WorldWideScience

Sample records for assisted living facilities

  1. Grandparent Education for Assisted Living Facilities

    Science.gov (United States)

    Strom, Robert D.; Strom, Paris S.

    2017-01-01

    The assisted living population is forecast to increase at a rapid rate. Quality of life for residents should be improved by giving greater attention to their cognitive, emotional, and social needs. A university lifespan development team provided a grandparent education course at a large assisted living facility with the assistance of 20 resident…

  2. Assisted Living Facilities, care facilities, Published in 2006, Washoe County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, was produced all or in part from Published Reports/Deeds information as of 2006. It is described as 'care facilities'. Data...

  3. Assisted Living Facilities, group homes, Published in 2006, Washoe County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, was produced all or in part from Published Reports/Deeds information as of 2006. It is described as 'group homes'. Data by...

  4. Assisted Living Facilities, Published in unknown, Trempealeau County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, was produced all or in part from Orthoimagery information as of unknown. Data by this publisher are often provided in UTM...

  5. Assisted Living Facilities, Published in unknown, Douglas County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, was produced all or in part from Other information as of unknown. Data by this publisher are often provided in Other (please...

  6. Cruise ship care: a proposed alternative to assisted living facilities.

    Science.gov (United States)

    Lindquist, Lee A; Golub, Robert M

    2004-11-01

    Options for elderly patients who can no longer remain independent are limited. Most choices involve assisted living facilities, 24-hour caregivers, or nursing homes. State and federal assistance for payment for individual care is limited, and seniors usually pay for most costs out of pocket. For those patients who have the means to afford assisted living centers or nursing homes, "cruise ship care" is proposed. Traveling alongside traditional tourists, groups of seniors would live on cruise ships for extended periods of time. Cruise ships are similar to assisted living centers in the amenities provided, costs per month, and many other areas. This article begins with an examination of the needs of seniors in assisted living facilities and then explores the feasibility of cruise ship care in answering those needs. Similarities between cruise ship travel and assisted living care, as well as the monetary costs of both options, are defined. A decision tree with selections for non-independent care for seniors was created including cruise ship care as an alternative. Using a Markov model over 20 years, a representative cost-effectiveness analysis was performed that showed that cruises were priced similarly to assisted living centers and were more efficacious. Proposed ways that cruise ship companies could further accommodate the needs of seniors interested in this option are also suggested. Implementation for cruise ship care on the individual basis is also presented. Ultimately, it is wished to introduce a feasible and possibly more desirable option to seniors who can no longer remain independent.

  7. Assisted Living Facilities - MDC_NursingHome

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — Label (point) feature class of Miami-Dade County Nursing Homes Facilities. As of May 2004 the Office of Emergency Management (OEM) will provide updates for Nursing...

  8. Assisted Living Facilities, Licensed Health Care Facilities - assisted living facility type identified in attributes, Published in 2007, Iowa Dept. of Public Health.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, was produced all or in part from Published Reports/Deeds information as of 2007. It is described as 'Licensed Health Care...

  9. Assisted Living Facilities - MO 2010 Long Term Care Facilities (SHP)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — Long Term Care facilities (nursing homes) in Missouri - Data will not be made available for download via MSDIS. Interested parties should send an email inquiry to...

  10. Assisted Living Facilities, Assisted Living, Published in 2009, 1:2400 (1in=200ft) scale, City of Midland.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Field Observation information as of 2009. It is...

  11. Resident-to-resident relational aggression and subjective well-being in assisted living facilities

    NARCIS (Netherlands)

    Trompetter, Hester; Scholte, Ron; Westerhof, Gerben

    2011-01-01

    Purpose: Research in settings similar to assisted living facilities suggests that relational aggression, an indirect and mature form of aggression, might occur in assisted living facilities. This empirical study investigates the existence of relational aggression in a sample of residents and the rel

  12. Infection Prevention and Control Standards in Assisted Living Facilities: Are Residents Needs Being Met?

    Science.gov (United States)

    Kossover, Rachel; Chi, Carolyn; Wise, Matthew; Tran, Alvin; Chande, Neha; Perz, Joseph

    2015-01-01

    Background Assisted Living Facilities (ALFs) provide housing and care to persons unable to live independently, and who often have increasing medical needs. Disease outbreaks illustrate challenges of maintaining adequate resident protections in these facilities. Objectives Describe current state laws on assisted living admissions criteria, medical oversight, medication administration, vaccination requirements, and standards for infection control training. Methods We abstracted laws and regulations governing assisted living facilities for the 50 states using a structured abstraction tool. Selected characteristics were compared according to the time period in which the regulation took effect. Selected state health departments were queried regarding outbreaks identified in assisted living facilities. Results Of the 50 states, 84% specify health-based admissions criteria to assisted living facilities. 60% require licensed healthcare professionals to oversee medical care. 88% specifically allow subcontracting with outside entities to provide routine medical services onsite, and 64% address medication administration by assisted living facility staff. 54% specify requirements for some form of initial infection control training for all staff; 50% require reporting of disease outbreaks to the health department. 30% offered or required vaccines to staff; 15% of states offered or required vaccines to residents. Eleven states identified approximately 1500 outbreaks from 2010–2013, with influenza or norovirus infections predominating. Conclusions There is wide variation in how assisted living facilities are regulated in the United States. States may wish to consider regulatory changes that assure safe healthcare delivery, and minimize risks of infections, outbreaks of disease, and other forms of harm among assisted living residents. PMID:24239014

  13. Assisted Living Facilities, Published in Not Provided, Indiana State Department of Health.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset as of Not Provided. Data by this publisher are often provided in UTM coordinate system; in a Transverse Mercator projection;...

  14. Assisted Living Facilities, Published in 2010, 1:2400 (1in=200ft) scale, Shawano County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Published Reports/Deeds information as of 2010. Data...

  15. Assisted Living Facilities, Published in Not Provided, California University of Pennsylvania.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, was produced all or in part from Not Provided information as of Not Provided. Data by this publisher are often provided in...

  16. Assisted Living Facilities, Assisted living and resthomes, Published in 2007, 1:1200 (1in=100ft) scale, Town of Cary NC.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from Published Reports/Deeds information as of 2007. It...

  17. Operationalizing frailty among older residents of assisted living facilities

    Directory of Open Access Journals (Sweden)

    Patten Scott B

    2011-05-01

    Full Text Available Abstract Background Frailty in later life is viewed as a state of heightened vulnerability to poor outcomes. The utility of frailty as a measure of vulnerability in the assisted living (AL population remains unexplored. We examined the feasibility and predictive accuracy of two different interpretations of the Cardiovascular Health Study (CHS frailty criteria in a population-based sample of AL residents. Methods CHS frailty criteria were operationalized using two different approaches in 928 AL residents from the Alberta Continuing Care Epidemiological Studies (ACCES. Risks of one-year mortality and hospitalization were estimated for those categorized as frail or pre-frail (compared with non-frail. The prognostic significance of individual criteria was explored, and the area under the ROC curve (AUC was calculated for select models to assess the utility of frailty in predicting one-year outcomes. Results Regarding feasibility, complete CHS criteria could not be assessed for 40% of the initial 1,067 residents. Consideration of supplementary items for select criteria reduced this to 12%. Using absolute (CHS-specified cut-points, 48% of residents were categorized as frail and were at greater risk for death (adjusted risk ratio [RR] 1.75, 95% CI 1.08-2.83 and hospitalization (adjusted RR 1.54, 95% CI 1.20-1.96. Pre-frail residents defined by absolute cut-points (48.6% showed no increased risk for mortality or hospitalization compared with non-frail residents. Using relative cut-points (derived from AL sample, 19% were defined as frail and 55% as pre-frail and the associated risks for mortality and hospitalization varied by sex. Frail (but not pre-frail women were more likely to die (RR 1.58 95% CI 1.02-2.44 and be hospitalized (RR 1.53 95% CI 1.25-1.87. Frail and pre-frail men showed an increased mortality risk (RR 3.21 95% CI 1.71-6.00 and RR 2.61 95% CI 1.40-4.85, respectively while only pre-frail men had an increased risk of hospitalization (RR 1

  18. Oral and nutritional problems among residents in assisted living facilities

    OpenAIRE

    2014-01-01

    ABSTRACT This study formed part of a developmental project in the Helsinki Metropolitan Area of Finland during 2003 2011 that aimed to develop nutritional care in long-term care facilities. The aim of this study was to assess tooth brushing/denture cleaning habits, dentition, chewing problems, and swallowing difficulties and their associations with nutritional status and eating habits. Furthermore, the aim was to explore the prognostic value of dentition, chewing problems and swallowing ...

  19. Assisted Living Facilities, Licensed Health Care Facilities - long term care facility type identified in attributes, Published in 2007, Iowa Dept. of Public Health.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, was produced all or in part from Published Reports/Deeds information as of 2007. It is described as 'Licensed Health Care...

  20. Consumer Satisfaction in Long-Term Care: State Initiatives in Nursing Homes and Assisted Living Facilities

    Science.gov (United States)

    Lowe, Timothy J.; Lucas, Judith A.; Castle, Nicholas G.; Robinson, Joanne P.; Crystal, Stephen

    2003-01-01

    Purpose: We report the results of a survey of state initiatives that measure resident satisfaction in nursing homes and assisted living facilities, and we describe several model programs for legislators and public administrators contemplating the initiation of their own state programs. Design and Methods: Data on state initiatives and programs…

  1. Hope, Laughter, and Humor in Residents and Staff at an Assisted Living Facility.

    Science.gov (United States)

    Westburg, Nancy G.

    2003-01-01

    Assesses and compares hope levels and laughter and humor experiences of 24 elderly residents and 21 staff at an assisted living facility. Residents and staff reported numerous benefits from humor and laughing, but differences arose between the two groups about the source and frequency of humor and laughter. Implications for mental health…

  2. Assisted Living Facilities, Locations of Assisted Living Facilities identifed visually and placed on the Medical Multi-Hazard Mitigation layer., Published in 2006, 1:1200 (1in=100ft) scale, Noble County Government.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from Field Observation information as of 2006. It is...

  3. Assisted Living Facilities, Published in 2006, 1:4800 (1in=400ft) scale, White County Government.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Field Observation information as of 2006. Data by...

  4. Assisted Living Facilities, Nursing Homes, Published in 2007, 1:1200 (1in=100ft) scale, Town of Cary NC.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from Published Reports/Deeds information as of 2007. It...

  5. Assisted Living Facilities, Published in 2006, 1:4800 (1in=400ft) scale, White County Government.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Other information as of 2006. Data by this publisher...

  6. Assisted Living Facilities, Published in 2009, 1:600 (1in=50ft) scale, DCH, Division of Public Health.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:600 (1in=50ft) scale, was produced all or in part from Other information as of 2009. Data by this publisher...

  7. Assisted Living Facilities, Published in 2010, 1:1200 (1in=100ft) scale, Athens-Clarke County Planning Department.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from Hardcopy Maps information as of 2010. Data by this...

  8. Assisted Living Facilities, Published in 2001, 1:1200 (1in=100ft) scale, Bulloch County Board of Commissioners.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from Orthoimagery information as of 2001. Data by this...

  9. Assisted Living Facilities, Published in 2005, 1:12000 (1in=1000ft) scale, Washington County GIS.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:12000 (1in=1000ft) scale, was produced all or in part from Field Observation information as of 2005. Data by...

  10. Assisted Living Facilities, cruical infrastructures, Published in 2007, 1:100000 (1in=8333ft) scale, Marion County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:100000 (1in=8333ft) scale, was produced all or in part from Field Survey/GPS information as of 2007. It is...

  11. Assisted Living Facilities, Published in 2010, 1:2400 (1in=200ft) scale, City of Johns Creek.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Field Observation information as of 2010. Data by...

  12. Assisted Living Facilities, Published in 2005, 1:9600 (1in=800ft) scale, Washington County GIS.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:9600 (1in=800ft) scale, was produced all or in part from Field Observation information as of 2005. Data by...

  13. Assisted Living Facilities, Medical, Published in 2006, 1:1200 (1in=100ft) scale, Steuben County Government.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from Field Observation information as of 2006. It is...

  14. Assisted Living Facilities, Published in 2007, 1:2400 (1in=200ft) scale, Polk County, Wisconsin.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Orthoimagery information as of 2007. Data by this...

  15. Wii-Fit for Improving Gait and Balance in an Assisted Living Facility: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Kalpana P. Padala

    2012-01-01

    Full Text Available Objectives. To determine the effects on balance and gait of a Wii-Fit program compared to a walking program in subjects with mild Alzheimer’s dementia (AD. Methods. A prospective randomized (1 : 1 pilot study with two intervention arms was conducted in an assisted living facility with twenty-two mild AD subjects. In both groups the intervention occurred under supervision for 30 minutes daily, five times a week for eight weeks. Repeated measures ANOVA and paired t-tests were used to analyze changes. Results. Both groups showed improvement in Berg Balance Scale (BBS, Tinetti Test (TT and Timed Up and Go (TUG over 8 weeks. However, there was no statistically significant difference between the groups over time. Intragroup analysis in the Wii-Fit group showed significant improvement on BBS (P=0.003, and TT (P=0.013. The walking group showed a trend towards improvement on BBS (P=0.06 and TUG (P=0.07 and significant improvement in TT (P=0.006. Conclusion. This pilot study demonstrates the safety and efficacy of Wii-Fit in an assisted living facility in subjects with mild AD. Use of Wii-Fit resulted in significant improvements in balance and gait comparable to those in the robust monitored walking program. These results need to be confirmed in a larger, methodologically sound study.

  16. Assisted Living

    Science.gov (United States)

    ... term care and institutional living. Sheltered Housing Sheltered housing is often in a home that offers personal-care support, housekeeping services, and meals. Social work services and coordination for activities can be ...

  17. Assisted Living Facilities, This file contains the name, address, contact and some licensing information for the Assisted Living Facilites for the State of Maryland., Published in 2010, Smaller than 1:100000 scale, Maryland Department of Health and Mental Hygiene.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at Smaller than 1:100000 scale, was produced all or in part from Other information as of 2010. It is described as...

  18. Improving assisted living care.

    Science.gov (United States)

    Gregory, Nancy; Gesell, Sabina B; Widmer, Tom

    2007-01-01

    In the absence of a national measurement system, private vendors of satisfaction measurement and improvement services have played a crucial role in the quality movement in the assisted living industry. Survey responses from 175 resident-family dyads at 20 facilities were analyzed to identify priorities for service improvement from the customers' perspective. They include improving care provided by aides and management, meal service, and activities. Practical solutions for addressing these issues are presented.

  19. Assisted Living Facilities, ElderCareFacilities-Elder care facilities in the State of Utah, Published in 2005, 1:24000 (1in=2000ft) scale, State of Utah Automated Geographic Reference Center.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other information as of 2005. It is described as...

  20. Assisted Living Facilities, Burke County Family Care Homes, Published in 2005, 1:63360 (1in=1mile) scale, City of Morganton.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:63360 (1in=1mile) scale, was produced all or in part from Published Reports/Deeds information as of 2005. It...

  1. Assisted Living Facilities, Licensed Nursing Homes, Published in 2007, 1:24000 (1in=2000ft) scale, State of California - Office of the State Chief Information Officer.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Published Reports/Deeds information as of 2007. It...

  2. Assisted Living Facilities, part of our address point data layer, Published in 2010, 1:2400 (1in=200ft) scale, City of Johns Creek.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Published Reports/Deeds information as of 2010. It...

  3. Assisted Living Facilities, Part of our City of Hutchinson polygon building footprint layer, Published in 2006, 1:600 (1in=50ft) scale, City of Hutchinson.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:600 (1in=50ft) scale, was produced all or in part from Orthoimagery information as of 2006. It is described...

  4. Assisted Living Facilities, Allegany County Nursing Homes, Published in 2009, 1:1200 (1in=100ft) scale, Allegany County Government.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from Orthoimagery information as of 2009. It is described...

  5. Assisted Living Facilities, Homeland Security Infrastructure Program- nursing homes, Published in 2010, 1:24000 (1in=2000ft) scale, Georgia Department of Community Affairs.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other information as of 2010. It is described as...

  6. Assisted Living Facilities, Published in 2009, 1:63360 (1in=1mile) scale, City of Americus & Sumter County, GA GIS.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:63360 (1in=1mile) scale, was produced all or in part from Field Survey/GPS information as of 2009. Data by...

  7. Assisted Living Facilities, To identify the Adult Living facilites location within Miami-Dade County, Published in 2012, 1:2400 (1in=200ft) scale, Miami-Dade County, Information Technology Department.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Other information as of 2012. It is described as 'To...

  8. Assisted Living Facilities, Licensed Long Term Care Facilities, Published in 2007, 1:24000 (1in=2000ft) scale, State of California - Office of the State Chief Information Officer.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Published Reports/Deeds information as of 2007. It...

  9. Assisted Living Facilities, Listing of medical facilities as identifed by Emergency Management director within Noble County., Published in 2006, 1:1200 (1in=100ft) scale, Noble County Government.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from Other information as of 2006. It is described as...

  10. Assisted Living Facilities - CARE_LONG_TERM_FACILITIES_ISDH_IN: Residential Care Facilities, Nursing Homes, and Hospices in Indiana in 2007 (Indiana State Department of Health, Point Shapefile)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — CARE_LONG_TERM_FACILITIES_ISDH_IN is a point shapefile showing the locations of 86 residential care facilities, 525 long-term care facilities (nursing homes), and...

  11. Assisted Living Facilities, Nursing Homes (subset of the County's Points Of Interest dataset), Published in 2007, 1:2400 (1in=200ft) scale, Anne Arundel County, OIT GIS.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Published Reports/Deeds information as of 2007. It...

  12. Assisted Living Facilities, Senior Housing (subset of the County's Points Of Interest dataset), Published in 2007, 1:2400 (1in=200ft) scale, Anne Arundel County, OIT GIS.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Published Reports/Deeds information as of 2007. It...

  13. Assisted Living Facilities, This file contains the name, address and some licensing information for the Nursing Homes for Maryland., Published in 2010, Smaller than 1:100000 scale, Maryland Department of Health and Mental Hygiene.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at Smaller than 1:100000 scale, was produced all or in part from Other information as of 2010. It is described as...

  14. Assisted Living Facilities, To identify the location of all Daycare centers in Miami-Dade County., Published in 2012, 1:600 (1in=50ft) scale, Miami-Dade County, Information Technology Department.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:600 (1in=50ft) scale, was produced all or in part from Other information as of 2012. It is described as 'To...

  15. Assisted Living Facilities, Prince George's County Health Department Licensed Nursing Homes, Published in 2009, 1:2400 (1in=200ft) scale, Prince George's County Office of Information Technology and Communications.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Published Reports/Deeds information as of 2009. It...

  16. Dynamic Services for Assisted Living Environments

    OpenAIRE

    2008-01-01

    Software technologies for assisted living systems can be derived from the more mature domain of pervasive computing and the relative emerging ambient intelligence field. We present herein our position about the need for interoperability enablers extending the software service paradigm and for dependability as key elements of assisted living software systems.

  17. Older adult drivers living in residential care facilities

    Science.gov (United States)

    Lum, Hillary D.; Ginde, Adit A.; Betz, Marian E.

    2015-01-01

    Residential care facilities (RCF) provide assistance to older adults who cannot live independently, but it is unclear whether these residents have retired from driving. Here, we characterize older adults living in RCFs who still drive from a national cross-sectional survey of residents (2010 National Survey of Residential Care Facilities), representing ~733,000 adults living in RCFs such as assisted living facilities and personal care homes. Key resident characteristics were health, function, mobility and community activity indicators, which could be associated with increased driving risk. Of 8,087 residents, 4.5% (95%CI=3.9-5.1) were current drivers. Many drivers were older than 80 years (74%, 95%CI=67-79), in very good health (31%, 95%CI=25-38) or good health (35%, 95%CI=29-42), and had a median of two medical conditions. Most were independent with activities of daily living, though some needed assistance with walking and used gait devices. Given these results, RCF staff and healthcare providers need a heightened awareness of factors associated with driving risk to promote safety of older drivers and provide resources for likely transition to other transportation. PMID:26366125

  18. The Living Challenges of Ambient Assisted Living - A Literature Review

    DEFF Research Database (Denmark)

    Bygholm, Ann; Kanstrup, Anne Marie

    2015-01-01

    Ambient Assisted Living (AAL) is a rapidly evolving research and development area propelled by scarcity of health resources caused by an aging workforce and increase of Citizens in need of health care and health assistance on a regular basis. This paper presents a literature review of the current...

  19. Learning from an Ambient Assisted Living Lab

    DEFF Research Database (Denmark)

    Bygholm, Ann; Kanstrup, Anne Marie

    2014-01-01

    This paper presents methodological lessons learned from an Ambient Assisted Living (AAL) lab exploring the use of intelligent beds in a nursing home. The living lab study was conducted over a period of three month. 20 intelligent beds were installed. Data was collected via self-registration, diar......This paper presents methodological lessons learned from an Ambient Assisted Living (AAL) lab exploring the use of intelligent beds in a nursing home. The living lab study was conducted over a period of three month. 20 intelligent beds were installed. Data was collected via self...

  20. A Smart Kitchen for Ambient Assisted Living

    OpenAIRE

    Rubén Blasco; Álvaro Marco; Roberto Casas; Diego Cirujano; Richard Picking

    2014-01-01

    The kitchen environment is one of the scenarios in the home where users can benefit from Ambient Assisted Living (AAL) applications. Moreover, it is the place where old people suffer from most domestic injuries. This paper presents a novel design, implementation and assessment of a Smart Kitchen which provides Ambient Assisted Living services; a smart environment that increases elderly and disabled people’s autonomy in their kitchen-related activities through context and user awareness, appr...

  1. Predictors of staff-supportive organizational culture in assisted living.

    Science.gov (United States)

    Sikorska-Simmons, Elzbieta

    2008-03-01

    This study examined predictors of staff-supportive organizational culture in assisted living settings. The sample included 294 staff members in 52 facilities. Organizational culture was assessed according to staff perceptions of teamwork, morale, information flow, involvement, supervision, and meetings. Hierarchical linear modeling was used to examine the effects of organizational factors (i.e., facility size, chain membership, ownership, level of care, level of residents' disability) on staff-supportive organizational culture. More staff-supportive culture was associated with smaller facility size, chain membership, and a higher level of care. These findings point to the importance of organizational factors in shaping a staff-supportive organizational culture.

  2. Disseminating Ambient Assisted Living in Rural Areas

    Directory of Open Access Journals (Sweden)

    Gerhard Leitner

    2014-07-01

    Full Text Available The smart home, ambient intelligence and ambient assisted living have been intensively researched for decades. Although rural areas are an important potential market, because they represent about 80% of the territory of the EU countries and around 125 million inhabitants, there is currently a lack of applicable AAL solutions. This paper discusses the theoretical foundations of AAL in rural areas. This discussion is underlined by the achievements of the empirical field study, Casa Vecchia, which has been carried out over a four-year period in a rural area in Austria. The major goal of Casa Vecchia was to evaluate the feasibility of a specific form of AAL for rural areas: bringing AAL technology to the homes of the elderly, rather than moving seniors to special-equipped care facilities. The Casa Vecchia project thoroughly investigated the possibilities, challenges and drawbacks of AAL related to this specific approach. The findings are promising and somewhat surprising and indicate that further technical, interactional and socio-psychological research is required to make AAL in rural areas reasonable in the future.

  3. An Empirical Typology of Residential Care/Assisted Living Based on a Four-State Study

    Science.gov (United States)

    Park, Nan Sook; Zimmerman, Sheryl; Sloane, Philip D.; Gruber-Baldini, Ann L.; Eckert, J. Kevin

    2006-01-01

    Purpose: Residential care/assisted living describes diverse facilities providing non-nursing home care to a heterogeneous group of primarily elderly residents. This article derives typologies of assisted living based on theoretically and practically grounded evidence. Design and Methods: We obtained data from the Collaborative Studies of Long-Term…

  4. The Living Challenges of Ambient Assisted Living - A Literature Review

    DEFF Research Database (Denmark)

    Bygholm, Ann; Kanstrup, Anne Marie

    2015-01-01

    Ambient Assisted Living (AAL) is a rapidly evolving research and development area propelled by scarcity of health resources caused by an aging workforce and increase of Citizens in need of health care and health assistance on a regular basis. This paper presents a literature review of the current...... state-of-the-art of AAL. The objective is to point towards methodological actions to be taken into account in AAL research on this basis. Searches were conducted in five research databases. The search identified 86 papers. 10 of these papers were review papers chosen for analysis. The analysis presents...

  5. 7th Ambient Assisted Living Congress

    CERN Document Server

    Klausing, Helmut

    2015-01-01

    In this book, leading authors in the field discuss developments of Ambient Assisted Living. The contributions have been chosen and invited at the 7th AAL congress, Berlin. It presents new technological developments which support the autonomy and independence of individuals with special needs. As the technological innovation raises also social issues, the book addresses micro and macro economical aspects of assistive systems and puts an additional emphasis on the ethical and legal discussion. The presentation is supported by real world examples and applications.

  6. Nursing delegation and medication administration in assisted living.

    Science.gov (United States)

    Mitty, Ethel; Resnick, Barbara; Allen, Josh; Bakerjian, Debra; Hertz, Judith; Gardner, Wendi; Rapp, Mary Pat; Reinhard, Susan; Young, Heather; Mezey, Mathy

    2010-01-01

    Assisted living (AL) residences are residential long-term care settings that provide housing, 24-hour oversight, personal care services, health-related services, or a combination of these on an as-needed basis. Most residents require some assistance with activities of daily living and instrumental activities of daily living, such as medication management. A resident plan of care (ie, service agreement) is developed to address the health and psychosocial needs of the resident. The amount and type of care provided, and the individual who provides that care, vary on the basis of state regulations and what services are provided within the facility. Some states require that an RN hold a leadership position to oversee medication management and other aspects of care within the facility. A licensed practical nurse/licensed vocational nurse can supervise the day-to-day direct care within the facility. The majority of direct care in AL settings is provided by direct care workers (DCWs), including certified nursing assistants or unlicensed providers. The scope of practice of a DCW varies by state and the legal structure within that state. In some states, the DCW is exempt from the nurse practice act, and in some states, the DCW may practice within a specific scope such as being a medication aide. In most states, however, the DCW scope of practice is conscribed, in part, by the delegation of responsibilities (such as medication administration) by a supervising RN. The issue of RN delegation has become the subject of ongoing discussion for AL residents, facilities, and regulators and for the nursing profession. The purpose of this article is to review delegation in AL and to provide recommendations for future practice and research in this area.

  7. A Smart Kitchen for Ambient Assisted Living

    Directory of Open Access Journals (Sweden)

    Rubén Blasco

    2014-01-01

    Full Text Available The kitchen environment is one of the scenarios in the home where users can benefit from Ambient Assisted Living (AAL applications. Moreover, it is the place where old people suffer from most domestic injuries. This paper presents a novel design, implementation and assessment of a Smart Kitchen which provides Ambient Assisted Living services; a smart environment that increases elderly and disabled people’s autonomy in their kitchen-related activities through context and user awareness, appropriate user interaction and artificial intelligence. It is based on a modular architecture which integrates a wide variety of home technology (household appliances, sensors, user interfaces, etc. and associated communication standards and media (power line, radio frequency, infrared and cabled. Its software architecture is based on the Open Services Gateway initiative (OSGi, which allows building a complex system composed of small modules, each one providing the specific functionalities required, and can be easily scaled to meet our needs. The system has been evaluated by a large number of real users (63 and carers (31 in two living labs in Spain and UK. Results show a large potential of system functionalities combined with good usability and physical, sensory and cognitive accessibility.

  8. A smart kitchen for ambient assisted living.

    Science.gov (United States)

    Blasco, Rubén; Marco, Álvaro; Casas, Roberto; Cirujano, Diego; Picking, Richard

    2014-01-17

    The kitchen environment is one of the scenarios in the home where users can benefit from Ambient Assisted Living (AAL) applications. Moreover, it is the place where old people suffer from most domestic injuries. This paper presents a novel design, implementation and assessment of a Smart Kitchen which provides Ambient Assisted Living services; a smart environment that increases elderly and disabled people's autonomy in their kitchen-related activities through context and user awareness, appropriate user interaction and artificial intelligence. It is based on a modular architecture which integrates a wide variety of home technology (household appliances, sensors, user interfaces, etc.) and associated communication standards and media (power line, radio frequency, infrared and cabled). Its software architecture is based on the Open Services Gateway initiative (OSGi), which allows building a complex system composed of small modules, each one providing the specific functionalities required, and can be easily scaled to meet our needs. The system has been evaluated by a large number of real users (63) and carers (31) in two living labs in Spain and UK. Results show a large potential of system functionalities combined with good usability and physical, sensory and cognitive accessibility.

  9. Enhancing Assisted Living Technology with Extended Visual Memory

    Directory of Open Access Journals (Sweden)

    Joo-Hwee Lim

    2011-05-01

    Full Text Available Human vision and memory are powerful cognitive faculties by which we understand the world. However, they are imperfect and further, subject to deterioration with age. We propose a cognitive-inspired computational model, Extended Visual Memory (EVM, within the Computer-Aided Vision (CAV framework, to assist human in vision-related tasks. We exploit wearable sensors such as cameras, GPS and ambient computing facilities to complement a user's vision and memory functions by answering four types of queries central to visual activities, namely, Retrieval, Understanding, Navigation and Search. Learning of EVM relies on both frequency-based and attention-driven mechanisms to store view-based visual fragments (VF, which are abstracted into high-level visual schemas (VS, both in the visual long-term memory. During inference, the visual short-term memory plays a key role in visual similarity computation between input (or its schematic representation and VF, exemplified from VS when necessary. We present an assisted living scenario, termed EViMAL (Extended Visual Memory for Assisted Living, targeted at mild dementia patients to provide novel functions such as hazard-warning, visual reminder, object look-up and event review. We envisage EVM having the potential benefits in alleviating memory loss, improving recall precision and enhancing memory capacity through external support.

  10. Ambient Assisted Living : Italian forum 2013

    CERN Document Server

    Siciliano, Pietro; Germani, Michele; Monteriù, Andrea

    2014-01-01

    This book presents the refereed proceedings of the Fourth Italian Forum on Ambient Assisted Living (AAL), held in Ancona, Italy, in October 2013. A wide range of issues are covered, and new technological developments are described which will support the autonomy and independence of individuals with special needs through an innovative and integrated approach, designed to respond to the socio-economic challenges of an aging population. Topics addressed include: health and well-being, prevention and rehabilitation, and support for care providers; active aging and its social implications; services for the frail elderly with health problems and their families; nutrition; ICT platforms/technologies for the benefit of the elderly; home automation and control technologies (autonomy, safety, and energy saving); smart cities and smart communities; telemedicine, telerehabilitation, and telecare; mobility, participation, and social inclusion; games and fun for the elderly; building design; social housing; interface desig...

  11. Wireless Sensor Networks for Ambient Assisted Living

    Directory of Open Access Journals (Sweden)

    Raúl Aquino-Santos

    2013-11-01

    Full Text Available This paper introduces wireless sensor networks for Ambient Assisted Living as a proof of concept. Our workgroup has developed an arrhythmia detection algorithm that we evaluate in a closed space using a wireless sensor network to relay the information collected to where the information can be registered, monitored and analyzed to support medical decisions by healthcare providers. The prototype we developed is then evaluated using the TelosB platform. The proposed architecture considers very specific restrictions regarding the use of wireless sensor networks in clinical situations. The seamless integration of the system architecture enables both mobile node and network configuration, thus providing the versatile and robust characteristics necessary for real-time applications in medical situations. Likewise, this system architecture efficiently permits the different components of our proposed platform to interact efficiently within the parameters of this study.

  12. Hospice in Assisted Living: Promoting Good Quality Care at End of Life

    Science.gov (United States)

    Cartwright, Juliana C.; Miller, Lois; Volpin, Miriam

    2009-01-01

    Purpose: The purpose of this study was to describe good quality care at the end of life (EOL) for hospice-enrolled residents in assisted living facilities (ALFs). Design and Methods: A qualitative descriptive design was used to obtain detailed descriptions of EOL care provided by ALF medication aides, caregivers, nurses, and hospice nurses in…

  13. 9th Ambient Assisted Living Congress

    CERN Document Server

    Mand, Beate

    2017-01-01

    In this book, leading authors in the field discuss the habitats of tomorrow. These habitats will be connected through autonomous and assistive systems, turning habitats into health resorts. This book discusses how assistance technologies enable a smooth transition from comfortable health support to medical or nursing care. The contributions have been chosen and invited at the 9th AAL congress, Frankfurt. .

  14. The DFKI Competence Center for Ambient Assisted Living

    Science.gov (United States)

    Frey, Jochen; Stahl, Christoph; Röfer, Thomas; Krieg-Brückner, Bernd; Alexandersson, Jan

    The DFKI Competence Center for Ambient Assisted Living (CCAAL) is a cross-project and cross-department virtual organization within the German Research Center for Artificial Intelligence coordinating and conducting research and development in the area of Ambient Assisted Living (AAL). Our demonstrators range from multimodal speech dialog systems to fully instrumented environments allowing the development of intelligent assistant systems, for instance an autonomous wheelchair, or the recognition and processing of everyday activities in a smart home. These innovative technologies are then tested, evaluated and demonstrated in DFKI's living labs.

  15. 5th Italian Forum on Ambient Assisted Living

    CERN Document Server

    Siciliano, Pietro; Marletta, Vincenzo; Monteriù, Andrea

    2015-01-01

    This book documents the state of the art in the field of ambient assisted living (AAL), highlighting the impressive potential of novel methodologies and technologies to enhance well-being and promote active ageing. The coverage is wide ranging, with sections on assistive devices, elderly people monitoring, home rehabilitation, ICT solutions for AAL, living with chronic conditions, robotic assistance for the elderly, sensing technologies for AAL, and smart housing. The book comprises a selection of the best papers presented at the Fifth Italian Forum on Ambient Assisted Living, which was held in Catania, Italy, in September 2014 and brought together end users, technology teams, and policy makers to develop a consensus on how to improve provision for elderly and impaired people. Readers will find that the expert contributions offer clear insights into the ways in which the most recent exciting advances may be expected to assist in addressing the needs of the elderly and those with chronic conditions.

  16. Common Ambient Assisted Living Home Platform for Seamless Care

    DEFF Research Database (Denmark)

    Wagner, Stefan Rahr; Stenner, Rene; Memon, Mukhtiar

    The CareStore project is investigating the feasibility of creating an open and flexible infrastructure for facilitating seamless deployment of assisted living devices and applications on heterogeneous platforms. The Common Ambient Assisted Living Home Platform (CAALHP) is intended to be the main ...... user interface for patients and healthcare staff in the CareStore eco system. The aim of this abstract is to demonstrate the currently implemented features and outline relevant perspectives and future work in the CareStore project....

  17. Development of an Ecosystem for Ambient Assisted Living

    OpenAIRE

    Rosas, João; Camarinha-Matos, Luis,; Carvalho, Gonçalo; Oliveira, Ana; Ferrada, Filipa

    2013-01-01

    Part 2: Key Applications; International audience; Society is facing big demographic changes. In 2050, it is expected that the number of elders will reach 1500 million (about 16% of the world population). As people age, they become more dependent on assistance services. Care and assistance organizations start failing, as the number of people who need help increases beyond their ability to comply. The creation of an ecosystem for Ambient Assisted Living, facilitating partnerships creation betwe...

  18. Alone in a crowd. A study of social networks in home health and assisted living.

    Science.gov (United States)

    Tremethick, M J

    2001-05-01

    This study demonstrated the need for intervention in social network development by both clients of home health and residents of assisted living facilities. With the well-known connection between social networks and health, it is vital that nurses working with these populations be aware of the potential for isolation, screen for it, and, if necessary, develop interventions in the care planning process to address the lack of social networks.

  19. Assistant Personal Robot (APR): conception and application of a tele-operated assisted living robot

    OpenAIRE

    Eduard Clotet; Dani Martínez; Javier Moreno; Marcel Tresanchez; Jordi Palacín

    2016-01-01

    This paper presents the technical description, mechanical design, electronic components, software implementation and possible applications of a tele-operated mobile robot designed as an assisted living tool. This robotic concept has been named Assistant Personal Robot (or APR for short) and has been designed as a remotely telecontrolled robotic platform built to provide social and assistive services to elderly people and those with impaired mobility. The APR features a fast hig...

  20. Dissemination and Implementation of Function Focused Care for Assisted Living

    Science.gov (United States)

    Resnick, Barbara; Galik, Elizabeth; Vigne, Erin; Carew, Allison Payne

    2016-01-01

    Assisted living (AL) settings are residential settings that provide housing and supportive services for older and disabled adults. Although individuals in AL are less functionally impaired than those in nursing home settings, they engage in limited amounts of physical activity and experience more rapid functional decline than their peers in…

  1. Social Support and Successful Aging in Assisted Living Residents

    Science.gov (United States)

    Howie, Laura Odell; Troutman-Jordan, Meredith; Newman, Ann M.

    2014-01-01

    Successful aging has been associated with adequate social support. However, impaired functionality, increased dependence, multiple comorbidities, and reduced social interactions place older assisted living community (ALC) residents at risk for poorer social support and less successful aging. This cross-sectional descriptive study used the revised…

  2. Assistant Personal Robot (APR): Conception and Application of a Tele-Operated Assisted Living Robot.

    Science.gov (United States)

    Clotet, Eduard; Martínez, Dani; Moreno, Javier; Tresanchez, Marcel; Palacín, Jordi

    2016-04-28

    This paper presents the technical description, mechanical design, electronic components, software implementation and possible applications of a tele-operated mobile robot designed as an assisted living tool. This robotic concept has been named Assistant Personal Robot (or APR for short) and has been designed as a remotely telecontrolled robotic platform built to provide social and assistive services to elderly people and those with impaired mobility. The APR features a fast high-mobility motion system adapted for tele-operation in plain indoor areas, which incorporates a high-priority collision avoidance procedure. This paper presents the mechanical architecture, electrical fundaments and software implementation required in order to develop the main functionalities of an assistive robot. The APR uses a tablet in order to implement the basic peer-to-peer videoconference and tele-operation control combined with a tactile graphic user interface. The paper also presents the development of some applications proposed in the framework of an assisted living robot.

  3. Managing everyday ethics in assisted living: a research-based case analysis for the classroom.

    Science.gov (United States)

    Messikomer, Carla M; Cirka, Carol C

    2008-01-01

    This paper presents a complex, but realistic, picture of the lived experience in assisted living (AL), and provokes thoughtful reflection about the operational and ethical challenges faced in the delivery of care to an increasingly frail population in a typical AL facility. Developed from the findings of a two-year qualitative research project, the case represents a composite of selected data collected at five AL facilities that participated in the study. Students will participate in individual and small group exercises that challenge them to identify everyday ethical concerns in AL, and to suggest ways that management can address these issues. The case is suitable for cross-disciplinary use, and can be effectively applied in the fields of management, health care administration, sociology, gerontology, social work, and nursing, either on the graduate or undergraduate level. It is especially well suited to courses that incorporate the topics of long-term care, senior housing, or ethics.

  4. "That Is So Common Everyday . . . Everywhere You Go": Sexual Harassment of Workers in Assisted Living.

    Science.gov (United States)

    Burgess, Elisabeth O; Barmon, Christina; Moorhead, James R; Perkins, Molly M; Bender, Alexis A

    2016-02-09

    In assisted living (AL) facilities, workers are intimately involved in the lives of residents. Existing research on AL demonstrates the imbalance of this environment, which is a personal home for the residents and a workplace for staff. Using observational and interview data collected from six AL facilities, this grounded theory project analyzes how AL staff define, understand, and negotiate sexual comments, joking, and physical touch. We developed a conceptual model to describe how such harassment was perceived, experienced by AL workers, and how they responded. Sexualized behavior or harassment was experienced by workers of every status. We found that words and actions were contextualized based on resident and worker characteristics and the behavior. Staff members refused to engage residents, redirected them, or reframed the words and gestures to get the job done. Reporting the incidents was less common. We conclude by discussing implications for policy and research.

  5. [Living the birth process in a humanized assistance model].

    Science.gov (United States)

    da Silva, Larissa Mandarano; Barbieri, Márcia; Fustinoni, Suzete Maria

    2011-01-01

    That was a qualitative study with phenomenological approach that aimed at understanding women's post-partum experiences in a humanized assistance. Data were collected in a hospital from São Paulo, SP, Brazil. Eight women in post-partum period were interviewed. From data analysis two themes were extracted: Bearing the labor and Having the opportunity rescuing autonomy, being disclosed the phenomenon: "Living the ambiguity on the birth process in a humanized assistance model". The reports show feelings like pain, fear and anxiety, however, it allowed a participation and rescuing autonomy. Although the study have been realized in a humanized assistance, the women's experiences reveals that they are far from an effective humanization, according to its principles. This study can be used to guide educative actions target to humanization and to generate managerial changes.

  6. Integration of RFID and web service for assisted living.

    Science.gov (United States)

    Unluturk, Mehmet S; Kurtel, Kaan

    2012-08-01

    The number of people over 65 years old throughout most stable and prosperous countries in the world is increasing. Availability of their care in their own homes is imperative because of the economic reasons and their choices where to live (World Health Organization, Definition of an older or elderly person. http://www.who.int/healthinfo/survey/ageingdefnolder/en/ ; EQUIP-European Framework for Qualifications in Home Care Services for Older People, http://www.equip-project.com ; Salonen, 2009). "Recent advancement in wireless communications and electronics has enabled the development of low-cost sensor networks. The sensor networks can be utilized in various application areas." (Akyildiz, et al. 2002) These two statements show that there is a great promise in wireless technology and utilizing it in assisted living might be very beneficial to the elderly people. In this paper, we propose software architecture called Location Windows Service (LWS) which integrates the Radio Frequency Identification (RFID) technology and the web service to build an assisted living system for elderly people at home. This architecture monitors the location of elderly people without interfering in their daily activities. Location information messages that are generated as the elderly move from room to room indicate that the elderly person is fit and healthy and going about their normal life. The communication must be timely enough to follow elderly people as they move from room to room without missing a location. Unacknowledged publishing, subscription filtering and short location change messages are also included in this software model to reduce the network traffic in large homes. We propose some defense schemes being applied to the network environment of the assisted living system to prevent any external attacks.

  7. Field testing, refinement, and psychometric evaluation of a new measure of quality of care for assisted living.

    Science.gov (United States)

    Rantz, Marilyn J; Aud, Myra A; Zwygart-Stauffacher, Mary; Mehr, David R; Petroski, Gregory F; Owen, Steven V; Madsen, Richard W; Flesner, Marcia; Conn, Vicki; Maas, Meridean

    2008-01-01

    Field test results are reported for the Observable Indicators of Nursing Home Care Quality Instrument-Assisted Living Version, an instrument designed to measure the quality of care in assisted living facilities after a brief 30-minute walk-through. The OIQ-AL was tested in 207 assisted-living facilities in two states using classical test theory, generalizability theory, and exploratory factor analysis. The 34-item scale has a coherent six-factor structure that conceptually describes the multidimensional concept of care quality in assisted living. The six factors can be logically clustered into process (Homelike and Caring, 21 items) and structure (Access and Choice; Lighting; Plants and Pets; Outdoor Spaces) subscales and for a total quality score. Classical test theory results indicate most subscales and the total quality score from the OIQ-AL have acceptable interrater, test-retest, and strong internal consistency reliabilities. Generalizability theory analyses reveal that dependability of scores from the instrument are strong, particularly by including a second observer who conducts a site visit and independently completes an instrument, or by a single observer conducting two site visits and completing instruments during each visit. Scoring guidelines based on the total sample of observations (N = 358) help guide those who want to use the measure to interpret both subscale and total scores. Content validity was supported by two expert panels of people experienced in the assisted-living field, and a content validity index calculated for the first version of the scale is high (3.43 on a four-point scale). The OIQ-AL gives reliable and valid scores for researchers, and may be useful for consumers, providers, and others interested in measuring quality of care in assisted-living facilities.

  8. Hand-assisted right laparoscopic nephrectomy in living donor

    Directory of Open Access Journals (Sweden)

    Fernando Meyer

    2005-02-01

    Full Text Available OBJECTIVE: To assess results obtained with the authors' technique of right hand-assisted laparoscopic nephrectomy in living kidney donors. MATERIALS AND METHODS: We retrospectively analyzed 16 kidney donors who underwent hand-assisted right laparoscopic nephrectomy from February 2001 to July 2004. Among these patients, 7 were male and 9 were female, with mean age ranging between 22 and 58 years (mean 35.75. RESULTS: Surgical time ranged from 55 to 210 minutes (mean 127.81 min and warm ischemia time from 2 to 6 minutes (mean 3.78 min with mean intra-operative blood loss estimated at 90.62 mL. There was no need for conversion in any case. Discharge from hospital occurred between the 3rd and 6th days (mean 3.81. On the graft assessment, immediate diuresis was seen in 15 cases (93.75% and serum creatinine on the 7th post-operative day was 1.60 mg/dL on average. Renal vein thrombosis occurred in 1 patient (6.25% who required graft removal, and lymphocele was seen in 1 recipient (6.25%. CONCLUSION: Hand-assisted right laparoscopic nephrectomy in living donors is a safe and effective alternative to open nephrectomy. Despite a greater technical difficulty, the procedure presented low postoperative morbidity providing good morphological and functional quality of the graft on the recipient.

  9. Assistant Personal Robot (APR: Conception and Application of a Tele-Operated Assisted Living Robot

    Directory of Open Access Journals (Sweden)

    Eduard Clotet

    2016-04-01

    Full Text Available This paper presents the technical description, mechanical design, electronic components, software implementation and possible applications of a tele-operated mobile robot designed as an assisted living tool. This robotic concept has been named Assistant Personal Robot (or APR for short and has been designed as a remotely telecontrolled robotic platform built to provide social and assistive services to elderly people and those with impaired mobility. The APR features a fast high-mobility motion system adapted for tele-operation in plain indoor areas, which incorporates a high-priority collision avoidance procedure. This paper presents the mechanical architecture, electrical fundaments and software implementation required in order to develop the main functionalities of an assistive robot. The APR uses a tablet in order to implement the basic peer-to-peer videoconference and tele-operation control combined with a tactile graphic user interface. The paper also presents the development of some applications proposed in the framework of an assisted living robot.

  10. Behavioral Biometrics in Assisted Living: A Methodology for Emotion Recognition

    Directory of Open Access Journals (Sweden)

    S. Xefteris

    2016-08-01

    Full Text Available Behavioral biometrics aim at providing algorithms for the automatic recognition of individual behavioral traits, stemming from a person’s actions, attitude, expressions and conduct. In the field of ambient assisted living, behavioral biometrics find an important niche. Individuals suffering from the early stages of neurodegenerative diseases (MCI, Alzheimer’s, dementia need supervision in their daily activities. In this context, an unobtrusive system to monitor subjects and alert formal and informal carers providing information on both physical and emotional status is of great importance and positively affects multiple stakeholders. The primary aim of this paper is to describe a methodology for recognizing the emotional status of a subject using facial expressions and to identify its uses, in conjunction with pre-existing risk-assessment methodologies, for its integration into the context of a smart monitoring system for subjects suffering from neurodegenerative diseases. Paul Ekman’s research provided the background on the universality of facial expressions as indicators of underlying emotions. The methodology then makes use of computational geometry, image processing and graph theory algorithms for the detection of regions of interest and then a neural network is used for the final classification. Findings are coupled with previous published work for risk assessment and alert generation in the context of an ambient assisted living environment based on Service oriented architecture principles, aimed at remote web-based estimation of the cognitive and physical status of MCI and dementia patients.

  11. Flexible thermoelectric generator for ambient assisted living wearable biometric sensors

    Science.gov (United States)

    Francioso, L.; De Pascali, C.; Farella, I.; Martucci, C.; Cretì, P.; Siciliano, P.; Perrone, A.

    2011-03-01

    In this work we proposed design, fabrication and functional characterization of a very low cost energy autonomous, maintenance free, flexible and wearable micro thermoelectric generator (μTEG), finalized to power very low consumption electronics ambient assisted living (AAL) applications. The prototype, integrating an array of 100 thin films thermocouples of Sb2Te3 and Bi2Te3, generates, at 40 °C, an open circuit output voltage of 430 mV and an electrical output power up to 32 nW with matched load. In real operation conditions of prototype, which are believed to be very close to a thermal gradient of 15 °C, the device generates an open circuit output voltage of about 160 mV, with an electrical output power up to 4.18 nW. In the first part of work, deposition investigation Sb2Te3 and Bi2Te3 thin films alloys on Kapton HN polyimide foil by RF magnetron co-sputtering technique is discussed. Deposition parameters have been optimized to gain perfect stoichiometric ratio and high thermoelectric power factor; fabricated thermogenerator has been tested at low gradient conditioned to evaluate applications like human skin wearable power generator for ambient assisted living applications.

  12. Dissemination and Implementation of Function Focused Care for Assisted Living.

    Science.gov (United States)

    Resnick, Barbara; Galik, Elizabeth; Vigne, Erin; Carew, Allison Payne

    2016-06-01

    Assisted living (AL) settings are residential settings that provide housing and supportive services for older and disabled adults. Although individuals in AL are less functionally impaired than those in nursing home settings, they engage in limited amounts of physical activity and experience more rapid functional decline than their peers in nursing homes. Function Focused Care for Assisted Living (FFC-AL) was developed to prevent decline, improve function, and increase physical activity among residents living in these settings. The purpose of this study was to disseminate and implement the previously established, effective FFC-AL approach to 100 AL settings. Evidence of our ability to successfully disseminate and implement FFC-AL across these settings was established using the Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance model. Settings were eligible to participate if they had more than eight beds and identified a nurse (i.e., registered nurse, licensed practical nurse, or direct care worker) champion to facilitate the implementation process. Setting recruitment was done via mailed invitations to 300 eligible ALs and e-mails to relevant AL organizations. Evidence of reach was based on our ability to recruit 99 ALs with adoption of the intervention in 78 (78%). There was a significant improvement in policies supporting function-focused care and in establishing environments that supported function-focused care, and there was evidence of enduring changes in settings indicative of maintenance. We were able to implement all aspects of the intervention although challenges were identified. Future work should focus on using more face-to-face interactions with champions along with identified stakeholders, evaluating characteristics of champions to establish those who are most successful, and recruiting residents to obtain resident-specific outcomes.

  13. Hand-assisted laparoscopic nephrectomy in living donor

    Directory of Open Access Journals (Sweden)

    Luiz S. Santos

    2003-02-01

    Full Text Available OBJECTIVE: Report the authors’ initial experience with hand-assisted laparoscopic nephrectomy technique in renal donors for transplantation. MATERIALS AND METHODS: Twenty-seven donors submitted to hand-assisted laparoscopic nephrectomy were retrospectively analyzed from February 2001 to June 2002. Technical aspects of the donor surgery, results, and complications, are discussed, as well as recipient’s complications and outcomes. RESULTS: Among 27 hand-assisted laparoscopic nephrectomies, left kidney was withdrew in 18 donors (66.6%, and right kidney in 9 (33.3%. The operative time ranged from 55 to 210 minutes (mean 132.7 ± 37.6 min, and the time of hot ischemia ranged from 2 to 11 minutes (mean 4.7 ± 2.5 min, with an estimated mean blood loss during the intraoperative period of 133.3 mL. Conversion to open surgery was necessary for 1 (3.7% patient due to vascular lesion. In graft evaluation, immediate diuresis was observed in 26 (96.3% cases, and mean serum creatinine in PO day 7 was 1.5 ± 1.1 mg/dL. Renal vein thrombosis occurred in 1 (3.7% patient requiring graft removal. Lymphocele was observed in 3 recipients (11.1%, and urinary leakage due to ureteral necrosis in 1 case (3.7%. CONCLUSION: Hand-assisted laparoscopic nephrectomy in living donors is a safe procedure and an effective alternative to open nephrectomy. In this series, the procedure presented low morbidity after surgery providing to the recipient a good morphological and functional quality of the graft.

  14. Ambient assisted living and care in The Netherlands: The voice of the user

    NARCIS (Netherlands)

    van Hoof, J van; Wouters, EJM; Nijhof,; Mohammadi,; Schikhof,; Vanrumste,; Overdiep,

    2011-01-01

    Technology can assist older adults to remain living in the community. Within the realm of information and communication technologies, smart homes are drifting toward the concept of ambient assisted living (AAL). AAL-systems are more responsive to user needs and patterns of living, fostering physical

  15. Modeling Users, Context and Devices for Ambient Assisted Living Environments

    Science.gov (United States)

    Castillejo, Eduardo; Almeida, Aitor; López-de-Ipiña, Diego; Chen, Liming

    2014-01-01

    The participation of users within AAL environments is increasing thanks to the capabilities of the current wearable devices. Furthermore, the significance of considering user's preferences, context conditions and device's capabilities help smart environments to personalize services and resources for them. Being aware of different characteristics of the entities participating in these situations is vital for reaching the main goals of the corresponding systems efficiently. To collect different information from these entities, it is necessary to design several formal models which help designers to organize and give some meaning to the gathered data. In this paper, we analyze several literature solutions for modeling users, context and devices considering different approaches in the Ambient Assisted Living domain. Besides, we remark different ongoing standardization works in this area. We also discuss the used techniques, modeled characteristics and the advantages and drawbacks of each approach to finally draw several conclusions about the reviewed works. PMID:24643006

  16. Privacy Sensitive Surveillance for Assisted Living - A Smart Camera Approach

    Science.gov (United States)

    Fleck, Sven; Straßer, Wolfgang

    An elderly woman wanders about aimlessly in a home for assisted living. Suddenly, she collapses on the floor of a lonesome hallway. Usually it can take over two hours until a night nurse passes this spot on her next inspection round. But in this case she is already on site after two minutes, ready to help. She has received an alert message on her beeper: "Inhabitant fallen in hallway 2b". The source: the SmartSurv distributed network of smart cameras for automated and privacy respecting video analysis.Welcome to the future of smart surveillance Although this scenario is not yet daily practice, it shall make clear how such systems will impact the safety of the elderly without the privacy intrusion of traditional video surveillance systems.

  17. [AAL: Ambient Assisted Living Assistive technologies for healthy ageing and opportunities for medicine and caring].

    Science.gov (United States)

    Misoch, Sabina

    2015-09-01

    Ambient Assisted Living (AAL) summarizes various connected digital networked assisting technologies with the aim to support elderly and chronically ill people and to improve their quality of life. This paper defines the term AAL and shows different fields of application for AAL technologies. It illustrates the role of AAL against the background of the societal and demographic changes, of the expected growth of older people in need of care, and of the ongoing trend of singularisation of elderly. We describe medical application areas with new opportunities for the use of AAL technologies. The article highlights further the importance of the technical acceptance of these technologies by the end users, which we deem to be the most critical factor for the diffusion and use of AAL technologies in the forthcoming years.

  18. Animal-assisted therapy and loneliness in nursing homes: use of robotic versus living dogs.

    Science.gov (United States)

    Banks, Marian R; Willoughby, Lisa M; Banks, William A

    2008-03-01

    Loneliness is a common problem in long-term care facilities (LTCF) and previous work has shown that animal-assisted therapy (AAT) can to some degree reverse loneliness. Here, we compared the ability of a living dog (Dog) and a robotic dog (AIBO) to treat loneliness in elderly patients living in LTCF. In comparison with a control group not receiving AAT, both the Dog and AIBO groups had statistically significant improvements in their levels of loneliness. As measured by a modified Lexington Attachment to Pets Scale (MLAPS), residents showed high levels of attachment to both the dog and AIBO. Subscale analysis showed that the AIBO group scored lower than the living dog on "animal rights/animal welfare" but not on "general attachment" or "people substituting." However, MLAPS measures did not correlate with changes in loneliness, showing that attachment was not the mechanism by which AAT decreases loneliness. We conclude that interactive robotic dogs can reduce loneliness in residents of LTCF and that residents become attached to these robots. However, level of attachment does not explain the decrease in loneliness associated with AAT conducted with either a living or robotic dog.

  19. A Multi-Collaborative Ambient Assisted Living Service Description Tool

    Directory of Open Access Journals (Sweden)

    Jorge L. Falcó

    2014-06-01

    Full Text Available Collaboration among different stakeholders is a key factor in the design of Ambient Assisted Living (AAL environments and services. Throughout several AAL projects we have found repeated difficulties in this collaboration and have learned lessons by the experience of solving real situations. This paper highlights identified critical items for collaboration among technicians, users, company and institutional stakeholders and proposes as a communication tool for a project steering committee a service description tool which includes information from the different fields in comprehensible format for the others. It was first generated in the MonAMI project to promote understanding among different workgroups, proven useful there, and further tested later in some other smaller AAL projects. The concept of scalable service description has proven useful for understanding of different disciplines and for participatory decision making throughout the projects to adapt to singularities and partial successes or faults of each action. This paper introduces such tool, relates with existing methodologies in cooperation in AAL and describes it with a example to offer to AAL community. Further work on this tool will significantly improve results in user-centered design of sustainable services in AAL.

  20. Ambient Assisted Living Healthcare Frameworks, Platforms, Standards, and Quality Attributes

    Directory of Open Access Journals (Sweden)

    Mukhtiar Memon

    2014-03-01

    Full Text Available Ambient Assisted Living (AAL is an emerging multi-disciplinary field aiming at exploiting information and communication technologies in personal healthcare and telehealth systems for countering the effects of growing elderly population. AAL systems are developed for personalized, adaptive, and anticipatory requirements, necessitating high quality-of-service to achieve interoperability, usability, security, and accuracy. The aim of this paper is to provide a comprehensive review of the AAL field with a focus on healthcare frameworks, platforms, standards, and quality attributes. To achieve this, we conducted a literature survey of state-of-the-art AAL frameworks, systems and platforms to identify the essential aspects of AAL systems and investigate the critical issues from the design, technology, quality-of-service, and user experience perspectives. In addition, we conducted an email-based survey for collecting usage data and current status of contemporary AAL systems. We found that most AAL systems are confined to a limited set of features ignoring many of the essential AAL system aspects. Standards and technologies are used in a limited and isolated manner, while quality attributes are often addressed insufficiently. In conclusion, we found that more inter-organizational collaboration, user-centered studies, increased standardization efforts, and a focus on open systems is needed to achieve more interoperable and synergetic AAL solutions.

  1. Acoustic user interfaces for ambient-assisted living technologies.

    Science.gov (United States)

    Goetze, Stefan; Moritz, Niko; Appell, Jens-E; Meis, Markus; Bartsch, Christian; Bitzer, Jörg

    2010-01-01

    This contribution discusses technologies for acoustic user interaction in ambient-assisted living (AAL) scenarios. Acoustic user interfaces allow for a natural and convenient way to interact with technical systems e.g. via sound or speech presentation or via speech input by means of automatic speech recognition (ASR) as well as by detection and classification of acoustic events. Older persons targeted by AAL technologies especially need more easy-to-use methods to interact with inherently complex supporting technology. As an example we designed and evaluated an application for acoustic user interaction with a multi-media reminder and calendar system. For this purpose, mainly older participants were involved in user studies to continuously evaluate and support the development strictly following a user-centred design process. The results suggest a wide acceptance of acoustic user interfaces by older users either for controlling inherently complex AAL systems by using robust ASR technologies or as a natural and ambient way of presenting information to the user. However, further research is needed to increase the robustness of ASR systems when using hands-free equipment, i.e. to provide a real ambient way of interaction, and to introduce personalised speech and sound presentation schemes accounting for the individual hearing capabilities and sound preferences.

  2. Progress in ambient assisted systems for independent living by the elderly.

    Science.gov (United States)

    Al-Shaqi, Riyad; Mourshed, Monjur; Rezgui, Yacine

    2016-01-01

    One of the challenges of the ageing population in many countries is the efficient delivery of health and care services, which is further complicated by the increase in neurological conditions among the elderly due to rising life expectancy. Personal care of the elderly is of concern to their relatives, in case they are alone in their homes and unforeseen circumstances occur, affecting their wellbeing. The alternative; i.e. care in nursing homes or hospitals is costly and increases further if specialized care is mobilized to patients' place of residence. Enabling technologies for independent living by the elderly such as the ambient assisted living systems (AALS) are seen as essential to enhancing care in a cost-effective manner. In light of significant advances in telecommunication, computing and sensor miniaturization, as well as the ubiquity of mobile and connected devices embodying the concept of the Internet of Things (IoT), end-to-end solutions for ambient assisted living have become a reality. The premise of such applications is the continuous and most often real-time monitoring of the environment and occupant behavior using an event-driven intelligent system, thereby providing a facility for monitoring and assessment, and triggering assistance as and when needed. As a growing area of research, it is essential to investigate the approaches for developing AALS in literature to identify current practices and directions for future research. This paper is, therefore, aimed at a comprehensive and critical review of the frameworks and sensor systems used in various ambient assisted living systems, as well as their objectives and relationships with care and clinical systems. Findings from our work suggest that most frameworks focused on activity monitoring for assessing immediate risks, while the opportunities for integrating environmental factors for analytics and decision-making, in particular for the long-term care were often overlooked. The potential for

  3. Residents Living in Residential Care Facilities: United States, 2010

    Science.gov (United States)

    ... of Residential Care Facilities. National Center for Health Statistics. Vital Health Stat 1(54). 2011. SUDAAN, release 10.0 [computer software]. Research Triangle Park, NC: RTI International. 2008. Suggested ...

  4. Mobile robotic assistive balance trainer - an intelligent compliant and adaptive robotic balance assistant for daily living.

    Science.gov (United States)

    Tiseo, Carlo; Lim, Zhen Yi; Shee, Cheng Yap; Ang, Wei Tech

    2014-01-01

    Balance control probably has the greatest impact on independence in activities of daily living (ADL), because it is a fundamental motor skill and prerequisite to the maintenance of a myriad of postures and mobile activities. We propose a new rehabilitation therapy to administer standing and mobile balance control training, enabled by a Mobile Robotic Assistive Balance Trainer (MRABT). The targeted group for this initial work is post stroke patients, although it can be extended to subjects with other neurological insults in the future. The proposed system consists of a mobile base and a parallel robotic arm which provides support to the patient at the hip. The compliant robotic arm with intelligent control algorithm will only provide support and assistance to the patient when the center of mass of the body deviates beyond the predefined safety boundary, mimicking the helping hands of a parent when a toddler learns to walk. In this paper, we present our initial work in the design and kinematic analysis of the system.

  5. 75 FR 77954 - Transfer of Federally Assisted Facility

    Science.gov (United States)

    2010-12-14

    ... Charlottesville Facilities Maintenance Division of Public Works. The facility and land sit within a secure Public Works Yard and any other acquiring agency would need access to use this property. DATES: Effective Date... Charlottesville Public Works Yard, and includes no street frontage. The north side of the facility is bounded...

  6. Telemonitoring for assisted living residences: the medical specialists' view.

    NARCIS (Netherlands)

    Alizadeh, S.; Bakkes, S.C.J.; Kanis, M.; Rijken, M.; Kröse, B.J.A.; Jordanova, M.; Lievens, F.

    2011-01-01

    Telemonitoring is regarded as a means to maintain a relatively high quality of life for independently living elderly. This paper discusses a requirements study of a system to, foremost, telemonitor activities of daily living (ADL) of the elderly. The study utilizes literature and in-depth interviews

  7. Reasoning Exercises in Assisted Living: a cluster randomized trial to improve reasoning and everyday problem solving

    Directory of Open Access Journals (Sweden)

    Williams K

    2014-06-01

    Full Text Available Kristine Williams,1 Ruth Herman,2 Daniel Bontempo3 1College of Nursing, University of Iowa, Iowa City, IA, USA; 2School of Nursing, University of Kansas Medical Center, Kansas City, KS, USA; 3The Schiefelbusch Institute for Life Span Studies, University of Kansas, Dole Human Development Center, Lawrence, KS, USA Purpose of the study: Assisted living (AL residents are at risk for cognitive and functional declines that eventually reduce their ability to care for themselves, thereby triggering nursing home placement. In developing a method to slow this decline, the efficacy of Reasoning Exercises in Assisted Living (REAL, a cognitive training intervention that teaches everyday reasoning and problem-solving skills to AL residents, was tested. Design and methods: At thirteen randomized Midwestern facilities, AL residents whose Mini Mental State Examination scores ranged from 19–29 either were trained in REAL or a vitamin education attention control program or received no treatment at all. For 3 weeks, treated groups received personal training in their respective programs. Results: Scores on the Every Day Problems Test for Cognitively Challenged Elders (EPCCE and on the Direct Assessment of Functional Status (DAFS showed significant increases only for the REAL group. For EPCCE, change from baseline immediately postintervention was +3.10 (P<0.01, and there was significant retention at the 3-month follow-up (d=2.71; P<0.01. For DAFS, change from baseline immediately postintervention was +3.52 (P<0.001, although retention was not as strong. Neither the attention nor the no-treatment control groups had significant gains immediately postintervention or at follow-up assessments. Post hoc across-group comparison of baseline change also highlights the benefits of REAL training. For EPCCE, the magnitude of gain was significantly larger in the REAL group versus the no-treatment control group immediately postintervention (d=3.82; P<0.01 and at the 3-month

  8. Short lived radioactive isotopes at TRI{mu}P facility

    Energy Technology Data Exchange (ETDEWEB)

    Shidling, P.D.; Giri, G.S.; Jungmann, K.; Kruithof, W.L.; Sohani, M.; Hoek, D.J. van der; Versolato, O.O.; Willmann, L.; Wilschut, H.W. [KVI, University of Groningen (Netherlands)

    2009-07-01

    At TRI{mu}P facility radioactive ion beam are produced and trapped for the study of fundamental symmetries and interaction in physics. The TRI{mu}P magnetic separator is used for in-flight production and separation of different radioactive isotopes. Different radioactive ion beam have been produced, via charge exchange, stripping, projectile fragmentation and fusion evaporation reactions in inverse kinematics. The radioactive beam can be used directly or can be converted to a low energy beam using a thermal ionizer. In this talk we focus on {sup 21}Na, {sup 213}Ra which are trapped as atoms or ions. With the trapping of {sup 21}Na we have completed the TRI{mu}P facility. Details on some selected aspect are discussed.

  9. An Ethnographic Study of Stigma and Ageism in Residential Care or Assisted Living

    Science.gov (United States)

    Dobbs, Debra; Eckert, J. Kevin; Rubinstein, Bob; Keimig, Lynn; Clark, Leanne; Frankowski, Ann Christine; Zimmerman, Sheryl

    2008-01-01

    Purpose: This study explored aspects of stigmatization for older adults who live in residential care or assisted living (RC-AL) communities and what these settings have done to address stigma. Design and Methods: We used ethnography and other qualitative data-gathering and analytic techniques to gather data from 309 participants (residents, family…

  10. 76 FR 8571 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2011-02-14

    ... Facilities To Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and.... ft., most recent use--warehouse, off-site use only Bldg. 00924 Property Number: 21200510065 Fort Stewart Ft. Stewart Co: Liberty GA 31314 Status: Excess Comments: 9360 sq. ft., most recent...

  11. Assisted Living Systems for Elderly and Disabled People: A Short Review

    Directory of Open Access Journals (Sweden)

    Ivo Iliev

    2011-07-01

    Full Text Available The number of elderly people living alone in their homes is permanently growing in the whole western world. Because of the deteriorating capabilities to sense and interact with the environment, such as memory, eye sight, hearing and mobility, the ageing populations often live with significantly degraded life quality. Many also suffer from chronic diseases that require medical treatment and periodical examinations. Different Assisted Living Systems have been proposed to cope with the problems. The goal is to enable the elderly people to live longer in their preferred environment, to enhance the quality of their live and to reduce the expenses of the public health care. The Assisted Living Systems are based on a lot of sensors, actuators and multimedia equipment, providing for the autonomy of people and assisting them in carrying out their daily activities together with available interaction with remote relatives and friends. The applied approaches and implementations are specific that limit the dissemination of the results between the object oriented groups. Besides, most of the projects require considerable funding for implementation. For the time being and especially for some countries with lower Gross Domestic Product, the efforts may be directed to creation of low-cost assistive systems performing some basic tasks, related to the need and health status of the living alone adults or disabled people, e.g. automatic fall detection and signalization, as well as instantaneous monitoring the photo-pletismographic signals together with permanently available communication interface between the caregiver and the user.

  12. Classroom Live: a software-assisted gamification tool

    Science.gov (United States)

    de Freitas, Adrian A.; de Freitas, Michelle M.

    2013-06-01

    Teachers have come to rely on a variety of approaches in order to elicit and sustain student interest in the classroom. One particular approach, known as gamification, seeks to improve student engagement by transforming the traditional classroom experience into a competitive multiplayer game. Initial attempts at classroom gamification relied on the teacher manually tracking student progress. At the US Air Force Academy, we wanted to experiment with a software gamification tool. Our client/server suite, dubbed Classroom Live, streamlines the gamification process for the teacher by simplifying common tasks. Simultaneously, the tool provides students with an esthetically pleasing user interface that offers in game rewards in exchange for their participation. Classroom Live is still in development, but our initial experience using the tool has been extremely positive and confirms our belief that students respond positively to gamification, even at the undergraduate level.

  13. Life insurance, living benefits, and physician-assisted death.

    Science.gov (United States)

    Parker, Frederick R; Rubin, Harvey W; Winslade, William J

    2004-01-01

    One of the most significant concerns about the legalization of physician-assisted death in the United States relates to the possibility that a chronically or terminally ill person would choose to end her or his life for financial reasons. Because we believe that the life insurance industry is uniquely poised to help minimize any such incentive, we submit that it has a moral obligation to do so. In particular, we propose that the industry encourage greater flexibility in the payout of policy benefits in the event an insured should be diagnosed with a terminal illness or suffer from intractable pain.

  14. Use of health services by residents at a seniors-only living facility

    Directory of Open Access Journals (Sweden)

    Elen Ferraz Teston

    2013-10-01

    Full Text Available The objective of the study was to compare the use of medical and dental services by seniors residing at a seniors-only living facility and in the general community. It was a quantitative study, among 50 residents of the living facility and 173 in the general community. The data were collected between November 2011 and February 2012 through a questionnaire, and subjected to statistical analysis. Performance of clinical exams and satisfaction with health services was greater among seniors living in the general community; however, physical therapy treatment was more common among those living in the facility. The use of medical and dental services showed a statistically significant difference. The seniors in both groups need oral health monitoring and those living in the facility also require coverage by the Family Health Strategy. The presence of professionals with the right profile to adequately serve residents and the network of available services are determining factors for the success of this new housing policy.

  15. Identifying the Potential for Robotics to Assist Older Adults in Different Living Environments.

    Science.gov (United States)

    Mitzner, Tracy L; Chen, Tiffany L; Kemp, Charles C; Rogers, Wendy A

    2014-04-01

    As the older adult population grows and becomes more diverse, so will their needs and preferences for living environments. Many adults over 65 years of age require some assistance [1, 2]; yet it is important for their feelings of well-being that the assistance not restrict their autonomy [3]. Not only is autonomy correlated with quality of life [4], autonomy enhancement may improve functionality [2, 5]. The goal of this paper is to provide guidance for the development of technology to enhance autonomy and quality of life for older adults. We explore the potential for robotics to meet these needs. We evaluated older adults' diverse living situations and the predictors of residential moves to higher levels of care in the United States. We also examined older adults' needs for assistance with activities of daily living (ADLs), instrumental activities of daily living (IADLs), and medical conditions when living independently or in a long-term care residence. By providing support for older adults, mobile manipulator robots may reduce need-driven, undesired moves from residences with lower levels of care (i.e., private homes, assisted living) to those with higher levels of care (i.e., skilled nursing).

  16. Solar Assisted Heat Pump Study for Heating of Military Facilities.

    Science.gov (United States)

    1978-07-01

    This study identified 21 generic solar assisted heat pump systems and subjectively evaluated them. The six most promising systems were evaluated in... heat pump . Preliminary drawings intergrating this system into a family housing unit at Little Rock AFB were developed. The system selected had a 27-32 year pay back. (Author)

  17. A Caregiver Support Platform within the Scope of an Ambient Assisted Living Ecosystem

    Directory of Open Access Journals (Sweden)

    Angelo Costa

    2014-03-01

    Full Text Available The Ambient Assisted Living (AAL area is in constant evolution, providing new technologies to users and enhancing the level of security and comfort that is ensured by house platforms. The Ambient Assisted Living for All (AAL4ALL project aims to develop a new AAL concept, supported on a unified ecosystem and certification process that enables a heterogeneous environment. The concepts of Intelligent Environments, Ambient Intelligence, and the foundations of the Ambient Assisted Living are all presented in the framework of this project. In this work, we consider a specific platform developed in the scope of AAL4ALL, called UserAccess. The architecture of the platform and its role within the overall AAL4ALL concept, the implementation of the platform, and the available interfaces are presented. In addition, its feasibility is validated through a series of tests.

  18. Hand-assisted right laparoscopic live donor nephrectomy

    Directory of Open Access Journals (Sweden)

    Anibal W. Branco

    2005-10-01

    Full Text Available PURPOSE: Laparoscopic live donor nephrectomy has acquired an important role in the era of minimally invasive surgery. Laparoscopic harvesting of the right kidney is technically more challenging than that of the left kidney because of the short right renal vein and the need to retract the liver away from the right kidney. The aim of this article is to report our experience with right laparoscopic live donor nephrectomies. MATERIALS AND METHODS: We performed a retrospective review of 28 patients who underwent right laparoscopic donor nephrectomies at our service. Operative data and postoperative outcomes were collected, including surgical time, estimated blood loss, warm ischemia time, length of hospital stay, conversion to laparotomy and complications. RESULTS: The procedure was performed successfully in all 28 patients. The mean operative time was 83.8 minutes (range 45 to 180 minutes, with an estimated blood loss of 111.4 mL (range 40 to 350 mL and warm ischemia time of 3 minutes (range 1.5 to 8 minutes. No donor needed conversion to open surgery and all kidneys showed immediate function after implantation. The average time to initial fluid intake was 12 hours (range 8 to 24 hours. Two cases of postoperative ileus and a case of hematoma on the hand-port site were observed. The mean postoperative hospital stay was 3 days (range 1 to 7 days. CONCLUSIONS: Our data confirm the safety and feasibility of right laparoscopic donor nephrectomy and we believe that the right kidney should not be avoided for laparoscopic donor nephrectomy when indicated.

  19. Insomnia, Sleepiness, and Depression in Adolescents Living in Residential Care Facilities

    Science.gov (United States)

    Moreau, Vincent; Belanger, Lynda; Begin, Gilles; Morin, Charles M.

    2009-01-01

    The main objective of this study was to document sleep patterns and disturbances reported by youths temporarily living in residential care facilities. A secondary objective was to examine the relationships between sleep disturbances and mood and daytime sleepiness. A self-reported questionnaire on sleep patterns and habits assessing duration,…

  20. Across-sectional study of prescribing patterns in chronic psychiatric patients living in sheltered housing facilities

    NARCIS (Netherlands)

    Schorr, S.G.; Loonen, A.J.M.; Brouwers, J.R.B.J.; Taxis, K.

    2008-01-01

    Objective: To analyze prescribing patterns of chronic psychiatric patients living in sheltered housing facilities, to identify the extent of polypharmacy and to estimate associated risks in this patient group. Methods: In a retrospective cross-sectional study the prescription data of 323 chronic psy

  1. Identifying the Potential for Robotics to Assist Older Adults in Different Living Environments

    OpenAIRE

    2013-01-01

    As the older adult population grows and becomes more diverse, so will their needs and preferences for living environments. Many adults over 65 years of age require some assistance [1, 2]; yet it is important for their feelings of well-being that the assistance not restrict their autonomy [3]. Not only is autonomy correlated with quality of life [4], autonomy enhancement may improve functionality [2, 5]. The goal of this paper is to provide guidance for the development of technology to enhance...

  2. Two Live Births following Robotic-Assisted Abdominal Cerclage in Nonpregnant Women

    Directory of Open Access Journals (Sweden)

    Ahmet Göçmen

    2013-01-01

    Full Text Available Introduction. To report the robotic-assisted abdominal cerclage performed in two nonpregnant women and the success of live birth outcomes. Presentation of Cases. A 36-year-old woman with a complaint of recurrent second trimester pregnancy losses and a 35-year-old patient with a complaint of preterm deliveries and cervical insufficiency underwent robotic assisted abdominal cervicoisthmic cerclage placement in nonpregnant period. The two patients had spontaneous pregnancy after the robotic-assisted abdominal cerclage and delivered healthy infants. Discussion. The limitations of traditional laparoscopic abdominal cerclage have been accomplished with robotic surgery advantages especially intuitive movements and increased range of motion. There are only a few studies in the literature including robotic assisted abdominal cerclage in nonpregnant women, and only five successful live birth outcomes were reported. In this paper, we reported the sixth and seventh cases of achieved live pregnancy after robotic assisted abdominal cerclage in the literature. Conclusion. Robotic assisted abdominal cerclage is a good alternative surgical method with successful pregnancy outcomes.

  3. The lived experiences of resilience in Iranian adolescents living in residential care facilities: A hermeneutic phenomenological study

    Directory of Open Access Journals (Sweden)

    Manijeh Nourian

    2016-03-01

    Full Text Available Background: Resilience is one of the main factors affecting human health, and perceiving its meaning for high-risk adolescents is of particular importance in initiating preventive measures and providing resilience care. Objectives: This qualitative study was conducted to explain the meaning of resilience in the lived experiences of Iranian adolescents living in governmental residential care facilities. Materials and methods: This study was conducted using the hermeneutic phenomenological method. Semi-structured interviews were conducted with eight adolescents aged 13–17 living in governmental residential care facilities of Tehran province affiliated to the Welfare Organization of Iran who articulated their experiences of resilience. Sampling lasted from May 2014 to July 2015 and continued until new themes were no longer emerging. The researchers analyzed the verbatim transcripts using Van Manen's six-step method of phenomenology. Results: The themes obtained in this study included “going through life's hardships,” “aspiring for achievement,” “self-protection,” “self-reliance,” and “spirituality.” Conclusion: Our study indicates that the meaning of resilience coexists with self-reliance in adolescents’ lived experiences. Adolescents look forward to a better future. They always trust God in the face of difficulties and experience resilience by keeping themselves physically and mentally away from difficulties. Adverse and bitter experiences of the past positively affected their positive view on life and its difficulties and also their resilience. The five themes that emerged from the findings describe the results in detail. The findings of this study enable nurses, health administrators, and healthcare providers working with adolescents to help this vulnerable group cope better with their stressful life conditions and improve their health through increasing their capacity for resilience.

  4. Living on social assistance with chronic illness: Buffering and undermining features to well-being

    Directory of Open Access Journals (Sweden)

    Whitehead Margaret

    2010-12-01

    Full Text Available Abstract Background In Sweden, the social security and sickness insurance systems are comprehensive and aim to provide people whose illness prevents them from earning their own living, with either sickness benefits or disability pension. Some, however, are not entitled to these benefits or receive social insurance benefits at a level too low for subsistence, and are referred to social assistance. The purpose of this study was to explore in depth how social assistance recipients with chronic illness perceive and respond to the experience of living on social assistance. Methods Seventeen in-depth interviews were carried out with chronically ill people who had received social assistance for several years. Grounded theory informed the design of the study. Results The study showed that different strategies (living one day at a time, taking steps forwards and backwards and making attempts to find ways out of the situation were employed by social assistance recipients to maintain or improve their well-being. Contextual features like the prevailing welfare system, public services and the local neighbourhood could buffer or undermine these strategies and their overall well-being. These features together influenced how interviewees perceived their situation, the possible ways out of the situation and the consequences for their well-being. Conclusion From this study it is evident that the way in which individuals on social assistance interact with services and how they are treated by professionals plays an important role in their well-being, in combination with what kind of help and support is available for recipients through the welfare system. In this respect, persons living on social assistance with chronic illness are particularly vulnerable. This study suggests that more effort should be made to find long term solutions concerning income support, rehabilitation and other services provided to this group.

  5. Ambient Assisted Living Systems in the Context of Human Centric Sensing and IoT Concept

    DEFF Research Database (Denmark)

    Zaric, Nicola; Pejanovic-Djurisic, Milica; Mihovska, Albena Dimitrova

    2016-01-01

    This paper proposes the concept of Human Centric Sensing in the context of Internet of Things and Ambient Assisted Living. The paper uses a case study to present and analyze the proposed idea, and identifies the main challenges and open issues that require research and policy attention....

  6. Predictors of Psychological Well-Being among Assisted-Living Residents.

    Science.gov (United States)

    Cummings, Sherry M.

    2002-01-01

    Examines the psychological well-being of elderly assisted-living residents and factors associated with well-being. Depression, life satisfaction, and demographic, health, and social support variables were measured through interviews. A sizeable minority of the residents reported high levels of depressive symptoms and low life satisfaction.…

  7. An extended view on benefits and barriers of ambient assisted living solutions

    NARCIS (Netherlands)

    Jaschinski, C.; Allouch, S.B.

    2015-01-01

    Motivated by the older adults’ desire to age in their trusted home environment and the increasing financial pressure on the healthcare system, Ambient Assisted Living (AAL) technologies are designed to facilitate healthy and autonomous aging in place. To aid the acceptance of these still immature te

  8. Práticas de cuidados produzidas no serviço de residências terapêuticas: percorrendo os trilhos de retorno à sociedade Las prácticas de cuidados ofrecidos en el servicio de residencias terapéuticas: recorriendo los caminos de retorno a la sociedad Health-care practices performed at assisted living facilities: pursuing the paths back to society

    Directory of Open Access Journals (Sweden)

    Hudson Pires de Oliveira Santos Junior

    2009-12-01

    Full Text Available Esta pesquisa objetivou buscar a visão dos profissionais do Serviço de Residências Terapêuticas, sobre a prática de cuidado produzida neste dispositivo de atenção à saúde mental. Para isso, optou-se pela abordagem qualitativa, exploratória e analítica. Os instrumentos para a coleta de dados foram: formulário de observação sistemática, diário de campo e roteiro de entrevista semiestruturada, realizada com 10 profissionais atuantes nas residências. Como resultado, foi encontrado que o cuidado na moradia se dá de modo mais humanizado, valorizando a singularidade dos moradores, seus valores e crenças, tentando (reestabelecer as relações sociais dos indivíduos e estimulá-los para a prática do autocuidado. Percebe-se que esse modo de atenção vem alcançando uma (recidadanização e valorização da vida dos sofredores psíquicos.Esta investigación objetivó buscar la perspectiva de los profesionales del Servicio de Residencias Terapéuticas, sobre la práctica del cuidado ofrecida en este dispositivo de atención a la salud mental. Para esto, se optó por el abordaje cualitativo, exploratorio y analítico. Los instrumentos para la recolección de datos fueron: formulario de observación sistemática, diario de campo y guión de entrevista semiestructurada, realizada con 10 profesionales actuantes en las residencias. Como resultado, fue encontrado que el cuidado en la residencia se ofrece de modo más humanizado, valorizando la singularidad de los residentes, sus valores y creencias, tratando de (reestablecer las relaciones sociales de los individuos y estimularlos para practicar el auto cuidado. Se percibe que ese modo de atención viene alcanzando una (reciudadanización y valorización de la vida de los que sufren psíquicamente.The objective of this exploratory study was to understand the perspective of professionals working at assisted living facilities about the healthcare practices performed in the mental health

  9. 45 CFR 234.130 - Assistance in the form of institutional services in intermediate care facilities.

    Science.gov (United States)

    2010-10-01

    ... nutritionally adequate diet, are served in one or more dining areas separate from sleeping quarters, and tray... facility's health services, guidance, and assistance for each resident in carrying out his personal health... properly carried out and recorded; (d) Arrangements for services of a physician in the event of...

  10. The meaning of assisted feeding for people living with spinal cord injury: a phenomenological study

    DEFF Research Database (Denmark)

    Martinsen, B.; Harder, I.; Biering-Sørensen, Fin

    2008-01-01

    AIM: This paper is a report of a study to explore the meaning of assisted feeding through the experiences of people with high cervical spinal cord injury. Background. Eating difficulties are known to affect a person's self-image and transform social lives. Little is known about the experience...... the phenomenological guidelines by Dahlberg and colleagues. FINDINGS: The essence of the phenomenon assisted feeding was described as a constructed pattern based on coordinated attention between the person with high cervical spinal cord injury and the helper. The constituents of the essence were: paralysis...... to each individual person. Fixed procedures or routines should be avoided and assistive devices used with care. We recommend that continuity in the cooperation between the parties involved in assisted feeding is given priority, and that personal standard and social norms around meals are acknowledged...

  11. Designing assisted living technologies ‘in the wild’: preliminary experiences with cultural probe methodology

    Directory of Open Access Journals (Sweden)

    Wherton Joseph

    2012-12-01

    Full Text Available Abstract Background There is growing interest in assisted living technologies to support independence at home. Such technologies should ideally be designed ‘in the wild’ i.e. taking account of how real people live in real homes and communities. The ATHENE (Assistive Technologies for Healthy Living in Elders: Needs Assessment by Ethnography project seeks to illuminate the living needs of older people and facilitate the co-production with older people of technologies and services. This paper describes the development of a cultural probe tool produced as part of the ATHENE project and how it was used to support home visit interviews with elders with a range of ethnic and social backgrounds, family circumstances, health conditions and assisted living needs. Method Thirty one people aged 60 to 98 were visited in their homes on three occasions. Following an initial interview, participants were given a set of cultural probe materials, including a digital camera and the ‘Home and Life Scrapbook’ to complete in their own time for one week. Activities within the Home and Life Scrapbook included maps (indicating their relationships to people, places and objects, lists (e.g. likes, dislikes, things they were concerned about, things they were comfortable with, wishes (things they wanted to change or improve, body outline (indicating symptoms or impairments, home plan (room layouts of their homes to indicate spaces and objects used and a diary. After one week, the researcher and participant reviewed any digital photos taken and the content of the Home and Life Scrapbook as part of the home visit interview. Findings The cultural probe facilitated collection of visual, narrative and material data by older people, and appeared to generate high levels of engagement from some participants. However, others used the probe minimally or not at all for various reasons including limited literacy, physical problems (e.g. holding a pen, lack of time or energy

  12. Assistive devices in activities of daily living used by persons with age-related macular degeneration: a population study of 85-year-olds living at home.

    Science.gov (United States)

    Dahlin Ivanoff, S; Sonn, U

    2005-03-01

    The purpose of this study was to investigate the overall use of assistive devices among persons with age-related macular degeneration (ARMD) and how it is related to dependence in daily activities. This was a retrospective, descriptive, cross-sectional population study of 85-year-olds. The most common category of assistive devices was bathing devices followed by mobility devices. The overall use of assistive devices was 82%, and around 80% of the device users were independent in activities of daily living. They were multiple device users (57%) and used more mobility devices and personal assistance in mobility. In conclusion, the ARMD group comprises very frequent users of assistive devices and uses assistive devices to remain independent. This implies that health services should provide assistive devices at an early stage in the disablement process to avoid the development of dependence and should consider the likelihood of multiple health problems when assessing the needs of assistive devices among persons with ARMD.

  13. The role of the IAEA in international guidance and assistance on decommissioning of small nuclear facilities

    Energy Technology Data Exchange (ETDEWEB)

    Laraia, M., E-mail: m.laraia@iaea.or [IAEA, Wagramerstrasse 5, A-1400 Vienna (Austria)

    2010-10-15

    reports and dissemination of publications to Member States; and direct Technical Co-operation assistance to Member States having limited resources and/or little experience in the field. It is felt that several Member States represented at this Conference have not benefited yet from IAEA guidance and assistance in decommissioning, and yet they house a number of small nuclear facilities bound for near-term decommissioning. (Author)

  14. The own body as a nurse's living experience on assisting others in their dying process.

    Science.gov (United States)

    de Santana, Maria Teresa B Mariotti; Jorge, Maria Salete Bessa

    2007-01-01

    It refers to the study of the researcher's perception when analyzing her own existence, aiming to learn the sense and meaning of her own body as a living experience while assisting the other in the process of dying. The Merleau-Ponty phenomenology and the new hermeneutic approaches were chosen. A point of contact was established between the living experience of the approximation of the object, unveiled by the own body inserted in the world, the object and the subject of the study. The themes that emerged were about the magical-religious knowledge influences of the perceived world, the real knowledge and the teaching-learning process. The phenomenon elaborated, result of the study, allowed the learning of the thesis of the existence of a sense and meaning for the own body of health professionals when assisting others in the dying process.

  15. An Indoor Monitoring System for Ambient Assisted Living Based on Internet of Things Architecture

    OpenAIRE

    Gonçalo Marques; Rui Pitarma

    2016-01-01

    The study of systems and architectures for ambient assisted living (AAL) is undoubtedly a topic of great relevance given the aging of the world population. The AAL technologies are designed to meet the needs of the aging population in order to maintain their independence as long as possible. As people typically spend more than 90% of their time in indoor environments, indoor air quality (iAQ) is perceived as an imperative variable to be controlled for the inhabitants’ wellbeing and comfort. A...

  16. Depression Treatment in Assisted Living Settings: Is an Innovative Approach Feasible?

    OpenAIRE

    2013-01-01

    Depression is a common, disabling and under-recognized problem among older adults in assisted living (AL) settings. The purpose of this study was to evaluate stakeholder perceptions of using a blended model of depression care that combines essential features of evidence-based collaborative care and elderly outreach for use in AL settings. A descriptive design using mixed methods was used to assess perceptions of the three main components of the depression model: onsite depression care managem...

  17. Assistive Technology Needs and Measurement of the Psychosocial Impact of Assistive Technologies for Independent Living of Older Hispanics: Lessons Learned.

    Science.gov (United States)

    Orellano-Colón, Elsa M; Jutai, Jeffrey; Santiago, Angélica; Torres, Víctor; Benítez, Keyla; Torres, Mayra

    2016-09-01

    (1) Knowledge about the assistive technology (AT) needs and psychosocial impact of AT in different populations is needed because the adoption, retention, or abandonment of AT may be influenced by the psychosocial impact that AT has on its users. The aims of this study were to: (a) identify the AT needs of a sample of Hispanic older adults with functional limitations, (b) describe the psychosocial impact of these technologies on the sample's quality of life, and (c) describe the methodological challenges in using the Puerto Rican version of the Psychosocial Impact of Assistive Device Scale (PR-PIADS) with a Hispanic sample. (2) Methods: This study used a cross-sectional design conducted with a sample of 60 participants. Data was collected using the Assistive Technology Card Assessment Questionnaire (ATCAQ) and the PR-PIADS. Data analyses included descriptive statistics and bivariate analysis. (3) Results: The sample's most frequently reported needs for AT devices were in the areas of cooking, home tasks, and home safety activities. The sample reported a positive impact of AT use in their quality of life. Several methodological challenges of the PIADS were identified. (4) Conclusions: The sample has unmet needs for using AT devices to overcome difficulties in daily living activities.

  18. Assistive Technology Needs and Measurement of the Psychosocial Impact of Assistive Technologies for Independent Living of Older Hispanics: Lessons Learned

    Directory of Open Access Journals (Sweden)

    Elsa M. Orellano-Colón

    2016-07-01

    Full Text Available (1 Knowledge about the assistive technology (AT needs and psychosocial impact of AT in different populations is needed because the adoption, retention, or abandonment of AT may be influenced by the psychosocial impact that AT has on its users. The aims of this study were to: (a identify the AT needs of a sample of Hispanic older adults with functional limitations; (b describe the psychosocial impact of these technologies on the sample’s quality of life; and (c describe the methodological challenges in using the Puerto Rican version of the Psychosocial Impact of Assistive Device Scale (PR-PIADS with a Hispanic sample; (2 Methods: This study used a cross-sectional design conducted with a sample of 60 participants. Data was collected using the Assistive Technology Card Assessment Questionnaire (ATCAQ and the PR-PIADS. Data analyses included descriptive statistics and bivariate analysis; (3 Results: The sample’s most frequently reported needs for AT devices were in the areas of cooking, home tasks, and home safety activities. The sample reported a positive impact of AT use in their quality of life. Several methodological challenges of the PIADS were identified; (4 Conclusions: The sample has unmet needs for using AT devices to overcome difficulties in daily living activities.

  19. RESTful Discovery and Eventing for Service Provisioning in Assisted Living Environments

    Directory of Open Access Journals (Sweden)

    Jorge Parra

    2014-05-01

    Full Text Available Service provisioning in assisted living environments faces distinct challenges due to the heterogeneity of networks, access technology, and sensing/actuation devices in such an environment. Existing solutions, such as SOAP-based web services, can interconnect heterogeneous devices and services, and can be published, discovered and invoked dynamically. However, it is considered heavier than what is required in the smart environment-like context and hence suffers from performance degradation. Alternatively, REpresentational State Transfer (REST has gained much attention from the community and is considered as a lighter and cleaner technology compared to the SOAP-based web services. Since it is simple to publish and use a RESTful web service, more and more service providers are moving toward REST-based solutions, which promote a resource-centric conceptualization as opposed to a service-centric conceptualization. Despite such benefits of REST, the dynamic discovery and eventing of RESTful services are yet considered a major hurdle to utilization of the full potential of REST-based approaches. In this paper, we address this issue, by providing a RESTful discovery and eventing specification and demonstrate it in an assisted living healthcare scenario. We envisage that through this approach, the service provisioning in ambient assisted living or other smart environment settings will be more efficient, timely, and less resource-intensive.

  20. RESTful discovery and eventing for service provisioning in assisted living environments.

    Science.gov (United States)

    Parra, Jorge; Hossain, M Anwar; Uribarren, Aitor; Jacob, Eduardo

    2014-05-23

    Service provisioning in assisted living environments faces distinct challenges due to the heterogeneity of networks, access technology, and sensing/actuation devices in such an environment. Existing solutions, such as SOAP-based web services, can interconnect heterogeneous devices and services, and can be published, discovered and invoked dynamically. However, it is considered heavier than what is required in the smart environment-like context and hence suffers from performance degradation. Alternatively, REpresentational State Transfer (REST) has gained much attention from the community and is considered as a lighter and cleaner technology compared to the SOAP-based web services. Since it is simple to publish and use a RESTful web service, more and more service providers are moving toward REST-based solutions, which promote a resource-centric conceptualization as opposed to a service-centric conceptualization. Despite such benefits of REST, the dynamic discovery and eventing of RESTful services are yet considered a major hurdle to utilization of the full potential of REST-based approaches. In this paper, we address this issue, by providing a RESTful discovery and eventing specification and demonstrate it in an assisted living healthcare scenario. We envisage that through this approach, the service provisioning in ambient assisted living or other smart environment settings will be more efficient, timely, and less resource-intensive.

  1. Vision based assistive technology for people with dementia performing activities of daily living (ADLs): an overview

    Science.gov (United States)

    As'ari, M. A.; Sheikh, U. U.

    2012-04-01

    The rapid development of intelligent assistive technology for replacing a human caregiver in assisting people with dementia performing activities of daily living (ADLs) promises in the reduction of care cost especially in training and hiring human caregiver. The main problem however, is the various kinds of sensing agents used in such system and is dependent on the intent (types of ADLs) and environment where the activity is performed. In this paper on overview of the potential of computer vision based sensing agent in assistive system and how it can be generalized and be invariant to various kind of ADLs and environment. We find that there exists a gap from the existing vision based human action recognition method in designing such system due to cognitive and physical impairment of people with dementia.

  2. Assistance Dogs: Historic Patterns and Roles of Dogs Placed by ADI or IGDF Accredited Facilities and by Non-Accredited U.S. Facilities.

    Science.gov (United States)

    Walther, Sandra; Yamamoto, Mariko; Thigpen, Abigail Paige; Garcia, Anaissa; Willits, Neil H; Hart, Lynette A

    2017-01-01

    Dogs' roles to support people with disabilities are increasing. Existing U.S. laws and regulations pertaining to the use of dogs for people with disabilities are only minimally enforced. Pushback legislation against some aspects of uses of assistance dogs currently is being passed or proposed in several states. Further, the U.S. Department of the Army and the Veterans' Administration support only dogs trained by an Assistance Dogs International (ADI) or International Guide Dog Federation (IGDF) accredited facility. Lacking a mandatory national process for screening the selection, training, and placement of assistance dogs with persons who have disabilities, the U.S. offers a creative but confusing opportunity for people to train their own dogs for any disability. While no U.S. surveillance system monitors assistance dogs, other countries generally have a legislated or regulatory process for approving assistance dogs or a cultural convention for obtaining dogs from accredited facilities. We conducted an online survey investigating current demographics of assistance dogs placed in 2013 and 2014 with persons who have disabilities, by facilities worldwide that are associated with ADI or IGDF and by some non-accredited U.S. facilities. Placement data from ADI and IGDF facilities revealed that in most countries aside from the U.S., guide dogs were by far the main type of assistance dog placed. In the U.S., there were about equal numbers of mobility and guide dogs placed, including many placed by large older facilities, along with smaller numbers of other types of assistance dogs. In non-accredited U.S. facilities, psychiatric dogs accounted for most placements. Dogs for families with an autistic child were increasing in all regions around the world. Of dog breeds placed, accredited facilities usually mentioned Labrador Retrievers and Golden Retrievers, and sometimes, German Shepherd Dogs. The facilities bred their dogs in-house, or acquired them from certain breeders

  3. Assistance Dogs: Historic Patterns and Roles of Dogs Placed by ADI or IGDF Accredited Facilities and by Non-Accredited U.S. Facilities

    Science.gov (United States)

    Walther, Sandra; Yamamoto, Mariko; Thigpen, Abigail Paige; Garcia, Anaissa; Willits, Neil H.; Hart, Lynette A.

    2017-01-01

    Dogs’ roles to support people with disabilities are increasing. Existing U.S. laws and regulations pertaining to the use of dogs for people with disabilities are only minimally enforced. Pushback legislation against some aspects of uses of assistance dogs currently is being passed or proposed in several states. Further, the U.S. Department of the Army and the Veterans’ Administration support only dogs trained by an Assistance Dogs International (ADI) or International Guide Dog Federation (IGDF) accredited facility. Lacking a mandatory national process for screening the selection, training, and placement of assistance dogs with persons who have disabilities, the U.S. offers a creative but confusing opportunity for people to train their own dogs for any disability. While no U.S. surveillance system monitors assistance dogs, other countries generally have a legislated or regulatory process for approving assistance dogs or a cultural convention for obtaining dogs from accredited facilities. We conducted an online survey investigating current demographics of assistance dogs placed in 2013 and 2014 with persons who have disabilities, by facilities worldwide that are associated with ADI or IGDF and by some non-accredited U.S. facilities. Placement data from ADI and IGDF facilities revealed that in most countries aside from the U.S., guide dogs were by far the main type of assistance dog placed. In the U.S., there were about equal numbers of mobility and guide dogs placed, including many placed by large older facilities, along with smaller numbers of other types of assistance dogs. In non-accredited U.S. facilities, psychiatric dogs accounted for most placements. Dogs for families with an autistic child were increasing in all regions around the world. Of dog breeds placed, accredited facilities usually mentioned Labrador Retrievers and Golden Retrievers, and sometimes, German Shepherd Dogs. The facilities bred their dogs in-house, or acquired them from certain breeders

  4. External validation of anti-Müllerian hormone based prediction of live birth in assisted conception

    Directory of Open Access Journals (Sweden)

    Khader Amani

    2013-01-01

    Full Text Available Abstract Background Chronological age and oocyte yield are independent determinants of live birth in assisted conception. Anti-Müllerian hormone (AMH is strongly associated with oocyte yield after controlled ovarian stimulation. We have previously assessed the ability of AMH and age to independently predict live birth in an Italian assisted conception cohort. Herein we report the external validation of the nomogram in 822 UK first in vitro fertilization (IVF cycles. Methods Retrospective cohort consisting of 822 patients undergoing their first IVF treatment cycle at Glasgow Centre for Reproductive Medicine. Analyses were restricted to women aged between 25 and 42 years of age. All women had an AMH measured prior to commencing their first IVF cycle. The performance of the model was assessed; discrimination by the area under the receiver operator curve (ROCAUC and model calibration by the predicted probability versus observed probability. Results Live births occurred in 29.4% of the cohort. The observed and predicted outcomes showed no evidence of miscalibration (p = 0.188. The ROCAUC was 0.64 (95% CI: 0.60, 0.68, suggesting moderate and similar discrimination to the original model. The ROCAUC for a continuous model of age and AMH was 0.65 (95% CI 0.61, 0.69, suggesting that the original categories of AMH were appropriate. Conclusions We confirm by external validation that AMH and age are independent predictors of live birth. Although the confidence intervals for each category are wide, our results support the assessment of AMH in larger cohorts with detailed baseline phenotyping for live birth prediction.

  5. The Impact of Food Assistance on Dietary Diversity and Food Consumption among People Living with HIV/AIDS.

    Science.gov (United States)

    Tirivayi, Nyasha; Groot, Wim

    2016-12-15

    Little is known about the outcomes of food assistance targeted to food insecure people living with HIV/AIDS. Using primary data from Zambia, we estimated the impact of food assistance on the dietary diversity and consumption expenditures of households with HIV infected members receiving antiretroviral therapy. Propensity score matching estimates show that food assistance increased dietary diversity by 9.8 points (23%) mainly through the consumption of food items provided in the ration. Food assistance recipients were 20% points more likely to have acceptable food consumption and 15% points less likely to have poor food consumption than non-recipients. Food assistance also increased food consumption expenditures but had no significant impact on food purchases and total consumption expenditures. Overall, our findings demonstrate that food assistance can be an effective instrument for improving diets and enhancing the food security of people living with HIV/AIDS.

  6. An Indoor Monitoring System for Ambient Assisted Living Based on Internet of Things Architecture

    Directory of Open Access Journals (Sweden)

    Gonçalo Marques

    2016-11-01

    Full Text Available The study of systems and architectures for ambient assisted living (AAL is undoubtedly a topic of great relevance given the aging of the world population. The AAL technologies are designed to meet the needs of the aging population in order to maintain their independence as long as possible. As people typically spend more than 90% of their time in indoor environments, indoor air quality (iAQ is perceived as an imperative variable to be controlled for the inhabitants’ wellbeing and comfort. Advances in networking, sensors, and embedded devices have made it possible to monitor and provide assistance to people in their homes. The continuous technological advancements make it possible to build smart objects with great capabilities for sensing and connecting several possible advancements in ambient assisted living systems architectures. Indoor environments are characterized by several pollutant sources. Most of the monitoring frameworks instantly accessible are exceptionally costly and only permit the gathering of arbitrary examples. iAQ is an indoor air quality system based on an Internet of Things paradigm that incorporates in its construction Arduino, ESP8266, and XBee technologies for processing and data transmission and micro sensors for data acquisition. It also allows access to data collected through web access and through a mobile application in real time, and this data can be accessed by doctors in order to support medical diagnostics. Five smaller scale sensors of natural parameters (air temperature, moistness, carbon monoxide, carbon dioxide, and glow were utilized. Different sensors can be included to check for particular contamination. The results reveal that the system can give a viable indoor air quality appraisal in order to anticipate technical interventions for improving indoor air quality. Indeed indoor air quality might be distinctively contrasted with what is normal for a quality living environment.

  7. An Indoor Monitoring System for Ambient Assisted Living Based on Internet of Things Architecture.

    Science.gov (United States)

    Marques, Gonçalo; Pitarma, Rui

    2016-11-17

    The study of systems and architectures for ambient assisted living (AAL) is undoubtedly a topic of great relevance given the aging of the world population. The AAL technologies are designed to meet the needs of the aging population in order to maintain their independence as long as possible. As people typically spend more than 90% of their time in indoor environments, indoor air quality (iAQ) is perceived as an imperative variable to be controlled for the inhabitants' wellbeing and comfort. Advances in networking, sensors, and embedded devices have made it possible to monitor and provide assistance to people in their homes. The continuous technological advancements make it possible to build smart objects with great capabilities for sensing and connecting several possible advancements in ambient assisted living systems architectures. Indoor environments are characterized by several pollutant sources. Most of the monitoring frameworks instantly accessible are exceptionally costly and only permit the gathering of arbitrary examples. iAQ is an indoor air quality system based on an Internet of Things paradigm that incorporates in its construction Arduino, ESP8266, and XBee technologies for processing and data transmission and micro sensors for data acquisition. It also allows access to data collected through web access and through a mobile application in real time, and this data can be accessed by doctors in order to support medical diagnostics. Five smaller scale sensors of natural parameters (air temperature, moistness, carbon monoxide, carbon dioxide, and glow) were utilized. Different sensors can be included to check for particular contamination. The results reveal that the system can give a viable indoor air quality appraisal in order to anticipate technical interventions for improving indoor air quality. Indeed indoor air quality might be distinctively contrasted with what is normal for a quality living environment.

  8. The Impact of Food Assistance on Dietary Diversity and Food Consumption among People Living with HIV/AIDS

    NARCIS (Netherlands)

    Tirivayi, Nyasha; Groot, Wim

    2016-01-01

    Little is known about the outcomes of food assistance targeted to food insecure people living with HIV/AIDS. Using primary data from Zambia, we estimated the impact of food assistance on the dietary diversity and consumption expenditures of households with HIV infected members receiving antiretrovir

  9. User Modeling for Activity Recognition and Support in Ambient Assisted Living

    DEFF Research Database (Denmark)

    Hossain, Shabbir; Valente, Pedro Ricardo da Nova; Hallenborg, Kasper;

    intelligent technologies to support people with special demands to live longer periods in their proffered environment [2]. The prime challenges of the AAL are recognition of the assisted person’s current activity and providing appropriate support to the person [3]. But these systems need extensive studies...... on user modeling to be more efficient to adapt the changes of user capabilities and preferences which is strongly correlated with the prime challenges of AAL. In this paper, a user model has been proposed that tends to be used in the autonomous and reliable recognition....

  10. Wellness protocol for smart homes an integrated framework for ambient assisted living

    CERN Document Server

    Ghayvat, Hemant

    2017-01-01

    This book focuses on the development of wellness protocols for smart home monitoring, aiming to forecast the wellness of individuals living in ambient assisted living (AAL) environments. It describes in detail the design and implementation of heterogeneous wireless sensors and networks as applied to data mining and machine learning, which the protocols are based on. Further, it shows how these sensor and actuator nodes are deployed in the home environment, generating real-time data on object usage and other movements inside the home, and therefore demonstrates that the protocols have proven to offer a reliable, efficient, flexible, and economical solution for smart home systems. Documenting the approach from sensor to decision making and information generation, the book addresses various issues concerning interference mitigation, errors, security and large data handling. As such, it offers a valuable resource for researchers, students and practitioners interested in interdisciplinary studies at the intersecti...

  11. Personalized use of ICT--from telemonitoring to ambient assisted living.

    Science.gov (United States)

    Norgall, Thomas; Wichert, Reiner

    2013-01-01

    Individual availability of information and communications technology (ICT) has enabled "Personal Health" applications like the continuous ubiquitous telemonitoring of vital signs. The concept of Ambient Assisted Living (AAL) goes beyond health and care applications utilizing home automation technology for supporting individuals with specific needs, particularly enabling elderly to live in their accustomed home as long as possible. These users usually suffer from more than one disease and need compensation of several impairments. Most current AAL projects and products however provide insulated solutions addressing only a small selection of these user needs. For comprehensive dynamic system adaptation to changing user needs an open platform supporting interoperable components is required. While the industry-driven Continua Health Alliance developed a corresponding Personal Health ecosystem, the ongoing European project universAAL aims at a universal platform for both AAL and Personal Health applications.

  12. Co-Designing Ambient Assisted Living (AAL Environments: Unravelling the Situated Context of Informal Dementia Care

    Directory of Open Access Journals (Sweden)

    Amy S. Hwang

    2015-01-01

    Full Text Available Ambient assisted living (AAL aims to help older persons “age-in-place” and manage everyday activities using intelligent and pervasive computing technology. AAL research, however, has yet to explore how AAL might support or collaborate with informal care partners (ICPs, such as relatives and friends, who play important roles in the lives and care of persons with dementia (PwDs. In a multiphase codesign process with six (6 ICPs, we envisioned how AAL could be situated to complement their care. We used our codesigned “caregiver interface” artefacts as triggers to facilitate envisioning of AAL support and unpack the situated, idiosyncratic context within which AAL aims to assist. Our findings suggest that AAL should be designed to support ICPs in fashioning “do-it-yourself” solutions that complement tacitly improvised care strategies and enable them to try, observe, and adapt to solutions over time. In this way, an ICP could decide which activities to entrust to AAL support, when (i.e., scheduled or spontaneous and how a system should provide support (i.e., using personalized prompts based on care experience, and when adaptations to system support are needed (i.e., based alerting patterns and queried reports. Future longitudinal work employing participatory, design-oriented methods with care dyads is encouraged.

  13. Presence of Legionella and free-living Amoebae in composts and bioaerosols from composting facilities.

    Directory of Open Access Journals (Sweden)

    Lisa Conza

    Full Text Available Several species of Legionella cause Legionnaires' disease (LD. Infection may occur through inhalation of Legionella or amoebal vesicles. The reservoirs of Legionella are water, soil, potting soil and compost. Some species of free-living amoebae (FLA that are naturally present in water and soil were described as hosts for Legionella. This study aimed to understand whether or not the composting facilities could be sources of community-acquired Legionella infections after development of bioaerosols containing Legionella or FLA. We looked for the presence of Legionella (by co-culture and FLA (by culture in composts and bioaerosols collected at four composting facilities located in southern Switzerland. We investigated the association between the presence of Legionella and compost and air parameters and presence of FLA. Legionella spp. (including L. pneumophila were detected in 69.3% (61/88 of the composts and FLA (mainly Acanthamoeba, Vermamoeba, Naegleria and Stenamoeba in 92.0% (81/88. L. pneumophila and L. bozemanii were most frequently isolated. FLA as potential host for Legionella spp. were isolated from 40.9% (36/88 of the composts in all facilities. In Legionella-positive samples the temperature of compost was significantly lower (P = 0.012 than in Legionella-negative samples. Of 47 bioaerosol samples, 19.1% (9/47 were positive for FLA and 10.6% (5/47 for L. pneumophila. Composts (62.8% were positive for Legionella and FLA contemporaneously, but both microorganisms were never detected simultaneously in bioaerosols. Compost can release bioaerosol containing FLA or Legionella and could represent a source of infection of community-acquired Legionella infections for workers and nearby residents.

  14. Presence of Legionella and free-living Amoebae in composts and bioaerosols from composting facilities.

    Science.gov (United States)

    Conza, Lisa; Pagani, Simona Casati; Gaia, Valeria

    2013-01-01

    Several species of Legionella cause Legionnaires' disease (LD). Infection may occur through inhalation of Legionella or amoebal vesicles. The reservoirs of Legionella are water, soil, potting soil and compost. Some species of free-living amoebae (FLA) that are naturally present in water and soil were described as hosts for Legionella. This study aimed to understand whether or not the composting facilities could be sources of community-acquired Legionella infections after development of bioaerosols containing Legionella or FLA. We looked for the presence of Legionella (by co-culture) and FLA (by culture) in composts and bioaerosols collected at four composting facilities located in southern Switzerland. We investigated the association between the presence of Legionella and compost and air parameters and presence of FLA. Legionella spp. (including L. pneumophila) were detected in 69.3% (61/88) of the composts and FLA (mainly Acanthamoeba, Vermamoeba, Naegleria and Stenamoeba) in 92.0% (81/88). L. pneumophila and L. bozemanii were most frequently isolated. FLA as potential host for Legionella spp. were isolated from 40.9% (36/88) of the composts in all facilities. In Legionella-positive samples the temperature of compost was significantly lower (P = 0.012) than in Legionella-negative samples. Of 47 bioaerosol samples, 19.1% (9/47) were positive for FLA and 10.6% (5/47) for L. pneumophila. Composts (62.8%) were positive for Legionella and FLA contemporaneously, but both microorganisms were never detected simultaneously in bioaerosols. Compost can release bioaerosol containing FLA or Legionella and could represent a source of infection of community-acquired Legionella infections for workers and nearby residents.

  15. An Indoor Positioning System Based on Wearables for Ambient-Assisted Living.

    Science.gov (United States)

    Belmonte-Fernández, Óscar; Puertas-Cabedo, Adrian; Torres-Sospedra, Joaquín; Montoliu-Colás, Raúl; Trilles-Oliver, Sergi

    2016-12-25

    The urban population is growing at such a rate that by 2050 it is estimated that 84% of the world's population will live in cities, with flats being the most common living place. Moreover, WiFi technology is present in most developed country urban areas, with a quick growth in developing countries. New Ambient-Assisted Living applications will be developed in the near future having user positioning as ground technology: elderly tele-care, energy consumption, security and the like are strongly based on indoor positioning information. We present an Indoor Positioning System for wearable devices based on WiFi fingerprinting. Smart-watch wearable devices are used to acquire the WiFi strength signals of the surrounding Wireless Access Points used to build an ensemble of Machine Learning classification algorithms. Once built, the ensemble algorithm is used to locate a user based on the WiFi strength signals provided by the wearable device. Experimental results for five different urban flats are reported, showing that the system is robust and reliable enough for locating a user at room level into his/her home. Another interesting characteristic of the presented system is that it does not require deployment of any infrastructure, and it is unobtrusive, the only device required for it to work is a smart-watch.

  16. An Indoor Positioning System Based on Wearables for Ambient-Assisted Living

    Directory of Open Access Journals (Sweden)

    Óscar Belmonte-Fernández

    2016-12-01

    Full Text Available The urban population is growing at such a rate that by 2050 it is estimated that 84% of the world’s population will live in cities, with flats being the most common living place. Moreover, WiFi technology is present in most developed country urban areas, with a quick growth in developing countries. New Ambient-Assisted Living applications will be developed in the near future having user positioning as ground technology: elderly tele-care, energy consumption, security and the like are strongly based on indoor positioning information. We present an Indoor Positioning System for wearable devices based on WiFi fingerprinting. Smart-watch wearable devices are used to acquire the WiFi strength signals of the surrounding Wireless Access Points used to build an ensemble of Machine Learning classification algorithms. Once built, the ensemble algorithm is used to locate a user based on the WiFi strength signals provided by the wearable device. Experimental results for five different urban flats are reported, showing that the system is robust and reliable enough for locating a user at room level into his/her home. Another interesting characteristic of the presented system is that it does not require deployment of any infrastructure, and it is unobtrusive, the only device required for it to work is a smart-watch.

  17. Meanings and experiences of assistive technologies in everyday lives of older citizens

    DEFF Research Database (Denmark)

    Dahler, Anne Marie; Maling Rasmussen, Dorte; Andersen, Pernille Tanggaard

    2016-01-01

    Purpose: The purpose of this study was to synthesize the available qualitative studies on the meanings of assistive technologies (AT) in elderly people's everyday lives in order to identify central concepts, themes, and findings from existing research. Method: A systematic search of the literature....... Results: Review of these studies show that older people generally have positive attitudes towards AT, but also that acceptance of technologies is a potentially stressful process where trust towards technologies and other people are of importance. Older people have ambivalent experiences with technology......, as it gives rise to possibilities as well as constraints, and safety as well as worries. AT enact sometimes conflicting values related to self and society. Conclusions: Although AT seem to support societal discourses on active aging, the empirical studies in this field show that the technologies enter older...

  18. An Internet of Things platform architecture for supporting ambient assisted living environments.

    Science.gov (United States)

    Tsirmpas, Charalampos; Kouris, Ioannis; Anastasiou, Athanasios; Giokas, Kostas; Iliopoulou, Dimitra; Koutsouris, Dimitris

    2016-11-18

    Internet of Things (IoT) is the logical further development of today's Internet, enabling a huge amount of devices to communicate, compute, sense and act. IoT sensors placed in Ambient Assisted Living (AAL) environments, enable the context awareness and allow the support of the elderly in their daily routines, ultimately allowing an independent and safe lifestyle. The vast amount of data that are generated and exchanged between the IoT nodes require innovative context modeling approaches that go beyond currently used models. Current paper presents and evaluates an open interoperable platform architecture in order to utilize the technical characteristics of IoT and handle the large amount of generated data, as a solution to the technical requirements of AAL applications.

  19. Wireless Sensors Grouping Proofs for Medical Care and Ambient Assisted-Living Deployment.

    Science.gov (United States)

    Trček, Denis

    2016-01-02

    Internet of Things (IoT) devices are rapidly penetrating e-health and assisted living domains, and an increasing proportion among them goes on the account of computationally-weak devices, where security and privacy provisioning alone are demanding tasks, not to mention grouping proofs. This paper, therefore, gives an extensive analysis of such proofs and states lessons learnt to avoid possible pitfalls in future designs. It sticks with prudent engineering techniques in this field and deploys in a novel way the so called non-deterministic principle to provide not only grouping proofs, but (among other) also privacy. The developed solution is analyzed by means of a tangible metric and it is shown to be lightweight, and formally for security.

  20. Wireless Sensors Grouping Proofs for Medical Care and Ambient Assisted-Living Deployment

    Directory of Open Access Journals (Sweden)

    Denis Trček

    2016-01-01

    Full Text Available Internet of Things (IoT devices are rapidly penetrating e-health and assisted living domains, and an increasing proportion among them goes on the account of computationally-weak devices, where security and privacy provisioning alone are demanding tasks, not to mention grouping proofs. This paper, therefore, gives an extensive analysis of such proofs and states lessons learnt to avoid possible pitfalls in future designs. It sticks with prudent engineering techniques in this field and deploys in a novel way the so called non-deterministic principle to provide not only grouping proofs, but (among other also privacy. The developed solution is analyzed by means of a tangible metric and it is shown to be lightweight, and formally for security.

  1. An Approach for Representing Sensor Data to Validate Alerts in Ambient Assisted Living

    Directory of Open Access Journals (Sweden)

    Andrés Muñoz

    2012-05-01

    Full Text Available The mainstream of research in Ambient Assisted Living (AAL is devoted to developing intelligent systems for processing the data collected through artificial sensing. Besides, there are other elements that must be considered to foster the adoption of AAL solutions in real environments. In this paper we focus on the problem of designing interfaces among caregivers and AAL systems. We present an alert management tool that supports carers in their task of validating alarms raised by the system. It generates text-based explanations—obtained through an argumentation process—of the causes leading to alarm activation along with graphical sensor information and 3D models, thus offering complementary types of information. Moreover, a guideline to use the tool when validating alerts is also provided. Finally, the functionality of the proposed tool is demonstrated through two real cases of alert.

  2. Context management: toward assessing quality of context parameters in a ubiquitous ambient assisted living environment

    Directory of Open Access Journals (Sweden)

    Débora Cabral Nazário

    2015-09-01

    Full Text Available This paper provides an approach to assessing Quality of Context (QoC parameters in a ubiquitous Ambient Assisted Living (AAL environment. Initially, the study presents a literature review on QoC, generating taxonomy. Then it introduces the context management architecture used. The proposal is verified with the Siafu simulator in an AAL scenario where the user’s health is monitored with information about blood pressure, heart rate and body temperature. Considering some parameters, the proposed QoC assessment allows verifying the extent to which the context information is up-to-date, valid, accurate, complete and significant. The implementation of this proposal might mean a big social impact and a technological innovation applied to AAL, at the disposal and support of a significant number of individuals such as elderly or sick people, and with a more precise technology.

  3. Design and Implementation of a Prototype with a Standardized Interface for Transducers in Ambient Assisted Living

    Directory of Open Access Journals (Sweden)

    Enrique Dorronzoro

    2015-01-01

    Full Text Available Solutions in the field of Ambient Assisted Living (AAL do not generally use standards to implement a communication interface between sensors and actuators. This makes these applications isolated solutions because it is so difficult to integrate them into new or existing systems. The objective of this research was to design and implement a prototype with a standardized interface for sensors and actuators to facilitate the integration of different solutions in the field of AAL. Our work is based on the roadmap defined by AALIANCE, using motes with TinyOS telosb, 6LoWPAN, sensors, and the IEEE 21451 standard protocol. This prototype allows one to upgrade sensors to a smart status for easy integration with new applications and already existing ones. The prototype has been evaluated for autonomy and performance. As a use case, the prototype has been tested in a serious game previously designed for people with mobility problems, and its advantages and disadvantages have been analysed.

  4. Depression treatment in assisted living settings: is an innovative approach feasible?

    Science.gov (United States)

    Smith, Marianne; Haedtke, Christine

    2013-04-01

    Depression is a common, disabling, and underrecognized problem among older adults in assisted living (AL) settings. The purpose of this study was to evaluate stakeholder perceptions of using a blended model of depression care that combines essential features of evidence-based collaborative care and older adult outreach for use in AL settings. A descriptive mixed-methods design was used to assess perceptions of the three main components of the depression model: onsite depression care management, staff development activities, and AL nurses as staff resources and liaisons to primary care providers. Quantitative and narrative responses were consistently positive and supportive of depression care approaches. Potential barriers included time constraints for staff and costs for residents. These data provide strong support for further evaluation of the blended depression model. Staff development activities may be implemented independent of the model to enhance depression recognition, assessment, and daily care approaches in AL.

  5. Exergames-based intervention for assisted living residents: a pilot study.

    Science.gov (United States)

    Chao, Ying-Yu; Scherer, Yvonne K; Montgomery, Carolyn A; Lucke, Kathleen T; Wu, Yow-Wu

    2014-11-01

    The physical and psychosocial benefits of exergames have been reported in various literature. A pre-posttest, single-group design was used to test the effects of an exergames-based intervention on cognition, depression, and health-related quality of life (QOL) in assisted living residents. Bandura's self-efficacy theory was applied. Seven residents (mean age = 86, SD = 5 years) participated in the program two times per week for 8 weeks. Outcome measures included cognition, depression, and health-related QOL. No statistically significant differences were found in any of the outcomes after the intervention. A tendency toward improved cognition occurred, but the outcomes of depression and health-related QOL did not follow a similar trend. However, improved socialization and motivation to exercise were reported. Continued research is needed to investigate the cognitive and psychosocial effects of exergames on this population. Nurses can collaborate with other health care professionals to engage residents in exercise and thus improve residents' QOL.

  6. A Measure of Person-Centered Practices in Assisted Living: The PC-PAL

    Science.gov (United States)

    Zimmerman, Sheryl; Allen, Josh; Cohen, Lauren W.; Pinkowitz, Jackie; Reed, David; Coffey, Walter O.; Reed, Peter; Lepore, Michael; Sloane, Philip D.

    2014-01-01

    Objectives Develop self-administered questionnaires of person-centeredness for completion by residents and staff in assisted living (AL), in response to concerns that AL is not person-centered; also, demonstrated person-centeredness is necessary for Medicaid support as a home and community-based services provider. Design Community-based participatory research partnership between a research team, a consortium of 11 stakeholder organizations, and others. Methods included literature review, item generation and reduction, cognitive testing, field testing, exploratory factor analysis, and convergent and discriminant validity testing. Setting Cognitive testing conducted in two AL residences and field testing conducted in 19 diverse, stratified AL residences in six states. Participants Eight residents and staff participated in cognitive testing, and 228 residents and 123 staff participated in field testing. Measurements Feasibility and psychometric testing of draft questionnaires that included 75 items (resident version) and 102 items (staff version), with parallel items on both versions as appropriate. Results The final resident questionnaire included 49 items and four factors: well-being and belonging, individualized care and services, social connectedness, and atmosphere. The staff questionnaire included 62 items and five factors: workforce practices, social connectedness, individualized care and services, atmosphere, and caregiver-resident relationships. Staff scored person-centeredness higher than did residents, reflecting their different perspectives. Conclusion The Person-Centered Practices in Assisted Living (PC-PAL) questionnaires measure person-centeredness from the perspectives of residents and staff, meaning that they reflect the concepts and items considered to be important to these key stakeholders. Use of these instruments to describe, assess, quantify, assure, and ultimately improve person-centeredness in AL is feasible and appropriate for all AL settings

  7. Assistive technology for the promotion of activity of daily living with children in hospital contexts

    Directory of Open Access Journals (Sweden)

    Adriana Moniz da Silveira

    2012-09-01

    Full Text Available The purpose of this research was to characterize the routine of a pediatric nursing ward in relation tothe performance of their users on the Activity of Daily Living - ADL: personal hygiene, bathing and feeding, aswell as point out the possible uses of assistive technology concerning the ADL performance. The participants werethe following; 10 members of a nursing team, 12 caretakers and their hospitalized children with ages betweensix and twelve. The characterization of the pediatric nursing was made through semi-structured interviews andobservation developed by the researchers. Results showed that 100% (n = 10 of professionals, members ofthe nursing staff, reported performing guidance and/or supervision and/or performance of the following ADL:personal hygiene, bathing and feeding of children under their responsibility. Children remained in hospital fromthree to forty-five days and 75% (n = 9 of them reported ADL dependence in personal care, 83.3% (n = 10in the bathing activity and 16.6 % (n = 2 in the feeding activity. Children also reported that they were helpedwith personal care, bathing and feeding by their caretakers. Caretakers identified differences in the performanceof the children’s personal hygiene (41.6%, n = 5, bathing (66.6%, n = 8 and feeding (50%, n = 6 activities.Except for slight differences in the reports of the children, parents reported similar data and the bathing activitypresented the highest level of assistance. Recommendations on the use of technology in hospital contexts wereelaborated based on these results.

  8. Contextual variables affecting aggressive behaviour in individuals with mild to borderline intellectual disabilities who live in a residential facility

    NARCIS (Netherlands)

    Embregts, P.J.C.M.; Didden, H.C.M.; Huitink, C.; Schreuder, N.M.J.

    2009-01-01

    Aggression is a common type of problem behaviour in clients with mild to borderline intellectual disability who live in a residential facility. We explored contextual events that elicit aggressive behaviour and variables that were associated with such events. METHOD: Respondents were 87 direct-care

  9. Detecting falls with 3D range camera in ambient assisted living applications: a preliminary study.

    Science.gov (United States)

    Leone, Alessandro; Diraco, Giovanni; Siciliano, Pietro

    2011-07-01

    In recent years several world-wide ambient assisted living (AAL) programs have been activated in order to improve the quality of life of older people, and to strengthen the industrial base through the use of information and communication technologies. An important issue is extending the time that older people can live in their home environment, by increasing their autonomy and helping them to carry out activities of daily living (ADLs). Research in the automatic detection of falls has received a lot of attention, with the object of enhancing safety, emergency response and independence of the elderly, at the same time comparing the social and economic costs related to fall accidents. In this work, an algorithmic framework to detect falls by using a 3D time-of-flight vision technology is presented. The proposed system presented complementary working requirements with respect to traditional worn and non-worn fall-detection devices. The vision system used a state-of-the-art 3D range camera for elderly movement measurement and detection of critical events, such as falls. The depth images provided by the active sensor allowed reliable segmentation and tracking of elderly movements, by using well-established imaging methods. Moreover, the range camera provided 3D metric information in all illumination conditions (even night vision), allowing the overcoming of some typical limitations of passive vision (shadows, camouflage, occlusions, brightness fluctuations, perspective ambiguity). A self-calibration algorithm guarantees different setup mountings of the range camera by non-technical users. A large dataset of simulated fall events and ADLs in real dwellings was collected and the proposed fall-detection system demonstrated high performance in terms of sensitivity and specificity.

  10. Understanding the Intersection of Individual Needs and Choices with Organizational Practices: The Case of Medication Management in Assisted Living

    Science.gov (United States)

    Carder, Paula C.; Zimmerman, Sheryl; Schumacher, John G.

    2009-01-01

    Purpose: Making choices about everyday activities is a normal event for many adults. However, when an adult moves into an assisted living (AL) community, making choices becomes complicated by perceived needs and community practices. This study examines the relationship between choice and need in the context of practices, using medication…

  11. Employing Microsoft Live@edu Cloud Platform to Assist in Teaching Chinese Reading for Junior High School Students

    Science.gov (United States)

    Shih, Ru-Chu; Cho, Chia-Liang; Tsai, Chih-Cheng; Lou, Shi-Jer

    2013-01-01

    This study aimed to investigate junior high school students' learning attitudes and learning effectiveness through administering Microsoft Live@edu to assist in teaching Chinese reading. Quasi-experimental approach was used and a total of 63 eighth grade students were divided into the experimental group (N = 32) and control group (N = 31).…

  12. Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?

    Directory of Open Access Journals (Sweden)

    Conradsson M

    2013-11-01

    Full Text Available Mia Conradsson,1 Håkan Littbrand,1,2 Gustaf Boström,1 Nina Lindelöf,1 Yngve Gustafson,1 Erik Rosendahl1,2 1Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden; 2Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden Aim: Functional capacity and dependency in activities of daily living (ADL could be important mediators for an association between physical exercise and mental health. The aim of this study was to investigate whether a change in functional capacity or dependency in ADL is associated with a change in depressive symptoms and psychological well-being among older people living in residential care facilities, and whether dementia can be a moderating factor for this association. Methods: A prospective cohort study was undertaken. Participants were 206 older people, dependent in ADL, living in residential care facilities, 115 (56% of whom had diagnosed dementia. Multivariate linear regression, with comprehensive adjustment for potential confounders, was used to investigate associations between differences over 3 months in Berg Balance Scale (BBS and Geriatric Depression Scale (GDS-15 scores, and in BBS and Philadelphia Geriatric Center Morale Scale (PGCMS scores. Associations were also investigated between differences in Barthel ADL Index and GDS-15 scores, and in Barthel ADL Index and PGCMS scores. Results: There were no significant associations between changes in scores over 3 months; the unstandardized β for associations between BBS and GDS-15 was 0.026 (P=0.31, BBS and PGCMS 0.045 (P=0.14, Barthel ADL Index and GDS-15 0.123 (P=0.06, and Barthel ADL Index and PGCMS -0.013 (P=0.86. There were no interaction effects for dementia. Conclusion: A change in functional capacity or dependency in ADL does not appear to be associated with a change in depressive symptoms or psychological well-being among older people living in residential care

  13. Human behavior understanding for assisted living by means of hierarchical context free grammars

    Science.gov (United States)

    Rosani, A.; Conci, N.; De Natale, F. G. B.

    2014-03-01

    Human behavior understanding has attracted the attention of researchers in various fields over the last years. Recognizing behaviors with sufficient accuracy from sensors analysis is still an unsolved problem, because of many reasons, including the low accuracy of the data, differences in the human behaviors as well as the gap between low-level sensors data and high-level scene semantics. In this context, an application that is attracting the interest of both public and industrial entities is the possibility to allow elderly or physically impaired people conducting a normal life at home. Ambient intelligence (AmI) technologies, intended as the possibility of automatically detecting and reacting to the status of the environment and of the persons, is probably the major enabling factor for the achievement of such an ambitious objective. AmI technologies require suitable networks of sensors and actuators, as well as adequate processing and communication technologies. In this paper we propose a solution based on context free grammars for human behavior understanding with an application to assisted living. First, the grammars of the different actions performed by a person in his/her daily life are discovered. Then, a longterm analysis of the behavior is used to generate a control grammar, taking care of the context when an action is performed, and adding semantics. The proposed framework is tested on a dataset acquired in a real environment and compared with state of the art methods already available for the problem considered.

  14. Web of Objects Based Ambient Assisted Living Framework for Emergency Psychiatric State Prediction

    Science.gov (United States)

    Alam, Md Golam Rabiul; Abedin, Sarder Fakhrul; Al Ameen, Moshaddique; Hong, Choong Seon

    2016-01-01

    Ambient assisted living can facilitate optimum health and wellness by aiding physical, mental and social well-being. In this paper, patients’ psychiatric symptoms are collected through lightweight biosensors and web-based psychiatric screening scales in a smart home environment and then analyzed through machine learning algorithms to provide ambient intelligence in a psychiatric emergency. The psychiatric states are modeled through a Hidden Markov Model (HMM), and the model parameters are estimated using a Viterbi path counting and scalable Stochastic Variational Inference (SVI)-based training algorithm. The most likely psychiatric state sequence of the corresponding observation sequence is determined, and an emergency psychiatric state is predicted through the proposed algorithm. Moreover, to enable personalized psychiatric emergency care, a service a web of objects-based framework is proposed for a smart-home environment. In this framework, the biosensor observations and the psychiatric rating scales are objectified and virtualized in the web space. Then, the web of objects of sensor observations and psychiatric rating scores are used to assess the dweller’s mental health status and to predict an emergency psychiatric state. The proposed psychiatric state prediction algorithm reported 83.03 percent prediction accuracy in an empirical performance study. PMID:27608023

  15. Hands-On Experiences in Deploying Cost-Effective Ambient-Assisted Living Systems

    Directory of Open Access Journals (Sweden)

    Athanasios Dasios

    2015-06-01

    Full Text Available Older adults’ preferences to remain independent in their own homes along with the high costs of nursing home care have motivated the development of Ambient Assisted Living (AAL technologies which aim at improving the safety, health conditions and wellness of the elderly. This paper reports hands-on experiences in designing, implementing and operating UbiCare, an AAL based prototype system for elderly home care monitoring. The monitoring is based on the recording of environmental parameters like temperature and light intensity as well as micro-level incidents which allows one to infer daily activities like moving, sitting, sleeping, usage of electrical appliances and plumbing components. The prototype is built upon inexpensive, off-the-shelf hardware (e.g., various sensors, Arduino microcontrollers, ZigBee-compatible wireless communication modules and license-free software, thereby ensuring low system deployment costs. The network comprises nodes placed in a house’s main rooms or mounted on furniture, one wearable node, one actuator node and a centralized processing element (coordinator. Upon detecting significant deviations from the ordinary activity patterns of individuals and/or sudden falls, the system issues automated alarms which may be forwarded to authorized caregivers via a variety of communication channels. Furthermore, measured environmental parameters and activity incidents may be monitored through standard web interfaces.

  16. Active In-Database Processing to Support Ambient Assisted Living Systems

    Directory of Open Access Journals (Sweden)

    Wagner O. de Morais

    2014-08-01

    Full Text Available As an alternative to the existing software architectures that underpin the development of smart homes and ambient assisted living (AAL systems, this work presents a database-centric architecture that takes advantage of active databases and in-database processing. Current platforms supporting AAL systems use database management systems (DBMSs exclusively for data storage. Active databases employ database triggers to detect and react to events taking place inside or outside of the database. DBMSs can be extended with stored procedures and functions that enable in-database processing. This means that the data processing is integrated and performed within the DBMS. The feasibility and flexibility of the proposed approach were demonstrated with the implementation of three distinct AAL services. The active database was used to detect bed-exits and to discover common room transitions and deviations during the night. In-database machine learning methods were used to model early night behaviors. Consequently, active in-database processing avoids transferring sensitive data outside the database, and this improves performance, security and privacy. Furthermore, centralizing the computation into the DBMS facilitates code reuse, adaptation and maintenance. These are important system properties that take into account the evolving heterogeneity of users, their needs and the devices that are characteristic of smart homes and AAL systems. Therefore, DBMSs can provide capabilities to address requirements for scalability, security, privacy, dependability and personalization in applications of smart environments in healthcare.

  17. Web of Objects Based Ambient Assisted Living Framework for Emergency Psychiatric State Prediction.

    Science.gov (United States)

    Alam, Md Golam Rabiul; Abedin, Sarder Fakhrul; Al Ameen, Moshaddique; Hong, Choong Seon

    2016-09-06

    Ambient assisted living can facilitate optimum health and wellness by aiding physical, mental and social well-being. In this paper, patients' psychiatric symptoms are collected through lightweight biosensors and web-based psychiatric screening scales in a smart home environment and then analyzed through machine learning algorithms to provide ambient intelligence in a psychiatric emergency. The psychiatric states are modeled through a Hidden Markov Model (HMM), and the model parameters are estimated using a Viterbi path counting and scalable Stochastic Variational Inference (SVI)-based training algorithm. The most likely psychiatric state sequence of the corresponding observation sequence is determined, and an emergency psychiatric state is predicted through the proposed algorithm. Moreover, to enable personalized psychiatric emergency care, a service a web of objects-based framework is proposed for a smart-home environment. In this framework, the biosensor observations and the psychiatric rating scales are objectified and virtualized in the web space. Then, the web of objects of sensor observations and psychiatric rating scores are used to assess the dweller's mental health status and to predict an emergency psychiatric state. The proposed psychiatric state prediction algorithm reported 83.03 percent prediction accuracy in an empirical performance study.

  18. 20 CFR 416.1142 - If you live in a public assistance household.

    Science.gov (United States)

    2010-04-01

    ... a public assistance household. (a) Definition. A public assistance household is one in which every... mandatory supplements); (3) The Refugee Act of 1980 (Those payments based on need); (4) The Disaster...

  19. 78 FR 32682 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2013-05-31

    ..., Facilities Engineering Division, National Aeronautics & Space Administration, Code JX, Washington, DC 20546.../asbestos present New Jersey Camp Petricktown Sup. Facility US Route 130 Pedricktown NJ 08067...

  20. Triblock and pentablock terpolymers by sequential base-assisted living cationic copolymerization of functionalized vinyl ethers

    KAUST Repository

    Bouchekif, Hassen

    2015-01-01

    A series of novel, well-defined triblock (PnBVE-b-PCEVE-b-PSiDEGVE) and pentablock (PSiDEGVE-b-PCEVE-b-PnBVE-b-PCEVE-b-PSiDEGVE) terpolymers of n-butyl vinyl ether (nBVE), 2-chloroethyl vinyl ether (CEVE) and tert-butyldimethylsilyl ethylene glycol vinyl ether (SiEGVE) were synthesized by sequential base-assisted living cationic polymerization. The living character of the homopolymerization of the three VE monomers and the crossover reaction resulting in the formation of well-defined block copolymers were investigated in various solvents (toluene, dichloromethane and n-hexane) using either a monofunctional [nBVE-acetic acid adduct (nBEA), CEVE-acetic acid adduct (CEEA) and SiDEGVE-acetic acid adduct (SiDEGEA)] or a difunctional [1,4-cyclohexane-1,4-diyl bis(2-methoxyethyl acetate) (cHDMEA)] initiator. All initiators are structurally equivalent to the dormant species of the corresponding monomers in order to achieve fast initiation. The optimal conditions of polymerization were achieved in n-hexane at -20 °C, in the presence of 1 M AcOEt (base). Good control over the number average molecular weight (Mn) and the polydispersity index (PDI) was obtained only at [Et3Al2Cl3]0 = [Chain-end]0 ≤ 10 mM. 2,6-Di-tert-butylpyridine (DtBP) was used as a non-nucleophilic proton trap to suppress any protonic initiation from moisture (i.e., Et3Al2Cl3·H2O). Well-defined PnBVEn-b-PCEVEp-b-PSiDEGVEq and PSiDEGVEq-b-PCEVEp-b-PnBVEn-b-PCEVEp-b-PSiDEGVEq terpolymers with a high crossover efficiency, no PCEVE-induced physical gelation, and predictable Mn and PDI < 1.15 were synthesized successfully provided that the targeted DPCEVE/DPnBVE ratio (i.e., p/n) did not exceed 2 and 0.2, respectively. The quantitative desilylation of the PSiEGVE by n-Bu4N+F- in THF at 0 °C led to triblock and pentablock terpolymers in which the PCEVE is the central block and the polyalcohol is the outer block. The thermal properties of the synthesized materials were examined by differential scanning

  1. A Cloud-Based Internet of Things Platform for Ambient Assisted Living

    Directory of Open Access Journals (Sweden)

    Javier Cubo

    2014-08-01

    Full Text Available A common feature of ambient intelligence is that many objects are inter-connected and act in unison, which is also a challenge in the Internet of Things. There has been a shift in research towards integrating both concepts, considering the Internet of Things as representing the future of computing and communications. However, the efficient combination and management of heterogeneous things or devices in the ambient intelligence domain is still a tedious task, and it presents crucial challenges. Therefore, to appropriately manage the inter-connection of diverse devices in these systems requires: (1 specifying and efficiently implementing the devices (e.g., as services; (2 handling and verifying their heterogeneity and composition; and (3 standardizing and managing their data, so as to tackle large numbers of systems together, avoiding standalone applications on local servers. To overcome these challenges, this paper proposes a platform to manage the integration and behavior-aware orchestration of heterogeneous devices as services, stored and accessed via the cloud, with the following contributions: (i we describe a lightweight model to specify the behavior of devices, to determine the order of the sequence of exchanged messages during the composition of devices; (ii we define a common architecture using a service-oriented standard environment, to integrate heterogeneous devices by means of their interfaces, via a gateway, and to orchestrate them according to their behavior; (iii we design a framework based on cloud computing technology, connecting the gateway in charge of acquiring the data from the devices with a cloud platform, to remotely access and monitor the data at run-time and react to emergency situations; and (iv we implement and generate a novel cloud-based IoT platform of behavior-aware devices as services for ambient intelligence systems, validating the whole approach in real scenarios related to a specific ambient assisted living

  2. A cloud-based Internet of Things platform for ambient assisted living.

    Science.gov (United States)

    Cubo, Javier; Nieto, Adrián; Pimentel, Ernesto

    2014-08-04

    A common feature of ambient intelligence is that many objects are inter-connected and act in unison, which is also a challenge in the Internet of Things. There has been a shift in research towards integrating both concepts, considering the Internet of Things as representing the future of computing and communications. However, the efficient combination and management of heterogeneous things or devices in the ambient intelligence domain is still a tedious task, and it presents crucial challenges. Therefore, to appropriately manage the inter-connection of diverse devices in these systems requires: (1) specifying and efficiently implementing the devices (e.g., as services); (2) handling and verifying their heterogeneity and composition; and (3) standardizing and managing their data, so as to tackle large numbers of systems together, avoiding standalone applications on local servers. To overcome these challenges, this paper proposes a platform to manage the integration and behavior-aware orchestration of heterogeneous devices as services, stored and accessed via the cloud, with the following contributions: (i) we describe a lightweight model to specify the behavior of devices, to determine the order of the sequence of exchanged messages during the composition of devices; (ii) we define a common architecture using a service-oriented standard environment, to integrate heterogeneous devices by means of their interfaces, via a gateway, and to orchestrate them according to their behavior; (iii) we design a framework based on cloud computing technology, connecting the gateway in charge of acquiring the data from the devices with a cloud platform, to remotely access and monitor the data at run-time and react to emergency situations; and (iv) we implement and generate a novel cloud-based IoT platform of behavior-aware devices as services for ambient intelligence systems, validating the whole approach in real scenarios related to a specific ambient assisted living application.

  3. Development of an open technology sensor suite for assisted living: a student-led research project.

    Science.gov (United States)

    Manton, James D; Hughes, Josephine A E; Bonner, Oliver; Amjad, Omar A; Mair, Philip; Miele, Isabella; Wang, Tiesheng; Levdik, Vitaly; Hall, Richard D; Baekelandt, Géraldine; Vasconcellos, Fernando da Cruz; Hadeler, Oliver; Hutter, Tanya; Kaminski, Clemens F

    2016-08-01

    Many countries have a rapidly ageing population, placing strain on health services and creating a growing market for assistive technology for older people. We have, through a student-led, 12-week project for 10 students from a variety of science and engineering backgrounds, developed an integrated sensor system to enable older people, or those at risk, to live independently in their own homes for longer, while providing reassurance for their family and carers. We provide details on the design procedure and performance of our sensor system and the management and execution of a short-term, student-led research project. Detailed information on the design and use of our devices, including a door sensor, power monitor, fall detector, general in-house sensor unit and easy-to-use location-aware communications device, is given, with our open designs being contrasted with closed proprietary systems. A case study is presented for the use of our devices in a real-world context, along with a comparison with commercially available systems. We discuss how the system could lead to improvements in the quality of life of older users and increase the effectiveness of their associated care network. We reflect on how recent developments in open source technology and rapid prototyping increase the scope and potential for the development of powerful sensor systems and, finally, conclude with a student perspective on this team effort and highlight learning outcomes, arguing that open technologies will revolutionize the way in which technology will be deployed in academic research in the future.

  4. A Cloud-Based Internet of Things Platform for Ambient Assisted Living

    Science.gov (United States)

    Cubo, Javier; Nieto, Adrián; Pimentel, Ernesto

    2014-01-01

    A common feature of ambient intelligence is that many objects are inter-connected and act in unison, which is also a challenge in the Internet of Things. There has been a shift in research towards integrating both concepts, considering the Internet of Things as representing the future of computing and communications. However, the efficient combination and management of heterogeneous things or devices in the ambient intelligence domain is still a tedious task, and it presents crucial challenges. Therefore, to appropriately manage the inter-connection of diverse devices in these systems requires: (1) specifying and efficiently implementing the devices (e.g., as services); (2) handling and verifying their heterogeneity and composition; and (3) standardizing and managing their data, so as to tackle large numbers of systems together, avoiding standalone applications on local servers. To overcome these challenges, this paper proposes a platform to manage the integration and behavior-aware orchestration of heterogeneous devices as services, stored and accessed via the cloud, with the following contributions: (i) we describe a lightweight model to specify the behavior of devices, to determine the order of the sequence of exchanged messages during the composition of devices; (ii) we define a common architecture using a service-oriented standard environment, to integrate heterogeneous devices by means of their interfaces, via a gateway, and to orchestrate them according to their behavior; (iii) we design a framework based on cloud computing technology, connecting the gateway in charge of acquiring the data from the devices with a cloud platform, to remotely access and monitor the data at run-time and react to emergency situations; and (iv) we implement and generate a novel cloud-based IoT platform of behavior-aware devices as services for ambient intelligence systems, validating the whole approach in real scenarios related to a specific ambient assisted living application

  5. Facile Microwave-Assisted Synthesis of Klockmannite CuSe Nanosheets and Their Exceptional Electrical Properties

    Science.gov (United States)

    Liu, Yong-Qiang; Wang, Feng-Xia; Xiao, Yan; Peng, Hong-Dan; Zhong, Hai-Jian; Liu, Zheng-Hui; Pan, Ge-Bo

    2014-08-01

    Klockmannite copper selenide nanosheets (CuSe NSs) are synthesized by a facile microwave-assisted method and fully characterized. The nanosheets have smooth surface and hexagonal shape. The lateral size is 200-500 nm × 400-800 nm and the thickness is 55 +/- 20 nm. The current-voltage characteristics of CuSe NS films show unique Ohmic and high-conducting behaviors, comparable to the thermally-deposited gold electrode. The high electrical conductivity of CuSe NSs implies their promising applications in printed electronics and nanodevices. Moreover, the local electrical variation is observed, for the first time, within an individual CuSe NS at low bias voltages (0.1 ~ 3 V) by conductive atomic force microscopy (C-AFM). This is ascribed to the quantum size effect of NS and the presence of Schottky barrier. In addition, the influence of the molar ratio of Cu2+/SeO2, reaction temperature, and reaction time on the growth of CuSe NSs is explored. The template effect of oleylamine and the intrinsic crystal nature of CuSe NS are proposed to account for the growth of hexagonal CuSe NSs.

  6. Facile fabrication of hierarchical ZnO microstructures assisted with PAMPSA and enhancement of green emission

    Science.gov (United States)

    Huang, Qiang; Cun, Tangxiang; Zuo, Wenbin; Liu, Jianping

    2015-03-01

    We report the fabrication of hierarchically microstructured flower-like ZnO by a facile and single-step procedure involving poly(2-acrylamido-2-methyl-1-propanesulfonic acid) (PAMPSA) assisted aqueous chemical method. The shapes and sizes can be controlled just by varying the concentrations of the water-soluble polymer. When a suitable PAMPAS concentration was utilized, uniform well-defined and mono-dispersed chrysanthemum-like ZnO microstructures based on nanorod building blocks were obtained. The formation mechanism of the hierarchical structure was presented. The structured studies using XRD, HRTEM and SAED reveal these ZnO nanorods are composed of a single phase nature with wurtzite structure and grow along with the c-axis. FTIR spectrum indicated the incorporation of a trace of PAMPSA into ZnO crystals. HRTEM, Raman and XPS analyses showed that the hierarchical ZnO microstructures contain high concentration of oxygen vacancies which enable them exhibiting a significant intense deep-level emission centered at green luminescence in its photoluminescence spectra. They also show enhanced photocatalytic efficiency in degradation of methylene blue. It is hoped that the present work may provide a simple method to fabricate ZnO hierarchical microstructures and a positive relationship among polar plane, oxygen vacancy and green emission.

  7. Facile and cost-effective fabrication of patternable superhydrophobic surfaces via salt dissolution assisted etching

    Science.gov (United States)

    Choi, Dongwhi; Yoo, Jaewon; Park, Sang Min; Kim, Dong Sung

    2017-01-01

    Superhydrophobic surfaces with extremely low wettability have attracted attention globally along with their remarkable characteristics such as anti-icing, anti-sticking, and self-cleaning. In this study, a facile and cost-effective approach of fabricating patternable superhydrophobic surfaces, which can be applied on various substrates (including large area and 3D curvilinear substrates), is proposed with a salt-dissolution-assisted etching process. This novel proposal is environmentally benign (entirely water-based and fluorine-free process). The only required ingredients to realize superhydrophobic surfaces are commercially available salt particles, polydimethylsiloxane (PDMS), and water. No expensive equipment or complex process control is needed. The fabricated superhydrophobic surface shows high static contact angle (∼151°) and a low sliding angle (∼6°), which correspond to the standards of superhydrophobicity. This surface also shows corrosive liquids (acid/alkali)-resistant characteristics. Moreover, the self-cleaning ability of the fabricated surfaces is explored. As a proof-of-concept application of the present approach, the spatially controllable superhydrophobic patterns on flat/curvilinear substrates are directly drawn with a minimum feature size of 500 μm without the use of expensive tooling, dies, or lithographic masks.

  8. Moderation of the Relation of County-Level Cost of Living to Nutrition by the Supplemental Nutrition Assistance Program

    Science.gov (United States)

    Wimer, Christopher; Seligman, Hilary

    2016-01-01

    Objectives. To examine the association of county-level cost of living with nutrition among low-income Americans. Methods. We used the National Household Food Acquisition and Purchase Survey (2012–2013; n = 14 313; including 5414 persons in households participating in the Supplemental Nutrition Assistance Program [SNAP]) to examine associations between county-level cost-of-living metrics and both food acquisitions and the Healthy Eating Index, with control for individual-, household-, and county-level covariates and accounting for unmeasured confounders influencing both area of living and food acquisition. Results. Living in a higher-cost county—particularly one with high rent costs—was associated with significantly lower volume of acquired vegetables, fruits, and whole grains; greater volume of acquired refined grains, fats and oils, and added sugars; and an 11% lower Healthy Eating Index score. Participation in SNAP was associated with nutritional improvements among persons living in higher-cost counties. Conclusions. Living in a higher-cost county (particularly with high rent costs) is associated with poorer nutrition among low-income Americans, and SNAP may mitigate the negative nutritional impact of high cost of living. PMID:27631742

  9. A review of contemporary work on the ethics of ambient assisted living technologies for people with dementia.

    Science.gov (United States)

    Novitzky, Peter; Smeaton, Alan F; Chen, Cynthia; Irving, Kate; Jacquemard, Tim; O'Brolcháin, Fiachra; O'Mathúna, Dónal; Gordijn, Bert

    2015-06-01

    Ambient assisted living (AAL) technologies can provide assistance and support to persons with dementia. They might allow them the possibility of living at home for longer whilst maintaining their comfort and security as well as offering a way towards reducing the huge economic and personal costs forecast as the incidence of dementia increases worldwide over coming decades. However, the development, introduction and use of AAL technologies also trigger serious ethical issues. This paper is a systematic literature review of the on-going scholarly debate about these issues. More specifically, we look at the ethical issues involved in research and development, clinical experimentation, and clinical application of AAL technologies for people with dementia and related stakeholders. In the discussion we focus on: (1) the value of the goals of AAL technologies, (2) the special vulnerability of persons with dementia in their private homes, (3) the complex question of informed consent for the usage of AAL technologies.

  10. Exploring the use of social network analysis to measure social integration among older adults in assisted living.

    Science.gov (United States)

    Abbott, Katherine M; Bettger, Janet Prvu; Hampton, Keith; Kohler, Hans-Peter

    2012-01-01

    Social integration is measured by a variety of social network indicators each with limitations in its ability to produce a complete picture of the variety and scope of interactions of older adults receiving long-term services and supports. The purpose of this study was to develop and evaluate the feasibility of collecting sociocentric (whole network) data among older adults in one assisted living neighborhood. The sociocentric approach is required to conduct social network analysis. Applying social network analysis is an innovative way to measure different facets of social integration among residents. Sociocentric data are presented for 12 residents. Network visualization or sociograms are used to illustrate the level of social integration among residents and between residents and staff. Measures of network centrality are reported to illustrate the number of personal connections and cohesion. The use of resident photographs helped residents with cognitive impairment to nominate individuals with whom they interacted. The sociocentric approach to data collection is feasible and allows researchers to measure levels and different aspects of social integration in assisted living environments. Residents with mild to moderate cognitive impairment were able to participate with the aid of resident and staff photographs. This approach is sensitive to capturing routine day-to-day interactions between residents and assisted living staff members that are often not reported in person-centered networks. This study contributes to the foundation for larger more representative studies of entire assisted living organizations that could in the future inform interventions aimed at improving social integration and cohesion among recipients of long-term services and supports.

  11. Wearable EEG headband using printed electrodes and powered by energy harvesting for emotion monitoring in ambient assisted living

    Science.gov (United States)

    Matiko, Joseph W.; Wei, Yang; Torah, Russel; Grabham, Neil; Paul, Gordon; Beeby, Stephen; Tudor, John

    2015-12-01

    Globally, human life expectancy is steadily increasing causing an increase in the elderly population and consequently increased costs of supporting them. Ambient assisted living is an active research area aimed at supporting elderly people to live independently in their preferred living environment. This paper presents the design and testing of a self-powered wearable headband for electroencephalogram (EEG) based detection of emotions allowing the evaluation of the quality of life of assisted people. Printed active electrode fabrication and testing is discussed followed by the design of an energy harvester for powering the headband. The results show that the fabricated electrodes have similar performance to commercial electrodes and that the electronics embedded into the headband, as well as the wireless sensor node used for processing the EEG, can be powered by energy harvested from solar panels integrated on the headband. An average real time emotion classification accuracy of 90 (±9) % was obtained from 12 subjects. The results show that the self-powered wearable headband presented in this paper can be used to measure the wellbeing of assisted people with good accuracy.

  12. Preliminary Evaluation of a Personal Healthcare System Prototype for Cognitive eRehabilitation in a Living Assistance Domain

    Directory of Open Access Journals (Sweden)

    Matteo Pastorino

    2014-06-01

    Full Text Available The integration of rehabilitation systems in an ambient assisted living environment can provide a powerful and versatile tool for long-term stroke rehabilitation goals. This paper introduces a novel concept of a personalized cognitive rehabilitation system in a naturalistic setting. The proposed platform was developed within the CogWatch project, with the intent of fostering independence in activities of daily living in patients with apraxia and action disorganization syndrome. Technical usability was evaluated in a series of pilot experiments, which illustrate how this approach may help to retrain patients in activities of daily living. The first system prototype has been tested with 36 participants divided into three groups, providing an exploratory evaluation of the usability of this solution and its acceptability. The technical solutions used within the CogWatch project are targeted to meet both the end users’ needs from the interaction and usability point of views and the clinical requirements associated with the use of such systems. The challenges behind the development of ambient assisted living systems for cognitive rehabilitation are discussed.

  13. Comparing frailty measures in their ability to predict adverse outcome among older residents of assisted living

    Directory of Open Access Journals (Sweden)

    Hogan David B

    2012-09-01

    Full Text Available Abstract Background Few studies have directly compared the competing approaches to identifying frailty in more vulnerable older populations. We examined the ability of two versions of a frailty index (43 vs. 83 items, the Cardiovascular Health Study (CHS frailty criteria, and the CHESS scale to accurately predict the occurrence of three outcomes among Assisted Living (AL residents followed over one year. Methods The three frailty measures and the CHESS scale were derived from assessment items completed among 1,066 AL residents (aged 65+ participating in the Alberta Continuing Care Epidemiological Studies (ACCES. Adjusted risks of one-year mortality, hospitalization and long-term care placement were estimated for those categorized as frail or pre-frail compared with non-frail (or at high/intermediate vs. low risk on CHESS. The area under the ROC curve (AUC was calculated for select models to assess the predictive accuracy of the different frailty measures and CHESS scale in relation to the three outcomes examined. Results Frail subjects defined by the three approaches and those at high risk for decline on CHESS showed a statistically significant increased risk for death and long-term care placement compared with those categorized as either not frail or at low risk for decline. The risk estimates for hospitalization associated with the frailty measures and CHESS were generally weaker with one of the frailty indices (43 items showing no significant association. For death and long-term care placement, the addition of frailty (however derived or CHESS significantly improved on the AUC obtained with a model including only age, sex and co-morbidity, though the magnitude of improvement was sometimes small. The different frailty/risk models did not differ significantly from each other in predicting mortality or hospitalization; however, one of the frailty indices (83 items showed significantly better performance over the other measures in predicting long

  14. Adolescent Mothers in a Transitional Living Facility: An Exploratory Study of Support Networks and Attachment Patterns

    Science.gov (United States)

    Schwartz, Ann E.; McRoy, Ruth G.; Downs, A. Chris

    2004-01-01

    Most of the research literature on attachment and adolescent transitions has addressed youth in family settings. This article explores these issues with a sample of 25 pregnant and parenting teens living in a transitional shelter. Using case records and interview data as well as results of standardized measures of depression, self-esteem, child…

  15. Laser-assisted in vitro fertilization facilitates fertilization of vitrified-warmed C57BL/6 mouse oocytes with fresh and frozen-thawed spermatozoa, producing live pups.

    Science.gov (United States)

    Woods, Stephanie E; Qi, Peimin; Rosalia, Elizabeth; Chavarria, Tony; Discua, Allan; Mkandawire, John; Fox, James G; García, Alexis

    2014-01-01

    The utility of cryopreserved mouse gametes for reproduction of transgenic mice depends on development of assisted reproductive technologies, including vitrification of unfertilized mouse oocytes. Due to hardening of the zona pellucida, spermatozoa are often unable to penetrate vitrified-warmed (V-W) oocytes. Laser-assisted in vitro fertilization (LAIVF) facilitates fertilization by allowing easier penetration of spermatozoa through a perforation in the zona. We investigated the efficiency of V-W C57BL/6NTac oocytes drilled by the XYClone laser, compared to fresh oocytes. By using DAP213 for cryoprotection, 83% (1,470/1,762) of vitrified oocytes were recovered after warming and 78% were viable. Four groups were evaluated for two-cell embryo and live offspring efficiency: 1) LAIVF using V-W oocytes, 2) LAIVF using fresh oocytes, 3) conventional IVF using V-W oocytes and 4) conventional IVF using fresh oocytes. First, the groups were tested using fresh C57BL/6NTac spermatozoa (74% motile, 15 million/ml). LAIVF markedly improved the two-cell embryo efficiency using both V-W (76%, 229/298) and fresh oocytes (69%, 135/197), compared to conventional IVF (7%, 12/182; 6%, 14/235, respectively). Then, frozen-thawed C57BL/6NTac spermatozoa (35% motile, 15 million/ml) were used and LAIVF was again found to enhance fertilization efficiency, with two-cell embryo rates of 87% (298/343) using V-W oocytes (P<0.05, compared to fresh spermatozoa), and 73% (195/266) using fresh oocytes. Conventional IVF with frozen-thawed spermatozoa using V-W (6%, 10/168) and fresh (5%, 15/323) oocytes produced few two-cell embryos. Although live offspring efficiency following embryo transfer was greater with conventional IVF (35%, 18/51; LAIVF: 6%, 50/784), advantage was seen with LAIVF in live offspring obtained from total oocytes (5%, 50/1,010; conventional IVF: 2%, 18/908). Our results demonstrated that zona-drilled V-W mouse oocytes can be used for IVF procedures using both fresh and frozen

  16. Laser-assisted in vitro fertilization facilitates fertilization of vitrified-warmed C57BL/6 mouse oocytes with fresh and frozen-thawed spermatozoa, producing live pups.

    Directory of Open Access Journals (Sweden)

    Stephanie E Woods

    Full Text Available The utility of cryopreserved mouse gametes for reproduction of transgenic mice depends on development of assisted reproductive technologies, including vitrification of unfertilized mouse oocytes. Due to hardening of the zona pellucida, spermatozoa are often unable to penetrate vitrified-warmed (V-W oocytes. Laser-assisted in vitro fertilization (LAIVF facilitates fertilization by allowing easier penetration of spermatozoa through a perforation in the zona. We investigated the efficiency of V-W C57BL/6NTac oocytes drilled by the XYClone laser, compared to fresh oocytes. By using DAP213 for cryoprotection, 83% (1,470/1,762 of vitrified oocytes were recovered after warming and 78% were viable. Four groups were evaluated for two-cell embryo and live offspring efficiency: 1 LAIVF using V-W oocytes, 2 LAIVF using fresh oocytes, 3 conventional IVF using V-W oocytes and 4 conventional IVF using fresh oocytes. First, the groups were tested using fresh C57BL/6NTac spermatozoa (74% motile, 15 million/ml. LAIVF markedly improved the two-cell embryo efficiency using both V-W (76%, 229/298 and fresh oocytes (69%, 135/197, compared to conventional IVF (7%, 12/182; 6%, 14/235, respectively. Then, frozen-thawed C57BL/6NTac spermatozoa (35% motile, 15 million/ml were used and LAIVF was again found to enhance fertilization efficiency, with two-cell embryo rates of 87% (298/343 using V-W oocytes (P<0.05, compared to fresh spermatozoa, and 73% (195/266 using fresh oocytes. Conventional IVF with frozen-thawed spermatozoa using V-W (6%, 10/168 and fresh (5%, 15/323 oocytes produced few two-cell embryos. Although live offspring efficiency following embryo transfer was greater with conventional IVF (35%, 18/51; LAIVF: 6%, 50/784, advantage was seen with LAIVF in live offspring obtained from total oocytes (5%, 50/1,010; conventional IVF: 2%, 18/908. Our results demonstrated that zona-drilled V-W mouse oocytes can be used for IVF procedures using both fresh and frozen

  17. 78 FR 57874 - Federal Property Suitable as Facilities to Assist the Homeless

    Science.gov (United States)

    2013-09-20

    ... Assistant Secretary for Community Planning and Development, HUD. ACTION: Notice. SUMMARY: This Notice... kitchen Reasons: Extensive deterioration Tennessee J0139 Milan AAP Milan TN 38358 Landholding Agency:...

  18. 78 FR 48710 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2013-08-09

    ... Assistant Secretary for Community Planning and Development, HUD. ACTION: Notice. SUMMARY: This Notice... Black Canyon Office, Warehouse & Classroom 3999 E. Black Canyon Hwy Emmett ID 83617 Landholding...

  19. 78 FR 26061 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2013-05-03

    ... Matteo, Department of the Navy, Asset Management Division, Naval Facilities Engineering Command... Center (Camp Pedricktown) Artillery Ave at Garrison St. Oldmans NJ 08067 Landholding Agency: GSA...

  20. 76 FR 12227 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2011-03-04

    ... Assist the Homeless AGENCY: Office of the Assistant Secretary for Community Planning and Development, HUD...: Excess Comments: 9360 sq. ft., most recent use--warehouse, off-site use only Bldg. 00924 Fort Stewart Ft.... ft., most recent use--warehouse, off-site use only Bldg. 08585 Hunter Army Airfield Savannah GA...

  1. Providing integrated care to persons with severe intellectual disabilities living in a residential facility

    OpenAIRE

    Camprodon Tuneu, Núria; Blay Pueyo, Carles; Codinachs Vila, Montse; Brunet Gómez, Alícia; Mayenco Carrascosa, Laura; Aragonès Pascual, Josep Maria; Bofarull, Isabel Ramon; Ribas Casals, Anna

    2016-01-01

     Introduction: (comprising context and problem statement) Patients living in our nursing home suffer from severe intellectual disabilities (SID), need a widespread support, have legal incapacitation and their health status is characterized by aging, comorbidity, risk of complications and exacerbations, polypharmacy and high complex needs.Due to their difficult clinical management and the high intensity of interventions, there is a huge use of health and social resources.Lack of coordination i...

  2. Interacting with and via mobile devices and mobile robots in an assisted living setting

    Directory of Open Access Journals (Sweden)

    Maria Dagioglou

    2015-05-01

    Full Text Available Using robotic home assistants as a platform for remote health monitoring offers several advantages, but also presents considerable challenges related to both the technical immaturity of home robotics and to user acceptance issues. In this paper we explore tablets and similar mobile devices as the medium of communication between robots and their users, presenting relevant current and planned research in humanrobot interaction that can help the telehealth community circumvent technical shortcomings, improve user acceptance, and maximize the quality of the data collected by robotic home assistants.

  3. Live birth and adverse birth outcomes in women with ulcerative colitis and Crohn's disease receiving assisted reproduction

    DEFF Research Database (Denmark)

    Nørgård, Bente Mertz; Larsen, P V; Fedder, J;

    2016-01-01

    was live births per ART treatment cycle. We controlled for multiple covariates in the analyses. Our secondary outcomes were adverse birth outcomes. RESULTS: The chance of a live birth for each embryo transfer was significantly reduced in ART treatments in women with UC (OR=0.73, 95% CI 0.58 to 0......OBJECTIVE: To examine the chance of live births and adverse birth outcomes in women with ulcerative colitis (UC) and Crohn's disease (CD) compared with women without inflammatory bowel disease (IBD) who have undergone assisted reproductive technology (ART) treatments. METHODS: This was a nationwide.......92), but not significantly reduced in the full model of ART treatments in women with CD (OR=0.77, 95% CI 0.52 to 1.14). Surgery for CD before ART treatment significantly reduced the chance of live birth for each embryo transfer (OR=0.51, 95% CI 0.29 to 0.91). In children conceived through ART treatment by women with UC...

  4. Application of computer-assisted three-dimensional quantitative assessment and a surgical planning tool for living donor liver transplantation

    Institute of Scientific and Technical Information of China (English)

    WEI Lin; ZHU Zhi-jun; L(U) Yi; JIANG Wen-tao; GAO Wei; ZENG Zhi-gui; SHEN Zhong-yang

    2013-01-01

    Background Precise evaluation of the live donor's liver is the most important factor for the donor's safety and the recipient's prognosis in living donor liver transplantation (LDLT).Our study assessed the clinical value of computer-assisted three-dimensional quantitative assessment and a surgical planning tool for donor evaluation in LDLT.Methods Computer-assisted three-dimensional (3D) quantitative assessment was used to prospectively provide quantitative assessment of the graft volume for 123 consecutive donors of LDLT and its accuracy and efficiency were compared with that of the standard manual-traced method.A case of reduced monosegmental LDLT was also assessed and a surgical planning tool displayed the precise surgical plan to avoid large-for-size syndrome.Results There was no statistically significant difference between the detected graft volumes with computer-assisted 3D quantitative assessment and manual-traced approaches ((856.76±162.18) cm3 vs.(870.64±172.54) cm3,P=0.796).Estimated volumes by either method had good correlation with the actual graft weight (r-manual-traced method:0.921,r-3D quantitative assessment method:0.896,both P <0.001).However,the computer-assisted 3D quantitative assessment approach was significantly more efficient taking half the time of the manual-traced method ((16.91±1.375) minutes vs.(39.27±2.102) minutes,P <0.01) to estimate graft volume.We performed the reduced monosegmental LDLT,a pediatric case,with the surgical planning tool (188 g graft in the operation,which was estimated at 208 cm3 pre-operation).The recipient recovered without large-for-size syndrome.Conclusions Computer-assisted 3D quantitative assessment provided precise evaluation of the graft volume.It also assisted surgeons with a better understanding of the hepatic 3D anatomy and was useful for the individual surgical planning tool.

  5. 77 FR 58565 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2012-09-21

    ... Assistant Secretary for Community Planning and Development, HUD. ACTION: Notice. SUMMARY: This Notice... repairs California Terrace Kitchen/Clubhouse Yosemite Nat'l Park-Curry Village Yosemite CA...

  6. 78 FR 40491 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2013-07-05

    ... Assistant Secretary for Community Planning and Development, HUD. ACTION: Notice. SUMMARY: This Notice... (next to Naknek River) California Big Bar Warehouse (1450) 28451 State Hwy 299 West Big Bar CA...

  7. 77 FR 20369 - Applications for New Awards; Centers for Independent Living-Training and Technical Assistance

    Science.gov (United States)

    2012-04-04

    ..., nonresidential, private nonprofit agency. The purpose of independent living services is to maximize leadership... promote effective communication and collaboration between CILs and SILCs, thus enabling them to better..., the individual's application remains subject to all other requirements and limitations in this...

  8. 78 FR 41945 - Federal Property Suitable as Facilities to Assist the Homeless

    Science.gov (United States)

    2013-07-12

    ... Comments: 20.87 acres; boat ramp Texas Fort Worth Federal Center 501 W. Felix Ft. Worth TX 76115....; depot operations facility; fair conditions; not available due to existing AF need Unsuitable...

  9. 77 FR 7245 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2012-02-10

    ...: Unutilized Comments: 3148 sq. ft., presence of asbestos/lead paint, most recent use--entomology facility... Status: Unutilized Comments: 592 sq. ft., needs rehab, most recent use--medical res bldg., off-site...

  10. 76 FR 38809 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2011-07-01

    ...., presence of asbestos/lead paint, most recent use--entomology facility, off-site use only Bldg. 1007 Ft... Status: Unutilized GSA Number: Comments: 592 sq. ft., needs rehab, most recent use--medical res...

  11. 75 FR 13347 - Federal Property Suitable as Facilities To Assist the Homeless

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    2010-03-19

    ... asbestos/lead paint, most recent use--entomology facility, offsite use only Bldg. 1007 Ft. George G. Meade...--medical res bldg., off-site use only Bldg. E3300 Aberdeen Proving Grounds Aberdeen Co: Harford, MD...

  12. LIVE AUTHORITY IN THE CLASSROOM IN VIDEO CONFERENCE-BASED SYNCHRONOUS DISTANCE EDUCATION: The Teaching Assistant

    Directory of Open Access Journals (Sweden)

    Hasan KARAL

    2010-07-01

    Full Text Available The aim of this study was to define the role of the assistant in a classroom environment where students are taught using video conference-based synchronous distance education. Qualitative research approach was adopted and, among purposeful sampling methods, criterion sampling method was preferred in the scope of the study. The study was carried out during the spring semester of the 2008-2009 academic years. A teaching assistant and a total of 9 sophomore or senior students from the Department of City and Regional Development, Faculty of Architecture, Karadeniz Technical University, participated as subjects. The students included in the study sampling were taking lessons from the Middle East Technical University on the basis of synchronous distance education. Among the qualitative research methods, case study method was used and the study data were obtained from the semi-structured interview and observation results. Study data were analyzed with descriptive analysis methods. Data obtained at the end of the study were found to support the suggestion that there should be an authority in the video conference-based synchronous distance education. Findings obtained during the interviews made with the students revealed that some of the teacher’s classroom management related responsibilities are transferred to the assistant present in the classroom during the synchronous distance education. It was concluded at the end of the interviews that a teaching assistant’s presence should be obligatory in the undergraduate synchronous distance classroom environment. However, it was also concluded that there may not be any need for an authority in the classroom environment at the postgraduate education level due to the profile and expectations of the student, which differ from those of students at lower educational levels.

  13. An Exceptionally Facile Two-Step Structural Isomerization and Detoxication via a Water-Assisted Double Lossen Rearrangement

    Science.gov (United States)

    Li, Feng; Huang, Chun-Hua; Xie, Lin-Na; Qu, Na; Shao, Jie; Shao, Bo; Zhu, Ben-Zhan

    2016-12-01

    N-hydroxyphthalimide (NHPI), which is best known as an organocatalyst for efficient C-H activation, has been found to be oxidized by quinoid compounds to its corresponding catalytically active nitroxide-radical. Here, we found that NHPI can be isomerized into isatoic anhydride by an unusually facile two-step method using tetrachloro-1,4-benzoquinone (TCBQ, p-chloranil), accompanied by a two-step hydrolytic dechlorination of highly toxic TCBQ into the much less toxic dihydroxylation product, 2,5-dichloro-3,6-dihydroxy-1,4-benzoquinone (chloranilic acid). Interestingly, through the complementary application of oxygen-18 isotope-labeling, HPLC combined with electrospray ionization quadrupole time-of-flight and high resolution Fourier transform ion cyclotron resonance mass spectrometric studies, we determined that water was the source and origin of oxygen for isatoic anhydride. Based on these data, we proposed that nucleophilic attack with a subsequent water-assisted Lossen rearrangement coupled with rapid intramolecular addition and cyclization in two consecutive steps was responsible for this unusual structural isomerization of NHPI and concurrent hydroxylation/detoxication of TCBQ. This is the first report of an exceptionally facile double-isomerization of NHPI via an unprecedented water-assisted double-Lossen rearrangement under normal physiological conditions. Our findings may have broad implications for future research on hydroxamic acids and polyhalogenated quinoid carcinogens, two important classes of compounds of major chemical and biological interest.

  14. SHiP: a new facility for searching for long-lived neutral particles and studying the tau neutrino properties

    CERN Document Server

    AUTHOR|(SzGeCERN)658186

    2016-01-01

    SHiP (Search for Hidden Particles) is a new general purpose fixed target facility, proposed at the CERN SPS accelerator. In its initial phase, the 400 GeV proton beam will be dumped on a heavy target, integrating $2\\times 10^{20}$ protons on target in 5 years. A dedicated detector located downstream of the target, based on a long vacuum tank and a spectrometer and particle identification detectors, will allow probing a variety of models with light long-lived neutral and very weakly interacting particles and masses below 10 GeV. The main focus will be the physics of the so-called Hidden Portals, i.e. search for Dark Photons, Light scalars and pseudo-scalars, and Heavy Neutrinos. The sensitivity to Heavy Neutrinos will allow for the first time to probe, in the mass range between the kaon and the charm meson mass, a coupling range for which the baryon asymmetry of the Universe could be explained. Direct detection of light and long-lived SUSY particles, such as RPV neutralinos and pseudo-Dirac gauginos could als...

  15. Microwave-assisted Facile and Ultrafast Growth of ZnO Nanostructures and Proposition of Alternative Microwave-assisted Methods to Address Growth Stoppage

    Science.gov (United States)

    Rana, Abu Ul Hassan Sarwar; Kang, Mingi; Kim, Hyun-Seok

    2016-04-01

    The time constraint in the growth of ZnO nanostructures when using a hydrothermal method is of paramount importance in contemporary research, where a long fabrication time rots the very essence of the research on ZnO nanostructures. In this study, we present the facile and ultrafast growth of ZnO nanostructures in a domestic microwave oven within a pressurized environment in just a few minutes. This method is preferred for the conventional solution-based method because of the ultrafast supersaturation of zinc salts and the fabrication of high-quality nanostructures. The study of the effect of seed layer density, growth time, and the solution’s molar concentration on the morphology, alignment, density, and aspect ratio of ZnO nanorods (ZNRs) is explored. It is found in a microwave-assisted direct growth method that ~5 mins is the optimum time beyond which homogeneous nucleation supersedes heterogeneous nucleation, which results in the growth stoppage of ZNRs. To deal with this issue, we propound different methods such as microwave-assisted solution-replacement, preheating, and PEI-based growth methods, where growth stoppage is addressed and ZNRs with a high aspect ratio can be grown. Furthermore, high-quality ZnO nanoflowers and ZnO nanowalls are fabricated via ammonium hydroxide treatment in a very short time.

  16. Native American Technical Assistance and Training for Renewable Energy Resource Development and Electrical Generation Facilities Management

    Energy Technology Data Exchange (ETDEWEB)

    A. David Lester

    2008-10-17

    The Council of Energy Resource Tribes (CERT) will facilitate technical expertise and training of Native Americans in renewable energy resource development for electrical generation facilities, and distributed generation options contributing to feasibility studies, strategic planning and visioning. CERT will also provide information to Tribes on energy efficiency and energy management techniques.This project will provide facilitation and coordination of expertise from government agencies and private industries to interact with Native Americans in ways that will result in renewable energy resource development, energy efficiency program development, and electrical generation facilities management by Tribal entities. The intent of this cooperative agreement is to help build capacity within the Tribes to manage these important resources.

  17. 77 FR 14411 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2012-03-09

    ... Assistant Secretary for Community Planning and Development, HUD. ACTION: Notice. SUMMARY: This Notice... Colorado Kitchen Center Prep AF Academy USAF CO 80840 Landholding Agency: Air Force Property Number...: vacant; bldg. has no heat Kitchen Center Prep AF Academy USAF CO 80840 Landholding Agency: Air...

  18. 77 FR 40078 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2012-07-06

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND... for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing... Corps of Engineers, Real Estate, CEMP-CR, 441 G Street NW., Washington, DC 20314; (202) 761-5542;...

  19. 76 FR 78294 - Federal Property Suitable as Facilities to Assist the Homeless

    Science.gov (United States)

    2011-12-16

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND... for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing... Whiteford, Army Corps of Engineers, Real Estate, CEMP-CR, 441 G Street, NW., Washington, DC 20314; (202)...

  20. 78 FR 59709 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2013-09-27

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOUSING AND... for use to assist the homeless. FOR FURTHER INFORMATION CONTACT: Juanita Perry, Department of Housing..., Army Corps of Engineers, Real Estate, CEMP-CR, 441 G Street NW., Washington, DC 20314; (202)...

  1. 77 FR 71435 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2012-11-30

    ... Assistant Secretary for Community Planning and Development, HUD. ACTION: Notice. SUMMARY: This Notice... Directions: T077 & T078; NASA Shuttle Storage Warehouses Comments: off-site removal only; approx. 3,200 sf...: Surplus GSA Number: 7-I-UT-0528 Directions: includes 6,192 sf. office bldg.; 4,800 sf. warehouse; 1,120...

  2. 75 FR 51535 - Federal Property Suitable as Facilities to Assist the Homeless

    Science.gov (United States)

    2010-08-20

    ... Assistant Secretary for Community Planning and Development, HUD. ACTION: Notice. SUMMARY: This Notice...: 9360 sq. ft., most recent use--warehouse, off-site use only Bldg. 00924 Fort Stewart Ft. Stewart Co.... ft., most recent use--warehouse, off-site use only Bldg. 08585 Hunter Army Airfield Savannah...

  3. 78 FR 23581 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2013-04-19

    ... Assistant Secretary for Community Planning and Development, HUD. ACTION: Notice. SUMMARY: This Notice...-1107-01 Directions: property includes building and Land Comments: 37,543 sf.; office/warehouse space... Number: 7-Z-UT-0533 Directions: T077 & T078; NASA Shuttle Storage Warehouses Comments: off-site...

  4. Future Estimation of Convenience Living Facilities Withdrawal due to Population Decline all Over Japan from 2010 TO 2040 - Focus on Supermarkets, Convenience Stores and Drugstores

    Science.gov (United States)

    Nishimoto, Yuka; Akiyama, Yuki; Shibasaki, Ryosuke

    2016-06-01

    Population explosion is considered to be one of the most crucial problems in the world. However, in Japan, the opposite problem: population decline has become serious now. Japanese population is estimated to decrease by twenty millions in 2040. This negative situation will cause to increase areas where many residents cannot make a daily living all over Japan because many convenience living facilities such as supermarkets, convenience stores and drugstores will be difficult to maintain their market area population due to future population decline. In our research, we used point data of convenience living facilities developed by address geocoding of digital telephone directory and point data of future population projection developed by distribution of Japanese official population projection data proportionally among the building volume of digital residential map, which can monitor building volumes all over Japan. In conclusion, we estimated that various convenience living facilities in Japan will shrink and close by population decline in near future. In particular, it is cleared that approximately 14.7% of supermarkets will be possible to withdraw all over Japan by 2040. In addition, it is cleared that over 40% of supermarkets in some countryside prefectures will be possible to withdraw by 2040. Thus, we estimated future distributions of convenience living facilities that cannot maintain their market area population due to future population decline. Moreover, we estimated the number of people that they will become inconvenience in buying fresh foods.

  5. VEHIL: test facility for fault management testing of advanced driver assistance systems

    NARCIS (Netherlands)

    Gietelink, O.J.; Ploeg, J.; Schutter, B. de; Verhaegen, M.A.H.

    2003-01-01

    This paper presents the latest developments of the VEHIL facility, which aims to make the development process of intelligent vehicles safer, cheaper and more manageable. The main feature of VEHIL is that a complete intelligent vehicle can be tested in a hardware-in-the-loop simulation environment. T

  6. 75 FR 31807 - Federal Property Suitable as Facilities To Assist the Homeless; Republication

    Science.gov (United States)

    2010-06-04

    ... Engineering & Construction Management, MA-50, 1000 Independence Ave, SW., Washington, DC 20585: (202) 586..., Asset Management Division, Naval Facilities Engineering Command, Washington Navy Yard, 1330 Patterson... hall; 2,519 sq. ft.--maint. shop South Dakota Camp Crook Bldg. No. 2002 Camp Crook Co: Harding SD...

  7. 77 FR 5525 - Federal Property Suitable as Facilities to Assist the Homeless

    Science.gov (United States)

    2012-02-03

    ... Reasons: Extensive deterioration California Facility 02747 Naval Air Weapons Station China Lake CA 93555....; current use: Fee booth; need repairs--walls contaminated with mold Kansas Shower/Latrine Stockdale Park...-site removal only; 576 sq. ft.; current use: Shower/ toilet; need repairs--bldg. deteriorating 2...

  8. 76 FR 13425 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2011-03-11

    ... Energy, Office of Engineering & Construction Management, MA-50, 1000 Independence Ave., SW., Washington..., Director of Real Estate, Department of the Navy, Naval Facilities Engineering Command, Washington Navy Yard... BUILDING ILLINOIS 1LT A.J. Ellison ] Army Reserve Wood River IL 62095 Landholding Agency: GSA...

  9. 76 FR 62434 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2011-10-07

    ...; lead-base paint is present in bldgs. Suitable/Available Properties Land New Mexico FAA RML Facility...-- offices/classrooms/storage, subject to existing easements Maryland Appraisers Store Baltimore MD 21202...-D-OH-842 Comments: 29, 212, and 6,097 sq. ft.; most recent use: office, storage, classroom,...

  10. 78 FR 29147 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2013-05-17

    ... Status: Excess Comments: off-site removal only; 13,493 sf.; dining facility; deteriorating; asbestos... & no alternative method to gain access w/out compromising nat'l security Reasons: Secured Area... Status: Unutilized Comments: public access denied & no alternative method to gain access...

  11. 76 FR 80378 - Federal Property Suitable as Facilities To Assist the Homeless

    Science.gov (United States)

    2011-12-23

    ... Streets NW., Washington, DC 20405; (202) 501-0084; Interior: Mr. Michael Wright, Acquisition & Property...-0523-3-AF Comments: Off-site removal only; 567 sq. ft.; structure type: Log Frame; recent use: vehicle... Facility Mississippi James O. Eastland 245 East Capitol St. Jackson MS 39201-2409 Landholding Agency:...

  12. FUTURE ESTIMATION OF CONVENIENCE LIVING FACILITIES WITHDRAWAL DUE TO POPULATION DECLINE ALL OVER JAPAN FROM 2010 TO 2040 - FOCUS ON SUPERMARKETS, CONVENIENCE STORES AND DRUGSTORES

    OpenAIRE

    NISHIMOTO, Yuka; Akiyama, Yuki; Shibasaki, Ryosuke

    2016-01-01

    Population explosion is considered to be one of the most crucial problems in the world. However, in Japan, the opposite problem: population decline has become serious now. Japanese population is estimated to decrease by twenty millions in 2040. This negative situation will cause to increase areas where many residents cannot make a daily living all over Japan because many convenience living facilities such as supermarkets, convenience stores and drugstores will be difficult to maintai...

  13. Complex uniportal video-assisted thoracoscopic sleeve lobectomy during live surgery broadcasting.

    Science.gov (United States)

    Yang, Yang; Guerrero, William Guido; Algitmi, Iskander; Gonzalez-Rivas, Diego

    2016-06-01

    The uniportal approach for major pulmonary resections began in 2010 with the first case being performed by González-Rivas and colleagues in La Coruña. Since then a number of teams around the world had being performing hundreds of cases, applying it to more advance and complex cases recently. The technique has been reported to be feasible and reliable with similar results to that obtained in early stage lung cancer lobectomies. The case presented in this article is an example of an extreme condition: very obese patient, strong adhesions, fused lower lobe to the diaphragm and enlarged inflammatory adenopathies that made the procedure very technically challenging. In addition, the surgery was performed during a live surgery event and it was broadcasted to an auditorium. However, the case was successfully completed through a uniportal VATS approach with no complications.

  14. Physician-Assisted Suicide and Euthanasia: Can You Even Imagine Teaching Medical Students How to End Their Patients' Lives?

    Science.gov (United States)

    Boudreau, J Donald

    2011-01-01

    The peer-reviewed literature includes numerous well-informed opinions on the topics of euthanasia and physician-assisted suicide. However, there is a paucity of commentary on the interface of these issues with medical education. This is surprising, given the universal assumption that in the event of the legalization of euthanasia, the individuals on whom society expects to confer the primary responsibility for carrying out these acts are members of the medical profession. Medical students and residents would inevitably and necessarily be implicated. It is my perspective that everyone in the profession, including those charged with educating future generations of physicians, has a critical interest in participating in this ongoing debate. I explore potential implications for medical education of a widespread sanctioning of physician-inflicted and physician-assisted death. My analysis, which uses a consequential-basis approach, leads me to conclude that euthanasia, when understood to include physician aid in hastening death, is incommensurate with humanism and the practice of medicine that considers healing as its overriding mandate. I ask readers to imagine the consequences of being required to teach students how to end their patients' lives and urge medical educators to remain cognizant of their responsibility in upholding long-entrenched and foundational professional values. PMID:22319424

  15. What matters to older people with assisted living needs? A phenomenological analysis of the use and non-use of telehealth and telecare.

    Science.gov (United States)

    Greenhalgh, Trisha; Wherton, Joe; Sugarhood, Paul; Hinder, Sue; Procter, Rob; Stones, Rob

    2013-09-01

    Telehealth and telecare research has been dominated by efficacy trials. The field lacks a sophisticated theorisation of [a] what matters to older people with assisted living needs; [b] how illness affects people's capacity to use technologies; and [c] the materiality of assistive technologies. We sought to develop a phenomenologically and socio-materially informed theoretical model of assistive technology use. Forty people aged 60-98 (recruited via NHS, social care and third sector) were visited at home several times in 2011-13. Using ethnographic methods, we built a detailed picture of participants' lives, illness experiences and use (or non-use) of technologies. Data were analysed phenomenologically, drawing on the work of Heidegger, and contextualised using a structuration approach with reference to Bourdieu's notions of habitus and field. We found that participants' needs were diverse and unique. Each had multiple, mutually reinforcing impairments (e.g. tremor and visual loss and stiff hands) that were steadily worsening, culturally framed and bound up with the prospect of decline and death. They managed these conditions subjectively and experientially, appropriating or adapting technologies so as to enhance their capacity to sense and act on their world. Installed assistive technologies met few participants' needs; some devices had been abandoned and a few deliberately disabled. Successful technology arrangements were often characterised by 'bricolage' (pragmatic customisation, combining new with legacy devices) by the participant or someone who knew and cared about them. With few exceptions, the current generation of so-called 'assisted living technologies' does not assist people to live with illness. To overcome this irony, technology providers need to move beyond the goal of representing technology users informationally (e.g. as biometric data) to providing flexible components from which individuals and their carers can 'think with things' to improve the

  16. A facile and green microwave-assisted synthesis of new functionalized picolinium-based ionic liquids

    OpenAIRE

    Mouslim Messali

    2016-01-01

    A facile preparation of a series of 17 new functionalized picolinium-based ionic liquids under “green chemistry” conditions is described. For the first time, target ionic liquids were prepared using standard methodology and under microwave irradiation in short duration of time with quantitative yields. Their structures were characterized by FT-IR, 1H NMR, 13C NMR, 11B, 19F, 31P and mass spectra.

  17. Maternal and Live-birth Outcomes of Pregnancies following Assisted Reproductive Technology: A Retrospective Cohort Study

    Science.gov (United States)

    Zhu, Linling; Zhang, Yu; Liu, Yifeng; Zhang, Runjv; Wu, Yiqing; Huang, Yun; Liu, Feng; Li, Meigen; Sun, Saijun; Xing, Lanfeng; Zhu, Yimin; Chen, Yiyi; Xu, Li; Zhou, Liangbi; Huang, Hefeng; Zhang, Dan

    2016-01-01

    This study was carried out to explore associations between assisted reproductive technology (ART) and maternal and neonatal outcomes compared with similar outcomes following spontaneously conceived births. We conducted a retrospective cohort study of pregnancies conceived by ART (N = 2641) during 2006–2014 compared to naturally conceived pregnancies (N = 5282) after matching for maternal age and birth year. Pregnancy complications, perinatal complications and neonatal outcomes of enrolled subjects were investigated and analysed by multivariate logistic regression. We found that pregnancies conceived by in vitro fertilization (IVF) were associated with a significantly increased incidence of gestational diabetes mellitus, gestational hypertension, preeclampsia, intrahepatic cholestasis of pregnancy, placenta previa, placental abruption, preterm premature rupture of membranes, placental adherence, postpartum haemorrhage, polyhydramnios, preterm labour, low birth weight, and small-for-date infant compared with spontaneously conceived births. Pregnancies conceived by intracytoplasmic sperm injection (ICSI) showed similar elevated complications, except some of the difference narrowed or disappeared. Singleton pregnancies or nulliparous pregnancies following ART still exhibited increased maternal and neonatal complications. Therefore, we conclude that pregnancies conceived following ART are at increased risks of antenatal complications, perinatal complications and poor neonatal outcomes, which may result from not only a higher incidence of multiple pregnancy, but also the manipulation involved in ART processes. PMID:27762324

  18. A facile and green ultrasonic-assisted synthesis of BSA conjugated silver nanoparticles.

    Science.gov (United States)

    Gautam, Saurabh; Dubey, Priyanka; Gupta, Munishwar N

    2013-02-01

    The formation and growth of hybrid nanoparticles of a protein BSA and silver by ultrasonic assistance were tracked by surface plasmon resonance signal of silver nanoparticles and light scattering. The hybrid nanoparticles were characterized by surface plasmon resonance spectra, light scattering, TEM, circular dichroism spectroscopy and zeta potential. Size along with the spherical shape of the nanoparticles could be controlled and nanoparticles with diameters ranging from 8 to 140 nm could be obtained, depending upon the ultrasonication time (15-30 min) and molar ratio of AgNO(3)/BSA (20-200). The role of single free thiol group in the reduction of silver ions was also investigated by using DTNB modified BSA and protein conjugated silver nanoparticles were formed even with thiol modified BSA. The growth and size of the nanoparticles were governed by ultrasonic assisted Ostwald ripening. BSA conjugated with silver nanoparticles showed changes in the secondary structure with an increase in the beta sheet structure to 33% as compared to 7% in native BSA as determined by CD spectra. Zeta potential measurements in the pH range of 2.0-12.0 demonstrated that the surface charges of the BSA conjugated silver nanoparticles were similar to that of native BSA suggesting that surface charges and overall three dimensional structure of BSA did not change much. This approach provides a strategy for completely green synthesis of hybrid nanoparticles consisting of a biological entity and an inorganic material. This is the first application of ultrasonic assistance in formation of such hybrid nanomaterials in aqueous media.

  19. Way-Finding Assistance System for Underground Facilities Using Augmented Reality

    Science.gov (United States)

    Yokoi, K.; Yabuki, N.; Fukuda, T.; Michikawa, T.; Motamedi, A.

    2015-05-01

    Way-finding is one of main challenges for pedestrians in large subterranean spaces with complex network of connected labyrinths. This problem is caused by the loss of their sense of directions and orientation due to the lack of landmarks that are occluded by ceilings, walls, and skyscraper. This paper introduces an assistance system for way-finding problem in large subterranean spaces using Augmented Reality (AR). It suggests displaying known landmarks that are invisible in indoor environments on tablet/handheld devices to assist users with relative positioning and indoor way-finding. The location and orientation of the users can be estimated by the indoor positioning systems and sensors available in the common tablet or smartphones devices. The constructed 3D model of a chosen landmark that is in the field of view of the handheld's camera is augmented on the camera's video feed. A prototype system has been implemented to demonstrate the efficiency of the proposed system for way-finding.

  20. Facile Hydrothermal Synthesis of Monodispersed MoS2 Ultrathin Nanosheets Assisted by Ionic Liquid Brij56

    Directory of Open Access Journals (Sweden)

    Guan-Qun Han

    2015-01-01

    Full Text Available Monodispersed MoS2 ultrathin nanosheets have been successfully fabricated by a facile hydrothermal process assisted by ionic liquid Brij56. The effect of Brij56 on the morphology and structure of MoS2 has been obviously observed. XRD shows that the as-prepared MoS2 assisted by Brij56 has the weak and broad peak of (002 planes, which implies the small size and well dispersed structure of MoS2 nanosheets. TEM and SEM images reveal that MoS2 ultrathin nanosheets have small size and few stacking layers with the adding of Brij56. HRTEM images prove that MoS2 appears to have a highly monodispersed morphology and to be monolayer ultrathin nanosheets with the length about 5–8 nm, which can provide more exposed rims and edges as active sites for hydrogen evolution reaction. Brij56 has played a crucial role in preparing monodispersed MoS2 ultrathin nanosheets as excellent electrocatalysts. The growth mechanism of monodispersed MoS2 has been discussed in detail.

  1. Attitudes towards and Limitations to ICT Use in Assisted and Independent Living Communities: Findings from a Specially-Designed Technological Intervention

    Science.gov (United States)

    Berkowsky, Ronald W.; Cotton, Shelia R.; Yost, Elizabeth A.; Winstead, Vicki P.

    2013-01-01

    Much literature has been devoted to theoretical explanations of the learning processes of older adults and to the methods of teaching best utilized in older populations. However, there has been less focus on the education of older adults who reside in assisted and independent living communities (AICs), especially with regards to information and…

  2. A facile microwave-assisted synthesis of 8,9-cycloalkathieno[3,2-] [1,2,4]triazolo[1,5-]pyrimidin-5(6)-ones

    Indian Academy of Sciences (India)

    Rajwinder Kaur; D Pran Kishore; B Lakshmi Narayana; K Venkat Rao; C Balakumar; V Rajkumar; A Raghuram Rao

    2011-01-01

    A new series of fused thieno[3,2-][1,2,4]triazolo[1,5-]pyrimidinones was synthesized by condensation of ethyl-3-cyano-4,5,6,7-tetrahydrobenzo[]thiophene-2-yl carbamate with aryl acid hydrazides in quantitative yields using a facile, one-pot procedure under microwave-assisted conditions.

  3. Facile microwave-assisted synthesis of titanium dioxide decorated graphene nanocomposite for photodegradation of organic dyes

    Directory of Open Access Journals (Sweden)

    Shunmugiah Gayathri

    2015-12-01

    Full Text Available An efficient and facile method was adopted to prepare TiO2-graphene (TG nanocomposites with TiO2 nanoparticles uniformly distributed on graphene. By adjusting the amount of TiO2 precursor, both high and low dense TiO2 nanoparticles on graphene were effectively attained via electrostatic attraction between graphene oxide sheets and TiO2 nanoparticles. The prepared nanocomposites were characterized by various characterization techniques. The TG nanocomposite showed an excellent activity for the photodegradation of the organic dyes such as methylene blue (MB and rose bengal (RB under ultra violet (UV light irradiation. The TG nanocomposite of TG 2.5 showed better photocatalytic performance than bare TiO2 nanoparticles and other composites. The enhanced activity of the composite material is attributed to the reduction in charge recombination and interaction of organic dyes with graphene. The decrease in charge recombination was evidenced from the photoluminescence (PL spectra. The observed results suggest that the synthesized TG composites have a potential application to treat the industrial effluents, which contain organic dyes.

  4. Facile microwave-assisted synthesis of titanium dioxide decorated graphene nanocomposite for photodegradation of organic dyes

    Science.gov (United States)

    Gayathri, Shunmugiah; Kottaisamy, Muniasamy; Ramakrishnan, Veerabahu

    2015-12-01

    An efficient and facile method was adopted to prepare TiO2-graphene (TG) nanocomposites with TiO2 nanoparticles uniformly distributed on graphene. By adjusting the amount of TiO2 precursor, both high and low dense TiO2 nanoparticles on graphene were effectively attained via electrostatic attraction between graphene oxide sheets and TiO2 nanoparticles. The prepared nanocomposites were characterized by various characterization techniques. The TG nanocomposite showed an excellent activity for the photodegradation of the organic dyes such as methylene blue (MB) and rose bengal (RB) under ultra violet (UV) light irradiation. The TG nanocomposite of TG 2.5 showed better photocatalytic performance than bare TiO2 nanoparticles and other composites. The enhanced activity of the composite material is attributed to the reduction in charge recombination and interaction of organic dyes with graphene. The decrease in charge recombination was evidenced from the photoluminescence (PL) spectra. The observed results suggest that the synthesized TG composites have a potential application to treat the industrial effluents, which contain organic dyes.

  5. Facile microwave-assisted synthesis of titanium dioxide decorated graphene nanocomposite for photodegradation of organic dyes

    Energy Technology Data Exchange (ETDEWEB)

    Gayathri, Shunmugiah [Department of Laser Studies, School of Physics, Madurai Kamaraj University, Madurai-625021, Tamilnadu (India); Kottaisamy, Muniasamy [Department of Chemistry, Thiagarajar College of Engineering, Madurai-625015, Tamilnadu (India); Ramakrishnan, Veerabahu, E-mail: vr.optics1@gmail.com [Department of Laser Studies, School of Physics, Madurai Kamaraj University, Madurai-625021, Tamilnadu (India); Indian Institute of Science Education and Research Thiruvananthapuram, Thiruvananthapuram-695016, Kerala (India)

    2015-12-15

    An efficient and facile method was adopted to prepare TiO{sub 2}-graphene (TG) nanocomposites with TiO{sub 2} nanoparticles uniformly distributed on graphene. By adjusting the amount of TiO{sub 2} precursor, both high and low dense TiO{sub 2} nanoparticles on graphene were effectively attained via electrostatic attraction between graphene oxide sheets and TiO{sub 2} nanoparticles. The prepared nanocomposites were characterized by various characterization techniques. The TG nanocomposite showed an excellent activity for the photodegradation of the organic dyes such as methylene blue (MB) and rose bengal (RB) under ultra violet (UV) light irradiation. The TG nanocomposite of TG 2.5 showed better photocatalytic performance than bare TiO{sub 2} nanoparticles and other composites. The enhanced activity of the composite material is attributed to the reduction in charge recombination and interaction of organic dyes with graphene. The decrease in charge recombination was evidenced from the photoluminescence (PL) spectra. The observed results suggest that the synthesized TG composites have a potential application to treat the industrial effluents, which contain organic dyes.

  6. Ergonomics and design for sustainability in healthcare: ambient assisted living and the social-environmental impact of patients lifestyle.

    Science.gov (United States)

    Andreoni, Giuseppe; Arslan, Pelin; Costa, Fiammetta; Muschiato, Sabrina; Romero, Maximiliano

    2012-01-01

    This work presents considerations on Ergonomics and Design for Sustainability in the healthcare field based on research experiences of the Technology and Design for Healthcare (TeDH) research group of INDACO (Industrial design, communication, arts and fashion) department of Politecnico di Milano. In order to develop a multidisciplinary approach to design able to answer to specific user needs such as elderly in an environmental sustainable way (1) this paper shows the results we achieved concerning ergonomics and environmental impact in product development (2), the extension of this approach to interior and home design and the advantage of the application of Information Communication Technologies (ICT). ICT can help people with special needs to make their everyday life easier and more safe, at the same time, ICT can make social-environmental impact of everyday behavior evident and can be applied to manage sustainability. The specific theme is thus to integrate ergonomics and sustainability competences in the development of Ambient Assisted Living through a Product- Service System approach. The concept of product service system has the potential to improve product performances and services, establish new relations and networks with different actors in order to satisfy user needs and apply a systems approach considering environmental, social and economic factors in the users' environment.

  7. Toward the Facile and Ecofriendly Fabrication of Quantum Dot-Sensitized Solar Cells via Thiol Coadsorbent Assistance.

    Science.gov (United States)

    Chang, Jia-Yaw; Li, Chen-Hei; Chiang, Ya-Han; Chen, Chia-Hung; Li, Pei-Ni

    2016-07-27

    This paper reports a facile and environmentally friendly approach to the preparation of highly efficient quantum dot-sensitized solar cells (QDSSCs) based on a combination of aqueous CuInS2 quantum dots (QDs) and thiol coadsorbents. The photovoltaic properties of the QDSSCs were found to be dependent on the type and concentration of the thiol coadsorbent. The incorporation of thiol coadsorbents results in improved JSC and VOC because (1) they provide disulfide reductants during the QD sensitization process and (2) the coadsorbent molecules are anchored on the TiO2 surface, thus affecting the movement of the conduction band of TiO2. To the best of the our knowledge, this is the first demonstrated use of various thiol coadsorbents as reducing agents in the fabrication of high-efficiency QDSSCs. CuInS2 QDSSCs fabricated with the assistance of thioglycolic acid coadsorbents exhibited efficiencies as high as 5.90%, which is 20 times higher than that of the control device without thiol coadsorbents (0.29%). In addition, the photovoltaic properties of a device fabricated using the colloidal CuInS2 QDs coated with different bifunctional linkers were investigated for comparison. The versatility of this facile fabrication process was demonstrated in the preparation of solar cells sensitized with aqueous AgInS2 or CdSeTe QDs. The AgInS2 QDSSC showed a conversion efficiency of 2.72%, which is the highest reported for Ag-based metal sulfides QDSSCs thus far.

  8. Cross-sectional relationship between physical fitness components and functional performance in older persons living in long-term care facilities

    Directory of Open Access Journals (Sweden)

    van Mechelen Willem

    2006-02-01

    Full Text Available Abstract Background The age-related deterioration of physiological capacities such as muscle strength and balance is associated with increased dependence. Understanding the contribution of physical fitness components to functional performance facilitates the development of adequate exercise interventions aiming at preservation of function and independence of older people. The aim of the study was to investigate the relationship between physical fitness components and functional performance in older people living in long-term care facilities. Methods Design cross-sectional study Subjects 226 persons living in long-term care facilities (mean age: 81.6 ± 5.6. Outcome measures Physical fitness and functional performance were measured by performance-based tests. Results Knee and elbow extension strength were significantly higher in men (difference = 44.5 and 50.0 N, respectively, whereas women were more flexible (difference sit & reach test = 7.2 cm. Functional performance was not significantly different between the genders. In men, motor coordination (eye-hand coordination and measures of strength were the main contributors to functional performance, whereas in women flexibility (sit and reach test and motor coordination (tandem stance and eye-hand coordination played a major role. Conclusion The results of this study show that besides muscle strength, fitness components such as coordination and flexibility are associated with functional performance of older people living in long-term care facilities. This suggests that men and women living in long-term care facilities, differ considerably concerning the fitness factors contributing to functional performance. Women and men may, therefore, need exercise programs emphasizing different fitness aspects in order to improve functional performance.

  9. A mobile Virtual Butler to bridge the gap between users and ambient assisted living: a Smart Home case study.

    Science.gov (United States)

    Costa, Nuno; Domingues, Patricio; Fdez-Riverola, Florentino; Pereira, António

    2014-08-06

    Ambient Intelligence promises to transform current spaces into electronic environments that are responsive, assistive and sensitive to human presence. Those electronic environments will be fully populated with dozens, hundreds or even thousands of connected devices that share information and thus become intelligent. That massive wave of electronic devices will also invade everyday objects, turning them into smart entities, keeping their native features and characteristics while seamlessly promoting them to a new class of thinking and reasoning everyday objects. Although there are strong expectations that most of the users' needs can be fulfilled without their intervention, there are still situations where interaction is required. This paper presents work being done in the field of human-computer interaction, focusing on smart home environments, while being a part of a larger project called Aging Inside a Smart Home. This initiative arose as a way to deal with a large scourge of our country, where lots of elderly persons live alone in their homes, often with limited or no physical mobility. The project relies on the mobile agent computing paradigm in order to create a Virtual Butler that provides the interface between the elderly and the smart home infrastructure. The Virtual Butler is receptive to user questions, answering them according to the context and knowledge of the AISH. It is also capable of interacting with the user whenever it senses that something has gone wrong, notifying next of kin and/or medical services, etc. The Virtual Butler is aware of the user location and moves to the computing device which is closest to the user, in order to be always present. Its avatar can also run in handheld devices keeping its main functionality in order to track user when s/he goes out. According to the evaluation carried out, the Virtual Butler is assessed as a very interesting and loved digital friend, filling the gap between the user and the smart home. The

  10. A Mobile Virtual Butler to Bridge the Gap between Users and Ambient Assisted Living: A Smart Home Case Study

    Directory of Open Access Journals (Sweden)

    Nuno Costa

    2014-08-01

    Full Text Available Ambient Intelligence promises to transform current spaces into electronic environments that are responsive, assistive and sensitive to human presence. Those electronic environments will be fully populated with dozens, hundreds or even thousands of connected devices that share information and thus become intelligent. That massive wave of electronic devices will also invade everyday objects, turning them into smart entities, keeping their native features and characteristics while seamlessly promoting them to a new class of thinking and reasoning everyday objects. Although there are strong expectations that most of the users’ needs can be fulfilled without their intervention, there are still situations where interaction is required. This paper presents work being done in the field of human-computer interaction, focusing on smart home environments, while being a part of a larger project called Aging Inside a Smart Home. This initiative arose as a way to deal with a large scourge of our country, where lots of elderly persons live alone in their homes, often with limited or no physical mobility. The project relies on the mobile agent computing paradigm in order to create a Virtual Butler that provides the interface between the elderly and the smart home infrastructure. The Virtual Butler is receptive to user questions, answering them according to the context and knowledge of the AISH. It is also capable of interacting with the user whenever it senses that something has gone wrong, notifying next of kin and/or medical services, etc. The Virtual Butler is aware of the user location and moves to the computing device which is closest to the user, in order to be always present. Its avatar can also run in handheld devices keeping its main functionality in order to track user when s/he goes out. According to the evaluation carried out, the Virtual Butler is assessed as a very interesting and loved digital friend, filling the gap between the user and the

  11. Contributing influences of work environment on sleep quantity and quality of nursing assistants in long-term care facilities: A cross-sectional study.

    Science.gov (United States)

    Zhang, Yuan; Punnett, Laura; McEnany, Geoffry Phillips; Gore, Rebecca

    2016-01-01

    The effect of shift work on nurses' sleep is well-studied, but there are other challenging aspects of health care work that might also affect the sleep of direct caregivers. This study examined the influence of the long-term care work environment on sleep quantity and quality of nursing assistants. A cross-sectional survey collected data from 650 nursing assistants in 15 long-term care facilities; 46% reported short sleep duration and 23% reported poor sleep quality. A simple additive index of the number of beneficial work features (up to 7) was constructed for analysis with Poisson regression. With each unit increase of beneficial work features, nursing assistants were 7% less likely to report short sleep duration and 17% less likely to report poor sleep quality. These results suggest that effective workplace interventions should address a variety of work stressors, not only work schedule arrangements, in order to improve nursing assistants' sleep health.

  12. Facile "living" radical polymerization of methyl methacrylate in the presence of iniferter agents: homogeneous and highly efficient catalysis from copper(II) acetate.

    Science.gov (United States)

    Jiang, Hongjuan; Zhang, Lifen; Jiang, Xiaowu; Bao, Xiaoguang; Cheng, Zhenping; Zhu, Xiulin

    2014-08-01

    A facile homogeneous polymerization system involving the iniferter agent 1-cyano-1-methylethyl diethyldithiocarbamate (MANDC) and copper(II) acetate (Cu(OAc)2 ) is successfully developed in bulk using methyl methacylate (MMA) as a model monomer. The detailed polymerization kinetics with different molar ratios (e.g., [MMA]0 /[MANDC]0 /[Cu(OAc)2 ]0 = 500/1/x (x = 0.1, 0.2, 0.5, 1.0)) demonstrate that this system has the typical "living"/controlled features of "living" radical polymerization, even with ppm level catalyst Cu(OAc)2 , first order polymerization kinetics, a linear increase in molecular weight with monomer conversion and narrow molecular weight distributions for the resultant PMMA. (1) H NMR spectra and chain-extension experiments further confirm the "living" characteristics of this process. A plausible mechanism is discussed.

  13. An Unexpected Green and Facile Synthesis of 2,6-Diaryl-4-styrylpyridines via Multi-component Reactions in Microwave-assisted Solvent-free Conditions

    Institute of Scientific and Technical Information of China (English)

    SHI Feng; ZHANG Ge; ZHOU Dianxiang; MA Ning; ZHANG Yajie; CHEN Rongshun; TU Shujiang

    2009-01-01

    An unexpected green and facile synthesis of 2,6-diaryl-4-styryipyridines was realized via microwave-assisted multi-component reactions of 3-arylacrylaldehyde oximes,l-arylethanones and ammonium acetate in solvent-free conditions.This protocol has the prominent advantages of environmental-friendliness,short reaction time,high yields,low cost,easy operation as well as broad scope of applicability.

  14. Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities

    Directory of Open Access Journals (Sweden)

    Horikawa A

    2014-10-01

    Full Text Available Akira Horikawa,1 Naohisa Miyakoshi,2 Yoichi Shimada,2 Hiroyuki Kodama1 1South Akita Orthopedic Clinic, Katagami, 2Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan Abstract: With the population and proportion of the elderly increasing each year, ­difficulties with postoperative treatment outcomes after osteoporotic hip fracture are increasing. This study focused on activities of daily living (ADL in patients who underwent surgery for hip fracture through an investigation of living arrangements, the presence of dementia, and other complications of aging. Information from 99 patients who lived either at home or in geriatric health service facilities was collected for this trial. Most patients were over 65 years of age and female, and about half of them had dementia. The postoperative ADL score (focusing on patients’ walking ability was significant for those living at home than for those living in facilities. In addition, patients with dementia were divided into the following two categories: an early-rising group, comprising patients who were able to use a wheelchair within 48 hours of their operation; and a late-rising group, who did not start using a wheelchair until more than 48 hours after surgery. The ADL scores for the two groups were compared. Although the preoperative ADL scores were not significantly different between the two groups, postoperative ADL scores were significantly higher in the early-rising group than in the late-rising group, especially in patients who had undergone hemiarthroplasty. These data suggest that ADL in dementia patients following hip fracture depends on the surgical procedure performed and whether they are late or early risers after surgery. Keywords: delirium, dementia, rehabilitation, elderly

  15. Efficacy of an Exercise and Nutritional Supplement Program on Physical Performance and Nutritional Status in Older Adults With Mobility Limitations Residing at Senior Living Facilities.

    Science.gov (United States)

    Corcoran, Michael P; Nelson, Miriam E; Sacheck, Jennifer M; Reid, Kieran F; Kirn, Dylan; Fielding, Roger A; Chui, Kenneth K H; Folta, Sara C

    2017-01-17

    This cluster-randomized trial was designed to determine the efficacy of a 6-month exercise-nutritional supplement program (ENP) on physical function and nutritional status for older adults and the feasibility of implementing this program in a senior living setting. Twenty senior living facilities were randomized to either a three day per week group-based ENP led by a trained facility staff member or a health education program (SAP). Participants (N=121) completed a short physical performance battery, 400 meter walk, handgrip strength test, and mini-nutrition assessment. 25-hydroxyvitamin D [25(OH)D], Insulin-like growth-factor 1 (IGF-1) and activity level were also measured. The ENP did not significantly improve physical function or nutritional status compared with the SAP. Compared with baseline, participants in the ENP engaged in 39 minutes less physical activity per week at 6-months. Several facility characteristics hindered implementation of the ENP. This study highlights the complexity of implementing an evidence-based program in a field setting.

  16. Facile microwave-assisted aqueous synthesis of CdS nanocrystals with their photocatalytic activities under visible lighting

    Energy Technology Data Exchange (ETDEWEB)

    Deng, Chonghai, E-mail: chdeng@mail.ustc.edu.cn [Hefei National Laboratory for Physical Sciences at Microscale, University of Science and Technology of China, Hefei 230026 (China); Department of Chemical and Materials Engineering, Hefei University, Hefei 230022 (China); Tian, Xiaobo [Hefei National Laboratory for Physical Sciences at Microscale, University of Science and Technology of China, Hefei 230026 (China)

    2013-10-15

    Graphical abstract: - Highlights: • Three kinds of CdS nanostructures have been controllably synthesized. • Ethanediamine acts as a phase and morphology controlling reagent. • Three CdS nanostructures display high visible light photocatalytic activities. • Cubic CdS-3 shows superior photocatalytic activity to the other hexagonal CdS. • The growth processes for fabrication of CdS nanocrystals are also discussed. - Abstract: Three kinds of CdS nanostructures, that is, hexagonal nanospheres (CdS-1), hierarchical caterpillar-fungus-like hexagonal nanorods (CdS-2) and hierarchical cubic microspheres (CdS-3), were controllably synthesized by a facile and one-pot microwave-assisted aqueous chemical method using ethanediamine as a phase and morphology controlling reagent. The as-prepared products were characterized by X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM), transmission electron microscopy (TEM), UV–vis diffuse reflectance spectra (DRS) and photoluminescence (PL) spectra. The results show that CdS-1 is mainly composed of monodispersed hexagonal nanospheres with average diameters of about 100 nm; hexagonal CdS-2 has lengths in the range of 600–800 nm and diameters of 40–60 nm, assembled by nanoparticles about 20 nm in diameter; and CdS-3 is pure cubic microspheres with diameters in the range of 0.8–1.3 μm, aggregated by tiny nanograins with size of 5.8 nm. The band gap energies of CdS products were calculated to be 2.30, 2.31 and 2.24 eV observed from UV–vis DRS for CdS-1, CdS-2 and CdS-3, respectively. PL spectra of CdS samples showed that sphalerite CdS-3 possesses a very weak fluorescence, while wurtzite CdS-2 has a strongest green near-band edge emission (NBE) at 550 nm. The visible light photodegradation of methylene blue and rhodamine B in the presence of CdS photocatalysts illustrates that all of them display high photocatalytic activities. Significantly, the cubic CdS-3 exhibits more excellent photocatalytic

  17. Urinary Concentrations of Bisphenols and Their Association with Biomarkers of Oxidative Stress in People Living Near E-Waste Recycling Facilities in China.

    Science.gov (United States)

    Zhang, Tao; Xue, Jingchuan; Gao, Chuan-zi; Qiu, Rong-liang; Li, Yan-xi; Li, Xiao; Huang, Ming-zhi; Kannan, Kurunthachalam

    2016-04-05

    In this study, concentrations of bisphenol A (BPA) and seven other bisphenols (BPs) were measured in urine samples collected from people living in and around e-waste dismantling facilities, and in matched reference population from rural and urban areas in China. BPA, bisphenol S (BPS), and bisphenol F (BPF) were frequently detected (detection frequencies: > 90%) in urine samples collected from individuals who live near e-waste facilities, with geometric mean (GM) concentrations of 2.99 (or 3.75), 0.361 (or 0.469), and 0.349 (or 0.435) ng/mL (or μg/g Cre), respectively; the other five BPs were rarely found in urine samples, regardless of the sampling location. The urinary concentrations of BPA and BPF, but not BPS, were significantly higher in individuals from e-waste recycling locations than did individuals from a rural reference location. Our findings indicated that e-waste dismantling activities contribute to human exposure to BPA and BPF. 8-Hydroxy-2'-deoxyguanosine (8-OHdG) was measured in urine as a marker of oxidative stress. In the e-waste dismantling location, urinary 8-OHdG was significantly and positively correlated (p < 0.001) with urinary BPA and BPS, but not BPF; a similar correlation was also observed in reference sites. These findings suggest that BPA and BPS exposures are associated with elevated oxidative stress.

  18. Hepatitis A among refugees, asylum seekers and migrants living in hosting facilities, Greece, April to December 2016.

    Science.gov (United States)

    Mellou, Kassiani; Chrisostomou, Anthi; Sideroglou, Theologia; Georgakopoulou, Theano; Kyritsi, Maria; Hadjichristodoulou, Christos; Tsiodras, Sotirios

    2017-01-26

    An increased number of hepatitis A cases among refugees, asylum seekers and migrants residing in hosting facilities in Greece were recorded between April and December 2016. In total, 177 laboratory-confirmed symptomatic cases were reported; of these, 149 (84%) occurred in hosting camps mostly among Syrian children under 15 years. All cases reported symptom onset after their entry into the country. Public health interventions focused on hygiene measures and vaccination.

  19. Current experiences and educational preferences of general practitioners and staff caring for people with dementia living in residential facilities

    Directory of Open Access Journals (Sweden)

    Scherer Samuel

    2009-08-01

    Full Text Available Abstract Background Residential care is important for older adults, particularly for those with advanced dementia and their families. Education interventions that achieve sustainable improvement in the care of older adults are critical to quality care. There are few systematic data available regarding the educational needs of Residential Care Facility (RCF staff and General Practitioners (GPs relating to dementia, or the sustainability of educational interventions. We sought to determine participation in dementia education, perceived levels of current knowledge regarding dementia, perceived unmet educational needs, current barriers, facilitators and preferences for dementia education. Methods A mixed methods study design was utilised. A survey was distributed to a convenience sample of general practitioners, and staff in 223 consecutive residential care facilities in Perth, Western Australia. Responses were received from 102 RCF staff working in 10 facilities (out of 33 facilities who agreed to distribute the survey and 202 GPs (19% of metropolitan GPs. Quantitative survey data were summarised descriptively and chi squared statistics were used to analyse the distribution of categorical variables. Qualitative data were collected from general practitioners, staff in residential care facilities and family carers of people with dementia utilizing individual interviews, surveys and focus groups. Qualitative data were analysed thematically. Results Among RCF staff and GPs attending RCF, participation in dementia education was high, and knowledge levels generally perceived as good. The individual experiences and needs of people with dementia and their families were emphasised. Participants identified the need for a person centred philosophy to underpin educational interventions. Limited time was a frequently mentioned barrier, especially in relation to attending dementia care education. Perceived educational needs relating to behaviours of concern

  20. Health risks for the population living in the vicinity of an Integrated Waste Management Facility: Screening environmental pollutants

    Energy Technology Data Exchange (ETDEWEB)

    Domingo, José L., E-mail: joseluis.domingo@urv.cat [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Rovira, Joaquim [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Departament d' Enginyeria Quimica, Universitat Rovira i Virgili, Av. Països Catalans 26, 43007 Tarragona, Catalonia (Spain); Vilavert, Lolita; Nadal, Martí [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Figueras, María J. [Microbiology Unit, School of Medicine, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Schuhmacher, Marta [Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira i Virgili, Sant Llorenç 21, 43201 Reus, Catalonia (Spain); Departament d' Enginyeria Quimica, Universitat Rovira i Virgili, Av. Països Catalans 26, 43007 Tarragona, Catalonia (Spain)

    2015-06-15

    We performed a screening investigation to assess the human health risks of the Integrated Waste Management Facility (IWMF: mechanical–biological treatment (MBT) plant plus municipal solid waste incinerator (MSWI); Ecoparc-3) of Barcelona (Spain). Air concentrations of pollutants potentially released by the MBT plant (VOCs and bioaerosols) and the MSWI (trace elements, PCDD/Fs and PCBs) were determined. Trace elements, PCDD/Fs and PCBs were also analyzed in soil samples. The concentrations of trace elements and bioaerosols were similar to those previously reported in other areas of similar characteristics, while formaldehyde was the predominant VOC. Interestingly, PCDD/F concentrations in soil and air were the highest ever reported near a MSWI in Catalonia, being maximum concentrations 10.8 ng WHO-TEQ/kg and 41.3 fg WHO-TEQ/m{sup 3}, respectively. In addition, there has not been any reduction in soils, even after the closure of a power plant located adjacently. Human health risks of PCDD/F exposure in the closest urban nucleus located downwind the MSWI are up to 10-times higher than those nearby other MSWIs in Catalonia. Although results must be considered as very preliminary, they are a serious warning for local authorities. We strongly recommend to conduct additional studies to confirm these findings and, if necessary, to implement measures to urgently mitigate the impact of the MSWI on the surrounding environment. We must also state the tremendous importance of an individual evaluation of MSWIs, rather than generalizing their environmental and health risks. - Highlights: • Health risks of an Integrated Waste Management Facility in Catalonia are assessed. • PCDD/F exposure near this facility is up to 10-times higher than that near others. • Environmental monitoring of incineration plants should be performed case-by-case. • Since results are very preliminary, confirmatory studies should be conducted.

  1. Falls related to accidental deactivation of deep brain stimulators in patients with Parkinson's disease living in long term care facilities.

    Science.gov (United States)

    Tousi, Babak; Wilson, Kathy

    2013-01-01

    This case series highlights three patients with Parkinson's disease residing at nursing home facilities whose deep brain stimulators were accidentally deactivated for varying lengths of time, which was associated with an increase in falls. In all three cases, neither the patients nor the caregivers were aware of the random deactivations/reactivations. We propose a specific care plan for these patients that includes further education of caregivers regarding deep brain stimulators and regular checks of the review device, especially when there is concern about a patient's mobility or balance that is out of character.

  2. Coherence and Decoherence in Biological Systems: Principles of Noise Assisted Transport and the Origin of Long-lived Coherences

    CERN Document Server

    Chin, A W; Plenio, M B

    2012-01-01

    The quantum dynamics of transport networks in the presence of noisy environments have recently received renewed attention with the discovery of long-lived coherences in different photosynthetic complexes. This experimental evidence has raised two fundamental questions: Firstly, what are the mechanisms supporting long-lived coherences and secondly, how can we assess the possible functional role that the interplay of noise and quantum coherence might play in the seemingly optimal operation of biological systems under natural conditions? Here we review recent results, illuminate them at the hand of two paradigmatic systems, the Fenna-Matthew-Olson (FMO) complex and the light harvesting complex LHII, and present new progress on both questions. In particular we introduce the concept of the phonon antennae and discuss the possible microscopic origin or long-lived electronic coherences.

  3. Coherence and decoherence in biological systems: principles of noise-assisted transport and the origin of long-lived coherences.

    Science.gov (United States)

    Chin, A W; Huelga, S F; Plenio, M B

    2012-08-13

    The quantum dynamics of transport networks in the presence of noisy environments has recently received renewed attention with the discovery of long-lived coherences in different photosynthetic complexes. This experimental evidence has raised two fundamental questions: firstly, what are the mechanisms supporting long-lived coherences; and, secondly, how can we assess the possible functional role that the interplay of noise and quantum coherence might play in the seemingly optimal operation of biological systems under natural conditions? Here, we review recent results, illuminate them by means of two paradigmatic systems (the Fenna-Matthew-Olson complex and the light-harvesting complex LHII) and present new progress on both questions.

  4. The low to intermediate activity and short living waste storage facility. For a controlled management of radioactive wastes; Le centre de stockage des dechets de faible et moyenne activite a vie courte. Pour une gestion controlee des dechets radioactifs

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-07-01

    Sited at about 50 km of Troyes (France), the Aube facility started in 1992 and has taken over the Manche facility for the surface storage of low to intermediate and short living radioactive wastes. The Aube facility (named CSFMA) is the answer to the safe management of these wastes at the industrial scale and for 50 years onward. This brochure presents the facility specifications, the wastes stored at the center, the surface storage concept, the processing and conditioning of waste packages, and the environmental monitoring performed in the vicinity of the site. (J.S.)

  5. The influence of female and male body mass index on live births after assisted reproductive technology treatment

    DEFF Research Database (Denmark)

    Petersen, Gitte Lindved; Schmidt, Lone; Pinborg, Anja;

    2013-01-01

    . Analyses were adjusted for age and smoking at treatment initiation and results stratified by BMI groups and presented by IVF/ICSI treatment. RESULT(S): In total, 12,566 women and their partners went through 25,191 IVF/ICSI cycles with 23.7% ending in a live birth. Overweight and obese women with regular...

  6. SHiP: a new facility with a dedicated detector to search for new long-lived neutral particles

    CERN Document Server

    AUTHOR|(SzGeCERN)711794

    2015-01-01

    SHIP is a new fixed target experiment whose Technical Proposal has been recently submitted to the CERN SPS Committee. In its initial phase, the 400 GeV proton beam extracted from the SPS will be dumped on a heavy target with the aim of integrating 2 × 1020 pot in 5 years. A dedicated detector, based on a long empty decay volume followed by a spectrometer and particle identi- fication detectors, will allow probing a variety of models with light long-lived exotic particles and masses below O(10) GeV/c2. The main focus will be the physics of the so-called Hidden Portals, i.e. search for Dark Photons, light scalars and pseudo-scalars, and Heavy Neutrinos. The sensitivity to Heavy Neutrinos will allow for the first time to probe, in the mass range between the kaon and the D meson mass, a coupling range for which Baryogenesis and active neutrino masses could also be explained. Direct detection of light and long-lived SUSY particles, such as RPV neutralinos and pseudo-Dirac gauginos could also be performed in an un...

  7. Assessing the Impact of Food Assistance on Stigma Among People Living with HIV in Uganda Using the HIV/AIDS Stigma Instrument-PLWA (HASI-P).

    Science.gov (United States)

    Maluccio, John A; Wu, Fan; Rokon, Redwan B; Rawat, Rahul; Kadiyala, Suneetha

    2017-03-01

    HIV-related stigma among persons living with HIV/AIDS (PLHIV) is prevalent throughout sub-Saharan Africa. There is limited evidence, however, on which interventions are effective in reducing it. We used data from a prospective impact evaluation of a 12-month food assistance intervention among 904 antiretroviral therapy (ART)- naïve PLHIV in Uganda to examine the program impact on stigma. Stigma was measured using the comprehensive HASI-P scale, which demonstrated good internal consistency (Cronbach's alpha = 0.87) and was correlated with several related constructs including physical and mental health-related quality of life, disclosure, and physical health symptoms in the sample. Using quasi-experimental difference-in-difference matching methods to better infer causality, we tested whether the intervention improved the overall stigma scale and its subscales. The food assistance intervention had a significant effect on reported internalized (but not external) stigma of approximately 0.2 SD (p stigma scale is a useful tool for measuring and tracking stigma. Food assistance interventions, embedded in an HIV care program, can reduce internalized stigma.

  8. Incidence of uterine torsion during veterinary-assisted dystocia and singleton live births after vaginal delivery inHolstein-Friesian cows at pasture

    Institute of Scientific and Technical Information of China (English)

    Faria N; Simes J

    2015-01-01

    Objective:To determine the incidence of uterine torsion and their association with live births after vaginal delivery at pasture.Methods:A total of 119 veterinary-assisted dystocia, occurred in Holstein-Friesian cows, were accessed between September 2012 and February 2013 from Azores islands (Portugal). The general health status of dam, cause of dystocia, obstetric treatment choice, number and viability of fetus were evaluated.Results:The uterine torsion represented 24.4% (29/119) of total assisted dystocia. The general health status was normal or slowly affected, at delivery time, for 96.6% (28/29) of the cows with uterine torsion. Vaginal delivery after rolling cows, cesarean section or euthanasia were performed in 72.4% (21/29), 24.1% (7/29) and 3.5% (1/29) of dams with uterine torsion, respectively. Singletons were observed in 96.6% (28/29) and 86.7% (78/90) of cows with uterine torsion and remaining dystocia, respectively. After vaginal delivery, the occurrence of singleton live births was more probable to occur in cows with uterine torsion (17/21) than the remaining cows (37/70) of control group (odds ratio=3.79; 95% interval of confidence from 1.16 to 12.41;P<0.05).Conclusions:A high frequency of uterine torsion was observed in Holstein-Friesian cows with normal or slowly affected general health status at delivery time at pasture. The singleton live births prevailed and, in general, their occurrence by vaginal delivery after uterus reposition was most likely to occur in cows with uterine torsion than dams presenting other dystocia.

  9. High-resolution imaging of living mammalian cells bound by nanobeads-connected antibodies in a medium using scanning electron-assisted dielectric microscopy

    Science.gov (United States)

    Okada, Tomoko; Ogura, Toshihiko

    2017-01-01

    Nanometre-scale-resolution imaging technologies for liquid-phase specimens are indispensable tools in various scientific fields. In biology, observing untreated living cells in a medium is essential for analysing cellular functions. However, nanoparticles that bind living cells in a medium are hard to detect directly using traditional optical or electron microscopy. Therefore, we previously developed a novel scanning electron-assisted dielectric microscope (SE-ADM) capable of nanoscale observations. This method enables observation of intact cells in aqueous conditions. Here, we use this SE-ADM system to clearly observe antibody-binding nanobeads in liquid-phase. We also report the successful direct detection of streptavidin-conjugated nanobeads binding to untreated cells in a medium via a biotin-conjugated anti-CD44 antibody. Our system is capable of obtaining clear images of cellular organelles and beads on the cells at the same time. The direct observation of living cells with nanoparticles in a medium allowed by our system may contribute the development of carriers for drug delivery systems (DDS). PMID:28230204

  10. High-resolution imaging of living mammalian cells bound by nanobeads-connected antibodies in a medium using scanning electron-assisted dielectric microscopy

    Science.gov (United States)

    Okada, Tomoko; Ogura, Toshihiko

    2017-02-01

    Nanometre-scale-resolution imaging technologies for liquid-phase specimens are indispensable tools in various scientific fields. In biology, observing untreated living cells in a medium is essential for analysing cellular functions. However, nanoparticles that bind living cells in a medium are hard to detect directly using traditional optical or electron microscopy. Therefore, we previously developed a novel scanning electron-assisted dielectric microscope (SE-ADM) capable of nanoscale observations. This method enables observation of intact cells in aqueous conditions. Here, we use this SE-ADM system to clearly observe antibody-binding nanobeads in liquid-phase. We also report the successful direct detection of streptavidin-conjugated nanobeads binding to untreated cells in a medium via a biotin-conjugated anti-CD44 antibody. Our system is capable of obtaining clear images of cellular organelles and beads on the cells at the same time. The direct observation of living cells with nanoparticles in a medium allowed by our system may contribute the development of carriers for drug delivery systems (DDS).

  11. Acceptance of an assistive robot in older adults: a mixed-method study of human–robot interaction over a 1-month period in the Living Lab setting

    Directory of Open Access Journals (Sweden)

    Wu YH

    2014-05-01

    Full Text Available Ya-Huei Wu,1,2 Jérémy Wrobel,1,2 Mélanie Cornuet,1,2 Hélène Kerhervé,1,2 Souad Damnée,1,2 Anne-Sophie Rigaud1,21Hôpital Broca, Assistance Publique – Hôpitaux de Paris, 2Research Team 4468, Faculté de Médecine, Université Paris Descartes, Paris, FranceBackground: There is growing interest in investigating acceptance of robots, which are increasingly being proposed as one form of assistive technology to support older adults, maintain their independence, and enhance their well-being. In the present study, we aimed to observe robot-acceptance in older adults, particularly subsequent to a 1-month direct experience with a robot.Subjects and methods: Six older adults with mild cognitive impairment (MCI and five cognitively intact healthy (CIH older adults were recruited. Participants interacted with an assistive robot in the Living Lab once a week for 4 weeks. After being shown how to use the robot, participants performed tasks to simulate robot use in everyday life. Mixed methods, comprising a robot-acceptance questionnaire, semistructured interviews, usability-performance measures, and a focus group, were used.Results: Both CIH and MCI subjects were able to learn how to use the robot. However, MCI subjects needed more time to perform tasks after a 1-week period of not using the robot. Both groups rated similarly on the robot-acceptance questionnaire. They showed low intention to use the robot, as well as negative attitudes toward and negative images of this device. They did not perceive it as useful in their daily life. However, they found it easy to use, amusing, and not threatening. In addition, social influence was perceived as powerful on robot adoption. Direct experience with the robot did not change the way the participants rated robots in their acceptance questionnaire. We identified several barriers to robot-acceptance, including older adults’ uneasiness with technology, feeling of stigmatization, and ethical

  12. As-prepared MoS2 quantum dot as a facile fluorescent probe for long-term tracing of live cells

    Science.gov (United States)

    Zhou, Kai; Zhang, Yue; Xia, Zhining; Wei, Weili

    2016-07-01

    Recently, the newly emerged two-dimensional nanomaterials, layered transition metal dichalcogenide (e.g. MoS2) nanosheets, have drawn tremendous attentions due to their extraordinary electronic and optical properties, and MoS2 quantum dots (MoS2 QDs) with lateral sizes less than 10 nm have been found to be highly luminescent. In the present study, a facile approach for large-scale preparation of MoS2 QDs by Na intercalation reaction without using any toxic organic reagents is proposed. MoS2 QDs were carefully characterized by various techniques including transmission electron microscopy, atomic force microscopy, dynamic light scattering, spectroscopy, in vitro cytotoxicology, and capillary electrophoresis. The as-prepared MoS2 QDs were strongly fluorescent, highly photo-stable, low in cytotoxicity, and readily reactive to thiols. These inherent properties of MoS2 QDs make them excellent fluorescent probes for long-term live cell tracing. The results of live cells imaging indicated that MoS2 QD stained cells remained highly fluorescent after long-term culture, and could be easily traced from other co-cultured cell lines.

  13. As-prepared MoS2 quantum dot as a facile fluorescent probe for long-term tracing of live cells.

    Science.gov (United States)

    Zhou, Kai; Zhang, Yue; Xia, Zhining; Wei, Weili

    2016-07-01

    Recently, the newly emerged two-dimensional nanomaterials, layered transition metal dichalcogenide (e.g. MoS2) nanosheets, have drawn tremendous attentions due to their extraordinary electronic and optical properties, and MoS2 quantum dots (MoS2 QDs) with lateral sizes less than 10 nm have been found to be highly luminescent. In the present study, a facile approach for large-scale preparation of MoS2 QDs by Na intercalation reaction without using any toxic organic reagents is proposed. MoS2 QDs were carefully characterized by various techniques including transmission electron microscopy, atomic force microscopy, dynamic light scattering, spectroscopy, in vitro cytotoxicology, and capillary electrophoresis. The as-prepared MoS2 QDs were strongly fluorescent, highly photo-stable, low in cytotoxicity, and readily reactive to thiols. These inherent properties of MoS2 QDs make them excellent fluorescent probes for long-term live cell tracing. The results of live cells imaging indicated that MoS2 QD stained cells remained highly fluorescent after long-term culture, and could be easily traced from other co-cultured cell lines.

  14. An HL7-FHIR-based Object Model for a Home-Centered Data Warehouse for Ambient Assisted Living Environments.

    Science.gov (United States)

    Schwartze, Jonas; Jansen, Lars; Schrom, Harald; Wolf, Klaus-Hendrik; Haux, Reinhold; Marschollek, Michael

    2015-01-01

    Current AAL environments focus on assisting a single person with seperated technologies. There is no interoperability between sub-domains in home environments, like building energy management or housing industry services. BASIS (Building Automation by a Scalable and Intelligent System) aims to integrate all sensors and actuators into a single, efficient home bus. First step is to create a semtically enriched data warehouse object model. We choose FHIR and built an object model mainly based on the Observation, Device and Location resources with minor extensions needed by AAL-foreign sub domains. FHIR turned out to be very flexible and complete for other home related sub-domains. The object model is implemented in a separated software-partition storing all structural and procedural data of BASIS.

  15. "Fit and fabulous": mixed-methods research on processes, perceptions, and outcomes of a yearlong gym program with assisted-living residents.

    Science.gov (United States)

    Kluge, Mary Ann; LeCompte, Michelle; Ramel, Lisa

    2014-04-01

    This study's mixed-methods design sought to understand how to encourage assisted-living (AL) residents to initiate and continue exercise in a gym setting. Ten residents participated in this yearlong program. Processes developed and perceived benefits were understood through interviews and observations. Changes in active time, lower body strength, and workload were evaluated using direct measures. Findings indicated that AL residents regularly used exercise machines (mean participation = 53.8%) and increased active time and lower body strength (p = .02) when adequately prepared and supported. Participants prioritized gym time and developed pride and ownership in the program. They described themselves as exercisers and developed a sense of belonging to their new home. Friendships with one another, staff, and university partners were nurtured in the gym setting. When provided space, equipment, trained staff, and additional resource support, AL residents' quality of life and life satisfaction were enhanced in several domains.

  16. Positive and negative features of a computer assisted drug treatment program delivered by mentors to homeless drug users living in hostels.

    Science.gov (United States)

    Neale, Joanne; Stevenson, Caral

    2014-10-01

    This paper explores positive and negative features of computer assisted therapy (CAT) delivered by mentors to homeless drug users (HDUs) living in hostels. Qualitative interviews were conducted with 30 HDUs and 15 mentors (all hostel staff) at the beginning and end of a 12-week CAT program. Findings indicate that successful delivery of the CAT relates to: 'program features' (e.g. its accessibility, flexibility, user-friendly interface); 'delivery context' (e.g. privacy, having appropriate computing equipment), 'client characteristics' (HDUs being recovery-focused and committed to using the program), and 'mentor support' (clients having personalized attention from an encouraging and sympathetic other). It is concluded that CATs can be used with HDUs but are unlikely to replace addiction therapists. Rather, they are more likely to be effective when combined with a strong therapeutic relationship. Services using CATs with HDUs need to provide staff training, support, and time to maximize the potential benefits.

  17. Ubiquitous and ambient-assisted living eHealth platforms for Down's syndrome and palliative care in the Republic of Panama: A systematic review.

    Science.gov (United States)

    Saldaña Barrios, Juan Jose; Mendoza, Luis; Pitti, Edgardo; Vargas, Miguel

    2016-10-21

    In this work, the authors present two eHealth platforms that are examples of how health systems are migrating from client-server architecture to the web-based and ubiquitous paradigm. These two platforms were modeled, designed, developed and implemented with positive results. First, using ambient-assisted living and ubiquitous computing, the authors enhance how palliative care is being provided to the elderly patients and patients with terminal illness, making the work of doctors, nurses and other health actors easier. Second, applying machine learning methods and a data-centered, ubiquitous, patient's results' repository, the authors intent to improve the Down's syndrome risk estimation process with more accurate predictions based on local woman patients' parameters. These two eHealth platforms can improve the quality of life, not only physically but also psychologically, of the patients and their families in the country of Panama.

  18. Constant switching frequency control-based linear-assisted DC/DC regulator for photovoltaic solar-powered facilities

    OpenAIRE

    Martínez García, Herminio; Grau Saldes, Antoni

    2015-01-01

    Hybrid DC-DC regulators or linear–assisted DC-DC regulators are structures that combine both a linear voltage regulator and a switching DC-DC converter. The main objective of this hybrid topology is to converge, in a single circuit topology, the best of both alternatives: One the one hand, obtaining small voltage output ripple, which is typical of linear regulator structures, and, on the other, achieving good energy efficiency, as in switching alternatives. While the linear regulator fixes th...

  19. Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature

    Directory of Open Access Journals (Sweden)

    Whitney R. Halgrimson

    2010-01-01

    Full Text Available There are two approaches to laparoscopic donor nephrectomy: standard laparoscopic donor nephrectomy (LDN and hand-assisted laparoscopic donor nephrectomy (HALDN. In this study we report the operative statistics and donor complications associated with LDN and HALDN from large-center peer-reviewed publications. Methods. We conducted PubMed and Ovid searches to identify LDN and HALDN outcome studies that were published after 2004. Results. There were 37 peer-reviewed studies, each with more than 150 patients. Cumulatively, over 9000 patients were included in this study. LDN donors experienced a higher rate of intraoperative complications than HALDN donors (5.2% versus. 2.0%, <.001. Investigators did not report a significant difference in the rate of major postoperative complications between the two groups (LDN 0.5% versus HALDN 0.7%, =.111. However, conversion to open procedures from vascular injury was reported more frequently in LDN procedures (0.8% versus 0.4%, =.047. Conclusion. At present there is no evidence to support the use of one laparoscopic approach in preference to the other. There are trends in the data suggesting that intraoperative injuries are more common in LDN while minor postoperative complications are more common in HALDN.

  20. Facile One-Step Microwave-Assisted Route towards Ni Nanospheres/Reduced Graphene Oxide Hybrids for Non-Enzymatic Glucose Sensing

    Directory of Open Access Journals (Sweden)

    Mojiao Zhou

    2012-04-01

    Full Text Available In this work, a facile one-step microwave-assisted method for deposition of monodisperse Ni nanospheres on reduced graphene oxide (rGO sheets to form Ni-rGO nanohybrids is discussed. In the presence of hydrazine monohydrate, Ni nanospheres are grown onto rGO sheets using nickel precursor and GO as starting materials in ethylene glycol (EG solution under a low level of microwave irradiation (300 W for 20 min, during which GO is also reduced to rGO. The as-prepared nanohybrids exhibit well-dispersed Ni nanosphere (about 80 nm in diameter loadings and effective reduction of graphene oxide. The resulting Ni-rGO nanohybrids-modified glassy carbon electrode (GCE shows significantly improved electrochemical performance in nonenzymatic amperometric glucose detection. In addition, interference from the oxidation of common interfering species under physiological conditions, such as ascorbic acid (AA and uric acid (UA, is effectively avoided.

  1. Graphene oxide assisted facile hydrothermal synthesis of LiMn0.6Fe0.4PO4 nanoparticles as cathode material for lithium ion battery

    Institute of Scientific and Technical Information of China (English)

    Changchang Xu; Li Li; Fangyuan Qiu; Cuihua An; Yanan Xu; Ying Wang; Yijing Wang; Lifang Jiao; Huatang Yuan

    2014-01-01

    Assisted by graphene oxide (GO), nano-sized LiMn0.6Fe0.4PO4 with excellent electrochemical performance was prepared by a facile hy-drothermal method as cathode material for lithium ion battery. SEM and TEM images indicate that the particle size of LiMn0.6Fe0.4PO4 (S2) was about 80 nm in diameter. The discharge capacity of LiMn0.6Fe0.4PO4 nanoparticles was 140.3 mAh·g-1 in the first cycle. It showed that graphene oxide was able to restrict the growth of LiMn0.6Fe0.4PO4 and it in situ reduction of GO could improve the electrical conductivity of LiMn0.6Fe0.4PO4 material.

  2. Facile Synthesis of N-Doped BiOCl Photocatalyst by an Ethylenediamine-Assisted Hydrothermal Method

    OpenAIRE

    Guihua Chen; Gangling Chen; Yong Wang; Qingfeng Wang; Zhen Zhang

    2015-01-01

    A nitrogen doped BiOCl (N-BiOCl) photocatalyst was synthesized and characterized using an ethylenediamine-assisted hydrothermal method. The N-BiOCl sample demonstrated the same tetragonal crystal structure as the as-prepared pure BiOCl sample. SEM results indicated that N-BiOCl sample was self-assembled by nanoplates to provide an aggregated flower-like microstructure. Doped nitrogen was substituted for oxygen in the crystal lattice of BiOCl, causing a red shift for N-BiOCl sample compared to...

  3. Associations between polycyclic aromatic hydrocarbon (PAH) exposure and oxidative stress in people living near e-waste recycling facilities in China.

    Science.gov (United States)

    Lu, Shao-You; Li, Yan-Xi; Zhang, Jian-Qing; Zhang, Tao; Liu, Gui-Hua; Huang, Ming-Zhi; Li, Xiao; Ruan, Ju-Jun; Kannan, Kurunthachalam; Qiu, Rong-Liang

    2016-09-01

    Emission of polycyclic aromatic hydrocarbons (PAHs) from e-waste recycling activities in China is known. However, little is known on the association between PAH exposure and oxidative damage to DNA and lipid content in people living near e-waste dismantling sites. In this study, ten hydroxylated polycyclic aromatic hydrocarbons (OH-PAHs) and two biomarkers [8-hydroxy-2'-deoxyguanosine (8-OHdG) and malondialdehyde (MDA)] of oxidative stress were investigated in urine samples collected from people living in and around e-waste dismantling facilities, and in reference population from rural and urban areas in China. The urinary levels of ∑10OH-PAHs determined in e-waste recycling area (GM: 25.4μg/g Cre) were significantly higher (pe-waste workers (36.6μg/g Cre) showed significantly higher (pe-waste recycling site. The differences in urinary Σ10OH-PAHs levels between smokers (23.4μg/g Cre) and non-smokers (24.7μg/g Cre) were not significant (p>0.05) in e-waste dismantling sites, while these differences were significant (pe-waste dismantling site. Furthermore, we found that urinary concentrations of Σ10OH-PAHs and individual OH-PAHs were significantly associated with elevated 8-OHdG, in samples collected from e-waste dismantling site; the levels of urinary 1-hydroxypyrene (1-PYR) (r=0.284, pe-waste dismantling site may have an effect on oxidative damage to DNA among selected participants, but this needs to be validated in large studies.

  4. Facile and efficient one-pot solvothermal and microwave-assisted synthesis of stable colloidal solutions of MFe{sub 2}O{sub 4} spinel magnetic nanoparticles

    Energy Technology Data Exchange (ETDEWEB)

    Solano, Eduardo; Perez-Mirabet, Leonardo [Universitat Autonoma de Barcelona, Departament de Quimica (Spain); Martinez-Julian, Fernando; Guzman, Roger; Arbiol, Jordi; Puig, Teresa; Obradors, Xavier [Institut de Ciencia de Materials de Barcelona, ICMAB-CSIC (Spain); Yanez, Ramon [Universitat Autonoma de Barcelona, Departament de Quimica (Spain); Pomar, Alberto; Ricart, Susagna, E-mail: ricart@icmab.es [Institut de Ciencia de Materials de Barcelona, ICMAB-CSIC (Spain); Ros, Josep [Universitat Autonoma de Barcelona, Departament de Quimica (Spain)

    2012-08-15

    Well-defined synthesis conditions of high quality MFe{sub 2}O{sub 4} (M = Mn, Fe, Co, Ni, Zn, and Cu) spinel ferrite magnetic nanoparticles, with diameters below 10 nm, have been described based on facile and efficient one-pot solvothermal or microwave-assisted heating procedures. Both methods are reproducible and scalable and allow forming concentrated stable colloidal solutions in polar solvents, but microwave-assisted heating allows reducing 15 times the required annealing time and leads to an enhanced monodispersity of the nanoparticles. Non-agglomerated nanoparticles dispersions have been achieved using a simple one-pot approach where a single compound, triethyleneglycol, behaves at the same time as solvent and capping ligand. A narrow nanoparticle size distribution and high quality crystallinity have been achieved through selected nucleation and growth conditions. High resolution transmission electron microscopy images and electron energy loss spectroscopy analysis confirm the expected structure and composition and show that similar crystal faceting has been formed in both synthetic approaches. The spinel nanoparticles behave as ferrimagnets with a high saturation magnetization and are superparamagnetic at room temperature. The influence of synthesis route on phase purity and unconventional magnetic properties is discussed in some particular cases such as CuFe{sub 2}O{sub 4}, CoFe{sub 2}O{sub 4}, and ZnFe{sub 2}O{sub 4}.

  5. Symptom Clusters in People Living with HIV Attending Five Palliative Care Facilities in Two Sub-Saharan African Countries: A Hierarchical Cluster Analysis.

    Directory of Open Access Journals (Sweden)

    Katrien Moens

    Full Text Available Symptom research across conditions has historically focused on single symptoms, and the burden of multiple symptoms and their interactions has been relatively neglected especially in people living with HIV. Symptom cluster studies are required to set priorities in treatment planning, and to lessen the total symptom burden. This study aimed to identify and compare symptom clusters among people living with HIV attending five palliative care facilities in two sub-Saharan African countries.Data from cross-sectional self-report of seven-day symptom prevalence on the 32-item Memorial Symptom Assessment Scale-Short Form were used. A hierarchical cluster analysis was conducted using Ward's method applying squared Euclidean Distance as the similarity measure to determine the clusters. Contingency tables, X2 tests and ANOVA were used to compare the clusters by patient specific characteristics and distress scores.Among the sample (N=217 the mean age was 36.5 (SD 9.0, 73.2% were female, and 49.1% were on antiretroviral therapy (ART. The cluster analysis produced five symptom clusters identified as: 1 dermatological; 2 generalised anxiety and elimination; 3 social and image; 4 persistently present; and 5 a gastrointestinal-related symptom cluster. The patients in the first three symptom clusters reported the highest physical and psychological distress scores. Patient characteristics varied significantly across the five clusters by functional status (worst functional physical status in cluster one, p<0.001; being on ART (highest proportions for clusters two and three, p=0.012; global distress (F=26.8, p<0.001, physical distress (F=36.3, p<0.001 and psychological distress subscale (F=21.8, p<0.001 (all subscales worst for cluster one, best for cluster four.The greatest burden is associated with cluster one, and should be prioritised in clinical management. Further symptom cluster research in people living with HIV with longitudinally collected symptom data to

  6. Technical assistance to Ohio closure sites; Technologies to address leachate from the on-site disposal facility at Fernald Environmental Management Project, Ohio

    Energy Technology Data Exchange (ETDEWEB)

    Hazen, Terry

    2002-08-26

    On August 6-7, 2002, a Technical Assistance Team (''Team'') from the U.S. Department of Energy (DOE) Subsurface Contaminants Focus Area (SCFA) met with Fernald Environmental Management Project (FEMP) personnel in Ohio to assess approaches to remediating uranium-contaminated leachate from the On-Site Disposal Facility (OSDF). The Team was composed of technical experts from national labs, technology centers, and industry and was assembled in response to a request from the FEMP Aquifer Restoration Project. Dave Brettschneider of Fluor Fernald, Inc., requested that a Team of experts be convened to review technologies for the removal of uranium in both brine ion exchange regeneration solution from the Advanced Wastewater Treatment facility and in the leachate from the OSDF. The Team was asked to identify one or more technologies for bench-scale testing as a cost effective alternative to remove uranium so that the brine regeneration solution from the Advanced Waste Water Treatment facility and the leachate from the OSDF can be discharged without further treatment. The Team was also requested to prepare a recommended development and demonstration plan for the alternative technologies. Finally, the Team was asked to make recommendations on the optimal technical solution for field implementation. The Site's expected outcomes for this effort are schedule acceleration, cost reduction, and better long-term stewardship implementation. To facilitate consideration of the most appropriate technologies, the Team was divided into two groups to consider the brine and the leachate separately, since they represent different sources with different constraints on solutions, e.g., short-term versus very long-term and concentrated versus dilute contaminant matrices. This report focuses on the technologies that are most appropriate for the leachate from the OSDF. Upon arriving at FEMP, project personnel asked the Team to concentrate its efforts on evaluating

  7. Facile Synthesis of N-Doped BiOCl Photocatalyst by an Ethylenediamine-Assisted Hydrothermal Method

    Directory of Open Access Journals (Sweden)

    Guihua Chen

    2015-01-01

    Full Text Available A nitrogen doped BiOCl (N-BiOCl photocatalyst was synthesized and characterized using an ethylenediamine-assisted hydrothermal method. The N-BiOCl sample demonstrated the same tetragonal crystal structure as the as-prepared pure BiOCl sample. SEM results indicated that N-BiOCl sample was self-assembled by nanoplates to provide an aggregated flower-like microstructure. Doped nitrogen was substituted for oxygen in the crystal lattice of BiOCl, causing a red shift for N-BiOCl sample compared to BiOCl sample. The N-BiOCl sample exhibited higher photocatalytic activity in the degradation of Rhodamine B under visible light than observed in BiOCl sample, and the stability of the sample was verified. Meanwhile, speculative causes for the enhancement in the photocatalytic activity of N-BiOCl sample were also proposed.

  8. A facile microwave assisted one pot synthesis of novel xanthene derivatives as potential anti-inflammatory and analgesic agents

    Directory of Open Access Journals (Sweden)

    Anupam G. Banerjee

    2016-09-01

    Full Text Available Microwave assisted irradiation of resorcinol and substituted aryl aldehydes using sulfamic acid as catalyst afforded novel 9-aryl-9H-xanthene-3,6-diol derivatives (1a–f in good yields. The newly synthesized compounds which were previously selected on the basis of PASS prediction were tested for anti-inflammatory activity using carrageenan-induced rat paw edema and analgesic activity using acetic acid induced writhing and formalin-induced paw edema in mice along with the estimation of gastric ulcerogenicity index. Compounds 1e and 1f exhibited significant anti-inflammatory and analgesic activities as compared to standard drug. The study also revealed that compounds (1a–f showed minimum or no ulcerogenicity in mice as that of the standard drug.

  9. Eco-friendly and facile integrated biological-cum-photo assisted electrooxidation process for degradation of textile wastewater.

    Science.gov (United States)

    Aravind, Priyadharshini; Subramanyan, Vasudevan; Ferro, Sergio; Gopalakrishnan, Rajagopal

    2016-04-15

    The present article reports an integrated treatment method viz biodegradation followed by photo-assisted electrooxidation, as a new approach, for the abatement of textile wastewater. In the first stage of the integrated treatment scheme, the chemical oxygen demand (COD) of the real textile effluent was reduced by a biodegradation process using hydrogels of cellulose-degrading Bacillus cereus. The bio-treated effluent was then subjected to the second stage of the integrated scheme viz indirect electrooxidation (InDEO) as well as photo-assisted indirect electro oxidation (P-InDEO) process using Ti/IrO2-RuO2-TiO2 and Ti as electrodes and applying a current density of 20 mA cm(-2). The influence of cellulose in InDEO has been reported here, for the first time. UV-Visible light of 280-800 nm has been irradiated toward the anode/electrolyte interface in P-InDEO. The effectiveness of this combined treatment process in textile effluent degradation has been probed by chemical oxygen demand (COD) measurements and (1)H - nuclear magnetic resonance spectroscopy (NMR). The obtained results indicate that the biological treatment allows obtaining a 93% of cellulose degradation and 47% of COD removal, increasing the efficiency of the subsequent InDEO by a 33%. In silico molecular docking analysis ascertained that cellulose fibers affect the InDEO process by interacting with the dyes that are responsible of the COD. On the other hand, P-InDEO resulted in both 95% of decolorization and 68% of COD removal, as a result of radical mediators. Free radicals generated during P-InDEO were characterized as oxychloride (OCl) by electron paramagnetic resonance spectroscopy (EPR). This form of coupled approach is especially suggested for the treatment of textile wastewater containing cellulose.

  10. Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment

    Directory of Open Access Journals (Sweden)

    Daniel A Andersen

    2007-04-01

    Full Text Available Daniel A Andersen1,5, Bernard A Roos1–4, Damian C Stanziano1,3, Natasha M Gonzalez3, Joseph F Signorile1–31Stein Gerontological Institute, Miami, FL; 2Geriatric Research, Education, and Clinical Center, Veterans Affairs Medical Center, Miami, FL; 3Department of Exercise and Sport Sciences, University of Miami, Coral Gables, FL; 4Departments of Medicine and Neurology, University of Miami Miller School of Medicine, Miami, FL; 5Department of Epidemiology and Public Health, University of Miami School of Medicine, Miami, FL, USAAbstract: The relationship between perceived health and walker use has seldom been addressed. Concerns over falls and falls risk are precursors to walker use. We compared the SF-36 scores of 26 women and 14 men, mean age 86.8 ± 6.0 years based on walker use and faller status. An analysis of covariance (ANCOVA with age as the covariate, compared groups for the SF-36 constructs and totals score. Significant differences were noted between walker users and nonusers in physical functioning, role limitations due to physical problems, general health, and the total SF-36 score. Pairwise comparisons favored nonusers, while no differences were seen due to faller status. Walker use is associated with lower self-perceptions of physical functioning, role limitations due to physical problems, and general health in assisted-living residents. Faller status is not associated with self-perceived health status. Although walker use aids mobility and lowers the probability of falls, further research is needed to determine if the prescription of assistive devices has a more negative impact on self-perceived health than does falling. This possibility could be explained, in part, by the greater activity levels of those individuals who do not depend on walkers.Keywords: physical function, threshold, walking aid, elderly, perceived health

  11. Sodium citrate assisted facile synthesis of AuPd alloy networks for ethanol electrooxidation with high activity and durability

    Science.gov (United States)

    Zhai, Yanling; Zhu, Zhijun; Lu, Xiaolin; Zhou, H. Susan

    2016-10-01

    The direct ethanol fuel cell is an emerging energy conversion device for which palladium is considered as the one of the most effective components for anode catalyst, however, its widespread application has been still limited by the activity and durability of the anode catalyst. In this work, AuPd alloy networks (NWs) are synthesized using H2PdCl4 and HAuCl4 as precursors reduced by NaBH4 in the presence of sodium citrate (SC). The results reveal that SC plays significant role in network structure, resulting in the enhanced electrocatalytic activity of the catalyst. This self-supported AuPd NWs catalyst exhibits much higher electrochemical catalytic activity than commercial Pd/C catalyst toward ethanol electrooxidation in alkaline solution. Significantly, AuPd NWs catalyst shows extremely high durability at the beginning of the chronoamperometry test, and as high as 49% of the mass current density (1.41 A/mgPd) remains after 4000 s current-time test at -0.3 V (vs. Ag/AgCl) in N2-saturated KOH-ethanol solution. This strategy provides a facile method for the preparation of alloy networks with high electrochemical activity, and can be potentially expanded to a variety of electrochemical applications.

  12. Probing chain-end functionalization reactions in living anionic polymerization via matrix-assisted laser desorption ionization time-of-flight mass spectrometry

    Science.gov (United States)

    Arnould, Mark A.; Polce, Michael J.; Quirk, Roderic P.; Wesdemiotis, Chrys

    2004-11-01

    Matrix-assisted laser desorption ionization (MALDI) time-of-flight (TOF) mass spectrometry (MS) is applied to examine the products arising upon the preparation of chain-end functional polymers via living anionic polymerization techniques. Both post-polymerization functionalizations as well as the use of functionalized initiators are investigated. MALDI-TOF MS is shown to be a sensitive probe for the qualitative analysis of the major and minor oligomers from novel functionalization reactions whose mechanisms are not yet well established. The method is particularly valuable for the identification of the end groups of the minor, and often unexpected, distributions that may be undetectable by other analytical means. Complete characterization of all oligomers generated during functionalization reactions provides an essential tool to the synthetic chemist for understanding the corresponding mechanisms. This insight is necessary for selecting alternative routes or making modifications to the reaction conditions. It is demonstrated that MALDI-TOF MS can convey quantitative information about the yields of the chain-end groups introduced during functionalization. From the cases presented it is evident that post-polymerization reactions allow for better control of chain-end functionality and molecular weight than functionalization with the limited number of currently available protected functionalized initiators.

  13. Sticking to it: the effect of maximally assisted therapy on antiretroviral treatment adherence among individuals living with HIV who are unstably housed.

    Science.gov (United States)

    Parashar, Surita; Palmer, Alexis K; O'Brien, Nadia; Chan, Keith; Shen, Anya; Coulter, Suzy; Montaner, Julio S G; Hogg, Robert S

    2011-11-01

    Housing is a known determinant of health behaviors, which includes adherence to Antiretroviral Therapy (ART). Within the Longitudinal Investigations into Supportive and Ancillary Health Services (LISA) study, unstable housing is inversely associated with adherence. Several comprehensive adherence support services have emerged to improve adherence for unstably housed or otherwise vulnerable populations. The Maximally Assisted Therapy (MAT) program in Vancouver, British Columbia uses a multidisciplinary approach to support HIV-positive clients with a history of addictions or mental illness, many of whom also experience episodic homelessness. This study investigated the association between antiretroviral adherence and use of support services, including the MAT program, amongst people living with HIV and AIDS who are unstably housed in the LISA sample. Of the 212 unstably housed participants, those who attended the MAT program were 4.76 times more likely to be ≥95% adherent (95% CI 1.72-13.13; P = 0.003) than those who did not. The findings suggest that in the absence of sustainable housing solutions, programs such as MAT play an important role in supporting treatment adherence in this population.

  14. Attitudes Towards and Limitations to ICT Use in Assisted and Independent Living Communities: Findings from a Specially-Designed Technological Intervention.

    Science.gov (United States)

    Berkowsky, Ronald W; Cotten, Shelia R; Yost, Elizabeth A; Winstead, Vicki P

    2013-11-01

    While much literature has been devoted to theoretical explanations of the learning processes of older adults and to the methods of teaching best utilized in older populations, less has focused on the education of older adults who reside in assisted and independent living communities (AICs), especially with regards to information and communication technology (ICT) education. The purpose of this study is to determine whether participants' attitudes and views towards computers and the Internet are affected as a result of participating in an eight-week training program designed to enhance computer and Internet use among older adults in such communities. Specifically, we examine if ICT education specially designed for AIC residents results in more positive attitudes towards ICTs and a perceived decrease in factors that may limit or prevent computer and Internet use. We discuss the implications of these results for enhancing the quality of life for older adults in AICs and make recommendations for those seeking to decrease digital inequality among older adults in these communities through their own ICT classes.

  15. The feasibility of an intervention combining self-efficacy theory and Wii Fit exergames in assisted living residents: A pilot study.

    Science.gov (United States)

    Chao, Ying-Yu; Scherer, Yvonne K; Wu, Yow-Wu; Lucke, Kathleen T; Montgomery, Carolyn A

    2013-01-01

    The purpose of this study was to examine the feasibility of a self-efficacy based intervention using Wii exergames in assisted living residents. The study was a single-group pre- and post-test design. Seven older adults (aged 80-94 years) were instructed to engage in exergames twice a week for 8 weeks. Physical function (balance, mobility, and walking distance), fear of falling, self-efficacy for exercise, and outcome expectations for exercise were evaluated. All participants had enjoyable experiences and no serious adverse events were reported. Participants had significant improvement on balance. Although not significant, there were trends indicating that participants improved mobility, walking endurance, and decreased fear of falling. The use of Wii exergames was an acceptable, safe, and potentially effective approach to promote physical activity in older adults. Findings provide support for the applications of integrating self-efficacy theory into exergames as a mechanism to encourage older adults to engage in exercise.

  16. Fuzzy logic-based risk of fall estimation using smartwatch data as a means to form an assistive feedback mechanism in everyday living activities.

    Science.gov (United States)

    Iakovakis, Dimitrios E; Papadopoulou, Fotini A; Hadjileontiadis, Leontios J

    2016-12-01

    This Letter aims to create a fuzzy logic-based assistive prevention tool for falls, based on accessible sensory technology, such as smartwatch, resulting in monitoring of the risk factors of falls caused by orthostatic hypotension (OH); a drop in systolic blood pressure (DSBP) >20 mmHg due to postural changes. Epidemiological studies have shown that OH is a high risk factor for falls and has a strong impact in quality of life (QoL) of the elderly's, especially for some cases such as Parkinsonians. Based on smartwatch data, it is explored here how statistical features of heart rate variability (HRV) can lead to DSBP prediction and estimation of the risk of fall. In this vein, a pilot study was conducted in collaboration with five Greek Parkinson's Foundation patients and ten healthy volunteers. Taking into consideration, the estimated DSBP and additional statistics of the user's medical/behavioural history, a fuzzy logic inference system was developed, to estimate the instantaneous risk of fall. The latter is fed back to the user with a mechanism chosen by him/her (i.e. vibration and/or sound), to prevent a possible fall, and also sent to the attentive carers and/or healthcare professionals for a home-based monitoring beyond the clinic. The proposed approach paves the way for effective exploitation of the contribution of smartwatch data, such as HRV, in the sustain of QoL in everyday living activities.

  17. Effects of neurofeedback and computer-assisted cognitive rehabilitation on relative brain wave ratios and activities of daily living of stroke patients: a randomized control trial

    Science.gov (United States)

    Cho, Hwi-Young; Kim, Ki-Tae; Jung, Jin-Hwa

    2016-01-01

    [Purpose] This study investigated the effects of neurofeedback (NFB) and computer-assisted cognitive rehabilitation (CACR) on the relative brain wave ratios and activities of daily living (ADL) of stroke patients. [Subjects and Methods] Forty-four participants were randomly allocated to the NFB (n=14), CACR (n=14), or control (CON) (n=16) groups. Two expert therapists provided the NFB, CACR, and CON groups with traditional rehabilitation therapy in 30-minute sessions, 5 times a week, for 6 weeks. NFB training was provided only to the NFB group and CACR training was provided only to the CACR group. The CON group received traditional rehabilitation therapy only. Before and after 6 weeks of intervention, brain wave and ADL evaluations were performed, and the results were analyzed. [Results] The relative ratio of beta waves, only showed a significant increase in the frontal and parietal areas of the NFB group. Significant changes in ADL were shown by all three groups after the intervention. However, there were no significant differences between the NFB and CACR groups and the CON group. [Conclusion] Our results suggest that CACR and NFB are effective at improving cognitive function and ADL of stroke patients. PMID:27512287

  18. Microwave assisted facile hydrothermal synthesis and characterization of zinc oxide flower grown on graphene oxide sheets for enhanced photodegradation of dyes

    Science.gov (United States)

    Kashinath, L.; Namratha, K.; Byrappa, K.

    2015-12-01

    Microwave assisted hydrothermal process of synthesis of ZnO-GO nanocomposite by using ZnCl2 and NaOH as precursors is being reported first time. In this investigation, a novel route to study on synthesis, interaction, kinetics and mechanism of hybrid zinc oxide-graphene oxide (ZnO-GO) nanocomposite using microwave assisted facile hydrothermal method has been reported. The results shows that the ZnO-GO nanocomposite exhibits an enhancement and acts as stable photo-response degradation performance of Brilliant Yellow under the UV light radiation better than pure GO and ZnO nanoparticles. The microwave exposure played a vital role in the synthesis process, it facilitates with well define crystalline structure, porosity and fine morphology of ZnO/GO nanocomposite. Different molar concentrations of ZnO precursors doped to GO sheets were been synthesized, characterized and their photodegradation performances were investigated. The optical studies by UV-vis and Photo Luminescence shows an increase in band gap of nanocomposite, which added an advantage in photodegradation performance. The in situ flower like ZnO nano particles are were densely decorated and anchored on the surfaces of graphene oxide sheets which aids in the enhancement of the surface area, adsorption, mass transfer of dyes and evolution of oxygen species. The nanocomposite having high surface area and micro/mesoporous in nature. This structure and morphology supports significantly in increasing photo catalytic performance legitimate to the efficient photosensitized electron injection and repressed electron recombination due to electron transfer process with GO as electron collector and transporter dependent on the proportion of GO in ZnO/GO composite.

  19. Zoning and mode of rural residential land consolidation based on accessibility to production and living facilities%基于生产生活可达性的农村居民点整治分区及模式

    Institute of Scientific and Technical Information of China (English)

    刘耀林; 范建彬; 孔雪松; 刘艳芳

    2015-01-01

    The consolidation of rural residential land should meet the needs of farmers for their life and for agriculture production, and improve the accessibility to production and living facilities. In this paper, we started with the accessibility to production and living facilities and used the accessibility to production and living facilities in rural residential land as the basis for deciding different zones for consolidation and what consolidation modes to adopt. Firstly, we built an indicator system for assessing the accessibility in terms of the two aspects, the production accessibility and living facilities accessibility. Production accessibility was based on the consideration of both agricultural production sites and non-agricultural employment places. While the living facilities accessibility was based on the accessibility of education, medical care, commercial and recreational facilities. Then, we used the time-cost to demonstrate the accessibility. On the basis of setting the passage time of unit distance (30 m) on the lands of different function, measure the accessibility of various facilities using Path Distance Tool of ARCGIS 10.0 with elevation as its correction factor. After that, by using indicator comprehensive judgment method, and superimposing with map layer of rural residential land, we obtained the accessibility to production and living facilities of rural residential land, which was divided into four grades I, II, III and IV, corresponding to development zone, optimization zone, guidance zone and demolition zone, respectively. Finally, according to different zones of consolidation and the actual situation, six modes of consolidation were presented, including urbanization development mode, urban and rural overall development mode, comprehensive optimization mode, networking guidance mode, land-use increase and decrease linked mode and ecological relocation mode. In the development zone, rural residential lands located in the urban planning area were

  20. Antifungal activity of magnetically separable Fe3O4/ZnO/AgBr nanocomposites prepared by a facile microwave-assisted method

    Institute of Scientific and Technical Information of China (English)

    Abolghasem Hoseinzadeh; Aziz Habibi-Yangjeh; Mahdi Davari

    2016-01-01

    In the present work, magnetically separable Fe3O4/ZnO/AgBr nanocomposites with different weight ra-tios of Fe3O4 to ZnO/AgBr were prepared by a facile microwave-assisted method. The resultant samples were characterized by X-ray diffraction (XRD), scanning electron microscopy (SEM), transmission elec-tron microscopy (TEM), energy dispersive analysis of X-rays (EDX), and vibrating sample magnetometery (VSM). Antifungal activity of the as-prepared samples was evaluated against Fusarium graminearum and Fusarium oxysporum as two phytopathogenic fungi. Among the nanocomposites, the sample with 1:8 weight ratio of Fe3O4 to ZnO/AgBr was selected as the best nanocomposite. This nanocomposite in-activates Fusarium graminearum and Fusarium oxysporum at 120 and 60 min, respectively. Moreover, it was observed that the microwave irradiation time has considerable influence on the antifungal activity and the sample prepared by irradiation for 10 min showed the best activity. Moreover, the nano-composite without any thermal treatment displayed the superior activity.

  1. Accurate Analysis and Evaluation of Acidic Plant Growth Regulators in Transgenic and Nontransgenic Edible Oils with Facile Microwave-Assisted Extraction-Derivatization.

    Science.gov (United States)

    Liu, Mengge; Chen, Guang; Guo, Hailong; Fan, Baolei; Liu, Jianjun; Fu, Qiang; Li, Xiu; Lu, Xiaomin; Zhao, Xianen; Li, Guoliang; Sun, Zhiwei; Xia, Lian; Zhu, Shuyun; Yang, Daoshan; Cao, Ziping; Wang, Hua; Suo, Yourui; You, Jinmao

    2015-09-16

    Determination of plant growth regulators (PGRs) in a signal transduction system (STS) is significant for transgenic food safety, but may be challenged by poor accuracy and analyte instability. In this work, a microwave-assisted extraction-derivatization (MAED) method is developed for six acidic PGRs in oil samples, allowing an efficient (<1.5 h) and facile (one step) pretreatment. Accuracies are greatly improved, particularly for gibberellin A3 (-2.72 to -0.65%) as compared with those reported (-22 to -2%). Excellent selectivity and quite low detection limits (0.37-1.36 ng mL(-1)) are enabled by fluorescence detection-mass spectrum monitoring. Results show the significant differences in acidic PGRs between transgenic and nontransgenic oils, particularly 1-naphthaleneacetic acid (1-NAA), implying the PGRs induced variations of components and genes. This study provides, for the first time, an accurate and efficient determination for labile PGRs involved in STS and a promising concept for objectively evaluating the safety of transgenic foods.

  2. A Facile Vortex-Assisted Dispersive Liquid-Liquid Microextraction Method for the Determination of Uranyl Ion at Low Levels by Spectrophotometry.

    Science.gov (United States)

    Corazza, Marcela Zanetti; Pires, Igor Matheus Ruiz; Diniz, Kristiany Moreira; Segatelli, Mariana Gava; Tarley, César Ricardo Teixeira

    2015-08-01

    A facile and reliable UV-Vis spectrophotometric method associated with vortex-assisted dispersive liquid-liquid microextraction has been developed and applied to the determination of U(VI) at low levels in water samples. It was based on preconcentration of 24.0 mL sample at pH 8.0 in the presence of 7.4 µmol L(-1) 1-(2-pyridylazo)-2-naphthol, 1.0 mL of methanol as disperser solvent and 1.0 mL of chloroform as extraction solvent. A high preconcentration factor was achieved (396 times), thus providing a wide analytical curve from 6.9 up to 75.9 µg L(-1) (r=0.9982) and limits of detection and quantification of 0.40 and 1.30 µg L(-1), respectively. When necessary, EDTA or KCN can be used to remove interferences of foreign ions. The method was applied to the analysis of real water samples, such as tap, mineral and lake waters with good recovery values.

  3. Effects of resistance and all-round, functional training on quality of life, vitality and depression of older adults living in long-term care facilities: a 'randomized' controlled trial [ISRCTN87177281

    Directory of Open Access Journals (Sweden)

    van Mechelen Willem

    2004-07-01

    Full Text Available Abstract Background Regular physical activity may improve different aspects of wellbeing in older people, such as quality of life, vitality and depression. However, there is little experimental evidence to support this assumption. Therefore, we examined the effect of different training protocols on quality of life, vitality and depression of older adults living in long-term care facilities. Methods Subjects (n = 173, aged 64 to 94 years, living in long-term care facilities, were randomized to six months of three different moderate-intensity group exercise training protocols, or to an 'educational' control condition. Exercise consisted of two 45–60-minute training sessions per week of 1 resistance training; 2 all-round, functional training; or 3 a combination of both. Perceived health, the Geriatric Depression Scale (GDS, the Vitality Plus Scale (VPS and the Dementia Quality of Life questionnaire (DQoL were administered at baseline and after six months. Results In the combined training group a small but significant decline was seen in perceived health, DQoL and VPS score compared to the control group. Conclusions We conclude that neither strength training nor all-round, functional training of moderate intensity is effective in improving quality of life, vitality or depression of older people living in long-term care facilities.

  4. 78 FR 14740 - Disaster Assistance; Fire Management Assistance Grant (FMAG) Program-Deadline Extensions and...

    Science.gov (United States)

    2013-03-07

    ... subpart L, Fire Suppression Assistance, from part 206, Federal Disaster Assistance, because it is no longer necessary. The Disaster Mitigation Act of 2000 established the Fire Management Assistance Grant... and procedure, Coastal zone, Community facilities, Disaster assistance, Fire ] prevention,...

  5. Living in Living Cities

    CERN Document Server

    Gershenson, Carlos

    2011-01-01

    This paper presents and overview of current and potential applications of living technology to urban problems. Living technology can be described as technology that exhibits the core features of living systems. These features can be useful to solve dynamic problems. In particular, urban problems concerning mobility, logistics, telecommunications, governance, safety, sustainability, and society and culture are presented, while solutions involving living technology are reviewed. Finally, the usefulness of describing cities as living systems is discussed.

  6. EDTA assisted highly selective detection of As(3+) on Au nanoparticle modified glassy carbon electrodes: facile in situ electrochemical characterization of Au nanoparticles.

    Science.gov (United States)

    Chen, Hsiao-Hua; Huang, Jing-Fang

    2014-12-16

    A facile electrochemical characterization technique of Au nanoparticles (AuNPs) developed by Wang et al. ( Wang, Y.; Laborda, E.; Salter, C.; Crossley, A.; Compton, R. G. Analyst 2012 , 137 , 4693 - 4697 ) was used to track the variation in the particle size and density of AuNPs in situ and to assist in optimizing the conditions of analysis and catalysis. In this method, the combination of total surface area determined by Pb underpotential deposition (UPD) and the amount of Au obtained by anodic stripping of Au in HCl solution was used to evaluate the average diameter of AuNPs and the number of particles on the electrode. The detection of As(3+) in aqueous solution by a AuNP modified glassy carbon electrode (Aunano@GCE) using the electrochemical characterization technique was examined. The AuNPs with a uniform shape and size, deposited onto the GCEs using multiple-scan cyclic voltammetry (MSCV), were suitable for the electrochemical evaluation. The calibration curve for the detection of As(3+) had a dynamic range of 0.1-15.0 μg L(-1) (from 1.30 to 200 nM, y = 0.21x (in μA L μg(-1)) + 0.01 (R(2) = 0.999)) and showed a sensitivity of 0.21 μA L μg(-1) (16.15 μA μM(-1)). A detection limit as low as 0.0025 μg L(-1) (32.5 pM) was achieved. The chelating agent ethylenediaminetetraacetate (EDTA) selectively chelated with the interfering metal ions and effectively inhibited the interfering ions from competing with the ion of interest (As(3+)), in the preconcentration process. The presence of EDTA effectively eliminated interference from several metal ions, especially Cu(2+) and Hg(2+). This method was validated by analyzing the As(3+) content in real water samples.

  7. SCFA lead lab technical assistance at Oak Ridge Y-12 nationalsecurity complex: Evaluation of treatment and characterizationalternatives of mixed waste soil and debris at disposal area remedialaction DARA solids storage facility (SSF)

    Energy Technology Data Exchange (ETDEWEB)

    Hazen, Terry

    2002-08-26

    On July 17-18, 2002, a technical assistance team from the U.S. Department of Energy (DOE) Subsurface Contaminants Focus Area (SCFA) met with the Bechtel Jacobs Company Disposal Area Remedial Action (DARA) environmental project leader to review treatment and characterization options for the baseline for the DARA Solids Storage Facility (SSF). The technical assistance request sought suggestions from SCFA's team of technical experts with experience and expertise in soil treatment and characterization to identify and evaluate (1) alternative treatment technologies for DARA soils and debris, and (2) options for analysis of organic constituents in soil with matrix interference. Based on the recommendations, the site may also require assistance in identifying and evaluating appropriate commercial vendors.

  8. The association between high recreational physical activity and physical activity as a part of daily living in adolescents and availability of local indoor sports facilities and sports clubs

    DEFF Research Database (Denmark)

    Niclasen, B.; Petzold, M.; Schnohr, Christina Warrer

    2012-01-01

    members) in Greenlandic adolescents. Material and methods: Data from the 2006 Health Behaviour in School-aged Children survey including 2,430 children aged 11-17 years was used. Logistic regression models were developed with dichotomous measures on VPA and MVPA as outcomes, number of indoor sports...... facilities and of sports clubs with child members as independent variables, and adjusted for age, gender, family affluence (FAS), and type of habitation (capital, town or village). Results: High VPA increased with access to indoor facilities, while high MVPA was less likely (odds ratio (OR) 0.54 (0...

  9. The Lived Experiences of Single Hispanic Mothers Raising Gang-Affiliated Male Youth Released from Texas Juvenile Justice Department State Facilities: A Phenomenological Study

    Science.gov (United States)

    Rodriguez-Almendarez, Ruby

    2013-01-01

    Purpose of the Study: The purpose of this transcendental phenomenological study (Moustakas, 1994) was to describe the experiences that single Hispanic mothers of gang-affiliated male juveniles face during their sons' reentry process after being released from a Texas Juvenile Justice Department state facility. Methods: After an extensive…

  10. Lot-to-lot consistency of live attenuated SA 14-14-2 Japanese encephalitis vaccine manufactured in a good manufacturing practice facility and non-inferiority with respect to an earlier product.

    Science.gov (United States)

    Zaman, K; Naser, Abu Mohd; Power, Maureen; Yaich, Mansour; Zhang, Lei; Ginsburg, Amy Sarah; Luby, Stephen P; Rahman, Mahmudur; Hills, Susan; Bhardwaj, Mukesh; Flores, Jorge

    2014-10-21

    We conducted a four-arm, double-blind, randomized controlled trial among 818 Bangladeshi infants between 10 and 12 months of age to establish equivalence among three lots of live attenuated SA 14-14-2 JE vaccine manufactured by the China National Biotec Group's Chengdu Institute of Biological Products (CDIBP) in a new Good Manufacturing Practice (GMP) facility and to evaluate non-inferiority of the product with a lot of the same vaccine manufactured in CDIBP's original facility. The study took place in two sites in Bangladesh, rural Matlab and Mirpur in urban Dhaka. We collected pre-vaccination (Day 0) and post-vaccination Day 28 (-4 to +14 days) blood samples to assess neutralizing anti-JE virus antibody titers in serum by plaque reduction neutralization tests (PRNT). Seroprotection following vaccination was defined as a PRNT titer ≥1:10 at Day 28 in participants non-immune at baseline. Follow-up for reactogenicity and safety was conducted through home visits at Day 7 and monitoring for serious adverse events through Day 28. Seroprotection rates ranged from 80.2% to 86.3% for all four lots of vaccine. Equivalence of the seroprotection rates between pairs of vaccine lots produced in the new GMP facility was satisfied at the pre-specified 10% margin of the 95% confidence interval (CI) for two of the three pairwise comparisons, but not for the third (-4.3% observed difference with 95% CI of -11.9 to 3.3%). Nevertheless, the aggregate seroprotection rate for all three vaccine lots manufactured in the GMP facility was calculated and found to be within the non-inferiority margin (within 10%) to the vaccine lot produced in the original facility. All four lots of vaccine were safe and well tolerated. These study results should facilitate the use of SA 14-14-2 JE vaccine as a routine component of immunization programs in Asian countries.

  11. Legal Assistance Guide: Wills

    Science.gov (United States)

    1990-09-01

    requirements, state living will statutes, state death and gift taxes, and adoption of the Uniform Gifts to Minors Act. Several forms designed to be...health care, and a summary of state living will legislation. Legal assistance attorneys are advised that these state and territorial statutes are subject... state living will statutes is Gelfand, Living Will Statutes: The First Decade, 5 Wis. Law. Rev. 737 (1987). a A recent article addressing the types of

  12. Quality of life of residents with dementia in long-term care settings in the Netherlands and Belgium: design of a longitudinal comparative study in traditional nursing homes and small-scale living facilities

    Directory of Open Access Journals (Sweden)

    Luijkx Katrien G

    2011-05-01

    Full Text Available Abstract Background The increase in the number of people with dementia will lead to greater demand for residential care. Currently, large nursing homes are trying to transform their traditional care for residents with dementia to a more home-like approach, by developing small-scale living facilities. It is often assumed that small-scale living will improve the quality of life of residents with dementia. However, little scientific evidence is currently available to test this. The following research question is addressed in this study: Which (combination of changes in elements affects (different dimensions of the quality of life of elderly residents with dementia in long-term care settings over the course of one year? Methods/design A longitudinal comparative study in traditional and small-scale long-term care settings, which follows a quasi-experimental design, will be carried out in Belgium and the Netherlands. To answer the research question, a model has been developed which incorporates relevant elements influencing quality of life in long-term care settings. Validated instruments will be used to evaluate the role of these elements, divided into environmental characteristics (country, type of ward, group size and nursing staff; basic personal characteristics (age, sex, cognitive decline, weight and activities of daily living; behavioural characteristics (behavioural problems and depression; behavioural interventions (use of restraints and use of psychotropic medication; and social interaction (social engagement and visiting frequency of relatives. The main outcome measure for residents in the model is quality of life. Data are collected at baseline, after six and twelve months, from residents living in either small-scale or traditional care settings. Discussion The results of this study will provide an insight into the determinants of quality of life for people with dementia living in traditional and small-scale long-term care settings in

  13. Status of Daily Living Activities among Older People in Maku

    Directory of Open Access Journals (Sweden)

    Mehdi Abbasian

    2016-12-01

    Full Text Available Introduction: One of the most popular methods for evaluating old people’s health condition is to assess their functional practice. The aim of this study was to assess the status of daily living activities among the older people of Maku, Iran. Methods: The present cross-sectional study was accomplished among 216 older people in Maku via simple random sampling. Participant’s subjective and demographic information were gathered and their daily living activities status was measured by the KATZ index. Results: The participants' mean age was 70.09±7.98. Most of the elderlies were men (59.3% and illiterate (38.4%. Of them, 10.6% were dependent, 6% needed help or were partially dependent, and 82.9% were independent in their daily living activities. Significant associations were observed between daily living activities and age, education level, marital status and living condition (p<0.001. Married old adults were more dependent than other ones living alone (p<0.001. Conclusion: Although most of the participants were independent, they needed assistance for few of their daily living activities. Also, since age was significantly correlated with daily living activities, it is necessary to implement educational health living programsfor older people suffering from functional restrictions. Also, providing suitable facilities, convenience and human resources should  be taken into consideration.

  14. Application of Universal Design for Learning (Udl1) and Living (Udl2) in Virtual Dolphin-Assisted Intervention (Vdai) for Children with Autism

    Science.gov (United States)

    Chia, Noel Kok Hwee; Kee, Norman Kiak Nam

    2014-01-01

    In Singapore, the Special Education for Autism (SEA) calls for a more focused, systematically structured framework to cater to the needs of children with autism in schools. As autism is a syndrome with co-morbid subtypes and different degrees of severity, a universal design for both learning and living becomes necessary to meet all the various…

  15. Acceptance of an assistive robot in older adults: a mixed-method study of human–robot interaction over a 1-month period in the Living Lab setting

    OpenAIRE

    Wu YH; Wrobel J; Cornuet M; Kerhervé H; Damnée S; Rigaud AS

    2014-01-01

    Ya-Huei Wu,1,2 Jérémy Wrobel,1,2 Mélanie Cornuet,1,2 Hélène Kerhervé,1,2 Souad Damnée,1,2 Anne-Sophie Rigaud1,21Hôpital Broca, Assistance Publique – Hôpitaux de Paris, 2Research Team 4468, Faculté de Médecine, Université Paris Descartes, Paris, FranceBackground: There is growing interest in investigating acceptance of robots, which are increasingly being ...

  16. Prevalence, Clinical Correlates, and Use of Glucose-Lowering Drugs among Older Patients with Type 2 Diabetes Living in Long-Term Care Facilities

    Directory of Open Access Journals (Sweden)

    Mario Bo

    2015-01-01

    Full Text Available Prevalence, clinical correlates, and use of glucose-lowering drugs were comprehensively evaluated among 863 nursing home older patients with diabetes (mean age 82.9 ± 2.1 years: functional dependence and cognitive impairment were present in 84.1% and 68% of patients, respectively, and 66.3% of patients had 2–4 comorbidities. HbA1c values < 7.0% were documented in 54.9% of diabetic; significantly lower HbA1c levels were observed in demented patients than in nondemented subjects. Documented hypoglycemic episodes were reported for 57 patients (6.6%, without significant association with age, functional dependence, cognitive impairment, or HbA1c levels. About one-fifth of older long-term facilities residents have diabetes, with concomitant poor health conditions and high prevalence of cognitive impairment and functional dependence. Roughly three-fourths of these older and frail diabetic patients have HbA1c values lower than optimal, suggesting a potential for hypoglycemic harm especially among patients with severe cognitive impairment.

  17. 44 CFR 331.5 - Production facilities.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Production facilities. 331.5... AND FACILITIES IN LABOR SURPLUS AREAS § 331.5 Production facilities. All Federal departments and... production facilities, including expansion, to the extent that such selection is consistent with existing...

  18. 45 CFR 1232.14 - Existing facilities.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Existing facilities. 1232.14 Section 1232.14... ASSISTANCE Accessibility § 1232.14 Existing facilities. (a) A recipient shall operate each program or... existing facilities or every part of a facility accessible to and usable by handicapped persons. (b)...

  19. 45 CFR 1170.32 - Existing facilities.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Existing facilities. 1170.32 Section 1170.32... ASSISTED PROGRAMS OR ACTIVITIES Accessibility § 1170.32 Existing facilities. (a) Accessibility. A recipient... require a recipient to make each of its existing facilities or every part of a facility accessible to...

  20. 44 CFR 19.410 - Comparable facilities.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Comparable facilities. 19.410... Activities Prohibited § 19.410 Comparable facilities. A recipient may provide separate toilet, locker room, and shower facilities on the basis of sex, but such facilities provided for students of one sex...

  1. Senior Living: Staying Positive and Moving Forward

    Science.gov (United States)

    ... Past Issues Feature: Senior Living Staying Positive and Moving Forward Past Issues / Summer 2009 Table of Contents ... page please turn Javascript on. For Juanita Kuhn, moving to an independent living facility is just the ...

  2. Tailored lighting intervention improves measures of sleep, depression, and agitation in persons with Alzheimer’s disease and related dementia living in long-term care facilities

    Directory of Open Access Journals (Sweden)

    Figueiro MG

    2014-09-01

    Full Text Available Mariana G Figueiro,1 Barbara A Plitnick,1 Anna Lok,1 Geoffrey E Jones,1 Patricia Higgins,2,3 Thomas R Hornick,3,4 Mark S Rea1 1Lighting Research Center, Rensselaer Polytechnic Institute, Troy, NY, USA; 2School of Nursing, 3School of Medicine, Case Western Reserve University, 4Geriatric Research Education and Clinical Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, USABackground: Light therapy has shown great promise as a nonpharmacological method to improve symptoms associated with Alzheimer’s disease and related dementias (ADRD, with preliminary studies demonstrating that appropriately timed light exposure can improve nighttime sleep efficiency, reduce nocturnal wandering, and alleviate evening agitation. Since the human circadian system is maximally sensitive to short-wavelength (blue light, lower, more targeted lighting interventions for therapeutic purposes, can be used. Methods: The present study investigated the effectiveness of a tailored lighting intervention for individuals with ADRD living in nursing homes. Low-level “bluish-white” lighting designed to deliver high circadian stimulation during the daytime was installed in 14 nursing home resident rooms for a period of 4 weeks. Light–dark and rest–activity patterns were collected using a Daysimeter. Sleep time and sleep efficiency measures were obtained using the rest–activity data. Measures of sleep quality, depression, and agitation were collected using standardized questionnaires, at baseline, at the end of the 4-week lighting intervention, and 4 weeks after the lighting intervention was removed. Results: The lighting intervention significantly (P<0.05 decreased global sleep scores from the Pittsburgh Sleep Quality Index, and increased total sleep time and sleep efficiency. The lighting intervention also increased phasor magnitude, a measure of the 24-hour resonance between light–dark and rest–activity patterns, suggesting an increase

  3. Deficiência e BPC: o que muda na vida das pessoas atendidas? Deficiency and BPC: what changes in the lives of people assisted?

    Directory of Open Access Journals (Sweden)

    Wederson Rufino dos Santos

    2011-01-01

    Full Text Available Este artigo tem como objetivo analisar o impacto de bem-estar provocado na vida das pessoas deficientes após o acesso ao Benefício de Prestação Continuada (BPC. O BPC é um benefício da assistência social e consiste na transferência incondicional e mensal de renda, equivalente a um salário mínimo, destinado também às pessoas pobres idosas acima de 65 anos. A metodologia do estudo teve técnicas qualitativas e quantitativas de coleta e análise de dados. Foram realizadas entrevistas orientadas por um questionário semi-estruturado com trinta pessoas com deficiência atendidas pelo BPC. Os principais resultados. Os principais resultados da pesquisa mostraram que: (1 o BPC se configura como mecanismo de segurança de renda, proporcionando consumo de bens básicos de alimentação, tratamentos de saúde e gastos com moradia dos deficientes e suas famílias; (2 as pessoas deficientes relacionaram a concessão do benefício com o aumento da independência social e financeira delas em relação as suas famílias, contribuindo para a ampliação das noções de autonomia e cidadania; (3 o BPC é um instrumento capaz de proteger os beneficiados e suas famílias da situação de vulnerabilidade social resultante da pobreza ou desemprego, muito embora as mães das crianças deficientes saiam do mercado de trabalho para exercer o cuidado diário dos filhos e não recebam nenhum tipo de proteção social por parte do Estado.The aim of this article is to analyze the impact of well-being provoked in the life of the disabled people after the Cash Benefit to Disabled People (BPC. The BPC is a social assistance benefit consisting in an unconditional and monthly transference of the equivalent of a minimum wage, to poor people with deficiency and elders with more than 65 years. The methodology used was a case study with qualitative and quantitative techniques of data collection and analysis. BPC performed interviews guided by a semi

  4. Impact of supervised drug consumption services on access to and engagement with care at a palliative and supportive care facility for people living with HIV/AIDS: a qualitative study

    Directory of Open Access Journals (Sweden)

    Ryan McNeil

    2014-03-01

    Full Text Available Introduction: Improvements in the availability and effectiveness of highly active antiretroviral therapy (HAART have prolonged the lives of people living with HIV/AIDS. However, mortality rates have remained high among populations that encounter barriers to accessing and adhering to HAART, notably people who use drugs. This population consequently has a high burden of illness and complex palliative and supportive care needs, but is often unable to access these services due to anti-drug policies and discrimination. In Vancouver, Canada, the Dr. Peter Centre (DPC, which operates a 24-bed residential HIV/AIDS care facility, has sought to improve access to palliative and supportive care services by adopting a comprehensive harm reduction strategy, including supervised injection services. We undertook this study to explore how the integration of comprehensive harm reduction services into this setting shapes access to and engagement with care. Methods: Qualitative interviews were conducted with 13 DPC residents between November 2010 and August 2011. Interviews made use of a semistructured interview guide which facilitated discussion regarding how the DPC Residence's model of care (a shaped healthcare access, (b influenced healthcare interactions and (c impacted drug use practices and overall health. Interview transcripts were analysed thematically. Results: Participant accounts highlight how the harm reduction policy altered the structural-environmental context of healthcare services and thus mediated access to palliative and supportive care services. Furthermore, this approach fostered an atmosphere in which drug use could be discussed without the risk of punitive action, and thus increased openness between residents and staff. Finally, participants reported that the environmental supports provided by the DPC Residence decreased drug-related risks and improved health outcomes, including HAART adherence and survival. Conclusions: This study highlights

  5. An improved facile method for extraction and determination of steroidal saponins in Tribulus terrestris by focused microwave-assisted extraction coupled with GC-MS.

    Science.gov (United States)

    Li, Tianlin; Zhang, Zhuomin; Zhang, Lan; Huang, Xinjian; Lin, Junwei; Chen, Guonan

    2009-12-01

    An improved fast method for extraction of steroidal saponins in Tribulus terrestris based on the use of focus microwave-assisted extraction (FMAE) is proposed. Under optimized conditions, four steroidal saponins were extracted from Tribulus terrestris and identified by GC-MS, which are Tigogenin (TG), Gitogenin (GG), Hecogenin (HG) and Neohecogenin (NG). One of the most important steroidal saponins, namely TG was quantified finally. The recovery of TG was in the range of 86.7-91.9% with RSDTribulus terrestris from different areas of occurrence. The difference in chromatographic characteristics of steroidal saponins was proved to be related to the different areas of occurrence. The results showed that FMAE-GC-MS is a simple, rapid, solvent-saving method for the extraction and determination of steroidal saponins in Tribulus terrestris.

  6. Intensified tuberculosis case finding, implementation of isoniazid preventive therapy and associated factors among people living with human immunodeficiency virus at public health facilities of Harari Region, Eastern Ethiopia: A cross-sectional study

    Science.gov (United States)

    Geleto, Ayele; Abate, Degu; Egata, Gudina

    2017-01-01

    Objective: Globally, the number of people living with human immunodeficiency virus (PLHIV) particularly in sub-Saharan Africa is growing. This has been resulted in increased number of tuberculosis (TB) new cases. To control burden of TB among PLHIV, a number of collaborative TB/HIV activities were recommended. However, data about collaborative TB/HIV services in the study area is scarce. The objective of this study is to assess intensified TB case finding, implementation of isoniazid preventive therapy (IPT) and associated factors among PLHIV. Methods: A facility based cross-sectional study design was employed among 419 randomly selected PLHIV from public health facilities of Harari region. Systematic sampling method was used to obtain sample from each health facilities. Interviewer-administered questionnaire was used to collect data. Data were entered into EpiData and analyzed by SPSS statistical software. Multivariate logistic regression analysis was conducted to determine the presence of association between variables using odds ratio with 95% confidence interval and association was declared significant at P ≤ 0.05. Results: One hundred fifteen (75.2%) of the respondents reported that they offered screening for TB during their HIV chronic cares and 94 (29.8%) of them were found to be positive for active TB. Female sex [AOR 2.51; 95%CI (1.52, 6.14)], educated patients [AOR 0.52; 95%CI (0.21, 0.83)], CD4 count greater than 350 cells/dl3 [AOR 0.62; 95%CI(0.22,0.82)], Antiretroviral Therapy (ART) initiation [AOR 0.50; 95%CI (0.35, 0.88)] and missing dose of ART [AOR 2.57; 95%CI (1.21, 5.32)] were significantly associated with TB infection. Nearly four-fifth (78.7 %) of the study participants were provided IPT. Conclusions: Screening of TB among PLHIV and implementation of IPT in the region is lower when compared to the findings of other studies conducted in different parts of the country and needs to be improved through implementation of national and international

  7. Photoelectrochemical characteristics of TiO2 nanorod arrays grown on fluorine doped tin oxide substrates by the facile seeding layer assisted hydrothermal method

    Science.gov (United States)

    Sui, Mei-rong; Han, Cui-ping; Gu, Xiu-quan; Wang, Yong; Tang, Lu; Tang, Hui

    2016-05-01

    TiO2 nanorod arrays (NRAs) were prepared on fluorine doped tin oxide (FTO) substrates by a facile two-step hydrothermal method. The nanorods were selectively grown on the FTO regions which were covered with TiO2 seeding layer. It took 5 h to obtain the compact arrays with the nanorod length of ~2 μm and diameter of ~50 nm. The photoelectrochemical (PEC) properties of TiO2 NRAs are also investigated. It is demonstrated that the TiO2 NRAs indicate the good photoelectric conversion ability with an efficiency of 0.22% at a full-wavelength irradiation. A photocurrent density of 0.21 mA/cm2 is observed at 0.7 V versus the saturated calomel electrode (SCE). More evidences suggest that the charge transferring resistance is lowered at an irradiation, while the flat-band potential ( V fb) is shifted towards the positive side.

  8. Facilities & Leadership

    Data.gov (United States)

    Department of Veterans Affairs — The facilities web service provides VA facility information. The VA facilities locator is a feature that is available across the enterprise, on any webpage, for the...

  9. Elder mistreatment in U.S. residential care facilities: the scope of the problem.

    Science.gov (United States)

    Phillips, Linda R; Guo, Guifang; Kim, Haesook

    2013-01-01

    Many in the United States believe elder mistreatment in long-term care is serious and widespread, but until recently few studies focused on the problem. This study was designed to describe the scope of mistreatment in assisted living facilities (ALFs) in Arizona during a 3-year period. Findings showed that receiving citations for elder mistreatment was relatively rare. However, analysis of narrative reports from only 7% of facilities showed 598 allegations of mistreatment in complaint investigations, of which 372 (62.2%) were substantiated and given citations for something other than mistreatment. Results show that elder mistreatment in ALFs is seriously underidentified, even by state inspectors.

  10. Biochemistry Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Biochemistry Facility provides expert services and consultation in biochemical enzyme assays and protein purification. The facility currently features 1) Liquid...

  11. A comparison of specialist rehabilitation and care assistant support with specialist rehabilitation alone and usual care for people with Parkinson's living in the community: study protocol for a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Gage Heather

    2011-11-01

    Full Text Available Abstract Background Parkinson's Disease is a degenerative neurological condition that causes movement problems and other distressing symptoms. People with Parkinson's disease gradually lose their independence and strain is placed on family members. A multidisciplinary approach to rehabilitation for people with Parkinson's is recommended but has not been widely researched. Studies are needed that investigate cost-effective community-based service delivery models to reduce disability and dependency and admission to long term care, and improve quality of life. Methods A pragmatic three parallel group randomised controlled trial involving people with Parkinson's Disease and live-in carers (family friends or paid carers, and comparing: management by a specialist multidisciplinary team for six weeks, according to a care plan agreed between the professionals and the patient and carer (Group A; multidisciplinary team management and additional support for four months from a trained care assistant (Group B; usual care, no coordinated team care planning or ongoing support (Group C. Follow up will be for six months to determine the impact and relative cost-effectiveness of the two interventions, compared to usual care. The primary outcomes are disability (patients and strain (carers. Secondary outcomes include patient mobility, falls, speech, pain, self efficacy, health and social care use; carer general health; patient and carer social functioning, psychological wellbeing, health related quality of life. Semi structured interviews will be undertaken with providers (team members, care assistants, service commissioners, and patients and carers in groups A and B, to gain feedback about the acceptability of the interventions. A cost - effectiveness evaluation is embedded in the trial. Discussion The trial investigates components of recent national policy recommendations for people with long term conditions, and Parkinson's Disease in particular, and will

  12. 44 CFR 206.226 - Restoration of damaged facilities.

    Science.gov (United States)

    2010-10-01

    ... funding for and require restoration of a destroyed facility at a new location when: (i) The facility is... facilities. 206.226 Section 206.226 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY... § 206.226 Restoration of damaged facilities. Work to restore eligible facilities on the basis of...

  13. Living Technology

    DEFF Research Database (Denmark)

    2010-01-01

    This book is aimed at anyone who is interested in learning more about living technology, whether coming from business, the government, policy centers, academia, or anywhere else. Its purpose is to help people to learn what living technology is, what it might develop into, and how it might impact...... our lives. The phrase 'living technology' was coined to refer to technology that is alive as well as technology that is useful because it shares the fundamental properties of living systems. In particular, the invention of this phrase was called for to describe the trend of our technology becoming...... increasingly life-like or literally alive. Still, the phrase has different interpretations depending on how one views what life is. This book presents nineteen perspectives on living technology. Taken together, the interviews convey the collective wisdom on living technology's power and promise, as well as its...

  14. 40 CFR 35.2030 - Facilities planning.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Facilities planning. 35.2030 Section 35... STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works § 35.2030 Facilities planning. (a) General. (1) Facilities planning consists of those necessary plans and studies which directly relate...

  15. 24 CFR 891.675 - Prohibited facilities.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Prohibited facilities. 891.675... and Individuals-Section 162 Assistance § 891.675 Prohibited facilities. The requirements for prohibited facilities for 202/162 projects are provided in § 891.315, except that Section 202/162...

  16. 13 CFR 113.410 - Comparable facilities.

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Comparable facilities. 113.410... Discrimination on the Basis of Sex in Education Programs Or Activities Prohibited § 113.410 Comparable facilities. A recipient may provide separate toilet, locker room, and shower facilities on the basis of sex,...

  17. 45 CFR 63.37 - Leasing facilities.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Leasing facilities. 63.37 Section 63.37 Public... OFFICE OF THE ASSISTANT SECRETARY FOR PLANNING AND EVALUATION Special Provisions § 63.37 Leasing facilities. In the case of a project involving the leasing of a facility, the grantee shall demonstrate...

  18. Surgical Assisting

    Science.gov (United States)

    ... Insert and remove Foley urinary bladder catheter Place pneumatic tourniquet Confirm procedure with surgeon Drape patient within ... Technology and Surgical Assisting (NBSTSA) offers the CertifiedSurgical First Assistant (CSFA) credential, and the National Surgical Assistant ...

  19. Enhanced electrochemical properties of LiFePO4 by Mo-substitution and graphitic carbon-coating via a facile and fast microwave-assisted solid-state reaction.

    Science.gov (United States)

    Li, Dan; Huang, Yudai; Sharma, Neeraj; Chen, Zhixin; Jia, Dianzeng; Guo, Zaiping

    2012-03-14

    A composite cathode material for lithium ion battery applications, Mo-doped LiFePO(4)/C, is obtained through a facile and fast microwave-assisted synthesis method. Rietveld analysis of LiFePO(4)-based structural models using synchrotron X-ray diffraction data shows that Mo-ions substitute onto the Fe sites and displace Fe-ions to the Li sites. Supervalent Mo(6+) doping can act to introduce Li ion vacancies due to the charge compensation effect and therefore facilitate lithium ion diffusion during charging/discharging. Transmission electron microscope images demonstrate that the pure and doped LiFePO(4) nanoparticles were uniformly covered by an approximately 5 nm thin layer of graphitic carbon. Amorphous carbon on the graphitic carbon-coated pure and doped LiFePO(4) particles forms a three-dimensional (3D) conductive carbon network, effectively improving the conductivity of these materials. The combined effects of Mo-doping and the 3D carbon network dramatically enhance the electrochemical performance of these LiFePO(4) cathodes. In particular, Mo-doped LiFePO(4)/C delivers a reversible capacity of 162 mA h g(-1) at a current of 0.5 C and shows enhanced capacity retention compared to that of undoped LiFePO(4)/C. Moreover, the electrode exhibits excellent rate capability, with an associated high discharge capacity and good electrochemical reversibility.

  20. Smart kitchen for Ambient Assisted Living

    OpenAIRE

    2013-01-01

    El envejecimiento de la población es una realidad en todos los países desarrollados. Las predicciones de crecimiento de esta población son alarmantes, planteando un reto para los servicios sociales y sanitarios. Las personas ancianas padecen diversas discapacidades que se van acentuando con la edad, siendo más propensas a sufrir accidentes domésticos, presentando problemas para realizar tareas cotidianas, etc. Esta situación conlleva a una pérdida paulatina de capacidades que en muchas ocasio...

  1. Live births achieved via IVF are increased by improvements in air quality and laboratory environment

    Science.gov (United States)

    Heitmann, Ryan J; Hill, Micah J; James, Aidita N; Schimmel, Tim; Segars, James H; Csokmay, John M; Cohen, Jacques; Payson, Mark D

    2016-01-01

    Infertility is a common disease, which causes many couples to seek treatment with assisted reproduction techniques. Many factors contribute to successful assisted reproduction technique outcomes. One important factor is laboratory environment and air quality. Our facility had the unique opportunity to compare consecutively used, but separate assisted reproduction technique laboratories, as a result of a required move. Environmental conditions were improved by strategic engineering designs. All other aspects of the IVF laboratory, including equipment, physicians, embryologists, nursing staff and protocols, were kept constant between facilities. Air quality testing showed improved air quality at the new IVF site. Embryo implantation (32.4% versus 24.3%; P < 0.01) and live birth (39.3% versus 31.8%, P < 0.05) were significantly increased in the new facility compared with the old facility. More patients met clinical criteria and underwent mandatory single embryo transfer on day 5 leading to both a reduction in multiple gestation pregnancies and increased numbers of vitrified embryos per patient with supernumerary embryos available. Improvements in IVF laboratory conditions and air quality had profound positive effects on laboratory measures and patient outcomes. This study further strengthens the importance of the laboratory environment and air quality in the success of an IVF programme. PMID:26194882

  2. Fabrication Facilities

    Data.gov (United States)

    Federal Laboratory Consortium — The Fabrication Facilities are a direct result of years of testing support. Through years of experience, the three fabrication facilities (Fort Hood, Fort Lewis, and...

  3. Facility Microgrids

    Energy Technology Data Exchange (ETDEWEB)

    Ye, Z.; Walling, R.; Miller, N.; Du, P.; Nelson, K.

    2005-05-01

    Microgrids are receiving a considerable interest from the power industry, partly because their business and technical structure shows promise as a means of taking full advantage of distributed generation. This report investigates three issues associated with facility microgrids: (1) Multiple-distributed generation facility microgrids' unintentional islanding protection, (2) Facility microgrids' response to bulk grid disturbances, and (3) Facility microgrids' intentional islanding.

  4. Living labs design and assessment of sustainable living

    CERN Document Server

    Guerra-Santin, Olivia; Lockton, Dan

    2017-01-01

    This book presents the results of a multi-annual project with sustainable Living Labs in the United Kingdom, Sweden, Germany and the Netherlands. Living Labs – as initiated by the authors – have proved to be very promising research, design, co-creation and communication facilities for the development and implementation of sustainable innovations in the home. The book provides an inspiring introduction to both the methodology and business modelling for the Living Lab facilities. Understanding daily living at home is key to designing products and services that support households in their transition to more sustainable lifestyles. This book not only explores new ways of gaining insights into daily practices, but also discusses developing and testing design methods to create sustainable solutions for households. These new methods and tools are needed because those available are either ineffective or cause rebound-effects. Intended for researchers and designers with an interest in the transition to sustainable...

  5. Accessibility and assistive products

    Science.gov (United States)

    Rodríguez-Porrero, Cristina

    2009-01-01

    Introduction Accessibility and assistive products and technologies are needed to ensure the rights of persons with disabilities and older persons. Many developments have been implemented in laws, standards, markets and from the consumers perspective, at international, European and national levels. The real issue is that not all the potential users benefit from the use of assistive products or accessible measures. Discussion Innovative methods are needed to allow all potential users to have real advantage of assistive technologies and accessible and design for all facilities. Best practices will be presented and existing gaps and recommendations will be discussed. Cost-benefits aspects will also be presented. Conclusion In order to get advantages from opportunities of globalization, hard work and responsibilities of all stakeholders are needed, so that assistive products and accessibility reach a whole range of situations and environments and contribute to ensure quality of life in a society for all.

  6. Vivenciando a experiência da parturição em um modelo assistencial humanizado Viviendo la experiencia de la parturición en un modelo asistencial humanizado Living the birth process in a humanized assistance model

    Directory of Open Access Journals (Sweden)

    Larissa Mandarano da Silva

    2011-02-01

    humanización y generar innovación en la asistenciaThat was a qualitative study with phenomenological approach that aimed at understanding women's post-partum experiences in a humanized assistance. Data were collected in a hospital from São Paulo, SP, Brazil. Eight women in post-partum period were interviewed. From data analysis two themes were extracted: Bearing the labor and Having the opportunity rescuing autonomy, being disclosed the phenomenon: "Living the ambiguity on the birth process in a humanized assistance model". The reports show feelings like pain, fear and anxiety, however, it allowed a participation and rescuing autonomy. Although the study have been realized in a humanized assistance, the women's experiences reveals that they are far from an effective humanization, according to its principles. This study can be used to guide educative actions target to humanization and to generate managerial changes

  7. Assisted suicide and euthanasia.

    Science.gov (United States)

    van der Heide, Agnes

    2013-01-01

    Several countries have adopted laws that regulate physician assistance in dying. Such assistance may consist of providing a patient with a prescription of lethal medication that is self-administered by the patient, which is usually referred to as (physician) assistance in suicide, or of administering lethal medication to a patient, which is referred to as euthanasia. The main aim of regulating physician assistance in dying is to bring these practices into the open and to provide physicians with legal certainty. A key condition in all jurisdictions that have regulated either assistance in suicide or euthanasia is that physicians are only allowed to engage in these acts upon the explicit and voluntary request of the patient. All systems that allow physician assistance in dying have also in some way included the notion that physician assistance in dying is only accepted when it is the only means to address severe suffering from an incurable medical condition. Arguments against the legal regulation of physician assistance in dying include principled arguments, such as the wrongness of hastening death, and arguments that emphasize the negative consequences of allowing physician assistance in dying, such as a devaluation of the lives of older people, or people with chronic disease or disabilities. Opinion polls show that some form of accepting and regulating euthanasia and physician assistance in suicide is increasingly supported by the general population in most western countries. Studies in countries where physician assistance in dying is regulated suggest that practices have remained rather stable in most jurisdictions and that physicians adhere to the legal criteria in the vast majority of cases.

  8. ESO adaptive optics facility

    Science.gov (United States)

    Arsenault, R.; Madec, P.-Y.; Hubin, N.; Paufique, J.; Stroebele, S.; Soenke, C.; Donaldson, R.; Fedrigo, E.; Oberti, S.; Tordo, S.; Downing, M.; Kiekebusch, M.; Conzelmann, R.; Duchateau, M.; Jost, A.; Hackenberg, W.; Bonaccini Calia, D.; Delabre, B.; Stuik, R.; Biasi, R.; Gallieni, D.; Lazzarini, P.; Lelouarn, M.; Glindeman, A.

    2008-07-01

    ESO has initiated in June 2004 a concept of Adaptive Optics Facility. One unit 8m telescope of the VLT is upgraded with a 1.1 m convex Deformable Secondary Mirror and an optimized instrument park. The AO modules GALACSI and GRAAL will provide GLAO and LTAO corrections forHawk-I and MUSE. A natural guide star mode is provided for commissioning and maintenance at the telescope. The facility is completed by a Laser Guide Star Facility launching 4 LGS from the telescope centerpiece used for the GLAO and LTAO wavefront sensing. A sophisticated test bench called ASSIST is being designed to allow an extensive testing and characterization phase of the DSM and its AO modules in Europe. Most sub-projects have entered the final design phase and the DSM has entered Manufacturing phase. First light is planned in the course of 2012 and the commissioning phases should be completed by 2013.

  9. The new asylums in the community: severely ill psychiatric patients living in psychiatric supported housing facilities. A Danish register-based study of prognostic factors, use of psychiatric services, and mortality

    DEFF Research Database (Denmark)

    Nordentoft, Merete; Pedersen, Marianne G; Pedersen, Carsten B;

    2012-01-01

    INTRODUCTION: Reorganization of psychiatric treatment in Denmark involved a declining number of psychiatric long-stay beds and an increasing number of psychiatric supported housing facilities in the community. Very few studies have focused on the population in such facilities. METHODS: Informatio...

  10. Orientation to pollution prevention for facility design

    Energy Technology Data Exchange (ETDEWEB)

    Raney, E.A.; Whitehead, J.K.; Encke, D.B. [Westinghouse Hanford Co., Richland, WA (United States); Dorsey, J.A. [Kaiser Engineers Hanford Co., Richland, WA (United States)

    1994-01-01

    This material was developed to assist engineers in incorporating pollution prevention into the design of new or modified facilities within the U.S. Department of Energy (DOE). The material demonstrates how the design of a facility can affect the generation of waste throughout a facility`s entire life and it offers guidance on how to prevent the generation of waste during design. Contents include: Orientation to pollution prevention for facility design training course booklet; Pollution prevention design guideline; Orientation to pollution prevention for facility design lesson plan; Training participant survey and pretest; and Training facilitator`s guide and schedule.

  11. A facile one-pot oxidation-assisted dealloying protocol to massively synthesize monolithic core-shell architectured nanoporous copper@cuprous oxide nanonetworks for photodegradation of methyl orange

    Science.gov (United States)

    Liu, Wenbo; Chen, Long; Dong, Xin; Yan, Jiazhen; Li, Ning; Shi, Sanqiang; Zhang, Shichao

    2016-11-01

    In this report, a facile and effective one-pot oxidation-assisted dealloying protocol has been developed to massively synthesize monolithic core-shell architectured nanoporous copper@cuprous oxide nanonetworks (C-S NPC@Cu2O NNs) by chemical dealloying of melt-spun Al 37 at.% Cu alloy in an oxygen-rich alkaline solution at room temperature, which possesses superior photocatalytic activity towards photodegradation of methyl orange (MO). The experimental results show that the as-prepared nanocomposite exhibits an open, bicontinuous interpenetrating ligament-pore structure with length scales of 20 ± 5 nm, in which the ligaments comprising Cu and Cu2O are typical of core-shell architecture with uniform shell thickness of ca. 3.5 nm. The photodegradation experiments of C-S NPC@Cu2O NNs show their superior photocatalytic activities for the MO degradation under visible light irradiation with degradation rate as high as 6.67 mg min-1 gcat-1, which is a diffusion-controlled kinetic process in essence in light of the good linear correlation between photodegradation ratio and square root of irradiation time. The excellent photocatalytic activity can be ascribed to the synergistic effects between unique core-shell architecture and 3D nanoporous network with high specific surface area and fast mass transfer channel, indicating that the C-S NPC@Cu2O NNs will be a promising candidate for photocatalysts of MO degradation.

  12. Live Well

    Science.gov (United States)

    ... message, please visit this page: About CDC.gov . HIV Treatment Works Get In Care HIV 101 Locate a ... Sharing Your Status Stay In Care Understanding Care HIV Treatment Cost of HIV Treatment Related Health Conditions Live ...

  13. Assistive Technology

    Science.gov (United States)

    ... Page Resize Text Printer Friendly Online Chat Assistive Technology Assistive technology (AT) is any service or tool that helps ... be difficult or impossible. For older adults, such technology may be a walker to improve mobility or ...

  14. Living language

    CERN Document Server

    Shuttleworth, John

    2008-01-01

    Living Language 3rd edition' has been devised to meet all the new specifications for AS and A level English Language. The best-selling previous edition has been comprehensively revised to ensure full assessment objectives coverage and fulfilment, and delivery of the new four-unit courses from 2008 onwards. 'Living Language 3rd edition' provides linguistic theory, information and ideas which are easily accessed via supported activities and investigations. The text will actively develop students' skills in reading, listening and responding to an extensive range of text genres and data. Building

  15. Assistive Technologies

    Science.gov (United States)

    Auat Cheein, Fernando A., Ed.

    2012-01-01

    This book offers the reader new achievements within the Assistive Technology field made by worldwide experts, covering aspects such as assistive technology focused on teaching and education, mobility, communication and social interactivity, among others. Each chapter included in this book covers one particular aspect of Assistive Technology that…

  16. Ventricular assist device

    Science.gov (United States)

    VAD; RVAD; LVAD; BVAD; Right ventricular assist device; Left ventricular assist device; Biventricular assist device; Heart pump; Left ventricular assist system; LVAS; Implantable ventricular assist device

  17. Canyon Facilities

    Data.gov (United States)

    Federal Laboratory Consortium — B Plant, T Plant, U Plant, PUREX, and REDOX (see their links) are the five facilities at Hanford where the original objective was plutonium removal from the uranium...

  18. Mammography Facilities

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Mammography Facility Database is updated periodically based on information received from the four FDA-approved accreditation bodies: the American College of...

  19. Health Facilities

    Science.gov (United States)

    Health facilities are places that provide health care. They include hospitals, clinics, outpatient care centers, and specialized care centers, such as birthing centers and psychiatric care centers. When you ...

  20. Living Lands

    DEFF Research Database (Denmark)

    Christensen, Suna Møller

    2014-01-01

    , hunters attended to questions like safe-journeying on ice or the role of natural surroundings in children’s education, in ways revealing a relational perception of ‘nature’ and dissolving culture-nature dualisms. Hunters’ experiences in living the land afforded children a dwelling position from which...... of the social world pushes questions about education and life, disregarding being educated as human control of nature....

  1. The future for physician assistants.

    Science.gov (United States)

    Cawley, J F; Ott, J E; DeAtley, C A

    1983-06-01

    Physician assistants were intended to be assistants to primary care physicians. Physicians in private practice have only moderately responded to the availability of these professionals. Cutbacks in the numbers of foreign medical graduates entering American schools for graduate medical education, concern for overcrowding in some specialties, and the economic and clinical capabilities of physician assistants have lead to new uses for these persons. Physician assistants are employed in surgery and surgical subspecialties; in practice settings in institutions such as medical, pediatric, and surgical house staff; and in geriatric facilities, occupational medicine clinics, emergency rooms, and prison health systems. The projected surplus of physicians by 1990 may affect the use of physician assistants by private physicians in primary care.

  2. Living edge

    DEFF Research Database (Denmark)

    Earon, Ofri

    2014-01-01

    of the involved actors at the border. By doing so, the study underlines a forgotten, yet important, role of this edge zone – being a zone of commonality between the house and city, between indoors and outdoors, between the man at home and the man at the street. The city of Copenhagen promotes porous borders...... is a collection of material from the case study of an ongoing PhD study titled: LIVING EDGE - The Architectural and Urban Prospect of Domestic Borders. The paper includes a description of the problem analysis, research question, method, discussion and conclusion....

  3. Optimize Deployment of Renewable Energy Technologies for Government Agencies, Industrial Facilities, and Military Installations: NREL Offers Proven Tools and Resources to Reduce Energy Use and Improve Efficiency (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2010-01-01

    The National Renewable Energy Lab provides expertise, facilities, and technical assistance to campuses, facilities, and government agencies to apply renewable energy and energy efficiency technologies.

  4. 40 CFR 35.925-1 - Facilities planning.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Facilities planning. 35.925-1 Section... Facilities planning. That, if the award is for step 2, step 3, or step 2=3 grant assistance, the facilities planning requirements in § 35.917 et seq. have been met....

  5. New Mexico's Model for Funding School Facilities' Greatest Needs

    Science.gov (United States)

    Gorrell, Robert; Salamone, Frank

    2011-01-01

    The New Mexico Public Schools Facilities Authority (NM-PSFA) is a relatively small state agency (50 staff members) that manages the allocation of funding for public school facilities in the state while assisting school districts and state-chartered charter schools in facility planning, construction, and maintenance. Like the majority of other…

  6. Live CMS

    CERN Document Server

    2017-01-01

    CMS live from Facebook. The Pixel Tracker (or Pixel Detector) is the innermost instrument in the very heart of the CMS apparatus, installed around the LHC beampipe. This is the very point where new particles, such as the Higgs boson, are produced by the energy of the proton proton collisions, and so the Pixel detector receives the largest particle-flux of any sub-component of CMS. The new component is made up of two “parts”: a central barrel region (called BPIX), made of two cylindrical halves, and forward discs on either side of the collision point (FPIX). The new BPIX was manufactured by a consortium of European institutes from Switzerland, Italy and Germany, supported by CERN. The new FPIX was manufactured by 14 institutes in the USA.

  7. Serviced Living

    Institute of Scientific and Technical Information of China (English)

    LIU BO

    2006-01-01

    @@ As recently as ten years ago,the term serviced apartment made no sense to most people living in Beijing and residing in hotels was the only options for foreign visitors. But since then, serviced apartments have begun to appear in big cities all around China. In Beijing alone, it is estimated that there are more than 30,000service apartments spread across dozens of properties occupying a space of more than I million square meters. Concentrating in the Financial Street, the Central Business District and Zhongguancun, also known as China's Silicon Valley, the explosion in service apartments in the city continues to be fueled by the influx of overseas and domestic business people.

  8. Assistive technology for disabled clients.

    Science.gov (United States)

    Bergen, A F

    1998-01-01

    Numerous resources exist for consumers who wish to explore the benefits of assistive technology. Consumers can tap into the knowledge base of rehabilitation technology suppliers, therapists, and physicians, and follow a step-by-step process to use new technologies to improve their daily lives.

  9. Shared lives, shared energy

    Energy Technology Data Exchange (ETDEWEB)

    Madsen, P.; Goss, K.

    1982-07-01

    A social experiment in Denmark is described in which 25 families combine private ownership (each family owns its own home) and collectivism (each family owns 1/25 of the grounds, large common house and other facilities). The superinsulated individual homes are small (< 1000 ft/sup 2/) but the common house (7800 ft/sup 2/) provides dining and meeting facilities for all 25 families as well as a central heating plant. Heat may be supplied from solar, wind and/or oil-fired boiler. Adequate hot water storage is provided using solar collectors and a 55 kW Vesta wind generator (surplus power is sold). All south facing roof surfaces are fitted with solar collectors (4455 ft/sup 2/ total). A total of 70% of the energy used is produced on site (solar and wind). The manner of living and sharing (child care, automobiles, cooking, etc.) is described as well as typical floor plans for the units. Other collective housing in Denmark is described and it is postulated that overdrevet may serve as a model. (MJJ)

  10. Site maps and facilities listings

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    In September 1989, a Memorandum of Agreement among DOE offices regarding the environmental management of DOE facilities was signed by appropriate Assistant Secretaries and Directors. This Memorandum of Agreement established the criteria for EM line responsibility. It stated that EM would be responsible for all DOE facilities, operations, or sites (1) that have been assigned to DOE for environmental restoration and serve or will serve no future production need; (2) that are used for the storage, treatment, or disposal of hazardous, radioactive, and mixed hazardous waste materials that have been properly characterized, packaged, and labelled, but are not used for production; (3) that have been formally transferred to EM by another DOE office for the purpose of environmental restoration and the eventual return to service as a DOE production facility; or (4) that are used exclusively for long-term storage of DOE waste material and are not actively used for production, with the exception of facilities, operations, or sites under the direction of the DOE Office of Civilian Radioactive Waste Management. As part of the implementation of the Memorandum of Agreement, Field Offices within DOE submitted their listings of facilities, systems, operation, and sites for which EM would have line responsibility. It is intended that EM facility listings will be revised on a yearly basis so that managers at all levels will have a valid reference for the planning, programming, budgeting and execution of EM activities.

  11. Living Nanomachines

    Science.gov (United States)

    Carlier, M.-F.; Helfer, E.; Wade, R.; Haraux, F.

    The living cell is a kind of factory on the microscopic scale, in which an assembly of modular machines carries out, in a spatially and temporally coordinated way, a whole range of activities internal to the cell, including the synthesis of substances essential to its survival, intracellular traffic, waste disposal, and cell division, but also activities related to intercellular communication and exchanges with the outside world, i.e., the ability of the cell to change shape, to move within a tissue, or to organise its own defence against attack by pathogens, injury, and so on. These nanomachines are made up of macromolecular assemblies with varying degrees of complexity, forged by evolution, within which work is done as a result of changes in interactions between proteins, or between proteins and nucleic acids, or between proteins and membrane components. All these cell components measure a few nanometers across, so the mechanical activity of these nanomachines all happens on the nanometric scale. The directional nature of the work carried out by biological nanomachines is associated with a dissipation of energy. As examples of protein assemblies, one could mention the proteasome, which is responsible for the degradation of proteins, and linear molecular motors such as actomyosin, responsible for muscle contraction, the dynein-microtubule system, responsible for flagellar motility, and the kinesin-microtubule system, responsible for transport of vesicles, which transform chemical energy into motion. Nucleic acid-protein assemblies include the ribosome, responsible for synthesising proteins, polymerases, helicases, elongation factors, and the machinery of DNA replication and repair; the mitotic spindle is an integrated system involving several of these activities which drive chromosome segregation. The machinery coupling membranes and proteins includes systems involved in the energy metabolism, such as the ATP synthase rotary motor, signalling cascades, endocytosis

  12. Hearing Assistive Technology

    Science.gov (United States)

    ... for the Public / Hearing and Balance Hearing Assistive Technology Hearing Assistive Technology: FM Systems | Infrared Systems | Induction ... Assistive Technology Systems Solutions What are hearing assistive technology systems (HATS)? Hearing assistive technology systems (HATS) are ...

  13. Assessing the Security Vulnerabilities of Correctional Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Morrison, G.S.; Spencer, D.S.

    1998-10-27

    The National Institute of Justice has tasked their Satellite Facility at Sandia National Laboratories and their Southeast Regional Technology Center in Charleston, South Carolina to devise new procedures and tools for helping correctional facilities to assess their security vulnerabilities. Thus, a team is visiting selected correctional facilities and performing vulnerability assessments. A vulnerability assessment helps to identi~ the easiest paths for inmate escape, for introduction of contraband such as drugs or weapons, for unexpected intrusion fi-om outside of the facility, and for the perpetration of violent acts on other inmates and correctional employees, In addition, the vulnerability assessment helps to quantify the security risks for the facility. From these initial assessments will come better procedures for performing vulnerability assessments in general at other correctional facilities, as well as the development of tools to assist with the performance of such vulnerability assessments.

  14. Air Quality Facilities

    Data.gov (United States)

    Iowa State University GIS Support and Research FacilityFacilities 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 facilities...

  15. Theme: Laboratory Facilities Improvement.

    Science.gov (United States)

    Miller, Glen M.; And Others

    1993-01-01

    Includes "Laboratory Facilities Improvement" (Miller); "Remodeling Laboratories for Agriscience Instruction" (Newman, Johnson); "Planning for Change" (Mulcahy); "Laboratory Facilities Improvement for Technology Transfer" (Harper); "Facilities for Agriscience Instruction" (Agnew et al.); "Laboratory Facility Improvement" (Boren, Dwyer); and…

  16. Assistive Devices

    Science.gov (United States)

    ... a number of assistive devices. These are tools, products or types of equipment that help you perform tasks and activities. They may help you move around, see, communicate, eat, or get dressed. Some are high-tech tools, such as computers. Others are much simpler, ...

  17. Teaching Assistants.

    Science.gov (United States)

    Feinman, Jay M.

    1991-01-01

    A discussion of teaching assistants (TAs) in the law school looks at the TA's cognitive and affective roles and effective ways to use TAs to reinforce usual forms of learning in the large class; introduce a broadened range of materials, skills, and learning methods; and transform the large class experience. (MSE)

  18. PUREX facility hazards assessment

    Energy Technology Data Exchange (ETDEWEB)

    Sutton, L.N.

    1994-09-23

    This report documents the hazards assessment for the Plutonium Uranium Extraction Plant (PUREX) located on the US Department of Energy (DOE) Hanford Site. Operation of PUREX is the responsibility of Westinghouse Hanford Company (WHC). This hazards assessment was conducted to provide the emergency planning technical basis for PUREX. DOE Order 5500.3A requires an emergency planning hazards assessment for each facility that has the potential to reach or exceed the lowest level emergency classification. In October of 1990, WHC was directed to place PUREX in standby. In December of 1992 the DOE Assistant Secretary for Environmental Restoration and Waste Management authorized the termination of PUREX and directed DOE-RL to proceed with shutdown planning and terminal clean out activities. Prior to this action, its mission was to reprocess irradiated fuels for the recovery of uranium and plutonium. The present mission is to establish a passively safe and environmentally secure configuration at the PUREX facility and to preserve that condition for 10 years. The ten year time frame represents the typical duration expended to define, authorize and initiate follow-on decommissioning and decontamination activities.

  19. Perimeter security for Minnesota correctional facilities

    Energy Technology Data Exchange (ETDEWEB)

    Crist, D. [Minnesota Department of Corrections, St. Paul, MN (United States); Spencer, D.D. [Sandia National Labs., Albuquerque, NM (United States)

    1996-12-31

    For the past few years, the Minnesota Department of Corrections, assisted by Sandia National Laboratories, has developed a set of standards for perimeter security at medium, close, and maximum custody correctional facilities in the state. During this process, the threat to perimeter security was examined and concepts about correctional perimeter security were developed. This presentation and paper will review the outcomes of this effort, some of the lessons learned, and the concepts developed during this process and in the course of working with architects, engineers and construction firms as the state upgraded perimeter security at some facilities and planned new construction at other facilities.

  20. Facile Synthesis of N-Doped Carbon Dots as a New Matrix for Detection of Hydroxy-Polycyclic Aromatic Hydrocarbons by Negative-Ion Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry.

    Science.gov (United States)

    Lu, Wenjing; Li, Yong; Li, Ruijin; Shuang, Shaomin; Dong, Chuan; Cai, Zongwei

    2016-05-25

    N-doping carbon dots (N-CDs) were prepared by microwave-assisted pyrolysis of dl-malic acid and ethanolamine as precursors. The material served as an excellent matrix for the detection of the environmental pollutants hydroxy-polycyclic aromatic hydrocarbons (OH-PAHs) by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) in negative ion mode. The obtained N-CDs exhibited good UV absorption capacity and favorable solubility. The use of the N-CDs matrix exhibited low matrix background interference and was beneficial to improve the signal response due to the specific π-conjugated polyaromatic structure and the doping of nitrogen atoms. The developed method was found to have good reproducibility and sensitivity. The N-CDs as a new matrix also were employed for the detection of OH-PAHs in real PM2.5 samples. The mass concentrations of Σ-hydroxy-pyrene, Σ-dihydroxy-anthraquinone, and Σ-dihydroxy-benzo(a)pyrene on the collected PM2.5 samples ranged from 0.125 to 0.136 ng/m(3), 0.039 to 0.052 ng/m(3), and 0.053 to 0.072 ng/m(3), respectively. This work extends the application field of N-CDs and provides a good candidate of matrix for MALDI-TOF MS detection of environmental pollutants.

  1. Living with an Arrhythmia

    Science.gov (United States)

    ... from the NHLBI on Twitter. Living With an Arrhythmia Many arrhythmias are harmless. It's common to have an occasional ... heartbeat or mild palpitations . People who have harmless arrhythmias can live healthy lives. They usually don't ...

  2. Living with endometriosis

    Science.gov (United States)

    Pelvic pain - living with endometriosis; Endometrial implant - living with endometriosis; Endometrioma - living with endometriosis ... counter pain relievers can reduce the pain of endometriosis. These include: Ibuprofen (Advil) Naproxen (Aleve) Acetaminophen (Tylenol) ...

  3. Living Gluten Free

    Science.gov (United States)

    ... please turn JavaScript on. Feature: Celiac Disease Living Gluten Free Past Issues / Spring 2015 Table of Contents ... Learning to Live Well with Celiac Disease / Living Gluten-Free Spring 2015 Issue: Volume 10 Number 1 ...

  4. Clean Air Markets - Where You Live (National and State Maps)

    Data.gov (United States)

    U.S. Environmental Protection Agency — Where You Live accesses facility and unit attribute data as well as emissions data using a series of interactive national and state maps. This module allows the user...

  5. [Living donor transplantation. Surgical complications].

    Science.gov (United States)

    Karam, Georges

    2008-02-01

    Although nephrectomy by open surgery is the most used technique for the extraction of kidney transplants in the living donor, nephrectomy under laparaoscopy is increasingly practiced. Laparoscopic nephrectomy is less invasive and performed under videoscopy control, after insufflation of the peritoneal cavity. Three to four incisions are done in order to enter the surgical instruments. The kidney is extracted through a horizontal sus-pubic incision. The exposition is either exclusively transperitoneal, retroperitoneal or hand assisted. The advantages of laparoscopy are esthetical, financial due to a shorter hospitalisation and a quicker recovery, as well a confort for the donor. The disadvantages are a longer warm ischemia time and possibly a higher risk of delayed graft function. Randomised studies having compared laparoscopy and open surgery in the living donor have not find any significant difference regarding the per- and perioperative in the complications.

  6. Integrated Facilities and Infrastructure Plan.

    Energy Technology Data Exchange (ETDEWEB)

    Reisz Westlund, Jennifer Jill

    2017-03-01

    Our facilities and infrastructure are a key element of our capability-based science and engineering foundation. The focus of the Integrated Facilities and Infrastructure Plan is the development and implementation of a comprehensive plan to sustain the capabilities necessary to meet national research, design, and fabrication needs for Sandia National Laboratories’ (Sandia’s) comprehensive national security missions both now and into the future. A number of Sandia’s facilities have reached the end of their useful lives and many others are not suitable for today’s mission needs. Due to the continued aging and surge in utilization of Sandia’s facilities, deferred maintenance has continued to increase. As part of our planning focus, Sandia is committed to halting the growth of deferred maintenance across its sites through demolition, replacement, and dedicated funding to reduce the backlog of maintenance needs. Sandia will become more agile in adapting existing space and changing how space is utilized in response to the changing requirements. This Integrated Facilities & Infrastructure (F&I) Plan supports the Sandia Strategic Plan’s strategic objectives, specifically Strategic Objective 2: Strengthen our Laboratories’ foundation to maximize mission impact, and Strategic Objective 3: Advance an exceptional work environment that enables and inspires our people in service to our nation. The Integrated F&I Plan is developed through a planning process model to understand the F&I needs, analyze solution options, plan the actions and funding, and then execute projects.

  7. Developing operating procedures for a low-level radioactive waste disposal facility

    Energy Technology Data Exchange (ETDEWEB)

    Sutherland, A.A.; Miner, G.L.; Grahn, K.F.; Pollard, C.G. [Rogers and Associates Engineering Corp., Salt Lake City, UT (United States)

    1993-10-01

    This document is intended to assist persons who are developing operating and emergency procedures for a low-level radioactive waste disposal facility. It provides 25 procedures that are considered to be relatively independent of the characteristics of a disposal facility site, the facility design, and operations at the facility. These generic procedures should form a good starting point for final procedures on their subjects for the disposal facility. In addition, this document provides 55 annotated outlines of other procedures that are common to disposal facilities. The annotated outlines are meant as checklists to assist the developer of new procedures.

  8. 45 CFR 86.33 - Comparable facilities.

    Science.gov (United States)

    2010-10-01

    ... SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 86.33 Comparable facilities. A recipient... the other sex. (Secs. 901, 902, Education Amendments of 1972, 86 Stat. 373, 374)...

  9. Facile synthesis of platinum-gold alloyed string-bead nanochain networks with the assistance of allantoin and their enhanced electrocatalytic performance for oxygen reduction and methanol oxidation reactions

    Science.gov (United States)

    He, Li-Li; Zheng, Jie-Ning; Song, Pei; Zhong, Shu-Xian; Wang, Ai-Jun; Chen, Zhaojiang; Feng, Jiu-Ju

    2015-02-01

    In this work, a facile one-pot wet-chemical method is developed for preparation of bimetallic platinum-gold (Pt-Au) alloyed string-bead nanochain networks, using allantoin as a structure-directing agent, without any template, surfactant, or seed. The characterization experiments are mainly performed by transmission electron microscopy (TEM), X-ray photoelectron spectroscopy (XPS), and X-ray diffraction (XRD) spectroscopy. The as-prepared Pt-Au nanocrystals show enhanced electrocatalytic performance toward oxygen reduction reaction (ORR) mainly predominated by a four-electron pathway, and display improved catalytic activity and high stability for methanol oxidation reaction (MOR) over commercial Pt black and Pt-Ru black.

  10. Facilities Management and Health Care at Home

    OpenAIRE

    Lundberg, Stefan

    2007-01-01

    The topic of this thesis is the new requirements that will be put upon the facilities management when the elderly are living longer in their own homes, in spite of illness, impairment and old age. For many reasons, especially demographic ones, this issue has come to the fore and since it has substantial political impact and considerably affects our living conditions, it will most certainly appear on the agenda of most Swedish housing companies in the near future. The growing number of inhabit...

  11. North Slope, Alaska ESI: FACILITY (Facility Points)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains data for oil field facilities for the North Slope of Alaska. Vector points in this data set represent oil field facility locations. This data...

  12. 40 CFR 35.917 - Facilities planning (step 1).

    Science.gov (United States)

    2010-07-01

    ... ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.917... the construction of treatment works necessary to comply with sections 301 and 302 of the Act... facilities plan on a schedule the State accepts (subject to the Regional Administrator's approval);...

  13. Allergy, living and learning

    DEFF Research Database (Denmark)

    Chivato, T; Valovirta, E; Dahl, R;

    2012-01-01

    Allergy Living and Learning (ALL) is a European initiative designed to increase knowledge and understanding of people living with allergies in order to improve respiratory allergy care.......Allergy Living and Learning (ALL) is a European initiative designed to increase knowledge and understanding of people living with allergies in order to improve respiratory allergy care....

  14. The Long-Term Effects of Housing Assistance on Work and Welfare

    Science.gov (United States)

    Newman, Sandra; Holupka, C. Scott; Harkness, Joseph

    2009-01-01

    This paper examines the long-term effect of project-based housing assistance--public housing and private assisted housing--on work, earnings, and welfare receipt. We use the Panel Study of Income Dynamics-Assisted Housing Database to identify women ever living in project-based assisted housing and to create comparison groups using propensity…

  15. Basic Research Firing Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Basic Research Firing Facility is an indoor ballistic test facility that has recently transitioned from a customer-based facility to a dedicated basic research...

  16. Jupiter Laser Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Jupiter Laser Facility is an institutional user facility in the Physical and Life Sciences Directorate at LLNL. The facility is designed to provide a high degree...

  17. Consolidated Incineration Facility model videotape

    Energy Technology Data Exchange (ETDEWEB)

    Krolewski, J F; Augsburger, S T

    1988-01-01

    A Consolidated Incineration Facility (CIF) is in final design for construction at the Savannah River Plant in Aiken, South Carolina. The CIF will detoxify and volume reduce combustible radioactive, hazardous and mixed waste. A study model was constructed during scope development for project authorization to assist with equipment layout and insure sufficient maintenance access. To facilitate the Department of Energy Validation process, a videotape of the model was developed. This ten minute videotape includes general information about the incineration process and a tour of the study model with a discussion of activities in each area. The videotape will be shown and the current status and schedule for the CIF presented.

  18. Aperture area measurement facility

    Data.gov (United States)

    Federal Laboratory Consortium — NIST has established an absolute aperture area measurement facility for circular and near-circular apertures use in radiometric instruments. The facility consists of...

  19. Licensed Healthcare Facilities

    Data.gov (United States)

    California Department of Resources — The Licensed Healthcare Facilities point layer represents the locations of all healthcare facilities licensed by the State of California, Department of Health...

  20. Facility Registry Service (FRS)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Facility Registry Service (FRS) provides an integrated source of comprehensive (air, water, and waste) environmental information about facilities across EPA,...

  1. Environmental Toxicology Research Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Fully-equipped facilities for environmental toxicology research The Environmental Toxicology Research Facility (ETRF) located in Vicksburg, MS provides over 8,200 ft...

  2. High Throughput Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Argonne?s high throughput facility provides highly automated and parallel approaches to material and materials chemistry development. The facility allows scientists...

  3. The ESO Adaptive Optics Facility

    Science.gov (United States)

    Ströbele, S.; Arsenault, R.; Bacon, R.; Biasi, R.; Bonaccini-Calia, D.; Downing, M.; Conzelmann, R. D.; Delabre, B.; Donaldson, R.; Duchateau, M.; Esposito, S.; Fedrigo, E.; Gallieni, D.; Hackenberg, W. K. P.; Hubin, N.; Kasper, M.; Kissler-Patig, M.; Le Louarn, M.; McDermid, R.; Oberti, S.; Paufique, J.; Riccardi, A.; Stuik, R.; Vernet, E.

    2006-06-01

    The Adaptive Optics Facility is a project to convert one VLT-UT into a specialized Adaptive Telescope. The present secondary mirror (M2) will be replaced by a new M2-Unit hosting a 1170 actuators deformable mirror. The 3 focal stations will be equipped with instruments adapted to the new capability of this UT. Two instruments are in development for the 2 Nasmyth foci: Hawk-I with its AO module GRAAL allowing a Ground Layer Adaptive Optics correction and MUSE with GALACSI for GLAO correction and Laser Tomography Adaptive Optics correction. A future instrument still needs to be defined for the Cassegrain focus. Several guide stars are required for the type of adaptive corrections needed and a four Laser Guide Star facility (4LGSF) is being developed in the scope of the AO Facility. Convex mirrors like the VLT M2 represent a major challenge for testing and a substantial effort is dedicated to this. ASSIST, is a test bench that will allow testing of the Deformable Secondary Mirror and both instruments with simulated turbulence. This article describes the Adaptive Optics facility systems composing associated with it.

  4. 44 CFR 206.252 - Insurance requirements for facilities damaged by flood.

    Science.gov (United States)

    2010-10-01

    ... facilities damaged by flood. 206.252 Section 206.252 Emergency Management and Assistance FEDERAL EMERGENCY... Assistance Insurance Requirements § 206.252 Insurance requirements for facilities damaged by flood. (a) Where an insurable building damaged by flooding is located in a special flood hazard area identified...

  5. University of North Carolina's experience with state medical assistance teams.

    Science.gov (United States)

    Strickler, Jeff; Murtaugh, Lisa; Hoffman, Randy

    2010-01-01

    Events in the last several years have shown a clear need for better preparation regarding disaster management. In an effort to improve this preparation, North Carolina implemented state medical assistant teams to provide alternative care facilities, decontamination facilities, and shelter assistance during times of disaster. This article explores these teams from the perspective of the University of North Carolina, which serves as a lead agency for one of these teams. Key components of the team, training provided, and lessons learned will be discussed.

  6. Unaccompanied minors in the Netherlands and the care facility in which they flourish best

    NARCIS (Netherlands)

    Kalverboer, Margrite; Zijlstra, Angenietha; van Os, Carla; Zevulun, Daniëlle; ten Brummelaar, Mijntje; Beltman, Daan

    2016-01-01

    Abstract This study compares the views of unaccompanied minors living in four different types of care facilities in the Netherlands: namely in foster care, small living units, children's living groups and campuses on their wellbeing, living circumstances and place in Dutch society. Interviews with 1

  7. Guide to research facilities

    Energy Technology Data Exchange (ETDEWEB)

    1993-06-01

    This Guide provides information on facilities at US Department of Energy (DOE) and other government laboratories that focus on research and development of energy efficiency and renewable energy technologies. These laboratories have opened these facilities to outside users within the scientific community to encourage cooperation between the laboratories and the private sector. The Guide features two types of facilities: designated user facilities and other research facilities. Designated user facilities are one-of-a-kind DOE facilities that are staffed by personnel with unparalleled expertise and that contain sophisticated equipment. Other research facilities are facilities at DOE and other government laboratories that provide sophisticated equipment, testing areas, or processes that may not be available at private facilities. Each facility listing includes the name and phone number of someone you can call for more information.

  8. Laser assisted {alpha} decay

    Energy Technology Data Exchange (ETDEWEB)

    Castaneda Cortes, Hector Mauricio

    2012-02-01

    Excited or short-lived nuclei often decay by emitting alpha particles that are assumed to be preformed inside the nucleus and confined in the nuclear potential well. In this picture, {alpha} decay refers to the tunneling of the alpha particle through the potential barrier. In this thesis we investigate for the first time how strong laser fields can assist the tunneling of the alpha particle and thus influence the nuclear decay. Generally speaking, laser-assisted {alpha} decay can be described as laser-assisted tunneling of a quasistationary state, i.e, a slowly decaying state. Our theoretical treatment is developed starting from the complex trajectory formulation of the well-known strong-field approximation used to describe laser-induced ionization. We extend this formulation and develop a method to treat the decay of quasistationary states. The effect of both static and optical and X-ray monochromatic fields on the lifetimes and {alpha}-particle emission spectra are investigated for a number of {alpha}-emitting nuclei. We find that even at strong intensities, the laser-induced acceleration of the {alpha} decay is negligible, ranging from a relative modification in the decay rate of 10{sup -3} for static fields of electric field strengths of 10{sup 15} V/m, to 10{sup -8} for strong optical fields with intensities of 10{sup 22} W/cm{sup 2}, and to 10{sup -6} for strong X-ray fields with laser intensities around 10{sup 24} W/cm{sup 2}. However, the effect of the external field is visible in the spectrum of emitted alpha particles, leading in the case of optical fields even to rescattering phenomena for intensities approaching 6 x 10{sup 22} W/cm{sup 2}. The dynamics of the alpha particle in laser fields of intensities below the rescattering limit is investigated.

  9. Enhancing Mutual Respect among Nursing Assistants, Residents, and Residents' Families.

    Science.gov (United States)

    Heiselman, Terry; Noelker, Linda S.

    1991-01-01

    Interviewed nursing assistants (n=40) and nursing facility residents (n=37) regarding ways they experienced respect, disrespect, attachment, and distancing in their relationships with each other. As a result of finding evidence of disrespect, an inservice session on gaining respect as a nursing assistant was presented. (ABL)

  10. Sensitive cooperation: a basis for assisted feeding

    DEFF Research Database (Denmark)

    Martinsen, Bente; Harder, Ingegerd; Biering-Sørensen, Fin

    2009-01-01

    AIM: To describe sensitive cooperation as a basis for assisted feeding through the experiences of people with high cervical spinal cord injury (hcSCI). BACKGROUND: People who contract a complete hcSCI will require lifelong assistance from others with all activities of daily living. Initially......, they prefer getting help from people they already know and are reluctant to cooperate with personal assistants. Assisted feeding is a situation where the nature of the cooperation between the two parties involved is crucial. DESIGN: Qualitative. METHOD: Sixteen people with hcSCI were interviewed twice within...... needing assisted feeding, but has the temporality of the helper as a necessary condition. A particular meal draws on the experiences from all previous meals and is a significant forerunner of future meals. CONCLUSIONS: Sensitive cooperation implies genuine acquaintance and sincere concern for the person...

  11. Systems analysis of a potential space manufacturing facility

    Science.gov (United States)

    Driggers, G. W.

    1977-01-01

    Results of a preliminary design study of the system elements comprising a manufacturing facility in earth orbit are presented. The elements discussed include cis-Lunar transportation, Lunar base, materials transport, factory, living facilities, construction support and energy supply. An evolutionary path of development, production and deployment is presented and step-wise interrelationships discussed.

  12. TRI mu P - A radioactive isotope trapping facility at KVI

    NARCIS (Netherlands)

    Berg, GPA; Dendooven, P; Dermois, O; Harakeh, MN; Jungmann, K; Kopecky, S; Kravchuk, [No Value; Morgenstern, R; Rogachevskiy, A; Willmann, L; Wilschut, HW; Hoekstra, Ronnie; Hoekstra, Steven

    2003-01-01

    TRImuP, a new research facility to produce and trap rare and short-lived isotopes for high precision physics experiments is under design and construction at KVI. This facility makes use of the existing super-conducting cyclotron and the infrastructure of the laboratory. To be able to study a large v

  13. Reliable Facility Location Problem with Facility Protection.

    Science.gov (United States)

    Tang, Luohao; Zhu, Cheng; Lin, Zaili; Shi, Jianmai; Zhang, Weiming

    2016-01-01

    This paper studies a reliable facility location problem with facility protection that aims to hedge against random facility disruptions by both strategically protecting some facilities and using backup facilities for the demands. An Integer Programming model is proposed for this problem, in which the failure probabilities of facilities are site-specific. A solution approach combining Lagrangian Relaxation and local search is proposed and is demonstrated to be both effective and efficient based on computational experiments on random numerical examples with 49, 88, 150 and 263 nodes in the network. A real case study for a 100-city network in Hunan province, China, is presented, based on which the properties of the model are discussed and some managerial insights are analyzed.

  14. Living with Hemophilia

    Science.gov (United States)

    ... page from the NHLBI on Twitter. Living With Hemophilia If you or your child has hemophilia, you ... today is likely to live a normal lifespan. Hemophilia Treatment Centers The Federal Government funds a nationwide ...

  15. Living with Chronic Bronchitis

    Science.gov (United States)

    ... Health Topics » Bronchitis » Living With Chronic Bronchitis Explore Bronchitis What Is... Other Names Causes Who Is at Risk Signs & Symptoms Diagnosis Treatments Prevention Living With Clinical Trials Links Related Topics ...

  16. Living with Parkinson's

    Science.gov (United States)

    ... PD. Strategies for living well may include: Managing nutrition and medications – to maintain the highest quality of daily living with Parkinson's disease. Performing activities that may benefit you and your ...

  17. Living with hearing loss

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000360.htm Living with hearing loss To use the sharing features on this page, please enable JavaScript. If you are living with hearing loss, you know that it takes extra effort to ...

  18. Living Planet Report 2004

    OpenAIRE

    Loh, J; Wackernagel, M. (ed.)

    2004-01-01

    The Living Planet Report is WWF's periodic update on the state of the world's ecosystems. This is measured using 2 main indicators. The first indicator is the fact that the Living Planet Index is derived from trends over the past 30 years in populations of hundreds of species of birds, mammals, reptiles, amphibians and fish. The Living Planet Index (LPI) is an indicator of the state of the world's biodiversity: it measures trends in populations of vertebrate species living in terrestrial, fre...

  19. Living Wage Effects: New and Improved Evidence

    OpenAIRE

    Scott Adams; David Neumark

    2003-01-01

    This paper explores the effects of living wages on low-wage workers and low-income families. First, we update our earlier analyses, using data for 1996-2002, and address a number of criticisms of those analyses. We confirm our earlier findings that business assistance living wage laws boost wages of the lowest-wage workers, at the cost of some disemployment, but on net reduce urban poverty. Second, we expand the analysis of distributional effects beyond looking just at the poverty threshold. ...

  20. 78 FR 72899 - Draft Guidance for Industry on Registration for Human Drug Compounding Outsourcing Facilities...

    Science.gov (United States)

    2013-12-04

    ... Compounding Outsourcing Facilities Under Section 503B of the Federal Food, Drug, and Cosmetic Act... ``Registration for Human Drug Compounding Outsourcing Facilities Under Section 503B of the Federal Food, Drug... intended to assist human drug compounders that choose to register as outsourcing facilities...

  1. Resiliency in Adolescent Males in a Correctional Facility

    Science.gov (United States)

    Feinstein, Sheryl; Baartman, Jyl; Buboltz, Michelle; Sonnichsen, Kim; Solomon, Rebekka

    2008-01-01

    The objective of this qualitative study was to establish the existing positive factors in the lives of 18 juvenile males living in a low-security correctional facility in order to determine approaches which foster resiliency. Urie Bronfenbrenner's Ecological Systems Theory, an approach to understanding human development within the context of the…

  2. Animal-Assisted Therapy and Application to Older Adults in Long Term Care

    Directory of Open Access Journals (Sweden)

    Kimberly Ann Mercer

    2015-05-01

    Full Text Available In the past thirty years animal-assisted therapy (AAT has moved beyond anecdotal status to a scientific evidence-based intervention. AAT comes in many shapes and sizes. There are a variety of animals which can be used such as dogs, cats, rabbits, horses, guinea pigs, goats, dolphins, and even fish aquariums. Loneliness is a common theme among older adults in long term care (LTC. Many older adults living in LTC facilities feel isolated. Some have little contact with family members or friends. Many describe feelings of loneliness and withdraw from social activities and interaction with others. Some feel as if they have nothing to look forward to and find no useful purpose in life.  The absence of having another to care for or nurture can also be distressing. The purpose of this project was to explore the use of AAT as an intervention to decrease loneliness in residents living in a LTC setting by introducing visits from a Sphynx cat registered by the Delta Society as a therapy animal. The project sample consisted of seven participants all over the age of 60 years who resided in a LTC facility in Texas. Pre-intervention and post-intervention checklists and open-ended questions were employed to collect data from participants. Analysis of the project findings revealed a notable decrease in loneliness.

  3. Geriatric Nutrition Workshop for the Dietetic Assistant.

    Science.gov (United States)

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    This workshop guide is a unit of study for teaching dietetic assistants to work with elderly persons. The objective of the unit is to enable the students to apply knowledge of the physiological and psychological effects of aging in providing nutritional care to the elderly in independent living and nursing home situations. Following the unit…

  4. Living excellence: life after Magnet designation.

    Science.gov (United States)

    Malloch, Kathy

    2009-01-01

    The achievement of Magnet recognition is the beginning of a new way of being as an organization. Strategies to support innovation leadership, value-based decision making, agility, sustainability of excellence, technology advancements, and lifelong learning are discussed within the framework of the Magnet organization. Behaviors and challenges of living the expectations of the Magnet organization are presented as opportunities to assist healthcare leaders in this important work.

  5. Energy Systems Integration Facility (ESIF): Facility Stewardship Plan, Revision 2.0

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, Art [National Renewable Energy Lab. (NREL), Golden, CO (United States); Hannegan, Bryan [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-09-01

    The U.S. Department of Energy (DOE), Office of Energy Efficiency and Renewable Energy, has established the Energy Systems Integration Facility (ESIF) on the campus of the National Renewable Energy Laboratory (NREL) and has designated it as a DOE user facility. This 182,500-sq. ft. research facility provides state-of-the-art laboratory and support infrastructure to optimize the design and performance of electrical, thermal, fuel, and information technologies and systems at scale. This Facility Stewardship Plan serves to provide DOE and other decision makers with information on the existing and expected capabilities of ESIF, and the expected performance metrics to be applied to ESIF operations. This Plan is a living document that will be updated and refined throughout the lifetime of the facility.

  6. Vibration and Acoustic Test Facility (VATF): User Test Planning Guide

    Science.gov (United States)

    Fantasia, Peter M.

    2011-01-01

    Test process, milestones and inputs are unknowns to first-time users of the VATF. The User Test Planning Guide aids in establishing expectations for both NASA and non-NASA facility customers. The potential audience for this guide includes both internal and commercial spaceflight hardware/software developers. It is intended to assist their test engineering personnel in test planning and execution. Material covered includes a roadmap of the test process, roles and responsibilities of facility and user, major milestones, facility capabilities, and inputs required by the facility. Samples of deliverables, test article interfaces, and inputs necessary to define test scope, cost, and schedule are included as an appendix to the guide.

  7. Visible Light Communications (VLC) for Ambient Assisted Living

    DEFF Research Database (Denmark)

    Kumar, Ambuj; Mihovska, Albena D.; Kyriazakos, Sofoklis

    2014-01-01

    With the advent of high efficacy light emitting diode (LED) directional lamps as a key component in focal lighting, new possibilities emerge for re-designing the smart home scenario. A smart home scenario is characterized by enabled intelligent interworking of various wireless and wired technolog......With the advent of high efficacy light emitting diode (LED) directional lamps as a key component in focal lighting, new possibilities emerge for re-designing the smart home scenario. A smart home scenario is characterized by enabled intelligent interworking of various wireless and wired...... technologies to provide inhabitants with ease of use of appliances, while creating a personalized and safe ambience space. More and more high and low data rate circulates within the indoor ambient space (e.g., home, hospitals, offices). Although, unlicensed technologies, such as wireless local area networks...

  8. Automated parametrical antenna modelling for ambient assisted living applications

    Science.gov (United States)

    Kazemzadeh, R.; John, W.; Mathis, W.

    2012-09-01

    In this paper a parametric modeling technique for a fast polynomial extraction of the physically relevant parameters of inductively coupled RFID/NFC (radio frequency identification/near field communication) antennas is presented. The polynomial model equations are obtained by means of a three-step procedure: first, full Partial Element Equivalent Circuit (PEEC) antenna models are determined by means of a number of parametric simulations within the input parameter range of a certain antenna class. Based on these models, the RLC antenna parameters are extracted in a subsequent model reduction step. Employing these parameters, polynomial equations describing the antenna parameter with respect to (w.r.t.) the overall antenna input parameter range are extracted by means of polynomial interpolation and approximation of the change of the polynomials' coefficients. The described approach is compared to the results of a reference PEEC solver with regard to accuracy and computation effort.

  9. Human activity understanding for robot-assisted living

    NARCIS (Netherlands)

    N. Hu

    2016-01-01

    This thesis investigated the problem of understanding human activities, at different levels of granularity and taking into account both the variability in activities and annotator disagreement. To be able to capture the large variations within each of the action classes, we propose a model that uses

  10. Mobile Manipulators for Assisted Living in Residential Settings

    Science.gov (United States)

    2007-01-01

    cases the falls are recur- rent ( Tinetti 2003) and {� occur at home. Further- more, � � of hip fractures are caused by falls, �� of those...contact forces with a mobile manip- ulator. In Proceedings of the 2006 IEEE International Conference on Robotics and Automation. Tinetti , M. 2003

  11. Communication Can Save Lives PSA (:60)

    Centers for Disease Control (CDC) Podcasts

    2015-08-04

    This 60 second public service announcement (PSA) is based on the August 2015 CDC Vital Signs report. Antibiotic-resistant germs cause at least 23,000 deaths each year. Learn how public health authorities and health care facilities can work together to save lives.  Created: 8/4/2015 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 8/4/2015.

  12. Towards a living earth simulator

    Science.gov (United States)

    Paolucci, M.; Kossman, D.; Conte, R.; Lukowicz, P.; Argyrakis, P.; Blandford, A.; Bonelli, G.; Anderson, S.; de Freitas, S.; Edmonds, B.; Gilbert, N.; Gross, M.; Kohlhammer, J.; Koumoutsakos, P.; Krause, A.; Linnér, B.-O.; Slusallek, P.; Sorkine, O.; Sumner, R. W.; Helbing, D.

    2012-11-01

    The Living Earth Simulator (LES) is one of the core components of the FuturICT architecture. It will work as a federation of methods, tools, techniques and facilities supporting all of the FuturICT simulation-related activities to allow and encourage interactive exploration and understanding of societal issues. Society-relevant problems will be targeted by leaning on approaches based on complex systems theories and data science in tight interaction with the other components of FuturICT. The LES will evaluate and provide answers to real-world questions by taking into account multiple scenarios. It will build on present approaches such as agent-based simulation and modeling, multiscale modelling, statistical inference, and data mining, moving beyond disciplinary borders to achieve a new perspective on complex social systems.

  13. Towards a living earth simulator

    CERN Document Server

    Paolucci, M; Conte, R; Lukowicz, P; Argyrakis, P; Blandford, A; Bonelli, G; Anderson, S; de Freitas, S; Edmonds, B; Gilbert, N; Gross, M; Kohlhammer, J; Koumoutsakos, P; Krause, A; Linnér, B -O; Slusallek, P; Sorkine, O; Sumner, R W; Helbing, D; 10.1140/epjst/e2012-01689-8

    2013-01-01

    The Living Earth Simulator (LES) is one of the core components of the FuturICT architecture. It will work as a federation of methods, tools, techniques and facilities supporting all of the FuturICT simulation-related activities to allow and encourage interactive exploration and understanding of societal issues. Society-relevant problems will be targeted by leaning on approaches based on complex systems theories and data science in tight interaction with the other components of FuturICT. The LES will evaluate and provide answers to real-world questions by taking into account multiple scenarios. It will build on present approaches such as agent-based simulation and modeling, multiscale modelling, statistical inference, and data mining, moving beyond disciplinary borders to achieve a new perspective on complex social systems.

  14. Should assisted dying be legalised?

    Science.gov (United States)

    2014-01-01

    When an individual facing intractable pain is given an estimate of a few months to live, does hastening death become a viable and legitimate alternative for willing patients? Has the time come for physicians to do away with the traditional notion of healthcare as maintaining or improving physical and mental health, and instead accept their own limitations by facilitating death when requested? The Universities of Oxford and Cambridge held the 2013 Varsity Medical Debate on the motion “This House Would Legalise Assisted Dying”. This article summarises the key arguments developed over the course of the debate. We will explore how assisted dying can affect both the patient and doctor; the nature of consent and limits of autonomy; the effects on society; the viability of a proposed model; and, perhaps most importantly, the potential need for the practice within our current medico-legal framework. PMID:24423249

  15. Materiel Evaluation Facility

    Data.gov (United States)

    Federal Laboratory Consortium — CRREL's Materiel Evaluation Facility (MEF) is a large cold-room facility that can be set up at temperatures ranging from −20°F to 120°F with a temperature change...

  16. Facilities for US Radioastronomy.

    Science.gov (United States)

    Thaddeus, Patrick

    1982-01-01

    Discusses major developments in radioastronomy since 1945. Topics include proposed facilities, very-long-baseline interferometric array, millimeter-wave telescope, submillimeter-wave telescope, and funding for radioastronomy facilities and projects. (JN)

  17. Integrated Disposal Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Located near the center of the 586-square-mile Hanford Site is the Integrated Disposal Facility, also known as the IDF.This facility is a landfill similar in concept...

  18. Energetics Conditioning Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Energetics Conditioning Facility is used for long term and short term aging studies of energetic materials. The facility has 10 conditioning chambers of which 2...

  19. Financing Professional Sports Facilities

    OpenAIRE

    Baade, Robert A.; Victor A. Matheson

    2011-01-01

    This paper examines public financing of professional sports facilities with a focus on both early and recent developments in taxpayer subsidization of spectator sports. The paper explores both the magnitude and the sources of public funding for professional sports facilities.

  20. Wastewater Treatment Facilities

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — Individual permits for municipal, industrial, and semi-public wastewater treatment facilities in Iowa for the National Pollutant Discharge Elimination System (NPDES)...

  1. Facility Response Plan (FRP)

    Data.gov (United States)

    U.S. Environmental Protection Agency — A Facility Response Plan (FRP) demonstrates a facility's preparedness to respond to a worst case oil discharge. Under the Clean Water Act, as amended by the Oil...

  2. Projectile Demilitarization Facilities

    Data.gov (United States)

    Federal Laboratory Consortium — The Projectile Wash Out Facility is US Army Ammunition Peculiar Equipment (APE 1300). It is a pilot scale wash out facility that uses high pressure water and steam...

  3. Environmental Toxicology Research Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Fully-equipped facilities for environmental toxicology researchThe Environmental Toxicology Research Facility (ETRF) located in Vicksburg, MS provides over 8,200 ft...

  4. Armament Technology Facility (ATF)

    Data.gov (United States)

    Federal Laboratory Consortium — The Armament Technology Facility is a 52,000 square foot, secure and environmentally-safe, integrated small arms and cannon caliber design and evaluation facility....

  5. Dialysis Facility Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Dialysis Facility Compare helps you find detailed information about Medicare-certified dialysis facilities. You can compare the services and the quality of care that...

  6. Ouellette Thermal Test Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Thermal Test Facility is a joint Army/Navy state-of-the-art facility (8,100 ft2) that was designed to:Evaluate and characterize the effect of flame and thermal...

  7. Cold Vacuum Drying Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Located near the K-Basins (see K-Basins link) in Hanford's 100 Area is a facility called the Cold Vacuum Drying Facility (CVDF).Between 2000 and 2004, workers at the...

  8. Explosive Components Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The 98,000 square foot Explosive Components Facility (ECF) is a state-of-the-art facility that provides a full-range of chemical, material, and performance analysis...

  9. Ouellette Thermal Test Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Thermal Test Facility is a joint Army/Navy state-of-the-art facility (8,100 ft2) that was designed to: Evaluate and characterize the effect of flame and thermal...

  10. The own body as a nurse's living experience on assisting others in their dyng process El propio cuerpo como experiencia vivida por la enfermera al cuidar del otro durante el proceso de muerte Corpo próprio como experiência vivencial da enfermeira no cuidar do outro no processo de morrer

    Directory of Open Access Journals (Sweden)

    Maria Teresa B. Mariotti de Santana

    2007-06-01

    Full Text Available It refers to the study of the researcher's perception when analyzing her own existence, aiming to learn the sense and meaning of her own body as a living experience while assisting the other in the process of dying. The Merleau-Ponty phenomenology and the new hermeneutic approaches were chosen. A point of contact was established between the living experience of the approximation of the object, unveiled by the own body inserted in the world, the object and the subject of the study. The themes that emerged were about the magical-religious knowledge influences of the perceived world, the real knowledge and the teaching-learning process. The phenomenon elaborated, result of the study, allowed the learning of the thesis of the existence of a sense and meaning for the own body of health professionals when assisting others in the dying process.Este estudio realiza un análisis de la existencia bajo la percepción de la investigadora, con el objetivo de entender el sentido y significado del propio cuerpo como experiencia al cuidar del otro en el proceso de muerte. Se optó por la metodología fenomenológica merleaupontyana y de la nueva hermenéutica. Estableciéndose un punto de contacto entre la experiencia de aproximación, mostrado por el propio cuerpo como parte del mundo, el objeto de estudio y el sujeto. Surgieron temas relacionados con la percepción del mundo con influencia del saber mágico-religioso, del saber real y de la enseñanza aprendizaje. El fenómeno, producto del estudio, permitió comprender la tesis de la existencia en su sentido y significado para el propio cuerpo del profesional de la salud, al cuidar del otro que está muriendo.Trata-se de estudo da percepção da pesquisadora, ao realizar análise de sua existência, objetivando apreender o sentido e significado do corpo próprio como experiência vivencial ao cuidar do outro no processo de morrer. Optou-se pelo percurso metodológico da fenomenologia merleaupontyana e da

  11. [Support in living].

    Science.gov (United States)

    Krebs, H

    1993-06-01

    "Lebenshilfe" (help in living) is of crucial importance for the organization of live of persons with a handicap. This help in living, training and social integration, however, requires an image of the handicapped person that unrestrictedly recognizes her right to live and to be a human being with a handicap. But todays hedonistic and preference-utilitarian social trends make other, selecting value judgements. This article comments on these dubious ethical positions critically and develops a paradigmatic, positive point of view. This statement is partly based on the principles of 2 self-help organizations of the same name ("Lebenshilfe für geistig Behinderte") in Germany and in Austria.

  12. Living with Hepatitis

    Science.gov (United States)

    ... HFI Summits Newsletter Our Stories Calendar of Events Advertise RESOURCES Health Savings Card Links Webinars YOUR LIVER Overview Adults Children & Adolescents Nutrition & Health Lifestyle RESEARCH DVDs Overview Live- ...

  13. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... Center (EOC) 101 Emergency Operations Center CDC Laboratory Science: Mission Critical Saving Lives, Protecting People Environmental Health CDC Tracking Network Health Begins at Home Smoke- ...

  14. Optimal control of hydroelectric facilities

    Science.gov (United States)

    Zhao, Guangzhi

    This thesis considers a simple yet realistic model of pump-assisted hydroelectric facilities operating in a market with time-varying but deterministic power prices. Both deterministic and stochastic water inflows are considered. The fluid mechanical and engineering details of the facility are described by a model containing several parameters. We present a dynamic programming algorithm for optimizing either the total energy produced or the total cash generated by these plants. The algorithm allows us to give the optimal control strategy as a function of time and to see how this strategy, and the associated plant value, varies with water inflow and electricity price. We investigate various cases. For a single pumped storage facility experiencing deterministic power prices and water inflows, we investigate the varying behaviour for an oversimplified constant turbine- and pump-efficiency model with simple reservoir geometries. We then generalize this simple model to include more realistic turbine efficiencies, situations with more complicated reservoir geometry, and the introduction of dissipative switching costs between various control states. We find many results which reinforce our physical intuition about this complicated system as well as results which initially challenge, though later deepen, this intuition. One major lesson of this work is that the optimal control strategy does not differ much between two differing objectives of maximizing energy production and maximizing its cash value. We then turn our attention to the case of stochastic water inflows. We present a stochastic dynamic programming algorithm which can find an on-average optimal control in the face of this randomness. As the operator of a facility must be more cautious when inflows are random, the randomness destroys facility value. Following this insight we quantify exactly how much a perfect hydrological inflow forecast would be worth to a dam operator. In our final chapter we discuss the

  15. Live Fire Range Environmental Assessment

    Energy Technology Data Exchange (ETDEWEB)

    None

    1993-08-01

    The Central Training Academy (CTA) is a DOE Headquarters Organization located in Albuquerque, New Mexico, with the mission to effectively and efficiently educate and train personnel involved in the protection of vital national security interests of DOE. The CTA Live Fire Range (LFR), where most of the firearms and tactical training occurs, is a complex separate from the main campus. The purpose of the proposed action is to expand the LFR to allow more options of implementing required training. The Department of Energy has prepared this Environmental Assessment (EA) for the proposed construction and operation of an expanded Live Fire Range Facility at the Central Training Academy in Albuquerque, New Mexico. Based on the analysis in the EA, DOE has determined that the proposed action is not a major Federal action significantly affecting the quality of the human environment, within the meaning of the National Environmental Policy Act (NEPA) of 1969. Therefore, the preparation of an environmental impact statement is not required and DOE is issuing this Finding of No Significant Impact (FONSI).

  16. Metals Processing Laboratory User Facility: Facilities capabilities; Interactive programs; Recent experience

    Energy Technology Data Exchange (ETDEWEB)

    Mackiewicz-Ludtka, G.; Raschke, R.A. [eds.] [comps.

    1998-02-12

    MPLUS is a DOE designated User Facility providing extensive Technical Expertise and Specialized Facilities to assist Industrial and Academic Partners in becoming more Energy Efficient and enhancing US Competitiveness in the World market. MPLUS focusing on 7 major vision industries (aluminum, chemical, forest products, glass, metals castings, refineries, and steel) identified by DOE as being energy intensive, as well as cross-cutting industries such as welding and heat treating. MPLUS consists of four primary facilities: (1) Materials Processing, (2) Materials Joining, (3) Materials Characterization and Properties, and (4) Materials Process Modeling. Each facility provides rapid access to unique, state-of-the-art equipment, capabilities, and technical expertise necessary for solving materials processing issues that limit the development and implementation of emerging technologies. These capabilities include: (1) materials synthesis; (2) deformation processing; (3) materials characterization; (4) joining and mathematical modeling.

  17. A lower-limb power-assist robot with perception-assist.

    Science.gov (United States)

    Hayashi, Yoshiaki; Kiguchi, Kazuo

    2011-01-01

    In order to assist the motion in the daily lives of physically weak persons such as elderly persons, many kinds of power-assist robots have been developed. In the case of some physically weak persons, the ability to perceive the environment is sometimes deteriorated also. A method of perception-assist has been proposed to assist not only the user's motion but also the user's interaction with an environment, by applying the modification force to the user's motion if it is necessary. In this paper, the perception-assist for a lower-limb power-assist exoskeleton robot is proposed. In the daily life, the walking is very important for persons to achieve desired tasks. Basically, the robot assists the user's muscle force according to the user's motion intention which is estimated based on EMG signals. If the robot has found problems which might lead the user to dangerous situation such as the falling down, the robot tries to modify the user's motion in addition to the ordinal power-assists to make the user walk properly. Since the user might fall down by the effect of the additional modification force of the perception-assist, the robot automatically prevents the user from falling down by considering ZMP (Zero Moment Point). The effectiveness of the proposed method has been evaluated by performing experiments.

  18. Saving lives together.

    Science.gov (United States)

    Karen, Aliyah

    2015-01-01

    Established 20 years ago with a single dialysis center assisting only 20 patients with 6 hemodialysis machines, Medicare has grown leaps and bounds to assist thousands of poor patients to obtain a highly subsidized rate for quality treatment. Millions of ringgit raised via various fundraising projects and events have been well utilized to serve the growing number of kidney patients in Malaysia who simply cannot bear the exorbitant cost of treatment. Staying true to its mission, Medicare extends its assistance to needy kidney patients and their families, who indirectly have become part of the Medicare family.

  19. Probably safe or live

    NARCIS (Netherlands)

    Katoen, Joost-Pieter; Song, Lei; Zhang, Lijun

    2014-01-01

    This paper presents a formal characterisation of safety and liveness properties for fully probabilistic systems. As for the classical setting, it is established that any (probabilistic tree) property is equivalent to a conjunction of a safety and liveness property. A simple algorithm is provided to

  20. Our Urban Living Room

    DEFF Research Database (Denmark)

    Hjortshøj, Rasmus

    2016-01-01

    the boundaries between private and public space become fluid. Based on specific Cobe projects, Our Urban Living Room tells stories about the architectural development of Copenhagen, while exploring the progression of the Danish Capital - from an industrial city into an urban living room, known as one...

  1. Animals that Live Longest

    Institute of Scientific and Technical Information of China (English)

    饶扬志

    2000-01-01

    Reptiles(爬行类) are animals that live longest. The turtle's(海龟)long life is legendary(传奇的), no one has ever been able to calculate the exact age of the turtle, and for good reason, tortoises live a lot longer than humans do.

  2. Living Willow Huts

    Science.gov (United States)

    Keeler, Rusty

    2007-01-01

    Living Willow Huts are inexpensive to make, fun to plant, easy to grow, and make beautiful spaces for children. They involve planting dormant willow shoots in the ground and weaving them into shapes that will sprout and grow over time. People have been creating similar living architecture throughout the world for centuries in the forms of living…

  3. The governmentalization of living

    DEFF Research Database (Denmark)

    Wahlberg, Ayo; Rose, Nikolas

    2015-01-01

    and scales (e.g. the QALY and DALY) has contributed to a governmentalization of living, in the course of which the social and personal consequences of living with disease come to be an object of political concern, and made knowable, calculable and thereby amenable to various strategies of intervention. We...

  4. Living the Utopia

    DEFF Research Database (Denmark)

    Davis, John; Warring, Anette Elisabeth

    2011-01-01

    This article examines experiments in communal living in Britain and Denmark in the early 1970s, using life-story interviews from seventeen members of two British and two Danish communes. It examines communal living as a fusion of radical political principles with the practice of experimental coll...

  5. Live and Dead Nodes

    DEFF Research Database (Denmark)

    Jørgensen, Sune Lehman; Jackson, A. D.

    2005-01-01

    In this paper, we explore the consequences of a distinction between `live' and `dead' network nodes; `live' nodes are able to acquire new links whereas `dead' nodes are static. We develop an analytically soluble growing network model incorporating this distinction and show that it can provide a q...

  6. Evaluating Living Standard Indicators

    Directory of Open Access Journals (Sweden)

    Birčiaková Naďa

    2015-09-01

    Full Text Available This paper deals with the evaluation of selected available indicators of living standards, divided into three groups, namely economic, environmental, and social. We have selected six countries of the European Union for analysis: Bulgaria, the Czech Republic, Hungary, Luxembourg, France, and Great Britain. The aim of this paper is to evaluate indicators measuring living standards and suggest the most important factors which should be included in the final measurement. We have tried to determine what factors influence each indicator and what factors affect living standards. We have chosen regression analysis as our main method. From the study of factors, we can deduce their impact on living standards, and thus the value of indicators of living standards. Indicators with a high degree of reliability include the following factors: size and density of population, health care and spending on education. Emissions of carbon dioxide in the atmosphere also have a certain lower degree of reliability.

  7. Interventions in everyday lives

    DEFF Research Database (Denmark)

    Dreier, Ole

    2015-01-01

    The purpose of psychotherapy is to help clients address and overcome problems troubling them in their everyday lives. Therapy can therefore only work if clients include it in their ongoing lives to deal with their problems. Detailed, systematic research is needed on how clients do so in their eve......The purpose of psychotherapy is to help clients address and overcome problems troubling them in their everyday lives. Therapy can therefore only work if clients include it in their ongoing lives to deal with their problems. Detailed, systematic research is needed on how clients do so...... clients change their everyday lives to overcome their troubles. They also highlight what it involves for clients to accomplish this. It is concluded that we need more research on how to understand intervention; on the interaction between interventions and clients’ conduct of their everyday life...

  8. Healthy Living, Healthy Vision

    Science.gov (United States)

    ... Financial Assistance Information Vision Screening and Eye Exams Zika Virus and Vision Eye Problems Eye Problems Amblyopia ( ... Eye Health Report Reports and External Resources The Cost of Vision Problems The Future of Vision Vision ...

  9. Caracterização dos idosos usuários de medicação residentes em instituição de longa permanência Caracterización de ancianos usuarios de medicación residentes en hogar geriátrico The characterization of elderly medication users living in long-term care facilities

    Directory of Open Access Journals (Sweden)

    Daiane Porto Gautério

    2012-12-01

    salud para promover el uso racional y cuidadoso de medicamentos para los ancianos institucionalizados.The objectives of this study were to characterize the elderly living in a long-term care facility in terms of their medication use and verify the existence of polypharmacy. This descriptive quantitative study was performed using a database from the research: The profile of the elderly living in a long-term care institution for the aged: a proposal for nursing/health action. A total of 39 elderly individuals who used medications were selected. It was found that most were women, aged between 80-89 years, who were literate and widowed. Circulatory system diseases were the most frequent. The elderly used a mean of 3.7 medications, and 30.8% took multiple medications. The most commonly used medications were for the cardiovascular system. It was found that some individuals used medications considered inappropriate for the elderly population. We hope to sensitize health professionals to promote a rational and careful use of medications among institutionalized elderly individuals.

  10. Study on data acquisition system for living environmental information for biofication of living spaces

    Science.gov (United States)

    Shimoyama, Norihisa; Mita, Akira

    2008-03-01

    In Japan's rapidly aging society, the number of elderly people living alone increases every year. Theses elderly people require more and more to maintain as independent a life as possible in their own homes. It is necessary to make living spaces that assist in providing safe and comfortable lives. "Biofication of Living Spaces" is proposed with the concept of creating save and pleasant living environments. It implies learning from biological systems, and applying to living spaces features such as high adaptability and excellent tolerance to environmental changes. As a first step towards realizing "Biofied Spaces", a system for acquisition and storing information must be developed. This system is similar to the five human senses. The information acquired includes environmental information such as temperature, human behavior, psychological state and location of furniture. This study addresses human behavior as it is the most important factor in design of a living space. In the present study, pyroelectric infrared sensors were chosen for human behavior recognition. The pyroelectric infrared sensor is advantageous in that it has no limitation on the number of sensors put in a single space because sensors do not interfere with each other. Wavelet analysis was applied to the output time histories of the pyroelectric infrared sensors. The system successfully classified walking patterns with 99.5% accuracy of walking direction (from right or left) and 85.7% accuracy of distance for 440 patterns pre-learned and an accuracy of over 80% accuracy of walking direction for 720 non-learned patterns.

  11. Facility Effluent Monitoring Plan determinations for the 600 Area facilities

    Energy Technology Data Exchange (ETDEWEB)

    Nickels, J.M.

    1991-08-01

    This document determines the need for Facility Effluent Monitoring Plans for Westinghouse Hanford Company's 600 Area facilities on the Hanford Site. The Facility Effluent Monitoring Plan determinations were prepared in accordance with A Guide For Preparing Hanford Site Facility Effluent Monitoring Plans (WHC 1991). Five major Westinghouse Hanford Company facilities in the 600 Area were evaluated: the Purge Water Storage Facility, 212-N, -P, and -R Facilities, the 616 Facility, and the 213-J K Storage Vaults. Of the five major facilities evaluated in the 600 Area, none will require preparation of a Facility Effluent Monitoring Plan.

  12. Living with Worms

    DEFF Research Database (Denmark)

    Bertoni, Filippo

    2016-01-01

    The thesis explores what living together can offer in rethinking political theory and in creating a space in which "politics" is not just a matter between people, but also with nature. These lessons about living together emerge from fieldwork around practices in which worms are central. Thus......, the work focuses on ecologists who, in turn, examine worms; and worms amateurs who learn to collect and identify them in the field. Composting, and the waste-eating of earthworms are also experimented with. The "living together " that worms unearth is about eating and being eaten - a set of relations...

  13. Digital Living at Home

    DEFF Research Database (Denmark)

    Andersen, Pernille Viktoria Kathja; Christiansen, Ellen Tove

    2013-01-01

    Does living with digital technology inevitably lead to digital living? Users talking about a digital home control system, they have had in their homes for eight years, indicate that there is more to living with digital technology than a functional-operational grip on regulation. Our analysis...... of these user voices has directed us towards a ‘home-keeping’ design discourse, which opens new horizons for design of digital home control systems by allowing users to perform as self-determined controllers and groomers of their habitat. The paper concludes by outlining the implications of a ‘home...

  14. Living with psoriasis

    DEFF Research Database (Denmark)

    Bak, Kirsten Tarri

    2004-01-01

    Living with psoriasis is a considerable burden and quality of life in patients is deeply affected, yet compliance with therapy is a major problem. The literature is abundant in quantitative studies stating the incidence of decrease in quality of life and related, measurable terms, and in efforts...... of energy. They described their lives as a tightrope walking of taking into account the disease yet having a life worth living. The personal significance of the disease showed to be the most important factor in respect to the patients’ deliberations and actions regarding treatment and care. The patients...

  15. Live ultrasound volume reconstruction using scout scanning

    Science.gov (United States)

    Meyer, Amelie; Lasso, Andras; Ungi, Tamas; Fichtinger, Gabor

    2015-03-01

    Ultrasound-guided interventions often necessitate scanning of deep-seated anatomical structures that may be hard to visualize. Visualization can be improved using reconstructed 3D ultrasound volumes. High-resolution 3D reconstruction of a large area during clinical interventions is challenging if the region of interest is unknown. We propose a two-stage scanning method allowing the user to perform quick low-resolution scouting followed by high-resolution live volume reconstruction. Scout scanning is accomplished by stacking 2D tracked ultrasound images into a low-resolution volume. Then, within a region of interest defined in the scout scan, live volume reconstruction can be performed by continuous scanning until sufficient image density is achieved. We implemented the workflow as a module of the open-source 3D Slicer application, within the SlicerIGT extension and building on the PLUS toolkit. Scout scanning is performed in a few seconds using 3 mm spacing to allow region of interest definition. Live reconstruction parameters are set to provide good image quality (0.5 mm spacing, hole filling enabled) and feedback is given during live scanning by regularly updated display of the reconstructed volume. Use of scout scanning may allow the physician to identify anatomical structures. Subsequent live volume reconstruction in a region of interest may assist in procedures such as targeting needle interventions or estimating brain shift during surgery.

  16. Affective robot for elderly assistance.

    Science.gov (United States)

    Carelli, Laura; Gaggioli, Andrea; Pioggia, Giovanni; De Rossi, Federico; Riva, Giuseppe

    2009-01-01

    Recently, several robotic solutions for the elderly have been proposed. However, to date, the diffusion of these devices has been limited: available robots are too cumbersome, awkward, and expensive to become widely adopted. Another key issue which reduces the appeal of assistive robots is the lack of socio-emotional interaction: affective interchanges represent key requirements to create sustainable relationships between elderly and robots. In this paper, we propose a new approach to enhance the acceptability of robotic systems, based on the introduction of affective dimensions in human-robot interaction. This strategy is aimed at designing a new generation of relational and cognitive robots fusing information from embodied unobtrusive sensory interfaces. The final objective is to develop embodied interfaces, which are able to learn and adapt their affective responses to the user's behavior. User and robot will engage in natural interactions, involving verbal and non-verbal communication, improving empathic exchange of moods and feelings. Relevant independent living and quality of life related issues will be addressed: on-going monitoring of health parameters, assistance in everyday's activities, social support and cognitive/physical exercises. We expect that the proposed strategy will enhance the user's acceptance and adoption of the assistive robotic system.

  17. The strategic facilities management organisation in housing

    DEFF Research Database (Denmark)

    Nielsen, Susanne Balslev; Jensen, Per Anker; Jensen, Jesper Ole

    2012-01-01

    Two houses in the same street can be built in the same year, they can look the same, and still they might provide very different support for sustainable living. This article points to the Strategic Facilities Management Organisation (SFMO) as the most important concept, to understand and manage...... implementation of sustainable facilities management in housing administration. The concept provides a frame for understanding the roles and relations of tenants, owners, administrators and operators. The paper is based on a Danish research project on environmentally sound building operation including literature...... literature on sustainable facilities management, where it fills a gap as it deals with housing and strategic FM. Intended readers are those interested in housing administration and especially the transition of existing housing into more sustainable housing. Intended readers include building owners, policy...

  18. Thermal distortion test facility

    Science.gov (United States)

    Stapp, James L.

    1995-02-01

    The thermal distortion test facility (TDTF) at Phillips Laboratory provides precise measurements of the distortion of mirrors that occurs when their surfaces are heated. The TDTF has been used for several years to evaluate mirrors being developed for high-power lasers. The facility has recently undergone some significant upgrades to improve the accuracy with which mirrors can be heated and the resulting distortion measured. The facility and its associated instrumentation are discussed.

  19. Synchrotron radiation facilities

    CERN Multimedia

    1972-01-01

    Particularly in the past few years, interest in using the synchrotron radiation emanating from high energy, circular electron machines has grown considerably. In our February issue we included an article on the synchrotron radiation facility at Frascati. This month we are spreading the net wider — saying something about the properties of the radiation, listing the centres where synchrotron radiation facilities exist, adding a brief description of three of them and mentioning areas of physics in which the facilities are used.

  20. ForeignAssistance.gov

    Data.gov (United States)

    US Agency for International Development — ForeignAssistance.gov provides a view of U.S. Government foreign assistance funds across agencies and enables users to explore, analyze, and review aid investments...

  1. Neutron Therapy Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Neutron Therapy Facility provides a moderate intensity, broad energy spectrum neutron beam that can be used for short term irradiations for radiobiology (cells)...

  2. Flexible Electronics Research Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Flexible Electronics Research Facility designs, synthesizes, tests, and fabricates materials and devices compatible with flexible substrates for Army information...

  3. High Combustion Research Facility

    Data.gov (United States)

    Federal Laboratory Consortium — At NETL's High-Pressure Combustion Research Facility in Morgantown, WV, researchers can investigate new high-pressure, high-temperature hydrogen turbine combustion...

  4. Magnetics Research Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Magnetics Research Facility houses three Helmholtz coils that generate magnetic fields in three perpendicular directions to balance the earth's magnetic field....

  5. Facility Environmental Management System

    Data.gov (United States)

    Federal Laboratory Consortium — This is the Web site of the Federal Highway Administration's (FHWA's) Turner-Fairbank Highway Research Center (TFHRC) facility Environmental Management System (EMS)....

  6. Joint Computing Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Raised Floor Computer Space for High Performance Computing The ERDC Information Technology Laboratory (ITL) provides a robust system of IT facilities to develop and...

  7. Geophysical Research Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Geophysical Research Facility (GRF) is a 60 ft long qaodmasdkwaspemas5ajkqlsmdqpakldnzsdfls 22 ft wide qaodmasdkwaspemas4ajkqlsmdqpakldnzsdfls 7 ft deep concrete...

  8. Manufacturing Demonstration Facility (MDF)

    Data.gov (United States)

    Federal Laboratory Consortium — The U.S. Department of Energy Manufacturing Demonstration Facility (MDF) at Oak Ridge National Laboratory (ORNL) provides a collaborative, shared infrastructure to...

  9. GPS Test Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Global Positioning System (GPS) Test Facility Instrumentation Suite (GPSIS) provides great flexibility in testing receivers by providing operational control of...

  10. Imagery Data Base Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Imagery Data Base Facility supports AFRL and other government organizations by providing imagery interpretation and analysis to users for data selection, imagery...

  11. Nonlinear Materials Characterization Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Nonlinear Materials Characterization Facility conducts photophysical research and development of nonlinear materials operating in the visible spectrum to protect...

  12. Transonic Experimental Research Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Transonic Experimental Research Facility evaluates aerodynamics and fluid dynamics of projectiles, smart munitions systems, and sub-munitions dispensing systems;...

  13. Target Assembly Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Target Assembly Facility integrates new armor concepts into actual armored vehicles. Featuring the capability ofmachining and cutting radioactive materials, it...

  14. Region 9 NPDES Facilities

    Data.gov (United States)

    U.S. Environmental Protection Agency — Point geospatial dataset representing locations of NPDES Facilities. NPDES (National Pollution Discharge Elimination System) is an EPA permit program that regulates...

  15. Pavement Testing Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Comprehensive Environmental and Structural AnalysesThe ERDC Pavement Testing Facility, located on the ERDC Vicksburg campus, was originally constructed to provide an...

  16. Textiles Performance Testing Facilities

    Data.gov (United States)

    Federal Laboratory Consortium — The Textiles Performance Testing Facilities has the capabilities to perform all physical wet and dry performance testing, and visual and instrumental color analysis...

  17. Catalytic Fuel Conversion Facility

    Data.gov (United States)

    Federal Laboratory Consortium — This facility enables unique catalysis research related to power and energy applications using military jet fuels and alternative fuels. It is equipped with research...

  18. Materials Characterization Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Materials Characterization Facility enables detailed measurements of the properties of ceramics, polymers, glasses, and composites. It features instrumentation...

  19. Engine Test Facility (ETF)

    Data.gov (United States)

    Federal Laboratory Consortium — The Air Force Arnold Engineering Development Center's Engine Test Facility (ETF) test cells are used for development and evaluation testing of propulsion systems for...

  20. Heated Tube Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Heated Tube Facility at NASA GRC investigates cooling issues by simulating conditions characteristic of rocket engine thrust chambers and high speed airbreathing...