors for Non-Ambulant Patients with Duchenne Muscular Dystrophy: A Pilot Study in Controlled Environment.

    Directory of Open Access Journals (Sweden)

    Anne-Gaëlle Le Moing

    Full Text Available Measurement of muscle strength and activity of upper limbs of non-ambulant patients with neuromuscular diseases is a major challenge. ActiMyo® is an innovative device that uses magneto-inertial sensors to record angular velocities and linear accelerations that can be used over long periods of time in the home environment. The device was designed to insure long-term stability and good signal to noise ratio, even for very weak movements. In order to determine relevant and pertinent clinical variables with potential for use as outcome measures in clinical trials or to guide therapy decisions, we performed a pilot study in non-ambulant neuromuscular patients. We report here data from seven Duchenne Muscular Dystrophy (DMD patients (mean age 18.5 ± 5.5 years collected in a clinical setting. Patients were assessed while wearing the device during performance of validated tasks (MoviPlate, Box and Block test and Minnesota test and tasks mimicking daily living. The ActiMyo® sensors were placed on the wrists during all the tests. Software designed for use with the device computed several variables to qualify and quantify muscular activity in the non-ambulant subjects. Four variables representative of upper limb activity were studied: the rotation rate, the ratio of the vertical component in the overall acceleration, the hand elevation rate, and an estimate of the power of the upper limb. The correlations between clinical data and physical activity and the ActiMyo® movement parameters were analyzed. The mean of the rotation rate and mean of the elevation rate appeared promising since these variables had the best reliability scores and correlations with task scores. Parameters could be computed even in a patient with a Brooke functional score of 6. The variables chosen are good candidates as potential outcome measures in non-ambulant patients with Duchenne Muscular Dystrophy and use of the ActiMyo® is currently being explored in home environment

  1. A Movement Monitor Based on Magneto-Inertial Sensors for Non-Ambulant Patients with Duchenne Muscular Dystrophy: A Pilot Study in Controlled Environment

    Science.gov (United States)

    Moraux, Amélie; Annoussamy, Mélanie; Dorveaux, Eric; Gasnier, Erwan; Hogrel, Jean-Yves; Voit, Thomas; Vissière, David; Servais, Laurent

    2016-01-01

    Measurement of muscle strength and activity of upper limbs of non-ambulant patients with neuromuscular diseases is a major challenge. ActiMyo® is an innovative device that uses magneto-inertial sensors to record angular velocities and linear accelerations that can be used over long periods of time in the home environment. The device was designed to insure long-term stability and good signal to noise ratio, even for very weak movements. In order to determine relevant and pertinent clinical variables with potential for use as outcome measures in clinical trials or to guide therapy decisions, we performed a pilot study in non-ambulant neuromuscular patients. We report here data from seven Duchenne Muscular Dystrophy (DMD) patients (mean age 18.5 ± 5.5 years) collected in a clinical setting. Patients were assessed while wearing the device during performance of validated tasks (MoviPlate, Box and Block test and Minnesota test) and tasks mimicking daily living. The ActiMyo® sensors were placed on the wrists during all the tests. Software designed for use with the device computed several variables to qualify and quantify muscular activity in the non-ambulant subjects. Four variables representative of upper limb activity were studied: the rotation rate, the ratio of the vertical component in the overall acceleration, the hand elevation rate, and an estimate of the power of the upper limb. The correlations between clinical data and physical activity and the ActiMyo® movement parameters were analyzed. The mean of the rotation rate and mean of the elevation rate appeared promising since these variables had the best reliability scores and correlations with task scores. Parameters could be computed even in a patient with a Brooke functional score of 6. The variables chosen are good candidates as potential outcome measures in non-ambulant patients with Duchenne Muscular Dystrophy and use of the ActiMyo® is currently being explored in home environment. Trial Registration

  2. Pilates based core stability training in ambulant individuals with multiple sclerosis: protocol for a multi-centre randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Freeman Jennifer

    2012-04-01

    Full Text Available Abstract Background People with Multiple Sclerosis (MS frequently experience balance and mobility impairments, including reduced trunk stability. Pilates-based core stability training, which is aimed at improving control of the body's stabilising muscles, is popular as a form of exercise with people with MS and therapists. A replicated single case series study facilitated by the Therapists in MS Group in the United Kingdom (UK provides preliminary evidence that this approach can improve balance and mobility in ambulant people with MS; further evidence is needed to substantiate these findings to ensure that limited time, energy, finances and resources are used to best effect. This study builds upon the pilot work undertaken in the case series study by implementing a powered randomised controlled study, with the aims of: 1 Establishing the effectiveness of core stability training 2 Comparing core stability training with standardised physiotherapy exercise 3 Exploring underlying mechanisms of change associated with this intervention Methods This is a multi-centre, double blind, block randomised, controlled trial. Eligible participants will be recruited from 4 UK centres. Participants will be randomly allocated to one of three groups: Pilates based core stability training, standardised physiotherapy exercise or contract-relax relaxation sessions (placebo control. All will receive face to face training sessions over a 12 week period; together with a 15 minute daily home programme. All will be assessed by a blinded assessor before training, at the end of the 12 week programme and at 4 week follow-up. The primary outcome measure is the 10 metre timed walk. Secondary outcome measures are the MS walking Scale (MSWS-12, the Functional Reach (forwards and lateral, a 10 point Numerical Rating Scale to determine "Difficulty in carrying a drink when walking", and the Activities-specific Balance Confidence (ABC Scale. In addition, ultrasound imaging of the

  3. Préambule

    Directory of Open Access Journals (Sweden)

    Emmanuel Grimaud

    2011-06-01

    Full Text Available Courses à la virtuosité Nombreuses sont les pratiques qui ont généré, parfois en leur cœur et souvent en leurs marges, des programmes acrobatiques. Ces programmes ont généralement des finalités comparables. Il s’agit d’apprécier et d’évaluer l’excellence technique, d’explorer plus ou moins librement les possibilités d’un instrument ou de mettre à l’épreuve ses limites. De la musique à la jonglerie, de la prestidigitation à la voltige aérienne ou encore à la cascade à moto, rares sont les arts...

  4. Evaluation of the effects of botulinum toxin A injections when used to improve ease of care and comfort in children with cerebral palsy whom are non-ambulant: a double blind randomized controlled trial

    OpenAIRE

    Thorley Megan; Donaghey Samantha; Edwards Priya; Copeland Lisa; Kentish Megan; McLennan Kim; Lindsley Jayne; Gascoigne-Pees Laura; Sakzewski Leanne; Boyd Roslyn N

    2012-01-01

    Abstract Background Children with cerebral palsy (CP) whom are non-ambulant are at risk of reduced quality of life and poor health status. Severe spasticity leads to discomfort and pain. Carer burden for families is significant. This study aims to determine whether intramuscular injections of botulinum toxin A (BoNT-A) combined with a regime of standard therapy has a positive effect on care and comfort for children with CP whom are non-ambulant (GMFCS IV/V), compared with standard therapy alo...

  5. Evaluation of the effects of botulinum toxin A injections when used to improve ease of care and comfort in children with cerebral palsy whom are non-ambulant: a double blind randomized controlled trial

    OpenAIRE

    Thorley, Megan; Donaghey, Samantha; Edwards, Priya; Copeland, Lisa; Kentish, Megan; McLennan, Kim; Lindsley, Jayne; Gascoigne-Pees, Laura; Sakzewski, Leanne; Boyd, Roslyn N.

    2012-01-01

    Background Children with cerebral palsy (CP) whom are non-ambulant are at risk of reduced quality of life and poor health status. Severe spasticity leads to discomfort and pain. Carer burden for families is significant. This study aims to determine whether intramuscular injections of botulinum toxin A (BoNT-A) combined with a regime of standard therapy has a positive effect on care and comfort for children with CP whom are non-ambulant (GMFCS IV/V), compared with standard therapy alone (cycle...

  6. Weakness and the Inability to Ambulate in a 14-Month-Old Female: A Case Report and Concise Review of Guillain-Barre Syndrome

    Directory of Open Access Journals (Sweden)

    Scott A. Bloch

    2013-01-01

    Full Text Available Guillain-Barre syndrome (GBS is an acquired disease of the peripheral nervous system which causes demyelination and leads to weakness, ataxia, and areflexia. There are a variety of forms of the syndrome, and although it is found in all age groups, it is rare in children less than two years of age. The present complaint of weakness, ataxia, or lower extremity pain in the pediatric population should cause the practitioner to consider GBS in the differential. We describe a case of a 14-month-old girl presenting with weakness and the inability to ambulate who was diagnosed with GBS. The purpose of this paper is to review the emergency medicine diagnosis and management of Guillain-Barre syndrome in children.

  7. The Loyal Customer Phenomenon as a Social Relationship: A Study with Ambulant Coffee Salesmen in the City of Ibagué

    Directory of Open Access Journals (Sweden)

    Lady Grey Javela**

    2009-12-01

    Full Text Available The purpose of this research was to study the relationship established between an ambulant coffee salesman (ACSM and his loyal client, in the frame of Michael Argyle’s social relationships model. Thirty couples were interviewed about the ACSM and loyal clients relationship; also interactions among 183 ACSM – loyal clients and 117 ACS M –sporadic clients were registered. Our research found that the commercial relationship between an ACSM and his/her loyal client is a social relationship, taking into account that it brought evidence about the constitutive elements of a relationship of this nature under Argyle’s perspective; and coincidences were observed in the declarations that the actors of the relationship made about it. Additionally, we found that the ACSM’s behavior is different depending on the type of client that he/she is attending –loyal or sporadic–.

  8. Upper limb evaluation and one-year follow up of non-ambulant patients with spinal muscular atrophy: an observational multicenter trial.

    Directory of Open Access Journals (Sweden)

    Andreea Mihaela Seferian

    Full Text Available Assessment of the upper limb strength in non-ambulant neuromuscular patients remains challenging. Although potential outcome measures have been reported, longitudinal data demonstrating sensitivity to clinical evolution in spinal muscular atrophy patients are critically lacking. Our study recruited 23 non-ambulant patients, 16 patients (males/females = 6/10; median age 15.4 years with a range from 10.7 to 31.1 years with spinal muscular atrophy type II and 7 patients (males/females = 2/5; median age 19.9 years with a range from 8.3 to 29.9 years with type III. The Brooke functional score was on median 3 with a range from 2 to 6. The average total vital capacity was 46%, and seven patients required non-invasive ventilation at night. Patients were assessed at baseline, 6 months, and 1 year using the Motor Function Measure and innovative devices MyoGrip, MyoPinch, and MoviPlate, which assess handgrip strength, key pinch strength, and hand/finger extension-flexion function, respectively. The study demonstrated the feasibility and reliability of these measures for all patients, and sensitivity to negative changes after the age of 14 years. The younger patients showed an increase of the distal force in the follow-up period. The distal force measurements and function were correlated to different functional scales. These data represent an important step in the process of validating these devices as potential outcome measures for future clinical trials.

  9. An artificial neural network to safely reduce the number of ambulance ECGs transmitted for physician assessment in a system with prehospital detection of ST elevation myocardial infarction

    Directory of Open Access Journals (Sweden)

    Forberg Jakob L

    2012-02-01

    Full Text Available Abstract Background Pre-hospital electrocardiogram (ECG transmission to an expert for interpretation and triage reduces time to acute percutaneous coronary intervention (PCI in patients with ST elevation Myocardial Infarction (STEMI. In order to detect all STEMI patients, the ECG should be transmitted in all cases of suspected acute cardiac ischemia. The aim of this study was to examine the ability of an artificial neural network (ANN to safely reduce the number of ECGs transmitted by identifying patients without STEMI and patients not needing acute PCI. Methods Five hundred and sixty ambulance ECGs transmitted to the coronary care unit (CCU in routine care were prospectively collected. The ECG interpretation by the ANN was compared with the diagnosis (STEMI or not and the need for an acute PCI (or not as determined from the Swedish coronary angiography and angioplasty register. The CCU physician's real time ECG interpretation (STEMI or not and triage decision (acute PCI or not were registered for comparison. Results The ANN sensitivity, specificity, positive and negative predictive values for STEMI was 95%, 68%, 18% and 99%, respectively, and for a need of acute PCI it was 97%, 68%, 17% and 100%. The area under the ANN's receiver operating characteristics curve for STEMI detection was 0.93 (95% CI 0.89-0.96 and for predicting the need of acute PCI 0.94 (95% CI 0.90-0.97. If ECGs where the ANN did not identify a STEMI or a need of acute PCI were theoretically to be withheld from transmission, the number of ECGs sent to the CCU could have been reduced by 64% without missing any case with STEMI or a need of immediate PCI. Conclusions Our ANN had an excellent ability to predict STEMI and the need of acute PCI in ambulance ECGs, and has a potential to safely reduce the number of ECG transmitted to the CCU by almost two thirds.

  10. Thin air

    OpenAIRE

    Jasanoff, Sheila

    2013-01-01

    Clearing the air How do we grasp the air? Without Michel Callon’s guidance, I might never have asked that question. Years ago, when I first entered environmental law practice, I took it for granted that problems such as air pollution exist “out there” in the real world for science to discover and law to fix. It is a measure of Callon’s influence that I understand the law today as a metaphysical instrument, no less powerful in its capacity to order nature than the tools of the ancient oracular...

  11. Air Pollution

    Science.gov (United States)

    ... to a close in June 2013 when the company, Conscious Clothing, was awarded the My Air grand ... Page Options: Request Translation Services Facebook Twitter LinkedIn Google+ Reddit Email Evernote More Increase Font Size Decrease ...

  12. 中美救护车车载物品比较%Comparison with the Supplies and Equipment Carried on Ambulance between the United State and China

    Institute of Scientific and Technical Information of China (English)

    郑进

    2013-01-01

    The supplies and equipment carried on ambulance is the foundation and guarantee of pre--hospital emergency care,it is significant for the efficiency and result of pre-hospital emergency care.This paper made a summary and analysis of the characteristic for the supplies and equipment carried on ambulance and the pre-hospital emergency care in American:pay more attention to the personal safety of prehospital emergency personal; pay more attention to the extrication for patient; pay more attention to the utilizing of cardiopulmonary resuscitation (CPR)board; pay more attention to the scientificalness of allocation for the jump kit; pay more attention to the using of ordinary goods; pay more attention to the patient transfer.The emergency medical personal rescued 5,120 sudden death patients out hospital in Seattle of the United States in 1970s,and the rate of successful resuscitation was 28.9%; the emergency medical personal of Shanghai emergency medical center rescued 4,374 sudden death patients out hospital in Shanghai in 1999,and the rate of successful resuscitation was 1.35%; Obviously,the rate of successful resuscitation for sudden death patients out hospital in China is much lower than that in the United States.It is probably related with the difference in ambulance equipment between the United States and China.Knowing this could be beneficial and referential for the pre-hospital emergency care in our country.%救护车车载物品是院前急救的基础和保障,对院前急救的效率和质量具有十分重要的意义.本文总结并分析了美国救护车车载物品和院前急救的特点:更加注重院前急救人员的个人防护;更加注重对患者的救出;更加注重心脏按压板的运用;更加注重急救箱物品配置的科学性;更加注重对普通物品的利用;更加注重患者的转运.美国西雅图20世纪70年代抢救5 120例院外猝死患者,复苏成功至康复出院者达28.9%;

  13. Intervention to prevent further falls in older people who call an ambulance as a result of a fall: a protocol for the iPREFER randomised controlled trial

    Science.gov (United States)

    2013-01-01

    Background An increasing number of falls result in an emergency call and the subsequent dispatch of paramedics. In the absence of physical injury, abnormal physiological parameters or change in usual functional status, it could be argued that routine conveyance by ambulance to the Emergency Department (ED) is not the most effective or efficient use of resources. Further, it is likely that non-conveyed older fallers have the potential to benefit from timely access to fall risk assessment and intervention. The aim of this randomised controlled trial is to evaluate the effect of a timely and tailored falls assessment and management intervention on the number of subsequent falls and fall-related injuries for non-conveyed older fallers. Methods Community dwelling people aged 65 years or older who are not conveyed to the ED following a fall will be eligible to be visited at home by a research physiotherapist. Consenting participants will receive individualised intervention strategies based on risk factors identified at baseline. All pre-test measures will be assessed prior to randomisation. Post-test measures will be undertaken by a researcher blinded to group allocation 6 months post-baseline. Participants in the intervention group will receive individualised pro-active fall prevention strategies from the clinical researcher to ensure that risk factors are addressed adequately and interventions carried out. The primary outcome measure will be the number of falls recorded by a falls diary over a 12 month period. Secondary outcome measures assessed six months after baseline will include the subsequent use of medical and emergency services and uptake of recommendations. Data will be analysed using the intention-to-treat principle. Discussion As there is currently little evidence regarding the effectiveness or feasibility of alternate models of care following ambulance non-conveyance of older fallers, there is a need to explore assessment and intervention programs to

  14. Air surveillance

    Energy Technology Data Exchange (ETDEWEB)

    Patton, G.W.

    1995-06-01

    This section of the 1994 Hanford Site Environmental Report summarizes the air surveillance and monitoring programs currently in operation at that Hanford Site. Atmospheric releases of pollutants from Hanford to the surrounding region are a potential source of human exposure. For that reason, both radioactive and nonradioactive materials in air are monitored at a number of locations. The influence of Hanford emissions on local radionuclide concentrations was evaluated by comparing concentrations measured at distant locations within the region to concentrations measured at the Site perimeter. This section discusses sample collection, analytical methods, and the results of the Hanford air surveillance program. A complete listing of all analytical results summarized in this section is reported separately by Bisping (1995).

  15. Determining the Feasibility of Ambulance-Based Randomised Controlled Trials in Patients with Ultra-Acute Stroke: Study Protocol for the "Rapid Intervention with GTN in Hypertensive Stroke Trial" (RIGHT, ISRCTN66434824).

    Science.gov (United States)

    Ankolekar, Sandeep; Sare, Gillian; Geeganage, Chamila; Fuller, Michael; Stokes, Lynn; Sprigg, Nikola; Parry, Ruth; Siriwardena, A Niroshan; Bath, Philip M W

    2012-01-01

    Background. Time from acute stroke to enrolment in clinical trials needs to be reduced to improve the chances of finding effective treatments. No completed randomised controlled trials of ambulance-based treatment for acute stroke have been reported in the UK, and the practicalities of recruiting, consenting, and treating patients are unknown. Methods. RIGHT is an ambulance based, single-blind, randomised controlled trial with blinded-outcome assessment. The trial will assess feasibility of using ambulance services to deliver ultra-acute stroke treatments; a secondary aim is to assess the effect of glyceryl trinitrate (GTN) on haemodynamic variables and functional outcomes. Initial consent, randomisation, and treatment are performed by paramedics prior to hospitalisation. Patients with ultra-acute stroke (≤4 hours of onset) are randomised to transdermal GTN (5 mg/24 hours) or gauze dressing daily for 7 days. The primary outcome is systolic blood pressure at 2 hours. Secondary outcomes include feasibility, haemodynamics, dependency, and other functional outcomes. A nested qualitative study is included. Trial Status. The trial has all relevant ethics and regulatory approvals and recruitment started on February 15, 2010. The trial stopped recruitment in December 2011 after 41 patients were recruited. Trial Registration. The trial registration number is ISRCTN66434824 and EudraCT number is 2007-004766-40.

  16. Integrated Suit Test 1 - A Study to Evaluate Effects of Suit Weight, Pressure, and Kinematics on Human Performance during Lunar Ambulation

    Science.gov (United States)

    Gernhardt, Michael L.; Norcross, Jason; Vos, Jessica R.

    2008-01-01

    In an effort to design the next generation Lunar suit, NASA has initiated a series of tests aimed at understanding the human physiological and biomechanical affects of space suits under a variety of conditions. The first of these tests was the EVA Walkback Test (ICES 2007-01-3133). NASA-JSC assembled a multi-disciplinary team to conduct the second test of the series, titled Integrated Suit Test 1 (IST-1), from March 6 through July 24, 2007. Similar to the Walkback Test, this study was performed with the Mark III (MKIII) EVA Technology Demonstrator suit, a treadmill, and the Partial Gravity Simulator in the Space Vehicle Mock-Up Facility at Johnson Space Center. The data collected for IST-1 included metabolic rates, ground reaction forces, biomechanics, and subjective workload and controllability feedback on both suited and unsuited (shirt-sleeve) astronaut subjects. For IST-1 the center of gravity was controlled to a nearly perfect position while the weight, pressure and biomechanics (waist locked vs. unlocked) were varied individually to evaluate the effects of each on the ability to perform level (0 degree incline) ambulation in simulated Lunar gravity. The detailed test methodology and preliminary key findings of IST-1 are summarized in this report.

  17. Immediate Return to Ambulation and Improved Functional Capacity for Rehabilitation in Complex Regional Pain Syndrome following Early Implantation of a Spinal Cord Stimulation System

    Directory of Open Access Journals (Sweden)

    Brandon Jesse Goff

    2014-01-01

    Full Text Available Complex regional pain syndrome (CRPS is a neuropathic pain condition that is characterized by vasomotor, sensory, sudomotor, and motor symptoms. Spinal cord stimulation (SCS has been successfully utilized for the treatment of pain refractory to conventional therapies. We present a case of a previously highly functioning 54-year-old female who developed a rarely reported case of idiopathic CRPS of the right ankle which spontaneously occurred four months after an uncomplicated anterior cervical disc fusion. This condition resulted in severe pain and functional impairment that was unresponsive to pharmacological management. The patient’s rehabilitation was severely stymied by her excruciating pain. However, with the initiation of spinal cord stimulation, her pain was adequately controlled allowing for progression to full unassisted ambulation, advancing functional capacity, and improving quality of life. This case report supports the concept that rapid progression to neuromodulation, rather than delays that occur due to attempts at serial sympathetic blocks, may better control symptoms leading allowing for a more meaningful recovery.

  18. Immediate Return to Ambulation and Improved Functional Capacity for Rehabilitation in Complex Regional Pain Syndrome following Early Implantation of a Spinal Cord Stimulation System.

    Science.gov (United States)

    Goff, Brandon Jesse; Naber, Jeremy Wingseng; McCallin, John Patrick; Lopez, Edward Michael; Guthmiller, Kevin Brant; Lautenschlager, Karl Alan; Lai, Tristan Toll; Hommer, Dean Harry; Marin, Gonzalez Raul

    2014-01-01

    Complex regional pain syndrome (CRPS) is a neuropathic pain condition that is characterized by vasomotor, sensory, sudomotor, and motor symptoms. Spinal cord stimulation (SCS) has been successfully utilized for the treatment of pain refractory to conventional therapies. We present a case of a previously highly functioning 54-year-old female who developed a rarely reported case of idiopathic CRPS of the right ankle which spontaneously occurred four months after an uncomplicated anterior cervical disc fusion. This condition resulted in severe pain and functional impairment that was unresponsive to pharmacological management. The patient's rehabilitation was severely stymied by her excruciating pain. However, with the initiation of spinal cord stimulation, her pain was adequately controlled allowing for progression to full unassisted ambulation, advancing functional capacity, and improving quality of life. This case report supports the concept that rapid progression to neuromodulation, rather than delays that occur due to attempts at serial sympathetic blocks, may better control symptoms leading allowing for a more meaningful recovery. PMID:25525522

  19. Healthy Air Outdoors

    Science.gov (United States)

    ... lung.org > Our Initiatives > Healthy Air > Outdoor Healthy Air Outdoors The quality of the air we breathe ... families and can even shorten their lives. Outdoor Air Pollution and Health Outdoor air pollution continues to ...

  20. Application of trans-theoretical model of behavior in ambulation training of stroke hemiplegic patients%行为转变理论在脑卒中偏瘫患者步行训练中的应用

    Institute of Scientific and Technical Information of China (English)

    张艳; 陈剑苹; 蒋辛

    2015-01-01

    Objective To study the effect of trans-theoretical model of behavior on ambulation training in stroke hemiplegic patients. Methods Sixty hospitalized stroke hemiplegic patients from June to December 2013 were selected as control group. The control group was treated with routine nursing and ambulation training guidance. Sixty-two hospitalized stroke hemiplegia patients, from January 2014 to June 2014, were selected as intervention group. Patients in the intervention group received trans-theoretical model of behavior together with ambulation training guidance for 3 weeks and follow-up record for 6 months. Holden functional ambulation categories ( FAC ) and Bathel index were used to evaluate the effect of ambulation training . Result Trans-theoretical model of behavior training improved the walking function and activities of daily living in intervention group patients , compared with those of the control group. Conclusions Taking trans-theoretical model of behavior in walking training health education can improve the ambulation ability and ability of daily living of stroke hemiplegic patients. Therefore this theory can enhance the stroke hemiplegic patients′life quality.%目的:探讨行为转变理论在脑卒中偏瘫患者步行训练中的应用效果。方法将2013年6~12月在本院住院60例脑卒中偏瘫患者设为对照组,实施常规的护理及步行训练指导;将2014年1~6月在本院住院62例脑卒中偏瘫患者设为干预组,将行为转变理论应用于患者步行训练健康教育中,干预时间3周,随访时间6个月。采用Holden步行功能分级(functional ambulation categories, FAC)和Bathel指数对患者进行测评。结果训练后两组患者FAC测评结果和Bathel得分比较,差异均有统计学意义(P<0.05),干预组患者步行功能和日常活动能力均优于对照组。结论将行为转变理论应用于脑卒中偏瘫患者步行训练健康教育中,可提高患者步行能

  1. Royal Danish Air Force. Air Operations Doctrine

    DEFF Research Database (Denmark)

    Nørby, Søren

    This brief examines the development of the first Danish Air Force Air Operations Doctrine, which was officially commissioned in October 1997 and remained in effect until 2010. The development of a Danish air power doctrine was heavily influenced by the work of Colonel John Warden (USAF), both...... through his book ”The Air Campaign” and his subsequent planning of the air campaign against Iraq in 1990-1991. Warden’s ideas came to Denmark and the Danish Air Force by way of Danish Air Force students attending the United States Air Force Air University in Alabama, USA. Back in Denmark, graduates from...... the Air University inspired a small number of passionate airmen, who then wrote the Danish Air Operations Doctrine. The process was supported by the Air Force Tactical Command, which found that the work dovetailed perfectly with the transformation process that the Danish Air Force was in the midst...

  2. Air filtration and indoor air quality

    DEFF Research Database (Denmark)

    Bekö, Gabriel

    2006-01-01

    Demands for better indoor air quality are increasing, since we spend most of our time indoors and we are more and more aware of indoor air pollution. Field studies in different parts of the world have documented that high percentage of occupants in many offices and buildings find the indoor air...... decent ventilation and air cleaning/air filtration, high indoor air quality cannot be accomplished. The need for effective air filtration has increased with increasing evidence on the hazardous effects of fine particles. Moreover, the air contains gaseous pollutants, removal of which requires various air...... cleaning techniques. Supply air filter is one of the key components in the ventilation system. Studies have shown that used ventilation filters themselves can be a significant source of indoor air pollution with consequent impact on perceived air quality, sick building syndrome symptoms and performance...

  3. Robot-assisted gait training improves brachial–ankle pulse wave velocity and peak aerobic capacity in subacute stroke patients with totally dependent ambulation

    Science.gov (United States)

    Han, Eun Young; Im, Sang Hee; Kim, Bo Ryun; Seo, Min Ji; Kim, Myeong Ok

    2016-01-01

    Abstract Objective: Brachial–ankle pulse wave velocity (baPWV) evaluates arterial stiffness and also predicts early outcome in stroke patients. The objectives of this study were to investigate arterial stiffness of subacute nonfunctional ambulatory stroke patients and to compare the effects of robot-assisted gait therapy (RAGT) combined with rehabilitation therapy (RT) on arterial stiffness and functional recovery with those of RT alone. Method: The RAGT group (N = 30) received 30 minutes of robot-assisted gait therapy and 30 minutes of conventional RT, and the control group (N = 26) received 60 minutes of RT, 5 times a week for 4 weeks. baPWV was measured and calculated using an automated device. The patients also performed a symptom-limited graded exercise stress test using a bicycle ergometer, and parameters of cardiopulmonary fitness were recorded. Clinical outcome measures were categorized into 4 categories: activities of daily living, balance, ambulatory function, and paretic leg motor function and were evaluated before and after the 4-week intervention. Results: Both groups exhibited significant functional recovery in all clinical outcome measures after the 4-week intervention. However, peak aerobic capacity, peak heart rate, exercise tolerance test duration, and baPWV improved only in the RAGT group, and the improvements in baPWV and peak aerobic capacity were more noticeable in the RAGT group than in the control group. Conclusion: Robot-assisted gait therapy combined with conventional rehabilitation therapy represents an effective method for reversing arterial stiffness and improving peak aerobic capacity in subacute stroke patients with totally dependent ambulation. However, further large-scale studies with longer term follow-up periods are warranted to measure the effects of RAGT on secondary prevention after stroke. PMID:27741123

  4. The Intelligence PID Control of the Ambulation Track of the Robot%机械人移动轨迹的智能PID控制

    Institute of Scientific and Technical Information of China (English)

    周巨青

    2014-01-01

    过程控制系统广泛的采用PID控制,它的系统直接关系到生产过程的平稳和产品的最终质量,因而其优化设计十分重要。常规PID控制得到了广泛的应用,但是不难满足高精度要求。智能PID控制吸取了智能控制和常规PID控制的优点,能够满足很多场合的高精度的要求。用于机械人移动控制取得了很好的效果。采用神经网络,可实现对机器人动力学方程中未知部分的精确逼近,从而实现无需建模的控制。%PID control is widely used in proces control systems. The performance of the controllers is dirrectly related to the sta⁃bility of the processes and the quality of product, so it is very valuable for their optimai design.The normal regulations PID con⁃trol have already been applied extensively,but can't satisfy a high accuracy request.The intelligence PID control absorb the advan⁃tage of the intelligence control and the normal regulations PID control,can satisfy the request of the high accuracy of a lot of situa⁃tions.Used for the robot ambulation control obtained good result.Adopt the nerve network, can carry out to approach to the pre⁃cision that didn't know part, carried out and don't need a control of set up the mold thus.

  5. AirData

    Data.gov (United States)

    U.S. Environmental Protection Agency — The AirData site provides access to yearly summaries of United States air pollution data, taken from EPA's air pollution databases. AirData has information about...

  6. R9 Air Districts

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Region 9 Air Districts layer is a compilation of polygons representing the California Air Pollution Control and Air Quality Management Districts, Arizona Air...

  7. Hazardous Air Pollutants

    Science.gov (United States)

    ... Facebook Twitter Google+ Pinterest Contact Us Hazardous Air Pollutants Hazardous air pollutants are those known to cause ... protect against adverse environmental effects. About Hazardous Air Pollutants What are hazardous air pollutants? Health and Environmental ...

  8. California Air Basins

    Data.gov (United States)

    California Department of Resources — Air ResourcesCalifornia Air Resources BoardThe following datasets are from the California Air Resources Board: * arb_california_airbasins - California Air BasinsThe...

  9. An observational study of hand hygiene in 120 ambulance service%“120”救护车手卫生相关状况的观察研究

    Institute of Scientific and Technical Information of China (English)

    杨珊; 王丽媛; 刘茜; 臧渝梨

    2014-01-01

    Objective To investigate into hand hygiene facilities and worker's practice of hand hygiene during 120 ambulance services in a capital city.Methods With the standard Observation Form publicized by the World Health Organization,field observation was carried out to monitor hand hygiene facilities and the practice of hand hygiene in workers during ambulance services provided by four service centers.Results A total of seven ambulances and 80 times of services were observed across a span of 21 days.The provision and position of hand hygiene facilities were found very limited in these ambulances.Of 656 times of presence of indictors for hand hygiene,the overall compliance rate was 3.04% reflecting the practice of hand hygiene in ambulance workers.The compliance rate was found to be 0 (0/291),1.96% (1/51),13.64% (3/22),5.21% (16/307) and 0(0/2) before touching patients,after body fluids exposure risk,before clean/aseptic procedures and after touching patients' surroundings respectively.Conclusions Poor practice of hand hygiene which was revealed in 120 ambulance services suggests the great need for education and training to improve patient safety and occupational health.%目的 深入了解某省会城市“120”救护车的手卫生设施及出诊工作者的手卫生执行情况.方法 采用世界卫生组织标准监督观察表,跟车对某省会城市4所急救分中心“120”救护车的手卫生设施及出车工作者的手卫生行为进行现场观察.结果 21 d观察7辆救护车80次出诊发现,救护车手卫生设施配置与摆放有限;出现手卫生机会656次,总体依从性3.04%,接触患者前、清洁无菌操作前、可能接触患者体液后、接触患者后及接触患者周围环境后的依从性分别为0(0/291)、1.96%(1/51)、13.64%(3/22)、5.21%(16/307)、0(0/2).结论 “120”院前急救手卫生状况不容乐观,亟待加强培训,促进患者安全和职业防护.

  10. Medicare, Medicaid, and Children's Health Insurance Programs: Announcement of the Provider Enrollment Moratoria Access Waiver Demonstration of Part B Non-Emergency Ground Ambulance Suppliers and Home Health Agencies in Moratoria-Designated Geographic Locations. Implementation of the waiver demonstration.

    Science.gov (United States)

    2016-08-01

    This notice announces the Provider Enrollment Moratoria Access Waiver Demonstration of Part B Non-Emergency Ground Ambulance Suppliers and Home Health Agencies in 6 states. The demonstration is being implemented in accordance with section 402 of the Social Security Amendments of 1967 and gives CMS the authority to grant waivers to the statewide enrollment moratoria on a case-by-case basis in response to access to care issues, and to subject providers and suppliers enrolling via such waivers to heightened screening, oversight, and investigations. PMID:27487580

  11. Air movement and perceived air quality

    DEFF Research Database (Denmark)

    Melikov, Arsen Krikor; Kaczmarczyk, J.

    2012-01-01

    The impact of air movement on perceived air quality (PAQ) and sick building syndrome (SBS) symptoms was studied. In total, 124 human subjects participated in four series of experiments performed in climate chambers at different combinations of room air temperature (20, 23, 26 and 28 °C), relative...... humidity (30, 40 and 70%) and pollution level (low and high). Most of the experiments were performed with and without facially applied airflow at elevated velocity. The importance of the use of recirculated room air and clean, cool and dry outdoor air was studied. The exposures ranged from 60. min to 235....... min. Acceptability of PAQ and freshness of the air improved when air movement was applied. The elevated air movement diminished the negative impact of increased air temperature, relative humidity and pollution level on PAQ. The degree of improvement depended on the pollution level, the temperature...

  12. Ambulation and spinal cord injury.

    Science.gov (United States)

    Hardin, Elizabeth C; Kobetic, Rudi; Triolo, Ronald J

    2013-05-01

    Walking is possible for many patients with a spinal cord injury. Avenues enabling walking include braces, robotics and FES. Among the benefits are improved musculoskeletal and mental health, however unrealistic expectations may lead to negative changes in quality of life. Use rigorous assessment standards to gauge the improvement of walking during the rehabilitation process, but also yearly. Continued walking after discharge may be limited by challenges, such as lack of accessibility in and outside the home, and complications, such as shoulder pain or injuries from falls. It is critical to determine the risks and benefits of walking for each patient.

  13. Indoor Air Quality

    Science.gov (United States)

    ... protect yourself and your family. Learn more Air Quality at Work Workers should breathe easy while on the job, but worksites with poor air quality put employees at risk. Healthy air is essential ...

  14. Air protection. Ochrana ovzdusia

    Energy Technology Data Exchange (ETDEWEB)

    Siska, F.

    1980-01-01

    This paper discusses problems of air pollution control, air pollution abatement and effects of air pollution. Air pollution caused by black and brown coal combustion, by fossil-fuel power plants and by coking plants is evaluated. Air pollution by dusts, sulfur oxides, nitrogen oxides, carbon monoxide, ammonia as well arsenic, barium, beryllium, boron, chromium, gallium, cobalt, manganese, copper, nickel, lead, plutonium, titanium and vanadium, which sometimes accompany ashes in coal, is analyzed. Methods of air pollution abatement such as fluidized bed combustion, coal preparation, desulfurization or dry coke quenching are described. Systems for air pollution control are presented: air filtration, cyclones, electrostatic precipitators. Systems of air pollution measurement and recording are evaluated. Propagation of air pollutants in the atmosphere as well as the factors which influence pollutant propagation are characterized. Problems associated with site selection for fossil-fuel power plants are also discussed. An analysis of economic aspects of air pollution abatement and air pollution control is made. (55 refs.)

  15. HEPA air filter (image)

    Science.gov (United States)

    ... pet dander and other irritating allergens from the air. Along with other methods to reduce allergens, such ... controlling the amount of allergens circulating in the air. HEPA filters can be found in most air ...

  16. Bad Air Day

    Science.gov (United States)

    ... link, please review our exit disclaimer . Subscribe Bad Air Day Air Quality and Your Health In many parts of the country, summer has the worst air quality of any season. When the forecast says ...

  17. Effects of weight relieving ambulator on walking function of hemiplegic patients with cerebral stroke%减重步态机器人对脑卒中偏瘫患者步行功能的影响

    Institute of Scientific and Technical Information of China (English)

    程明; 崔微; 王雪梅; 余茜

    2013-01-01

    目的 研究步态机器人训练对脑卒中偏瘫患者运动功能的影响.方法 将50例偏瘫患者分为2组,综合康复组行常规康复及减重步态机器人治疗,普通康复组行单纯康复治疗,疗程均为一个月,采用Carr-Shepherd运动功能评定(MAS)中的步行评定法对两组步行能力及临床疗效进行评定并且比较.结果 综合康复组患者步行能力较普通康复组改善明显,总有效率明显高于普通康复组(P<0.05).结论 减重步态机器人对偏瘫患者的恢复步行能力及改善异常步态有积极的作用.%Objective To study the effects of weight relieving ambulator on walking function of hemiplegic patients suffered from cerebral stroke. Methods Fifty hemiplegic patients were randomly divided into two groups: the comprehensive rehabilitation group and the general rehabilitation group. The comprehensive rehabilitation group was treated in the conventional method combined with weight relieving ambulator, while the general rehabilitation group was treated with the conventional method only. The period of treatment was one month. After treatment, the Carr-Shepherd assessment of motor function ( MAS ) was used to compare the walking function between the two groups. Results Patients of the comprehensive rehabilitation group had more improvements in walking ability than those of the general rehabilitation group did. Conclusion It is concluded that the weight relieving ambulator has a positive effect on the improvement of walking ability and abnormal gait of hemiplegic patients.

  18. Evaluation of the effects of botulinum toxin A injections when used to improve ease of care and comfort in children with cerebral palsy whom are non-ambulant: a double blind randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Thorley Megan

    2012-08-01

    Full Text Available Abstract Background Children with cerebral palsy (CP whom are non-ambulant are at risk of reduced quality of life and poor health status. Severe spasticity leads to discomfort and pain. Carer burden for families is significant. This study aims to determine whether intramuscular injections of botulinum toxin A (BoNT-A combined with a regime of standard therapy has a positive effect on care and comfort for children with CP whom are non-ambulant (GMFCS IV/V, compared with standard therapy alone (cycle I, and whether repeated injections with the same regime of adjunctive therapy results in greater benefits compared with a single injecting episode (cycle II. The regime of therapy will include serial casting, splinting and/or provision of orthoses, as indicated, combined with four sessions of goal directed occupational therapy or physiotherapy. Method/design This study is a double blind randomized controlled trial. Forty participants will be recruited. In cycle I, participants will be randomized to either a treatment group who will receive BoNT-A injections into selected upper and/or lower limb muscles, or a control group who will undergo sham injections. Both groups will receive occupational therapy and /or physiotherapy following injections. Groups will be assessed at baseline then compared at 4 and 16 weeks following injections or sham control. Parents, treating clinicians and assessors will be masked to group allocation. In cycle II, all participants will undergo intramuscular BoNT-A injections to selected upper and/or lower limb muscles, followed by therapy. The primary outcome measure will be change in parent ratings in identified areas of concern for their child’s care and comfort, using the Canadian Occupational Performance Measure (COPM. Secondary measures will include the Care and Comfort Hypertonicity Scale (ease of care, the Cerebral Palsy Quality of Life Questionnaire (CP QoL–Child (quality of life, the Caregiver Priorities and Child

  19. Direct ambulance transport to catheterization laboratory reduces door-to-balloon time in patients with acute ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention: the DIRECT-STEMI study

    Institute of Scientific and Technical Information of China (English)

    QIU Jian-ping; ZHANG Qi; LU Ji-de; WANG Hai-rong; LIN Jie; GE Zhi-ru; ZHANG Rui-yan; SHEN Wei-feng

    2011-01-01

    Background Primary percutaneous coronary intervention (PCI) has been clearly identified as the first therapeutic option for patients with acute ST-segment elevation myocardial infarction (STEMI). The importance of reducing door-to-balloon (D2B) time has gained increased recognition. This study aimed to assess the feasibility, safety and efficacy of the strategy of direct ambulance transportation of patients with acute STEMI to catheterization lab to receive primary PCI.Methods The study population included 141 consecutive patients with chest pain and ST-segment elevation who were admitted to the catheterization laboratory directly by the ambulance and underwent primary PCI (DIRECT group).Another 145 patients with STEMI randomly selected from the PCI database, were served as control group (conventional group); they were transported to catheterization laboratory from emergency room (ER). The primary endpoint of D2B time,and secondary endpoint of in-hospital and 30-day major adverse cardiac events (MACE, including death, non-fatal reinfarction, and target vessel revascularization) were compared.Results Baseline and procedural characteristics between the two groups were comparable, except more patients in the DIRECT group presented TIMI 0-1 flow in culprit vessel at initial angiogram (80.1% and 73.8%, P=0.04). Comparing to conventional group, the primary endpoint of D2B time was reduced ((54±18) minutes and (112±55) minutes, P <0.0001)and the percentage of patients with D2B <90 minutes was increased in the DIRECT group (96.9% and 27.0%, P<0.0001).The success rate of primary PCI with stent implantation with final Thrombolysis in Myocardial Infarction (TIMI) 3 flow was significantly higher in the DIRECT group (93.8% and 85.2%, P=0.03). Although no significant difference was found at 30-day MACE free survival rate between the two groups (95.0% and 89.0%, P=0.06), a trend in improving survival status in the DIRECT group was demonstrated by Kaplan-Meier analysis

  20. REACH. Air Conditioning Units.

    Science.gov (United States)

    Garrison, Joe; And Others

    As a part of the REACH (Refrigeration, Electro-Mechanical, Air-Conditioning, Heating) electromechanical cluster, this student manual contains individualized instructional units in the area of air conditioning. The instructional units focus on air conditioning fundamentals, window air conditioning, system and installation, troubleshooting and…

  1. Indoor Air Pollution (Environmental Health Student Portal)

    Science.gov (United States)

    ... Students to Environmental Health Information Menu Home Air Pollution Air Pollution Home Indoor Air Pollution Outdoor Air Pollution ... Pollution Indoor Air Pollution Print this Page Air Pollution Air Pollution Home Indoor Air Pollution Outdoor Air Pollution ...

  2. ST-segment resolution with bivalirudin versus heparin and routine glycoprotein IIb/IIIa inhibitors started in the ambulance in ST-segment elevation myocardial infarction patients transported for primary percutaneous coronary intervention

    DEFF Research Database (Denmark)

    Van't Hof, Arnoud; Giannini, Francesco; Ten Berg, Jurrien;

    2015-01-01

    BACKGROUND: Myocardial reperfusion after primary percutaneous coronary intervention (PCI) can be assessed by the extent of post-procedural ST-segment resolution. The European Ambulance Acute Coronary Syndrome Angiography (EUROMAX) trial compared pre-hospital bivalirudin and pre-hospital heparin...... with electrocardiographic data available in 824 patients (95%). Residual ST-segment deviation one hour after PCI was 3.8±4.9 mm versus 3.9±5.2 mm for bivalirudin and heparin+GPI, respectively (p=0.0019 for non-inferiority). Overall, there were no differences between randomized treatments in any measures of ST......-segment resolution either before or after the index procedure. CONCLUSIONS: Pre-hospital treatment with bivalirudin is non-inferior to pre-hospital heparin + GPI with regard to residual ST-segment deviation or ST-segment resolution, reflecting comparable myocardial reperfusion with the two strategies....

  3. Characteristics analysis of pneumatic artificial muscle isolation system of vehicle-mounted stretcher on ambulance%救护车载 PAM担架缓冲系统特性分析

    Institute of Scientific and Technical Information of China (English)

    孙大刚; 高蓬; 宋勇; 梁培根; 沈毅

    2015-01-01

    Based on the analysis of the vibration isolation system of ambulance stretcher and the study on its dynamic model,a new buffer system of stretcher based on pneumatic artificial muscle was proposed.Then a vehicle-stretcher-human vibration model was built up,and a semi-active neural network PID controller for stretcher vibration control based on pneumatic artificial muscle was designed.The vibration isolation system performances were simulated by using the Simulation software,and the simulation results were analysed.The results show that compared with traditional system,the pneumatic artificial muscle buffer system using neural network PID control has more obvious isolation effect on stretcher and patient vibration,indicating the feasibility of using pneumatic artificial muscle in buffer system of ambulance stretcher.%经对救护车担架隔振系统及动力学模型研究分析,提出气动人工肌肉(PAM)救护车担架隔振系统。建立车体-担架-分段人体振动模型,设计基于该系统的半主动神经网络 PID 控制器,并用 Simulink 对隔振系统进行性能仿真分析。仿真结果表明,与被动系统相比,采用神经网络 PID 控制的气动人工肌肉隔振系统对担架及人体有明显隔振效果,气动人工肌肉用于救护车担架隔振系统具有可行性。

  4. Connectable solar air collectors

    Energy Technology Data Exchange (ETDEWEB)

    Oestergaard Jensen, S.; Bosanac, M.

    2002-02-01

    The project has proved that it is possible to manufacture solar air collector panels, which in an easy way can be connected into large collector arrays with integrated ducting without loss of efficiency. The developed connectable solar air collectors are based on the use of matrix absorbers in the form of perforated metal sheets. Three interconnected solar air collectors of the above type - each with an transparent area of approx. 3 m{sup 2} - was tested and compared with parallel tests on two single solar air collectors also with a transparent area of approx. 3 m{sup 2} One of the single solar air collectors has an identical absorber as the connectable solar air collectors while the absorber of the other single solar air collector was a fibre cloth. The efficiency of the three solar air collectors proved to be almost identical in the investigated range of mass flow rates and temperature differences. The solar air collectors further proved to be very efficient - as efficient as the second most efficient solar air collectors tested in the IEA task 19 project Solar Air Systems. Some problems remain although to be solved: the pressure drop across especially the connectable solar air collectors is too high - mainly across the inlets of the solar air collectors. It should, however, be possible to considerably reduce the pressure losses with a more aerodynamic design of the inlet and outlet of the solar air collectors; The connectable solar air collectors are easy connectable but the air tightness of the connections in the present form is not good enough. As leakage leads to lower efficiencies focus should be put on making the connections more air tight without loosing the easiness in connecting the solar air collectors. As a spin off of the project a simple and easy way to determine the efficiency of solar, air collectors for pre-heating of fresh air has been validated. The simple method of determining the efficiency has with success been compared with an advance method

  5. Air Quality Facilities

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — Facilities with operating permits for Title V of the Federal Clean Air Act, as well as facilities required to submit an air emissions inventory, and other...

  6. Airing It Out.

    Science.gov (United States)

    Fitzemeyer, Ted

    2000-01-01

    Discusses how proper maintenance can help schools eliminate sources contributing to poor air quality. Maintaining heating and air conditioning units, investigating bacterial breeding grounds, fixing leaking boilers, and adhering to ventilation codes and standards are discussed. (GR)

  7. AirCompare

    Data.gov (United States)

    U.S. Environmental Protection Agency — AirCompare contains air quality information that allows a user to compare conditions in different localities over time and compare conditions in the same location...

  8. Allegheny County Air Quality

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Air quality data from Allegheny County Health Department monitors throughout the county. Air quality monitored data must be verified by qualified individuals...

  9. Air Quality System (AQS)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Air Quality System (AQS) database contains measurements of air pollutant concentrations from throughout the United States and its territories. The measurements...

  10. Indoor air quality

    DEFF Research Database (Denmark)

    Jensen, Trine Susanne; Recevska, Ieva

     The objective of the 35th specific agreement is to provide support to the EEA activities in Environment and Health (E&H) on the topic of indoor air quality. The specific objectives have been to provide an overview of indoor air related projects in EU and indoor air related policies as well...... as idenfiying "good practices" to reduce health impact of indoor air exposure and suggest areas for future improvements....

  11. Air Pollution Training Programs.

    Science.gov (United States)

    Public Health Service (DHEW), Rockville, MD.

    This catalog lists the universities, both supported and not supported by the Division of Air Pollution, which offer graduate programs in the field of air pollution. The catalog briefly describes the programs and their entrance requirements, the requirements, qualifications and terms of special fellowships offered by the Division of Air Pollution.…

  12. Indoor Air Pollution

    Science.gov (United States)

    We usually think of air pollution as being outdoors, but the air in your house or office could also be polluted. Sources of indoor pollution ... is known as sick building syndrome. Usually indoor air quality problems only cause discomfort. Most people feel ...

  13. Indoor Air Quality Manual.

    Science.gov (United States)

    Baldwin Union Free School District, NY.

    This manual identifies ways to improve a school's indoor air quality (IAQ) and discusses practical actions that can be carried out by school staff in managing air quality. The manual includes discussions of the many sources contributing to school indoor air pollution and the preventive planning for each including renovation and repair work,…

  14. We Pollute the Air

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    1.Clean air is important to good health.If the aircontains impurities,they may be absorbed by ourbodies and make us ill.We need clean air,butunfortunately,air pollution is generally present,especially in cities. 2.Our cities have many factories,which we need tomake food products,clothing and many other things.

  15. Air Travel Health Tips

    Science.gov (United States)

    MENU Return to Web version Air Travel Health Tips Air Travel Health Tips How can I improve plane travel? Most people don't have any problems when ... and dosages of all of your medicines. The air in airplanes is dry, so drink nonalcoholic, decaffeinated ...

  16. Air Conditioning Does Reduce Air Pollution Indoors

    Science.gov (United States)

    Healy, Bud

    1970-01-01

    Report of the winter meeting of the American Society of Heating, Refrigerating and Air-Conditioning Engineers. Subjects covered are--(1) title subject, (2) predictions for the human habitat in 1994, (3) fans, and (4) fire safety in buildings. (JW)

  17. Advanced air distribution

    DEFF Research Database (Denmark)

    Melikov, Arsen Krikor

    2011-01-01

    The aim of total volume air distribution (TVAD) involves achieving uniform temperature and velocity in the occupied zone and environment designed for an average occupant. The supply of large amounts of clean and cool air are needed to maintain temperature and pollution concentration at acceptable....... Ventilation in hospitals is essential to decrease the risk of airborne cross-infection. At present, mixing air distribution at a minimum of 12 ach is used in infection wards. Advanced air distribution has the potential to aid in achieving healthy, comfortable and productive indoor environments at levels...... higher than what can be achieved today with the commonly used total volume air distribution principles....

  18. Released air during vapor and air cavitation

    Science.gov (United States)

    Jablonská, Jana; Kozubková, Milada

    2016-06-01

    Cavitation today is a very important problem that is solved by means of experimental and mathematical methods. The article deals with the generation of cavitation in convergent divergent nozzle of rectangular cross section. Measurement of pressure, flow rate, temperature, amount of dissolved air in the liquid and visualization of cavitation area using high-speed camera was performed for different flow rates. The measurement results were generalized by dimensionless analysis, which allows easy detection of cavitation in the nozzle. For numerical simulation the multiphase mathematical model of cavitation consisting of water and vapor was created. During verification the disagreement with the measurements for higher flow rates was proved, therefore the model was extended to multiphase mathematical model (water, vapor and air), due to release of dissolved air. For the mathematical modeling the multiphase turbulence RNG k-ɛ model for low Reynolds number flow with vapor and air cavitation was used. Subsequently the sizes of the cavitation area were verified. In article the inlet pressure and loss coefficient depending on the amount of air added to the mathematical model are evaluated. On the basis of the approach it may be create a methodology to estimate the amount of released air added at the inlet to the modeled area.

  19. Air Conditioner/Dehumidifier

    Science.gov (United States)

    1986-01-01

    An ordinary air conditioner in a very humid environment must overcool the room air, then reheat it. Mr. Dinh, a former STAC associate, devised a heat pipe based humidifier under a NASA Contract. The system used heat pipes to precool the air; the air conditioner's cooling coil removes heat and humidity, then the heat pipes restore the overcooled air to a comfortable temperature. The heat pipes use no energy, and typical savings are from 15-20%. The Dinh Company also manufactures a "Z" coil, a retrofit cooling coil which may be installed on an existing heater/air conditioner. It will also provide free hot water. The company has also developed a photovoltaic air conditioner and solar powered water pump.

  20. Manual for THOR-AirPAS - air pollution assessment system

    DEFF Research Database (Denmark)

    Jensen, Steen Solvang; Ketzel, Matthias; Brandt, Jørgen;

    The report provides an outline of the THOR-AirPAS - air pollution assessment system and a brief manual for getting started with the air quality models and input data included in THOR-AirPAS.......The report provides an outline of the THOR-AirPAS - air pollution assessment system and a brief manual for getting started with the air quality models and input data included in THOR-AirPAS....

  1. Relations of compassion fatigue to occupational stress and job burnout in ambulance nurses%院前急救护士共情疲劳与职业应激、职业倦怠关系研究

    Institute of Scientific and Technical Information of China (English)

    魏华; 黄敬堂; 申培红

    2016-01-01

    Objective To explore the relationship of compassion fatigue and occupational stress and job burnout in ambulance nurses.Methods By stratified cluster random sampling method, a total of 380 ambulance nurses from 5 cities in Henan Province were selected as objects, and 261 emergency nurses from the same hospital were selected as control.A assessment survey was performed using the Chinese version of Professional Quality of Life, the Maslach Burnout Inventory ( MBI) , and the Chinese Nursing Stressor Scale ( NSS) which included the stressor related to working expectation ( factor 1), the stressor related to family (factor 2), the stressor related to interpersonal relationships (factor 3), the stressor related to job specification (factor 4), related to patients (factor 5), and to the working load (factor 6).Results The ambulance nurses had higher compassion fatigue scores than the emergency nurses ( P <0.01 ) .One-way analysis of variance showed that the ambulance nurses with length of service less than 3.0 years had higher compassion fatigue scores than those with 3.0 or more years and those with over 10.0 years of service length ( P<0.05 ) .The compassion fatigue scores of general nurses were higher than those professional titled as senior nurses and nurse supervisors or above ( P<0.05).The correlation analysis showed that the compassion fatigue scores of ambulance nurse were positively correlated with the factor 2, 3, 4, 5 and 6 of NSS scores and MBI scores [the correlation coefficients (r) were 0.15, 0.28, 0.25, 0.34, 0.32 and 0.36, P<0.05].The MBI scores were positively correlated with all the 6 factors of NSS (r were 0.31, 0.25, 0.36, 0.32, 0.37 and 0.31, respectively, P<0.05).The multiple linear regression analysis results showed that the regression correlations among MBI score, NSS factor 5 score, interaction effect of MBI and NSS factor 5 and the compassion fatigue score were confirmed (the standardized partial regression coefficient were 0.39, 0.24 and 0

  2. Air filtration in HVAC systems

    CERN Document Server

    Ginestet, Alain; Tronville, Paolo; Hyttinen, Marko

    2010-01-01

    Air filtration Guidebook will help the designer and user to understand the background and criteria for air filtration, how to select air filters and avoid problems associated with hygienic and other conditions at operation of air filters. The selection of air filters is based on external conditions such as levels of existing pollutants, indoor air quality and energy efficiency requirements.

  3. Health Effects of Air Pollution

    Science.gov (United States)

    ... air pollution How to protect yourself from air pollution Chemicals Noise Quizzes Links to more information girlshealth glossary girlshealth.gov home http://www.girlshealth.gov/ Home The environment and your health Air Health effects of air pollution ... Health effects of air pollution Breathing air that ...

  4. Support and Assessment for Fall Emergency Referrals (SAFER 1) trial protocol. Computerised on-scene decision support for emergency ambulance staff to assess and plan care for older people who have fallen: evaluation of costs and benefits using a pragmatic cluster randomised trial

    OpenAIRE

    Roberts Stephen; Phillips Judith; Phillips Ceri; Peconi Julie; Merali Yasmin; Mason Suzanne; Lyons Ronan; Humphreys Ioan; Gaze Sarah; Dale Jeremy; Close Jacqueline; Cheung Wai-Yee; Snooks Helen; Russell Ian; Sánchez Antonio

    2010-01-01

    Abstract Background Many emergency ambulance calls are for older people who have fallen. As half of them are left at home, a community-based response may often be more appropriate than hospital attendance. The SAFER 1 trial will assess the costs and benefits of a new healthcare technology - hand-held computers with computerised clinical decision support (CCDS) software - to help paramedics decide who needs hospital attendance, and who can be safely left at home with referral to community fall...

  5. Indonesia's Clean Air Program

    OpenAIRE

    Budy P. Resosudarmo

    2002-01-01

    Unprecedented industrial development in Indonesia during the last two decades, accompanied by a growing population, has increased the amount of environmental damage. One of the most important environmental problems is that the level of air pollution in several large cities has become alarming, particularly in the last few years. This high pollution level has stimulated the government to develop a national clean air program designed to control the quantity of pollutants in the air. However, th...

  6. Air Quality in Lithuania

    Energy Technology Data Exchange (ETDEWEB)

    Pietilae, P. [Tampere University of Technology / ECAT-Lithuania (Lithuania); Kliucininkas, L. [Department for Environmental Engineering, Kaunas University of Technology (Lithuania)

    2000-07-01

    Sustainable monitoring of the ambient air is the major preventive measure of ensuring its proper quality. Only with a monitoring procedure going-on a continuous basis it is possible to make an objective evaluation of air pollution trends, of the efficiency of air protection measures and, partially, to a certain extent of the impact the pollution exerts on a human health. The information stemming from the monitoring procedure must be reliable, sustainable and efficient. (orig.)

  7. Olefin metathesis in air.

    Science.gov (United States)

    Piola, Lorenzo; Nahra, Fady; Nolan, Steven P

    2015-01-01

    Since the discovery and now widespread use of olefin metathesis, the evolution of metathesis catalysts towards air stability has become an area of significant interest. In this fascinating area of study, beginning with early systems making use of high oxidation state early transition metal centers that required strict exclusion of water and air, advances have been made to render catalysts more stable and yet more functional group tolerant. This review summarizes the major developments concerning catalytic systems directed towards water and air tolerance.

  8. Bad traffic, bad air

    OpenAIRE

    Duca, Edward

    2012-01-01

    Air pollution is one of Malta’s greatest concerns. Transportation is the principal source with over 300,000 vehicles belching out smoke, which damages our environment and health. Emissions from vehicles need to be monitored and controlled, and the information used to improve the current system and ensure an acceptable air quality. By using the pollution data set, Nicolette Formosa (supervised by Dr Kenneth Scerri) mapped the air pollution levels and major sources around Malta. http://www....

  9. 走近Air

    Institute of Scientific and Technical Information of China (English)

    马华

    2007-01-01

    @@ 大家对air这个单词并不陌生,它通常用作名词,表示"空气".例如: 1.Better let in fresh air. 最好让新鲜空气进来. 2.The air smells of paint. 空气里散发着油漆味. 3.The air was heavy with perfume of the flowers. 空气里弥漫着花朵的芳香.

  10. Applications Using AIRS Data

    Science.gov (United States)

    Ray, S. E.; Pagano, T. S.; Fetzer, E. J.; Lambrigtsen, B.; Olsen, E. T.; Teixeira, J.; Licata, S. J.; Hall, J. R.; Thompson, C. K.

    2015-12-01

    The Atmospheric Infrared Sounder (AIRS) on NASA's Aqua spacecraft has been returning daily global observations of Earth's atmospheric constituents and properties since 2002. With a 12-year data record and daily, global observations in near real-time, AIRS data can play a role in applications that fall under many of the NASA Applied Sciences focus areas. For vector-borne disease, research is underway using AIRS near surface retrievals to assess outbreak risk, mosquito incubation periods and epidemic potential for dengue fever, malaria, and West Nile virus. For drought applications, AIRS temperature and humidity data are being used in the development of new drought indicators and improvement in the understanding of drought development. For volcanic hazards, new algorithms using AIRS data are in development to improve the reporting of sulfur dioxide concentration, the burden and height of volcanic ash and dust, all of which pose a safety threat to aircraft. In addition, anomaly maps of many of AIRS standard products are being produced to help highlight "hot spots" and illustrate trends. To distribute it's applications imagery, AIRS is leveraging existing NASA data frameworks and organizations to facilitate archiving, distribution and participation in the BEDI. This poster will communicate the status of the applications effort for the AIRS Project and provide examples of new maps designed to best communicate the AIRS data.

  11. Effect of High-Dose Vitamin D3 Intake on Ambulation, Muscular Pain and Bone Mineral Density in a Woman with Multiple Sclerosis: A 10-Year Longitudinal Case Report

    Directory of Open Access Journals (Sweden)

    François Feron

    2012-10-01

    Full Text Available Mounting evidence correlate vitamin D3 (cholecalciferol supplementation or higher serum levels of vitamin D (25(OHD with a lower risk of developing multiple sclerosis (MS, reduced relapse rate, slower progression or fewer new brain lesions. We present here the case of a woman who was diagnosed with MS in 1990. From 1980 to 2000, her ability to walk decreased from ~20 to 1 km per day. Since January 2001, a vitamin D3 supplement was ingested daily. The starting dose was 20 mcg (800 IU/day and escalated to 100 mcg (4000 IU/day in September 2004 and then to 150 mcg (6000 IU/day in December 2005. Vitamin D3 intake reduced muscular pain and improved ambulation from 1 (February 2000 to 14 km/day (February 2008. Vitamin D intake over 10 years caused no adverse effects: no hypercalcaemia, nephrolithiasis or hypercalciuria were observed. Bowel problems in MS may need to be addressed as they can cause malabsorption including calcium, which may increase serum PTH and 1,25(OH2D levels, as well as bone loss. We suggest that periodic assessment of vitamin D3, calcium and magnesium intake, bowel problems and the measurement of serum 25(OHD, PTH, Ca levels, UCa/Cr and bone health become part of the integral management of persons with MS.

  12. Restoran Buenos Aires = Restaurant Buenos Aires

    Index Scriptorium Estoniae

    2008-01-01

    Restorani Buenos Aires (Narva mnt. 5, Tallinn) sisekujundusest. Sisearhitektid: Janno Roos ja Andres Labi (Ruumilabor OÜ). Laudu eraldavad 400 vardasse aetud puukuuli. Sisearhitektidest, nende tähtsamad tööd. I-III korruse plaan, 12 värv. vaadet, fotod sisearhitektidest

  13. Over the air test

    DEFF Research Database (Denmark)

    2015-01-01

    [1] This invention relates to over-the-air testing of a device in an anechoic chamber. In particular, the invention is suitable for simulating both uplink and downlink over-the-air communication with a device under test even when the anechoic chamber has different numbers of uplink and downlink...

  14. Energy and air quality

    International Nuclear Information System (INIS)

    This is one of a series of handbooks designed to provide nontechnical readers with a general understanding of the interaction between energy development and environmental media and to provide a rudimentary data base from which estimates of potential future impacts can be made. This handbook describes the air quality impacts of energy development and summarizes the major federal legislation which regulates the potential air quality impacts of energy facilities and can thus influence the locations and timing of energy development. In addition, this report describes and presents the data which can be used as the basis for measurement, and in some cases, prediction of the potential conflicts between energy development and achieving and maintaining clean air. Energy utilization is the largest emission source of man-made air pollutants. Choices in energy resource development and utilization generate varying emissions or discharges into the atmosphere, the emissions are affected by the assimilative character of the atmosphere, and the resultant air pollutant concentrations have biological and aesthetic effects. This handbook describes the interrelationships of energy-related air emissions under various methods of pollution control, the assimilative character of the air medium, and the effects of air pollution. The media book is divided into three major sections: topics of concern relating to the media and energy development, descriptions of how to use available data to quantify and examine energy/environmental impacts, and the data

  15. Air Pollution, Teachers' Edition.

    Science.gov (United States)

    Lavaroni, Charles W.; O'Donnell, Patrick A.

    One of three in a series about pollution, this teacher's guide for a unit on air pollution is designed for use in junior high school grades. It offers suggestions for extending the information and activities contained in the textual material for students. Chapter 1 discusses the problem of air pollution and involves students in processes of…

  16. Air Pollution and Industry.

    Science.gov (United States)

    Ross, R. D., Ed.

    This book is an authoritative reference and practical guide designed to help the plant engineer identify and solve industrial air pollution problems in order to be able to meet current air pollution regulations. Prepared under the editorial supervision of an experienced chemical engineer, with each chapter contributed by an expert in his field,…

  17. AIR RADIOACTIVITY MONITOR

    Science.gov (United States)

    Bradshaw, R.L.; Thomas, J.W.

    1961-04-11

    The monitor is designed to minimize undesirable background buildup. It consists of an elongated column containing peripheral electrodes in a central portion of the column, and conduits directing an axial flow of radioactively contaminated air through the center of the column and pure air through the annular portion of the column about the electrodes. (AEC)

  18. Air-Conditioning Mechanic.

    Science.gov (United States)

    Marine Corps Inst., Washington, DC.

    This student guide, one of a series of correspondence training courses designed to improve the job performance of members of the Marine Corps, deals with the skills needed by air conditioning mechanics. Addressed in the four chapters, or lessons, of the manual are the following topics: principles of air conditioning, refrigeration components as…

  19. International Air Services

    OpenAIRE

    Productivity Commission

    2001-01-01

    On 12 December 1997 the Treasurer referred international air services arrangements to the Industry Commission for inquiry and report within nine months. The Commission was asked to report on the arrangements for negotiating entitlements under air services agreements and the process of allocating capacity entitlements to Australian carriers.

  20. Air pollution and air cleaning equipment in buildings

    OpenAIRE

    Evdokimova, Ekaterina

    2011-01-01

    The subject of this thesis work is air pollution and air cleaners in building. Clean air has big significance for human health because different pollutions can cause allergy and disease. The quality of indoor air affects health and effective working. The aim of this thesis is to present methods and devices for cleaning the air.

  1. AIRE-Linux

    Science.gov (United States)

    Zhou, Jianfeng; Xu, Benda; Peng, Chuan; Yang, Yang; Huo, Zhuoxi

    2015-08-01

    AIRE-Linux is a dedicated Linux system for astronomers. Modern astronomy faces two big challenges: massive observed raw data which covers the whole electromagnetic spectrum, and overmuch professional data processing skill which exceeds personal or even a small team's abilities. AIRE-Linux, which is a specially designed Linux and will be distributed to users by Virtual Machine (VM) images in Open Virtualization Format (OVF), is to help astronomers confront the challenges. Most astronomical software packages, such as IRAF, MIDAS, CASA, Heasoft etc., will be integrated into AIRE-Linux. It is easy for astronomers to configure and customize the system and use what they just need. When incorporated into cloud computing platforms, AIRE-Linux will be able to handle data intensive and computing consuming tasks for astronomers. Currently, a Beta version of AIRE-Linux is ready for download and testing.

  2. Air Baltic: Estonian Air on nurka surutud / Teele Tammeorg

    Index Scriptorium Estoniae

    Tammeorg, Teele

    2010-01-01

    Air Balticu asepresidendi Janis Vanagsi hinnangul on Estonian Air aastaid jätnud tähelepanuta oma peamised turismiturud ning on praegu halvas seisus. Air Baltic on endiselt huvitatud Estonian Airi ostust. Majandus- ja kommunikatsiooniminister Juhan Partsi seisukoht

  3. Olefin metathesis in air.

    Science.gov (United States)

    Piola, Lorenzo; Nahra, Fady; Nolan, Steven P

    2015-01-01

    Since the discovery and now widespread use of olefin metathesis, the evolution of metathesis catalysts towards air stability has become an area of significant interest. In this fascinating area of study, beginning with early systems making use of high oxidation state early transition metal centers that required strict exclusion of water and air, advances have been made to render catalysts more stable and yet more functional group tolerant. This review summarizes the major developments concerning catalytic systems directed towards water and air tolerance. PMID:26664625

  4. Clean Air and Water

    Centers for Disease Control (CDC) Podcasts

    2007-04-10

    The air we breathe and the water we drink are both vital components of our health. Nevertheless, bacteria, pollutants, and other contaminates can alter life-giving air and water into health-threatening hazards. Learn about how scientists at the Centers for Disease Control and Prevention work to protect the public from air and water-related health risks.  Created: 4/10/2007 by CDC National Center for Environmental Health.   Date Released: 4/13/2007.

  5. Air/liquid collectors

    DEFF Research Database (Denmark)

    Jensen, Søren Østergaard; Olesen, Ole; Kristiansen, Finn Harken

    1997-01-01

    This report determine efficiency equations for combined air/liquid solar collectors by measurements on to different air/liquid collectors. Equations which contain all relevant informations on the solar collectors. A simulation program (Kviksol) has been modified in order to be able to handle...... this kind of collectors. The modified simulation program has been used for the determination of the surplus in performance which solar heating systems with this type of solar collectors for combined preheating of ventilation air and domestic hot water will have. The simulation program and the efficiency...

  6. Olefin metathesis in air

    Directory of Open Access Journals (Sweden)

    Lorenzo Piola

    2015-10-01

    Full Text Available Since the discovery and now widespread use of olefin metathesis, the evolution of metathesis catalysts towards air stability has become an area of significant interest. In this fascinating area of study, beginning with early systems making use of high oxidation state early transition metal centers that required strict exclusion of water and air, advances have been made to render catalysts more stable and yet more functional group tolerant. This review summarizes the major developments concerning catalytic systems directed towards water and air tolerance.

  7. Olefin metathesis in air

    Science.gov (United States)

    Piola, Lorenzo; Nahra, Fady

    2015-01-01

    Summary Since the discovery and now widespread use of olefin metathesis, the evolution of metathesis catalysts towards air stability has become an area of significant interest. In this fascinating area of study, beginning with early systems making use of high oxidation state early transition metal centers that required strict exclusion of water and air, advances have been made to render catalysts more stable and yet more functional group tolerant. This review summarizes the major developments concerning catalytic systems directed towards water and air tolerance. PMID:26664625

  8. Indoor Air Quality

    Science.gov (United States)

    Miyazaki, Takeji

    The reduction of intake of outdoor air volume in air conditioned buildings, adopted as the strategy for saving energy, has caused sick building syndrome abroad. Such symptoms of sick building as headache, stimuli of eye and nose and lethargy, appears to result from cigarette smoke, folmaldehyde and volatile organic carbons. On the other hand, in airtight residences not only carbon monoxide and nitrogen oxides from domestic burning appliances but also allergens of mite, fungi, pollen and house dust, have become a subject of discussion. Moreover, asbestos and radon of carcinogen now attract a great deal of attention. Those indoor air pollutants are discussed.

  9. Air Quality Monitoring Programme

    DEFF Research Database (Denmark)

    Kemp, K.; Palmgren, F.

    The air quality in Danish cities has been monitored continuously since 1982 within the Danish Air Quality (LMP) network. The aim has been to follow the concentration levels of toxic pollutants in the urban atmosphere and to provide the necessary knowledge to assess the trends, to perform source...... apportionment, and to evaluate the chemical reactions and the dispersion of the pollutants in the atmosphere. In 2002 the air quality was measured in four Danish cities and at two background sites. NO2 and PM10 were at several stations found in concentrations above the new EU limit values, which the Member...

  10. Mid-air Acrobatics

    Institute of Scientific and Technical Information of China (English)

    LlU FENG'AN

    2011-01-01

    On September 1 two new aerobatic demonstration teams,theSky Wing and the Red Falcon,debuted at an air show held in Changchun,capital of northeast China's Jilin Province.The show was staged at a ceremony held by the Aviation University of the People's Liberation Army (PLA) Air Force.Also performing at the show was the 50-year-old Bayi aerobatic demonstration team.The teams demonstrated their superlative flying skills,which showcase the quality of the air force's rigorous pilot training.

  11. Cabin air temperature of parked vehicles in summer conditions: life-threatening environment for children and pets calculated by a dynamic model

    Science.gov (United States)

    Horak, Johannes; Schmerold, Ivo; Wimmer, Kurt; Schauberger, Günther

    2016-07-01

    In vehicles that are parked, no ventilation and/or air conditioning takes place. If a vehicle is exposed to direct solar radiation, an immediate temperature rise occurs. The high cabin air temperature can threaten children and animals that are left unattended in vehicles. In the USA, lethal heat strokes cause a mean death rate of 37 children per year. In addition, temperature-sensitive goods (e.g. drugs in ambulances and veterinary vehicles) can be adversely affected by high temperatures. To calculate the rise of the cabin air temperature, a dynamic model was developed that is driven by only three parameters, available at standard meteorological stations: air temperature, global radiation and wind velocity. The transition from the initial temperature to the constant equilibrium temperature depends strongly on the configuration of the vehicle, more specifically on insulation, window area and transmission of the glass, as well as on the meteorological conditions. The comparison of the model with empirical data showed good agreement. The model output can be applied to assess the heat load of children and animals as well as temperature-sensitive goods, which are transported and/or stored in a vehicle.

  12. Ambient Air Quality Data Inventory

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Office of Air and Radiation's (OAR) Ambient Air Quality Data (Current) contains ambient air pollution data collected by EPA, other federal agencies, as well as...

  13. Ambient Air Quality Data Inventory

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Office of Air and Radiation??s (OAR) Ambient Air Quality Data (Current) contains ambient air pollution data collected by EPA, other federal agencies, as well as...

  14. Introduction to Indoor Air Quality

    Science.gov (United States)

    ... US Environmental Protection Agency Search Search Indoor Air Quality (IAQ) Share Facebook Twitter Google+ Pinterest Contact Us ... Indoor Air Quality An Introduction to Indoor Air Quality IAQ & Health Causes of IAQ Problems Identifying IAQ ...

  15. Emission Facilities - Air Emission Plants

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — Represents the Primary Facility type Air Emission Plant (AEP) point features. Air Emissions Plant is a DEP primary facility type related to the Air Quality Program....

  16. Air Quality Guide for Ozone

    Science.gov (United States)

    Local Air Quality Conditions Zip Code: State : My Current Location Air Quality Guide for Ozone Ground-level ozone is one of our nation’s most common air pollutants. Use the chart below to help reduce ...

  17. Transportation and Air Quality

    Science.gov (United States)

    ... factors research. - Modeling & Inventories - Testing & Measuring Emissions - Clean Automotive Technologies - Emission Factors Research This page is maintained by EPA's Office of Transportation and Air Quality (OTAQ) . For more: About Us | Get E-mail ...

  18. Air transportation energy efficiency

    Science.gov (United States)

    Williams, L. J.

    1977-01-01

    The energy efficiency of air transportation, results of the recently completed RECAT studies on improvement alternatives, and the NASA Aircraft Energy Efficiency Research Program to develop the technology for significant improvements in future aircraft were reviewed.

  19. Criteria Air Emissions Trends

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Air Emissions Trends site provides national trends of criteria pollutant and precursor emissions data based on the the National Emissions Inventory (NEI) from...

  20. Upswing for hot air

    Energy Technology Data Exchange (ETDEWEB)

    Banse, Stephanie

    2010-07-01

    Optimism reigns in the air collector sector. The market is characterised by high growth rates and numerous new entrants: reason enough to present the sector on its own world map for the first time. (orig.)

  1. Regional Air Quality Data

    Data.gov (United States)

    U.S. Environmental Protection Agency — This asset provides data on regional air quality, including trace level SO2, nitric acid, ozone, carbon monoxide, and NOy; and particulate sulfate, nitrate, and...

  2. Radioactive air sampling methods

    CERN Document Server

    Maiello, Mark L

    2010-01-01

    Although the field of radioactive air sampling has matured and evolved over decades, it has lacked a single resource that assimilates technical and background information on its many facets. Edited by experts and with contributions from top practitioners and researchers, Radioactive Air Sampling Methods provides authoritative guidance on measuring airborne radioactivity from industrial, research, and nuclear power operations, as well as naturally occuring radioactivity in the environment. Designed for industrial hygienists, air quality experts, and heath physicists, the book delves into the applied research advancing and transforming practice with improvements to measurement equipment, human dose modeling of inhaled radioactivity, and radiation safety regulations. To present a wide picture of the field, it covers the international and national standards that guide the quality of air sampling measurements and equipment. It discusses emergency response issues, including radioactive fallout and the assets used ...

  3. Indoor air pollution

    International Nuclear Information System (INIS)

    Although official efforts to control air pollution have traditionally focused on outdoor air, it is now apparent that elevated contaminant concentrations are common inside some private and public buildings. Concerns about potential public health problems due to indoor air pollution are based on evidence that urban residents typically spend more than 90 percent of their time indoors, concentrations of some contaminants are higher indoors than outdoors, and for some pollutants personal exposures are not characterized adequately by outdoor measurements. Among the more important indoor contaminants associated with health or irritation effects are passive tobacco smoke, radon decay products, carbon monoxide, nitrogen dioxide, formaldehyde, asbestos fibers, microorganisms and aeroallergens. Efforts to assess health risks associated with indoor air pollution are limited by insufficient information about the number of people exposed, the pattern and severity of exposures, and the health consequences of exposures. An overall strategy should be developed to investigate indoor exposures, health effects, control options, and public policy alternatives

  4. Indoor air quality

    International Nuclear Information System (INIS)

    Rising energy prices, among other factors, have generated an incentive to reduce ventilation rates and thereby reduce the cost of heating and cooling buildings. Reduced ventilation in buildings may significantly increase exposure to indoor air pollution and perhaps have adverse effects on occupant health and comfort. Preliminary findings suggest that reduced ventilation may adversely affect indoor air quality unless appropriate control strategies are undertaken. The strategies used to control indoor air pollution depend on the specific pollutant or class of pollutants encountered, and differ somewhat depending on whether the application is to an existing building or a new building under design and construction. Whenever possible, the first course of action is prevention or reduction of pollutant emissions at the source. In most buildings, control measures involve a combination of prevention, removal, and suppression. Common sources of indoor air pollution in buildings, the specific pollutants emitted by each source, the potential health effects, and possible control techniques are discussed

  5. Air Data Calibration Facility

    Data.gov (United States)

    Federal Laboratory Consortium — This facility is for low altitude subsonic altimeter system calibrations of air vehicles. Mission is a direct support of the AFFTC mission. Postflight data merge is...

  6. Hot Air Engines

    OpenAIRE

    P. Stouffs

    2011-01-01

    Invented in 1816, the hot-air engines have known significant commercial success in the nineteenth century, before falling into disuse. Nowadays they enjoy a renewed interest for some specific applications. The "hot-air engines" family is made up of two groups: Stirling engines and Ericsson engines. The operating principle of Stirling and Ericsson engines, their troubled history, their advantages and their niche applications are briefly presented, especially in the field of...

  7. Air Distribution in Rooms

    DEFF Research Database (Denmark)

    Nielsen, Peter V.

    The research on air distribution in rooms is often done as full-size investigations, scale-model investigations or by Computational Fluid Dynamics (CFD). New activities have taken place within all three areas and this paper draws comparisons between the different methods. The outcome of the l......EA sponsored research "Air Flow Pattern within Buildings" is used for comparisons in some parts of the paper because various types of experiments and many countries are involved....

  8. Nuclear air cushion vehicles.

    Science.gov (United States)

    Anderson, J. L.

    1973-01-01

    This paper serves several functions. It identifies the 'state-of-the-art' of the still-conceptual nuclear air cushion vehicle, particularly the nuclear powerplant. Using mission studies and cost estimates, the report describes some of the advantages of nuclear power for large air cushion vehicles. The paper also summarizes the technology studies on mobile nuclear powerplants and conceptual ACV systems/missions studies that have been performed at NASA Lewis Research Center.

  9. Air gun test facility

    International Nuclear Information System (INIS)

    This paper describes a facility that is potentially useful in providing data for models to predict the effects of nuclear explosions on cities. IIT Research Institute has a large air gun facility capable of launching heavy items of a wide variety of geometries to velocities ranging from about 80 fps to 1100 fps. The facility and its capabilities are described, and city model problem areas capable of investigation using the air gun are presented

  10. Canada's Clean Air Act

    International Nuclear Information System (INIS)

    This paper provided an outline of Canada's Clean Air Act and examined some of the regulatory changes that will occur as a result of its implementation. The Act is being introduced to strengthen the legislative basis for taking action on reducing air pollution and GHGs, and will allow the government to regulate both indoor and outdoor air pollutants and GHGs. The Act will require the Ministers of the Environment and Health to establish national air quality objectives, as well as to monitor and report on their attainment. The Canadian Environmental Protection Act will be amended to enable the government to regulate the blending of fuels and their components. The Motor Vehicle Fuel Consumption Standards Act will also be amended to enhance the government's authority to regulate vehicle fuel efficiency. The Energy Efficiency Act will also be expanded to allow the government to set energy efficiency standards and labelling requirements for a wider range of consumer and commercial products. The Act will commit to short, medium and long-term industrial air pollution targets. Regulations will be proposed for emissions from industry; on-road and off-road vehicles and engines; and consumer and commercial products. It was concluded that the Government of Canada will continue to consult with provinces, territories, industries and Canadians to set and reach targets for the reduction of both indoor and outdoor air pollutants and GHG emissions. 6 figs

  11. Clean air Hamilton

    Energy Technology Data Exchange (ETDEWEB)

    McCarry, B.E. [McMaster Univ., Hamilton, ON (Canada)

    2002-07-01

    The industrial City of Hamilton is located on Lake Ontario, downwind from the Ohio Valley. The Hamilton Air Quality Initiative (HAQI) was divided in several phases, one of which is Clean Air Hamilton. This most recent phase was described in this presentation. Two major goals of this phase were: to ensure that the City of Hamilton has the best air quality of any major urban area in Ontario, and to reduce the emissions of greenhouse gases by 20 per cent compared to the levels in 1990. There were five main objectives to this initiative, namely: (1) the identification of priority air quality issues, (2) achieving an understanding of air quality issues, (3) the identification of sources, the evaluation of impacts and the recommendation of solutions, (4) the assessment of human health, and (5) the identification of further research. The reduction of air quality impacts is progressing through the support provided to the Drive Clean Program, the discouragement of vehicle idling, the support to car pooling initiatives, and the promotion of green vehicles. The implementation of pollution control technologies is taking place on the industrial side, as well as the development of plans to reduce steel industry emissions, the development of energy conservation measures and the promotion of green building practices. Efforts are being deployed over fleet greening partnerships, community tree planting program, an international air conference, an electronic information network linking the United States and the communities of Southern Ontario, a road dust study, a truck emissions research project, the assessment of human health impacts, and finally methods for the monitoring of local improvements. figs.

  12. Acute and Subacute Effects of Urban Air Pollution on Cardiopulmonary Emergencies and Mortality: Time Series Studies in Austrian Cities

    Directory of Open Access Journals (Sweden)

    Daniel Rabczenko

    2013-10-01

    Full Text Available Daily pollution data (collected in Graz over 16 years and in the Linz over 18 years were used for time series studies (GAM and case-crossover on the relationship with daily mortality (overall and specific causes of death. Diagnoses of patients who had been transported to hospitals in Linz were also available on a daily basis from eight years for time series analyses of cardiopulmonary emergencies. Increases in air pollutant levels over several days were followed by increases in mortality and the observed effects increased with the length of the exposure window considered, up to a maximum of 15 days. These mortality changes in Graz and Linz showed similar patterns like the ones found before in Vienna. A significant association of mortality could be demonstrated with NO2, PM2.5 and PM10 even in summer, when concentrations are lower and mainly related to motor traffic. Cardiorespiratory ambulance transports increased with NO2/PM2.5/PM10 by 2.0/6.1/1.7% per 10 µg/m³ on the same day. Monitoring of NO2 (related to motor traffic and fine particulates at urban background stations predicts acute effects on cardiopulmonary emergencies and extended effects on cardiopulmonary mortality. Both components of urban air pollution are indicators of acute cardiopulmonary health risks, which need to be monitored and reduced, even below current standards.

  13. Computers in Air Defence

    Directory of Open Access Journals (Sweden)

    P. V.S. Rao

    1987-10-01

    Full Text Available With man's mastery over the third dimension - the near atmosphere and space- it has become increasingly necessary to protect oneself not merely from attacks from land and the sea but, more importantly, from attacks from the air. This was recognised even during the World War II and a rudimentary air defence capability was sought to be established; by the manul (visual surveillance and the anti-aircraft guns. The advent of radar signified a major advance in air defence technology and techniques. Rather than depend on visual observation and the hazards and limitations thereof, it became possible with radar to detect the presence of flying objects at much great distances. The PPI display of a conventional air-surveillance radar permits an operator to scan the sky for several hundreds of kilometers all around. Early radar-based air defence systems were dependent on human observation and decision making for detecting targets, identifying them, deciding on interception strategy and for recovering the interceptor after completion of his mission. This was feasible because, with a radar of between 200 to 400 kilometers and aircraft speeds in the range of 500 kilometers per hour, upto 30 minutes warning was available before the target was overhead.

  14. Indoor air pollution

    International Nuclear Information System (INIS)

    Indoor air pollution after being a neglected subject for a number of years, is attracting attention recently because it is a side effect of energy crisis. About 50% of world's 6 billion population, mostly in developing countries, depend on biomass and coal in the form of wood, dung and crop residues for domestic energy because of poverty. These materials are burnt in simple stoves with incomplete combustion and infants, children and women are exposed to high levels of indoor air pollution for a considerable period, approximately between 2-4 hours daily. Current worldwide trade in wood fuel is over US $7 billion and about 2 million people are employed full time in production and marketing it. One of the most annoying and common indoor pollutant in both, developing and developed countries, is cigarette smoke. Children in gas-equipped homes had higher incidences of respiratory disease. Babies' DNA can be damaged even before they are born if their mothers breathe polluted air. Exposure to indoor air pollution may be responsible for nearly 2 million excess deaths in developing countries and for 4% of the global burden of the disease. Only a few indoor pollutants have been studied in detail. Indoor air pollution is a major health threat on which further research is needed to define the extent of the problem more precisely and to determine solutions by the policy-makers instead of neglecting it because sufferers mostly belong to Third World countries. (author)

  15. Infants Can Study Air Science.

    Science.gov (United States)

    Ward, Alan

    1983-01-01

    Provided are activities and demonstrations which can be used to teach infants about the nature of air, uses of air, and objects that fly in the air. The latter include airships, hot-air balloons, kites, parachutes, airplanes, and Hovercraft. (JN)

  16. Selection of Air Terminal Device

    DEFF Research Database (Denmark)

    Nielsen, Peter V.

    This paper discusses the selection of the air terminal device for the experiments and numerical prediction in the International Energy Agency Annex 20 work: Air Flow Pattern within Buildings,......This paper discusses the selection of the air terminal device for the experiments and numerical prediction in the International Energy Agency Annex 20 work: Air Flow Pattern within Buildings,...

  17. AirPort Extreme

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    AirPort Extreme是基于IEEE802.11g无线通讯协议的54Mbps的无线路由机站,它提供了比802.11b标准几乎快5倍以上的连接速率。AirPort Extreme基站可以同时为50台Mac和PC机用户服务。它支持从无线打印至带有USB接口或以太网接口的打印机,支持无线桥接技术,并同时提供了一整套强大的管理工具。除此之外,AirPort Extreme基站还配有一个内建防火墙,

  18. Air the excellent canopy

    CERN Document Server

    Fahy, F

    2013-01-01

    We take it for granted, but without it we perish and if we continue to abuse it, it may kill us in the end. This fascinating text provides an understanding and appreciation of the role that air plays in our environment and its importance in relation to human life and technology. Aimed at those who are scientifically curious but who have no specialist training, it contains no mathematical equations and relies upon the qualitative descriptions and analogies to explain the more technical parts of the text together with simple home experiments to illustrate a range of air-based phenomena. Liberall

  19. 33 CFR 334.1280 - Bristol Bay, Alaska; air-to-air weapon range, Alaskan Air Command, U.S. Air Force.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Bristol Bay, Alaska; air-to-air weapon range, Alaskan Air Command, U.S. Air Force. 334.1280 Section 334.1280 Navigation and Navigable... REGULATIONS § 334.1280 Bristol Bay, Alaska; air-to-air weapon range, Alaskan Air Command, U.S. Air Force....

  20. Optimal Design of Vibration Reduction for the Integrated Airborne Aid Unit on Ambulance Helicopter%救护直升机机载急救单元减振优化设计

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    According to the vibration characteristics of an ambulance helicopter, the optimum design for vibration isolation of integrated airborne aid unit was done using the tunable metal dry-friction damping. Within the adjustment range of the isolator’s dry friction damping, curves of the friction force of the vibration isolator were obtained by testing, and the harmonic-wave superposition method was used to simulate the cabin-floor excitation of the helicopter. Meanwhile, the optimum curve of the friction force was made based on the optimization simulation, and then the best working condition of the isolator damping was determined. Results of the optimization show that the RMS of the acceleration can be reduced by 78.755 % with the use of the isolator in the airborne aid unit, the isolator has a good vibration isolation damping performance and is suitable for the airborne vibration environment of the helicopter.%  针对某型救护直升机振动特点,采用金属干摩擦阻尼可调式隔振器对机载综合急救单元进行隔振优化设计,在隔振器干摩擦阻尼调节范围内,测试多组隔振器摩擦力曲线,应用谐波叠加法模拟直升机客舱底板激励,并通过仿真优化计算确定最佳摩擦力曲线,进而确定隔振器阻尼最佳工作状态。优化结果表明机载综合急救单元采用该型隔振器,能使加速度均方根响应降低78.75%,说明该隔振器具有良好的隔振减振性能,适用于直升机机载振动环境。

  1. Air Structures: Inflatable Alternatives

    Science.gov (United States)

    Valerio, Joseph M.; And Others

    1973-01-01

    Describes and evaluates several avant garde'' examples of air structures. Included are a soft'' child's playpen, a pneudome that employs a water ballast for anchoring, a one-acre enclosed campus, an instant city'' constructed for an industrial design conference, and the Fuji Pavilion, at Expo '70 in Osaka, Japan, that was large enough to cover…

  2. The cold air machine

    Energy Technology Data Exchange (ETDEWEB)

    Bagcl, Barls [TUV Rheinland Hong Kong Ltd., Emperor International Square, 10/F, 7 Wang Tai Road, Kowloon Bay (Hong Kong)

    2010-07-01

    This study focuses on the human behaviour in regards of air-conditioning usage in indoor environment. A mid-sized, carpet floored office (600 sqm) with 120 employees in Hong Kong was chosen as the experiment field due to two reasons. The first reason is that the office buildings in Hong Kong are the coldest office buildings worldwide. And the building where the office is located doesn't provide a central air-conditioning system, which means that the human behaviour is very crucial to save energy in such offices. The second reason is that the largest portion of electricity consumption in Hong Kong belongs to the air-conditioning systems in buildings (25% of total electricity consumption in Hong Kong). Development and usage of energy efficient technologies are no doubt very crucial in emission reduction and environmental protection. But, the best energy efficient equipment is not much worth and waste of money if the behaviour of the persons using that equipment does not change. In this study we searched for the reasons behind the persistent behaviour of wrongly using the air conditioning systems and making Hong Kong probably the city with the largest energy consumption for cooling per square meter.

  3. The cold air machine

    Directory of Open Access Journals (Sweden)

    Barış Bağcı

    2010-03-01

    Full Text Available This study focuses on the human behaviour in regards of air-conditioning usage in indoor environment. A mid-sized, carpet floored office (600 sqm with 120 employees in Hong Kong was chosen as the experiment field due to two reasons. The first reason is that the office buildings in Hong Kong are the coldest office buildings worldwide. And the building where the office is located doesn’t provide a central air-conditioning system, which means that the human behaviour is very crucial to save energy in such offices. The second reason is that the largest portion of electricity consumption in Hong Kong belongs to the air-conditioning systems in buildings (25% of total electricity consumption in Hong Kong. Development and usage of energy efficient technologies are no doubt very crucial in emission reduction and environmental protection. But, the best energy efficient equipment is not much worth and waste of money if the behaviour of the persons using that equipment does not change. In this study we searched for the reasons behind the persistent behaviour of wrongly using the air conditioning systems and making Hong Kong probably the city with the largest energy consumption for cooling per square meter.

  4. Images in the Air

    Science.gov (United States)

    Riveros, H. G.; Rosenberger, Franz

    2012-01-01

    This article discusses two "magic tricks" in terms of underlying optical principles. The first trick is new and produces a "ghost" in the air, and the second is the classical real image produced with two parabolic mirrors. (Contains 2 figure and 6 photos.)

  5. Air Quality Monitoring Programme

    DEFF Research Database (Denmark)

    Kemp, K.; Palmgren, F.

    The Danish Air Quality Monitoring Programme (LMP IV) has been revised in accordance with the Framework Directive and the first three daughter directives of SO2, NOx/NO2, PM10, lead, benzene, CO and ozone. PM10 samplers are under installation and the installation will be completed during 2002...

  6. Indoor Air Quality

    DEFF Research Database (Denmark)

    Selman, Ayser Dawod; Heiselberg, Per

    Overall purpose of the research is to provide an overview of the relevance and importance of various defined Indoor Air Quality (IAQ) parameters in a European perspective. Based on the report it should be possible to prioritize which countries to target for further activities as well as it should...

  7. Fast Air Temperature Sensors

    DEFF Research Database (Denmark)

    Hendricks, Elbert

    1998-01-01

    The note documents briefly work done on a newly developed sensor for making fast temperature measurements on the air flow in the intake ports of an SI engine and in the EGR input line. The work reviewed has been carried out in close cooperation with Civ. Ing. Michael Føns, the author (IAU...

  8. Mid-air Acrobatics

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Two new aerobatic demonstration teams take to the skies On September 1,two new aerobatic demonstration teams,the Sky Wing and the Red Falcon,debuted at an air show held in Changchun,capital of northeast China’s Jilin Province.

  9. Hexane Air Combustion

    CERN Document Server

    Boettcher, Philipp A; Shepherd, Joseph E

    2010-01-01

    Hot surface ignition and subsequent flame propagation of premixed n-hexane air mixtures are shown in this fluid dynamics video. High speed schlieren photography revealed 3 distinct behaviors of ignition and propagation as a function of mixture composition and initial pressure.

  10. Russia air management program

    Energy Technology Data Exchange (ETDEWEB)

    Pace, T.G. [U.S. Environmental Protection Agency, NC (United States); Markin, S. [Ministry of Environmental Protection and Natural Resources, Moscow (Sweden); Kosenkova, S.V. [Volgograd Environmental Services Administration, Volgograd (Russian Federation)

    1995-12-31

    The Russia Air Management Program is in the second year of a four-year cooperative program between the Russian Ministry of Environmental Protection and Natural Resources (MEPNR) and the U.S. Environmental Protection Agency (EPA) to improve national institutions, policies, and practices for air quality management in Russia. This program is part of the Environmental Policy and Technology project being conducted by the U.S. Agency for International Development. The Russia Air Management Program will pilot the application of potential air program improvements in the important industrial City of Volgograd which will enable the development, practical demonstration and evaluation of alternative approaches for improving AQM policies and practices in Russia. Volgograd has a progressive and environmentally enlightened local government, a diverse industrial base and a relatively healthy economy. It is located south of Moscow on the Volga River and was proposed by the Ministry of Environmental Protection and Natural Resources. It was selected after a site visit and a series of discussions with the Ministry, Volgograd officials, the World Bank and the EPA. Following the pilot, RAMP will work to facilitate implementation of selected parts of the pilot in other areas of Russia using training, technology transfer, and public awareness. (author)

  11. Learning AirWatch

    CERN Document Server

    Dunkerley, Mark

    2015-01-01

    If you are a technical professional who wants to dive deeper into the functionality offered by AirWatch or manage the solution, then this book will help you choose the best set of configuration, device management, and monitoring options that you can use to effectively manage your EMM implementation.

  12. Air movement - good or bad?

    DEFF Research Database (Denmark)

    Toftum, Jørn

    2004-01-01

    Air movement - good or bad? The question can only be answered by those who are exposed when they are exposed. Human perception of air movement depends on environmental factors including air velocity, air velocity fluctuations, air temperature, and personal factors such as overall thermal sensation...... and activity level. Even for the same individual, sensitivity to air movement may change from day to day as a result of e.g. different levels of fatigue. Based on existing literature, the current paper summarizes factors influencing the human perception of air movement and attempts to specify in general terms...... influences the subjective perception of air movement. With occupants feeling warmer than neutral, at temperatures above 23oC or at raised activity levels, humans generally do not feel draught at air velocities typical for indoor environments (up to around 0.4 m/s). In the higher temperature range, very high...

  13. Air-Coupled Vibrometry

    Science.gov (United States)

    Döring, D.; Solodov, I.; Busse, G.

    Sound and ultrasound in air are the products of a multitude of different processes and thus can be favorable or undesirable phenomena. Development of experimental tools for non-invasive measurements and imaging of airborne sound fields is of importance for linear and nonlinear nondestructive material testing as well as noise control in industrial or civil engineering applications. One possible solution is based on acousto-optic interaction, like light diffraction imaging. The diffraction approach usually requires a sophisticated setup with fine optical alignment barely applicable in industrial environment. This paper focuses on the application of the robust experimental tool of scanning laser vibrometry, which utilizes commercial off-the-shelf equipment. The imaging technique of air-coupled vibrometry (ACV) is based on the modulation of the optical path length by the acoustic pressure of the sound wave. The theoretical considerations focus on the analysis of acousto-optical phase modulation. The sensitivity of the ACV in detecting vibration velocity was estimated as ~1 mm/s. The ACV applications to imaging of linear airborne fields are demonstrated for leaky wave propagation and measurements of ultrasonic air-coupled transducers. For higher-intensity ultrasound, the classical nonlinear effect of the second harmonic generation was measured in air. Another nonlinear application includes a direct observation of the nonlinear air-coupled emission (NACE) from the damaged areas in solid materials. The source of the NACE is shown to be strongly localized around the damage and proposed as a nonlinear "tag" to discern and image the defects.

  14. EN EL AIRE / In the air

    Directory of Open Access Journals (Sweden)

    Andrés López Fernández

    2011-11-01

    Full Text Available RESUMEN En el aire es un viaje a la primera mitad del siglo XX que nos tratará de acercar la frescura y oportunidad de las calles corredor y los jardines en la ciudad vertical. Se inicia en 1909 en Nueva York, con la publicación por la revista Life de La Torre del Globo, se acerca al Inmueble-Villas y al Plan Obus para Argel de Le Corbusier, y finaliza en 1952 con el proyecto para el conjunto residencial de Golden Lane en Londres de A. y P. Smithson. Fragmentos para la ciudad vertical que se construía sobre papel, tras el espejo, paralela en el tiempo, pero muy distinta a la ciudad real, con el objetivo entre otros de integrar arquitectura y naturaleza. Esas propuestas siguen teniendo hoy un gran valor, en un panorama en que el espacio público ligado a la vivienda colectiva, prácticamente ha desaparecido, y el esfuerzo que se demanda al arquitecto se centra, en tejer a modo de encaje de bolillos, una fachada que envuelva un programa de vivienda, funcional y espacialmente obsoleto.SUMMARY In the air, is a journey to the first half of the twentieth century that will try to bring us to the freshness and opportunity of the corridor streets and gardens in the vertical city. It begins in 1909 in New York, with the publication in Life magazine of the Globe Tower, it approaches the Immeubles-Villas and Plan Obus for Algiers by Le Corbusier, and ends in 1952 with the project for the Golden Lane Estate residential complex in London, by A. and P. Smithson. Fragments for the vertical city that was constructed on paper, behind the mirror, parallel in time, but was very different from the real city, with the aim, inter alia, of integrating architecture and nature. These proposals continue to have great value today, in a scenario where the public space linked to the collective home has virtually disappeared, and the effort that is demanded of the architect focuses on weaving a facade like bobbin lace around a functionally and spatially obsolete housing

  15. Measuring physical strain during ambulation with accelerometry

    NARCIS (Netherlands)

    Bussmann, J B; Hartgerink, I; van der Woude, L H; Stam, H J

    2000-01-01

    PURPOSE: To study the feasibility of ambulatory accelerometry in the evaluation of physical strain in walking at different speeds and different levels of economy. METHODS: Twelve able-bodied subjects performed a walking test on a treadmill with increasing walking speed. After a 6-wk period, these me

  16. Molecular Air Data Clear Air Turbulence Sensor: MADCAT Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Clear air turbulence (CAT), often referred to as "air pockets," is attributed to Kelvin-Helmholtz instabilities at altitudes generally above 18,000ft, often in the...

  17. Molecular Air Data Clear Air Turbulence Sensor: MADCAT Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Clear air turbulence (CAT), often referred to as "air pockets," is attributed to Kelvin-Helmholtz instabilities at altitudes usually above 18,000ft, often without...

  18. Properties of air and combustion products of fuel with air

    Science.gov (United States)

    Poferl, D. J.; Svehla, R. A.

    1975-01-01

    Thermodynamic and transport properties have been calculated for air, the combustion products of natural gas and air, and combustion products of ASTM-A-1 jet fuel and air. Properties calculated include: ratio of specific heats, molecular weight, viscosity, specific heat, thermal conductivity, Prandtl number, and enthalpy.

  19. A Breath of Fresh Air: Addressing Indoor Air Quality

    Science.gov (United States)

    Palliser, Janna

    2011-01-01

    Indoor air pollution refers to "chemical, biological, and physical contamination of indoor air," which may result in adverse health effects (OECD 2003). The causes, sources, and types of indoor air pollutants will be addressed in this article, as well as health effects and how to reduce exposure. Learning more about potential pollutants in home…

  20. Aeromicrobiology/air quality

    Science.gov (United States)

    Andersen, Gary L.; Frisch, A.S.; Kellogg, Christina A.; Levetin, E.; Lighthart, Bruce; Paterno, D.

    2009-01-01

    The most prevalent microorganisms, viruses, bacteria, and fungi, are introduced into the atmosphere from many anthropogenic sources such as agricultural, industrial and urban activities, termed microbial air pollution (MAP), and natural sources. These include soil, vegetation, and ocean surfaces that have been disturbed by atmospheric turbulence. The airborne concentrations range from nil to great numbers and change as functions of time of day, season, location, and upwind sources. While airborne, they may settle out immediately or be transported great distances. Further, most viable airborne cells can be rendered nonviable due to temperature effects, dehydration or rehydration, UV radiation, and/or air pollution effects. Mathematical microbial survival models that simulate these effects have been developed.

  1. Air transport system

    CERN Document Server

    Schmitt, Dieter

    2016-01-01

    The book addresses all major aspects to be considered for the design and operation of aircrafts within the entire transportation chain. It provides the basic information about the legal environment, which defines the basic requirements for aircraft design and aircraft operation. The interactions between  airport, air traffic management and the airlines are described. The market forecast methods and the aircraft development process are explained to understand the very complex and risky business of an aircraft manufacturer. The principles of flight physics as basis for aircraft design are presented and linked to the operational and legal aspects of air transport including all environmental impacts. The book is written for graduate students as well as for engineers and experts, who are working in aerospace industry, at airports or in the domain of transport and logistics.

  2. Hot Air Engines

    Directory of Open Access Journals (Sweden)

    P. Stouffs

    2011-01-01

    Full Text Available Invented in 1816, the hot-air engines have known significant commercial success in the nineteenth century, before falling into disuse. Nowadays they enjoy a renewed interest for some specific applications. The "hot-air engines" family is made up of two groups: Stirling engines and Ericsson engines. The operating principle of Stirling and Ericsson engines, their troubled history, their advantages and their niche applications are briefly presented, especially in the field of micro-combined heat and power, solar energy conversion and biomass energy conversion. The design of an open cycle Ericsson engine for solar application is proposed. A first prototype of the hot part of the engine has been built and tested. Experimental results are presented.

  3. Air Compliance Complaint Database (ACCD)

    Data.gov (United States)

    U.S. Environmental Protection Agency — THIS DATA ASSET NO LONGER ACTIVE: This is metadata documentation for the Region 7 Air Compliance Complaint Database (ACCD) which logs all air pollution complaints...

  4. Ozone - Current Air Quality Index

    Science.gov (United States)

    ... more announcements Air Quality Basics Air Quality Index | Ozone | Particle Pollution | Smoke from fires | What You Can ... Partners Kids Movies NAQ Conferences NOAA Older Adults Ozone Particle Pollution (PM2.5, PM10) Publications Publicaciones (En ...

  5. Air Markets Program Data (AMPD)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Air Markets Program Data tool allows users to search EPA data to answer scientific, general, policy, and regulatory questions about industry emissions. Air...

  6. Air Facility System (AFS) Widget

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Air Facility System (AFS) widget allows users to enter a specific location and retrieve facilities in the area of interest for stationary sources of air...

  7. State of the Air 2015

    Science.gov (United States)

    ... Banners Social Media What's the State of Your Air ? Home > 2015 > States States State List FAQ Understanding ... Environment: Act Locally What You Can Do Healthy Air News Facebook Twitter Google Plus Instagram © American Lung ...

  8. Clearing the Air

    Institute of Scientific and Technical Information of China (English)

    YIN PUMIN

    2011-01-01

    On November 8,seven Beijing residents,including a representative from a local environmental organization,were invited by the Beijing Municipal Environmental Protection Bureau (BMEPB)to visit its air-quality monitoring center,The visit was the first of a regular program of visits that will take 40 visitors to the center every Tuesday in hopes of giving them a betttr understanding of how airquality data are collected and analyzed.

  9. Urban air quality

    Science.gov (United States)

    Fenger, Jes

    Since 1950 the world population has more than doubled, and the global number of cars has increased by a factor of 10. In the same period the fraction of people living in urban areas has increased by a factor of 4. In year 2000 this will amount to nearly half of the world population. About 20 urban regions will each have populations above 10 million people. Seen over longer periods, pollution in major cities tends to increase during the built up phase, they pass through a maximum and are then again reduced, as abatement strategies are developed. In the industrialised western world urban air pollution is in some respects in the last stage with effectively reduced levels of sulphur dioxide and soot. In recent decades however, the increasing traffic has switched the attention to nitrogen oxides, organic compounds and small particles. In some cities photochemical air pollution is an important urban problem, but in the northern part of Europe it is a large-scale phenomenon, with ozone levels in urban streets being normally lower than in rural areas. Cities in Eastern Europe have been (and in many cases still are) heavily polluted. After the recent political upheaval, followed by a temporary recession and a subsequent introduction of new technologies, the situation appears to improve. However, the rising number of private cars is an emerging problem. In most developing countries the rapid urbanisation has so far resulted in uncontrolled growth and deteriorating environment. Air pollution levels are here still rising on many fronts. Apart from being sources of local air pollution, urban activities are significant contributors to transboundary pollution and to the rising global concentrations of greenhouse gasses. Attempts to solve urban problems by introducing cleaner, more energy-efficient technologies will generally have a beneficial impact on these large-scale problems. Attempts based on city planning with a spreading of the activities, on the other hand, may generate

  10. Air transparent soundproof window

    Directory of Open Access Journals (Sweden)

    Sang-Hoon Kim

    2014-11-01

    Full Text Available A soundproof window or wall which is transparent to airflow is presented. The design is based on two wave theories: the theory of diffraction and the theory of acoustic metamaterials. It consists of a three-dimensional array of strong diffraction-type resonators with many holes centered on each individual resonator. The negative effective bulk modulus of the resonators produces evanescent wave, and at the same time the air holes with subwavelength diameter existed on the surfaces of the window for macroscopic air ventilation. The acoustic performance levels of two soundproof windows with air holes of 20mm and 50mm diameters were measured. The sound level was reduced by about 30 - 35dB in the frequency range of 400 - 5,000Hz with the 20mm window, and by about 20 - 35dB in the frequency range of 700 - 2,200Hz with the 50mm window. Multi stop-band was created by the multi-layers of the window. The attenuation length or the thickness of the window was limited by background noise. The effectiveness of the soundproof window with airflow was demonstrated by a real installation.

  11. Air System Information Management

    Science.gov (United States)

    Filman, Robert E.

    2004-01-01

    I flew to Washington last week, a trip rich in distributed information management. Buying tickets, at the gate, in flight, landing and at the baggage claim, myriad messages about my reservation, the weather, our flight plans, gates, bags and so forth flew among a variety of travel agency, airline and Federal Aviation Administration (FAA) computers and personnel. By and large, each kind of information ran on a particular application, often specialized to own data formats and communications network. I went to Washington to attend an FAA meeting on System-Wide Information Management (SWIM) for the National Airspace System (NAS) (http://www.nasarchitecture.faa.gov/Tutorials/NAS101.cfm). NAS (and its information infrastructure, SWIM) is an attempt to bring greater regularity, efficiency and uniformity to the collection of stovepipe applications now used to manage air traffic. Current systems hold information about flight plans, flight trajectories, weather, air turbulence, current and forecast weather, radar summaries, hazardous condition warnings, airport and airspace capacity constraints, temporary flight restrictions, and so forth. Information moving among these stovepipe systems is usually mediated by people (for example, air traffic controllers) or single-purpose applications. People, whose intelligence is critical for difficult tasks and unusual circumstances, are not as efficient as computers for tasks that can be automated. Better information sharing can lead to higher system capacity, more efficient utilization and safer operations. Better information sharing through greater automation is possible though not necessarily easy.

  12. Iron-Air Rechargeable Battery

    Science.gov (United States)

    Narayan, Sri R. (Inventor); Prakash, G.K. Surya (Inventor); Kindler, Andrew (Inventor)

    2014-01-01

    Embodiments include an iron-air rechargeable battery having a composite electrode including an iron electrode and a hydrogen electrode integrated therewith. An air electrode is spaced from the iron electrode and an electrolyte is provided in contact with the air electrode and the iron electrodes. Various additives and catalysts are disclosed with respect to the iron electrode, air electrode, and electrolyte for increasing battery efficiency and cycle life.

  13. Human preference for air movement

    DEFF Research Database (Denmark)

    Toftum, Jørn; Melikov, Arsen Krikor; Tynel, A.;

    2002-01-01

    Human preference for air movement was studied at slightly cool, neutral, and slightly warm overall thermal sensations and at temperatures ranging from 18 deg.C to 28 deg.C. Air movement preference depended on both thermal sensation and temperature, but large inter-individual differences existed...... between subjects. Preference for less air movement was linearly correlated with draught discomfort, but the percentage of subjects who felt draught was lower than the percentage who preferred less air movement....

  14. Overview of Emerging Air Sensors

    Science.gov (United States)

    These slides will be presented at the 2014 National Ambient Air Monitoring Conference in Atlanta, GA during August 11-15, 2014. The goal is to provide an overview of air sensor technology and the audience will be primarily state air monitoring agencies and EPA Regions.

  15. Pupils' Understanding of Air Pollution

    Science.gov (United States)

    Dimitriou, Anastasia; Christidou, Vasilia

    2007-01-01

    This paper reports on a study of pupils' knowledge and understanding of atmospheric pollution. Specifically, the study is aimed at identifying: 1) the extent to which pupils conceptualise the term "air pollution" in a scientifically appropriate way; 2) pupils' knowledge of air pollution sources and air pollutants; and 3) pupils' knowledge of air…

  16. Shock-swallowing air sensor

    Science.gov (United States)

    Nugent, J.; Sakamoto, G. M.; Webb, L. D.; Couch, L. M.

    1979-01-01

    An air-data probe allows air to flow through it so that supersonic and hypersonic shock waves form behind pressure measuring orifices and tube instead of directly on them. Measured pressures are close to those in free-flowing air and are used to determine mach numbers of flying aircraft.

  17. Air Consumption Analysis of Air-Jet Weaving

    Directory of Open Access Journals (Sweden)

    RAJ KUMAR KHIANI

    2016-07-01

    Full Text Available In Textile industry, production is mostly key concern for Industry owner. This always has attracted researchers and machines manufacturers to make new developments in process and machines. Air-jet is one of the leading and successful highest productive weaving machines. However, it is now well established that due to add of charges of compressed air, manufacturing cost of air-jet weaving machine is higher as compared with rapier and projectile weaving machines. This is why countries having energy issues do not prefer air-jet weaving machines comparing projectile weaving machines. In this regard, several researchers and machine manufacturers have continuously been working to improve the efficiency of air-jet weft insertion. However, industry practice is as important as design made by researchers. The aim of this research is to investigate the air consumption of air-jet weaving on industrial scale practice. In this study, five weaving machine of same manufacturer and model were selected. It was observed that despite of manufacturing same quality of fabric, air consumption was varying almost in all weaving machines. Conventionally, mill workers adopt hit and trial practice in weaving industry including airpressure setting which leads to variation of nozzle pressure. Main reason of disparity of air consumption in air-jet weaving machines may be variation of distance from compressor to weaving machines, number of joints, un-necessary valve opening and pipes leakages cause an increase of compressed air consumption.

  18. Air Risk Information Support Center

    Energy Technology Data Exchange (ETDEWEB)

    Shoaf, C.R.; Guth, D.J. [Environmental Protection Agency, Washington, DC (United States)

    1990-12-31

    The Air Risk Information Support Center (Air RISC) was initiated in early 1988 by the US Environmental Protection Agency`s (EPA) Office of Health and Environmental Assessment (OHEA) and the Office of Air Quality Planning and Standards (OAQPS) as a technology transfer effort that would focus on providing information to state and local environmental agencies and to EPA Regional Offices in the areas of health, risk, and exposure assessment for toxic air pollutants. Technical information is fostered and disseminated by Air RISCs three primary activities: (1) a {open_quotes}hotline{close_quotes}, (2) quick turn-around technical assistance projects, and (3) general technical guidance projects. 1 ref., 2 figs.

  19. Adobe AIR for Android -sovelluskehitys

    OpenAIRE

    Palovuori, Jani

    2011-01-01

    Tässä opinnäytetyössä käsitellään sovelluskehitystä Android-laitteille Adoben AIR for Android -tekniikkaa hyväksi käyttäen. Tavoitteena on esitellä sovelluskehityksen periaatteita Adoben Flash-tekniikkaan pohjautuvan AIR for Android -teknologian kannalta. Työ on tehty Yleisradio Oy:n toimeksiantona ja toimii johdatuksena AIR-sovelluksen kehittämiseen AIR for Android -teknologialla. Työssä esitellään yleisesti rikkaat internet-sovellukset ja käydään tarkemmin läpi Adoben AIR-teknologia sek...

  20. Upper extremity joint stresses during walkerassisted ambulation in post-surgical patients Estresse articular no membro superior durante marcha assistida por andador em pacientes pós-cirúrgicos

    Directory of Open Access Journals (Sweden)

    Kevin J. Mcquade

    2011-08-01

    Full Text Available BACKGROUND: A walker is a common device prescribed for ambulatory assistance for individuals with balance difficulties or to reduce lower extremity demands following injury or surgery. The long-term use of a walker imposes significant demands on the patient's upper extremities that may lead to increased risk for development of secondary conditions such as wrist, elbow or shoulder pain. OBJECTIVE: To describe the joint kinematics, forces and moments of the wrist, elbow and shoulder in a sample of twenty patients that were using a walker as a result of total joint surgery of the hips and knees. METHODS: Three-dimensional upper extremity kinematics were recorded using a motion capture system synchronized with forces and torques transmitted through a walker instrumented with force transducers in the handles. RESULTS: Compressive forces were found to be nearly 20% of the body weight at each of the upper extremity joints, both surgical and non-surgical sides, being the greatest force at the wrist and decreasing proximally. Compression forces were greater in the non-surgical side limb at the wrist and at the elbow. CONCLUSION: Our findings indicated that loads on upper extremity joints associated with the use of a walker for assisted ambulation are high and further studies are needed to address the cause-effect relationship between the actual joint loading and the development of secondary musculoskeletal upper extremity complaints in more frail patients.CONTEXTUALIZAÇÃO: Um andador é um dispositivo frequentemente prescrito para auxiliar a marcha de indivíduos com dificuldades de equilíbrio ou para reduzir demandas à extremidade inferior após cirurgia ou lesão. O uso prolongado de um andador impõe significante demanda para a extremidade superior do paciente, o que pode levar a um risco aumentado de desenvolver condições secundárias, como dor no punho, cotovelo e ombro. OBJETIVO: Descrever a cinemática articular, forças e momentos do punho

  1. AIR VELOCITY SENSOR

    Institute of Scientific and Technical Information of China (English)

    潘本琛

    1992-01-01

    During the last twenty years there has been rapid progress in the use of automation in a wide range of industries,as well as in military, scientific application. However, the progress in the application of automatic control is often hindered by the lack of accurate, reliable measuring apparatus. An economic thermal couple air flow sensor with better linearity (accuracy is ±5% of full scale) has been successfully made at Trolex Ltd. Many other existing sensors fail in the application of industries because of non-linearity.

  2. Ag-Air Service

    Science.gov (United States)

    1981-01-01

    Econ, Inc.'s agricultural aerial application, "ag-air," involves more than 10,000 aircraft spreading insecticides, herbicides, fertilizer, seed and other materials over millions of acres of farmland. Difficult for an operator to estimate costs accurately and decide what to charge or which airplane can handle which assignment most efficiently. Computerized service was designed to improve business efficiency in choice of aircraft and determination of charge rates based on realistic operating cost data. Each subscriber fills out a detailed form which pertains to his needs and then receives a custom-tailored computer printout best suited to his particular business mix.

  3. Air Traffic Flow Management

    CERN Document Server

    Ganu, Hrishikesh V

    2008-01-01

    Air Traffic Flow Management is the regulation of air traffic in order to avoid exceeding airport or flight sector capacity in handling traffic, and to ensure that available capacity is used efficiently. We have tried to explore the logic behind the claims by Bertsimas et.al about integral solutions to the LP relaxation of the Traffic Flow Management Problem(TFMP). Polyhedral theory only indicates that the stronger TFMP formulation of Bertsimas et.al might lead to integral solutions in some cases. Our computations indicate that the encouraging results reported by Bertsimas et.al are not merely fortuitous or due to their specific data set. Indeed, we found that the TFMP had integral solutions even in case of artificial data sets generated to include severe conflicts in the flight schedules. In our limited tests with 4-5 scenarios, we obtained non-integral solutions only once. This is of significant practical importance because, the LP relaxation can be solved even on small machines with low memory and processor...

  4. Baltimore Air Toxics Study (BATS)

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, D.A. [Sullivan Environmental Consulting, Inc., Alexandria, VA (United States)

    1996-12-31

    The Baltimore Air Toxics Study is one of the three urban air toxics initiatives funded by EPA to support the development of the national air toxics strategy. As part of this project, the Air Quality Integrated Management System (AIMS) is under development. AIMS is designed to bring together the key components of urban air quality management into an integrated system, including emissions assessment, air quality modeling, and air quality monitoring. Urban area source emissions are computed for a wide range of pollutants and source categories, and are joined with existing point source emissions data. Measured air quality data are used to evaluate the adequacy of the emissions data and model treatments as a function of season, meteorological parameters, and daytime/nighttime conditions. Based on tested model performance, AIMS provides the potential to improve the ability to predict air quality benefits of alternative control options for criteria and toxic air pollutants. This paper describes the methods used to develop AIMS, and provides examples from its application in the Baltimore metropolitan area. The use of AIMS in the future to enhance environmental management of major industrial facilities also will be addressed in the paper.

  5. Support and Assessment for Fall Emergency Referrals (SAFER 1 trial protocol. Computerised on-scene decision support for emergency ambulance staff to assess and plan care for older people who have fallen: evaluation of costs and benefits using a pragmatic cluster randomised trial

    Directory of Open Access Journals (Sweden)

    Roberts Stephen

    2010-01-01

    Full Text Available Abstract Background Many emergency ambulance calls are for older people who have fallen. As half of them are left at home, a community-based response may often be more appropriate than hospital attendance. The SAFER 1 trial will assess the costs and benefits of a new healthcare technology - hand-held computers with computerised clinical decision support (CCDS software - to help paramedics decide who needs hospital attendance, and who can be safely left at home with referral to community falls services. Methods/Design Pragmatic cluster randomised trial with a qualitative component. We shall allocate 72 paramedics ('clusters' at random between receiving the intervention and a control group delivering care as usual, of whom we expect 60 to complete the trial. Patients are eligible if they are aged 65 or older, live in the study area but not in residential care, and are attended by a study paramedic following an emergency call for a fall. Seven to 10 days after the index fall we shall offer patients the opportunity to opt out of further follow up. Continuing participants will receive questionnaires after one and 6 months, and we shall monitor their routine clinical data for 6 months. We shall interview 20 of these patients in depth. We shall conduct focus groups or semi-structured interviews with paramedics and other stakeholders. The primary outcome is the interval to the first subsequent reported fall (or death. We shall analyse this and other measures of outcome, process and cost by 'intention to treat'. We shall analyse qualitative data thematically. Discussion Since the SAFER 1 trial received funding in August 2006, implementation has come to terms with ambulance service reorganisation and a new national electronic patient record in England. In response to these hurdles the research team has adapted the research design, including aspects of the intervention, to meet the needs of the ambulance services. In conclusion this complex emergency care

  6. Support and Assessment for Fall Emergency Referrals (SAFER 1) trial protocol. Computerised on-scene decision support for emergency ambulance staff to assess and plan care for older people who have fallen: evaluation of costs and benefits using a pragmatic cluster randomised trial

    Science.gov (United States)

    2010-01-01

    Background Many emergency ambulance calls are for older people who have fallen. As half of them are left at home, a community-based response may often be more appropriate than hospital attendance. The SAFER 1 trial will assess the costs and benefits of a new healthcare technology - hand-held computers with computerised clinical decision support (CCDS) software - to help paramedics decide who needs hospital attendance, and who can be safely left at home with referral to community falls services. Methods/Design Pragmatic cluster randomised trial with a qualitative component. We shall allocate 72 paramedics ('clusters') at random between receiving the intervention and a control group delivering care as usual, of whom we expect 60 to complete the trial. Patients are eligible if they are aged 65 or older, live in the study area but not in residential care, and are attended by a study paramedic following an emergency call for a fall. Seven to 10 days after the index fall we shall offer patients the opportunity to opt out of further follow up. Continuing participants will receive questionnaires after one and 6 months, and we shall monitor their routine clinical data for 6 months. We shall interview 20 of these patients in depth. We shall conduct focus groups or semi-structured interviews with paramedics and other stakeholders. The primary outcome is the interval to the first subsequent reported fall (or death). We shall analyse this and other measures of outcome, process and cost by 'intention to treat'. We shall analyse qualitative data thematically. Discussion Since the SAFER 1 trial received funding in August 2006, implementation has come to terms with ambulance service reorganisation and a new national electronic patient record in England. In response to these hurdles the research team has adapted the research design, including aspects of the intervention, to meet the needs of the ambulance services. In conclusion this complex emergency care trial will provide

  7. Comparison of indoor air and outdoor air contaminant concentrations

    OpenAIRE

    Pykhova, Ekaterina

    2014-01-01

    Since most people spend their time indoors, there has been increased interest in air pollution concen-trations. Number of very small liquid and solid particles suspended in the air is depending on different factors. But how should be decreased particle number? The field of this work is particulate matter concentration in the indoor and outdoor air. Measurements were carried out in number concentration. The Indoor-Outdoor correlation was de-termined in order to investigate normative parti...

  8. Sights from the air

    Science.gov (United States)

    Tartara, P.

    2009-04-01

    The first aerial shots were taken by aerostat balloon during the second half of the nineteen century for military purpose and subsequently utilized for civilian, archaeological and town planning uses (Roman Forum 1900, Pompei 1910, Venezia 1913, etc.). Sights from the air have given the most objective representation of the landscape and traces progressively left by human activities. After the First World War the use of airplanes for photogrammetric shots suitable to create cartography (territorial map making) has permitted to realize a good basic documentation; successively it has been increased by aerial reconnaissance during the Second World War. Aerial shots by RAF, USAF and Luftwaffe brought to the establishment of rich aerial photograph Archives, particularly in Europe, which have had a very low utilization for the historical restoration of landscape. From the fifties, aerial documentation becomes systematic for different scale analysis and territorial planning. The use of satellite imagery and multispectral bands integrates the historical and recent aerial photographs; the former is particularly helpful for cartography updating, for large scale environmental analysis, for study and research of territories with not available air photographs or lacking in aerial shots. The amount and density of archaeological buried evidences, unknown at the most, is very substantial in Italy and in the whole Mediterranean area; here air-photo interpretation is being applied at advanced levels, but not systematically, since several decades. Some archaeological research teams, working for the knowledge of territorial cultural heritage, utilize historical and recent aerial photographs intensively (aerial photographs previous the II WW, just before the intensive and extensive use of mechanical means to till the land, preserve a large amount of traces or cropmarks of buried evidences; recent shots taken on different conditions of climate and crops, allow to see and read important

  9. Air climate health

    International Nuclear Information System (INIS)

    'France Nature Environnement Ile de France' publishes, on occasion of the COP 21, a special paper about the air pollution in the Paris region, greenhouse gases and their influence on the environment. This document has been written in close cooperation with professionals and civil associations. Elected representatives from local and regional authorities also speak about their experiences. The first part emphasizes the urgency to accelerate preventive and corrective measures since the air pollution, after slightly decreasing in the 2000's, remains stable. Our work is a science based analysis of essential parameters and details the impact of local pollution and greenhouse gases on the climate. It is based on the GIEC 2013 and 2015 reports, as well as the work of National meteorology in association with the Climate agency of Paris. The threshold of not exceeding an average temperature of +2 deg. C in 2100 is almost reached. If consumption of fossil energies does not heavily decline in the next 10 years, the earth's thermal machine will enter, for several centuries, into an uncontrollable cycle which could endanger life on earth with average temperatures exceeding 4 to 6 deg. C above the current level. The second part reveals the impact of air pollution on the health of the Paris region's population, especially on women who are the most affected by respiratory diseases: obstructive pulmonary bronchitis and asthma. Four departments are particularly affected: Paris, Seine-et-Marne, Seine-Saint-Denis and Val-d'Oise. Even though we do not have the formal causal proof between gas concentration and disease, analysis of similar situations worldwide eliminate any doubts about the reality of the relationship. The third part proposes solutions which can be implemented by local government, companies, but also civil associations and citizens in order to quickly decrease greenhouse gas production. Solutions range from energy sobriety to change in travel

  10. Air ions and aerosol science

    Science.gov (United States)

    Tammet, Hannes

    1996-03-01

    Collaboration between Gas Discharge and Plasma Physics, Atmospheric Electricity, and Aerosol Science is a factor of success in the research of air ions. The concept of air ion as of any carrier of electrical current through the air is inherent to Atmospheric Electricity under which a considerable statistical information about the air ion mobility spectrum is collected. A new model of air ion size-mobility correlation has been developed proceeding from Aerosol Science and joining the methods of neighboring research fields. The predicted temperature variation of the mobility disagrees with the commonly used Langevin rule for the reduction of air ion mobilities to the standard conditions. Concurrent errors are too big to be neglected in applications. The critical diameter distinguishing cluster ions and charged aerosol particles has been estimated to be 1.4-1.8 nm.

  11. Air ions and aerosol science

    Energy Technology Data Exchange (ETDEWEB)

    Tammet, H. [Department of Environmental Physics, Tartu University, Tartu, Estonia (Estonia) 2400

    1996-03-01

    Collaboration between Gas Discharge and Plasma Physics, Atmospheric Electricity, and Aerosol Science is a factor of success in the research of air ions. The concept of air ion as of any carrier of electrical current through the air is inherent to Atmospheric Electricity under which a considerable statistical information about the air ion mobility spectrum is collected. A new model of air ion size-mobility correlation has been developed proceeding from Aerosol Science and joining the methods of neighboring research fields. The predicted temperature variation of the mobility disagrees with the commonly used Langevin rule for the reduction of air ion mobilities to the standard conditions. Concurrent errors are too big to be neglected in applications. The critical diameter distinguishing cluster ions and charged aerosol particles has been estimated to be 1.4{endash}1.8 nm. {copyright} {ital 1996 American Institute of Physics.}

  12. The Cost of Air Pollution

    OpenAIRE

    World Bank; Institute for Health Metrics and Evaluation

    2016-01-01

    The Cost of Air Pollution: Strengthening the economic case for action, a joint study of the World Bank and the Institute for Health Metrics and Evaluation (IHME), seeks to estimate the costs of premature deaths related to air pollution, to strengthen the case for action and facilitate decision making in the context of scarce resources. An estimated 5.5 million lives were lost in 2013 to diseases associated with outdoor and household air pollution, causing human suffering and reducing economic...

  13. Atmospheric Chemistry and Air Pollution

    OpenAIRE

    Gaffney, Jeffrey S.; Marley, Nancy A.

    2003-01-01

    Atmospheric chemistry is an important discipline for understanding air pollution and its impacts. This mini-review gives a brief history of air pollution and presents an overview of some of the basic photochemistry involved in the production of ozone and other oxidants in the atmosphere. Urban air quality issues are reviewed with a specific focus on ozone and other oxidants, primary and secondary aerosols, alternative fuels, and the potential for chlorine releases to amplify oxidant chemistry...

  14. Natural Flow Air Cooled Photovoltaics

    Science.gov (United States)

    Tanagnostopoulos, Y.; Themelis, P.

    2010-01-01

    Our experimental study aims to investigate the improvement in the electrical performance of a photovoltaic installation on buildings through cooling of the photovoltaic panels with natural air flow. Our experimental study aims to investigate the improvement in the electrical performance of a photovoltaic installation on buildings through cooling of the photovoltaic panels with natural air flow. We performed experiments using a prototype based on three silicon photovoltaic modules placed in series to simulate a typical sloping building roof with photovoltaic installation. In this system the air flows through a channel on the rear side of PV panels. The potential for increasing the heat exchange from the photovoltaic panel to the circulating air by the addition of a thin metal sheet (TMS) in the middle of air channel or metal fins (FIN) along the air duct was examined. The operation of the device was studied with the air duct closed tightly to avoid air circulation (CLOSED) and the air duct open (REF), with the thin metal sheet (TMS) and with metal fins (FIN). In each case the experiments were performed under sunlight and the operating parameters of the experimental device determining the electrical and thermal performance of the system were observed and recorded during a whole day and for several days. We collected the data and form PV panels from the comparative diagrams of the experimental results regarding the temperature of solar cells, the electrical efficiency of the installation, the temperature of the back wall of the air duct and the temperature difference in the entrance and exit of the air duct. The comparative results from the measurements determine the improvement in electrical performance of the photovoltaic cells because of the reduction of their temperature, which is achieved by the naturally circulating air.

  15. Managing Air in Olympic Cities

    Directory of Open Access Journals (Sweden)

    Qing W. Tian

    2008-01-01

    Full Text Available The 21st century Olympic Agenda aims to align itself with the concept of sustainable development and has driven improved environmental quality in host cities, such as the Green Games in Sydney 2000 and the planned Beijing 2008 Games and in London 2012 as the Low Carbon Games. Air quality has long been a concern of Olympic mega-cities, although the air quality plans and strategies have often seemed short-lived and unsustainable in the long term. We have explored air quality data and air pollution control from seven Olympic cities: Mexico City, Los Angeles, Atlanta, Sydney and Athens and also Beijing and London which will host Olympic Games in near future. The study shows that despite a high altitude and air pollution problems, Mexico City had no clear environmental policy in place for the 1968 games. The characteristic smog of Los Angeles raised concerns about athletic performance at the Olympic Games of 1984, but there were limited efforts to tackle the ozone concentration during these games. The 1996 Atlanta Games represents a case where temporary public transport changes were used as a tactic to reduce air pollution. In Sydney a well planned sustainable strategy reduced air pollutants and CO2 emissions in 2000, but Athens' long efforts to improve air quality for the 2004 games were not wholly effective. Even where strategies proved successful the improvements in air quality seem short-lived. Current host cities Beijing and London are developing emission reduction plans. These have clear air quality objectives and are well intentioned. However, the improvements may be too narrow and may not be sustainable in the long term. Our analysis looks at the origins of success and failure and how more coherent improvements might be achieved and what would promote sustainable plans for air quality management at future games. The study illustrates the feedback between air pollution science and policy awareness.

  16. Air and metal hydride battery

    Energy Technology Data Exchange (ETDEWEB)

    Lampinen, M.; Noponen, T. [Helsinki Univ. of Technology, Otaniemi (Finland). Lab. of Applied Thermodynamics

    1998-12-31

    The main goal of the air and metal hydride battery project was to enhance the performance and manufacturing technology of both electrodes to such a degree that an air-metal hydride battery could become a commercially and technically competitive power source for electric vehicles. By the end of the project it was possible to demonstrate the very first prototype of the air-metal hydride battery at EV scale, achieving all the required design parameters. (orig.)

  17. Photochemical air pollution syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Hamming, W.J.; MacBeth, W.C.; Chass, R.L.

    1967-01-01

    There are two distinct pollution problems in the Los Angeles Basin - one in winter, the other most frequently in summer and fall. In winter the concentrations of carbon monoxide, nitrogen oxides, sulfur dioxide and black filterable aerosols are higher than in summer, but the secondary pollutants such as ozone and photochemical oxidants are not as high. The photochemical air pollution syndrome is due to a pattern set by previous smog attacks. This pattern is due to low wind speeds, low inversion heights, a trajectory to carry the pollution and sufficient sunlight to photodissociate the nitrogen dioxide formed and to form nitric oxide and atomic oxygen. The results are high levels of oxidant or ozone and large quantities of particles. 5 references, 9 figures, 7 tables.

  18. de Buenos Aires

    Directory of Open Access Journals (Sweden)

    Joaquín Linne

    2014-01-01

    Full Text Available Esta investigación explora la situación de los cibercafés en la Ciudad de Buenos Aires y de su principalpoblación, los adolescentes de sectores populares. Aunque en los últimos años millones de adolescentes abandonaronestos espacios como consecuencia de la ampliación de la Internet hogareña, en sectores popularesmuchos adolescentes aún continúan asistiendo en busca de recreación lúdico-comunicativa, información eintegración social. La metodología utilizada consiste en 40 entrevistas en profundidad, observaciones participantesy análisis de contenido de perfiles de Facebook (n: 200. Entre los resultados, se destaca que lasprincipales prácticas de estos adolescentes son comunicativas y que estos espacios funcionan para ellos comoherramientas de alfabetización digital, sociabilidad entre pares e inclusión ciudadana.

  19. metropolitana en Buenos Aires

    Directory of Open Access Journals (Sweden)

    Pedro Pírez

    2006-01-01

    Full Text Available In this paper, we present a description of some concrete processes that made up the transformations in the metropolitan configuration and functioning in Buenos Aires in the 1990s during the 20th Century. We are referring to components related to the impact of processes at the macro level (national and international pertaining to restructuring and globalisation. We aim to understand the “forces” that mediate between the global and the local arenas, identifying the actors and the relationships behind metropolitan changes as well as searching for the meaning that the city acquires and which is understood as “privatisation”. In the first section of the paper, this concept is made explicit.

  20. Air Composition and Chemistry

    Science.gov (United States)

    Brimblecombe, Peter

    1996-01-01

    This book is about the atmosphere and humanity's influence on it. For this new edition, Brimblecombe has rewritten and updated much of the book. In the early chapters, he discusses the geochemical, biological and maritime sources of the trace gases. Next, he examines the chemistry of atmospheric gases, suspended particles, and rainfall. After dealing with the natural atmosphere, he examines the sources of air pollution and its effects, with all scenarios updated from the last edition. Scenarios include decline in health, damage to plants and animals, indoor pollution, and acid rain. The final chapters, also revised, are concerned with the chemistry and evolution of the atmospheres of the planets of the solar system. Students with an interest in chemistry and the environmental sciences will find this book highly valuable.

  1. Metal hydride air conditioner

    Institute of Scientific and Technical Information of China (English)

    YANG; Ke; DU; Ping; LU; Man-qi

    2005-01-01

    The relationship among the hydrogen storage properties, cycling characteristics and thermal parameters of the metal hydride air conditioning systems was investigated. Based on a new alloy selection model, three pairs of hydrogen storage alloys, LaNi4.4 Mn0.26 Al0.34 / La0.6 Nd0.4 Ni4.8 Mn0.2 Cu0. 1, LaNi4.61Mn0. 26 Al0.13/La0.6 Nd0.4 Ni4.8 Mn0.2 Cu0. 1 and LaNi4.61 Mn0.26 Al0.13/La0.6 Y0.4 Ni4.8 Mn0. 2, were selected as the working materials for the metal hydride air conditioning system. Studies on the factors affecting the COP of the system showed that higher COP and available hydrogen content need the proper operating temperature and cycling time,large hydrogen storage capacity, flat plateau and small hysterisis of hydrogen alloys, proper original input hydrogen content and mass ratio of the pair of alloys. It also needs small conditioning system was established by using LaNi4.61 Mn0.26 Al0. 13/La0.6 Y0.4 Ni4.8 Mn0.2 alloys as the working materials, which showed that under the operating temperature of 180℃/40℃, a low temperature of 13℃ was reached, with COP =0.38 and Wnet =0.09 kW/kg.

  2. Aerodynamical sealing by air curtains

    Science.gov (United States)

    Frank, Daria; Linden, Paul

    2015-11-01

    Air curtains are artificial high-velocity plane turbulent jets which are installed in a doorway in order to reduce the heat and the mass exchange between two environments. The performance of an air curtain is assessed in terms of the sealing effectiveness E, the fraction of the exchange flow prevented by the air curtain compared to the open-door situation. The main controlling parameter for air curtain dynamics is the deflection modulus Dm representing the ratio of the momentum flux of the air curtain and the transverse forces acting on it due to the stack effect. In this talk, we examine the influence of two factors on the performance of an air curtain: the presence of an additional ventilation pathway in the room, such as a small top opening, and the effects of an opposing buoyancy force which for example arises if a downwards blowing air curtain is heated. Small-scale experiments were conducted to investigate the E (Dm) -curve of an air curtain in both situations. We present both experimental results and theoretical explanations for our observations. We also briefly illustrate how simplified models developed for air curtains can be used for more complex phenomena such as the effects of wind blowing around a model building on the ventilation rates through the openings.

  3. "Air embolism during fontan operation"

    Directory of Open Access Journals (Sweden)

    Madan Mohan Maddali

    2014-01-01

    Full Text Available In patients with a right to left intracardiac shunt, air embolism results in an obligatory systemic embolization. Nonembolization of entrained air is described in a child with a single ventricle physiology who had earlier undergone bidirectional Glenn shunt construction and Damus-Kaye-Stansel anastomosis. The air entrainment was detected by intra-operative transesophageal echocardiography. The combined effect of a "diving bell" phenomenon and mild aortic valve regurgitation are suggested as the reasons for the confinement of air into the ventricle preventing catastrophic systemic embolization.

  4. Fundamentals of air pollution. Third edition

    Energy Technology Data Exchange (ETDEWEB)

    Boubel, R.W.; Fox, D.L.; Turner, D.B.; Stern, A.C.

    1994-12-31

    This book presents an overview of air pollution. In Part I, the history of air pollution and the basic concepts involved with air pollution such as sources, scales, definitions are covered. Part II describes how airborne pollutants damage materials, vegetation, animals, and humans. Six fundamental aspects of air pollution are included in the text: The Elements of Air Pollution; The Effects of Air Pollution; Measurement and Monitoring of Air Pollution; Meterology of Air Pollution; regulatory Control of Air Pollution; and Engineering Control of Air Pollution.

  5. Norma Primaria de calidad del aire AIR QUALITY STANDARD

    Directory of Open Access Journals (Sweden)

    PATRICIA MATUS C.

    2002-04-01

    Full Text Available Las normas primarias de calidad del aire tienen por finalidad proteger la salud de la población de la contaminación atmosférica. Ellas establecen un nivel de riesgo socialmente aceptado. Este artículo describe los antecedentes considerados durante el proceso de actualización de la regulación vigente en Chile. Detalla conceptos sobre la calidad del aire, describe los efectos en la salud de los contaminantes, y el procedimiento seguido para fijar los nuevos estándares Finaliza enumerando la norma primaria de calidad del aire, sus valores y los limites definidos para ser considerados en el ámbito de la gestión de los episodios críticos o de alta contaminaciónThe main purpose of air quality standards is to protect people health from air pollution. They establish a socially accepted level of risk. This article describes the background information considered during the process for updating the current Chilean regulation. Concepts about quality of air, and the effects of the pollutants on the health are described. The procedure followed to fix the new standards is detailed. Finally we state the primary air quality norm, its values as well as the critical limits in order to control critical events of high air pollution

  6. Reduced bleed air extraction for DC-10 cabin air conditioning

    Science.gov (United States)

    Newman, W. H.; Viele, M. R.; Hrach, F. J.

    1980-01-01

    It is noted that a significant fuel savings can be achieved by reducing bleed air used for cabin air conditioning. Air in the cabin can be recirculated to maintain comfortable ventilation rates but the quality of the air tends to decrease due to entrainment of smoke and odors. Attention is given to a development system designed and fabricated under the NASA Engine Component Improvement Program to define the recirculation limit for the DC-10. It is shown that with the system, a wide range of bleed air reductions and recirculation rates is possible. A goal of 0.8% fuel savings has been achieved which results from a 50% reduction in bleed extraction from the engine.

  7. The Federal Air Pollution Program.

    Science.gov (United States)

    National Air Pollution Control Administration (DHEW), Washington, DC.

    Described is the Federal air pollution program as it was in 1967. The booklet is divided into these major topics: History of the Federal Program; Research; Assistance to State and Local Governments; Abatement and Prevention of Air Pollution; Control of Motor Vehicle Pollution; Information and Education; and Conclusion. Federal legislation has…

  8. Airborne rotary air separator study

    Science.gov (United States)

    Acharya, A.; Gottzmann, C. F.; Nowobilski, J. J.

    1990-01-01

    Several air breathing propulsion concepts for future earth-to-orbit transport vehicles utilize air collection and enrichment, and subsequent storage of liquid oxygen for later use in the vehicle emission. Work performed during the 1960's established the feasibility of substantially reducing weight and volume of a distillation type air separator system by operating the distillation elements in high 'g' fields obtained by rotating the separator assembly. This contract studied the capability test and hydraulic behavior of a novel structured or ordered distillation packing in a rotating device using air and water. Pressure drop and flood points were measured for different air and water flow rates in gravitational fields of up to 700 g. Behavior of the packing follows the correlations previously derived from tests at normal gravity. The novel ordered packing can take the place of trays in a rotating air separation column with the promise of substantial reduction in pressure drop, volume, and system weight. The results obtained in the program are used to predict design and performance of rotary separators for air collection and enrichment systems of interest for past and present concepts of air breathing propulsion (single or two-stage to orbit) systems.

  9. A Breath of Fresh Air

    Science.gov (United States)

    Belew, Rachel

    2011-01-01

    One of the most important aspects of a healthy school--and one that, unfortunately, often falls by the wayside--is indoor air quality. The U.S. Government Accountability Office estimates that more than 15,000 schools nationwide report suffering from poor indoor air quality. According to the U.S. Environmental Protection Agency, schools with poor…

  10. Ozone as an air pollutant

    DEFF Research Database (Denmark)

    Berg, Rolf W.

    1996-01-01

    A Danish new book on ozone as an air pollutant has been reviewed. The Book is "Ozon som luftforurening" by Jes Fenger, Published by "Danmarks Miljøundersøgelser, 1995.......A Danish new book on ozone as an air pollutant has been reviewed. The Book is "Ozon som luftforurening" by Jes Fenger, Published by "Danmarks Miljøundersøgelser, 1995....

  11. Mind Your Indoor Air Quality

    Science.gov (United States)

    Mak, Lily

    2012-01-01

    When it comes to excelling in the classroom, it turns out the air students are breathing is just as important as the lessons they are learning. Studies show poor indoor air quality (IAQ) can lessen the comfort of students as well as staff--affecting concentration, attendance and student performance. It can even lead to lower IQs. What's more, poor…

  12. Vehicles and Particulate Air Pollution

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    The current scene relating to particles and vehicular emissions in UK is reviewed. The active research topics are health effects of particles, particle size and composition, modeling the fate of particles and assessing individual exposure. There is a National Air Quality Strategy combined with local air quality management which includes monitoring and assessment, dispersion modeling and development of management plans.

  13. Improved Air-Treatment Canister

    Science.gov (United States)

    Boehm, A. M.

    1982-01-01

    Proposed air-treatment canister integrates a heater-in-tube water evaporator into canister header. Improved design prevents water from condensing and contaminating chemicals that regenerate the air. Heater is evenly spiraled about the inlet header on the canister. Evaporator is brazed to the header.

  14. Cylindrical air flow reversal barrier

    Energy Technology Data Exchange (ETDEWEB)

    Woznica, C.; Rodziewicz, M.

    1988-06-01

    Describes an innovative design introduced in the ZMP mine in Zory for quick reversal of ventilation air flow. Geologic mining conditions at the 705 m deep horizon, where the barrier was built, are described. According to the design used until now, a reversal system consisted of safety barriers, ventilation air locks, a ventilation bridge and stopping needed in case of a fire when air flow direction must be reversed. Nine air locks and an expensive concrete ventilation bridge were needed and the air locks had to be operated at 8 points of the region to effect reversal. The new design consists of a 2-storey cylindrical barrier which also fulfills the function of a ventilation bridge. It can be manually or remotely operated by a mechanical or pneumatic system. Tests showed that the new barrier permits immediate air flow reversal while retaining 60% of the original air, which is important in the case of fire and methane hazards. It permits improved seam panelling and splitting of pillars and brings an economy of about 40 million zlotys in construction cost. Design and operation of the barrier is illustrated and ventilation air circulation is explained. 7 figs.

  15. Picosecond laser filamentation in air

    Science.gov (United States)

    Schmitt-Sody, Andreas; Kurz, Heiko G.; Bergé, Luc; Skupin, Stefan; Polynkin, Pavel

    2016-09-01

    The propagation of intense picosecond laser pulses in air in the presence of strong nonlinear self-action effects and air ionization is investigated experimentally and numerically. The model used for numerical analysis is based on the nonlinear propagator for the optical field coupled to the rate equations for the production of various ionic species and plasma temperature. Our results show that the phenomenon of plasma-driven intensity clamping, which has been paramount in femtosecond laser filamentation, holds for picosecond pulses. Furthermore, the temporal pulse distortions in the picosecond regime are limited and the pulse fluence is also clamped. In focused propagation geometry, a unique feature of picosecond filamentation is the production of a broad, fully ionized air channel, continuous both longitudinally and transversely, which may be instrumental for many applications including laser-guided electrical breakdown of air, channeling microwave beams and air lasing.

  16. Atmospheric Chemistry and Air Pollution

    Directory of Open Access Journals (Sweden)

    Jeffrey S. Gaffney

    2003-01-01

    Full Text Available Atmospheric chemistry is an important discipline for understanding air pollution and its impacts. This mini-review gives a brief history of air pollution and presents an overview of some of the basic photochemistry involved in the production of ozone and other oxidants in the atmosphere. Urban air quality issues are reviewed with a specific focus on ozone and other oxidants, primary and secondary aerosols, alternative fuels, and the potential for chlorine releases to amplify oxidant chemistry in industrial areas. Regional air pollution issues such as acid rain, long-range transport of aerosols and visibility loss, and the connections of aerosols to ozone and peroxyacetyl nitrate chemistry are examined. Finally, the potential impacts of air pollutants on the global-scale radiative balances of gases and aerosols are discussed briefly.

  17. Lithium-Air Cell Development

    Science.gov (United States)

    Reid, Concha M.; Dobley, Arthur; Seymour, Frasier W.

    2014-01-01

    Lithium-air (Li-air) primary batteries have a theoretical specific capacity of 11,400 Wh/kg, the highest of any common metal-air system. NASA is developing Li-air technology for a Mobile Oxygen Concentrator for Spacecraft Emergencies, an application which requires an extremely lightweight primary battery that can discharge over 24 hours continuously. Several vendors were funded through the NASA SBIR program to develop Li-air technology to fulfill the requirements of this application. New catalysts and carbon cathode structures were developed to enhance the oxygen reduction reaction and increase surface area to improve cell performance. Techniques to stabilize the lithium metal anode surface were explored. Experimental results for prototype laboratory cells are given. Projections are made for the performance of hypothetical cells constructed from the materials that were developed.

  18. Population Dynamics and Air Pollution

    DEFF Research Database (Denmark)

    Flachs, Esben Meulengracht; Sørensen, Jan; Bønløkke, Jacob;

    2013-01-01

    Objective. To explore how three different assumptions on demographics affect the health impact of Danish emitted air pollution in Denmark from 2005 to 2030, with health impact modeled from 2005 to 2050. Methods. Modeled air pollution from Danish sources was used as exposure in a newly developed......) a static year 2005 population, (2) morbidity and mortality fixed at the year 2005 level, or (3) an expected development. Results. The health impact of air pollution was estimated at 672,000, 290,000, and 280,000 lost life years depending on demographic assumptions and the corresponding social costs at 430.......4 M€, 317.5 M€, and 261.6 M€ through the modeled years 2005–2050. Conclusion. The modeled health impact of air pollution differed widely with the demographic assumptions, and thus demographics and assumptions on demographics played a key role in making health impact assessments on air pollution....

  19. Airing Out Anthrax

    Science.gov (United States)

    2002-01-01

    The AiroCide TiO2 is an air-purifier that kills 93.3 percent of airborne pathogens that pass through it, including Bacillus anthraci, more commonly known as anthrax. It is essentially a spinoff of KES Science & Technology, Inc.'s Bio-KES system, a highly effective device used by the produce industry for ethylene gas removal to aid in preserving the freshness of fruits, vegetables, and flowers. The TiO2-based ethylene removal technology that is incorporated into the company's AiroCide TiO2 and Bio-KES products was first integrated into a pair of plant-growth chambers known as ASTROCULTURE(TM) and ADVANCED ASTROCULTURE(TM). Both chambers have housed commercial plant growth experiments in space on either the Space Shuttle or the International Space Station. The AiroCide TiO2 also has a proven record of destroying 98 percent of other airborne pathogens, such as microscopic dust mites, molds, and fungi. Moreover, the device is a verified killer of Influenza A (flu), E. coli, Staphylococcus aureas, Streptococcus pyogenes, and Mycoplasma pneumoniae, among many other harmful viruses.

  20. Breathe the air!

    CERN Multimedia

    2003-01-01

    Feeling a bit cooped up in your office? Want to share your interest in science and technology with others but your computer's heard it all before and your colleagues won't even listen anymore? Then here's the answer - come and get some fresh air with the Education and Communication Group. The Visits Service and the Press Office offer you the opportunity to come into contact with CERN visitors. - Be a guide! In becoming a guide you get the opportunity to introduce the Laboratory to vast array of visitors of all nationalities and ages and communicate to them your passion for science and technology. You can get involved as a CERN guide on various levels - giving presentations and tours of the Laboratory, but also leading a «Drôle de Physique» workshop and giving tours of Microcosm. Guides receive training. If you're interested, take a look at the Guides Homepage where all the relevant information and formalities are explained: http://www.cern.ch/guides See also the article in the Bulletin n°25/2002. - Fa...

  1. Air pollution in Copenhagen

    International Nuclear Information System (INIS)

    Aerosols were monitored in Greater Copenhagen in the period June 1973 to July 1974. Size-fractionated cascade impactor samples and unfractionated filter samples were regularly collected and analyzed be neutron activation analysis, spark emission spectroscopy or proton-induced X-ray emission spectroscopy. Concentrations were determined of the following elements: Al, Si, S, Cl, K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Br, Mo, Cd, Sn, Sb, and Pb. All elements showed orders-of-magnitude fluctuationsthe mean concentrations were roughly the same as in other large cities. In relation to proposed air quality standards, Pb was the most critical component. Statistical analysis of variation patterns, size distributions and interelement correlations indicate that automotive exhaust is the source of Br and Pbfuel-oil combustion is the main source of V and Ni (and partly of S)soil dust raised by wind or by human activity (e.g. traffic) is the main source of Al, Si, Ca, Ti, and Fe. (author)

  2. Radioxenon spiked air.

    Science.gov (United States)

    Watrous, Matthew G; Delmore, James E; Hague, Robert K; Houghton, Tracy P; Jenson, Douglas D; Mann, Nick R

    2015-12-01

    Four of the radioactive xenon isotopes ((131m)Xe, (133m)Xe, (133)Xe and (135)Xe) with half-lives ranging from 9 h to 12 days are produced from nuclear fission and can be detected from days to weeks following their production and release. Being inert gases, they are readily transported through the atmosphere. Sources for release of radioactive xenon isotopes include operating nuclear reactors via leaks in fuel rods, medical isotope production facilities, and nuclear weapons' detonations. They are not normally released from fuel reprocessing due to the short half-lives. The Comprehensive Nuclear-Test-Ban Treaty has led to creation of the International Monitoring System. The International Monitoring System, when fully implemented, will consist of one component with 40 stations monitoring radioactive xenon around the globe. Monitoring these radioactive xenon isotopes is important to the Comprehensive Nuclear-Test-Ban Treaty in determining whether a seismically detected event is or is not a nuclear detonation. A variety of radioactive xenon quality control check standards, quantitatively spiked into various gas matrices, could be used to demonstrate that these stations are operating on the same basis in order to bolster defensibility of data across the International Monitoring System. This paper focuses on Idaho National Laboratory's capability to produce three of the xenon isotopes in pure form and the use of the four xenon isotopes in various combinations to produce radioactive xenon spiked air samples that could be subsequently distributed to participating facilities. PMID:26318775

  3. Radioxenon spiked air.

    Science.gov (United States)

    Watrous, Matthew G; Delmore, James E; Hague, Robert K; Houghton, Tracy P; Jenson, Douglas D; Mann, Nick R

    2015-12-01

    Four of the radioactive xenon isotopes ((131m)Xe, (133m)Xe, (133)Xe and (135)Xe) with half-lives ranging from 9 h to 12 days are produced from nuclear fission and can be detected from days to weeks following their production and release. Being inert gases, they are readily transported through the atmosphere. Sources for release of radioactive xenon isotopes include operating nuclear reactors via leaks in fuel rods, medical isotope production facilities, and nuclear weapons' detonations. They are not normally released from fuel reprocessing due to the short half-lives. The Comprehensive Nuclear-Test-Ban Treaty has led to creation of the International Monitoring System. The International Monitoring System, when fully implemented, will consist of one component with 40 stations monitoring radioactive xenon around the globe. Monitoring these radioactive xenon isotopes is important to the Comprehensive Nuclear-Test-Ban Treaty in determining whether a seismically detected event is or is not a nuclear detonation. A variety of radioactive xenon quality control check standards, quantitatively spiked into various gas matrices, could be used to demonstrate that these stations are operating on the same basis in order to bolster defensibility of data across the International Monitoring System. This paper focuses on Idaho National Laboratory's capability to produce three of the xenon isotopes in pure form and the use of the four xenon isotopes in various combinations to produce radioactive xenon spiked air samples that could be subsequently distributed to participating facilities.

  4. Large scale air monitoring: Biological indicators versus air particulate matter

    International Nuclear Information System (INIS)

    Biological indicator organisms are widely used for monitoring and banking purposes since many years. Although the complexity of the interactions between bioorganisms and their environment is generally not easily comprehensible, environmental quality assessment using the bioindicator approach offers some convincing advantages compared to direct analysis of soil, water, or air. Direct measurement of air particulates is restricted to experienced laboratories with access to expensive sampling equipment. Additionally, the amount of material collected generally is just enough for one determination per sampling and no multidimensional characterization might be possible. Further, fluctuations in air masses have a pronounced effect on the results from air filter sampling. Combining the integrating property of bioindicators with the world wide availability and uniform matrix characteristics of air particulates as a prerequisite for global monitoring of air pollution will be discussed. A new approach for sampling urban dust using large volume filtering devices installed in air conditioners of large hotel buildings is assessed. A first experiment was initiated to collect air particulates (300 to 500 g each) from a number of hotels during a period of three to four months by successive vacuum cleaning of used inlet filters from high volume air conditioning installations reflecting average concentrations per three months in different large cities. This approach is expected to be upgraded and applied for global monitoring. Highly positive correlated elements were found in lichen such as K/S, Zn/P, the rare earth elements (REE) and a significant negative correlation between Fig and Cu was observed in these samples. The ratio of concentrations of elements in dust and Usnea spp. is highest for Cr, Zn, and Fe (400-200) and lowest for elements such as Ca, Rb, and Sr (20-10). (author)

  5. Air Leakage and Air Transfer Between Garage and Living Space

    Energy Technology Data Exchange (ETDEWEB)

    Rudd, A.

    2014-09-01

    This research project focused on evaluation of air transfer between the garage and living space in a single-family detached home constructed by a production homebuilder in compliance with the 2009 International Residential Code and the 2009 International Energy Conservation Code. The project gathered important information about the performance of whole-building ventilation systems and garage ventilation systems as they relate to minimizing flow of contaminated air from garage to living space. A series of 25 multi-point fan pressurization tests and additional zone pressure diagnostic testing characterized the garage and house air leakage, the garage-to-house air leakage, and garage and house pressure relationships to each other and to outdoors using automated fan pressurization and pressure monitoring techniques. While the relative characteristics of this house may not represent the entire population of new construction configurations and air tightness levels (house and garage) throughout the country, the technical approach was conservative and should reasonably extend the usefulness of the results to a large spectrum of house configurations from this set of parametric tests in this one house. Based on the results of this testing, the two-step garage-to-house air leakage test protocol described above is recommended where whole-house exhaust ventilation is employed. For houses employing whole-house supply ventilation (positive pressure) or balanced ventilation (same pressure effect as the Baseline condition), adherence to the EPA Indoor airPLUS house-to-garage air sealing requirements should be sufficient to expect little to no garage-to-house air transfer.

  6. [Air quality control systems: heating, ventilating, and air conditioning (HVAC)].

    Science.gov (United States)

    Bellucci Sessa, R; Riccio, G

    2004-01-01

    After a brief illustration of the principal layout schemes of Heating, Ventilating, and Air Conditioning (HVAC), the first part of this paper summarizes the standards, both voluntary and compulsory, regulating HVAC facilities design and installation with regard to the question of Indoor Air Quality (IAQ). The paper then examines the problem of ventilation systems maintenance and the essential hygienistic requirements in whose absence HVAC facilities may become a risk factor for people working or living in the building. Lastly, the paper deals with HVAC design strategies and methods, which aim not only to satisfy comfort and air quality requirements, but also to ensure easy and effective maintenance procedures.

  7. Air Pollution in the World's Megacities.

    Science.gov (United States)

    Richman, Barbara T., Ed.

    1994-01-01

    Reports findings of the Global Environment Monitoring System study concerning air pollution in the world's megacities. Discusses sources of air pollution, air pollution impacts, air quality monitoring, air quality trends, and control strategies. Provides profiles of the problem in Beijing, Los Angeles, Mexico City, India, Cairo, Sao Paulo, and…

  8. Perfil funcional de locomoção em um grupo de pacientes com lesão medular atendidos em um centro de reabilitação Perfil funcional de locomoción en un grupo de pacientes con lesión medular atendidos en un centro de rehabilitación Functional ambulation profile in a group of spinal cord injured patients attended at a rehabilitation center

    Directory of Open Access Journals (Sweden)

    Ana Cristina Franzoi

    2009-12-01

    Full Text Available OBJETIVO: descrever o perfil de locomoção de um grupo de pacientes com lesão medular (LM, correlacionando-o com as características da amostra. MÉTODOS: setenta pacientes (50 com LM traumática e 20 com LM não-traumática. Instrumentos: Classificação Funcional da Marcha Modificada (CFMM, WISCI-II, Escala de Ashworth Modificada (EAM, Classificação AIS, Lower Extremities Muscle Score (AIS-LEMS. Estatística: descritiva, comparação entre grupos, testes de correlação considerando pOBJETIVO: describir el perfil de locomoción de un grupo de pacientes con lesión medular (LM, correlacionándolo con las características de la muestra. MÉTODOS: setenta pacientes (50 con LM traumática y 20 con LM no traumática. Instrumentos: Clasificación Funcional de la Marcha Modificada (CFMM, WISCI-II, Escala de Ashworth Modificada (EAM, Clasificación AIS, AIS Lower Extremities Muscle Score (AIS-LEMS. Estadística: descriptiva, comparación entre grupos, testes de correlación considerando un pOBJECTIVE: to describe the locomotion profile of a group of spinal cord injured (SCI patients and its correlation with the sample features. METHODS: seventy patients (50 with traumatic SCI and 20 non-traumatic were assessed. Instruments: Modified Functional Ambulation Classification (MFAC, Walking Index for Spinal Cord Injury II (WISCI-II, Modified Ashworth Scale (MAS, American Spinal Injury Association Impairment Scale (AIS and AIS Lower Extremities Muscle Score (AIS-LEMS. Statistics: descriptive, comparison between groups, correlation tests (considering p<0,05. RESULTS: average values were: age: 36 years, 72.9% males, average time of lesion 4.7 years. AIS A, 38.6%; AIS B, 10%; AIS C, 22.8%; AIS D, 28.6%. Level of lesion: 32.8% cervical, 52.9% thoracic, 14.3% lumbar. More prevalent etiologies: gunshot wounds 30% and car accidents 18%. MFAC: Non-ambulation, 34.3%; Therapeutic ambulation 20%, Household ambulation 12.8%, community ambulation (32.9%; WISCI-II: 7

  9. Air conditioning and refrigeration engineering

    Energy Technology Data Exchange (ETDEWEB)

    Kreith, F. [ed.] [Univ. of Colorado, Boulder, CO (US)

    1999-12-01

    This book supplies the basics of design, from selecting the optimum system and equipment to preparing the drawings and specifications. It discusses the four phases of preparing a project: gathering information, developing alternatives, evaluating alternatives, and selling the best solution. In addition, the author breaks down the responsibilities of the engineer design documents, computer aided design, and government codes and standards. It provides you with an easy reference to all aspects of the topic. This resource addresses the most current areas of interest, such as computer aided design and drafting, desiccant air conditioning and energy conservation. It is a thorough and convenient guide to air conditioning and refrigeration engineering. Contents include: introduction; psychrometrics; air-conditioning processes and cycles; refrigerants and refrigeration cycles; outdoor design conditions and indoor design criteria; load calculations; air handling units and packaged units; refrigeration components and evaporative coolers; water systems; heating systems; refrigeration systems; thermal storage system; air system basics; absorption systems; air-conditioning systems and selection; and desiccant dehumidification and air-conditioning.

  10. Air Quality at Your Street

    DEFF Research Database (Denmark)

    Jensen, Steen Solvang; Becker, Thomas; Ketzel, Matthias;

    concerned citizents, or in the context of localization of institutions, etc. The purpose of the project ‘Air Quality at Your Street’ is to create interactive air quality maps on the internet using webGIS to illustrate the geographical variation of air quality in Denmark for selected health related air...... pollutants. The maps show annual means of NO2, PM2.5 or PM10 for 2012. The user interface presents modelled air quality data on a map where the user can select map view, pan, zoom in and out, etc. It is also possible to get the air quality for a particular address by entering a specific address. Air quality...... is calculated with a model system consisting of a regional model (DEHM), an urban background model (UBM) and a street model (OSPM) with associated meteorology and emissions data etc. Recently updated input data has been used for the road network and traffic data based on the national traffic model (LTM) from...

  11. Air Force neutron dosimetry program

    International Nuclear Information System (INIS)

    Approximately 1000 Air Force personnel are monitored for neutron radiation resulting from various sources at more than thirty worldwide locations. Neutron radiation spanning several orders of magnitude in energy is encountered. The Air Force currently uses albedo thermoluminescent neutron dosimeters for personnel monitoring. The energy dependence of the albedo neutron dosimeter is a current problem and the development of site specific correction factors is ongoing. A summary of data on the energy dependence is presented as well as efforts to develop algorithms for the dosimeter. An overview of current Air Force neutron dosimetry users and needs is also presented

  12. Local air entrainment and detrainment

    OpenAIRE

    Kobus, Helmut

    1984-01-01

    Air and water are usually well separated by gravity due to their extreme difference in specific weight. Whenever they are mixed, however, they give rise to a very complex two-phase flow situation. The hydraulic engineer is often faced with the problem of estimating the effects of entrained air upon the flow, because this may be essential for the safe operation of a hydraulic structure.The predominant mechanism in generating airwater mixtures is the inclusion of air at the surface of flowing w...

  13. Korean Air Excellence in Flight

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ Korean Air with a fleet of 119 aircraft, is one of the world's top 20 airlines, and oper-ates almost 400 flights everyday to 90 cities in 33 countries. The airline has about 50 flights per week between the US and Asia from nine US gateways: New York, Los Angeles, Washington,Chicago, Dallas, San Francisco, Atlanta, Anchorage and Honolulu.The carrier is a founding member of SkyTeam, the global airline alliance partnering AeroMexico, Air France, Alitalia, CSA Czech Airlines, Continental Airlines, Delta Air Lines, KLM and Northwest Airlines to provide customers with extensive worldwide destina-tions, flights and services.

  14. Air Leakage and Air Transfer Between Garage and Living Space

    Energy Technology Data Exchange (ETDEWEB)

    Rudd, Armin [Building Science Corporation, Westford, MA (United States)

    2014-09-01

    This research project focused on evaluation of air transfer between the garage and living space in a single-family detached home constructed by a production homebuilder in compliance with the 2009 International Residential Code and the 2009 International Energy Conservation Code. The project gathered important information about the performance of whole-building ventilation systems and garage ventilation systems as they relate to minimizing flow of contaminated air from garage to living space. A series of 25 multi-point fan pressurization tests and additional zone pressure diagnostic testing characterized the garage and house air leakage, the garage-to-house air leakage, and garage and house pressure relationships to each other and to outdoors using automated fan pressurization and pressure monitoring techniques. While the relative characteristics of this house may not represent the entire population of new construction configurations and air tightness levels (house and garage) throughout the country, the technical approach was conservative and should reasonably extend the usefulness of the results to a large spectrum of house configurations from this set of parametric tests in this one house. Based on the results of this testing, the two-step garage-to-house air leakage test protocol described above is recommended where whole-house exhaust ventilation is employed.

  15. Rooftop Unitary Air Conditioner with Integral Dedicated Outdoor Air System

    Energy Technology Data Exchange (ETDEWEB)

    Tiax Llc

    2006-02-28

    Energy use of rooftop and other unitary air-conditioners in commercial applications accounts for about 1 quad (10{sup 15} Btu) of primary energy use annually in the U.S. [Reference 7]. The realization that this cooling equipment accounts for the majority of commercial building cooled floorspace and the majority also of commercial building energy use has spurred development of improved-efficiency equipment as well as development of stricter standards addressing efficiency levels. Another key market driver affecting design of rooftop air-conditioning equipment has been concern regarding comfort and the control of humidity. Trends for increases in outdoor air ventilation rates in certain applications, and the increasing concern about indoor air quality problems associated with humidity levels and moisture in buildings points to a need for improved dehumidification capability in air-conditioning equipment of all types. In many cases addressing this issue exacerbates energy efficiency, and vice versa. The integrated dedicated outdoor air system configuration developed in this project addresses both energy and comfort/humidity issues.

  16. Air Conditioning Compressor Air Leak Detection by Image Processing Techniques for Industrial Applications

    OpenAIRE

    Pookongchai Kritsada; Nakornrat Prasit; Sookananta Bongkoj; Buasri Panhathai

    2015-01-01

    This paper presents method to detect air leakage of an air conditioning compressor using image processing techniques. Quality of air conditioning compressor should not have air leakage. To test an air conditioning compressor leak, air is pumped into a compressor and then submerged into the water tank. If air bubble occurs at surface of the air conditioning compressor, that leakage compressor must be returned for maintenance. In this work a new method to detect leakage and search leakage point...

  17. National Air Toxic Assessments (NATA) Results

    Data.gov (United States)

    U.S. Environmental Protection Agency — The National Air Toxics Assessment was conducted by EPA in 2002 to assess air toxics emissions in order to identify and prioritize air toxics, emission source types...

  18. Historical Ambient Air Quality Data Inventory

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Historical Ambient Air Quality Data Inventory contains measured and estimated data on ambient air pollution for use in assessing air quality, assisting in...

  19. High Altitude Clear Air Turbulence Project

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Air Force Flight Dynamics Laboratory conducted the High Altitude Clear Air Turbulence Project in the mid 1960s with the intention of better understanding air...

  20. Profit goal set for airBaltic

    Index Scriptorium Estoniae

    2011-01-01

    Latvijas Krajbanka president arvab, et airBalticu olukorra stabiliseerimiseks läheb vähemalt aasta. AirBalticu senine juht Bertolt Flick võib hakata uue Vilniuse lennukompanii investoriks. AirBalticu uuest juhatusest

  1. Clean Air Status and Trends Network (CASTNET)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Clean Air Status and Trends Network (CASTNET) is a national air quality monitoring network designed to provide data to assess trends in air quality, atmospheric...

  2. Air pollution in the Slovak Republic, 2001

    International Nuclear Information System (INIS)

    A report on air quality and contribution of individual sources on its pollution in the Slovak Republic in 2001 is presented. This report consists of two parts: (1) Ambient air and (2) Emission. Ambient air part is divided into the following chapters: Regional air pollution and quality of precipitation; Local air pollution; Atmospheric ozone. Emission part is divided into the following chapters: Emission and air pollution source inventory, Greenhouse gas emissions

  3. A Martian Air Battery Project

    Data.gov (United States)

    National Aeronautics and Space Administration — This project will investigate an entirely new battery chemistry by developing A Martian Air Battery. Specifically the project will explore the concept of a Martian...

  4. 2011 NATA - Air Toxics Monitors

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset includes annual (2005 - 2013) statistics of measured ambient air toxics concentrations (in micrograms per cubic meter) and associated risk estimates...

  5. US Air Force Balloon Observations

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Worksheets containing pilot balloon data computed from releases at Air Force stations in the western United States. Elevation and azimuth angles are used to compute...

  6. Air Pollution Affects Community Health

    Science.gov (United States)

    Shy, Carl M.; Finklea, John F.

    1973-01-01

    Community Health and Environmental Surveillance System (CHESS), a nationwide program relating community health to environmental quality, is designed to evaluate existing environmental standards, obtain health intelligence for new standards, and document health benefits of air pollution control. (BL)

  7. In Brief: Air pollution app

    Science.gov (United States)

    Showstack, Randy

    2010-10-01

    A new smartphone application takes advantage of various technological capabilities and sensors to help users monitor air quality. Tapping into smartphone cameras, Global Positioning System (GPS) sensors, compasses, and accelerometers, computer scientists with the University of Southern California's (USC) Viterbi School of Engineering have developed a new application, provisionally entitled “Visibility.” Currently available for the Android telephone operating system, the application is available for free download at http://robotics.usc.edu/˜mobilesensing/Projects/AirVisibilityMonitoring. An iPhone application may be introduced soon. Smartphone users can take a picture of the sky and then compare it with models of sky luminance to estimate visibility. While conventional air pollution monitors are costly and thinly deployed in some areas, the smartphone application potentially could help fill in some blanks in existing air pollution maps, according to USC computer science professor Gaurav Sukhatme.

  8. Indoor plants as air cleaners

    DEFF Research Database (Denmark)

    Dela Cruz, Majbrit; Christensen, Jan H.; Müller, Renate

    2015-01-01

    Plants have been used decoratively indoors for centuries. For the last 25-30 years, their beneficial abilities to reduce the levels of harmful volatile organic compounds (VOCs) from the indoor air have also been investigated. Previous studies have shown that VOCs are removed by the plant itself...... experiments is not directly transferrable to real life settings. The largest problem is the use of closed chambers where there is no air exchange. This also results in a declining VOC concentration over time. Due to this limitation, we constructed a new experimental system which among others can allow for air...... exchange and a constant VOC concentration. With the new system it was found that removal rates obtained in chambers with air exchange and constant VOC concentration were significantly higher than removal rates obtained in closed chambers. This means that removal rates obtained in closed chambers may...

  9. Reverse Ballistic Air Gun Facility

    Data.gov (United States)

    Federal Laboratory Consortium — This custom-designed facility houses a suite of three air guns capable of generating accelerations up to 100,000 Gs and velocities up to 2,000 ft/s. In addition to...

  10. US Air Force Base Observations

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Hourly observations taken by U.S. Air Force personnel at bases in the United States and around the world. Foreign observations concentrated in the Middle East and...

  11. Air entrainment in hairy surfaces

    Science.gov (United States)

    Nasto, Alice; Regli, Marianne; Brun, P.-T.; Alvarado, José; Clanet, Christophe; Hosoi, A. E.

    2016-07-01

    Motivated by diving semiaquatic mammals, we investigate the mechanism of dynamic air entrainment in hairy surfaces submerged in liquid. Hairy surfaces are cast out of polydimethylsiloxane elastomer and plunged into a fluid bath at different velocities. Experimentally, we find that the amount of air entrained is greater than what is expected for smooth surfaces. Theoretically, we show that the hairy surface can be considered as a porous medium and we describe the air entrainment via a competition between the hydrostatic forcing and the viscous resistance in the pores. A phase diagram that includes data from our experiments and biological data from diving semiaquatic mammals is included to place the model system in a biological context and predict the regime for which the animal is protected by a plastron of air.

  12. Manual on indoor air quality

    International Nuclear Information System (INIS)

    This reference manual was prepared to assist electric utilities in helping homeowners, builders, and new home buyers to understand a broad range of issues related to indoor air quality. The manual is directed to technically knowledgeable persons employed by utility companies - the customer service or marketing representative, applications engineer, or technician - who may not have specific expertise in indoor air quality issues. In addition to providing monitoring and control techniques, the manual summarizes the link between pollutant concentrations, air exchange, and energy conservation and describes the characteristics and health effects of selected pollutants. Where technical information is too lengthy or complex for inclusion in this volume, reference sources are given. Information for this manual was gathered from technical studies, manufacturers' information, and other materials from professional societies, institutes, and associations. The aim has been to provide objective technical and descriptive information that can be used by utility personnel to make informed decisions about indoor air quality issues

  13. Personal Air Vehicle Research Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The innovation is a low aspect ratio all-lifting configuration for personal air vehicles. This configuration uses an architecture fundamentally different from...

  14. Air cushion vehicles: A briefing

    Science.gov (United States)

    Anderson, J. L.; Finnegan, P. M.

    1971-01-01

    Experience and characteristics; the powering, uses, and implications of large air cushion vehicles (ACV); and the conceptual design and operation of a nuclear powered ACV freighter and supporting facilities are described.

  15. Global Air Quality and Climate

    Science.gov (United States)

    Fiore, Arlene M.; Naik, Vaishali; Steiner, Allison; Unger, Nadine; Bergmann, Dan; Prather, Michael; Righi, Mattia; Rumbold, Steven T.; Shindell, Drew T.; Skeie, Ragnhild B.; Sudo, Kengo; Szopa, Sophie; Horowitz, Larry W.; Takemura, Toshihiko; Zeng, Guang; Cameron-Smith, Philip J.; Cionni, Irene; Collins, William J.; Dalsoren, Stig; Eyring, Veronika; Folberth, Gerd A.; Ginoux, Paul; Josse, Batrice; Lamarque, Jean-Francois; OConnor, Fiona M.; Mackenzie, Ian A.; Nagashima, Tatsuya; Shindell, Drew Todd; Spracklen, Dominick V.

    2012-01-01

    Emissions of air pollutants and their precursors determine regional air quality and can alter climate. Climate change can perturb the long-range transport, chemical processing, and local meteorology that influence air pollution. We review the implications of projected changes in methane (CH4), ozone precursors (O3), and aerosols for climate (expressed in terms of the radiative forcing metric or changes in global surface temperature) and hemispheric-to-continental scale air quality. Reducing the O3 precursor CH4 would slow near-term warming by decreasing both CH4 and tropospheric O3. Uncertainty remains as to the net climate forcing from anthropogenic nitrogen oxide (NOx) emissions, which increase tropospheric O3 (warming) but also increase aerosols and decrease CH4 (both cooling). Anthropogenic emissions of carbon monoxide (CO) and non-CH4 volatile organic compounds (NMVOC) warm by increasing both O3 and CH4. Radiative impacts from secondary organic aerosols (SOA) are poorly understood. Black carbon emission controls, by reducing the absorption of sunlight in the atmosphere and on snow and ice, have the potential to slow near-term warming, but uncertainties in coincident emissions of reflective (cooling) aerosols and poorly constrained cloud indirect effects confound robust estimates of net climate impacts. Reducing sulfate and nitrate aerosols would improve air quality and lessen interference with the hydrologic cycle, but lead to warming. A holistic and balanced view is thus needed to assess how air pollution controls influence climate; a first step towards this goal involves estimating net climate impacts from individual emission sectors. Modeling and observational analyses suggest a warming climate degrades air quality (increasing surface O3 and particulate matter) in many populated regions, including during pollution episodes. Prior Intergovernmental Panel on Climate Change (IPCC) scenarios (SRES) allowed unconstrained growth, whereas the Representative

  16. Air sea ratio reduction initiative

    Energy Technology Data Exchange (ETDEWEB)

    Oberle, Jean

    2010-09-15

    Airfreight is the most expensive mode of transportation as well as the most impacting in terms of CO{sup 2} emissions. It is 7 times more expensive on average to ship by air than shipping by sea 1. Airfreight transportation mode emits 30 times more CO{sup 2} than sea freight mode 2. These elements provided a compelling platform to design a global logistics program to initiate a modal shift from air to sea freight without compromising service to customers.

  17. The lithium air battery fundamentals

    CERN Document Server

    Imanishi, Nobuyuki; Bruce, Peter G

    2014-01-01

    Lithium air rechargeable batteries are the best candidate for a power source for electric vehicles, because of their high specific energy density. In this book, the history, scientific background, status and prospects of the lithium air system are introduced by specialists in the field. This book will contain the basics, current statuses, and prospects for new technologies. This book is ideal for those interested in electrochemistry, energy storage, and materials science.

  18. The Origin of Stratospheric Air

    Science.gov (United States)

    Schoeberl, M. R.; Dessler, A. E.; Wang, T.

    2012-12-01

    The domain-filling, forward trajectory calculation model developed by Schoeberl and Dessler [2011] is used to investigate the origin of air that enters the stratosphere, and the origin of the driest and wettest air parcels. We compare results from NASA's MERRA, NCEP's CFSR, and ECMWF's ERAi reanalyses in a non-convection simulation. The stratospheric air parcel origin is related to but distinct from the location of final dehydration zones. Final dehydration zones control stratospheric water vapor, but stratospheric air origin tells about the origin of non-water soluble constituents such as HCN or CO. The models broadly agree that stratospheric air parcel origins follow the ITCZ in winter with maxima over the tropical west Pacific and South America. The origins are more broadly dispersed in summer. Somewhat surprisingly, the seasonal cycle for the origins is small with most of the air parcels entering the stratosphere from 360K originate in non-DJF months. The origin of the wettest and driest parcels shows that the driest parcels (1-3 ppmv) originate in the tropical West Pacific while the wettest (6-10 ppmv) parcels originate in the East Pacific/ Central America.

  19. Small Break Air Ingress Experiment

    Energy Technology Data Exchange (ETDEWEB)

    Chang Oh; Eung Soo Kim

    2011-09-01

    The small break air-ingress experiment, described in this report, is designed to investigate air-ingress phenomena postulated to occur in pipes in a very high temperature gas-cooled reactor (VHTRs). During this experiment, air-ingress rates were measured for various flow and break conditions through small holes drilled into a pipe of the experimental apparatus. The holes were drilled at right angles to the pipe wall such that a direction vector drawn from the pipe centerline to the center of each hole was at right angles with respect to the pipe centerline. Thus the orientation of each hole was obtained by measuring the included angle between the direction vector of each hole with respect to a reference line anchored on the pipe centerline and pointing in the direction of the gravitational force. Using this reference system, the influence of several important parameters on the air ingress flow rate were measured including break orientation, break size, and flow velocity . The approach used to study the influence of these parameters on air ingress is based on measuring the changes in oxygen concentrations at various locations in the helium flow circulation system as a function of time using oxygen sensors (or detectors) to estimate the air-ingress rates through the holes. The test-section is constructed of a stainless steel pipe which had small holes drilled at the desired locations.

  20. Solar air heaters and their applications

    Science.gov (United States)

    Selcuk, M. K.

    1977-01-01

    The solar air heater appears to be the most logical choice, as far as the ultimate application of heating air to maintain a comfortable environment is concerned. One disadvantage of solar air heaters is the need for handling larger volumes of air than liquids due to the low density of air as a working substance. Another disadvantage is the low thermal capacity of air. In cases where thermal storage is needed, water is superior to air. Design variations of solar air heaters are discussed along with the calculation of the efficiency of a flat plate solar air heater, the performance of various collector types, and the applications of solar air heaters. Attention is given to collectors with nonporous absorber plates, collectors with porous absorbers, the performance of flat plate collectors with finned absorbers, a wire mesh absorber, and an overlapped glass plate air heater.

  1. KERENTANAN KAWASAN TEPI AIR TERHADAP KENAIKAN PERMUKAAN AIR LAUT Kasus Kawasan Tepi Air Kota Surabaya

    Directory of Open Access Journals (Sweden)

    Iwan Suprijanto

    2003-01-01

    Full Text Available Even though global warming are still debates whether it will or not be happened, the changes on climate will influence activities of human. Regarding global warming issue, one of the impact that is very interesting to be investigated is sea level rise. Sea level rise is predicted has very big impact since, in general, in coastal areas locate a lot of important activities for such city or country. On the context of Indonesian locality, most of big cities such as Jakarta, Surabaya, Semarang, Makasar, etc. are located on the coastal area. Since a lot of important activities located on those cities, in general, sea level rise will influence the development processes of those cities. On the basis of the observation gathering in Surabaya City, the impact of sea level rise will influence not only the development of coastal area but also development of Surabaya City in general. The influence is because the area accommodates activities which are very important in city development both for present and future. The activities are port, industrial estate and location for new housing. Abstract in Bahasa Indonesia : Terlepas dari ketidakpastian mengenai terjadi atau tidaknya pemanasan global, setiap perubahan iklim di bumi akan memberikan dampak terhadap kelangsungan hidup manusia. Salah satu kajian yang saat ini banyak dilakukan berkaitan dengan isu pemanasan global adalah mengenai kenaikan permukaan air laut. Pengkajian mengenai kenaikan permukaan air laut tersebut penting mengingat dampak yang akan ditimbulkannya dan dengan kenyataan secara umum kawasan tepi air memegang peranan penting dalam perkembangan suatu kota ataupun negara. Hal ditandai dengan banyaknya aktivitas yang berlokasi di kawasan tepi air. Kondisi geografis Indonesia dengan duapertiga bagian wilayahnya adalah perairan, menjadikan Indonesia memiliki garis pantai terpanjang di dunia. Hal tersebut menjadikan pula beberapa bagian wilayah di Indonesia merupakan kawasan pesisir atau tepi air

  2. 新入职院前急救护士职业应激、心理资本与共情疲劳感的关系分析%Relationship of compassion fatigue, occupational stress and psychological capital among new graduate ambulance nurses

    Institute of Scientific and Technical Information of China (English)

    魏华; 董越娟; 邹涛; 王永革; 陈妍; 段梅艳

    2015-01-01

    目的:探讨新入职院前急救护士职业应激、心理资本与共情疲劳感的关系。方法选取入职1个月的253名院前急救护士为研究对象,采用护士专业生活品质量表( ProQOL-V)、心理资本问卷(PCQ-24)和护士应激源量表(CNSS)进行测评,入职后3,6个月进行追踪测评。结果入职后6个月院前急救护士CNSS得分、CNSS-4得分、CNSS-6得分分别为(100.21±14.82),(185.54±50.54),(165.54±51.87)分,分别优于入职后1,3个月,差异有统计学意义(F值分别为14.53,17.41,14.89;P<0.05)。新入职院前急救护士 CNSS得分与 PCQ-24得分呈负相关(r=-0.45,P<0.05),与 CNSS-1、CNSS-2、CNSS-4、CNSS-6得分呈正相关(r=0.28,0.15,0.37,0.36;P<0.05);PCQ-24得分与 CNSS-1、CNSS-2、CNSS-3、CNSS-4、CNSS-6得分呈负相关(r=-0.30,-0.30,-0.27,-0.34,-0.23;P<0.05)。结论新入职院前急救护士共情疲劳感症状严重,可能与职业应激及心理资本的消耗有关。%Objective To explore the relationship of compassion fatigue, occupational stress and psychological capital among new graduate ambulance nurses. Methods A total of 253 new graduate nurses were selected and followed-up in ambulance department. They were assessed by Professional Quality of Life(ProQOL-V), Chinese Nursing Stressor Scale (CNSS) and Psychological Capital Questionnaire-24 (PCQ-24). Results After six months, the scores of CNSS, CNSS-4 and CNSS-6 were (100. 21 ± 14. 82), (185. 54 ± 50. 54) and (165. 54 ± 51. 87), which were significantly higher than those at the first and third month (F=14. 53, 17. 41, 14. 89, respectively;P<0. 05). The score of CNSS was negatively correlated with the score of PCQ-24 (r=-0. 45,P<0. 05) and was positively correlated with the scores of CNSS-1, CNSS-2, CNSS-4 and CNSS-6 (r=0. 28, 0. 15, 0. 37, 0. 36, respectively;P<0. 05). The score of PCQ-24 was negatively correlated with the scores of CNSS-1, CNSS-2, CNSS-3, CNSS-4 and CNSS-6 (r= -0. 30, -0. 30, -0. 27, -0. 34, -0

  3. Effect of Electroacupuncture at the Balance Area on Ambulation and Quality of Life in Patients with Cerebral Stroke%电针平衡区对脑卒中患者步行能力及生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    朱敏; 楚佳梅; 曾友华

    2016-01-01

    目的:观察电针平衡区对卒中患者步行能力及生活质量的影响。方法将100例脑卒中患者随机分为治疗组和对照组,每组50例。治疗组采用电针平衡区配合康复治疗,对照组采用常规针刺配合康复治疗。两组治疗前后分别采用 Berg平衡量表评分、Holden步行能力分级评分及改良Barthel指数评分对患者步行能力及生活质量进行评定。结果两组治疗1、2个疗程后Berg平衡量表评分、Holden步行能力分级评分及改良Barthel指数评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗1个疗程后Berg平衡量表评分、Holden步行能力分级评分及改良Barthel指数评分与对照组比较,差异均具有统计学意义(P<0.05)。结论电针平衡区能有效提高脑卒中患者平衡功能,增加步行能力,提高生活质量。%Objective To observe the effect of electroacupuncture at the Balance Area on ambulation and quality of life in patients with cerebral stroke.Method A hundred patients with cerebral stroke were randomized into a treatment group and a control group, 50 cases in each group. The treatment group was intervened by electroacupuncture at the Balance Area plus rehabilitation, while the control group was by conventional acupuncture plus rehabilitation. The Berg Balance Scale (BBS), Holden ambulation grading score, and modified Barthel Index (BI) were adopted to evaluate the walk ability and quality of life.Result The BBS score, Holden grading score, and modified BI score respectively after 1 treatment course and 2 treatment courses were significantly different from that before intervention in both groups (P<0.01). After 1 treatment course, the BBS score, Holden grading score, and BI score of the treatment group were significantly different from that of the control group (P<0.05).Conclusion Electroacupuncture at the Balance Area can effectively enhance the balance function of cerebral stroke

  4. 75 FR 34673 - Approval of the Clean Air Act, Section 112(l), Authority for Hazardous Air Pollutants: Air...

    Science.gov (United States)

    2010-06-18

    ... AGENCY 40 CFR Part 63 Approval of the Clean Air Act, Section 112(l), Authority for Hazardous Air Pollutants: Air Emission Standards for Halogenated Solvent Cleaning Machines: State of Rhode Island... Emissions from Organic Solvent Cleaning (``RI Regulation No. 36'') and Rhode Island Air Pollution...

  5. A mixed air/air and air/water heat pump system ensures the air-conditioning of a cinema; Un systeme mixte PAC air/air et air/eau climatise un cinema

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    2001-03-01

    This article presents the air conditioning system of a new cinema complex of Boulogne (92, France) which comprises a double-flux air processing plant and two heat pumps. Each heat pump has two independent refrigerating loops: one with a air condenser and the other with a water condenser. This system allows to limit the power of the loop and to reduce the size of the cooling tower and of the vertical ducts. This article describes the technical characteristics of the installation: thermodynamic units, smoke clearing, temperature control, air renewing. (J.S.)

  6. 院内专业化救护路径在高原地区批量地震伤员救治中的应用%Application of Plateau Specialized Hospital Ambulance Transport Path in Batch of Wounded Rescue in the Earthquake

    Institute of Scientific and Technical Information of China (English)

    乔够梅; 杏玲芝; 李娟; 汉瑞娟; 陆皓

    2014-01-01

    Objective To explore organization and management of the plateau specialized hospital ambu-lance transport path in batch of wounded rescue in the earthquake.Methods 3 1 patients were selected and explicitly checked by using a unified classification system,and responsible by rescue teams,open green life channel,earthquakes bulk of wounded patients transport,provide personalized specialist treatment plan,psychological support and other hospital professionalize rescue path to perform emergency surgery and postoperative treatment and clinical outcomes.Results The survival rate was 100% with no adverse outcome due to no one rescue was not timely,lack of prompt rescue and triage was not timely,no doctor-patient conflict,3 1 patients were all covered and stable and had continues treatment in the local hospital.Conclusion Plateau specialization hospital ambulance transport path mode can enhance the plateau nursing care ability and disaster nursing care ability to ensure the quality and efficiency of the plateau emergency care.%目的:探讨院内专业化救护路径在高原地区批量地震伤员救治中的应用。方法2013年7月批量收治31例地震伤员,采用统一明确检查分类、实施救护小组负责制、开放绿色生命通道、批量地震伤员转运、提供个性化专科救治方案、对伤员有效心理支持等院内专业化救护路径对其进行院内急救、手术与术后处理及临床治疗。结果31例伤员的抢救成功率为100%,无一例伤员因抢救不及时或接诊、分诊不及时而造成不良后果,无一起医患纠纷,31例伤员均康复出院或病情稳定后回当地医院继续治疗。结论院内专业化救护路径模式提高了医疗团队的高原护理能力及灾后护理能力,确保了高原地区的应急救护质量和效率。

  7. Unit for air decontamination; Unidad para descontaminacion de aire

    Energy Technology Data Exchange (ETDEWEB)

    Mariano H, E

    1991-02-15

    To fulfill the applicable requirements of safety to the ventilation systems in nuclear facilities, it is necessary to make a cleaning of the air that hurtles to the atmosphere. For that which was designed and it manufactured an unit for decontamination of the air for the Pilot plant of production of Nuclear Fuel that this built one with national parts, uses Hepa national filters and the design can adapt for different dimensions of filters, also can be added a lodging for a prefilter or to adopt two Hepa filters. (Author)

  8. Norma Primaria de calidad del aire AIR QUALITY STANDARD

    OpenAIRE

    PATRICIA MATUS C.; RODRIGO LUCERO CH.

    2002-01-01

    Las normas primarias de calidad del aire tienen por finalidad proteger la salud de la población de la contaminación atmosférica. Ellas establecen un nivel de riesgo socialmente aceptado. Este artículo describe los antecedentes considerados durante el proceso de actualización de la regulación vigente en Chile. Detalla conceptos sobre la calidad del aire, describe los efectos en la salud de los contaminantes, y el procedimiento seguido para fijar los nuevos estándares Finaliza enumerando la nor...

  9. Air Pollution and the skin

    Directory of Open Access Journals (Sweden)

    Eleni eDrakaki

    2014-05-01

    Full Text Available The increase of air pollution over the years has major effects on the human skin. The skin is exposed to ultraviolet radiation (UVR and environmental air pollutants such as polycyclic aromatic hydrocarbons (PAHs, volatile organic compounds (VOCs, oxides, particulate matter (PM, ozone (O3 and cigarette smoke. Although human skin acts as a biological shield against pro-oxidative chemical and physical air pollutants, the prolonged or repetitive exposure to high levels of these pollutants may have profound negative effects on the skin. Exposure of the skin to air pollutants has been associated with skin aging and inflammatory or allergic skin conditions such as atopic dermatitis, eczema, psoriasis or acne, while skin cancer is among the most serious effects. On the other hand, some air pollutants (ie, ozone, nitrogen dioxide, and sulfur dioxide and scattering particulates (clouds and soot in the troposphere reduce the effects of shorter wavelength UVR and significant reductions in UV irradiance have been observed in polluted urban areas.

  10. Air protection strategy in Poland

    Energy Technology Data Exchange (ETDEWEB)

    Blaszczyk, B.

    1995-12-31

    Air quality is one of the basic factors determining the environmental quality and influencing the life conditions of people. There is a shortage of proper quality air in many regions of Poland. In consequence, and due to unhindered transport, air pollution is the direct cause of losses in the national economy (reduction of crops, losses in forestry, corrosion of buildings and constructions, worsening of people`s health). Poland is believed to be one of the most contaminated European countries. The reason for this, primarily, is the pollution concomitant with energy-generating fuel combustion; in our case it means the use of solid fuels: hard coal and lignite. This monocultural economy of energy generation is accompanied by low efficiency of energy use (high rates of energy loss from buildings, heat transmission pipelines, energy-consuming industrial processes). This inefficiency results in the unnecessary production of energy and pollution. Among other reasons, this results from the fact that in the past Poland did not sign any international agreements concerning the reduction of the emission of pollution. The activities aimes at air protection in Poland are conducted based on the Environmental Formation and Protection Act in effect since 1980 (with many further amendments) and the The Ecological Policy of the state (1991). The goals of the Polish air pollution reduction program for the period 1994-2000 are presented.

  11. A method and device for cleaning air

    DEFF Research Database (Denmark)

    2009-01-01

    The present invention relates to a method and device for cleaning pollution from air wherin the air to be cleaned is subjected to a sequence of physical and chemical treatments.......The present invention relates to a method and device for cleaning pollution from air wherin the air to be cleaned is subjected to a sequence of physical and chemical treatments....

  12. 29 CFR 1917.154 - Compressed air.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 7 2010-07-01 2010-07-01 false Compressed air. 1917.154 Section 1917.154 Labor Regulations...) MARINE TERMINALS Related Terminal Operations and Equipment § 1917.154 Compressed air. Employees shall be... this part during cleaning with compressed air. Compressed air used for cleaning shall not exceed...

  13. 22 CFR 228.22 - Air transportation.

    Science.gov (United States)

    2010-04-01

    ... criteria for determining when U.S. flag air carriers are unavailable. See 48 CFR 47.403-1, or USAID... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Air transportation. 228.22 Section 228.22... for USAID Financing § 228.22 Air transportation. (a) The eligibility of air transportation...

  14. Air quality in Europe - 2012 report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-09-15

    This report presents an overview and analysis of the status and trends of air quality in Europe based on concentration measurements in ambient air and data on anthropogenic emissions and trends from 2001 - when mandatory monitoring of ambient air concentrations of selected pollutants first produced reliable air quality information - to 2010. (Author)

  15. 32 CFR 989.30 - Air quality.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Air quality. 989.30 Section 989.30 National... ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.30 Air quality. Section 176(c) of the Clean Air Act..., Air Quality Compliance. 10 10 See footnote 1 to § 989.1....

  16. 30 CFR 75.321 - Air quality.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Air quality. 75.321 Section 75.321 Mineral... SAFETY STANDARDS-UNDERGROUND COAL MINES Ventilation § 75.321 Air quality. (a)(1) The air in areas where... air current in these areas shall be sufficient to dilute, render harmless, and carry away...

  17. 19 CFR 122.165 - Air cabotage.

    Science.gov (United States)

    2010-04-01

    ... AIR COMMERCE REGULATIONS Penalties § 122.165 Air cabotage. (a) The air cabotage law (49 U.S.C. 41703... provided for in 14 CFR 121.153, and those aircraft used exclusively in the service of any government. (b... 19 Customs Duties 1 2010-04-01 2010-04-01 false Air cabotage. 122.165 Section 122.165...

  18. Sumatera Air Asia Training Center (Arsitektur Metafora)

    OpenAIRE

    Susanto, William

    2015-01-01

    Sumatera Air Asia Training Center as Air Asia training facility’s construction have a propose to train the Air Asia air craft crew who will be the employee of the Air Asia Airlines.Beside the main function;training facility for the Air Asia Crew; the other airline’s crew can be train by a cooperation with Air Asia.The aircraft crew that can be train in this facility is pilot initial, pilot type-rating, pilot recurrent, ATPL, Flight attendant initial and recurrent..This facility ha...

  19. Chapter 22: Compressed Air Evaluation Protocol

    Energy Technology Data Exchange (ETDEWEB)

    Benton, N.

    2014-11-01

    Compressed-air systems are used widely throughout industry for many operations, including pneumatic tools, packaging and automation equipment, conveyors, and other industrial process operations. Compressed-air systems are defined as a group of subsystems composed of air compressors, air treatment equipment, controls, piping, pneumatic tools, pneumatically powered machinery, and process applications using compressed air. A compressed-air system has three primary functional subsystems: supply, distribution, and demand. Air compressors are the primary energy consumers in a compressed-air system and are the primary focus of this protocol. The two compressed-air energy efficiency measures specifically addressed in this protocol are: high-efficiency/variable speed drive (VSD) compressor replacing modulating compressor; compressed-air leak survey and repairs. This protocol provides direction on how to reliably verify savings from these two measures using a consistent approach for each.

  20. Distributed Air Traffic Control Simulator

    Directory of Open Access Journals (Sweden)

    R. Radovanović

    2013-06-01

    Full Text Available During initial training air traffic control students acquire theoretical knowledge in various fields including air traffic management, aircraft performance, air traffic control equipment and systems, navigation and others. This paper proposes a simulator and explains its use and features that allows students to gain a practical insight into their coursework in order to complement their training. The goal of the simulator is to realistically implement all the key functionalities needed to cover the topics that were presented in class. The simulator offers a user friendly, distributed, and multi-role environment that can be deployed on regular PCs. Moreover, this paper discusses and resolves some of the main conceptual and implementational issues that were faced during simulator development.

  1. The indoor air we breathe.

    Science.gov (United States)

    Oliver, L C; Shackleton, B W

    1998-01-01

    Increasingly recognized as a potential public health problem since the outbreak of Legionnaire's disease in Philadelphia in 1976, polluted indoor air has been associated with health problems that include asthma, sick building syndrome, multiple chemical sensitivity, and hypersensitivity pneumonitis. Symptoms are often nonspecific and include headache, eye and throat irritation, chest tightness and shortness of breath, and fatigue. Air-borne contaminants include commonly used chemicals, vehicular exhaust, microbial organisms, fibrous glass particles, and dust. Identified causes include defective building design and construction, aging of buildings and their ventilation systems, poor climate control, inattention to building maintenance. A major contributory factor is the explosion in the use of chemicals in building construction and furnishing materials over the past four decades. Organizational issues and psychological variables often contribute to the problem and hinder its resolution. This article describes the health problems related to poor indoor air quality and offers solutions.

  2. Metal-air electrochemical cell

    Energy Technology Data Exchange (ETDEWEB)

    Sarbacher, R. I.; Fechter, H. R.

    1985-01-01

    An electrochemical cell for which fuel is prepared and introduced under artificial gravity forces. The active metal is deposited through the action of the field on an anode current collecting member, effecting good compaction and reduced cell internal impedance. A microprocessor provides control of the induced gravity, flow rates, temperature, and other variables-enabling the active metal to be controlled in its thickness as well as providing a predetermined separation from the cathode. Abrasion of the cathode and the possibility of shorting are avoided by the presence of outwardly directed radial forces. These forces are induced by rotation of the electrolyte, air cathode, anode collector and the active metal. The forces promote also the passage of moisture laden air through the air cathode elements. Reaction products produced within the cell volume are circulated to an outside container for separation and possible reuse.

  3. Air Showers and Geomagnetic Field

    CERN Document Server

    Cillis, A N

    2000-01-01

    The influence of the geomagnetic field on the development of air showers is studied. The well known International Geomagnetic Reference Field was included in the AIRES air shower simulation program as an auxiliary tool to allow calculating very accurate estimations of the geomagnetic field given the geographic coordinates, altitude above sea level and date of a given event. Our simulations indicate that the geomagnetic deflections alter significantly some shower observables like, for example, the lateral distribution of muons in the case of events with large zenith angles (larger than 75 degrees). On the other hand, such alterations seem not to be important for smaller zenith angles. Global observables like total numbers of particles or longitudinal development parameters do not present appreciable dependences on the geomagnetic deflections for all the cases that were studied.

  4. Air pollution and allergic diseases

    Energy Technology Data Exchange (ETDEWEB)

    Ring, J.

    1987-03-13

    In the discussion on possible adverse effects of air pollution upon human health one has to distinguish between out-door and in-door environment. The most frequent pollutants in out-door air over industrialized areas are particulate substances, sulfur dioxide, nitrous oxide, carbonmonoxide, ozone and lead. Most of these substances have direct irritating effects on mucous surfaces. Hypersensitivity reactions have been described against sulfur dioxide and sulfites occurring as asthma, urticaria or anaphylactoid reactions. In-door air pollution is of much greater practical importance for a variety of diseases. Apart from physio-chemical irritants and microbial organisms leading to infections, organic allergens (e.g. house dust mites, moulds, animal epithelia) can induce a variety of allergic diseases via different pathomechanisms.

  5. Picosecond laser filamentation in air

    CERN Document Server

    Schmitt-Sody, Andreas; Bergé, L; Skupin, S; Polynkin, Pavel

    2016-01-01

    The propagation of intense picosecond laser pulses in air in the presence of strong nonlinear self-action effects and air ionization is investigated experimentally and numerically. The model used for numerical analysis is based on the nonlinear propagator for the optical field coupled with the rate equations for the production of various ionic species and plasma temperature. Our results show that the phenomenon of plasma-driven intensity clamping, which is paramount in femtosecond laser filamentation, holds for picosecond pulses. Furthermore, the temporal pulse distortions are limited and the pulse fluence is also clamped. The resulting unique feature of the picosecond filamentation regime is the production of a broad, fully ionized air channel, continuous both longitudinally and transversely, which may be instrumental for numerous applications.

  6. Air quality management planning (AQMP

    Directory of Open Access Journals (Sweden)

    Sivertsen Bjarne

    2012-01-01

    Full Text Available In most urban areas of the world, particulate matter (PM levels pose severe problems, addressed in several policy areas (air quality, climate change, and human health. PM presents multiple challenges due to the multitude of its sources, spanning many sectors of economic activity as well as nature, and due to the complexity of atmospheric processes involved in its transport and secondary formation. For the authorities, the goal is to assure minimal impacts of atmospheric PM levels, in practice represented by compliance with existing regulations and standards. This may be achieved through an air quality management plan (AQMP. In Northern America and in parts of Europe, comprehensive research programs have guided development of AQMP over the last forty years. This cumulated experience can be utilized by others who face the same problems, but have yet to develop their own substantial research base. The main purpose of the AQMP development process is to establish an effective and sound basis for planning and management of air quality in a selected area. This type of planning will ensure that significant sources of impacts are identified and controlled in a most cost-effective manner. The choice of tools, methods and input information is often dictated by their availability, and should be evaluated against current best practices. Important elements of the AQMP are the identification of sources and development of a complete emission inventory, the development and operation of an air quality monitoring programme, and the development and application of atmospheric dispersion models. Major task is to collect the necessary input data. The development of the AQMP will take into account: - Air Quality Management System (AQMS requirements; - Operational and functional structure requirements; - Source identification through emission inventories; - Source reduction alternatives, which may be implemented; - Mechanisms for facilitating interdepartmental

  7. Thermodynamic properties of sea air

    Directory of Open Access Journals (Sweden)

    R. Feistel

    2010-02-01

    Full Text Available Very accurate thermodynamic potential functions are available for fluid water, ice, seawater and humid air covering wide ranges of temperature and pressure conditions. They permit the consistent computation of all equilibrium properties as, for example, required for coupled atmosphere-ocean models or the analysis of observational or experimental data. With the exception of humid air, these potential functions are already formulated as international standards released by the International Association for the Properties of Water and Steam (IAPWS, and have been adopted in 2009 for oceanography by IOC/UNESCO.

    In this paper, we derive a collection of formulas for important quantities expressed in terms of the thermodynamic potentials, valid for typical phase transitions and composite systems of humid air and water/ice/seawater. Particular attention is given to equilibria between seawater and humid air, referred to as "sea air" here. In a related initiative, these formulas will soon be implemented in a source-code library for easy practical use. The library is primarily aimed at oceanographic applications but will be relevant to air-sea interaction and meteorology as well.

    The formulas provided are valid for any consistent set of suitable thermodynamic potential functions. Here we adopt potential functions from previous publications in which they are constructed from theoretical laws and empirical data; they are briefly summarized in the appendix. The formulas make use of the full accuracy of these thermodynamic potentials, without additional approximations or empirical coefficients. They are expressed in the temperature scale ITS-90 and the 2008 Reference-Composition Salinity Scale.

  8. Pigeons home faster through polluted air

    OpenAIRE

    Zhongqiu Li; Franck Courchamp; Blumstein, Daniel T.

    2016-01-01

    Air pollution, especially haze pollution, is creating health issues for both humans and other animals. However, remarkably little is known about how animals behaviourally respond to air pollution. We used multiple linear regression to analyse 415 pigeon races in the North China Plain, an area with considerable air pollution, and found that while the proportion of pigeons successfully homed was not influenced by air pollution, pigeons homed faster when the air was especially polluted. Our resu...

  9. Pesticides in Air: New Challenges in Agricultural Air Quality Research

    Science.gov (United States)

    As agricultural and urban communities have become more intertwined, and the average size of agricultural production operations have increased substantially, issues of air quality have emerged as an area of increasing regulatory pressure for farmers in many countries. The science of measuring emissi...

  10. Hot air in Kyoto, cold air in The Hague

    DEFF Research Database (Denmark)

    Brandt, Urs Steiner; Svendsen, Gert Tinggaard

    2002-01-01

    , the EU must reconsider and acknowledge US claims for cheaper reduction options and the right to trade 'hot air.' This point is important. If the US does not participate, the increase in emissions will be much higher than the emission reduction following the EU supplementarity proposal. Udgivelsesdato...

  11. Hot air in Kyoto, cold air in The Hague

    DEFF Research Database (Denmark)

    Steiner, Urs; Svendsen, Gert Tinggaard

    2001-01-01

    -trading scheme, the EU must reconsider and acknowledge US claims for cheaper reduction options and the right to trade 'hot air.' This point is important. If the US does not participate, the increase in emissions will be much higher than the emission reduction following the EU supplementarity proposal....

  12. Flow in air conditioned rooms

    DEFF Research Database (Denmark)

    Nielsen, Peter V.

    1974-01-01

    Flow in air conditioned r ooms is examined by means of model experiments . The different gearnetries giving unsteady, steady three- dimensional and steady twodimensional flow are determined . Velacity profiles and temperature profiles are measured in some of the geometries. A numerical solution...... of the flow equations is demonstrated and the flow in air conditioned rooms in case of steady two dimensional flow is predi cted. Compari son with measured results is shown i n the case of small Archimedes numbers, and predictions are shown at high Archimedes numbers. A numerical prediction of f low and heat...

  13. 49 CFR 570.57 - Air brake system and air-over-hydraulic brake subsystem.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 6 2010-10-01 2010-10-01 false Air brake system and air-over-hydraulic brake... STANDARDS Vehicles With GVWR of More Than 10,000 Pounds § 570.57 Air brake system and air-over-hydraulic brake subsystem. The following requirements apply to vehicles with air brake and...

  14. Heat Recovery Ventilation for Housing: Air-to-Air Heat Exchangers.

    Science.gov (United States)

    Corbett, Robert J.; Miller, Barbara

    The air-to-air heat exchanger (a fan powered ventilation device that recovers heat from stale outgoing air) is explained in this six-part publication. Topic areas addressed are: (1) the nature of air-to-air heat exchangers and how they work; (2) choosing and sizing the system; (3) installation, control, and maintenance of the system; (4) heat…

  15. “Large Animal Model of Pumpless Arteriovenous Extracorporeal CO2 Removal Using Room Air Via Subclavian Vessels”

    Science.gov (United States)

    Witer, Lucas; Howard, Ryan; Trahanas, John; Bryner, Benjamin S.; Alghanem, Fares; Hoffman, Hayley R.; Cornell, Marie S.; Bartlett, Robert H.; Rojas-Peña, Alvaro

    2016-01-01

    End-stage lung disease (ESLD) causes progressive hypercapnia, dyspnea, and impacts quality of life. Many extracorporeal support (ECS) configurations for CO2 removal resolve symptoms but limit ambulation. An ovine model of pumpless ECS using subclavian vessels was developed to allow for ambulatory support. Vascular grafts were anastomosed to the left subclavian vessels in four healthy sheep. A low-resistance membrane oxygenator was attached in an arteriovenous (AV) configuration. Device function was evaluated in each animal while awake and spontaneously breathing, and while mechanically ventilated with hypercapnia induced. Sweep gas (FiO2=0.21) to the device was increased from 0-15 L/min and arterial and post-device blood gases, as well as post-device air, were sampled. Hemodynamics remained stable with average AV shunt flows of 1.34±0.14 L/min.. In awake animals, CO2 removal was 3.4±1.0 mL/kg/min at maximum sweep gas flow. Respiratory rate decreased from 60±25 at baseline to 30±11 breaths per minute. In animals with induced hypercapnia, PaCO2 increased to 73.9±15.1. At maximum sweep gas flow, CO2 removal was 3.4±0.4 mL/kg/min and PaCO2 decreased to 49.1±6.7 mmHg. Subclavian AV access is effective in lowering PaCO2 and respiratory rate, and is potentially an effective ambulatory destination therapy for ESLD patients. PMID:26461241

  16. Performance evaluation of an air-to-air heat pump coupled with temperate air-sources integrated into a dwelling

    OpenAIRE

    Filliard, Bruno; Guiavarch, Alain; Peuportier, Bruno

    2009-01-01

    An inverter-driven air-to-air heat pump model has been developped and implemented in the thermal simulation tool COMFIE, in order to compare the seasonal performance of a variable capacity air-to-air heat pump coupled with temperate air sources (crawlspace, attic, sunspace, heat recovery ventilation, earth-to-air heat exchanger) with the performance of a conventionally installed heat pump. The empirical model of the heat pump is presented in this paper, including full-load and part-load model...

  17. Providing cleaner air to Canadians

    International Nuclear Information System (INIS)

    This booklet is designed to explain salient aspects of the Ozone Annex, negotiated and signed recently by Canada and the United States, in a joint effort to improve air quality in North America. By significantly reducing the transboundary flows of air pollutants that cause smog, the Ozone Annex will benefit some 16 million people in central and eastern Canada and provide an example for a future round of negotiations to address concerns of the millions of Canadians and Americans who live in the border area between British Columbia and Washington State. The brochure provide summaries of the Canadian and American commitments, focusing on transportation, monitoring and reporting. The Ozone Annex complements other air quality initiatives by the Government of Canada enacted under the Environmental Protection Act, 1999. These measures include regulations to reduce sulphur content to 30 parts per million by Jan 1, 2005; proposing to restrict toxic particulate matter (PM) to less than 10 microns; establishing daily smog forecasts in the Maritimes and committing to a national program built upon existing smog advisories and forecasts in Quebec, Ontario and British Columbia; and investing in more clean air research through the newly created Canadian Foundation for Climate and Atmospheric Sciences

  18. Isothermal air ingress validation experiments

    International Nuclear Information System (INIS)

    Idaho National Laboratory carried out air ingress experiments as part of validating computational fluid dynamics (CFD) calculations. An isothermal test loop was designed and set to understand the stratified-flow phenomenon, which is important as the initial air flow into the lower plenum of the very high temperature gas cooled reactor (VHTR) when a large break loss-of-coolant accident occurs. The unique flow characteristics were focused on the VHTR air-ingress accident, in particular, the flow visualization of the stratified flow in the inlet pipe to the vessel lower plenum of the General Atomic's Gas Turbine-Modular Helium Reactor (GT-MHR). Brine and sucrose were used as heavy fluids, and water was used to represent a light fluid, which mimics a counter current flow due to the density difference between the stimulant fluids. The density ratios were changed between 0.87 and 0.98. This experiment clearly showed that a stratified flow between simulant fluids was established even for very small density differences. The CFD calculations were compared with experimental data. A grid sensitivity study on CFD models was also performed using the Richardson extrapolation and the grid convergence index method for the numerical accuracy of CFD calculations . As a result, the calculated current speed showed very good agreement with the experimental data, indicating that the current CFD methods are suitable for predicting density gradient stratified flow phenomena in the air-ingress accident. (author)

  19. Pariisi-kiri / Aire Allikmets

    Index Scriptorium Estoniae

    Allikmets, Aire

    1997-01-01

    Fanny de Siversile pühendatud vastuvõtust College de France'i Sinises Salongis 27. märtsil 1997 ja temale pühendatud koguteosest 'Contacts de langues et de cultures dans l'aire Baltique' (koost. M. M. Jocelyne Fernendez ja Raimo Raag)

  20. INDOOR AIR CONCENTRATION UNIT CONVERSIONS

    Science.gov (United States)

    Migration of volatile chemicals from the subsurface into overlying buildings is called vapor intrusion (VI). Volatile organic chemicals in contaminated soils or groundwater can emit vapors, which can migrate through subsurface soils and may enter the indoor air of overlying buil...

  1. Strong interactions in air showers

    Energy Technology Data Exchange (ETDEWEB)

    Dietrich, Dennis D. [Arnold Sommerfeld Center, Ludwig-Maximilians-Universität, Theresienstraße, München (Germany); Institut für Theoretische Physik, Goethe-Universität, Max-von-Laue-Straße, Frankfurt am Main (Germany)

    2015-03-02

    We study the role new gauge interactions in extensions of the standard model play in air showers initiated by ultrahigh-energy cosmic rays. Hadron-hadron events remain dominated by quantum chromodynamics, while projectiles and/or targets from beyond the standard model permit us to see qualitative differences arising due to the new interactions.

  2. Air corona discharge chemical kinetics

    International Nuclear Information System (INIS)

    We have theoretically studied the initial chemical processing steps which occur in pulseless, negative, dc corona discharges in flowing air. A rate equation model is used because these discharges consist of a very small ionization zone near the pin with most of the pin-plane gap filled by a drift zone where both the electric field and the electron density are relatively uniform. The primary activated species are N2(A),O and O2(a1Δ). The predicted activated species density due to one discharge is 100 ppm per ms . mA cm2 assuming E/n=60 Td. In pure, dry air the final product due to these activated species is primarily O3. The NO /sub x/ production is about 0.5 ppm per mA. In moist air there is an additional production of about 1.5 ppm per mA of HO /sub x/ species. The predicted ozone formation reactions will be ''intercepted'' when impurities are present in the air. Impurities present at densities below about 0.1% will react primarily with the activated species rather than with electrons. Hence the predicted activated species density provides an estimate of the potential chemical processing performance of the discharge

  3. A Breath of Fresh Air

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    Have you ever driven by a sewage-treatment plant and noticed a rotten-eggstink? Air-quality requirements force these plants touse devices called chemical scrubbers to eliminate malodorous hydrogen sulfide from the gases createdby bacteria in sewageslurry. The process works,but it's expensive and depends on filtering gasthrough toxic chemicalssuch as lye and bleach.

  4. Air lifted and propelled vehicle

    Energy Technology Data Exchange (ETDEWEB)

    Jones, T.E.; Johnson, R.A.

    1987-02-17

    This patent describes a vehicle which rides on air cushion and which is propelled by air, comprising: upper deck means, having a bottom edge which defines the periphery of an area; a thin, flexible sheet located below the upper deck means, extending beneath the bottom edge and secured beneath the bottom edge for defining a plenum that is defined by and closed off by the upper deck means and the sheet. The deck means is shaped within the area defined by its bottom edge for causing the plenum to always be an open space and the upper deck means is rigid enough to maintain that open condition of the plenum; the sheet being secured in a manner permitting the sheet to pillow when air is pressurized in the plenum; and the sheet being perforated below the upper deck means for permitting exit of air from the plenum at a controllable rate through the perforations; the sheet having a large plurality of the perforations dispersed over most of its area below the upper deck means; each of the perforations being a hole.

  5. ISOTHERMAL AIR INGRESS VALIDATION EXPERIMENTS

    Energy Technology Data Exchange (ETDEWEB)

    Chang H Oh; Eung S Kim

    2011-09-01

    Idaho National Laboratory carried out air ingress experiments as part of validating computational fluid dynamics (CFD) calculations. An isothermal test loop was designed and set to understand the stratified-flow phenomenon, which is important as the initial air flow into the lower plenum of the very high temperature gas cooled reactor (VHTR) when a large break loss-of-coolant accident occurs. The unique flow characteristics were focused on the VHTR air-ingress accident, in particular, the flow visualization of the stratified flow in the inlet pipe to the vessel lower plenum of the General Atomic’s Gas Turbine-Modular Helium Reactor (GT-MHR). Brine and sucrose were used as heavy fluids, and water was used to represent a light fluid, which mimics a counter current flow due to the density difference between the stimulant fluids. The density ratios were changed between 0.87 and 0.98. This experiment clearly showed that a stratified flow between simulant fluids was established even for very small density differences. The CFD calculations were compared with experimental data. A grid sensitivity study on CFD models was also performed using the Richardson extrapolation and the grid convergence index method for the numerical accuracy of CFD calculations . As a result, the calculated current speed showed very good agreement with the experimental data, indicating that the current CFD methods are suitable for predicting density gradient stratified flow phenomena in the air-ingress accident.

  6. SOURCE CHARACTERIZATION OF AIR FRESHENERS

    Science.gov (United States)

    The paper discusses research in which five air fresheners of two styles were analyzed for their constituent volatile organic compounds. Both styles were refills to be inserted into heated electric plug-in units; one refill released the fragrance from a gel pack insert and the oth...

  7. Cean air and clear responsibility

    International Nuclear Information System (INIS)

    This paper is the text of the address given by Commissioner Kenneth C. rogers, USNRC, at the 23rd DOE/NRC Nuclear Air Cleaning Conference. Mr. Rogers reviews the regulatory approach to the subject, discussing the requirements of 10CFR20 and ALARA principles. A discussion of the talk follows the text

  8. Air-Leakage Control Manual.

    Energy Technology Data Exchange (ETDEWEB)

    Maloney, Jim; Washington State Energy Office; United States. Bonneville Power Administration.

    1991-05-01

    This manual is for builders and designers who are interested in building energy-efficient homes. The purpose of the manual is to provide the how and why'' of controlling air leakage by means of a system called the Simple Caulk and Seal'' (SIMPLE{center dot}CS) system. This manual provides an overview of the purpose and contents of the manual; It discusses the forces that affect air leakage in homes and the benefits of controlling air leakage. Also discussed are two earlier approaches for controlling air leakage and the problems with these approaches. It describes the SIMPLE-{center dot}CS system. It outlines the standard components of the building envelope that require sealing and provides guidelines for sealing them. It outlines a step-by-step procedure for analyzing and planning the sealing effort. The procedure includes (1) identifying areas to be sealed, (2) determining the most effective and convenient stage of construction in which to do the sealing, and (3) designating the appropriate crew member or trade to be responsible for the sealing.

  9. Air-leakage control manual

    Energy Technology Data Exchange (ETDEWEB)

    Maloney, J. [Washington State Energy Office, Olympia, WA (United States)

    1991-05-01

    This manual is for builders and designers who are interested in building energy-efficient homes. The purpose of the manual is to provide the ``how and why`` of controlling air leakage by means of a system called the ``Simple Caulk and Seal`` (SIMPLE{center_dot}CS) system. This manual provides an overview of the purpose and contents of the manual; It discusses the forces that affect air leakage in homes and the benefits of controlling air leakage. Also discussed are two earlier approaches for controlling air leakage and the problems with these approaches. It describes the SIMPLE-{center_dot}CS system. It outlines the standard components of the building envelope that require sealing and provides guidelines for sealing them. It outlines a step-by-step procedure for analyzing and planning the sealing effort. The procedure includes (1) identifying areas to be sealed, (2) determining the most effective and convenient stage of construction in which to do the sealing, and (3) designating the appropriate crew member or trade to be responsible for the sealing.

  10. Ballistics examination of air rifle

    OpenAIRE

    Grzegorz Bogiel

    2014-01-01

    The aim of this paper is to determine the velocity, energy, maximum range and distance at which pellets fired from an air rifle of kinetic energy below 17 J can pose a threat to unprotected human skin. Doppler radar equipment and exterior ballistics software were used in this examination.

  11. Ballistics examination of air rifle

    Directory of Open Access Journals (Sweden)

    Grzegorz Bogiel

    2014-08-01

    Full Text Available The aim of this paper is to determine the velocity, energy, maximum range and distance at which pellets fired from an air rifle of kinetic energy below 17 J can pose a threat to unprotected human skin. Doppler radar equipment and exterior ballistics software were used in this examination.

  12. Parametric design of air powered car

    Energy Technology Data Exchange (ETDEWEB)

    Sundar, T.M.; Kumar, B.P.; Suresh, R. [Tamilnadu College of Engineering, Coimbatore (India). Dept. of Mechanical Engineering

    2006-07-01

    An air-powered car was described with particular reference to its thermodynamic properties. The car was based on an external combustion engine. Air suction occurred in a piston and cylinder assembly through an air vent, where it was then compressed to higher pressures. The compressed air then entered a multi-stage reciprocating single-acting air compressor where the air was further compressed. Power for the compressor was provided by a double-battery system and a relay circuit to trigger the battery connection. Compressed air was stored in a compressed air tank and controlled by valves. The valves were controlled by a contour profile of an overhead camshift. Design specifications were included for the cylinder and cylinder liner; the pistons; the connecting rod; crank; valve gear mechanism; and the compressor. Results of the thermodynamic analysis indicated that the air-powered car is technologically feasible. 7 refs., 3 tabs., 1 fig.

  13. Comparison between Different Air Distribution Systems

    DEFF Research Database (Denmark)

    Nielsen, Peter V.

    in the ceiling and radial diffusers with swirling flow also mounted in the ceiling. This paper addresses five air distribution systems in all, namely mixing ventilation from a wallmounted terminal, mixing ventilation from a ceiling-mounted diffuser, mixing ventilation from a ceiling-mounted diffuser......The aim of an air conditioning system is to remove excess heat in a room and replace room air with fresh air to obtain a high air quality. It is not sufficient to remove heat and contaminated air, it is also necessary to distribute and control the air movement in the room to create thermal comfort...... in the occupied zone. Most air distribution systems are based on mixing ventilation with ceiling or wall-mounted diffusers or on displacement ventilation with wall-mounted low velocity diffusers. New principles for room air distribution were introduced during the last decades, as the textile terminals mounted...

  14. Air void structure and frost resistance

    DEFF Research Database (Denmark)

    Hasholt, Marianne Tange

    2014-01-01

    are conducted. Results were not originally presented in a way, which made comparison possible. Here the amount of scaled material is depicted as function of air voids parameters: total air content, specific surface, spacing factor, and total surface area of air voids. The total surface area of air voids...... is proportional to the product of total air content and specific surface. In all 4 cases, the conclusion is concurrent that the parameter of total surface area of air voids performs equally well or better than the spacing factor when linking air void characteristics to frost resistance (salt frost scaling...... will take place in the air void, being feed from the capillary, but without pressure build-up in the capillary. If the capillary is not connected to an air void, ice formation will take place in the capillary pore, where it can generate substantial pressure. Like this, frost resistance depends...

  15. Antibubbles and fine cylindrical sheets of air

    KAUST Repository

    Beilharz, D.

    2015-08-14

    Drops impacting at low velocities onto a pool surface can stretch out thin hemispherical sheets of air between the drop and the pool. These air sheets can remain intact until they reach submicron thicknesses, at which point they rupture to form a myriad of microbubbles. By impacting a higher-viscosity drop onto a lower-viscosity pool, we have explored new geometries of such air films. In this way we are able to maintain stable air layers which can wrap around the entire drop to form repeatable antibubbles, i.e. spherical air layers bounded by inner and outer liquid masses. Furthermore, for the most viscous drops they enter the pool trailing a viscous thread reaching all the way to the pinch-off nozzle. The air sheet can also wrap around this thread and remain stable over an extended period of time to form a cylindrical air sheet. We study the parameter regime where these structures appear and their subsequent breakup. The stability of these thin cylindrical air sheets is inconsistent with inviscid stability theory, suggesting stabilization by lubrication forces within the submicron air layer. We use interferometry to measure the air-layer thickness versus depth along the cylindrical air sheet and around the drop. The air film is thickest above the equator of the drop, but thinner below the drop and up along the air cylinder. Based on microbubble volumes, the thickness of the cylindrical air layer becomes less than 100 nm before it ruptures.

  16. Indoor air problems in Asia

    International Nuclear Information System (INIS)

    Respiratory disease and mortality due to indoor air pollution are amongst the greatest environmental threats to health in the developing countries of Asia. World-wide, acute respiratory infection is the cause of death of at least 5 million children under the age of 5 every year. The World Bank has claimed that smoke from biomass fuels resulted in an estimated 4 million deaths annually amongst infants and children. Most of these deaths occur in developing countries. Combustion in its various forms must head the list of pollution sources in Asia. Combustion of various fuels for domestic heating, lighting and cooking comprises the major source of internally generated pollutants and combustion in industrial plants, power generation and transportation is the major cause of externally generated pollutants. The products of pyrolysis and combustion include many compounds with well-known adverse health effects. These include gases such as CO, CO2, NOx and SO2, volatile organic compounds such as polynuclear aromatic hydrocarbons and nitroamines as well as respirable particulates of variable composition. The nature and magnitude of the health risks posed by these materials vary with season, climate, location housing, method of ventilation, culture and socio-economic status. The most important cause of lung cancer in non-smokers in Northern Asia is the domestic combustion of smoky coal. Acute carbon monoxide poisoning is common in many Asian countries. Roads traffic exhaust pollution is worse in the major cities of South East Asia than almost anywhere else in the world and this externally generated air pollution forms the indoor air for the urban poor. Despite all these major problems there has been a tendency for international agencies to focus attention and resources on the more trivial problems of indoor air encountered in the affluent countries of the West. Regulatory agencies in Asia have been too frequently persuaded that their problems of indoor air pollution are

  17. Aerometric Information Retrieval System/AIRS Facility Subsystem (AIRS/AFS)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Aerometric Information Retrieval System/AIRS Facility Subsystem (AIRS/AFS) is a database that provides information on air releases from various stationary...

  18. Operating experiences with rotary air-to-air heat exchangers: hospitals, schools, nursing homes, swimming pools

    Energy Technology Data Exchange (ETDEWEB)

    Pearson, R.J.

    1976-01-01

    Systems utilizing rotary air-to-air heat exchangers are discussed. Basic considerations of use (fresh air requirements, system configurations, cost considerations), typical system layout/design considerations, and operating observations by engineers, staff and maintenance personnel are described.

  19. 78 FR 10589 - Revision of Air Quality Implementation Plan; California; Sacramento Metropolitan Air Quality...

    Science.gov (United States)

    2013-02-14

    ... AGENCY 40 CFR Part 52 Revision of Air Quality Implementation Plan; California; Sacramento Metropolitan Air Quality Management District; Stationary Source Permits AGENCY: Environmental Protection Agency... by California as a revision to the Sacramento Metropolitan Air Quality Management District (SMAQMD...

  20. 78 FR 53270 - Revision of Air Quality Implementation Plan; California; Sacramento Metropolitan Air Quality...

    Science.gov (United States)

    2013-08-29

    ... AGENCY 40 CFR Part 52 Revision of Air Quality Implementation Plan; California; Sacramento Metropolitan Air Quality Management District; Stationary Source Permits AGENCY: Environmental Protection Agency... permitting rules submitted by California as a revision to the Sacramento Metropolitan Air Quality...

  1. Analisa Kadar Klorida Pada Air Minum Dan Air Sumur Dengan Metode Argentometri

    OpenAIRE

    Sianturi, Novita Sani

    2015-01-01

    Air merupakan zat yang paling penting dalam kehidupan setelah udara. Sekitar tiga perempat bagian dari tubuh kita terdiri dari air dan tidak seseorang pun yang dapat bertahan hidup lebih dari 4-5 hari tanpa minum air. Air Sumur merupakan sumber utama persedian air bersih bagi penduduk yang tinggal didaerah perdesaan maupun diperkotaan Indonesia. Kadar klorida yang tinggi, misalnya pada air laut, yang diikuti oleh kadar kalsium dan magnesium yang juga kadarnya tinggi dapat meningkatkan sifat...

  2. AIR for Javascript Developers Pocket Guide

    CERN Document Server

    Chambers, Mike; Hoyt, Kevin; Georgita, Dragos

    2009-01-01

    This book is the official guide to Adobe ® AIR[TM], written by members of the AIR team. With Adobe AIR, web developers can use technologies like HTML and JavaScript to build and deploy web applications to the desktop. Packed with examples, this book explains how AIR works and features recipes for performing common runtime tasks. Part of the Adobe Developer Library, this concise pocket guide explains: What Adobe AIR is, and the problems this runtime aims to solveHow to set up your development environmentThe HTML and JavaScript environments within AIRHow to create your first AIR application

  3. Tilted Micro Air Jet for Flow Control

    CERN Document Server

    Malapert, Julien; Zeggari, Rabah; Manceau, Jean-François

    2009-01-01

    In this paper, we present an interesting method to microfabricate a tilted micro air jet generator. We used the well-know deep reactive ion etching (DRIE) technique in order to realize in a silicon substrate a double side etching. For aircraft and cars, micro air jets will take an important place for fluid control. Micro air jets are characterized by their speed, frequency and tilt. Usually, this micro air jets are produced by fluidic microsystems. We presented experimental results about micro tilted air jets. A comparison between finite element method simulation, theory and experimental results are performed to define the microsystem geometry leading a specific air jet angle.

  4. Experimental Analysis on Solar Desiccant Air Conditioner

    Directory of Open Access Journals (Sweden)

    Dr. U. V. Kongre, C. M. Singh, A. B. Biswas

    2014-05-01

    Full Text Available The experiment investigated and evaluated the feasibility of an solar desiccant air conditioner. Its effectiveness as a possible air conditioner option used in household air conditioner or as an energy efficient and environmentally friendly alternative to conventional air conditioning units used in houses are evaluated. A solar water heater was used as heat gain. The model utilizes the technology of solar air conditioner system. The purpose in the long term would be reduced the consumption of electricity used for air conditioning, reduce harmful emission and hence saving money.

  5. VENTILATION INFLUENCE UPON INDOOR AIR RADON LEVEL

    Institute of Scientific and Technical Information of China (English)

    田德源

    1995-01-01

    Levels of indoor radon in air are studied by a continuous electrostatic radon monitor under normal living conditions to evaluate the influence of air conditioned ventilation on indoor air radon level.Results show that the indoor air radon concentrations are not much more than those without household conditioner living condition.although using household conditioner requires a sealed room which should lead to a higher radon level.Turning on air conditioner helps lower indoor radon level.Therefore.the total indoor air Rn levels are normal>ventilation>exhaust or indraft> exhaust plus indraft.

  6. Power plant VII revisited - Air-air /Scirocco/

    Science.gov (United States)

    Etievant, C.; Royer, D.

    A hybrid fossil fuel-solar central receiver power plant is described, noting principally a 'Scirocco' configuration for the receiver. The primary loop contains air which enters passages in the alveolar-configured walls of the boiler, which is semi-spherically shaped. The alveoles are located in the back of the cavity while the upper and lower surfaces are reflective. A heat flux of 24.4 MWth is delivered to the aperture by 668 heliostats, each having a 53 sq m surface. Air is heated to 660 C and then flows past flame tubes to attain temperatures near 900 C through use of a combustor before impinging on the turbine blades. It is noted that although only 1000 hr of functioning are currently available for the Scirocco configuration, it offers the chance to reduce the size of the boiler. Further studies to optimize the materials for the boiler are indicated.

  7. Power plant VII - Air-air /tube boiler/

    Science.gov (United States)

    Roche, M.

    An attempt to design a solar thermal electric central receiver power plant in the multi-MW size with acceptable efficiencies using air in the power loop is described. The turbine and generator are placed in the tower to reduce heat losses in the superheated gas, and the depleted gas loop is coupled to a low temperature generator powered by boiling water. The receiver cavity is configured to retain a maximum amount of flux and has brick walls. Nickel alloys are indicated for the air tubes in the receiver, with Inconel 601, Incoloy 800, and Inconel 600 considered acceptable. The gas leaving the chamber will be at 950 C to power a high pressure turbine, followed by entrance into a heat exchanger to boil the water for the low-pressure turbine, and is then discharged. Thermodynamic efficiencies between 13.9-20.3 percent for a 4700 kW plant are considered feasible with the design.

  8. Laser-initiated ordnance for air-to-air missiles

    Science.gov (United States)

    Sumpter, David R.

    1993-01-01

    McDonnell Douglas Missile Systems Company (MDMSC) has developed a laser ignition subsystem (LIS) for air-to-air missile applications. The MDMSC subsystem is designed to activate batteries, unlock fins, and sequence propulsion system events. The subsystem includes Pyro Zirconium Pump (PZP) lasers, mechanical Safe & Arm, fiber-optic distribution system, and optically activated pyrotechnic devices (initiators, detonators, and thermal batteries). The LIS design has incorporated testability features for the laser modules, drive electronics, fiber-optics, and pyrotechnics. Several of the LIS have been fabricated and have supported thermal battery testing, integral rocket ramjet testing, and have been integrated into integral rocket ramjet flight test vehicles as part of the flight control subsystem.

  9. Significance of air humidity and air velocity for fungal spore release into the air

    Science.gov (United States)

    Pasanen, A.-L.; Pasanen, P.; Jantunen, M. J.; Kalliokoski, P.

    Our previous field studies have shown that the presence of molds in buildings does not necessarily mean elevated airborne spore counts. Therefore, we investigated the release of fungal spores from cultures of Aspergillus fumigatus, Penicillium sp. and Cladosporium sp. at different air velocities and air humidities. Spores of A. fumigatus and Penicillium sp. were released from conidiophores already at air velocity of 0.5 ms -1, whereas Cladosporium spores required at least a velocity of 1.0 ms -1. Airborne spore counts of A. fumigatus and Penicillium sp. were usually higher in dry than moist air, being minimal at relative humidities (r.h.) above 70%, while the effect of r.h. on the release of Cladosporium sp. was ambivalent. The geometric mean diameter of released spores increased when the r.h. exceeded a certain level which depends on fungal genus. Thus, spores of all three fungi were hygroscopic but the hygroscopicity of various spores appeared at different r.h.-ranges. This study indicates that spore release is controlled by external factors and depends on fungal genus which can be one reason for considerable variation of airborne spore counts in buildings with mold problems.

  10. 75 FR 18142 - Approval and Promulgation of Air Quality Implementation Plans; Texas; Control of Air Pollution...

    Science.gov (United States)

    2010-04-09

    ... Air Pollution From Motor Vehicles AGENCY: Environmental Protection Agency (EPA). ACTION: Proposed rule... Title 30 of the Texas Administrative Code (TAC), Chapter 114, Control of Air Pollution from...

  11. AIR POLLUTION OF URBAN AREAS

    Directory of Open Access Journals (Sweden)

    MAKAROVA V. N.

    2016-04-01

    Full Text Available Raising of problem. Any manufacturing processes related to the generation of waste. Year after year, a growing mass of waste is one of the main factors reducing the quality of the environment and destruction of natural landscapes. Industrial development inevitably enhances human impacts on the environment and disrupts the ecological balance [3]. Atmospher air is a vital element of the environment. The development of industry, the growth of cities, increasing the number of transport, active exploration of near-Earth space lead to a change in the gas composition of the atmosphere and disruption of its natural balance. Air quality affects the health of the population [5]. Without water or food a person can do for a while, but without air he can not live a few minutes, therefore saving air breathable is an urgent problem. Purpose. The results of geological studies clearly indicate that the contamination of the surface layer of the atmosphere is the most powerful permanent factor of influence on the human food chain and the environment. This problem was reflected in the scientific literature [2; 3; 6], and the second significant indicator of ecological well-being of the region is the number of generation and accumulation of waste. According to this indicator, Dnipropetrovsk region is in the lead, as relates to the industrialized regions. The idea of the article is to consider the air pollution of the urban environment in terms of the accumulation of waste in the territory of enterprises, in particular slag dumps metallurgical production. Conclusion. Slag dumps located on the premises are a significant source of air pollution urbanized areas due to the permanent nature of the spread of contamination. Slag dump of PAT "Nikopol Ferroalloy Plant" is a source of manganese, zinc, nickel emissions. As a conclusion about the magnitude of pollution of the atmospheric boundary layer can say the following: on the border of the sanitary protection zone (SPZ, in

  12. Indoor air quality and health

    Science.gov (United States)

    Jones, A. P.

    During the last two decades there has been increasing concern within the scientific community over the effects of indoor air quality on health. Changes in building design devised to improve energy efficiency have meant that modern homes and offices are frequently more airtight than older structures. Furthermore, advances in construction technology have caused a much greater use of synthetic building materials. Whilst these improvements have led to more comfortable buildings with lower running costs, they also provide indoor environments in which contaminants are readily produced and may build up to much higher concentrations than are found outside. This article reviews our current understanding of the relationship between indoor air pollution and health. Indoor pollutants can emanate from a range of sources. The health impacts from indoor exposure to combustion products from heating, cooking, and the smoking of tobacco are examined. Also discussed are the symptoms associated with pollutants emitted from building materials. Of particular importance might be substances known as volatile organic compounds (VOCs), which arise from sources including paints, varnishes, solvents, and preservatives. Furthermore, if the structure of a building begins to deteriorate, exposure to asbestos may be an important risk factor for the chronic respiratory disease mesothelioma. The health effects of inhaled biological particles can be significant, as a large variety of biological materials are present in indoor environments. Their role in inducing illness through immune mechanisms, infectious processes, and direct toxicity is considered. Outdoor sources can be the main contributors to indoor concentrations of some contaminants. Of particular significance is Radon, the radioactive gas that arises from outside, yet only presents a serious health risk when found inside buildings. Radon and its decay products are now recognised as important indoor pollutants, and their effects are

  13. Air quality in Europe - 2011 report

    Energy Technology Data Exchange (ETDEWEB)

    Guerreiro, C.; Larssen, S. (Norsk Inst. for Luftforskning (NILU), Lillestroem (Norway)); Leeuw, F. de (RIVM, Bilthoven (Netherlands)); Foltescu, V. (EEA, Copenhagen (Denmark))

    2011-11-15

    The annual report 'Air quality in Europe' summarises the most recent evaluation of Europe's air quality status. It is mainly based on air quality measurement data that have been made available officially by 32 EEA member countries as well as 6 EEA cooperating countries. The report includes maps and analyses of air quality status over the calendar year 2009. It also analyses air quality trends over the past years. The evaluation of the status and trends of air quality is based on ambient air measurements, in conjunction with reported anthropogenic emissions. The report summarizes the main effects of different air pollutants on human health, the environment and the climate. An overview of policies and measures at European level is also given for each pollutant. This report reviews progress towards meeting the requirements of the two air quality directives in force as well as the air quality guidelines set by the World Health Organization (WHO). The report is produced in support of European and national policy development and implementation in the field of air quality. It also supports air quality management and informs the general public on the current status and trends of air quality in Europe. (Author)

  14. Air sampling in the workplace. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Hickey, E.E.; Stoetzel, G.A.; Strom, D.J.; Cicotte, G.R. [Pacific Northwest Lab., Richland, WA (United States); Wiblin, C.M. [Advanced Systems Technology, Inc., Atlanta, GA (United States); McGuire, S.A. [Nuclear Regulatory Commission, Washington, DC (United States). Div. of Regulatory Applications

    1993-09-01

    This report provides technical information on air sampling that will be useful for facilities following the recommendations in the NRC`s Regulatory Guide 8.25, Revision 1, ``Air sampling in the Workplace.`` That guide addresses air sampling to meet the requirements in NRC`s regulations on radiation protection, 10 CFR Part 20. This report describes how to determine the need for air sampling based on the amount of material in process modified by the type of material, release potential, and confinement of the material. The purposes of air sampling and how the purposes affect the types of air sampling provided are discussed. The report discusses how to locate air samplers to accurately determine the concentrations of airborne radioactive materials that workers will be exposed to. The need for and the methods of performing airflow pattern studies to improve the accuracy of air sampling results are included. The report presents and gives examples of several techniques that can be used to evaluate whether the airborne concentrations of material are representative of the air inhaled by workers. Methods to adjust derived air concentrations for particle size are described. Methods to calibrate for volume of air sampled and estimate the uncertainty in the volume of air sampled are described. Statistical tests for determining minimum detectable concentrations are presented. How to perform an annual evaluation of the adequacy of the air sampling is also discussed.

  15. Wood energy and air quality

    International Nuclear Information System (INIS)

    This publication first recalls the main benefits of the use of wood, the first source of renewable energy in France: abundant and local resource, low CO2 emission, competitiveness, job creation. It comments the relationship between the use of this source of energy and the compliance with air quality standards as they are notably defined by European directives, as the use of wood as heating source is one of the recommended lever to improve air quality. The publication comments emissions generated by this type of heating (mainly in the housing sector, with some critical meteorological periods). Levers for actions are discussed: fleet renewal to promote the best performing equipment, practice improvements (fuel quality, apparatus maintenance). Actions undertaken by the ADEME are briefly reviewed: support to individual equipment fleet modernisation, support to R and D, support to the sector, and information and communication

  16. Solar air-conditioning. Proceedings

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    Within the 3rd International Conference on solar air-conditioning in Palermo (Italy) at 30th September to 2nd October, 2009 the following lectures were held: (1) Removal of non-technological barriers to solar cooling technology across Southern European islands (Stefano Rugginenti); (2) The added economic and environmental value of solar thermal systems in microgrids with combined heat and power (Chris Marney); (3) Australian solar cooling interest group (Paul Kohlenbach); (4) Designing of a technology roadmap for solar assisted air conditioning in Austria (Hilbert Focke); (5) Solar cooling in the new context of renewable policies at European level (Raffaele Piria); (6) Prototype of a solar driven steam jet ejector chiller (Clemens Pollerberg); (7) New integrated solar air conditioning system (Joan Carlos Bruno); (8) Primary energy optimised operation of solar driven desiccant evaporative cooling systems through innovative control strategies; (9) Green chiller association (Uli Jakob); (10) Climate Well {sup registered} (Olof Hallstrom); (11) Low capacity absorption chillers for solar cooling applications (Gregor Weidner); (12) Solar cooling in residential, small scale commercial and industrial applications with adsorption technology (Walter Mittelbach); (13) French solar heating and cooling development programme based on energy performance (Daniel Mugnier); (14) Mirrox fresnel process heat collectors for industrial applications and solar cooling (Christian Zahler); (15) Modelling and analyzing solar cooling systems in polysun (Seyen Hossein Rezaei); (16) Solar cooling application in Valle Susa Italy (Sufia Jung); (17) Virtual case study on small solar cooling systems within the SolarCombi+Project (Bjoern Nienborg); (18) Design of solar cooling plants under uncertainty (Fernando Dominguez-Munoz); (19) Fast pre-design of systems using solar thermally driven chillers (Hans-Martin Henning); (20) Design of a high fraction solar heating and cooling plant in southern

  17. Frontiers in air quality modelling

    Directory of Open Access Journals (Sweden)

    A. Colette

    2013-08-01

    Full Text Available The first pan-European kilometre-scale atmospheric chemistry simulation is introduced. The continental-scale air pollution episode of January 2009 is modelled with the CHIMERE offline chemistry-transport model with a massive grid of 2 million horizontal points, performed on 2000 CPU of a high performance computing system hosted by the Research and Technology Computing Center at the French Alternative Energies and Atomic Energy Commission (CCRT/CEA. Besides the technical challenge, we find that model biases are significantly reduced, especially over urban areas. The high resolution grid also allows revisiting the contribution of individual city plumes to the European burden of pollution, providing new insights for designing air pollution control strategies.

  18. CHATTANOOGA AIR TOXICS (CATS) MONITORING RISK ASSESSMENT

    Science.gov (United States)

    The Chattanooga-Hamilton County Air Pollution Control Bureau (CHCAPCB), the United States Environmental Protection Agency Region 4 (Region 4), and other stakeholders, in a cooperative effort, conducted an air toxics study in the Chattanooga area (city population approximately 285...

  19. Air Emissions Sources, Charts and Maps

    Data.gov (United States)

    U.S. Environmental Protection Agency — Air Emissions provides (1) interactive charts supporting national, state, or county charts, (2) county maps of criteria air pollutant emissions for a state, and (3)...

  20. Solid State Air Purification System Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The purpose of this proposed research is to develop a new air purification system based on a liquid membrane, capable of purifying carbon dioxide from air in a far...