WorldWideScience

Sample records for builder model home

  1. City of Austin: Green habitat learning project. A green builder model home project

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-01

    The purpose of the Year 14 UCETF project was to design and construct a residential structure that could serve as a demonstration facility, training site, and testing and monitoring laboratory for issues related to the implementation of sustainable building practices and materials. The Model Home Project builds on the previous and existing efforts, partially funded by the UCETF, of the City of Austin Green Builder Program to incorporate sustainable building practices into mainstream building activities. The Green Builder Program uses the term {open_quotes}green{close_quotes} as a synonym for sustainability. In the research and analysis that was completed for our earlier reports in Years 12 and 13, we characterized specific elements that we associate with sustainability and, thus, green building. In general, we refer to a modified life cycle assessment to ascertain if {open_quotes}green{close_quotes} building options reflect similar positive cyclical patterns found in nature (i.e. recyclability, recycled content, renewable resources, etc.). We additionally consider economic, human health and synergistic ecological impacts associated with our building choices and characterize the best choices as {open_quotes}green.{close_quotes} Our ultimate goal is to identify and use those {open_quotes}green{close_quotes} materials and processes that provide well for us now and do not compromise similar benefits for future generations. The original partnership developed for this project shifted during the year from a project stressing advanced (many prototypical) {open_quotes}green{close_quotes} building materials and techniques in a research and demonstration context, to off-the-shelf but underutilized {open_quotes}green{close_quotes} materials in the practical social context of using {open_quotes}green{close_quotes} technologies for low income housing. That project, discussed in this report, is called the Green Habitat Learning Project.

  2. Practices and Processes of Leading High Performance Home Builders in the Upper Midwest

    Energy Technology Data Exchange (ETDEWEB)

    Von Thoma, Ed [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership; Ojzcyk, Cindy [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership

    2012-12-01

    The NorthernSTAR Building America Partnership team proposed this study to gain insight into the business, sales, and construction processes of successful high performance builders. The knowledge gained by understanding the high performance strategies used by individual builders, as well as the process each followed to move from traditional builder to high performance builder, will be beneficial in proposing more in-depth research to yield specific action items to assist the industry at large transform to high performance new home construction. This investigation identified the best practices of three successful high performance builders in the upper Midwest. In-depth field analysis of the performance levels of their homes, their business models, and their strategies for market acceptance were explored.

  3. Practices and Processes of Leading High Performance Home Builders in the Upper Midwest

    Energy Technology Data Exchange (ETDEWEB)

    Von Thoma, E.; Ojczyk, C.

    2012-12-01

    The NorthernSTAR Building America Partnership team proposed this study to gain insight into the business, sales, and construction processes of successful high performance builders. The knowledge gained by understanding the high performance strategies used by individual builders, as well as the process each followed to move from traditional builder to high performance builder, will be beneficial in proposing more in-depth research to yield specific action items to assist the industry at large transform to high performance new home construction. This investigation identified the best practices of three successful high performance builders in the upper Midwest. In-depth field analysis of the performance levels of their homes, their business models, and their strategies for market acceptance were explored. All three builders commonly seek ENERGY STAR certification on their homes and implement strategies that would allow them to meet the requirements for the Building America Builders Challenge program. Their desire for continuous improvement, willingness to seek outside assistance, and ambition to be leaders in their field are common themes. Problem solving to overcome challenges was accepted as part of doing business. It was concluded that crossing the gap from code-based building to high performance based building was a natural evolution for these leading builders.

  4. Large-Production Home Builder Experience with Zero Energy Homes: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Farhar, B. C.; Coburn, T. C.; Murphy, M.

    2004-07-01

    Since 2001, a large production builder in San Diego, California, SheaHomes, has developed and sold 306 homes in two communities with zero energy homes features. These are highly energy-efficient homes with solar water heating and solar electric systems. This paper describes the builder's experience in deciding on, building, and marketing zero energy homes. Also described are the distribution of energy features among the homes sold, whether the solar electric systems were purchased as optional or standard equipment, and system sizes.

  5. DOE Zero Energy Ready Home Case Study: New Town Builders, Denver, Colorado

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    All homes in the Stapleton community must be ENERGY STAR certified; New Town Builders has announced that it will build 250–300 new homes over the next 7–10 years, all of which will be Challenge Homes. New Town received a 2013 Housing Innovation Award in the production builder category.

  6. Solar installer training: Home Builders Institute Job Corps

    Energy Technology Data Exchange (ETDEWEB)

    Hansen, K.; Mann, R. [San Diego Job Corps Center, Imperial Beach, CA (United States). Home Builders Inst.

    1996-10-01

    The instructors describe the solar installation training program operated since 1979 by the Home Builders Institute, the Educational Arm of the National Association of Home Builders for the US Department of Labor, Job Corps in San Diego, CA. The authors are the original instructors and have developed the program since its inception by a co-operative effort between the Solar Energy Industries Association, NAHB and US DOL. Case studies of a few of the 605 students who have gone to work over the years after the training are included. It is one of the most successful programs under the elaborate Student Performance Monitoring Information System used by all Job Corps programs. Job Corps is a federally funded residential job training program for low income persons 16--24 years of age. Discussion details the curriculum and methods used in the program including classroom, shop and community service projects. Solar technologies including all types of hot water heating, swimming pool and spa as well as photovoltaics are included.

  7. Evaluation of the U.S. Department of Energy Challenge Home Program Certification of Production Builders

    Energy Technology Data Exchange (ETDEWEB)

    Kerrigan, P.; Loomis, H.

    2014-09-01

    The purpose of this project was to evaluate integrated packages of advanced measures in individual test homes to assess their performance with respect to Building America Program goals, specifically compliance with the DOE Challenge Home Program. BSC consulted on the construction of five test houses by three Cold Climate production builders in three separate US cities. BSC worked with the builders to develop a design package tailored to the cost-related impacts for each builder. Therefore, the resulting design packages do vary from builder to builder. BSC provided support through this research project on the design, construction and performance testing of the five test homes. Overall, the builders have concluded that the energy related upgrades (either through the prescriptive or performance path) represent reasonable upgrades. The builders commented that while not every improvement in specification was cost effective (as in a reasonable payback period), many were improvements that could improve the marketability of the homes and serve to attract more energy efficiency discerning prospective homeowners. However, the builders did express reservations on the associated checklists and added certifications. An increase in administrative time was observed with all builders. The checklists and certifications also inherently increase cost due to: 1. Adding services to the scope of work for various trades, such as HERS Rater, HVAC contractor; 2. Increased material costs related to the checklists, especially the EPA Indoor airPLUS and EPA WaterSense(R) Efficient Hot Water Distribution requirement.

  8. DOE Zero Energy Ready Home Case Study: Thrive Home Builders, Lowry Plan

    Energy Technology Data Exchange (ETDEWEB)

    Pacific Northwest National Laboratory

    2017-09-01

    Thrive Home Builders built this 4,119-ft2 home at the Lowry development in Denver, Colorado, to the high-performance criteria of the U.S. Department of Energy’s Zero Energy Ready Home Program. Despite the dense positioning of the homes, mono-plane roof designs afforded plenty of space for the 8.68 kW of photovoltaic panels. With the PV, the home achieves a Home Energy Rating System (HERS) score of 4 and the home owners should enjoy energy bills of about $-11 a year. Without the PV, the home would score a HERS 38 (far lower than the HERS 80 to 100 of typical new homes).

  9. Evaluation of the U.S. Department of Energy Challenge Home Program Certification of Production Builders

    Energy Technology Data Exchange (ETDEWEB)

    Kerrigan, P. [Building Science Corporation, Somerville, MA (United States); Loomis, H. [Building Science Corporation, Somerville, MA (United States)

    2014-09-01

    The purpose of this project was to evaluate integrated packages of advanced measures in individual test homes to assess their performance with respect to Building America program goals, specifically compliance with the DOE Challenge Home Program. BSC consulted on the construction of five test houses by three cold climate production builders in three U.S. cities and worked with the builders to develop a design package tailored to the cost-related impacts for each builder. Also, BSC provided support through performance testing of the five test homes. Overall, the builders have concluded that the energy related upgrades (either through the prescriptive or performance path) represent reasonable upgrades. The builders commented that while not every improvement in specification was cost effective (as in a reasonable payback period), many were improvements that could improve the marketability of the homes and serve to attract more energy efficiency discerning prospective homeowners. However, the builders did express reservations on the associated checklists and added certifications. An increase in administrative time was observed with all builders. The checklists and certifications also inherently increase cost due to: adding services to the scope of work for various trades, such as HERS Rater, HVAC contractor; and increased material costs related to the checklists, especially the EPA Indoor airPLUS and EPA WaterSense® Efficient Hot Water Distribution requirement.

  10. DOE Zero Energy Ready Home Case Study: Alliance Green Builders, Casa Aguila

    Energy Technology Data Exchange (ETDEWEB)

    Pacific Northwest National Laboratory

    2017-09-01

    Alliance Green Builders built this 3,129-ft2 home in the hills above Ramona, California, to the high-performance criteria of the DOE Zero Energy Ready Home (ZERH) program. The home should perform far better than net zero thanks to a super-efficient building shell, a wind turbine, three suntracking solar photovoltaic arrays, and solar thermal water heating.

  11. Building America Best Practices Series: Volume 1; Builders and Buyers Handbook for Improving New Home Efficiency, Comfort, and Durability in the Hot and Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, M. C.; Love, P. M.

    2004-11-01

    This Building America Best Practices guide book is a resource to help builders large and small build high-quality, energy-efficient homes that achieve 30% energy savings in space conditioning and water heating in the hot and humid climate. The savings are in comparison with the 1993 Model Energy Code. The guide contains chapters for every member of the builder's team. There is also a chapter for homeowners on how to use the book to provide help in selecting a new home or builder.

  12. Building America Best Practices Series: Volume 4; Builders and Buyers Handbook for Improving New Home Efficiency, Comfort, and Durability in the Mixed-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, M. C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Taylor, Z. T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Bartlett, R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Gilbride, T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Hefty, M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Steward, H. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Love, P. M. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Palmer, J. A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2005-09-01

    This best practices guide is part of a series produced by Building America. The guide book is a resource to help builders large and small build high-quality, energy-efficient homes that achieve 30% energy savings in space conditioning and water heating in the mixed-humid climate region. The savings are in comparison with the 1993 Model Energy Code. The guide contains chapters for every member of the builders team-from the manager to the site planner to the designers, site supervisors, the trades, and marketers. There is also a chapter for homeowners on how to use the book to provide help in selecting a new home or builder.

  13. Transitioning to High Performance Homes: Successes and Lessons Learned From Seven Builders

    Energy Technology Data Exchange (ETDEWEB)

    Widder, Sarah H.; Kora, Angela R.; Baechler, Michael C.; Fonorow, Ken; Jenkins, David W.; Stroer, Dennis

    2013-03-01

    As homebuyers are becoming increasingly concerned about rising energy costs and the impact of fossil fuels as a major source of greenhouse gases, the returning new home market is beginning to demand energy-efficient and comfortable high-performance homes. In response to this, some innovative builders are gaining market share because they are able to market their homes’ comfort, better indoor air quality, and aesthetics, in addition to energy efficiency. The success and marketability of these high-performance homes is creating a builder demand for house plans and information about how to design, build, and sell their own low-energy homes. To help make these and other builders more successful in the transition to high-performance construction techniques, Pacific Northwest National Laboratory (PNNL) partnered with seven interested builders in the hot humid and mixed humid climates to provide technical and design assistance through two building science firms, Florida Home Energy and Resources Organization (FL HERO) and Calcs-Plus, and a designer that offers a line of stock plans designed specifically for energy efficiency, called Energy Smart Home Plans (ESHP). This report summarizes the findings of research on cost-effective high-performance whole-house solutions, focusing on real-world implementation and challenges and identifying effective solutions. The ensuing sections provide project background, profile each of the builders who participated in the program, and describe their houses’ construction characteristics, key challenges the builders encountered during the construction and transaction process); and present primary lessons learned to be applied to future projects. As a result of this technical assistance, 17 homes have been built featuring climate-appropriate efficient envelopes, ducts in conditioned space, and correctly sized and controlled heating, ventilation, and air-conditioning systems. In addition, most builders intend to integrate high

  14. DOE Zero Energy Ready Home Case Study: BPC Green Builders, New Fairfield, Connecticut

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    This LEED Platinum home was built on the site of a 60-year-old bungalow that was demolished. It boasts views of Candlewood Lake, a great deal of daylight, and projected annual energy savings of almost $3,000. This home was awarded a 2013 Housing Innovation Award in the custom builder category.

  15. DOE Zero Energy Ready Home Case Study: BPC Green Builders — Trolle Residence, Danbury, CT

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    The builder of this 1,650-ft2 cabin won a Custom Home honor in the 2014 Housing Innovations Awards. The home meets Passive House Standards with 5.5-in. of foil-faced polysiocyanurate foam boards lining the outside walls, R-55 of rigid EPS foam under the slab, R-86 of blown cellulose in the attic, triple-pane windows, and a single ductless heat pump to heat and cool the entire home.

  16. DOE Zero Energy Ready Home Case Study: New Town Builders — The ArtiZEN Plan, Denver, CO

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    The Grand Winner in the Production Builder category of the 2014 Housing Innovation Awards, this builder plans to convert all of its product lines to DOE Zero Energy Ready Home construction by the end of 2015. This home achieves HERS 38 without photovoltaics (PV) and HERS -3 with 8.0 kW of PV.

  17. Building America Best Practices Series: Volume 5; Builders and Buyers Handbook for Improving New Home Efficiency, Comfort, and Durability in the Marine Climate

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, M. C.; Taylor, Z. T.; Bartlett, R.; Gilbride, T.; Hefty, M.; Steward, H.; Love, P. M.; Palmer, J. A.

    2006-10-01

    This best practices guide is part of a series produced by Building America. The guide book is a resource to help builders large and small build high-quality, energy-efficient homes that achieve 30% energy savings in space conditioning and water heating in the Marine climate region. The savings are in comparison with the 1993 Model Energy Code. The guide contains chapters for every member of the builder's team--from the manager to the site planner to the designers, site supervisors, the trades, and marketers. There is also a chapter for homeowners on how to use the book to provide help in selecting a new home or builder.

  18. Building America Best Practices Series: Volume 3; Builders and Buyers Handbook for Improving New Home Efficiency, Comfort, and Durability in Cold and Very Cold Climates

    Energy Technology Data Exchange (ETDEWEB)

    2005-08-01

    This best practices guide is part of a series produced by Building America. The guide book is a resource to help builders large and small build high-quality, energy-efficient homes that achieve 30% energy savings in space conditioning and water heating in the cold and very cold climates. The savings are in comparison with the 1993 Model Energy Code. The guide contains chapters for every member of the builder's team-from the manager to the site planner to the designers, site supervisors, the trades, and marketers. There is also a chapter for homeowners on how to use the book to provide help in selecting a new home or builder.

  19. DOE Zero Energy Ready Home Case Study: Cobblestone Homes — 2014 Model Home, Midland, MI

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This builder's first DOE Zero Energy Ready Home won a Custom Builder award in the 2014 Housing Innovation Awards, scored HERS 49 without PV or HERS 44 with 1.4 kW of PV, and served as a prototype and energy efficiency demonstration model while performance testing was conducted.

  20. Preparation and production of a home builders' guide. Building and selling energy-efficient homes

    Energy Technology Data Exchange (ETDEWEB)

    Keast, D. N.; Mahoney, J. M.; McMahon, N. M.; Troy, M. H.; Wood, E. W.

    1977-06-01

    Procedures used in the preparation of a manual on the construction of energy-saving one- and two-family houses are described. Prior to writing the manual, builders were interviewed and a bibliographic search was conducted to obtain information on the design, construction and marketing of energy conserving homes. The packaging and distribution of the manual was planned. When written FEA will publish the manual. (ERA citation 04:044977)

  1. Builders Challenge Quality Criteria Support Document

    Energy Technology Data Exchange (ETDEWEB)

    None

    2009-06-01

    This document provides guidance to U.S. home builders participating in Builders Challenge. To qualify for the Builders Challenge, a home must score 70 or less on the EnergySmart Home Scale (E-Scale). Homes also must meet the Builders Challenge Quality Cri

  2. Building America Best Practices Series: Volume 3; Builders and Buyers Handbook for Improving New Home Efficiency, Comfort, and Durability in the Cold and Very Cold Climates

    Energy Technology Data Exchange (ETDEWEB)

    None

    2005-08-01

    The guide book is a resource to help builders large and small build high-quality, energy-efficient homes that achieve 30% energy savings in space conditioning and water heating in the cold and very cold climates.

  3. Building America Best Practices Series: Volume 4; Builders and Buyers Handbook for Improving New Home Efficiency, Comfort, and Durability in the Mixed-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    None

    2005-09-01

    This guide book is a resource to help builders large and small build high-quality, energy-efficient homes that achieve 30% energy savings in space conditioning and water heating in the mixed-humid climate region.

  4. Building America Best Practices Series: Volume 2. Builders and Buyers Handbook for Improving New Home Efficiency, Comfort, and Durability in the Hot-Dry and Mixed-Dry Climates

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, M. C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Taylor, Z. T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Bartlett, R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Gilbride, T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Hefty, M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Love, P. M. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2005-09-01

    This best practices guide is part of a series produced by Building America. The guidebook is a resource to help builders large and small build high-quality, energy-efficient homes that achieve 30% energy savings in space conditioning and water heating in the hot-dry and mixed-dry climates. The savings are in comparison with the 1993 Model Energy Code. The guide contains chapters for every member of the builder's team—from the manager to the site planner to the designers, site supervisors, the trades, and marketers. There is also a chapter for homeowners on how to use the book to provide help in selecting a new home or builder.

  5. DOE ZERH Case Study: Evolutionary Home Builders, The Adaptation Home, Geneva, IL

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2015-09-01

    Case study of a DOE 2015 Housing Innovation Award winning custom home in the cold climate that got a HERS 30 without PV, with 2x8 24” on center walls with blown fiberglass and 4” polysio rigid foam; basement with 2” XPS interior, 4” under slab, 4” exterior of foundation wall; vented attic with R-100 blown cellulose; wo air-to-air heat pumps SEER 14.1; HSPF 9.6; heat pump water heater.

  6. Automated 3D Damaged Cavity Model Builder for Lower Surface Acreage Tile on Orbiter

    Science.gov (United States)

    Belknap, Shannon; Zhang, Michael

    2013-01-01

    The 3D Automated Thermal Tool for Damaged Acreage Tile Math Model builder was developed to perform quickly and accurately 3D thermal analyses on damaged lower surface acreage tiles and structures beneath the damaged locations on a Space Shuttle Orbiter. The 3D model builder created both TRASYS geometric math models (GMMs) and SINDA thermal math models (TMMs) to simulate an idealized damaged cavity in the damaged tile(s). The GMMs are processed in TRASYS to generate radiation conductors between the surfaces in the cavity. The radiation conductors are inserted into the TMMs, which are processed in SINDA to generate temperature histories for all of the nodes on each layer of the TMM. The invention allows a thermal analyst to create quickly and accurately a 3D model of a damaged lower surface tile on the orbiter. The 3D model builder can generate a GMM and the correspond ing TMM in one or two minutes, with the damaged cavity included in the tile material. A separate program creates a configuration file, which would take a couple of minutes to edit. This configuration file is read by the model builder program to determine the location of the damage, the correct tile type, tile thickness, structure thickness, and SIP thickness of the damage, so that the model builder program can build an accurate model at the specified location. Once the models are built, they are processed by the TRASYS and SINDA.

  7. DOE Zero Energy Ready Home Case Study: Sterling Brook Custom Homes — Village Park Eco Home, Double Park, TX

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This builder won a Custom Builder honor in the 2014 Housing Innovation Awards for this showcase home that serves as an energy-efficient model home for the custom home builder: 1,300 visitors toured the home, thousands more learned about the home’s advanced construction via the webpage, YouTube, Twitter, Facebook, Instagram, and Pinterest.

  8. Strategies for fitting nonlinear ecological models in R, AD Model Builder, and BUGS

    DEFF Research Database (Denmark)

    Bolker, B.M.; Gardner, B.; Maunder, M.

    2013-01-01

    Ecologists often use nonlinear fitting techniques to estimate the parameters of complex ecological models, with attendant frustration. This paper compares three open-source model fitting tools and discusses general strategies for defining and fitting models. R is convenient and (relatively) easy...... to learn, AD Model Builder is fast and robust but comes with a steep learning curve, while BUGS provides the greatest flexibility at the price of speed. Our model-fitting suggestions range from general cultural advice (where possible, use the tools and models that are most common in your subfield...

  9. Building America Best Practices Series: Volume 1; Builders and Buyers Handbook for Improving New Home Efficiency, Comfort, and Durability in the Hot and Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    None

    2004-12-01

    This Building America Best Practices guide book is a resource to help builders large and small build high-quality, energy-efficient homes that achieve 30% energy savings in space conditioning and water heating in the hot and humid climate.

  10. Building America Best Practices Series: Volume 5; Builders and Buyers Handbook for Improving New Home Efficiency, Comfort, and Durability in the Marine Climate

    Energy Technology Data Exchange (ETDEWEB)

    None

    2006-10-01

    This best practices guide is part of a series produced by Building America. The guide book is a resource to help builders large and small build high-quality, energy-efficient homes that achieve 30% energy savings in the Marine climate region.

  11. Spatiotemporal modelling of marine movement data using Template Model Builder (TMB)

    DEFF Research Database (Denmark)

    Auger-Méthé, Marie; Albertsen, Christoffer Moesgaard; Jonsen, Ian D.

    2017-01-01

    Tracking of marine animals has increased exponentially in the past decade, and the resulting data could lead to an in-depth understanding of the causes and consequences of movement in the ocean. However, most common marine tracking systems are associated with large measurement errors. Accounting...... for these errors requires the use of hierarchical models, which are often difficult to fit to data. Using 3 case studies, we demonstrate that Template Model Builder (TMB), a new R package, is an accurate, efficient and flexible framework for modelling movement data. First, to demonstrate that TMB is as accurate...... tool for modelling marine movement data. We discuss how TMB’s potential reaches beyond marine movement studies...

  12. DOE Zero Energy Ready Home Case Study: Durable Energy Builders - Houston, Texas

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-11-01

    This case study describes a DOE Zero Energy Ready Home in Houston, Texas, that scored HERS 39 without PV and HERS 29 with PV. This 5,947 ft2 custom home has 11.5-inch ICF walls. The attic is insulated along the roof line with 5 to 7 inches of open-cell spray foam. Most of the home's drinking water is supplied by a 11,500-gallon rainwater cistern. Hurricane strapping connects the roof to the walls. The triple-pane windows are impact resistant. The foundation is a raised slab.

  13. SARAH 4: A tool for (not only SUSY) model builders

    Science.gov (United States)

    Staub, Florian

    2014-06-01

    We present the new version of the Mathematica package SARAH which provides the same features for a non-supersymmetric model as previous versions for supersymmetric models. This includes an easy and straightforward definition of the model, the calculation of all vertices, mass matrices, tadpole equations, and self-energies. Also the two-loop renormalization group equations for a general gauge theory are now included and have been validated with the independent Python code PyR@TE. Model files for FeynArts, CalcHep/CompHep, WHIZARD and in the UFO format can be written, and source code for SPheno for the calculation of the mass spectrum, a set of precision observables, and the decay widths and branching ratios of all states can be generated. Furthermore, the new version includes routines to output model files for Vevacious for both, supersymmetric and non-supersymmetric, models. Global symmetries are also supported with this version and by linking Susyno the handling of Lie groups has been improved and extended.

  14. New Whole-House Solutions Case Study: New Town Builders' Power of Zero Energy Center - Denver, Colorado

    Energy Technology Data Exchange (ETDEWEB)

    None

    2014-10-01

    New Town Builders, a builder of energy efficient homes in Denver, Colorado, offers a zero energy option for all the homes it builds. To attract a wide range of potential homebuyers to its energy efficient homes, New Town Builders created a "Power of Zero Energy Center" linked to its model home in the Stapleton community. This case study presents New Town Builders' marketing approach, which is targeted to appeal to homebuyers' emotions rather than overwhelming homebuyers with scientific details about the technology. The exhibits in the Power of Zero Energy Center focus on reduced energy expenses for the homeowner, improved occupant comfort, the reputation of the builder, and the lack of sacrificing the homebuyers' desired design features to achieve zero net energy in the home. This case study also contains customer and realtor testimonials related to the effectiveness of the Center in influencing homebuyers to purchase a zero energy home.

  15. Building America Case Study: New Town Builders' Power of Zero Energy Center, Denver, Colorado (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2014-10-01

    New Town Builders, a builder of energy efficient homes in Denver, Colorado, offers a zero energy option for all the homes it builds. To attract a wide range of potential homebuyers to its energy efficient homes, New Town Builders created a 'Power of Zero Energy Center' linked to its model home in the Stapleton community of Denver. This case study presents New Town Builders' marketing approach, which is targeted to appeal to homebuyers' emotions rather than overwhelming homebuyers with scientific details about the technology. The exhibits in the Power of Zero Energy Center focus on reduced energy expenses for the homeowner, improved occupant comfort, the reputation of the builder, and the lack of sacrificing the homebuyers' desired design features to achieve zero net energy in the home. The case study also contains customer and realtor testimonials related to the effectiveness of the Center in influencing homebuyers to purchase a zero energy home.

  16. Building America Best Practices Series: Volume 2; Builders and Buyers Handbook for Improving New Home Efficiency, Comfort, and Durability in the Hot-Dry and Mixed-Dry Climates

    Energy Technology Data Exchange (ETDEWEB)

    None

    2005-09-01

    This guidebook is a resource to help builders large and small build high-quality, energy-efficient homes that achieve 30% energy savings in space conditioning and water heating in the hot-dry and mixed-dry climates.

  17. Bio-logic builder: a non-technical tool for building dynamical, qualitative models.

    Science.gov (United States)

    Helikar, Tomáš; Kowal, Bryan; Madrahimov, Alex; Shrestha, Manish; Pedersen, Jay; Limbu, Kahani; Thapa, Ishwor; Rowley, Thaine; Satalkar, Rahul; Kochi, Naomi; Konvalina, John; Rogers, Jim A

    2012-01-01

    Computational modeling of biological processes is a promising tool in biomedical research. While a large part of its potential lies in the ability to integrate it with laboratory research, modeling currently generally requires a high degree of training in mathematics and/or computer science. To help address this issue, we have developed a web-based tool, Bio-Logic Builder, that enables laboratory scientists to define mathematical representations (based on a discrete formalism) of biological regulatory mechanisms in a modular and non-technical fashion. As part of the user interface, generalized "bio-logic" modules have been defined to provide users with the building blocks for many biological processes. To build/modify computational models, experimentalists provide purely qualitative information about a particular regulatory mechanisms as is generally found in the laboratory. The Bio-Logic Builder subsequently converts the provided information into a mathematical representation described with Boolean expressions/rules. We used this tool to build a number of dynamical models, including a 130-protein large-scale model of signal transduction with over 800 interactions, influenza A replication cycle with 127 species and 200+ interactions, and mammalian and budding yeast cell cycles. We also show that any and all qualitative regulatory mechanisms can be built using this tool.

  18. Fast fitting of non-Gaussian state-space models to animal movement data via Template Model Builder

    DEFF Research Database (Denmark)

    Albertsen, Christoffer Moesgaard; Whoriskey, Kim; Yurkowski, David

    2015-01-01

    recommend using the Laplace approximation combined with automatic differentiation (as implemented in the novel R package Template Model Builder; TMB) for the fast fitting of continuous-time multivariate non-Gaussian SSMs. Through Argos satellite tracking data, we demonstrate that the use of continuous...... are able to estimate additional parameters compared to previous methods, all without requiring a substantial increase in computational time. The model implementation is made available through the R package argosTrack....

  19. Solar homebuilders program: getting builders to build solar

    Energy Technology Data Exchange (ETDEWEB)

    Parkin, B.; Allen, D.

    1981-01-01

    The homebuilding industry can open the way to wide-scale residential use of solar energy. Under the Northwest Power Act, the Department of Energy's Bonneville Power Administration, Western Solar Utilization Network and the Solar Energy Research Institute are working together with the Home Builders Association of Metropolitan Portland and the Portland chapter of the American Institute of Architects on a program that will affect 7 cities in the Pacific Northwest. Modeled after the successful Denver Metro Homebuilders Program, the project is being implemented in 3 cities in 1981 and three additional cities in 1982. In each of the 7 cities builders and developers will be provided with design, performance monitoring and marketing assistance for constructing passive solar prototypes. The result is ten passive solar homes of superior design and of an affordable price in each city. The secondary result of this program is expected to be a total of 2700 solar homes produced outside the program by builders from 1981-1985. Builders influenced to build passive solar homes outside the program could result in as many as 500,000 homes produced by the year 2000.

  20. Builder experience with low-cost high-value passive solar

    International Nuclear Information System (INIS)

    Aitken, D.W.; Neuffer, P.

    1993-01-01

    This article reports on passive solar tract home construction in the Reno, Nevada, area, that has enhanced the builder's market, made buying a home more affordable for the entry-level customer and made living in that home more attractive, displaced energy at $1.50/MMBtu, and attracted the local utility into seriously considering offering cash incentives for the construction and sale of those homes as a very cost-effective gas demand side management program. The builder's solar models, costs and marketing experience are described, and the utility's economic analysis is presented

  1. Tinker, Builder, Physicist, and Teacher!

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 22; Issue 3. Tinker, Builder, Physicist, and Teacher ! Prajval Shastri. Face to Face Volume 22 Issue 3 March 2017 pp 319-321. Fulltext. Click here to view fulltext PDF. Permanent link: http://www.ias.ac.in/article/fulltext/reso/022/03/0319-0321. Keywords.

  2. Tinker, Builder, Physicist, and Teacher!

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 22; Issue 3. Tinker, Builder, Physicist, and Teacher ! Prajval Shastri. Face to Face Volume 22 Issue 3 March 2017 pp 319-321 ... Author Affiliations. Prajval Shastri1. The Indian Institute of Astrophysics Sarjapur Road Bengaluru 560 034 India.

  3. DOE Zero Energy Ready Home Case Study: KB Home — Double ZeroHouse, Lancaster, CA

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    The home that won a Production Builder award in the 2014 Housing Innovation Awards serves as a model for this builder, showcasing high-tech features including an electric car charging station; a compressed natural gas (CNG) car fueling station; a greywater recycling system that filters shower, sink, and clothes washer water for yard irrigation; smart appliances; and an electronic energy management system.

  4. Exploring the critical quality attributes and models of smart homes.

    Science.gov (United States)

    Ted Luor, Tainyi; Lu, Hsi-Peng; Yu, Hueiju; Lu, Yinshiu

    2015-12-01

    Research on smart homes has significantly increased in recent years owing to their considerably improved affordability and simplicity. However, the challenge is that people have different needs (or attitudes toward smart homes), and provision should be tailored to individuals. A few studies have classified the functions of smart homes. Therefore, the Kano model is first adopted as a theoretical base to explore whether the functional classifications of smart homes are attractive or necessary, or both. Second, three models and test user attitudes toward three function types of smart homes are proposed. Based on the Kano model, the principal results, namely, two "Attractive Quality" and nine "Indifferent Quality" items, are found. Verification of the hypotheses also indicates that the entertainment, security, and automation functions are significantly correlated with the variables "perceive useful" and "attitude." Cost consideration is negatively correlated with attitudes toward entertainment and automation. Results suggest that smart home providers should survey user needs for their product instead of merely producing smart homes based on the design of the builder or engineer. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  5. An EPICS IOC builder

    International Nuclear Information System (INIS)

    Abbott, M.G.; Cobb, T.

    2012-01-01

    An EPICS IOC (Input/Output Controller) is typically assembled from a number of standard components each with potentially quite complex hardware or software initialization procedures intermixed with a good deal of repetitive boiler-plate code. Assembling and maintaining a complex IOC can be a quite difficult and error prone process, particularly if the components are unfamiliar. The EPICS IOC builder is a Python library designed to automate the assembly of a complete IOC from a concise component level description. The dependencies and interactions between components as well as their detailed initialization procedures are automatically managed by the IOC builder through component description files maintained with the individual components. At Diamond Light Source we have a large library of components that can be assembled into EPICS IOCs. The IOC Builder is further finding increasing use in helping non-expert users to assemble an IOC without specialist knowledge. (authors)

  6. The ALEPH event builder

    International Nuclear Information System (INIS)

    Benetta, R.; Marchioro, A.; McPherson, G.; Rueden, W. von

    1986-01-01

    The data acquisition system for the ALEPH experiment at CERN is organised in a hierarchical fashion within FASTBUS. The detector consists of a number of sub-detectors whose data must be individually assembled and formatted in real time. This task of 'event building' will be performed by a FASTBUS module in which a powerful microprocessor running high level software is embedded. Such a module, called an Event Builder, has been constructed by the ALEPH Online Group at CERN. (Auth.)

  7. Research on the model of home networking

    Science.gov (United States)

    Yun, Xiang; Feng, Xiancheng

    2007-11-01

    It is the research hotspot of current broadband network to combine voice service, data service and broadband audio-video service by IP protocol to transport various real time and mutual services to terminal users (home). Home Networking is a new kind of network and application technology which can provide various services. Home networking is called as Digital Home Network. It means that PC, home entertainment equipment, home appliances, Home wirings, security, illumination system were communicated with each other by some composing network technology, constitute a networking internal home, and connect with WAN by home gateway. It is a new network technology and application technology, and can provide many kinds of services inside home or between homes. Currently, home networking can be divided into three kinds: Information equipment, Home appliances, Communication equipment. Equipment inside home networking can exchange information with outer networking by home gateway, this information communication is bidirectional, user can get information and service which provided by public networking by using home networking internal equipment through home gateway connecting public network, meantime, also can get information and resource to control the internal equipment which provided by home networking internal equipment. Based on the general network model of home networking, there are four functional entities inside home networking: HA, HB, HC, and HD. (1) HA (Home Access) - home networking connects function entity; (2) HB (Home Bridge) Home networking bridge connects function entity; (3) HC (Home Client) - Home networking client function entity; (4) HD (Home Device) - decoder function entity. There are many physical ways to implement four function entities. Based on theses four functional entities, there are reference model of physical layer, reference model of link layer, reference model of IP layer and application reference model of high layer. In the future home network

  8. THE BUILDER?S LIABILITY BEYOND THE DEFECTS LIABILITY

    Directory of Open Access Journals (Sweden)

    Johnson I IKPO

    2005-01-01

    Full Text Available This paper reviews the obligations of a builder after the expiration of the contracted defects liability period using relevant decided cases. The common areas identified as forming the bedrock of litigation pertain to structural and dimensional stability, freedom from damp, durability, adequate drainage, good waste disposal works, and effective service installations. Particular reference is made to walls, roofs, and services, which from the pilot study account for about 46%, 23%, and 17% respectively of the total defects attributable to the builder. It is concluded that the builder is responsible for defects arising from his product till the effluxion of reasonable time, except he establishes an element of contributory negligence.

  9. DOE Zero Energy Ready Home Case Study: One Sky Homes — Cottle Zero Net Energy Home, San Jose, CA

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This builder took home the Grand Winner prize in the Custom Builder category in the 2014 Housing Innovation Awards for its high performance building science approach. The builder used insulated concrete form blocks to create the insulated crawlspace foundation for its first DOE Zero Energy Ready Home, the first net zero energy new home certified in the state of California.

  10. Building America Best Practices Series Volume 11. Builders Challenge Guide to 40% Whole-House Energy Savings in the Marine Climate

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, Michael C.; Gilbride, Theresa L.; Hefty, Marye G.; Cole, Pamala C.; Williamson, Jennifer L.; Love, Pat M.

    2010-09-01

    This best practices guide is the eleventh in a series of guides for builders produced by the U.S. Department of Energy’s Building America Program. This guide book is a resource to help builders design and construct homes that are among the most energy-efficient available, while addressing issues such as building durability, indoor air quality, and occupant health, safety, and comfort. With the measures described in this guide, builders in the marine climate (portions of Washington, Oregon, and California) can achieve homes that have whole house energy savings of 40% over the Building America benchmark (a home built to mid-1990s building practices roughly equivalent to the 1993 Model Energy Code) with no added overall costs for consumers. These best practices are based on the results of research and demonstration projects conducted by Building America’s research teams. The guide includes information for managers, designers, marketers, site supervisors, and subcontractors, as well as case studies of builders who are successfully building homes that cut energy use by 40% in the marine climate. This document is available on the web at www.buildingamerica.gov. This report was originally cleared 06-29-2010. This version is Rev 1 cleared in Nov 2010. The only change is the reference to the Energy Star Windows critieria shown on pg 8.25 was updated to match the criteria - Version 5.0, 04/07/2009, effective 01/04/2010.

  11. Building America Best Practices Series, Volume 9: Builders Challenge Guide to 40% Whole-House Energy Savings in the Hot-Dry and Mixed-Dry Climates

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, Michael C.; Gilbride, Theresa L.; Hefty, Marye G.; Williamson, Jennifer L.; Ruiz, Kathleen A.; Bartlett, Rosemarie; Love, Pat M.

    2009-10-23

    This best practices guide is the ninth in a series of guides for builders produced by the U.S. Department of Energy’s Building America Program. This guide book is a resource to help builders design and construct homes that are among the most energy-efficient available, while addressing issues such as building durability, indoor air quality, and occupant health, safety, and comfort. With the measures described in this guide, builders in the hot-dry and mixed-dry climates can achieve homes that have whole house energy savings of 40% over the Building America benchmark (a home built to mid-1990s building practices roughly equivalent to the 1993 Model Energy Code) with no added overall costs for consumers. These best practices are based on the results of research and demonstration projects conducted by Building America’s research teams. The guide includes information for managers, designers, marketers, site supervisors, and subcontractors, as well as case studies of builders who are successfully building homes that cut energy use by 40% in the hot-dry and mixed-dry climates.

  12. Building America Best Practices Series Volume 12: Builders Challenge Guide to 40% Whole-House Energy Savings in the Cold and Very Cold Climates

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, Michael C.; Gilbride, Theresa L.; Hefty, Marye G.; Cole, Pamala C.; Love, Pat M.

    2011-02-01

    This best practices guide is the twelfth in a series of guides for builders produced by PNNL for the U.S. Department of Energy’s Building America program. This guide book is a resource to help builders design and construct homes that are among the most energy-efficient available, while addressing issues such as building durability, indoor air quality, and occupant health, safety, and comfort. With the measures described in this guide, builders in the cold and very cold climates can build homes that have whole-house energy savings of 40% over the Building America benchmark with no added overall costs for consumers. The best practices described in this document are based on the results of research and demonstration projects conducted by Building America’s research teams. Building America brings together the nation’s leading building scientists with over 300 production builders to develop, test, and apply innovative, energy-efficient construction practices. Building America builders have found they can build homes that meet these aggressive energy-efficiency goals at no net increased costs to the homeowners. Currently, Building America homes achieve energy savings of 40% greater than the Building America benchmark home (a home built to mid-1990s building practices roughly equivalent to the 1993 Model Energy Code). The recommendations in this document meet or exceed the requirements of the 2009 IECC and 2009 IRC and thos erequirements are highlighted in the text. This document will be distributed via the DOE Building America website: www.buildingamerica.gov.

  13. Building with passive solar: an application guide for the southern homeowner and builder

    Energy Technology Data Exchange (ETDEWEB)

    None

    1981-03-01

    This instructional material was prepared for training workshops for builders and home designers. It includes: fundamental definitions and equations, climate and site studies, building components, passive systems and techniques, and design tools. (MHR)

  14. Drag and drop display & builder

    Energy Technology Data Exchange (ETDEWEB)

    Bolshakov, Timofei B.; Petrov, Andrey D.; /Fermilab

    2007-12-01

    The Drag and Drop (DnD) Display & Builder is a component-oriented system that allows users to create visual representations of data received from data acquisition systems. It is an upgrade of a Synoptic Display mechanism used at Fermilab since 2002. Components can be graphically arranged and logically interconnected in the web-startable Project Builder. Projects can be either lightweight AJAX- and SVG-based web pages, or they can be started as Java applications. The new version was initiated as a response to discussions between the LHC Controls Group and Fermilab.

  15. Economics worksheet for builder guidelines

    International Nuclear Information System (INIS)

    Johnson, B.K.

    1994-01-01

    The Builder Guidelines package is used to analyze space heating in residential design. Alternative designs are compared in engineering units (e.g., Btu) with the aid of four simple worksheets. Evaluating designs in economic terms would enhance understanding of decisions to be made in the consideration of several energy efficiency measures. An additional worksheet is proposed for Builder Guidelines. Six easy steps take the user through a simplified economic evaluation, based on auxiliary heating performance. Annual space heating cost, avoided costs, and years to payback are calculated in the procedure

  16. DOE Zero Energy Ready Home Case Study: Amerisips Homes — Miller-Bloch Residence, Johns Island, SC

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    For this DOE Zero Energy Ready Home that won a Custom Builder award in the 2014 Housing Innovation Awards, the builder uses structural insulated panels to construct the entire building shell, including the roof, walls, and floor of the home.

  17. Building America Best Practices Series Volume 8: Builders Challenge Quality Criteria Support Document

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, Michael C.; Bartlett, Rosemarie; Gilbride, Theresa L.

    2010-11-01

    The U.S. Department of Energy (DOE) has posed a challenge to the homebuilding industry—to build 220,000 high-performance homes by 2012. Through the Builders Challenge, participating homebuilders will have an easy way to differentiate their best energy-performing homes from other products in the marketplace, and to make the benefits clear to buyers. This document was prepared by Pacific Northwest National Laboratory for DOE to provide guidance to U.S. home builders who want to accept the challenge. To qualify for the Builders Challenge, a home must score 70 or less on the EnergySmart Home Scale (E-Scale). The E-scale is based on the well-established Home Energy Rating System (HERS) index, developed by the Residential Energy Services Network (RESNET). The E-scale allows homebuyers to understand – at a glance – how the energy performance of a particular home compares with the performance of others. To learn more about the index and HERS Raters, visit www.natresnet.org. Homes also must meet the Builders Challenge criteria described in this document. To help builders meet the Challenge, guidance is provided in this report for each of the 29 criteria. Included with guidance for each criteria are resources for more information and references for relevant codes and standards. The Builders Challenge Quality Criteria were originally published in Dec. 2008. They were revised and published as PNNL-18009 Rev 1.2 in Nov. 2009. This is version 1.3, published Nov 2010. Changes from the Nov 2009 version include adding a title page and updating the Energy Star windows critiera to the Version 5.0 criteria approved April 2009 and effective January 4, 2010. This document and other information about the Builders Challenge is available on line at www.buildingamerica.gov/challenge.

  18. FragBuilder

    DEFF Research Database (Denmark)

    Christensen, Anders Steen; Hamelryck, Thomas Wim; Jensen, Jan Halborg

    2014-01-01

    We present a powerful Python library to quickly and efficiently generate realistic peptide model structures. The library makes it possible to quickly set up quantum mechanical calculations on model peptide structures. It is possible to manually specify a specific conformation of the peptide...

  19. Brookfield Homes Passive House Performance Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Herk, A. [IBACOS, Inc., Pittsburgh, PA (United States); Poerschke, A. [IBACOS, Inc., Pittsburgh, PA (United States); Beach, R. [IBACOS, Inc., Pittsburgh, PA (United States)

    2016-02-01

    In 2012-2013, IBACOS worked with a builder, Brookfield Homes in Denver, Colorado, to design and construct a Passive House certified model home. IBACOS used several modeling programs and calculation methods to complete the final design package along with Brookfield's architect KGA Studio. This design package included upgrades to the thermal enclosure, basement insulation, windows, and heating, ventilation, and air conditioning. Short-term performance testing in the Passive House was done during construction and after construction.

  20. Builders Challenge High Performance Builder Spotlight: Yavapai College, Chino Valley, Arizona

    Energy Technology Data Exchange (ETDEWEB)

    None

    2009-12-22

    Building America Builders Challenge fact sheet on Yavapai College of Chino Valley, Arizona. These college students built a Building America Builders Challenge house that achieved the remarkably low HERS score of -3 and achieved a tight building envelope.

  1. Brookfield Homes Passive House Performance Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Herk, A. [IBACOS, Inc., Pittsburgh, PA (United States); Poerschke, A. [IBACOS, Inc., Pittsburgh, PA (United States); Beach, R. [IBACOS, Inc., Pittsburgh, PA (United States)

    2016-02-04

    In 2012-2013, IBACOS worked with a builder, Brookfield Homes in Denver, Colorado, to design and construct a Passive House certified model home. IBACOS used several modeling programs and calculation methods to complete the final design package along with Brookfield's architect KGA Studio. This design package included upgrades to the thermal enclosure, basement insulation, windows, and heating, ventilation, and air conditioning. Short-term performance testing in the Passive House was done during construction and after construction. Testing with a blower door indicated that whole-building air leakage to the outside was 324 CFM and 0.60 ACH50. The other two test homes had little short-term testing done post-construction by the local energy rater. IBACOS then monitored the energy consumption and whole-house comfort conditions of that occupied Passive House after one year of operation and compared the monitoring results to those for two other occupied test houses in the same area with similar square footage but slightly different floor plans. IBACOS also assisted the builder, Brookfield Homes, in researching design scenarios for Zero Energy Ready Home and ENERGY STAR acceptance levels. IBACOS also assisted Brookfield in conceptualizing product for Denver's Brighton Heights area. Brookfield was considering building to Zero Energy Ready Home standards in that location. IBACOS provided strategies that Brookfield may draw from in the event the builder chooses to pursue a Zero Energy Ready Home plan for that market.

  2. Integrated and Optimized Energy-Efficient Construction Package for a Community of Production Homes in the Mixed-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Mallay, D. [Partnership for Home Innovation, Upper Marlboro, MD (United States); Wiehagen, J. [Partnership for Home Innovation, Upper Marlboro, MD (United States); Del Bianco, M. [Partnership for Home Innovation, Upper Marlboro, MD (United States)

    2014-10-01

    This research high performance home analyzes how a set of advanced technologies can be integrated into a durable and energy-efficient house in the mixed-humid climate while remaining affordable to homeowners. The technical solutions documented in this report are the cornerstone of the builder's entire business model based on delivering high-performance homes on a production basis as a standard product offering to all price segments of the residential market. Home Innovation Research Labs partnered with production builder Nexus EnergyHomes (CZ 4) and they plan to adopt the successful components of the energy solution package for all 55 homes in the community. The research objective was to optimize the builder's energy solution package based on energy performance and construction costs. All of the major construction features, including envelope upgrades, space conditioning system, hot water system, and solar electric system were analyzed.

  3. Modelling home equity conversion loans with life insurance models

    Directory of Open Access Journals (Sweden)

    Baškot Bojan

    2013-01-01

    Full Text Available Home equity represents a reserve that can be used for providing additional money for its owners during their retirement. Life insurance models can be successfully applied to model home equity conversion loans. The home equity conversion loan is a financial product that provides a certain flexibility by using home equity as a resource for a quality life during retirement. Home equity conversion loans do not have a predetermined maturity date, as do conventional loans. But, like every loan, it must be repaid. One potential advantage of using a home equity conversion loan during tough financial times instead of some types of need-based assistance is that eligibility is straightforward. Home equity conversion loans can be useful tools in the process of pension system reform.

  4. DOE Zero Energy Ready Home Case Study: KB Homes, San Marcos, California

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    Designed to produce as much energy as it uses, the ZeroHouse incorporates a PV system, R-15 fiberglass batts in walls, and slab-on-grade foundation. The builder ranked fifth in the nation on Builder Magazine’s 2012 Top 100 ranking of U.S. home builders based on number of housing starts, and won a 2013 Housing Innovation Award in the production builder category.

  5. Whole-House Approach Benefits Builders, Buyers, and the Environment

    Energy Technology Data Exchange (ETDEWEB)

    2001-05-01

    This document provides an overview of the U.S. Department of Energy's Building America program. Building America works with the residential building industry to develop and implement innovative building processes and technologies-innovations that save builders and homeowners millions of dollars in construction and energy costs. This industry-led, cost-shared partnership program aims to reduce energy use by 50% and reduce construction time and waste, improve indoor air quality and comfort, encourage a systems engineering approach for design and construction of new homes, and accelerate the development and adoption of high performance in production housing.

  6. Whole-House Approach Benefits Builders, Buyers, and the Environment

    Energy Technology Data Exchange (ETDEWEB)

    Hendron, B.

    2001-01-19

    This document provides an overview of the U.S. Department of Energy's Building America program. Building America works with the residential building industry to develop and implement innovative building processes and technologies-innovations that save builders and homeowners millions of dollars in construction and energy costs. This industry-led, cost-shared partnership program aims to reduce energy use by 50% and reduce construction time and waste, improve indoor air quality and comfort, encourage a systems engineering approach for design and construction of new homes, and accelerate the development and adoption of high performance in production housing.

  7. [Imhotep--builder, physician, god].

    Science.gov (United States)

    Mikić, Zelimir

    2008-01-01

    The medicine had been practiced in ancient Egypt since the earliest, prehistoric days, many millenia before Christ, and was quite developed in later periods. This is evident from the sceletal findings, surgical instruments found in tombs, wall printings, the reliefs and inscriptions, and most of all, from the sparse written material known as medical papyri. However, there were not many physicians from that time whose names had been recorded. The earliest physician in ancient Egypt known by name was Imhotep. WHO WAS IMHOTEP?: Imhotep lived and worked during the time of the 3rd Dynasty of Old Kingdom and served under the pharaoh Djoser (reigned 2667-2648 BC) as his vizier or chief minister, high priest, chief builder and carpenter. He obviously was an Egyptian polymath, a learned man and scribe and was credited with many inventions. As one of the highest officials of the pharaoh Djoser Imhotep is credited with designing and building of the famous Step Pyramid of Djoser at Saqqarah, near the old Egyptian capital of Memphis. Imhotep is also credited with inventing the method of stone-dressed building and using of columns in architecture and is considered to be the first architect in history known by name. It is believed that, as the high priest, Imhotel also served as the nation's chief physician in his time. As the builder of the Step Pyramid, and as a physician, he also had to take medical care of thousands of workers engaged in that great project. He is also credited with being the founder of Egyptian medicine and with being the author of the so-called Smith papirus containing a collection of 48 specimen clinical records with detailed accurate record of the features and treatment of various injuries. As such he emerges as the first physician of ancient Egypt known by name and, at the same time, as the first physician known by name in written history of the world. GOD: As Imhotep was considered by Egyptian people as the "inventor of healing", soon after the death, he

  8. DOE Zero Energy Ready Home Case Study: Mandalay Homes — Pronghorn Ranch, Prescott Valley, AZ

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    The builder has certified 20 homes to DOE Zero Energy Ready Home program and plans are underway for 50 more. Winner of a Production Builder prize in the 2014 Housing Innovation Awards, the homes achieved a HERS score of 48 without photovoltaics (PV) or HERS 25 with 3.5 kW PV included.

  9. The Irish builder and engineer catalogue

    OpenAIRE

    Collins, Niamh

    2010-01-01

    This paper reports on the Irish Builder and Engineer research project which was conducted as part of the UCD Irish Virtual Research Library and Archive (IVRLA) series of demonstrator research projects. The remit of these projects was to provide digital research resources and to show how digital repositories could not only provide access to archival research materials but could also present material in new ways and suggest themes for further research. The Irish Builder and Engineer, which comm...

  10. Building America Best Practices Series: Builders Challenge Guide to 40% Whole-House Energy Savings in the Marine Climate (Volume 11)

    Energy Technology Data Exchange (ETDEWEB)

    Pacific Northwest National Laboratory

    2010-09-01

    With the measures described in this guide, builders in the marine climate can build homes that have whole-house energy savings of 40% over the Building America benchmark with no added overall costs for consumers.

  11. Integrated and Optimized Energy-Efficient Construction Package for a Community of Production Homes in the Mixed-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Mallay, D.; Wiehagen, J.; Del Bianco, M.

    2014-10-01

    Selection and integration of high performance home features are two sides of the same coin in energy efficient sustainable construction. Many advanced technologies are available for selection, but it is in the integration of these technologies into an affordable set of features that can be used on a production basis by builders, that ensures whole-house performance meets expectations. This research high performance home analyzes how a set of advanced technologies can be integrated into a durable and energy efficient house in the mixed-humid climate while remaining affordable to homeowners. The technical solutions documented in this report are the cornerstone of the builder's entire business model based on delivering high-performance homes on a production basis as a standard product offering to all price segments of the residential market. Home Innovation Research Labs partnered with production builder Nexus EnergyHomes (CZ 4). The builder plans to adopt the successful components of the energy solution package for all 55 homes in the community. The research objective was to optimize the builder's energy solution package based on energy performance and construction costs. All of the major construction features, including envelope upgrades, space conditioning system, hot water system, and solar electric system were analyzed. The information in this report can be used by builders and designers to evaluate options, and the integration of options, for increasing the efficiency of home designs in climate zone 4. The data also provide a point of reference for evaluating estimates of energy savings and costs for specific features.

  12. DOE Zero Energy Ready Home Case Study: StreetScape Development, LLC, Libertyville, Illinois

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    These single-family, HERS 45 homes incorporate 2×6 wood framed walls with R-20 open cell spray insulation and OSB. The builder, StreetScape Development, won a 2013 Housing Innovation Award in the custom builder category.

  13. The CMS event builder and storage system

    Science.gov (United States)

    Bauer, G.; Beccati, B.; Behrens, U.; Biery, K.; Brett, A.; Branson, J.; Cano, E.; Cheung, H.; Ciganek, M.; Cittolin, S.; Coarasa, J. A.; Deldicque, C.; Dusinberre, E.; Erhan, S.; Rodrigues, F. F.; Gigi, D.; Glege, F.; Gomez-Reino, R.; Gutleber, J.; Hatton, D.; Klute, M.; Laurens, J.-F.; Loizides, C.; Lopez Perez, J. A.; Meijers, F.; Meschi, E.; Meyer, A.; Mommsen, R. K.; Moser, R.; O'Dell, V.; Oh, A.; Orsini, L.; Patras, V.; Paus, C.; Petrucci, A.; Pieri, M.; Racz, A.; Sakulin, H.; Sani, M.; Schieferdecker, P.; Schwick, C.; Serrano Margaleff, J. F.; Shpakov, D.; Simon, S.; Sumorok, K.; Zanetti, M.

    2010-04-01

    The CMS event builder assembles events accepted by the first level trigger and makes them available to the high-level trigger. The event builder needs to handle a maximum input rate of 100 kHz and an aggregated throughput of 100 GB/s originating from approximately 500 sources. This paper presents the chosen hardware and software architecture. The system consists of 2 stages: an initial pre-assembly reducing the number of fragments by one order of magnitude and a final assembly by several independent readout builder (RU-builder) slices. The RU-builder is based on 3 separate services: the buffering of event fragments during the assembly, the event assembly, and the data flow manager. A further component is responsible for handling events accepted by the high-level trigger: the storage manager (SM) temporarily stores the events on disk at a peak rate of 2 GB/s until they are permanently archived offline. In addition, events and data-quality histograms are served by the SM to online monitoring clients. We discuss the operational experience from the first months of reading out cosmic ray data with the complete CMS detector.

  14. DOE Zero Energy Ready Home Case Study: Mandalay Homes, Phoenix, Arizona

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    This builder built fourteen homes in the Gordon Estates subdivision that achieved Challenge Home certification with HERS 38–58 on an affordable budget for homeowners. Every Mandalay home in the development also met the National Green Building Standard gold level. The Gordon Estates subdivision is also serving as a showcase of energy efficiency, and Mandalay is hosting education workshops for realtors, state and local officials, other builders, students, potential homeowners, and the public. The builder won a 2013 Housing Innovation Award in the affordable builder category.

  15. Feedback between Accelerator Physicists and magnet builders

    International Nuclear Information System (INIS)

    Peggs, S.

    1995-01-01

    Our task is not to record history but to change it. (K. Marx (paraphrased)) How should Accelerator Physicists set magnet error specifications? In a crude social model, they place tolerance limits on undesirable nonlinearities and errors (higher order harmonics, component alignments, etc.). The Magnet Division then goes away for a suitably lengthy period of time, and comes back with a working magnet prototype that is reproduced in industry. A better solution is to set no specifications. Accelerator Physicists begin by evaluating expected values of harmonics, generated by the Magnet Division, before and during prototype construction. Damaging harmonics are traded off against innocuous harmonics as the prototype design evolves, lagging one generation behind the evolution of expected harmonics. Finally, the real harmonics are quickly evaluated during early industrial production, allowing a final round of performance trade-offs, using contingency scenarios prepared earlier. This solution assumes a close relationship and rapid feedback between the Accelerator Physicists and the magnet builders. What follows is one perspective of the way that rapid feedback was used to 'change history' (improve linear and dynamic aperture) at RHIC, to great benefit

  16. Flash Builder 4 and Flex 4 Bible

    CERN Document Server

    Gassner, David

    2010-01-01

    A complete and thorough reference for developers on the new Flex 4 platform. Create desktop applications that behave identically on Windows, Mac OS X, and Linux with Adobe's new Flash Builder 4 platform and this in-depth guide. The book's tutorials and explanations walk you step-by-step through Flash Builder's new, faster tools; the new framework for generating code; how to connect to popular application servers; upgrading from Flex 3; and much more.: Shows you how to create rich applications for the Web and desktop with the very latest version of Flex, with detailed coverage for both new and

  17. Business Metrics for High-Performance Homes: A Colorado Springs Case Study

    Energy Technology Data Exchange (ETDEWEB)

    Beach, R. [IBACOS, Inc, Pittsburgh, PA (United States); Jones, A. [IBACOS, Inc, Pittsburgh, PA (United States)

    2016-04-26

    This report explores the correlation between energy efficiency and the business success of home builders by examining a data set of builders and homes in the Colorado Springs, Colorado, market between 2006 and 2014. During this time, the Great Recession of 2007 to 2009 occurred, and new-home sales plummeted both nationally and in Colorado Springs. What is evident from an analysis of builders and homes in Colorado Springs is that builders who had Home Energy Rating System (HERS) ratings performed on some or all of their homes during the Recession remained in business during this challenging economic period. Many builders who did not have HERS ratings performed on their homes at that time went out of business or left the area. From the analysis presented in this report, it is evident that a correlation exists between energy efficiency and the business success of home builders, although the reasons for this correlation remain largely anecdotal and not yet clearly understood.

  18. DOE Zero Energy Ready Home Case Study: M Street Homes — Smartlux on Greenpark, Houston, TX

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This builder certified its first DOE Zero Energy Ready Home and won a Production Builder honor in the 2014 Housing Innovation Awards. It is the first home in the world to use a tri-generation system to supply electricity, heating, and cooling on site.

  19. Heating, Ventilation, and Air Conditioning Design Strategy for a Hot-Humid Production Builder

    Energy Technology Data Exchange (ETDEWEB)

    Kerrigan, P. [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2014-03-01

    BSC worked directly with the David Weekley Homes - Houston division to redesign three floor plans in order to locate the HVAC system in conditioned space. The purpose of this project is to develop a cost effective design for moving the HVAC system into conditioned space. In addition, BSC conducted energy analysis to calculate the most economical strategy for increasing the energy performance of future production houses. This is in preparation for the upcoming code changes in 2015. The builder wishes to develop an upgrade package that will allow for a seamless transition to the new code mandate. The following research questions were addressed by this research project: 1. What is the most cost effective, best performing and most easily replicable method of locating ducts inside conditioned space for a hot-humid production home builder that constructs one and two story single family detached residences? 2. What is a cost effective and practical method of achieving 50% source energy savings vs. the 2006 International Energy Conservation Code for a hot-humid production builder? 3. How accurate are the pre-construction whole house cost estimates compared to confirmed post construction actual cost? BSC and the builder developed a duct design strategy that employs a system of dropped ceilings and attic coffers for moving the ductwork from the vented attic to conditioned space. The furnace has been moved to either a mechanical closet in the conditioned living space or a coffered space in the attic.

  20. DOE Zero Energy Ready Home Case Study: Green Extreme Homes & Carl Franklin Homes — First DOE Zero Energy Ready Home Retrofit, Garland, TX

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This builder was honored with an Affordable Builder award in the 2014 Housing Innovation Awards, for the first retrofit home certified to the DOE Zero Energy Ready home requirements.The 60-year-old, three-bedroom ranch home is expected to save its homeowner more than $1,000 a year in utility bills compared to a home built to the current 2009 International Energy Conservation Code.

  1. Heating, Ventilation, and Air Conditioning Design Strategy for a Hot-Humid Production Builder

    Energy Technology Data Exchange (ETDEWEB)

    Kerrigan, P. [Building Science Corporation, Somerville, MA (United States)

    2014-03-01

    Building Science Corporation (BSC) worked directly with the David Weekley Homes - Houston division to develop a cost-effective design for moving the HVAC system into conditioned space. In addition, BSC conducted energy analysis to calculate the most economical strategy for increasing the energy performance of future production houses in preparation for the upcoming code changes in 2015. This research project addressed the following questions: 1. What is the most cost effective, best performing and most easily replicable method of locating ducts inside conditioned space for a hot-humid production home builder that constructs one and two story single family detached residences? 2. What is a cost effective and practical method of achieving 50% source energy savings vs. the 2006 International Energy Conservation Code for a hot-humid production builder? 3. How accurate are the pre-construction whole house cost estimates compared to confirmed post construction actual cost?

  2. New American Home(regsign): Atlanta, Georgia - 2001; Building America--The New American Home

    International Nuclear Information System (INIS)

    IBACOS; Anderson, R.

    2001-01-01

    The New American Home(reg s ign) is an annual showcase project designed by committee and co-sponsored by the National Association of Home Builders' National Council of the Housing Industry, BUILDERS Magazine, and Ladies Home Journal. Hedgewood Properties teamed with Building America's IBACOS Consortium and Southface Energy Institute to build a house with a Home Energy Rating Systems (HERS) level of 90

  3. Performance of the CMS Event Builder

    CERN Document Server

    Andre, Jean-Marc Olivier; Branson, James; Brummer, Philipp Maximilian; Chaze, Olivier; Cittolin, Sergio; Contescu, Cristian; Craigs, Benjamin Gordon; Darlea, Georgiana Lavinia; Deldicque, Christian; Demiragli, Zeynep; Dobson, Marc; Doualot, Nicolas; Erhan, Samim; Fulcher, Jonathan Richard; Gigi, Dominique; Gladki, Maciej Szymon; Glege, Frank; Gomez Ceballos, Guillelmo; Hegeman, Jeroen Guido; Holzner, Andre Georg; Janulis, Mindaugas; Jimenez Estupinan, Raul; Masetti, Lorenzo; Meijers, Franciscus; Meschi, Emilio; Mommsen, Remigius; Morovic, Srecko; O'Dell, Vivian; Orsini, Luciano; Paus, Christoph Maria Ernst; Petrova, Petia; Pieri, Marco; Racz, Attila; Reis, Thomas; Sakulin, Hannes; Schwick, Christoph; Simelevicius, Dainius; Zejdl, Petr

    2017-01-01

    The data acquisition system (DAQ) of the CMS experiment at the CERN Large Hadron Collider (LHC) assembles events at a rate of 100 kHz. It transports event data at an aggregate throughput of ~100 GB/s to the high-level trigger (HLT) farm. The CMS DAQ system has been completely rebuilt during the first long shutdown of the LHC in 2013/14. The new DAQ architecture is based on state-of-the-art network technologies for the event building. For the data concentration, 10/40 Gb/s Ethernet technologies are used together with a reduced TCP/IP protocol implemented in FPGA for a reliable transport between custom electronics and commercial computing hardware. A 56 Gb/s Infiniband FDR CLOS network has been chosen for the event builder. We report on the performance of the event builder system and the steps taken to exploit the full potential of the network technologies.

  4. Home-based chronic care. An expanded integrative model for home health professionals.

    Science.gov (United States)

    Suter, Paula; Hennessey, Beth; Harrison, Gregory; Fagan, Martha; Norman, Barbara; Suter, W Newton

    2008-04-01

    The Chronic Care Model (CCM) developed by is an influential and accepted guide for the care of patients with chronic disease. Wagner acknowledges a current healthcare focus on acute care needs that often circumvents chronic care coordination. He identifies the need for a "division of labor" to assist the primary care physician with this neglected function. This article posits that the role of chronic care coordination assistance and disease management fits within the purview of home healthcare and should be central to home health chronic care delivery. An expanded Home-Based Chronic Care Model (HBCCM) is described that builds on Wagner's model and integrates salient theories from fields beyond medicine. The expanded model maximizes the potential for disease self-management success and is intended to provide a foundation for home health's integral role in chronic disease management.

  5. Health@Home - An e-Service Model for Disease Prevention and Healthcare in the Home

    Science.gov (United States)

    Gupta, Milon; Chotard, Laure; Ingþórsson, Ólafur; Bastos, João; Borges, Isabel

    The ageing of the population, the growth of chronic diseases, and the explosion of healthcare costs jeopardise the sustainability of healthcare systems in many European countries. This opens opportunities for innovative prevention and healthcare services supported by information and communication technologies (ICT). The natural focus for providing such services is the home. However, the e-health services provided in the home so far are limited in scope and fragmented. This paper suggests a comprehensive service model for home-based e-health services in Europe, which aims to overcome the current service fragmentation. The Health@Home model integrates disease prevention and healthcare for different groups of citizens at different stages on the health scale. The technical challenge of this model is the national and Europe-wide integration of heterogeneous systems and services in a way that makes them reliable and easy to use for all citizens, particularly those with low technical abilities and severe impairments.

  6. Landscape Builder: software for the creation of initial landscapes for LANDIS from FIA data

    Science.gov (United States)

    William. Dijak

    2013-01-01

    I developed Landscape Builder to create spatially explicit landscapes as starting conditions for LANDIS Pro 7.0 and LANDIS II landscape forest simulation models from classified satellite imagery and Forest Inventory and Analysis (FIA) data collected over multiple years. LANDIS Pro and LANDIS II models project future landscapes by simulating tree growth, tree species...

  7. Expanded Medical Home Model Works for Children in Foster Care

    Science.gov (United States)

    Jaudes, Paula Kienberger; Champagne, Vince; Harden, Allen; Masterson, James; Bilaver, Lucy A.

    2012-01-01

    The Illinois Child Welfare Department implemented a statewide health care system to ensure that children in foster care obtain quality health care by providing each child with a medical home. This study demonstrates that the Medical Home model works for children in foster care providing better health outcomes in higher immunization rates. These…

  8. Performance and Costs of Ductless Heat Pumps in Marine-Climate High-Performance Homes -- Habitat for Humanity The Woods

    Energy Technology Data Exchange (ETDEWEB)

    Lubliner, Michael [Washington State Univ., Pullman, WA (United States); Howard, Luke [Washington State Univ., Pullman, WA (United States); Hales, David [Washington State Univ., Pullman, WA (United States); Kunkle, Rick [Washington State Univ., Pullman, WA (United States); Gordon, Andy [Washington State Univ., Pullman, WA (United States); Spencer, Melinda [Washington State Univ., Pullman, WA (United States)

    2016-02-23

    This final Building America Partnership report focuses on the results of field testing, modeling, and monitoring of ductless mini-split heat pump hybrid heating systems in seven homes built and first occupied at various times between September 2013 and October 2014. The report also provides WSU documentation of high-performance home observations, lessons learned, and stakeholder recommendations for builders of affordable high-performance housing.

  9. Organizational home care models across Europe: A cross sectional study.

    Science.gov (United States)

    Van Eenoo, Liza; van der Roest, Henriëtte; Onder, Graziano; Finne-Soveri, Harriet; Garms-Homolova, Vjenka; Jonsson, Palmi V; Draisma, Stasja; van Hout, Hein; Declercq, Anja

    2018-01-01

    Decision makers are searching for models to redesign home care and to organize health care in a more sustainable way. The aim of this study is to identify and characterize home care models within and across European countries by means of structural characteristics and care processes at the policy and the organization level. At the policy level, variables that reflected variation in health care policy were included based on a literature review on the home care policy for older persons in six European countries: Belgium, Finland, Germany, Iceland, Italy, and the Netherlands. At the organizational level, data on the structural characteristics and the care processes were collected from 36 home care organizations by means of a survey. Data were collected between 2013 and 2015 during the IBenC project. An observational, cross sectional, quantitative design was used. The analyses consisted of a principal component analysis followed by a hierarchical cluster analysis. Fifteen variables at the organizational level, spread across three components, explained 75.4% of the total variance. The three components made it possible to distribute home care organizations into six care models that differ on the level of patient-centered care delivery, the availability of specialized care professionals, and the level of monitoring care performance. Policy level variables did not contribute to distinguishing between home care models. Six home care models were identified and characterized. These models can be used to describe best practices. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. DOE Zero Energy Ready Home Case Study: Clifton View Homes, Coupeville, Washington

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    Ted Clifton, founder of Clifton View Homes, achieved an impressive Home Energy Rating System (HERS) score of 34 (without solar panels) on a two-story home completed in July 2011 that also earned him his first Challenge Home certification from the U.S. Department of Energy (DOE). This home also garnered a 2013 Housing Innovation Award in the "systems builder" category.

  11. Upgrade of the CMS Event Builder

    CERN Multimedia

    CERN. Geneva

    2012-01-01

    The Data Acquisition (DAQ) system of the Compact Muon Solenoid (CMS) experiment at CERN assembles events at a rate of 100 kHz, transporting event data at an aggregate throughput of 100 GB/s. By the time the LHC restarts after the 2013/14 shut-down, the current compute nodes and networking infrastructure will have reached the end of their lifetime. We are presenting design studies for an upgrade of the CMS event builder based on advanced networking technologies such as 10 Gb/s Ethernet. We report on tests and performance measurements with small-scale test setups.

  12. The image of the blessed monarch, the Holy King of Georgia David the Builder

    Directory of Open Access Journals (Sweden)

    Efimov Vladimir Fedorovich

    2014-07-01

    Full Text Available The article considers the biography of the saint Georgian monarch, David the Builder, analyzes his actions, church, external and internal policy. Finally it draws a conclusion that all his life was dedicated to the service of God and neighbor. Thus, his life was a model of Christian Ministry, he occupied a responsible position in society.

  13. DOE Zero Energy Ready Home Case Study: Nexus EnergyHomes, Frederick, Maryland

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    This urban infill community with 24 duplexes, 19 townhomes, and 7 single-family homes features SIP walls, geothermal heat pumps, solar PV, and a proprietary energy management system. The builder won a 2013 Housing Innovation Award in the production builder category.

  14. The SKI*HI Model: Programming for Hearing Impaired Infants through Home Intervention, Home Visit Curriculum. Fourth Edition.

    Science.gov (United States)

    Clark, Thomas C.; Watkins, Susan

    The manual describes the SKI*HI Model, a comprehensive approach to identification and home intervention treatment of hearing impaired children and their families. The model features home programing in four basic areas: the home hearing aid program (nine lessons which facilitate the proper fit and acceptance of amplification by the child), home…

  15. New American Home 2008: Orlando, Florida

    Energy Technology Data Exchange (ETDEWEB)

    2007-12-01

    Each year, The New American home demonstrates innovative building materials, cutting-edge design, and the latest construction techniques. It provides production homebuilders with an example for producing more energy-efficient, durable homes without sacrificing style. This year, The New American Home celebrates its 25th anniversary. The New American Home is the official showcase house of the annual International Builders' Show, and is a for-sale product. Most features and innovations in the home are accessible to builders and consumers for integration into their own home.

  16. A New Model for Designing Cost Effective Zero Carbon Homes: Minimizing Commercial Viability Issues and Improving the Economics for Both the Developer and Purchaser

    Directory of Open Access Journals (Sweden)

    Rehan Khodabuccus

    2016-02-01

    Full Text Available There is a limited penetration of housing which offsets all operational carbon emissions within UK housing developer portfolios. This paper develops a balanced approach to zero carbon housing design from both architectural and national house builder perspectives. The paper discusses the techniques which can be used to reduce build costs, simplify designs and simplify renewable energy systems, resulting in more cost effective homes. The paper develops a technical and economic linked model to optimise a zero carbon design and then develops a home using this technique. It acknowledges that extra costs are inevitable but minimises them and details a lifecycle costing approach to provide economic justification. The paper then focuses on how the building designed can function more efficiently and economically than a Part L 2013 Building Regulation compliant building. Improved functionality is demonstrated both with and without the use of feed in tariffs. A key finding from this research is that zero carbon homes can benefit the consumer without impacting the developer. The results also demonstrate that homes could be better marketed on economic rather than environmental or technical attributes.

  17. Home-Network Security Model in Ubiquitous Environment

    OpenAIRE

    Dong-Young Yoo; Jong-Whoi Shin; Jin-Young Choi

    2007-01-01

    Social interest and demand on Home-Network has been increasing greatly. Although various services are being introduced to respond to such demands, they can cause serious security problems when linked to the open network such as Internet. This paper reviews the security requirements to protect the service users with assumption that the Home-Network environment is connected to Internet and then proposes the security model based on the requirement. The proposed security mode...

  18. Performance of the CMS Event Builder

    Energy Technology Data Exchange (ETDEWEB)

    Andre, J.M.; et al.

    2017-11-22

    The data acquisition system (DAQ) of the CMS experiment at the CERN Large Hadron Collider assembles events at a rate of 100 kHz, transporting event data at an aggregate throughput of to the high-level trigger farm. The DAQ architecture is based on state-of-the-art network technologies for the event building. For the data concentration, 10/40 Gbit/s Ethernet technologies are used together with a reduced TCP/IP protocol implemented in FPGA for a reliable transport between custom electronics and commercial computing hardware. A 56 Gbit/s Infiniband FDR Clos network has been chosen for the event builder. This paper presents the implementation and performance of the event-building system.

  19. Modelling home advantage in the Summer Olympic Games.

    Science.gov (United States)

    Balmer, N J; Nevill, A M; Williams, A M

    2003-06-01

    Home advantage in team games is well proven and the influence of the crowd upon officials' decisions has been identified as a plausible cause. The aim of this study was to assess the significance of home advantage for five event groups selected from the Summer Olympic Games between 1896 and 1996, and put home advantage in team games in context with other sports. The five event groups were athletics and weightlifting (predominantly objectively judged), boxing and gymnastics (predominantly subjectively judged) and team games (involving subjective decisions). The proportion of points won was analysed as a binomial response variable using generalized linear interactive modelling. Preliminary exploration of the data highlighted the need to control for the proportion of competitors entered and to split the analysis pre- and post-war. Highly significant home advantage was found in event groups that were either subjectively judged or rely on subjective decisions. In contrast, little or no home advantage (and even away advantage) was observed for the two objectively judged groups. Officiating system was vital to both the existence and extent of home advantage. Our findings suggest that crowd noise has a greater influence upon officials' decisions than players' performances, as events with greater officiating input enjoyed significantly greater home advantage.

  20. Performance model for telehealth use in home health agencies.

    Science.gov (United States)

    Frey, Jocelyn; Harmonosky, Catherine M; Dansky, Kathryn H

    2005-10-01

    Increasingly, home health agencies (HHAs) are considering the value of implementing telehealth technology. However, questions arise concerning how to manage and use this technology to benefit patients, nurses, and the agency. Performance models will be beneficial to managers and decision makers in the home health field by providing quantitative information for present and future planning of staff and technology usage in the HHA. This paper presents a model that predicts the average daily census of the HHA as a function of statistically identified parameters. Average daily census was chosen as the outcome variable because it is a proxy measure of an agency's capacity. The model suggests that including a telehealth system in the HHA increases average daily census by 40%-90% depending on the number of nurse full-time equivalent(s) (FTEs) and amount of travel hours per month. The use of a home telecare system enhances HHA performance.

  1. DOE Zero Energy Ready Home Case Study: Weiss Building & Development, Downers Grove, Illinois

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    This single-family home built in a peat bog has underground storage tanks and drainage tanks, blown fiberglass insulation, coated rigid polyisocyanurate, and flashing. The 3,600-square-foot custom home built by Weiss Building & Development LLC is the first home in Illinois certified to the DOE Challenge Home criteria, which requires that homes meet the EPA Indoor airPlus guidelines.The builder won a 2013 Housing Innovation Award in the custom builder category.

  2. Architecture of an Open-Sourced, Extensible Data Warehouse Builder: InterBase 6 Data Warehouse Builder (IB-DWB)

    OpenAIRE

    Ling, Maurice HT; So, Chi Wai

    2003-01-01

    We report the development of an open-sourced data warehouse builder, InterBase Data Warehouse Builder (IB-DWB), based on Borland InterBase 6 Open Edition Database Server. InterBase 6 is used for its low maintenance and small footprint. IB-DWB is designed modularly and consists of 5 main components, Data Plug Platform, Discoverer Platform, Multi-Dimensional Cube Builder, and Query Supporter, bounded together by a Kernel. It is also an extensible system, made possible by the Data Plug Platform ...

  3. Home

    Directory of Open Access Journals (Sweden)

    Rokeya Sakhawat Hossain

    2012-11-01

    Full Text Available A fiery feminist piece that argues that Indian women are all homeless; animals have homes but Indian women have none, because they have to depend on the mercy of their "keepers"; therefore, Indian women live a life worse than animals.

  4. Man-machine interface builders at the Advanced Photon Source

    International Nuclear Information System (INIS)

    Anderson, M.D.

    1991-01-01

    Argonne National Laboratory is constructing a 7-GeV Advanced Photon Source for use as a synchrotron radiation source in basic and applied research. The controls and computing environment for this accelerator complex includes graphical operator interfaces to the machine based on Motif, X11, and PHIGS/PEX. Construction and operation of the control system for this accelerator relies upon interactive interface builder and diagram/editor type tools, as well as a run-time environment for the constructed displays which communicate with the physical machine via network connections. This paper discusses our experience with several commercial CUI builders, the inadequacies found in these, motivation for the development of an application- specific builder, and design and implementation strategies employed in the development of our own Man-Machine Interface builder. 5 refs

  5. Performance Verification of Production-Scalable Energy-Efficient Solutions: Winchester/Camberley Homes Mixed-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Mallay, D. [Partnership for Home Innovation, Upper Marlboro, MD (United States); Wiehagen, J. [Partnership for Home Innovation, Upper Marlboro, MD (United States)

    2014-07-01

    Winchester/Camberley Homes collaborated with the Building America team Partnership for Home Innovation to develop a new set of high performance home designs that could be applicable on a production scale. The new home designs are to be constructed in the mixed humid climate zone and could eventually apply to all of the builder's home designs to meet or exceed future energy codes or performance-based programs. However, the builder recognized that the combination of new wall framing designs and materials, higher levels of insulation in the wall cavity, and more detailed air sealing to achieve lower infiltration rates changes the moisture characteristics of the wall system. In order to ensure long term durability and repeatable successful implementation with few call-backs, the project team demonstrated through measured data that the wall system functions as a dynamic system, responding to changing interior and outdoor environmental conditions within recognized limits of the materials that make up the wall system. A similar investigation was made with respect to the complete redesign of the HVAC systems to significantly improve efficiency while maintaining indoor comfort. Recognizing the need to demonstrate the benefits of these efficiency features, the builder offered a new house model to serve as a test case to develop framing designs, evaluate material selections and installation requirements, changes to work scopes and contractor learning curves, as well as to compare theoretical performance characteristics with measured results.

  6. Supplement consumption in body builder athletes

    Science.gov (United States)

    Karimian, Jahangir; Esfahani, Parivash Shekarchizadeh

    2011-01-01

    BACKGROUND: Widespread use of supplements is observed among world athletes in different fields. The aim of this study was to estimate the prevalence and determinants of using supplements among body builder athletes. METHODS: This cross-sectional study was conducted on 250 men and 250 women from 30 different bodybuilding clubs. Participants were asked to complete a self-administered standardized anonymous check-list. RESULTS: Forty nine percent of the respondents declared supplement use. Men were more likely to take supplements than women (86.8% vs. 11.2%, p = 0.001). Reasons for using supplements were reported to be for health (45%), enhancing the immune system (40%) and improving athletic performance (25%). Most athletes (72%) had access to a nutritionist but underused this resource. Coaches (65%) had the greatest influence on supplementation practices followed by nutritionists (30%) and doctors (25%) after them. CONCLUSIONS: The prevalence of supplement use among bodybuilders was high. Sex, health-related issues and sport experts were determinant factors of supplement use. PMID:22973330

  7. Diet Segregation between Cohabiting Builder and Inquiline Termite Species.

    Directory of Open Access Journals (Sweden)

    Daniela Faria Florencio

    Full Text Available How do termite inquilines manage to cohabit termitaria along with the termite builder species? With this in mind, we analysed one of the several strategies that inquilines could use to circumvent conflicts with their hosts, namely, the use of distinct diets. We inspected overlapping patterns for the diets of several cohabiting Neotropical termite species, as inferred from carbon and nitrogen isotopic signatures for termite individuals. Cohabitant communities from distinct termitaria presented overlapping diet spaces, indicating that they exploited similar diets at the regional scale. When such communities were split into their components, full diet segregation could be observed between builders and inquilines, at regional (environment-wide and local (termitarium scales. Additionally, diet segregation among inquilines themselves was also observed in the vast majority of inspected termitaria. Inquiline species distribution among termitaria was not random. Environmental-wide diet similarity, coupled with local diet segregation and deterministic inquiline distribution, could denounce interactions for feeding resources. However, inquilines and builders not sharing the same termitarium, and thus not subject to potential conflicts, still exhibited distinct diets. Moreover, the areas of the builder's diet space and that of its inquilines did not correlate negatively. Accordingly, the diet areas of builders which hosted inquilines were in average as large as the areas of builders hosting no inquilines. Such results indicate the possibility that dietary partitioning by these cohabiting termites was not majorly driven by current interactive constraints. Rather, it seems to be a result of traits previously fixed in the evolutionary past of cohabitants.

  8. Outcomes of a Joint Replacement Surgical Home Model Clinical Pathway

    Directory of Open Access Journals (Sweden)

    Avinash Chaurasia

    2014-01-01

    Full Text Available Optimizing perioperative care to provide maximum benefit at minimum cost may be best achieved using a perioperative clinical pathway (PCP. Using our joint replacement surgical home (JSH model PCP, we examined length of stay (LOS following total joint arthroplasty (TJA to evaluate patient care optimization. We reviewed a spectrum of clinical measurements in 190 consecutive patients who underwent TJA. Patients who had surgery earlier in the week and who were earlier cases of the day had a significantly lower LOS than patients whose cases started both later in the week and later in the day. Patients discharged home had significantly lower LOS than those discharged to a secondary care facility. Patients who received regional versus general anesthesia had a significantly lower LOS. Scheduling patients discharged to home and who will likely receive regional anesthesia for the earliest morning slot and earlier in the week may help decrease overall LOS.

  9. Simple Tool to Evaluate Airtightness in Chilean Homes

    Directory of Open Access Journals (Sweden)

    Alex González Cáceres

    2016-10-01

    Full Text Available Given the high impact that air leaks have on buildings’ energy expenses, most developed countries have set out norms which regulate their presence in homes. Chile will soon begin this process; however, the airtightness revision strategy in envelopes has not been resolved as of yet. This article presents a tool to Assess Airtightness in Design, EHeD. The software will allow predicting the performance of homes under the regulations which will be set out, aiding designers, builders or owners to make decisions when making changes to improve airtightness. EHeD has been validated through pressurization tests in diverse homes across the country, with results that are in line with expectations, thus validating its calculation model. The methodology considers three stages: determining the main factors that have an impact on the airtightness in Chilean homes, preparing an airtightness database for each component (wall, windows and doors and preparing a calculation model that is integrated in an IT interface.

  10. Performance House -- A Cold Climate Challenge Home

    Energy Technology Data Exchange (ETDEWEB)

    Puttagunta, S.; Grab, J.; Williamson, J.

    2013-08-01

    Working with builder partners on a test homes allows for vetting of whole-house building strategies to eliminate any potential unintended consequences prior to implementing these solution packages on a production scale. To support this research, CARB partnered with Preferred Builders Inc. on a high-performance test home in Old Greenwich, CT. The philosophy and science behind the 2,700 ft2 'Performance House' was based on the premise that homes should be safe, healthy, comfortable, durable, efficient, and adapt with the homeowners. The technologies and strategies used in the 'Performance House' were not cutting-edge, but simply 'best practices practiced'. The focus was on simplicity in construction, maintenance, and operation. When seeking a 30% source energy savings targets over a comparable 2009 IECC code-built home in the cold climate zone, nearly all components of a home must be optimized. Careful planning and design are critical. To help builders and architects seeking to match the performance of this home, a step-by-step guide through the building shell components of DOE's Challenge Home are provided in a pictorial story book. The end result was a DOE Challenge Home that achieved a HERS Index Score of 20 (43 without PV, the minimum target was 55 for compliance). This home was also awarded the 2012 HOBI for Best Green Energy Efficient Home from the Home Builders & Remodelers Association of Connecticut.

  11. Efficient Solutions for New Homes Case Study: BrightBuilt Home, Modular Zero Energy

    Energy Technology Data Exchange (ETDEWEB)

    None

    2016-04-11

    When done well, modular home production can provide lower costs and excellent quality control (QC)—compared to conventional home building methods— while still allowing a great deal of customization. The Consortium for Advanced Residential Buildings (CARB) is a U.S. Department of Energy Building America team that worked with three Maine companies to compare standard codecompliant modular homes with a modular zero energy home. Those companies were BrightBuilt Home (BBH), Black Bros. Builders, and Keiser Homes.

  12. Use of 222Rn-resistant techniques in new home construction

    International Nuclear Information System (INIS)

    Watson, J.E. Jr.; Cote, R.A.

    1999-01-01

    The objective of this project was to assess the status of the use of 222 Rn-resistant construction techniques in new home construction in the eight Zone 1 counties of North Carolina. Zone 1 counties have an average predicted indoor 222 Rn screening potential greater than 148 Bq m -3 (4 pCi L -1 ). To facilitate a response from builders, a brief survey form was designed and printed on the back of a self-addressed, postage-paid postcard. This survey form was mailed to 460 home builders in the Zone 1 counties. The response rate was 17%, which can be compared to the 4.9% response rate obtained in a national survey conducted by the National Association of Home Builders Research Center. In their survey, 62% of the responding builders reported that they had built some or many homes in 1996 using construction techniques to reduce the entry of radon into homes, but only 10% of the builders reported using these techniques for many homes. The National Association of Home Builders survey determined that, nationally, 30% of homes built in Zone 1 counties had 222 Rn venting features. There is the potential for bias in the results of their survey (as well as in the results of the National Association of Home Builders survey) since the response rates were low

  13. DOE Zero Energy Ready Home Case Study: Clifton View Homes — Kaltenbach Residence, Clinton, WA

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This home on Whidbey Island won a Custom Builder award in the 2014 Housing Innovation Awards. The DOE Zero Energy Ready Home scores HERS 37 without PV or HERS -13 with 10 kW PV, enough to power the home and an electric car.

  14. DOE Zero Energy Ready Home Case Study: Garbett Homes, Herriman, Utah

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    As the first net zero-energy production home certified in Utah, this house incorporates two 94% efficient tankless water heaters and two roof-mounted solar panels that preheat the home's water supply. This home won a 2013 Housing Innovation Award in the production builder category.

  15. Production-Built Homes: The Cost Advantages of Smart Growth

    Science.gov (United States)

    This study identifies the components and techniques of home building in traditional versus conventional developments, and attempts to help production builders better understand the cost differences between the two types of developments.

  16. New Whole-House Solutions Case Study: Quadrant Homes

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-02-01

    Quadrant moved ducts and high efficiency furnace inside conditioned space on nearly all 300 customizable house plans. The builder uses dry, true factory-assembled walls, extensive air sealing, and just in time delivery for pre-sold homes.

  17. Performance Verification of Production-Scalable Energy-Efficient Solutions: Winchester/Camberley Homes Mixed-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Mallay, D.; Wiehagen, J.

    2014-07-01

    Winchester/Camberley Homes with the Building America program and its NAHB Research Center Industry Partnership collaborated to develop a new set of high performance home designs that could be applicable on a production scale. The new home designs are to be constructed in the mixed humid climate zone four and could eventually apply to all of the builder's home designs to meet or exceed future energy codes or performance-based programs. However, the builder recognized that the combination of new wall framing designs and materials, higher levels of insulation in the wall cavity, and more detailed air sealing to achieve lower infiltration rates changes the moisture characteristics of the wall system. In order to ensure long term durability and repeatable successful implementation with few call-backs, this report demonstrates through measured data that the wall system functions as a dynamic system, responding to changing interior and outdoor environmental conditions within recognized limits of the materials that make up the wall system. A similar investigation was made with respect to the complete redesign of the heating, cooling, air distribution, and ventilation systems intended to optimize the equipment size and configuration to significantly improve efficiency while maintaining indoor comfort. Recognizing the need to demonstrate the benefits of these efficiency features, the builder offered a new house model to serve as a test case to develop framing designs, evaluate material selections and installation requirements, changes to work scopes and contractor learning curves, as well as to compare theoretical performance characteristics with measured results.

  18. Diet Segregation between Cohabiting Builder and Inquiline Termite Species

    Science.gov (United States)

    Florencio, Daniela Faria; Marins, Alessandra; Rosa, Cassiano Sousa; Cristaldo, Paulo Fellipe; Araújo, Ana Paula Albano; Silva, Ivo Ribeiro; DeSouza, Og

    2013-01-01

    How do termite inquilines manage to cohabit termitaria along with the termite builder species? With this in mind, we analysed one of the several strategies that inquilines could use to circumvent conflicts with their hosts, namely, the use of distinct diets. We inspected overlapping patterns for the diets of several cohabiting Neotropical termite species, as inferred from carbon and nitrogen isotopic signatures for termite individuals. Cohabitant communities from distinct termitaria presented overlapping diet spaces, indicating that they exploited similar diets at the regional scale. When such communities were split into their components, full diet segregation could be observed between builders and inquilines, at regional (environment-wide) and local (termitarium) scales. Additionally, diet segregation among inquilines themselves was also observed in the vast majority of inspected termitaria. Inquiline species distribution among termitaria was not random. Environmental-wide diet similarity, coupled with local diet segregation and deterministic inquiline distribution, could denounce interactions for feeding resources. However, inquilines and builders not sharing the same termitarium, and thus not subject to potential conflicts, still exhibited distinct diets. Moreover, the areas of the builder’s diet space and that of its inquilines did not correlate negatively. Accordingly, the diet areas of builders which hosted inquilines were in average as large as the areas of builders hosting no inquilines. Such results indicate the possibility that dietary partitioning by these cohabiting termites was not majorly driven by current interactive constraints. Rather, it seems to be a result of traits previously fixed in the evolutionary past of cohabitants. PMID:23805229

  19. Effects of Adaptive Wormhole Routing in Event Builder Networks

    CERN Document Server

    Moser, R; Branson, J; Brett, A; Cano, E; Carboni, A; Ciganek, M; Cittolin, S; Erhan, S; Gigi, D; Glege, F; Gómez-Reino, Robert; Gulmini, M; Gutiérrez-Mlot, E; Gutleber, J; Jacobs, C; Kim, J C; Klute, M; Lipeles, E; Lopez-Perez, Juan Antonio; Maron, G; Meijers, F; Meschi, E; Murray, S; Oh, A; Orsini, L; Paus, C; Petrucci, A; Pieri, M; Pollet, L; Rácz, A; Sakulin, H; Sani, M; Schieferdecker, P; Schwick, C; Sumorok, K; Suzuki, I; Tsirigkas, D; Varela, J; Bauer, G

    2007-01-01

    The data acquisition system of the CMS experiment at the Large Hadron Collider features a two-stage event builder, which combines data from about 500 sources into full events at an aggregate throughput of 100 GByte/s. To meet the requirements, several architectures and interconnect technologies have been quantitatively evaluated. Both Gigabit Ethernet and Myrinet networks will be employed during the first run. Nearly full bi-section throughput can be obtained using a custom software driver for Myrinet based on barrel shifter traffic shaping. This paper discusses the use of Myrinet dual-port network interface cards supporting channel bonding to achieve virtual 5GBit/s links with adaptive routing to alleviate the throughput limitations associated with wormhole routing. Adaptive routing is not expected to be suitable for high-throughput event builder applications in high-energy physics. To corroborate this claim, results from the CMS event builder preseries installation at CERN are presented and the problems of ...

  20. DOE Zero Energy Ready Home Case Study: Amaris Homes, Afton Model

    Energy Technology Data Exchange (ETDEWEB)

    Pacific Northwest National Laboratory

    2017-09-01

    Amaris Homes built this 3,734-ft2 home in Afton, Minnesota, to the performance criteria of the DOE Zero Energy Ready Home (ZERH) program. A high-efficiency gas boiler provides hot water for the zoned radiant floor system as well as for faucets and showers. A high-efficiency heat pump provides zoned cooling.

  1. Endothelial function in male body builders taking anabolic androgenic steroids

    Directory of Open Access Journals (Sweden)

    H Hashemi

    2005-11-01

    Full Text Available Background: Adverse cardiovascular events have been reported in body builders taking anabolic steroids. Adverse effects of AAS on endothelial function can initiate atherosclerosis. This study evaluates endothelial function in body builders using AAS, compared with non-steroids using athletes as controls. Methods: We recruited 30 nonsmoking male body builders taking AAS, 14 in build up phase, 8 in work out phase, and 8 in post steroid phase, and 30 nonsmoking male athletes who denied ever using steroids. Serum lipids and fasting plasma glucose were measured to exclude dyslipidemia and diabetes. Brachial artery diameter was measured by ultrasound at rest, after cuff inflation, and after sublingual glyceriltrinitrate (GTN to determine flow mediated dilation (FMD, nitro mediated dilation (NMD and ratio of FMD to NMD (index of endothelial function. Result: Use of AAS was associated with higher body mass index (BMI and low density lipoprotein–cholesterol (LDL-C. Mean ratio of flow mediated dilatation after cuff deflation to post GTN dilatation of brachial artery (index of endothelial function in body builders taking AAS was significantly lower than control group (0.96(0.05 versus 1(0.08; p=0.03. After adjusting BMI, age and weight, no significant difference was seen in index of endothelial function between two groups (p=0 .21. Conclusion: Our study indicates that taking AAS in body builders doesn’t have direct effect on endothelial function. Future study with bigger sample size and measurement of AAS metabolites is recommended. Key words: endothelium, lipids, anabolic steroids, body builders

  2. Building America Performance Analysis Procedures for Existing Homes

    Energy Technology Data Exchange (ETDEWEB)

    Hendron, R.

    2006-05-01

    Because there are more than 101 million residential households in the United States today, it is not surprising that existing residential buildings represent an extremely large source of potential energy savings. Because thousands of these homes are renovated each year, Building America is investigating the best ways to make existing homes more energy-efficient, based on lessons learned from research in new homes. The Building America program is aiming for a 20%-30% reduction in energy use in existing homes by 2020. The strategy for the existing homes project of Building America is to establish technology pathways that reduce energy consumption cost-effectively in American homes. The existing buildings project focuses on finding ways to adapt the results from the new homes research to retrofit applications in existing homes. Research activities include a combination of computer modeling, field demonstrations, and long-term monitoring to support the development of integrated approaches to reduce energy use in existing residential buildings. Analytical tools are being developed to guide designers and builders in selecting the best approaches for each application. Also, DOE partners with the U.S. Environmental Protection Agency (EPA) to increase energy efficiency in existing homes through the Home Performance with ENERGY STAR program.

  3. Paediatric community home nursing: a model of acute care.

    Science.gov (United States)

    Ng, Sze May; Mariguddi, Shyam; Coward, Shirley; Middleton, Holly

    The aim of this pilot service development was to determine if the community children's nursing outreach team(CCNOT) service, as a model of care, was effective and efficient in its delivery of reducing unscheduled care and admissions to hospital, and improving patient satisfaction. CCNOT was developed to manage acutely ill children at home and to reduce the demand for unscheduled care. This is a pilot prospective study within a dual-site integrated care organisation. The CCNOT service was developed with the aim of determining the effectiveness of the CCNOT model of care and service delivery inthe following outcomes: 1) reducing length of hospital stay (LOS)2) reducing A&E admissions 3) reducing non-elective admissions 4) reducing readmissions and 5) improving patient satisfaction. Data were obtained from hospital episode statistics (HES) and patient satisfaction questionnaires. The data indicate that, after the implementation of the CCNOT service, A&E attendances fell by 5%per month, non-elective admissions by 15.8% and readmissions by 17.3%. Overall, LOS rose by 2.3%-0.88 days compared with 0.9 days-but the difference was not significant. The results of the patient satisfaction survey show high overall satisfaction with the service. A paediatric CCNOT as a model of service delivery in acute paediatric care is effective in reducing hospital admissions. It also increases patient and carer satisfaction with care provision for sick children in the home environment.

  4. Cross platform SCA component using C++ builder and KYLIX

    International Nuclear Information System (INIS)

    Nishimura, Hiroshi; Timossi, Chiris; McDonald, James L.

    2003-01-01

    A cross-platform component for EPICS Simple Channel Access (SCA) has been developed. EPICS client programs with GUI become portable at their C++ source-code level both on Windows and Linux by using Borland C++ Builder 6 and Kylix 3 on these platforms respectively

  5. Polyol and Amino Acid-Based Biosurfactants, Builders, and Hydrogels

    Science.gov (United States)

    This chapter reviews different detergent materials which have been synthesized from natural agricultural commodities. Background information, which gives reasons why the use of biobased materials may be advantageous, is presented. Detergent builders from L-aspartic acid, citric acid and D-sorbitol...

  6. Best Practices Case Study: Pulte Homes and Communities of Del Webb, Las Vegas Division

    Energy Technology Data Exchange (ETDEWEB)

    None

    2009-10-01

    Case study of Pulte Homes Las Vegas Division, who certified nearly 1,200 homes to the DOE Builders Challenge between 2008 and 2012. All of the homes by Las Vegas’ biggest builder achieved HERS scores of lower than 70, and many floor plans got down to the mid 50s, with ducts located in sealed attics insulated along the roof line, advanced framing, and extra attention to air sealing.

  7. DOE Zero Energy Ready Home Case Study: Habitat for Humanity South Sarasota County, Nokomis, FL

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    The builder won an Affordable Builder award in the 2014 Housing Innovation Awards for this super-insulated home that features a 5.5-inch-thick layer of open-cell spray foam on the inside of the attic ceiling, providing an R-20-insulated, cool, conditioned space for the home’s high-efficiency SEER 15 heat pumps.

  8. DOE Zero Energy Ready Home Case Study: Greenhill Contracting — The Preserve, New Paltz, NY

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    These super-insulated homes all have R-22 insulated concrete form walls, R-20 closed-cell spray form under the slab, ground source heat pump, tight air sealing, and more—helping this builder to win a Production Builder award in the 2014 Housing Innovation Awards.

  9. Evaluation of the integrated community based home care model

    Directory of Open Access Journals (Sweden)

    LR Uys

    2001-09-01

    Full Text Available In 1999-2000 the Integrated Community-Based Home Care model for the care of people with AIDS in communities were implemented in seven sites across the country. The post-implementation evaluation showed that most respondents felt that the model could be replicated if a functioning and informed network including all partners, and a strong management team were in place. The effects of the project were mainly positive for all stakeholders (hospice, clinic, hospital, PWA and their carers, professionals and other community members. Hospitals and community- based services became more aware of and involved in the needs of PWA and felt that the model enabled them to address these needs. PWA and their carers felt supported and respected.

  10. A model based message passing approach for flexible and scalable home automation controllers

    Energy Technology Data Exchange (ETDEWEB)

    Bienhaus, D. [INNIAS GmbH und Co. KG, Frankenberg (Germany); David, K.; Klein, N.; Kroll, D. [ComTec Kassel Univ., SE Kassel Univ. (Germany); Heerdegen, F.; Jubeh, R.; Zuendorf, A. [Kassel Univ. (Germany). FG Software Engineering; Hofmann, J. [BSC Computer GmbH, Allendorf (Germany)

    2012-07-01

    There is a large variety of home automation systems that are largely proprietary systems from different vendors. In addition, the configuration and administration of home automation systems is frequently a very complex task especially, if more complex functionality shall be achieved. Therefore, an open model for home automation was developed that is especially designed for easy integration of various home automation systems. This solution also provides a simple modeling approach that is inspired by typical home automation components like switches, timers, etc. In addition, a model based technology to achieve rich functionality and usability was implemented. (orig.)

  11. [Comparison of level of satisfaction of users of home care: integrated model vs. dispensaries model].

    Science.gov (United States)

    Gorina, Marta; Limonero, Joaquín T; Peñart, Xavier; Jiménez, Jordi; Gassó, Javier

    2014-01-01

    To determine the level of satisfaction of users that receive home health care through two different models of primary health care: integrated model and dispensaries model. cross-sectional, observational study. Two primary care centers in the province of Barcelona. The questionnaire was administered to 158 chronic patients over 65 years old, of whom 67 were receiving health care from the integrated model, and 91 from the dispensaries model. The Evaluation of Satisfaction with Home Health Care (SATISFAD12) questionnaire was, together with other complementary questions about service satisfaction of home health care, as well as social demographic questions (age, sex, disease, etc). The patients of the dispensaries model showed more satisfaction than the users receiving care from the integrated model. There was a greater healthcare continuity for those patients from the dispensaries model, and a lower percentage of hospitalizations during the last year. The satisfaction of the users from both models was not associated to gender, the health perception,or independence of the The user satisfaction rate of the home care by primary health care seems to depend of the typical characteristics of each organisational model. The dispensaries model shows a higher rate of satisfaction or perceived quality of care in all the aspects analysed. More studies are neede to extrapolate these results to other primary care centers belonging to other institutions. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  12. Performance and Costs of Ductless Heat Pumps in Marine-Climate High-Performance Homes -- Habitat for Humanity The Woods

    Energy Technology Data Exchange (ETDEWEB)

    Lubliner, Michael [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program; Howard, Luke [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program; Hales, David [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program; Kunkle, Rick [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program; Gordon, Andy [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program; Spencer, Melinda [Building America Partnership for Improved Residential Construction, Olympia, WA (United States). Washington States Univ. Energy Program

    2016-02-18

    The Woods is a Habitat for Humanity (HFH) community of ENERGY STAR Homes Northwest (ESHNW)-certified homes located in the marine climate of Tacoma/Pierce County, Washington. This research report builds on an earlier preliminary draft 2014 BA report, and includes significant billing analysis and cost effectiveness research from a collaborative, ongoing Ductless Heat Pump (DHP)research effort for Tacoma Public Utilities (TPU) and Bonneville Power Administration (BPA). This report focuses on the results of field testing, modeling, and monitoring of ductless mini-split heat pump hybrid heating systems in seven homes built and first occupied at various times between September 2013 and October 2014. The report also provides WSU documentation of high-performance home observations, lessons learned, and stakeholder recommendations for builders of affordable high-performance housing such as HFH. Tacoma Public Utilities (TPU) and Bonneville Power Administration (BPA). This report focuses on the results of field testing, modeling, and monitoring of ductless mini-split heat pump hybrid heating systems in seven homes built and first occupied at various times between September 2013 and October 2014. The report also provides WSU documentation of high-performance home observations, lessons learned, and stakeholder recommendations for builders of affordable high-performance housing such as HFH.

  13. The Performance House - A Cold Climate Challenge Home

    Energy Technology Data Exchange (ETDEWEB)

    Puttagunta, S. [Consortium for Advanced Residential Buildings (CARB), Norwalk, CT (United States); Grab, J. [Consortium for Advanced Residential Buildings (CARB), Norwalk, CT (United States); Williamson, J. [Consortium for Advanced Residential Buildings (CARB), Norwalk, CT (United States)

    2013-08-01

    Working with builder partners on test homes allows for vetting of whole-house building strategies to eliminate any potential unintended consequences prior to implementing these solution packages on a production scale. To support this research, CARB partnered with Preferred Builders Inc. on a high-performance test home in Old Greenwich, CT. The philosophy and science behind the 2,700 ft2 "Performance House" was based on the premise that homes should be safe, healthy, comfortable, durable, efficient, and adapt with the homeowners. The technologies and strategies used in the "Performance House" were not cutting-edge, but simply "best practices practiced". The focus was on simplicity in construction, maintenance, and operation. When seeking a 30% source energy savings targets over a comparable 2009 IECC code-built home in the cold climate zone, nearly all components of a home must be optimized. Careful planning and design are critical. To help builders and architects seeking to match the performance of this home, a step-by-step guide through the building shell components of DOE's Challenge Home are provided in a pictorial story book. The end result was a DOE Challenge Home that achieved a HERS Index Score of 20 (43 without PV, the minimum target was 55 for compliance). This home was also awarded the 2012 HOBI for Best Green Energy Efficient Home from the Home Builders & Remodelers Association of Connecticut.

  14. Integrating Features of Islamic Traditional Home and Smart Home

    Directory of Open Access Journals (Sweden)

    Mona El Basyouni

    2017-06-01

    Full Text Available Architecture is a mirror that reflects the various elements of its environment and surroundings, such as climate, geographical characteristics, standard architectural principles, and social, cultural and scientific developments. Muslims of different regions were able, through architecture, to portray their temperaments and environments, free of external influence and guarantee life goals for users. Every day, building owners and occupants experience the constant challenges of comfort, convenience, cost, productivity, performance and sustainability. Owners, designers, builders, and operators are continuously faced with new processes, technologies and offerings to help them achieve better building performance. Since an intelligent building is run by a “system of systems” that is integrated to deliver a higher level of operational efficiency and an improved set of user-interface tools than are usually found in traditional building automation; at the other hand Arab homes with Islamic Identity guarantee all life goals for use.. Hence, this research focus on the smart environmental treatments of Islamic features for traditional architecture in Arabs homes, features of smart home and life goals for resident users.Trying to achieve a methodology combining them for enriching Arab experience of traditional architecture and its architectural results, with the modern trends of smart architecture. This combination aims at creating a residential model combining the benefits and features of Arab Islamic identity and intelligent design.

  15. Verification steps for the CMS event-builder software

    CERN Multimedia

    CERN. Geneva

    2015-01-01

    The CMS event-builder software is used to assemble event fragments into complete events at 100 kHz. The data originates at the detector front-end electronics, passes through several computers and is transported from the underground to the high-level trigger farm on the surface. I will present the testing and verifications steps a new software version has to pass before it is deployed in production. I will discuss the current practice and possible improvements.

  16. The Evolution of the ATLAS Region of Interest Builder

    CERN Document Server

    Love, Jeremy; The ATLAS collaboration

    2018-01-01

    The ATLAS trigger system is deployed to reduce the event rate from the Large Hadron Collider bunch crossing frequency of 40 MHz to 1 kHz for permanent storage using a tiered system. In the PC trigger farm decisions are seeded by Regions of Interest found by the custom hardware trigger system. The Regions of Interest are collected and distributed to the farm at 100 kHz by the ATLAS Region of Interest Builder. The Evolution of the Region of Interest Builder from a crate of custom VME-based electronics to a commodity PC hosting a single custom PCIe card has been undertaken to increase the system performance, flexibility, and ease maintenance. The functionality and performance of the Region of Interest Builder previously only possible using FPGAs and a custom backplane VME Crate, has now been implemented in a multi-threaded C++ software library interfaced to a single PCIe card with one Xilinx Vertex 6 FPGA. The PC-based system was installed in the ATLAS Data Acquisition system between the 2015 and 2016 data takin...

  17. Lee Kuan Yew: Master Builder of Singapore

    National Research Council Canada - National Science Library

    Exner, Philip J

    1996-01-01

    ... powerhouse has made the "Singapore Model" one of the most closely studied patterns among developing nations. Singapore enjoyed sustained growth and political stability during a period when other regional states experienced much turbulence...

  18. The implementation of e-learning with team builder at vocational high schools

    Directory of Open Access Journals (Sweden)

    Mahmud Al Haq Patwary

    2015-06-01

    Full Text Available This research is aimed at: (1 producing an appropriate e-learning for English language studies in vocational high school, (2 evaluating the suitability of the developed e-learning in terms of appropriateness, accuracy and clarity, screen presentation and design, and appropriateness of the team builder module aspect, and (3 evaluating the effectiveness of the e-learning in practical application. This research and development (R&D study used Alessi and Trollip’s model rearranged following ADDIE model, where the development of instruction followed Dick and Carey’s model and the need assessment procedures were adapted from Lee & Owens. Overall appropriateness and quality of the e-learning from alpha testing is ‘very appropriate’ and from beta testing is ‘excellent’. Alpha testing reveals that, the Team Builder Module is ‘very appropriate’ and beta testing reveals that, its overall quality is ‘excellent’. The e-learning is highly effective. The average score of the students raises 3.82 points (or 42.44% in the post-test from pre-test score. The minimum score of the post-test (i.e. 8 is more than the maximum score of the pre-test (i.e. 7, so it is concluded that the use of e-learning does not deteriorate the performance of the students, but improves their performance.

  19. Building America Top Innovations 2013 Profile – Zero Energy-Ready Single-Family Homes

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    Building homes that are zero energy-ready is a goal of the U.S. Department of Energy’s Building America program and one embodied in Building America’s premier home certification program, the Challenge Home program. This case study describes several examples of successful zero energy-ready home projects completed by Building America teams and partner builders.

  20. Modular Zero Energy. BrightBuilt Home

    Energy Technology Data Exchange (ETDEWEB)

    Aldrich, Robb [Steven Winter Associates, Inc., Norwalk, CT (United States); Butterfield, Karla [Steven Winter Associates, Inc., Norwalk, CT (United States)

    2016-03-01

    With funding from the Building America Program, part of the U.S. Department of Energy Building Technologies Office, the Consortium for Advanced Residential Buildings (CARB) worked with BrightBuilt Home (BBH) to evaluate and optimize building systems. CARB’s work focused on a home built by Black Bros. Builders in Lincolnville, Maine (International Energy Conservation Code Climate Zone 6). As with most BBH projects to date, modular boxes were built by Keiser Homes in Oxford, Maine.

  1. A Resource Perspective on the Work-Home Interface: The Work-Home Resources Model

    Science.gov (United States)

    ten Brummelhuis, Lieke L.; Bakker, Arnold B.

    2012-01-01

    The objective of this article is to provide a theoretical framework explaining positive and negative work-home processes integrally. Using insights from conservation of resources theory, we explain how personal resources (e.g., time, energy, and mood) link demanding and resourceful aspects of one domain to outcomes in the other domain. The…

  2. Comparing the Support-Efficacy Model among Centenarians Living in Private Homes, Assisted Living Facilities, and Nursing Homes

    Science.gov (United States)

    Randall, G. Kevin; Martin, Peter; MacDonald, Maurice; Margrett, Jennifer; Bishop, Alex J.; Poon, Leonard W.

    2011-01-01

    We investigated the influence of social relations on health outcomes in very late life by examining the support-efficacy convoy model among older adults who resided in three different residential environments (centenarians in private homes, n = 126; centenarians in assisted living facilities, n = 55; centenarians in nursing homes, n = 105). For each group, path analytic models were employed to test our hypotheses; analyses controlled for sex, mental status, education, perceived economic sufficiency, and activities of daily living. The hypothesized relationships among the models' variables were unique to each of the three groups; three different models fit the data depending upon residential environment. The direct and indirect effects of social relations assessments were positive for the mental and physical health of very old adults, suggesting that participants welcomed the support. However, residential status moderated the associations between the assessments of social relations, self-efficacy, and both outcomes, physical and mental health. PMID:21792391

  3. Landscape Builder: Software for the creation of initial landscapes for LANDIS from FIA data

    Directory of Open Access Journals (Sweden)

    William Dijak

    2013-06-01

    Full Text Available I developed Landscape Builder to create spatially explicit landscapes as starting conditions for LANDIS Pro 7.0 and LANDIS II landscape forest simulation models from classified satellite imagery and Forest Inventory and Analysis (FIA data collected over multiple years. LANDIS Pro and LANDIS II models project future landscapes by simulating tree growth, tree species succession, disease, insects, fire, wind, and management disturbance. Landscape Builder uses inventory plot attributes from the FIA inventory database, FIA unit map, National Forest type map, National Forest size class map, land cover map, and landform map to assign FIA plot attributes to raster pixels representing a real forest landscape. In addition to creating a detailed map of current (initial forest landscape conditions, the software produces specific files required for use in LANDIS Pro 7.0 or LANDIS II format. Other tools include the ability to create a dominant species and age-class map from previously created LANDIS maps, a tool to create a dominant species and age-class map from a stand map and field plot data, and a tool to convert between Esri ascii rasters and Erdas file format types.

  4. Medical Home Features of VHA Primary Care Clinics and Avoidable Hospitalizations.

    Science.gov (United States)

    Yoon, Jean; Rose, Danielle E; Canelo, Ismelda; Upadhyay, Anjali S; Schectman, Gordon; Stark, Richard; Rubenstein, Lisa V; Yano, Elizabeth M

    2013-09-01

    As the Veterans Health Administration (VHA) reorganizes providers into the patient-centered medical home, questions remain whether this model of care can demonstrate improved patient outcomes and cost savings. We measured adoption of medical home features by VHA primary care clinics prior to widespread implementation of the patient-centered medical home and examined if they were associated with lower risk and costs of potentially avoidable hospitalizations. Secondary patient data was linked to clinic administrative and survey data. Patient and clinic factors in the baseline year (FY2009) were used to predict patient outcomes in the follow-up year. 2,853,030 patients from 814 VHA primary care clinics Patient outcomes were measured by hospitalizations for an ambulatory care sensitive condition (ACSC) and their costs and identified through diagnosis and procedure codes from inpatient records. Clinic adoption of medical home features was obtained from the American College of Physicians Medical Home Builder®. The overall mean home builder score in the study clinics was 88 (SD = 13) or 69%. In adjusted analyses an increase of 10 points in the medical home adoption score in a clinic decreased the odds of an ACSC hospitalization for patients by 3% (P = 0.032). By component, higher access and scheduling (P = 0.004) and care coordination and transitions (P = 0.020) component scores were related to lower risk of an ACSC hospitalization, and higher population management was related to higher risk (P = 0.023). Total medical home features was not related to ACSC hospitalization costs among patients with at least one (P = 0.074). Greater adoption of medical home features by VHA primary care clinics was found to be significantly associated with lower risk of avoidable hospitalizations with access and scheduling and care coordination/transitions in care as key factors.

  5. Intelligent Support System of Steel Technical Preparation in an Arc Furnace: Functional Scheme of Interactive Builder of the Multi Objective Optimization Problem

    Science.gov (United States)

    Logunova, O. S.; Sibileva, N. S.

    2017-12-01

    The purpose of the study is to increase the efficiency of the steelmaking process in large capacity arc furnace on the basis of implementation a new decision-making system about the composition of charge materials. The authors proposed an interactive builder for the formation of the optimization problem, taking into account the requirements of the customer, normative documents and stocks of charge materials in the warehouse. To implement the interactive builder, the sets of deterministic and stochastic model components are developed, as well as a list of preferences of criteria and constraints.

  6. Business Solutions Case Study: Marketing Zero Energy Homes: Tommy Williams Homes, Gainesville, Florida

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-06-01

    Building America research has shown that high-performance homes can potentially give builders an edge in the marketplace and can boost sales, but it doesn't happen automatically. It requires a tailored, easy-to-understand marketing campaign, and sometimes a little flair. This case study highlights the successful marketing approach of Tommy Williams Homes, which devotes resources to advertising, targeted social media outlets and blogs, realtor education seminars, and groundbreaking and open house celebrations. As a result, in one community, 2013 property sales records show that TWH outsells the only other builder in the development at a higher price, with fewer days on the market.

  7. A service model for delivering care closer to home.

    Science.gov (United States)

    Dodd, Joanna; Taylor, Charlotte Elizabeth; Bunyan, Paul; White, Philippa Mary; Thomas, Siân Myra; Upton, Dominic

    2011-04-01

    Upton Surgery (Worcestershire) has developed a flexible and responsive service model that facilitates multi-agency support for adult patients with complex care needs experiencing an acute health crisis. The purpose of this service is to provide appropriate interventions that avoid unnecessary hospital admissions or, alternatively, provide support to facilitate early discharge from secondary care. Key aspects of this service are the collaborative and proactive identification of patients at risk, rapid creation and deployment of a reactive multi-agency team and follow-up of patients with an appropriate long-term care plan. A small team of dedicated staff (the Complex Care Team) are pivotal to coordinating and delivering this service. Key skills are sophisticated leadership and project management skills, and these have been used sensitively to challenge some traditional roles and boundaries in the interests of providing effective, holistic care for the patient.This is a practical example of early implementation of the principles underlying the Department of Health's (DH) recent Best Practice Guidance, 'Delivering Care Closer to Home' (DH, July 2008) and may provide useful learning points for other general practice surgeries considering implementing similar models. This integrated case management approach has had enthusiastic endorsement from patients and carers. In addition to the enhanced quality of care and experience for the patient, this approach has delivered value for money. Secondary care costs have been reduced by preventing admissions and also by reducing excess bed-days. The savings achieved have justified the ongoing commitment to the service and the staff employed in the Complex Care Team. The success of this service model has been endorsed recently by the 'Customer Care' award by 'Management in Practice'. The Surgery was also awarded the 'Practice of the Year' award for this and a number of other customer-focussed projects.

  8. Medical Foster Homes: Can the Adult Foster Care Model Substitute for Nursing Home Care?

    Science.gov (United States)

    Levy, Cari; Whitfield, Emily A

    2016-12-01

    To compare characteristics, healthcare use, and costs of care of veterans in the rapidly expanding Veterans Health Administration (VHA) medical foster home (MFH) with those of three other VHA long-term care (LTC) programs. Descriptive, unmatched study. VHA MFHs, home-based primary care (HBPC), community living centers (CLCs), and community nursing homes (CNHs). Veterans newly enrolled in one of the four LTC settings in calendar years 2010 or 2011. Using VA and Medicare data from fiscal years 2010 and 2011, demographic characteristics, healthcare use, and costs of 388 veterans in MFHs were compared with 26,037 of those in HBPC, 5,355 in CLCs, and 5,517 in CNHs in the year before and the year after enrollment. Veterans enrolled in the MFH program were more likely to be unmarried than those in other LTC programs and had higher levels of comorbidity and frailty than veterans receiving HBPC but had similar levels of comorbidity, frailty, and healthcare use as those in CLCs and CNHs. MFH veterans incurred lower costs than those in CNHs and CLCs. MFHs served a distinct subset of veterans with levels of comorbidity and frailty similar to those of veterans cared for in CLCs and CNHs at costs that were comparable to or lower than those of the VHA. Propensity-matched comparisons will be necessary to confirm these findings. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

  9. TEACHERS AS BUILDERS OF PEACE PRACTICES

    Directory of Open Access Journals (Sweden)

    Gloria María Abarca Obregón

    2014-01-01

    Full Text Available This article is written from the experience of Holistic Peace Education through the practice of more than twelve years in the educative job; at the same time it is the support of a PhD research. The first part shows the theoretical basis of the proposed “Practices of Peace”, starting with the origins of peace education, Peace as a subject of study and the many peaces, to finally get the concept of Holistic Peace Education, wherein the dimensions of inner peace, political peace and social-ecological peace integrate. Once we had the theoretical framework established, we started the research and systematization of the peace educative practice. This paper presents some conclusions about this experience, conducted by teachers from Mexico and Spain. Rather than establishing models, we offer a choice of moving away from violence by sharing an experience that has enabled a peace space. It is an invitation for teachers to provide opportunities for peace through exercises held in education, aimed to be peace practices.

  10. DOE Zero Energy Ready Home Case Study: Dwell Development, Seattle, Washington

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    This Challenge Home is one of 42 homes in a micro-community of ultra-modern, energy-efficient homes built by Dwell Development on an urban gray-field site in South Seattle. Every home will achieve a 5-Star Built Green rating from the regional master builders association and meet the criteria of the Northwest ENERGY STAR program, which is more strict than the national ENERGY STAR criteria. Also, the home won a 2013 Housing Innovation Award in the "systems builder" category.

  11. The Pediatric Home Care/Expenditure Classification Model (P/ECM: A Home Care Case-Mix Model for Children Facing Special Health Care Challenges

    Directory of Open Access Journals (Sweden)

    Charles D. Phillips

    2015-01-01

    Full Text Available Case-mix classification and payment systems help assure that persons with similar needs receive similar amounts of care resources, which is a major equity concern for consumers, providers, and programs. Although health service programs for adults regularly use case-mix payment systems, programs providing health services to children and youth rarely use such models. This research utilized Medicaid home care expenditures and assessment data on 2,578 children receiving home care in one large state in the USA. Using classification and regression tree analyses, a case-mix model for long-term pediatric home care was developed. The Pediatric Home Care/Expenditure Classification Model (P/ECM grouped children and youth in the study sample into 24 groups, explaining 41% of the variance in annual home care expenditures. The P/ECM creates the possibility of a more equitable, and potentially more effective, allocation of home care resources among children and youth facing serious health care challenges.

  12. Flash Builder and Flash Catalyst The New Workflow

    CERN Document Server

    Peeters, Steven

    2010-01-01

    The Flash Platform is changing. Flash Builder and Flash Catalyst have brought a new separation of design and coding to web development that enables a much more efficient and streamlined workflow. For designers and developers used to the close confines of Flash, this is a hugely liberating but at first alien concept. This book teaches you the new workflow for the Flash platform. It gives an overview of the technologies involved and provides you with real-world project examples and best-practice guidelines to get from design to implementation with the tools at hand. * Includes many examples* Foc

  13. The ATLAS high level trigger region of interest builder

    International Nuclear Information System (INIS)

    Blair, R.; Dawson, J.; Drake, G.; Haberichter, W.; Schlereth, J.; Zhang, J.; Ermoline, Y.; Pope, B.; Aboline, M.; High Energy Physics; Michigan State Univ.

    2008-01-01

    This article describes the design, testing and production of the ATLAS Region of Interest Builder (RoIB). This device acts as an interface between the Level 1 trigger and the high level trigger (HLT) farm for the ATLAS LHC detector. It distributes all of the Level 1 data for a subset of events to a small number of (16 or less) individual commodity processors. These processors in turn provide this information to the HLT. This allows the HLT to use the Level 1 information to narrow data requests to areas of the detector where Level 1 has identified interesting objects

  14. Improving Maternal Healthcare Access and Neonatal Survival through a Birthing Home Model in Rural Haiti

    Directory of Open Access Journals (Sweden)

    Elizabeth Wickstrom

    2007-10-01

    Full Text Available High neonatal mortality in Haiti is sustained by limited access to essential maternity services, particularly for Haiti’s rural population. We investigated the feasibility of a rural birthing home model to provide basic prenatal, delivery, and neonatal services for women with uncomplicated pregnancies while simultaneously providing triage and transport of women with pregnancy related complications. The model included consideration of the local context, including women’s perceptions of barriers to healthcare access and available resources to implement change. Evaluation methods included the performance of a baseline community census and collection of pregnancy histories from 791 women living in a defined area of rural Haiti. These retrospective data were compared with pregnancy outcome for 668 women subsequently receiving services at the birthing home. Of 764 reported most recent pregnancies in the baseline survey, 663(87% occurred at home with no assistance from skilled health staff. Of 668 women followed after opening of the birthing home, 514 (77% subsequently gave birth at the birthing home, 94 (14% were referred to a regional hospital for delivery, and only 60 (9% delivered at home or on the way to the birthing home. Other measures of clinical volume and patient satisfaction also indicated positive changes in health care seeking. After introduction of the birthing home, fewer neonates died than predicted by historical information or national statistics. The present experience points out the feasibility of a rural birthing home model to increase access to essential maternity services.

  15. Home automation for a sustainable living:modelling a detached house in Northern Finland

    OpenAIRE

    Louis, J.-N. (Jean-Nicolas); Caló, A. (Antonio); Leiviskä, K. (Kauko); Pongrácz, E. (Eva)

    2014-01-01

    Abstract This paper presents a model of a detached house in which home automation has been progressively introduced into the building. The model integrates different factors related to end-user behaviour and decision-making regarding the management of electrical energy consumption, and integrates a gradual end-user response to home automation measures. The presented model aims to show the potential economic benefits obtained by the modelled changes of end-users’ behaviours within a smart e...

  16. The Health Home: A Service Delivery Model for Autism and Intellectual Disability.

    Science.gov (United States)

    Fueyo, Michael; Caldwell, Tim; Mattern, Sarah B; Zahid, Jahanara; Foley, Thomas

    2015-11-01

    Autism spectrum disorder (ASD) and intellectual disability (ID) are lifelong conditions with profound impact on the functioning of affected individuals and their families. Optimizing developmental outcomes requires a lifelong perspective on treatment. The patient-centered health care home (health home) model is currently used to improve health outcomes and care integration in a variety of chronic general medical and psychiatric conditions. The authors propose the health home model as a new conceptual framework from which to build systems of care for persons with ASD or ID and their families. The authors describe essential elements of a health home for these populations, which would be located in a behavioral health setting. They also describe an existing model of such a health home, the Center for Autism and Developmental Disabilities in Pennsylvania.

  17. New Market Paradigm for Zero-Energy Homes: The Comparative San Diego Case Study; Volume 1 and Volume 2 (Appendixes)

    Energy Technology Data Exchange (ETDEWEB)

    Farhar, B. C.; Coburn, T. C.

    2006-12-01

    This study suggests a conceptually fresh alternative paradigm for the building and marketing of zero-energy homes (ZEHs) based on experience which will help builders create sustainable communities for our well-being and that of future generations.

  18. DOE Zero Energy Ready Home Case Study: Caldwell and Johnson — Church Community and Housing Corporation, Charlestown, RI

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This DOE Zero Energy Ready Home garnered an Affordable Builder award in the 2014 Housing Innovation Awards, for its highly insulated construction, minisplit heat pump and water heater, and triple pane windows.

  19. Weaving Emotional Intelligence into a Home Visiting Model

    Science.gov (United States)

    Enson, Beth; Imberger, Jaci

    2017-01-01

    This article details the impact of Emotional Intelligence (EI) training on the 10-year evolution of the Taos First Steps Home Visiting program. While EI has become standard fare in corporate training and practice, it is less well known in the world of early childhood services. This article highlights interviews with key personnel, both in-house…

  20. Skill-Builders: Improving Middle School Students' Self-Beliefs for Learning Mathematics

    Science.gov (United States)

    Falco, Lia D.; Crethar, Hugh; Bauman, Sheri

    2008-01-01

    This article presents findings from a pilot study that examined the effect of a school counselor-led intervention, using the "Skill-Builders" curriculum, on middle-school students' attitudes toward mathematics learning. Results from the current study demonstrated that students who received the Skill-Builders curriculum had significantly…

  1. 78 FR 42122 - Bridge Builder Trust and Olive Street Investment Advisers, LLC; Notice of Application

    Science.gov (United States)

    2013-07-15

    ... Builder Trust and Olive Street Investment Advisers, LLC; Notice of Application July 9, 2013. AGENCY...: Bridge Builder Trust (the ``Trust'') and Olive Street Investment Advisers (the ``Adviser'') (collectively... Financial Way, Suite 100, Glendora, CA 91741; The Adviser: James A. Tricarico, Olive Street Investment...

  2. DOE Zero Energy Ready Home Case Study: Brookside Development — Singer Village, Derby, CT

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This DOE Zero Energy Ready Home is one of a development of seven two-story homes that garnered a Production Builder award in the 2014 Housing Innovation Awards. Exceptional construction quality allowed the home to achieve a HERS score of 45 without photovoltaic, or HERS 26 with a 7-kW photovoltaic system included.

  3. The Medical Home Model and Pediatric Asthma Symptom Severity: Evidence from a National Health Survey.

    Science.gov (United States)

    Rojanasarot, Sirikan; Carlson, Angeline M

    2018-04-01

    The objective was to investigate the association between receiving care under the medical home model and parental assessment of the severity of asthma symptoms. It was hypothesized that parents of children who received care under the medical home model reported less severe asthma symptoms compared with their counterparts, whose care did not meet the medical home criteria. Secondary analyses were conducted using cross-sectional data from the 2011-2012 National Survey of Children's Health. Children with asthma aged 0-17 years were included and classified as receiving care from the medical home if their care contained 5 components: a personal doctor, a usual source of sick care, family-centered care, no problems getting referrals, and effective care coordination. Ordinal logistic regression was used to examine the relationship between parent-rated severity of asthma symptoms (mild, moderate, and severe symptoms) and the medical home. Approximately 52% of 8229 children who reported having asthma received care from the medical home. Only 30.8% of children with severe asthma symptoms received care that met the medical home criteria, compared to 55.7% of children with mild symptoms. After accounting for confounding factors, obtaining care under the medical home model decreased the odds of parent-reported severe asthma symptoms by 31% (adjusted odds ratio 0.69; 95% CI, 0.56-0.85). Study results suggest that the medical home model can reduce parent-rated severity of asthma symptoms. The findings highlight the importance of providing medical home care to children with asthma to improve the outcomes that matter most to children and their families.

  4. DOE Zero Energy Ready Home Case Study: John Hubert Associates — EXIT-0 House, North Cape May, NJ

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This house is the first DOE Zero Energy Ready Home for this builder and won a Custom Builder award in the 2014 Housing Innovation Awards. The 1,871-ft2 home features advanced-framed above-grade walls with R-21 fiberglass batt plus an R-3.6-insulated coated OSB sheathing, R-18 rigid-foam-insulated crawlspace walls, solar water heating, a high-efficiency heat pump, an HRV, and mostly LED lighting.

  5. Recommended Ventilation Strategies for Energy-Efficient Production Homes

    Energy Technology Data Exchange (ETDEWEB)

    Roberson, J.; Brown, R.; Koomey, J.; Warner, J.; Greenberg, S.

    1998-12-01

    This report evaluates residential ventilation systems for the U.S. Environmental Protection Agency's (EPA's) ENERGY STAR{reg_sign} Homes program and recommends mechanical ventilation strategies for new, low-infiltration, energy-efficient, single-family, ENERGY STAR production (site-built tract) homes in four climates: cold, mixed (cold and hot), hot humid, and hot arid. Our group in the Energy Analysis Department at Lawrence Berkeley National Lab compared residential ventilation strategies in four climates according to three criteria: total annualized costs (the sum of annualized capital cost and annual operating cost), predominant indoor pressure induced by the ventilation system, and distribution of ventilation air within the home. The mechanical ventilation systems modeled deliver 0.35 air changes per hour continuously, regardless of actual infiltration or occupant window-opening behavior. Based on the assumptions and analysis described in this report, we recommend independently ducted multi-port supply ventilation in all climates except cold because this strategy provides the safety and health benefits of positive indoor pressure as well as the ability to dehumidify and filter ventilation air. In cold climates, we recommend that multi-port supply ventilation be balanced by a single-port exhaust ventilation fan, and that builders offer balanced heat-recovery ventilation to buyers as an optional upgrade. For builders who continue to install forced-air integrated supply ventilation, we recommend ensuring ducts are airtight or in conditioned space, installing a control that automatically operates the forced-air fan 15-20 minutes during each hour that the fan does not operate for heating or cooling, and offering ICM forced-air fans to home buyers as an upgrade.

  6. The GlycanBuilder: a fast, intuitive and flexible software tool for building and displaying glycan structures

    Directory of Open Access Journals (Sweden)

    Dell Anne

    2007-08-01

    Full Text Available Abstract Background Carbohydrates play a critical role in human diseases and their potential utility as biomarkers for pathological conditions is a major driver for characterization of the glycome. However, the additional complexity of glycans compared to proteins and nucleic acids has slowed the advancement of glycomics in comparison to genomics and proteomics. The branched nature of carbohydrates, the great diversity of their constituents and the numerous alternative symbolic notations, make the input and display of glycans not as straightforward as for example the amino-acid sequence of a protein. Every glycoinformatic tool providing a user interface would benefit from a fast, intuitive, appealing mechanism for input and output of glycan structures in a computer readable format. Results A software tool for building and displaying glycan structures using a chosen symbolic notation is described here. The "GlycanBuilder" uses an automatic rendering algorithm to draw the saccharide symbols and to place them on the drawing board. The information about the symbolic notation is derived from a configurable graphical model as a set of rules governing the aspect and placement of residues and linkages. The algorithm is able to represent a structure using only few traversals of the tree and is inherently fast. The tool uses an XML format for import and export of encoded structures. Conclusion The rendering algorithm described here is able to produce high-quality representations of glycan structures in a chosen symbolic notation. The automated rendering process enables the "GlycanBuilder" to be used both as a user-independent component for displaying glycans and as an easy-to-use drawing tool. The "GlycanBuilder" can be integrated in web pages as a Java applet for the visual editing of glycans. The same component is available as a web service to render an encoded structure into a graphical format. Finally, the "GlycanBuilder" can be integrated into other

  7. Service and business model for technology enabled and home-based cardiac rehabilitation programs.

    Science.gov (United States)

    Sarela, Antti; Whittaker, Frank; Korhonen, Ilkka

    2009-01-01

    Cardiac rehabilitation programs are comprehensive life-style programs aimed at preventing recurrence of a cardiac event. However, the current programs have globally significantly low levels of uptake. Home-based model can be a viable alternative to hospital-based programs. We developed and analysed a service and business model for home based cardiac rehabilitation based on personal mentoring using mobile phones and web services. We analysed the different organizational and economical aspects of setting up and running the home based program and propose a potential business model for a sustainable and viable service. The model can be extended to management of other chronic conditions to enable transition from hospital and care centre based treatments to sustainable home-based care.

  8. Running CMS remote analysis builder jobs on advanced resource connector middleware

    International Nuclear Information System (INIS)

    Edelmann, E; Happonen, K; Koivumäki, J; Lindén, T; Välimaa, J

    2011-01-01

    CMS user analysis jobs are distributed over the grid with the CMS Remote Analysis Builder application (CRAB). According to the CMS computing model the applications should run transparently on the different grid flavours in use. In CRAB this is handled with different plugins that are able to submit to different grids. Recently a CRAB plugin for submitting to the Advanced Resource Connector (ARC) middleware has been developed. The CRAB ARC plugin enables simple and fast job submission with full job status information available. CRAB can be used with a server which manages and monitors the grid jobs on behalf of the user. In the presentation we will report on the CRAB ARC plugin and on the status of integrating it with the CRAB server and compare this with using the gLite ARC interoperability method for job submission.

  9. A four factor model for estimating human radiation exposure to radon daughters in the home

    International Nuclear Information System (INIS)

    McCullough, R.S.; Letourneau, E.G.; Waight, P.J.

    1981-01-01

    This model is intended to represent the exposure received by individuals who spend any part of their day in a private home. Variables are defined to represent (1) different human groups, (2) basement and other levels in a house, (3) the four seasons of the year, and (4) activities within the home. The model is extremely flexible and appears to be applicable to other exposure circumstances. The number and definition of each of the variables can be changed easily. (author)

  10. Deleterious effects of anabolic steroids on serum lipoproteins, blood pressure, and liver function in amateur body builders

    NARCIS (Netherlands)

    Lenders, J. W.; Demacker, P. N.; Vos, J. A.; Jansen, P. L.; Hoitsma, A. J.; van 't Laar, A.; Thien, T.

    1988-01-01

    The effects of self-administered anabolic steroids (AS) on lipoproteins, liver function, and blood pressure were studied in male amateur body builders. Twenty body builders were studied at the end of a course of AS (group 1) and 42 body builders were studied after discontinuation of the AS for a

  11. Audel carpenter's and builder's math, plans, and specifications

    CERN Document Server

    Miller, Mark Richard

    2005-01-01

    You can count on a good planA successful building or remodeling job requires not only a plan, but also the skill to interpret it and an understanding of the mathematics behind it. Whether you are a builder by trade or a do-it-yourself carpenter by choice, turn to this newly updated guide for easy explanations of the math involved and clear instructions on developing and using the necessary plans and specifications.* Explore the different types of wood products and learn what is best for your purpose* Choose appropriate building materials for weather and other natural factors* Refresh your knowledge of fractions, ratios, geometry, and measurement* Understand how to use basic surveying tools* Become familiar with the design process and recognize various styles of architecture* Learn to read architectural drawings and work with computer design

  12. CONNJUR Workflow Builder: a software integration environment for spectral reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    Fenwick, Matthew; Weatherby, Gerard; Vyas, Jay; Sesanker, Colbert [UConn Health, Department of Molecular Biology and Biophysics (United States); Martyn, Timothy O. [Rensselaer at Hartford, Department of Engineering and Science (United States); Ellis, Heidi J. C. [Western New England College, Department of Computer Science and Information Technology (United States); Gryk, Michael R., E-mail: gryk@uchc.edu [UConn Health, Department of Molecular Biology and Biophysics (United States)

    2015-07-15

    CONNJUR Workflow Builder (WB) is an open-source software integration environment that leverages existing spectral reconstruction tools to create a synergistic, coherent platform for converting biomolecular NMR data from the time domain to the frequency domain. WB provides data integration of primary data and metadata using a relational database, and includes a library of pre-built workflows for processing time domain data. WB simplifies maximum entropy reconstruction, facilitating the processing of non-uniformly sampled time domain data. As will be shown in the paper, the unique features of WB provide it with novel abilities to enhance the quality, accuracy, and fidelity of the spectral reconstruction process. WB also provides features which promote collaboration, education, parameterization, and non-uniform data sets along with processing integrated with the Rowland NMR Toolkit (RNMRTK) and NMRPipe software packages. WB is available free of charge in perpetuity, dual-licensed under the MIT and GPL open source licenses.

  13. CONNJUR Workflow Builder: a software integration environment for spectral reconstruction

    International Nuclear Information System (INIS)

    Fenwick, Matthew; Weatherby, Gerard; Vyas, Jay; Sesanker, Colbert; Martyn, Timothy O.; Ellis, Heidi J. C.; Gryk, Michael R.

    2015-01-01

    CONNJUR Workflow Builder (WB) is an open-source software integration environment that leverages existing spectral reconstruction tools to create a synergistic, coherent platform for converting biomolecular NMR data from the time domain to the frequency domain. WB provides data integration of primary data and metadata using a relational database, and includes a library of pre-built workflows for processing time domain data. WB simplifies maximum entropy reconstruction, facilitating the processing of non-uniformly sampled time domain data. As will be shown in the paper, the unique features of WB provide it with novel abilities to enhance the quality, accuracy, and fidelity of the spectral reconstruction process. WB also provides features which promote collaboration, education, parameterization, and non-uniform data sets along with processing integrated with the Rowland NMR Toolkit (RNMRTK) and NMRPipe software packages. WB is available free of charge in perpetuity, dual-licensed under the MIT and GPL open source licenses

  14. The health care home model: primary health care meeting public health goals.

    Science.gov (United States)

    Grant, Roy; Greene, Danielle

    2012-06-01

    In November 2010, the American Public Health Association endorsed the health care home model as an important way that primary care may contribute to meeting the public health goals of increasing access to care, reducing health disparities, and better integrating health care with public health systems. Here we summarize the elements of the health care home (also called the medical home) model, evidence for its clinical and public health efficacy, and its place within the context of health care reform legislation. The model also has limitations, especially with regard to its degree of involvement with the communities in which care is delivered. Several actions could be undertaken to further develop, implement, and sustain the health care home.

  15. Closures and mergers of VNA home care agencies: a model for the study of causal factors.

    Science.gov (United States)

    Scalzi, C C; Meyer, M

    1991-01-01

    Recent closures and mergers of visiting nurses associations (VNAs) raise some potentially serious questions regarding access to home care for the elderly Medicare and Medicaid populations. While VNAs comprise less than 10 percent of the nation's certified home health agencies, they provide approximately 31 percent of all medicare home care (HCFA, 1989). In March of 1986 there were 524 visiting nurses associations nationally whereas today there remain only 495 (HCFA, 1990). A model identifying potential causes of VNA mortality is presented along with some preliminary results. VNA mortality is defined and measured by the date that Medicare certification is terminated as a result of VNA closure or merger.

  16. Closed Crawl Space Performance: Proof of Concept in the Production Builder Marketplace

    Energy Technology Data Exchange (ETDEWEB)

    Malkin-Weber, Melissa; Dastur, Cyrus; Mauceri, Maria; Hannas, Benjamin

    2008-10-30

    performance characteristics with regard to infiltration and duct leakage. Researchers settled on two closed crawl space designs, one with insulation located in the framed floor structure above the crawl space and one with insulation on the crawl space perimeter wall, as the designs with the most widespread potential for application. Researchers based this assessment not only on the field performance, but also on input from residential builders, pest control professionals, code officials, installers, and building scientists active in the region. The key findings from the field demonstration were that (1) closed crawl spaces stay substantially drier than traditional wall-vented crawl spaces during humid climate conditions, and (2) the houses built on the closed crawl space foundations saved, on average, 15% or more on annual energy used for space heating and cooling. A comparison of the actual energy performance of the homes versus the performance predicted by a popular HERS software application showed that the software was unable to predict the demonstrated savings, in some cases predicting an energy penalty. Findings from the 2005 project were summarized in a publication titled Closed Crawl Spaces: An Introduction to Design, Construction and Performance. Since its release, the publication has received widespread use by builders, homeowners, installers and code officials concerned about crawl space construction. The findings were also used to create major revisions to the NC Residential Code, which were adopted in 2004 and immediately began to reduce the regulatory barriers to widespread commercialization of the technology in NC, particularly in new residential construction. Full project details are located at www.crawlspaces.org.

  17. Quality Assurance Strategy for Existing Homes. Final Quality Management Primer for High Performing Homes

    Energy Technology Data Exchange (ETDEWEB)

    Del Bianco, M. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Taggart, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Sikora, J. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States); Wood, A. [NAHB Research Center Industry Partnership, Upper Marlboro, MD (United States)

    2012-12-01

    This guide is designed to help Building America (BA) teams understand quality management and its role in transitioning from conventional to high performance home building and remodeling. It explains what quality means, the value of quality management systems, the unique need for QMS when building high performing homes, and the first steps to a implementing a comprehensive QMS. This document provides a framework and context for BA teams when they encounter builders and remodelers.

  18. Quality Assurance Strategy for Existing Homes: Final Quality Management Primer for High Performing Homes

    Energy Technology Data Exchange (ETDEWEB)

    Del Bianco, M.; Taggart, J.; Sikora, J.; Wood, A.

    2012-12-01

    This guide is designed to help Building America (BA) Teams understand quality management and its role in transitioning from conventional to high performance home building and remodeling. It explains what quality means, the value of quality management systems, the unique need for QMS when building high performing homes, and the first steps to a implementing a comprehensive QMS. This document provides a framework and context for BA teams when they encounter builders and remodelers.

  19. The XSD-Builder Specification Language—Toward a Semantic View of XML Schema Definition

    Science.gov (United States)

    Fong, Joseph; Cheung, San Kuen

    In the present database market, XML database model is a main structure for the forthcoming database system in the Internet environment. As a conceptual schema of XML database, XML Model has its limitation on presenting its data semantics. System analyst has no toolset for modeling and analyzing XML system. We apply XML Tree Model (shown in Figure 2) as a conceptual schema of XML database to model and analyze the structure of an XML database. It is important not only for visualizing, specifying, and documenting structural models, but also for constructing executable systems. The tree model represents inter-relationship among elements inside different logical schema such as XML Schema Definition (XSD), DTD, Schematron, XDR, SOX, and DSD (shown in Figure 1, an explanation of the terms in the figure are shown in Table 1). The XSD-Builder consists of XML Tree Model, source language, translator, and XSD. The source language is called XSD-Source which is mainly for providing an environment with concept of user friendliness while writing an XSD. The source language will consequently be translated by XSD-Translator. Output of XSD-Translator is an XSD which is our target and is called as an object language.

  20. Building America Case Study: Performance and Costs of Ductless Heat Pumps in Marine Climate High-Performance Homes: Habitat for Humanity -- The Woods, Tacoma, Washington

    Energy Technology Data Exchange (ETDEWEB)

    2016-02-01

    The Woods is a Habitat for Humanity (HFH) community of ENERGY STAR Homes (c) Northwest (ESHNW)-certified homes located in the marine climate of Tacoma/Pierce County, Washington. This research report builds on an earlier preliminary draft 2014 BA report, and includes significant billing analysis and cost effectiveness research from a collaborative, ongoing Ductless Heat Pump (DHP) research effort for Tacoma Public Utilities (TPU) and Bonneville Power Administration (BPA). This report focuses on the results of field testing, modeling, and monitoring of ductless mini-split heat pump hybrid heating systems in seven homes built and first occupied at various times between September 2013 and October 2014. The report also provides WSU documentation of high-performance home observations, lessons learned, and stakeholder recommendations for builders of affordable high-performance housing such as HFH.

  1. Research Toward Zero Energy Homes

    Energy Technology Data Exchange (ETDEWEB)

    Robert Hammon

    2010-12-31

    This final report was compiled from the detailed annual reports that were submitted for efforts in 2008 and 2009, and from individual task reports from 2010. Reports, case studies, and presentations derived from this work are available through the Building America website. The BIRA team is led by ConSol, a leading provider of energy solutions for builders since 1983. In partnership with over fifty builders, developers, architects, manufactures, researchers, utilities, and agencies, research work was performed in California, Colorado, Utah, New Mexico, Washington, Oregon, and Hawaii and five (5) climate regions (Hot-Dry, Marine, Hot-Humid, Cold, and Hot/Mixed Dry). In addition to research work, the team provided technical assistance to our partners whose interests span the entire building process. During the three year budget period, the BIRA team performed analyses of several emerging technologies, prototype homes, and high performance communities through detailed computer simulations and extensive field monitoring to meet the required climate joule milestone targets.

  2. DOE Zero Energy Ready Home Case Study: AquaZephyr — Eco-Village-Ithaca, Ithaca, NY

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This two-story, 1,664 ft2 home is one of 17 single-family and four duplex homes built as part of an energy-efficient cooperative. Winner in the Production Builder category of the 2014 Housing Innovation Awards, the home achieves a HERS 56 without photovoltaics and HERS 15 with 4 kW of photovoltaics.

  3. James Williamson d/b/a Golden Triangle Builders Information Sheet

    Science.gov (United States)

    James Williamson d/b/a Golden Triangle Builders (the Company) is located in Pittsburgh, Pennsylvania. The settlement involves renovation activities conducted at property constructed prior to 1978, located in Pittsburgh, Pennsylvania.

  4. The Model Standards Project: Creating Inclusive Systems for LGBT Youth in Out-of-Home Care

    Science.gov (United States)

    Wilber, Shannan; Reyes, Carolyn; Marksamer, Jody

    2006-01-01

    This article describes the Model Standards Project (MSP), a collaboration of Legal Services for Children and the National Center for Lesbian Rights. The MSP developed a set of model professional standards governing the care of lesbian, gay, bisexual and transgender (LGBT) youth in out-of-home care. This article provides an overview of the…

  5. Simultaneous modeling of individuals' duration and expenditure decisions in out-of-home leisure activities

    NARCIS (Netherlands)

    Dane, Gamze; Arentze, Theo A.; Timmermans, Harry J P; Ettema, Dick

    2014-01-01

    In this paper, we propose an activity model under time and budget constraints to simultaneously predict the allocation of time and money to out-of-home leisure activities. The proposed framework considers the activity episode level, given that the activity is scheduled. Thus, the model considers the

  6. A multigroup analysis of the job demands-resources model in four home care organizations

    NARCIS (Netherlands)

    Bakker, A.B.; Demerouti, E.; Taris, T.W.; Schreurs, P.J.G.

    2003-01-01

    The job demands-resources (JD-R) model was tested in a study among 3,092 employees working in 1 of 4 different home care organizations. The central assumption in the model is that burnout develops when certain job demands are high and when job resources are limited because such negative working

  7. Librarians as Knowledge Builders: Strategic Partnering for Service and Advocacy

    Energy Technology Data Exchange (ETDEWEB)

    Kreitz, P

    2003-12-15

    In their article on the challenges facing the postmodern library authors Elteto and Frank warn that the ''relevancy of academic libraries are at stake as a result of dramatic budget reductions and ongoing changes in the use of libraries.'' Recognizing the fiscal crisis facing libraries, many leaders in the profession are calling for libraries to strengthen their core roles in supporting campus research, teaching, and learning and to become more proactive and effective communicators of the critical role the library plays in supporting institutional goals. Responding to this difficult period facing academia and interested in highlighting the creative ways academic libraries around the country are responding, ACRL President, Tyrone Cannon has chosen ''Partnerships and Connections: the Learning Community as Knowledge Builders'' 2 as the theme for his presidential year. His intention is to foster opportunities for libraries to ''play a key role in developing, defining and enhancing learning communities central to campus life.'' Focusing our efforts on supporting the core business of academia will ensure that academic libraries continue to be places of ''opportunity, interaction, serendipity and strong collections and remain central to the knowledge building process.''

  8. Macrophage Polarization in Chronic Inflammatory Diseases: Killers or Builders?

    Directory of Open Access Journals (Sweden)

    Luca Parisi

    2018-01-01

    Full Text Available Macrophages are key cellular components of the innate immunity, acting as the main player in the first-line defence against the pathogens and modulating homeostatic and inflammatory responses. Plasticity is a major feature of macrophages resulting in extreme heterogeneity both in normal and in pathological conditions. Macrophages are not homogenous, and they are generally categorized into two broad but distinct subsets as either classically activated (M1 or alternatively activated (M2. However, macrophages represent a continuum of highly plastic effector cells, resembling a spectrum of diverse phenotype states. Induction of specific macrophage functions is closely related to the surrounding environment that acts as a relevant orchestrator of macrophage functions. This phenomenon, termed polarization, results from cell/cell, cell/molecule interaction, governing macrophage functionality within the hosting tissues. Here, we summarized relevant cellular and molecular mechanisms driving macrophage polarization in “distant” pathological conditions, such as cancer, type 2 diabetes, atherosclerosis, and periodontitis that share macrophage-driven inflammation as a key feature, playing their dual role as killers (M1-like and/or builders (M2-like. We also dissect the physio/pathological consequences related to macrophage polarization within selected chronic inflammatory diseases, placing polarized macrophages as a relevant hallmark, putative biomarkers, and possible target for prevention/therapy.

  9. Knowledge transfer to builders in post-disaster housing reconstruction in West-Sumatra of Indonesia

    Science.gov (United States)

    Hidayat, Benny; Afif, Zal

    2017-11-01

    Housing is the most affected sector by disasters as can be observed after the 2009 earthquake in West Sumatra province in Indonesia. As in Indonesian construction industry, the housing post-disaster reconstruction is influenced by knowledge and skills of builders or laborers, or locally known as `tukang'. After the earthquake there were trainings to transfer knowledge about earthquake-safe house structure for the builders in the post-disaster reconstruction. This study examined the effectiveness of the training in term of understanding of the builders and application of the new knowledge. Ten semi-structured interviews with the builders were conducted in this study. The results indicate that the builders with prior housing construction experience can absorb and understand the new knowledge about earthquake-safe house structure. Combination of lecturing and practice sessions also help the builders to understand the knowledge. However, findings of this research also suggest there is a problem in implementation of the new knowledge. Utilization of earthquake-safe house structure may leads to a rise in house cost. As a result, some house owners prefer to save money than to adopt the new knowledge.

  10. Technology Solutions for Existing Homes Case Study: Accelerating the Delivery of Home-Performance Upgrades Using a Synergistic Business Model

    Energy Technology Data Exchange (ETDEWEB)

    None

    2016-04-14

    The Building America team NorthernSTAR investigated opportunities to use the massive customer networks of the home service industry as a means to connect homeowners to home-performance solutions. Home service companies could provide a pathway to advance building-science-guided upgrades by being in close proximity to homeowners when a decision-making moment is at hand. Established trust provides an opportunity for the company to deliver sound information and influence during a remodeling decision.

  11. DOE Zero Energy Ready Home Case Study: TC Legend Homes, Seattle, Washington

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    This house incorporates slab-on-grade, EPS roof, and radiant heating with an air-to-water heat pump that also preheats domestic hot water. Without counting in the solar panels, the home earns a home energy rating system (HERS) score of 37, with projected utility bills of about $740 a year. With the 6.4-kW photovoltaic power system installed on the roof, the home’s HERS scores drops to -1 and utility bills for the all-electric home drop to zero. This home was awarded a 2013 Housing Innovation Award in the affordable builder category.

  12. Hospital-in-the-Home — essential to an integrated model of paediatric care

    LENUS (Irish Health Repository)

    Hensey, CC

    2017-01-01

    The National Clinical Programme for Paediatrics and Neonatology is proposing a model of care that will determine the future delivery of children’s health services in Ireland1. The focus is on the provision of an integrated service with improved co-ordination between primary, secondary, and tertiary level facilities. A parallel goal is improvements in chronic care and medical care in the home. An expanded role for ambulatory care and hospital at home schemes with a reduced reliance on inpatient care is proposed in line with international best practice. Achieving these goals requires a paradigm shift in delivery of children’s health care, and reconfiguration of current services to deliver multidisciplinary care in hospital and at home. The recently approved planning application for the new children’s hospital provides an opportunity and heralds a change in the structure of paediatric services in Ireland. It will act as the nexus of paediatric care throughout Ireland; supporting paediatric services nationally through outreach programmes, and ensuring children are treated as close to home as possible. A Hospital-in-the-Home (HITH) program would help meet these objectives; and could provide home based acute paediatric care, leading to economic benefits, and the delivery of quality family-centred care.

  13. Developing and utilising a new funding model for home-care services in New Zealand.

    Science.gov (United States)

    Parsons, Matthew; Rouse, Paul; Sajtos, Laszlo; Harrison, Julie; Parsons, John; Gestro, Lisa

    2018-01-02

    Worldwide increases in the numbers of older people alongside an accompanying international policy incentive to support ageing-in-place have focussed the importance of home-care services as an alternative to institutionalisation. Despite this, funding models that facilitate a responsive, flexible approach are lacking. Casemix provides one solution, but the transition from the well-established hospital system to community has been problematic. This research seeks to develop a Casemix funding solution for home-care services through meaningful client profile groups and supporting pathways. Unique assessments from 3,135 older people were collected from two health board regions in 2012. Of these, 1,009 arose from older people with non-complex needs using the interRAI-Contact Assessment (CA) and 2,126 from the interRAI-Home-Care (HC) from older people with complex needs. Home-care service hours were collected for 3 months following each assessment and the mean weekly hours were calculated. Data were analysed using a decision tree analysis, whereby mean hours of weekly home-care was the dependent variable with responses from the assessment tools, the independent variables. A total of three main groups were developed from the interRAI-CA, each one further classified into "stable" or "flexible." The classification explained 16% of formal home-care service hour variability. Analysis of the interRAI-HC generated 33 clusters, organised through eight disability "sub" groups and five "lead" groups. The groupings explained 24% of formal home-care services hour variance. Adopting a Casemix system within home-care services can facilitate a more appropriate response to the changing needs of older people. © 2017 John Wiley & Sons Ltd.

  14. Energy Value Housing Award Guide: How to Build and Profit with Energy Efficiency in New Home Construction

    Energy Technology Data Exchange (ETDEWEB)

    Sikora, J. L.

    2001-06-01

    As concern over the environment grows, builders have the potential to fulfill a market niche by building homes that use fewer resources and have lower environmental impact than conventional construction. Builders can increase their marketability and customer satisfaction and, at the same time, reduce the environmental impact of their homes. However, it takes dedication to build environmentally sound homes along with a solid marketing approach to ensure that customers recognize the added value of energy and resource efficiency. This guide is intended for builders seeking suggestions on how to improve energy and resource efficiency in their new homes. It is a compilation of ideas and concepts for designing, building, and marketing energy- and resource-efficient homes based on the experience of recipients of the national Energy Value Housing Award (EVHA).

  15. The Effects of the Green House Nursing Home Model on ADL Function Trajectory: A Retrospective Longitudinal Study

    Science.gov (United States)

    YOON, Ju Young; BROWN, Roger L.; BOWERS, Barbara J.; SHARKEY, Siobhan S.; HORN, Susan D.

    2015-01-01

    Background Growing attention in the past few decades has focused on improving care quality and quality of life for nursing home residents. Many traditional nursing homes have attempted to transform themselves to become more homelike emphasizing individualized care. This trend is referred to as nursing home culture change in the U.S. A promising culture change nursing home model, the Green House (GH) nursing home model, has shown positive psychological outcomes. However, little is known about whether the GH nursing home model has positive effects on physical function compared to traditional nursing homes. Objectives To examine the longitudinal effects of the GH nursing home model by comparing change patterns of ADL function over time between GH home residents and traditional nursing home residents. Design A retrospective longitudinal study. Settings Four GH organizations (nine GH units and four traditional units). Participants A total of 242 residents (93 GH residents and 149 traditional home residents) who had stayed in the nursing home at least six months from admission. Methods The outcome was ADL function, and the main independent variable was the facility type in which the resident stayed: a GH or traditional unit. Age, gender, comorbidity score, cognitive function, and depressive symptoms at baseline were controlled. All of these measures were from a minimum dataset. Growth curve modeling and growth mixture modeling were employed in this study for longitudinal analyses. Results The mean ADL function showed deterioration over time, and the rates of deterioration between GH and traditional home residents were not different over time. Four different ADL function trajectories were identified for 18 months, but there was no statistical difference in the likelihood of being in one of the four trajectory classes between the two groups. Conclusions Although GH nursing homes are considered to represent an innovative model changing the nursing home environment into more

  16. Advancing Replicable Solutions for High-Performance Homes in the Southeast

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, S. G. [Partnership for Home Innovation, Upper Marlboro, MD (United States). Southface Energy Inst.; Sweet, M. L. [Partnership for Home Innovation, Upper Marlboro, MD (United States). Southface Energy Inst.; Francisco, A. [Partnership for Home Innovation, Upper Marlboro, MD (United States). Southface Energy Inst.

    2016-03-01

    The work presented in this report advances the goals of the U.S. Department of Energy Building America program by improving the energy performance of affordable and market-rate housing. Southface Energy Institute (Southface), part of the U.S. Department of Energy Building America research team Partnership for Home Innovation, worked with owners and builders with various market constraints and ultimate goals for three projects in three climate zones (CZs): Savannah Gardens in Savannah, Georgia (CZ 2); JMC Patrick Square in Clemson, South Carolina (CZ 3); and LaFayette in LaFayette, Georgia (CZ 4). This report documents the design process, computational energy modeling, construction, envelope performance metrics, long-term monitoring results, and successes and failures of the design and execution of these high-performance homes.

  17. Theory-Based Cartographic Risk Model Development and Application for Home Fire Safety.

    Science.gov (United States)

    Furmanek, Stephen; Lehna, Carlee; Hanchette, Carol

    There is a gap in the use of predictive risk models to identify areas at risk for home fires and burn injury. The purpose of this study was to describe the creation, validation, and application of such a model using a sample from an intervention study with parents of newborns in Jefferson County, KY, as an example. Performed was a literature search to identify risk factors for home fires and burn injury in the target population. Obtained from the American Community Survey at the census tract level and synthesized to create a predictive cartographic risk model was risk factor data. Model validation was performed through correlation, regression, and Moran's I with fire incidence data from open records. Independent samples t-tests were used to examine the model in relation to geocoded participant addresses. Participant risk level for fire rate was determined and proximity to fire station service areas and hospitals. The model showed high and severe risk clustering in the northwest section of the county. Strongly correlated with fire rate was modeled risk; the best predictive model for fire risk contained home value (low), race (black), and non high school graduates. Applying the model to the intervention sample, the majority of participants were at lower risk and mostly within service areas closest to a fire department and hospital. Cartographic risk models were useful in identifying areas at risk and analyzing participant risk level. The methods outlined in this study are generalizable to other public health issues.

  18. DOE Zero Energy Ready Home Case Study: Ferguson Design and Construction,Sagaponack, New York

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    The 6-bedroom home achieves a HERS score of 43 even before PV is installed and will cut utility bills dramatically for its owners. Water-savings faucets, LED lighting, and ENERGY STAR appliances add to energy savings. This home garnered a 2013 Housing Innovation Award in the custom builder category.

  19. The Efficacy of Telemedicine-Supported Discharge Within an In Home Model of Care.

    Science.gov (United States)

    Greenup, Edwin P; McCusker, Melissa; Potts, Boyd A; Bryett, Andrew

    2017-09-01

    To determine if mobile videoconferencing technology can facilitate the discharge of low-acuity patients receiving in-home care without compromising short-term health outcomes. A 6-month trial commenced in July 2015 with 345 patients considered unsuited to Criteria Led Discharge (CLD) receiving in-home care included as participants. Nurses providing clinical support to patients in their homes were supplied with a tablet computer (Apple iPad) with Internet connectivity (Telstra 4G Network) and videoconferencing software (Cisco Jabber for Telepresence). Device usage data combined with hospital admission records were collected to determine (a) instances where a telemedicine-facilitated discharge occurred and (b) if the accepted measure of short-term health outcomes (readmission within 28 days) was adversely affected by this alternative method. Telemedicine technology facilitated the discharge of 10.1% (n = 35) of patients considered unsuitable for CLD from the Hospital in the Home model during the trial period. Statistically insignificant differences in rates of readmission between patients discharged in person versus those participating in the telemedicine-supported model suggest that the clinical standards of the service have been maintained. The results of evaluating telemedicine support for nurses providing low-acuity in-home care indicate that patients may be discharged remotely while maintaining the existing clinical standards of the service.

  20. Sensor-Based Optimization Model for Air Quality Improvement in Home IoT.

    Science.gov (United States)

    Kim, Jonghyuk; Hwangbo, Hyunwoo

    2018-03-23

    We introduce current home Internet of Things (IoT) technology and present research on its various forms and applications in real life. In addition, we describe IoT marketing strategies as well as specific modeling techniques for improving air quality, a key home IoT service. To this end, we summarize the latest research on sensor-based home IoT, studies on indoor air quality, and technical studies on random data generation. In addition, we develop an air quality improvement model that can be readily applied to the market by acquiring initial analytical data and building infrastructures using spectrum/density analysis and the natural cubic spline method. Accordingly, we generate related data based on user behavioral values. We integrate the logic into the existing home IoT system to enable users to easily access the system through the Web or mobile applications. We expect that the present introduction of a practical marketing application method will contribute to enhancing the expansion of the home IoT market.

  1. Sensor-Based Optimization Model for Air Quality Improvement in Home IoT

    Directory of Open Access Journals (Sweden)

    Jonghyuk Kim

    2018-03-01

    Full Text Available We introduce current home Internet of Things (IoT technology and present research on its various forms and applications in real life. In addition, we describe IoT marketing strategies as well as specific modeling techniques for improving air quality, a key home IoT service. To this end, we summarize the latest research on sensor-based home IoT, studies on indoor air quality, and technical studies on random data generation. In addition, we develop an air quality improvement model that can be readily applied to the market by acquiring initial analytical data and building infrastructures using spectrum/density analysis and the natural cubic spline method. Accordingly, we generate related data based on user behavioral values. We integrate the logic into the existing home IoT system to enable users to easily access the system through the Web or mobile applications. We expect that the present introduction of a practical marketing application method will contribute to enhancing the expansion of the home IoT market.

  2. DOE Zero Energy Ready Home Case Study: Manatee County Habitat for Humanity, Ellenton, Florida

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    In this 18-home community, all homes are LEED Platinum and meet ENERGY STAR for Homes Version 3 requirements, HERS 23–53. Half way through the project, Habitat for Humanity heard about the DOE Challenge Home program and signed on, committing to build the next home, a three-bedroom, two-bath, 1,143 ft2 duplex, to Challenge Home criteria. The home is the first DOE Challenge Home in Manatee County, and was awarded a 2013 Housing Innovation Award in the affordable builder category.

  3. Children Home Alone Unsupervised: Modeling Parental Decisions and Associated Factors in Botswana, Mexico, and Vietnam

    Science.gov (United States)

    Ruiz-Casares, Monica; Heymann, Jody

    2009-01-01

    Objective: This paper examines different child care arrangements utilized by working families in countries undergoing major socio-economic transitions, with a focus on modeling parental decisions to leave children home alone. Method: The study interviewed 537 working caregivers attending government health clinics in Botswana, Mexico, and Vietnam.…

  4. A Role Model Mother/caregiver Programme to Expand Home-based ...

    African Journals Online (AJOL)

    In Nigeria, a Role Model Mother/Caregiver (RMM/C) programme was initiated by the National Malaria Control Programme (NMCP) to provide home-based management of malaria. Criteria for RMM/C selection were developed centrally by the Nigerian NMCP for community use. RMM/Cs were identified and recruited by the ...

  5. Please do not disturb : Modeling user experience for considerate home products

    NARCIS (Netherlands)

    Vastenburg, M.H.

    2007-01-01

    Products in the home offer ever more functionality. Advances in sensor technology, embedded processing power, and modeling and reasoning software, have enabled everyday products to sense their environment and eventually anticipate user needs. The enabling technology for ambient intelligence is now

  6. Exploring Multilevel Factors for Family Engagement in Home Visiting Across Two National Models.

    Science.gov (United States)

    Latimore, Amanda D; Burrell, Lori; Crowne, Sarah; Ojo, Kristen; Cluxton-Keller, Fallon; Gustin, Sunday; Kruse, Lakota; Hellman, Daniela; Scott, Lenore; Riordan, Annette; Duggan, Anne

    2017-07-01

    The associations of family, home visitor and site characteristics with family engagement within the first 6 months were examined. The variation in family engagement was also explored. Home visiting program participants were drawn from 21 Healthy Families America sites (1707 families) and 9 Nurse-Family Partnership sites (650 families) in New Jersey. Three-level nested generalized linear mixed models assessed the associations of family, home visitor and site characteristics with family receipt of a high dose of services in the first 6 months of enrollment. A family was considered to have received a high dose of service in the first 6 months of enrollment if they were active at 6 months and had received at least 50% of their expected visits in the first 6 months. In general, both home visiting programs engaged, at a relatively high level (Healthy Families America (HFA) 59%, Nurse-Family Partnership (NFP) 64%), with families demonstrating high-risk characteristics such as lower maternal education, maternal smoking, and maternal mental health need. Home visitor characteristics explained more of the variation (87%) in the receipt of services for HFA, while family characteristics explained more of the variation (75%) in the receipt of services for NFP. At the family level, NFP may improve the consistency with which they engage families by increasing retention efforts among mothers with lower education and smoking mothers. HFA sites seeking to improve engagement consistency should consider increasing the flexible in home visitor job responsibilities and examining the current expected-visit policies followed by home visitors on difficult-to-engage families.

  7. An Analysis of the Effects of Residential Photovoltaic Energy Systems on Home Sales Prices in California

    Energy Technology Data Exchange (ETDEWEB)

    Hoen, Ben; Cappers, Peter; Wiser, Ryan; Thayer, Mark

    2011-04-19

    An increasing number of homes in the U.S. have sold with photovoltaic (PV) energy systems installed at the time of sale, yet relatively little research exists that estimates the marginal impacts of those PV systems on home sale prices. A clearer understanding of these possible impacts might influence the decisions of homeowners considering the installation of a PV system, homebuyers considering the purchase of a home with PV already installed, and new home builders considering including PV as an optional or standard product on their homes. This research analyzes a large dataset of California homes that sold from 2000 through mid-2009 with PV installed. It finds strong evidence that homes with PV systems sold for a premium over comparable homes without PV systems during this time frame. Estimates for this premium expressed in dollars per watt of installed PV range, on average, from roughly $4 to $5.5/watt across a large number of hedonic and repeat sales model specifications and robustness tests. When expressed as a ratio of the sales price premium of PV to estimated annual energy cost savings associated with PV, an average ratio of 14:1 to 19:1 can be calculated; these results are consistent with those of the more-extensive existing literature on the impact of energy efficiency on sales prices. When the data are split among new and existing homes, however, PV system premiums are markedly affected. New homes with PV show premiums of $2.3-2.6/watt, while existing homes with PV show premiums of more than $6/watt. Reasons for this discrepancy are suggested, yet further research is warranted. A number of other areas where future research would be useful are also highlighted.

  8. Some Builders' Remorse: The Rise and Fall of the Oncology Medical Home.

    Science.gov (United States)

    Butcher, Lola

    2017-05-01

    Insurers pay for extra services that oncologists deliver in the hope that the investment will save them money down the road. That's the idea, anyway. In practice, payers and providers in general see the concept as another example of how vexing payment reform for cancer care is turning out to be.

  9. Privacy versus autonomy: a tradeoff model for smart home monitoring technologies.

    Science.gov (United States)

    Townsend, Daphne; Knoefel, Frank; Goubran, Rafik

    2011-01-01

    Smart homes are proposed as a new location for the delivery of healthcare services. They provide healthcare monitoring and communication services, by using integrated sensor network technologies. We validate a hypothesis regarding older adults' adoption of home monitoring technologies by conducting a literature review of articles studying older adults' attitudes and perceptions of sensor technologies. Using current literature to support the hypothesis, this paper applies the tradeoff model to decisions about sensor acceptance. Older adults are willing to trade privacy (by accepting a monitoring technology), for autonomy. As the information captured by the sensor becomes more intrusive and the infringement on privacy increases, sensors are accepted if the loss in privacy is traded for autonomy. Even video cameras, the most intrusive sensor type were accepted in exchange for the height of autonomy which is to remain in the home.

  10. Achieving Challenge Home in Affordable Housing in the Hot-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Beal, D. [Building America Partnership for Improved Residential Construction, Cocoa, FL (United States); McIlvaine, J. [Building America Partnership for Improved Residential Construction, Cocoa, FL (United States); Winter, B. [Building America Partnership for Improved Residential Construction, Cocoa, FL (United States); Allnutt, R. [Building America Partnership for Improved Residential Construction, Cocoa, FL (United States)

    2014-08-01

    The Building America Partnership for Improved Residential Construction (BA-PIRC), one of the Building America research team leads, has partnered with two builders as they work through the Challenge Home certification process (now Zero Energy Ready Home) in one test home each. The builder partners participating in this cost-shared research are Southeast Volusia County Habitat for Humanity near Daytona, Florida and Manatee County Habitat for Humanity near Tampa, Florida. Both are affiliates of Habitat for Humanity International, a non-profit affordable housing organization. This research serves to identify viable technical pathways to meeting the CH criteria for other builders in the region. A further objective of this research is to identify gaps and barriers in the marketplace related to product availability, labor force capability, code issues, cost effectiveness, and business case issues that hinder or prevent broader adoption on a production scale.

  11. Comparison of body composition, exercise and nutritional profiles of female and male body builders at competition.

    Science.gov (United States)

    Sandoval, W M; Heyward, V H; Lyons, T M

    1989-03-01

    Limited research information is available on the training programs and dietary practices of competitive male and female body builders. Information on body composition, training programs, and nutritional profiles of eleven competitive male and female body builders were obtained 48 hours prior to competition. Body composition was assessed by hydrostatic weighing. Skinfold data were obtained to assess the distribution of subcutaneous fat. Questionnaires concerning training programs and a three day food intake record were collected. The female body builders achieved a degree of leanness similar to the males. The relative training volumes for the women were greater than those of the men for all body regions. Gender differences were found in regional deposition of subcutaneous fat between males and females, with the males showing a more uniform distribution of subcutaneous fat. The nutritional profiles of male and female body builders were similar. The pre-competitive diets were low in kilocalories, and the relative energy intakes for men and women were 28.6 kcal/kg and 29.2 kcal/kg respectively. Both men and women consumed low fat and high protein foods. All of the vitamin/mineral intakes of the body builders exceeded the RDA's with the exceptions of calcium for men and women and iron for women only.

  12. Advancing Replicable Solutions for High-Performance Homes in the Southeast

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, S. G. [Southface Energy Inst., Upper Marlboro, MD (United States); Sweet, M. L. [Southface Energy Inst., Upper Marlboro, MD (United States); Francisco, A. [Southface Energy Inst., Upper Marlboro, MD (United States)

    2016-03-01

    Southface Energy Institute (Southface) partnered with owners and/or builders with various market constraints and ultimate goals for three projects in different climate zones: Savannah, GA (CZ 2), Clemson, SC (CZ 3), and LaFayette, GA (CZ 4). This report documents the design process, computational energy modeling, construction, envelope performance metrics, long-term monitoring results, and successes and failures of the design and execution of these high performance homes. The three bedroom/two bathroom test home in Savannah Gardens on an elevated slab foundation has a semi-conditioned, encapsulated attic. A neighboring home built to EarthCraft specifications was also monitored as a control for exterior foam insulation and a heat pump water heater (HPWH). For the JMC Patrick Square, a single-story project in Clemson, the small-scale production builder wanted to increase their level of energy efficiency beyond their current green building practices, including bringing ducts into conditioned space. Through a combination of upgrade measures the team met this goal and achieved many Zero Energy Ready Home requirements. LaFayette Housing Authority undertook a development of 30 affordable rental housing units in 15 duplexes in LaFayette, GA. Because they would be long-term owners, their priorities were low utility bills for the residents and durable, maintainable buildings. The team employed BEopt to optimize buildling envelope and systems choices, including 2x6 advanced framed walls, insulated slab, and heat pump water heater in a utility closet which was ducted to/from an encapsulated attic.

  13. An Adaptive Agent-Based Model of Homing Pigeons: A Genetic Algorithm Approach

    Directory of Open Access Journals (Sweden)

    Francis Oloo

    2017-01-01

    Full Text Available Conventionally, agent-based modelling approaches start from a conceptual model capturing the theoretical understanding of the systems of interest. Simulation outcomes are then used “at the end” to validate the conceptual understanding. In today’s data rich era, there are suggestions that models should be data-driven. Data-driven workflows are common in mathematical models. However, their application to agent-based models is still in its infancy. Integration of real-time sensor data into modelling workflows opens up the possibility of comparing simulations against real data during the model run. Calibration and validation procedures thus become automated processes that are iteratively executed during the simulation. We hypothesize that incorporation of real-time sensor data into agent-based models improves the predictive ability of such models. In particular, that such integration results in increasingly well calibrated model parameters and rule sets. In this contribution, we explore this question by implementing a flocking model that evolves in real-time. Specifically, we use genetic algorithms approach to simulate representative parameters to describe flight routes of homing pigeons. The navigation parameters of pigeons are simulated and dynamically evaluated against emulated GPS sensor data streams and optimised based on the fitness of candidate parameters. As a result, the model was able to accurately simulate the relative-turn angles and step-distance of homing pigeons. Further, the optimised parameters could replicate loops, which are common patterns in flight tracks of homing pigeons. Finally, the use of genetic algorithms in this study allowed for a simultaneous data-driven optimization and sensitivity analysis.

  14. Approach to interior design for passive direct gain solar homes

    Energy Technology Data Exchange (ETDEWEB)

    Kachadorian, C.C.

    1980-01-01

    In response to requests from buyers and builders of direct gain passive solar homes interior design criteria either specific to, or emphasized by, passive solar buildings are investigated. Problems of high sunlight penetration, secondary illumination, material selection, sound control and psychology are approached. Material deterioration, fading, glare, noise, and a sense of spacial confinement can be minimized, contributing to the appeal and saleability of passive solar homes.

  15. Accelerating the Delivery of Home Performance Upgrades through a Synergistic Business Model

    Energy Technology Data Exchange (ETDEWEB)

    Schirber, Tom; Ojczyk, Cindy

    2016-04-11

    Achieving Building America energy savings goals (40% by 2030) will require many existing homes to install energy upgrades. Engaging large numbers of homeowners in building science-guided upgrades during a single remodeling event has been difficult for a number of reasons. Performance upgrades in existing homes tend to occur over multiple years and usually result from component failures (furnace failure) and weather damage (ice dams, roofing, siding). This research attempted to: A) understand the homeowner's motivations regarding investing in building science based performance upgrades; B) determining a rapidly scalable approach to engage large numbers of homeowners directly through existing customer networks; and C) access a business model that will manage all aspects of the contractor-homeowner-performance professional interface to ensure good upgrade decisions over time. The solution results from a synergistic approach utilizing networks of suppliers merging with networks of homeowner customers. Companies in the $400 to $800 billion home services industry have proven direct marketing and sales proficiencies that have led to the development of vast customer networks. Companies such as pest control, lawn care, and security have nurtured these networks by successfully addressing the ongoing needs of homes. This long-term access to customers and trust established with consistent delivery has also provided opportunities for home service providers to grow by successfully introducing new products and services like attic insulation and air sealing. The most important component for success is a business model that will facilitate and manage the process. The team analyzes a group that developed a working model.

  16. Discussion on the Implementation of the Patient Centred Medical Home model - Experiences from Australia

    Directory of Open Access Journals (Sweden)

    Safa Majidi Rahbar

    2017-07-01

    Full Text Available Introduction: Different practitioners and academics have been working on the application of the Patient Centred Medical Home (PCMH model within the Australian context for many years. In early 2016, the Commonwealth government of Australia announced plans to establish Health Care Homes throughout the country based off the PCMH model, beginning with trial sites focused on the bundling of payments. As a result, the number of Primary Health Networks, policy makers and general practices receptive to establishing Health Care Homes is growing rapidly. The time is ripe to identify how best the elements of the model translate into the Australian context and how to implement its elements with success. As a contribution to the opportunity for a widespread implementation, the North Coast Primary Health Network is engaged in a project to build capacity in general practices to transition into Health Care Homes. The main outcomes of this project include: 1. Preparing “The Australian Handbook for Transitioning to Health Care Homes” A resource which will provide a rationale for transitioning to a HCH, milestones for transitioning along a continuum and tools for practice and practice support for establishing the model in general practice. Thus developing capacity to train ‘change facilitators’ to work to accompany transitioning practices. 2. Establishment of a National Network of Patient Centred HCH Collaborators Made up of PHN representatives, experts and policy makers working in the PCMH development space. Focused on improving advocacy effectiveness, knowledge sharing and keeping stakeholders up to date with unfolding developments. 3. Increasing local preparedness and interest for establishing HCHs Focused on propagation of development of interest locally for transitioning practices into HCHs. A local network of practitioners and collaborators informed of project updates and HCH learning and development opportunities in the region. 4. Local trial and

  17. The National Tumor Association Foundation (ANT: A 30 year old model of home palliative care

    Directory of Open Access Journals (Sweden)

    Bonazzi Valeria

    2010-06-01

    Full Text Available Abstract Background Models of palliative care delivery develop within a social, cultural, and political context. This paper describes the 30-year history of the National Tumor Association (ANT, a palliative care organization founded in the Italian province of Bologna, focusing on this model of home care for palliative cancer patients and on its evaluation. Methods Data were collected from the 1986-2008 ANT archives and documents from the Emilia-Romagna Region Health Department, Italy. Outcomes of interest were changed in: number of patients served, performance status at admission (Karnofsky Performance Status score [KPS], length of participation in the program (days of care provided, place of death (home vs. hospital/hospice, and satisfaction with care. Statistical methods included linear and quadratic regressions. A linear and a quadratic regressions were generated; the independent variable was the year, while the dependent one was the number of patients from 1986 to 2008. Two linear regressions were generated for patients died at home and in the hospital, respectively. For each regression, the R square, the unstandardized and standardized coefficients and related P-values were estimated. Results The number of patients served by ANT has increased continuously from 131 (1986 to a cumulative total of 69,336 patients (2008, at a steady rate of approximately 121 additional patients per year and with no significant gender difference. The annual number of home visits increased from 6,357 (1985 to 904,782 (2008. More ANT patients died at home than in hospice or hospital; this proportion increased from 60% (1987 to 80% (2007. The rate of growth in the number of patients dying in hospital/hospice was approximately 40 patients/year (p 40 increased. Mean days of care for patients with KPS > 40 exceeded mean days for patients with KPS Conclusions The ANT home care model of palliative care delivery has been well-received, with progressively growing numbers

  18. Use of anabolic-androgenic steroids among body builders--frequency and attitudes.

    Science.gov (United States)

    Lindström, M; Nilsson, A L; Katzman, P L; Janzon, L; Dymling, J F

    1990-06-01

    A total of 138 male body builders who regularly attended a gym participated anonymously in a study of the use of anabolic-androgenic steroids in relation to side-effects, blood pressure, body mass index (BMI; kg m-2), training frequency, social background, occupation, knowledge and attitudes to steroid use. Fifty-three of the 138 body builders had used anabolic-androgenic steroids for a median duration of 2 years. Steroid use was linked to a higher BMI and more frequent training. Seventy-five per cent (n = 18) of those attending body building for competition, and 24% (n = 11) of those attending to improve their sense of well-being, used anabolic-androgenic steroids. Of all body builders, 94% considered anabolic-androgenic steroids to be dangerous. Of the users, 81% experienced side-effects, but 74% still intended to continue steroid medication.

  19. DOE ZERH Case Study: Sunroc Builders, Bates Avenue, Lakeland, FL

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2015-09-01

    Case study of a DOE 2015 Housing Innovation Award winning affordable home in the hot-humid climate that got HERS 57 without PV, with 6.5” SIP walls and 8.25” SIP roof; uninsulated slab foundation; fresh air intake; SEER 16 ducted air source heat pump.

  20. DOE Zero Energy Ready Home Case Study, Weiss Building & Development, LLC., System Home, River Forest, Illinois

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-09-01

    The Passive House Challenge Home located in River Forest, Illinois, is a 5-bedroom, 4.5-bath, 3,600 ft2 two-story home (plus basement) that costs about $237 less per month to operate than a similar sized home built to the 2009 IECC. For a home with no solar photovoltaic panels installed, it scored an amazingly low 27 on the Home Energy Rating System (HERS) score.An ENERGY STAR-rated dishwasher, clothes washer, and refrigerator; an induction cooktop, condensing clothes dryer, and LED lighting are among the energy-saving devices inside the home. All plumbing fixtures comply with EPA WaterSense criteria. The home was awarded a 2013 Housing Innovation Award in the "systems builder" category.

  1. Nurse practitioner-based models of specialist palliative care at home: sustainability and evaluation of feasibility.

    Science.gov (United States)

    Bookbinder, Marilyn; Glajchen, Myra; McHugh, Marlene; Higgins, Phil; Budis, James; Solomon, Neva; Homel, Peter; Cassin, Carolyn; Portenoy, Russell K

    2011-01-01

    Patients with serious medical problems who live at home may not be able to access specialist-level palliative care when the need develops. Nurse practitioner (NP)-based models may be able to increase the availability of specialist care in the community. The aim of this study was to evaluate the financial sustainability and feasibility of two NP-based models in an urban setting. In one model, an NP was linked with a social worker (SW) to create a new palliative home care team (PHCT-NP-SW), which would provide consultation and direct care to referred homebound elderly patients with advanced illnesses. In a second model, an NP was assigned to a hospice program (Hospice-NP) for the purpose of enhancing the reach and impact of a home care team. The revenue generated by each model was compared with direct costs; the PHCT-NP-SW model also was evaluated for its feasibility and impact on patient-level outcomes. Over a two-year period, the NP in the PHCT-NP-SW model made 350 visits and followed 114 patients at home. Annualized revenue through reimbursement from patient billing offset less than 50% of the NP's salary costs. In contrast, the Hospice-NP model led to a 360% increment in hospice referrals, yielding sufficient new revenue to support this position indefinitely after only seven months. The PHCT-NP-SW model provided numerous interventions that yielded a significant decline in symptom distress during the initial two weeks after referral (P=0.003), 100% compliance with advance care planning, 21% admission rate to hospice, access to other community services, and crisis management. Nonetheless, lack of funding led to closure of this model after the two years. This experience suggests that a PHCT-NP-SW model is not sustainable in this urban environment through reimbursement-based revenue, whereas a Hospice-NP model for hospice can be sustainable based on the growth of hospice census. The PHCT-NP-SW model appears to offer benefits, and additional efforts are needed to

  2. Home care for older people in Sweden: a universal model in transition.

    Science.gov (United States)

    Szebehely, Marta; Trydegård, Gun-Britt

    2012-05-01

    One aspect of universalism in Swedish eldercare services is that publicly financed and publicly provided services have been both affordable for the poor and attractive enough to be preferred by the middle class. This article identifies two trends in home care for older people in Sweden: a decline in the coverage of publicly funded services and their increasing marketisation. We explore the mechanisms behind these trends by reviewing policy documents and official reports, and discuss the distributional consequences of the changes by analysing two data sets from Statistics Sweden: the Swedish Level of Living surveys from 1988/1989 and 2004/2005 and a database on all users of tax deductions on household and care services in 2009. The analysis shows that the decline of tax-funded home care is not the result of changing eldercare legislation and was not intended by national policy-makers. Rather the decline was caused by a complex interplay of decision-making at central and local levels, resulting in stricter municipal targeting. The trend towards marketisation has been more clearly intended by national policy-makers. Legislative changes have opened up tax-funded services to private provision, and a customer-choice (voucher) model and a tax deduction for household- and care services have been introduced. As a result of declining tax-funded home-care services, older persons with lower education increasingly receive family care, while those with higher education are more likely to buy private services. The combination of income-related user fees, customer-choice models and the tax deduction has created an incentive for high-income older persons to turn to the market instead of using public home-care services. Thus, Swedish home care, as a universal welfare service, is now under threat and may become increasingly dominated by groups with less education and lower income which, in turn, could jeopardise the quality of care. © 2011 Blackwell Publishing Ltd.

  3. Scaling up the mining of semantically-enriched trajectories: TripBuilder at the world level

    OpenAIRE

    Brilhante, Igo; Macedo, Jose Antonio; Nardini, Franco Maria; Perego, Raffaele; Renso, Chiara

    2015-01-01

    TripBuilder is an unsupervised system helping tourists to build their own personalized sightseeing tour [1,3,2]. Given a target touristic city, the time available for the visit, and the tourist's profile, TripBuilder provides a time-budgeted tour that maximizes tourist's interests and takes into account both the time needed to enjoy the at- tractions and to move from one Point of Interest (PoI) to the next one. The knowledge base feeding the sightseeing tour generation algorithm of TripBuilde...

  4. An Efficient Recommendation Filter Model on Smart Home Big Data Analytics for Enhanced Living Environments.

    Science.gov (United States)

    Chen, Hao; Xie, Xiaoyun; Shu, Wanneng; Xiong, Naixue

    2016-10-15

    With the rapid growth of wireless sensor applications, the user interfaces and configurations of smart homes have become so complicated and inflexible that users usually have to spend a great amount of time studying them and adapting to their expected operation. In order to improve user experience, a weighted hybrid recommender system based on a Kalman Filter model is proposed to predict what users might want to do next, especially when users are located in a smart home with an enhanced living environment. Specifically, a weight hybridization method was introduced, which combines contextual collaborative filter and the contextual content-based recommendations. This method inherits the advantages of the optimum regression and the stability features of the proposed adaptive Kalman Filter model, and it can predict and revise the weight of each system component dynamically. Experimental results show that the hybrid recommender system can optimize the distribution of weights of each component, and achieve more reasonable recall and precision rates.

  5. An Efficient Recommendation Filter Model on Smart Home Big Data Analytics for Enhanced Living Environments

    Directory of Open Access Journals (Sweden)

    Hao Chen

    2016-10-01

    Full Text Available With the rapid growth of wireless sensor applications, the user interfaces and configurations of smart homes have become so complicated and inflexible that users usually have to spend a great amount of time studying them and adapting to their expected operation. In order to improve user experience, a weighted hybrid recommender system based on a Kalman Filter model is proposed to predict what users might want to do next, especially when users are located in a smart home with an enhanced living environment. Specifically, a weight hybridization method was introduced, which combines contextual collaborative filter and the contextual content-based recommendations. This method inherits the advantages of the optimum regression and the stability features of the proposed adaptive Kalman Filter model, and it can predict and revise the weight of each system component dynamically. Experimental results show that the hybrid recommender system can optimize the distribution of weights of each component, and achieve more reasonable recall and precision rates.

  6. The global classroom model simultaneous campus- and home-based education using videoconferencing

    DEFF Research Database (Denmark)

    Weitze, Charlotte Lærke; Ørngreen, Rikke

    2014-01-01

    This paper presents and discusses findings about how students, teachers, and the organization experience a start-up-project applying videoconferences between campus and home. This is new territory for adult learning centers. The research is based on the Global Classroom Model as it is implemented...... are present on campus in the classroom, while other students are participating simultaneously from their home using laptops. In this paper, the case and context of VUC Storstrøm, the research design chosen, and the literature that already exists in this area constitutes the backdrop for the analysis...... experiences and on the organizational issues related to the transition to the Global Classroom Model as well as provide outlines to the consequences these findings may have, for example in relation to the continued development of the teachers' educational designs....

  7. Environmental policy implications of working from home: Modelling the impacts of land-use, infrastructure and socio-demographics

    International Nuclear Information System (INIS)

    Fu Miao; Andrew Kelly, J.; Peter Clinch, J.; King, Fearghal

    2012-01-01

    Working from home is generally perceived as an effective means of reducing energy use and associated pollution from commuter transport. In order to consider the merits of mechanisms and policies to support a change in behaviour that results in greater take-up of home working, this paper applies energy consumption per commute calculations and a logit model using a case study of Ireland. In marked contrast with larger countries, the energy consumption per commute is relatively low in Ireland. Nonetheless, the analysis indicates that, on average, at least an average net saving of 9.33 kW h per day can be achieved where an individual converts to working from home, after deducting the home energy consumption associated with home working. We find that land use patterns, public transport networks, internet infrastructure, commute distances and socio-demographic characteristics can serve to influence rates of home working. Encouraging the higher and lower professional categories and those in the service sectors to work from home should be the highest priority in terms of energy and emissions reductions. Increased coverage of internet services and railway coverage will support higher rates of home working. Increased dispersion of residential, commercial and industrial areas serves to encourage greater home working. - Highlights: ► An average net energy saving of 9.33 kW h per day can be achieved by an individual changing to working from home. ► Land use patterns, public transport and internet infrastructure influence rates of home working. ► Commute distances and socio-demographic characteristics influence the take-up of home working. ► Encouraging home-working by higher and lower professionals and the service sectors is the priority.

  8. Modeling activity recognition of multi resident using label combination of multi label classification in smart home

    Science.gov (United States)

    Mohamed, Raihani; Perumal, Thinagaran; Sulaiman, Md Nasir; Mustapha, Norwati; Zainudin, M. N. Shah

    2017-10-01

    Pertaining to the human centric concern and non-obtrusive way, the ambient sensor type technology has been selected, accepted and embedded in the environment in resilient style. Human activities, everyday are gradually becoming complex and thus complicate the inferences of activities when it involving the multi resident in the same smart environment. Current works solutions focus on separate model between the resident, activities and interactions. Some study use data association and extra auxiliary of graphical nodes to model human tracking information in an environment and some produce separate framework to incorporate the auxiliary for interaction feature model. Thus, recognizing the activities and which resident perform the activity at the same time in the smart home are vital for the smart home development and future applications. This paper will cater the above issue by considering the simplification and efficient method using the multi label classification framework. This effort eliminates time consuming and simplifies a lot of pre-processing tasks comparing with previous approach. Applications to the multi resident multi label learning in smart home problems shows the LC (Label Combination) using Decision Tree (DT) as base classifier can tackle the above problems.

  9. DOE Zero Energy Ready Home Case Study: TC Legend Homes — Cedarwood, Bellingham, WA

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This house was the Grand Winner in the Affordable Builder category of the 2014 Housing Innovation Awards, and has 6-inch SIP walls, a 10-inch structural insulated panel roof, and insulating concrete forms foundation walls with R-20 high-density rigid EPS foam under the slab.A single ductless heat pump heats and cools the home, which also gets passive solar heating from south-facing triple-pane windows that heat a concrete slab floor plus a connected greenhouse.

  10. Taking the Challenge at Singer Village. A Cold Climate Zero Energy Ready Home

    Energy Technology Data Exchange (ETDEWEB)

    Puttagunta, S. [Consortium for Advanced Residential Buildings, Norwalk, CT (United States); Faakye, O. [Consortium for Advanced Residential Buildings, Norwalk, CT (United States)

    2014-10-01

    After progressively incorporating ENERGY STAR® for Homes Versions 1, 2, and 3 into its standard practices over the years, this builder, Brookside Development, was seeking to build an even more sustainable product that would further increase energy efficiency, while also addressing indoor air quality, water conservation, renewable-ready, and resiliency. These objectives align with the framework of the DOE Challenge Home program, which "builds upon the comprehensive building science requirements of ENERGY STAR for Homes Version 3, along with proven Building America innovations and best practices. Other special attribute programs are incorporated to help builders reach unparalleled levels of performance with homes designed to last hundreds of years." Consortium for Advanced Residential Buildings (CARB) partnered with Brookside Development on the design optimization and construction of the first home in a small development of seven planned new homes being built on the old Singer Estate in Derby, CT.

  11. Taking the Challenge at Singer Village--A Cold Climate Zero Energy Ready Home

    Energy Technology Data Exchange (ETDEWEB)

    Puttagunta, S.; Gaakye, O.

    2014-10-01

    After progressively incorporating ENERGY STAR(R) for Homes Versions 1, 2, and 3 into its standard practices over the years, this builder, Brookside Development, was seeking to build an even more sustainable product that would further increase energy efficiency, while also addressing indoor air quality, water conservation, renewable-ready, and resiliency. These objectives align with the framework of the DOE Challenge Home program, which 'builds upon the comprehensive building science requirements of ENERGY STAR for Homes Version 3, along with proven Building America innovations and best practices. Other special attribute programs are incorporated to help builders reach unparalleled levels of performance with homes designed to last hundreds of years.' CARB partnered with Brookside Development on the design optimization and construction of the first home in a small development of seven planned new homes being built on the old Singer Estate in Derby, CT.

  12. The moral economy of home construction in late socialist Yugoslavia

    Science.gov (United States)

    Archer, Rory

    2018-01-01

    ABSTRACT Housing shortages in Yugoslav cities were a perennial concern for authorities and citizens alike. They disproportionately affected Yugoslav workers who as a consequence were the demographic most likely to independently construct a family home. This article explores how informal builders justified home construction in moral terms, legitimizing it on the basis of physical labour that was invested in home construction. This was couched in both the language register of Yugoslav socialism and patriarchal custom (according to which a male-headed household should enjoy the right to a family home). Construction was also conditioned by the opportunities and constraints of late socialist temporalities. PMID:29503597

  13. Medicare and Medicaid Programs; CY 2018 Home Health Prospective Payment System Rate Update and CY 2019 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements. Final rule.

    Science.gov (United States)

    2017-11-07

    This final rule updates the home health prospective payment system (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply (NRS) conversion factor, effective for home health episodes of care ending on or after January 1, 2018. This rule also: Updates the HH PPS case-mix weights using the most current, complete data available at the time of rulemaking; implements the third year of a 3-year phase-in of a reduction to the national, standardized 60-day episode payment to account for estimated case-mix growth unrelated to increases in patient acuity (that is, nominal case-mix growth) between calendar year (CY) 2012 and CY 2014; and discusses our efforts to monitor the potential impacts of the rebasing adjustments that were implemented in CY 2014 through CY 2017. In addition, this rule finalizes changes to the Home Health Value-Based Purchasing (HHVBP) Model and to the Home Health Quality Reporting Program (HH QRP). We are not finalizing the implementation of the Home Health Groupings Model (HHGM) in this final rule.

  14. Interpretable Predictive Models for Knowledge Discovery from Home-Care Electronic Health Records

    Directory of Open Access Journals (Sweden)

    Bonnie L. Westra

    2011-01-01

    Full Text Available The purpose of this methodological study was to compare methods of developing predictive rules that are parsimonious and clinically interpretable from electronic health record (EHR home visit data, contrasting logistic regression with three data mining classification models. We address three problems commonly encountered in EHRs: the value of including clinically important variables with little variance, handling imbalanced datasets, and ease of interpretation of the resulting predictive models. Logistic regression and three classification models using Ripper, decision trees, and Support Vector Machines were applied to a case study for one outcome of improvement in oral medication management. Predictive rules for logistic regression, Ripper, and decision trees are reported and results compared using F-measures for data mining models and area under the receiver-operating characteristic curve for all models. The rules generated by the three classification models provide potentially novel insights into mining EHRs beyond those provided by standard logistic regression, and suggest steps for further study.

  15. Mind the gap - Deriving a compatible user mental model of the home heating system to encourage sustainable behaviour.

    Science.gov (United States)

    Revell, Kirsten M A; Stanton, Neville A

    2016-11-01

    Householders' behaviour with their home heating systems is a considerable contributor to domestic energy consumption. To create a design specification for the 'scaffolding' needed for sustainable behaviour with home heating controls, Norman's (1986) Gulf of Execution and Evaluation was applied to the home heating system. A Home Heating Design Model (DM) was produced with a home heating expert. Norman's (1986) 7 Stages of Activity were considered to derive a Compatible User Mental Model (CUMM) of a typical Heating System. Considerable variation in the concepts needed at each stage was found. Elements that could be derived from the DM supported stages relating to action specification, execution, perception and interpretation, but many are not communicated in the design of typical heating controls. Stages relating to goals, intentions and evaluation required concepts beyond the DM. A systems view that tackles design for sustainable behaviour from a variety of levels is needed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. Comparing consumer-directed and agency models for providing supportive services at home.

    Science.gov (United States)

    Benjamin, A E; Matthias, R; Franke, T M

    2000-04-01

    To examine the service experiences and outcomes of low-income Medicaid beneficiaries with disabilities under two different models for organizing home-based personal assistance services: agency-directed and consumer-directed. A survey of a random sample of 1,095 clients, age 18 and over, who receive services in California's In-Home Supportive Services (IHSS) program funded primarily by Medicaid. Other data were obtained from the California Management and Payrolling System (CMIPS). The sample was stratified by service model (agency-directed or consumer-directed), client age (over or under age 65), and severity. Data were collected on client demographics, condition/functional status, and supportive service experience. Outcome measures were developed in three areas: safety, unmet need, and service satisfaction. Factor analysis was used to reduce multiple outcome measures to nine dimensions. Multiple regression analysis was used to assess the effect of service model on each outcome dimension, taking into account the client-provider relationship, client demographics, and case mix. Recipients of IHSS services as of mid-1996 were interviewed by telephone. The survey was conducted in late 1996 and early 1997. On various outcomes, recipients in the consumer-directed model report more positive outcomes than those in the agency model, or they report no difference. Statistically significant differences emerge on recipient safety, unmet needs, and service satisfaction. A family member present as a paid provider is also associated with more positive reported outcomes within the consumer-directed model, but model differences persist even when this is taken into account. Although both models have strengths and weaknesses, from a recipient perspective the consumer-directed model is associated with more positive outcomes. Although health professionals have expressed concerns about the capacity of consumer direction to assure quality, particularly with respect to safety, meeting unmet

  17. The Unexplored Power and Potential of Youth as Peace-builder

    NARCIS (Netherlands)

    Del Felice, M.C.; Wisler, A.

    2007-01-01

    Around the world many young people are victims of cultural, direct, and structural violence and become carriers of that violence or perpetration. There is a strong tendency among politicians and researchers to see youth as a problem to be solved. However, many youth are peaceful and peace-builders.

  18. 13 CFR 120.391 - What is the Builders Loan Program?

    Science.gov (United States)

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What is the Builders Loan Program? 120.391 Section 120.391 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS...)(9) of the Act, SBA may make or guarantee loans to finance small general contractors to construct or...

  19. Correction of gynecomastia in body builders and patients with good physique.

    Science.gov (United States)

    Blau, Mordcai; Hazani, Ron

    2015-02-01

    Temporary gynecomastia in the form of breast buds is a common finding in young male subjects. In adults, permanent gynecomastia is an aesthetic impairment that may result in interest in surgical correction. Gynecomastia in body builders creates an even greater distress for patients seeking surgical treatment because of the demands of professional competition. The authors present their experience with gynecomastia in body builders as the largest study of such a group in the literature. Between the years 1980 and 2013, 1574 body builders were treated surgically for gynecomastia. Of those, 1073 were followed up for a period of 1 to 5 years. Ages ranged from 18 to 51 years. Subtotal excision in the form of subcutaneous mastectomy with removal of at least 95 percent of the glandular tissue was used in virtually all cases. In cases where body fat was extremely low, liposuction was performed in fewer than 2 percent of the cases. Aesthetically pleasing results were achieved in 98 percent of the cases based on the authors' patient satisfaction survey. The overall rate of hematomas was 9 percent in the first 15 years of the series and 3 percent in the final 15 years. There were no infections, contour deformities, or recurrences. This study demonstrates the importance of direct excision of the glandular tissue over any other surgical technique when correcting gynecomastia deformities in body builders. The novice surgeon is advised to proceed with cases that are less challenging, primarily with patients that require excision of small to medium glandular tissue. Therapeutic, IV.

  20. 77 FR 28411 - Adrenalina, Affinity Technology Group, Inc., Braintech, Inc., Builders Transport, Incorporated...

    Science.gov (United States)

    2012-05-14

    ... SECURITIES AND EXCHANGE COMMISSION [File No. 500-1] Adrenalina, Affinity Technology Group, Inc., Braintech, Inc., Builders Transport, Incorporated, and Catuity, Inc.; Order of Suspension of Trading May 10... information concerning the securities of Adrenalina because it has not filed any periodic reports since the...

  1. Modeling the spread of methicillin-resistant Staphylococcus aureus in nursing homes for elderly.

    Directory of Open Access Journals (Sweden)

    Farida Chamchod

    Full Text Available Methicillin-resistant Staphylococcus aureus (MRSA is endemic in many hospital settings, including nursing homes. It is an important nosocomial pathogen that causes mortality and an economic burden to patients, hospitals, and the community. The epidemiology of the bacteria in nursing homes is both hospital- and community-like. Transmission occurs via hands of health care workers (HCWs and direct contacts among residents during social activities. In this work, mathematical modeling in both deterministic and stochastic frameworks is used to study dissemination of MRSA among residents and HCWs, persistence and prevalence of MRSA in a population, and possible means of controlling the spread of this pathogen in nursing homes. The model predicts that: (i without strict screening and decolonization of colonized individuals at admission, MRSA may persist; (ii decolonization of colonized residents, improving hand hygiene in both residents and HCWs, reducing the duration of contamination of HCWs, and decreasing the resident∶staff ratio are possible control strategies; (iii the mean time that a resident remains susceptible since admission may be prolonged by screening and decolonization treatment in colonized individuals; (iv in the stochastic framework, the total number of colonized residents varies and may increase when the admission of colonized residents, the duration of colonization, the average number of contacts among residents, or the average number of contacts that each resident requires from HCWs increases; (v an introduction of a colonized individual into an MRSA-free nursing home has a much higher probability of leading to a major outbreak taking off than an introduction of a contaminated HCW.

  2. Cancer patient-centered home care: a new model for health care in oncology

    Directory of Open Access Journals (Sweden)

    Tralongo P

    2011-09-01

    Full Text Available Paolo Tralongo1, Francesco Ferraù2, Nicolò Borsellino3, Francesco Verderame4, Michele Caruso5, Dario Giuffrida6, Alfredo Butera7, Vittorio Gebbia81Medical Oncology Unit, Azienda Sanitaria Provinciale, Siracusa; 2Medical Oncology Unit, Ospedale San Vincenzo, Taormina; 3Medical Oncology Unit, Ospedale Buccheri La Ferla, Palermo; 4Medical Oncology Unit, Ospedale Giovanni Paolo II, Sciacca; 5Medical Oncology Unit, Istituto Humanitas, Catania; 6Medical Oncology Unit, Istituto Oncologico del Mediterraneo, Catania; 7Medical Oncology Unit, Ospedale San Giovanni di Dio, Agrigento; 8Medical Oncology Unit, Dipartimento Oncologico, La Maddalena, Università degli Studi, Palermo, ItalyAbstract: Patient-centered home care is a new model of assistance, which may be integrated with more traditional hospital-centered care especially in selected groups of informed and trained patients. Patient-centered care is based on patients' needs rather than on prognosis, and takes into account the emotional and psychosocial aspects of the disease. This model may be applied to elderly patients, who present comorbid diseases, but it also fits with the needs of younger fit patients. A specialized multidisciplinary team coordinated by experienced medical oncologists and including pharmacists, psychologists, nurses, and social assistance providers should carry out home care. Other professional figures may be required depending on patients' needs. Every effort should be made to achieve optimal coordination between the health professionals and the reference hospital and to employ shared evidence-based guidelines, which in turn guarantee safety and efficacy. Comprehensive care has to be easily accessible and requires a high level of education and knowledge of the disease for both the patients and their caregivers. Patient-centered home care represents an important tool to improve quality of life and help cancer patients while also being cost effective.Keywords: cancer, home care

  3. Keys to the House: Unlocking Residential Savings With Program Models for Home Energy Upgrades

    Energy Technology Data Exchange (ETDEWEB)

    Grevatt, Jim [Energy Futures Group (United States); Hoffman, Ian [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Hoffmeyer, Dale [US Department of Energy, Washington, DC (United States)

    2017-07-05

    After more than 40 years of effort, energy efficiency program administrators and associated contractors still find it challenging to penetrate the home retrofit market, especially at levels commensurate with state and federal goals for energy savings and emissions reductions. Residential retrofit programs further have not coalesced around a reliably successful model. They still vary in design, implementation and performance, and they remain among the more difficult and costly options for acquiring savings in the residential sector. If programs are to contribute fully to meeting resource and policy objectives, administrators need to understand what program elements are key to acquiring residential savings as cost effectively as possible. To that end, the U.S. Department of Energy (DOE) sponsored a comprehensive review and analysis of home energy upgrade programs with proven track records, focusing on those with robustly verified savings and constituting good examples for replication. The study team reviewed evaluations for the period 2010 to 2014 for 134 programs that are funded by customers of investor-owned utilities. All are programs that promote multi-measure retrofits or major system upgrades. We paid particular attention to useful design and implementation features, costs, and savings for nearly 30 programs with rigorous evaluations of performance. This meta-analysis describes program models and implementation strategies for (1) direct install retrofits; (2) heating, ventilating and air-conditioning (HVAC) replacement and early retirement; and (3) comprehensive, whole-home retrofits. We analyze costs and impacts of these program models, in terms of both energy savings and emissions avoided. These program models can be useful guides as states consider expanding their strategies for acquiring energy savings as a resource and for emissions reductions. We also discuss the challenges of using evaluations to create program models that can be confidently applied in

  4. Using a data-constrained model of home range establishment to predict abundance in spatially heterogeneous habitats.

    Directory of Open Access Journals (Sweden)

    Mark C Vanderwel

    Full Text Available Mechanistic modelling approaches that explicitly translate from individual-scale resource selection to the distribution and abundance of a larger population may be better suited to predicting responses to spatially heterogeneous habitat alteration than commonly-used regression models. We developed an individual-based model of home range establishment that, given a mapped distribution of local habitat values, estimates species abundance by simulating the number and position of viable home ranges that can be maintained across a spatially heterogeneous area. We estimated parameters for this model from data on red-backed vole (Myodes gapperi abundances in 31 boreal forest sites in Ontario, Canada. The home range model had considerably more support from these data than both non-spatial regression models based on the same original habitat variables and a mean-abundance null model. It had nearly equivalent support to a non-spatial regression model that, like the home range model, scaled an aggregate measure of habitat value from local associations with habitat resources. The home range and habitat-value regression models gave similar predictions for vole abundance under simulations of light- and moderate-intensity partial forest harvesting, but the home range model predicted lower abundances than the regression model under high-intensity disturbance. Empirical regression-based approaches for predicting species abundance may overlook processes that affect habitat use by individuals, and often extrapolate poorly to novel habitat conditions. Mechanistic home range models that can be parameterized against abundance data from different habitats permit appropriate scaling from individual- to population-level habitat relationships, and can potentially provide better insights into responses to disturbance.

  5. Achieving Challenge Home in Affordable Housing in the Hot-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Beal, D.; McIlvaine, J.; Winter, B.; Allnutt, R.

    2014-08-01

    The Building America Partnership for Improved Residential Construction (BA-PIRC), one of the Building America research team leads, has partnered with two builders as they work through the Challenge Home certification process in one test home each. The builder partners participating in this cost-shared research are Southeast Volusia County Habitat for Humanity near Daytona, Florida and Manatee County Habitat for Humanity near Tampa, Florida. Both are affiliates of Habitat for Humanity International, a non-profit affordable housing organization. This research serves to identify viable technical pathways to meeting the CH criteria for other builders in the region. A further objective of this research is to identify gaps and barriers in the marketplace related to product availability, labor force capability, code issues, cost effectiveness, and business case issues that hinder or prevent broader adoption on a production scale.

  6. Residential Photovoltaic Energy Systems in California: The Effect on Home Sales Prices

    Energy Technology Data Exchange (ETDEWEB)

    Hoen, Ben; Wiser, Ryan; Thayer, Mark; Cappers, Peter

    2012-04-15

    Relatively little research exists estimating the marginal impacts of photovoltaic (PV) energy systems on home sale prices. Using a large dataset of California homes that sold from 2000 through mid-2009, we find strong evidence, despite a variety of robustness checks, that existing homes with PV systems sold for a premium over comparable homes without PV systems, implying a near full return on investment. Premiums for new homes are found to be considerably lower than those for existing homes, implying, potentially, a tradeoff between price and sales velocity. The results have significant implications for homeowners, builders, appraisers, lenders, and policymakers.

  7. Hybrid-Aware Model for Senior Wellness Service in Smart Home.

    Science.gov (United States)

    Jung, Yuchae

    2017-05-22

    Smart home technology with situation-awareness is important for seniors to improve safety and security. With the development of context-aware computing, wearable sensor technology, and ubiquitous computing, it is easier for seniors to manage their health problem in smart home environment. For monitoring senior activity in smart home, wearable, and motion sensors-such as respiration rate (RR), electrocardiography (ECG), body temperature, and blood pressure (BP)-were used for monitoring movements of seniors. For context-awareness, environmental sensors-such as gas, fire, smoke, dust, temperature, and light sensors-were used for senior location data collection. Based on senior activity, senior health status can be classified into positive and negative. Based on senior location and time, senior safety is classified into safe and emergency. In this paper, we propose a hybrid inspection service middleware for monitoring elderly health risk based on senior activity and location. This hybrid-aware model for the detection of abnormal status of seniors has four steps as follows: (1) data collection from biosensors and environmental sensors; (2) monitoring senior location and time of stay in each location using environmental sensors; (3) monitoring senior activity using biometric data; finally, (4) expectation-maximization based decision-making step recommending proper treatment based on a senior health risk ratio.

  8. Application of the FOCUS-PDCA model to home care equipment management.

    Science.gov (United States)

    Watrous, J; Zappia, P

    1993-01-01

    Issuing durable medical equipment to patients for use at home is a costly and complex process. Selection, delivery, setup, and maintenance of home care equipment and the education of patients in its use are currently included in Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) accreditation surveys for those health care organizations that issue equipment. In this Department of Veterans Affairs teaching hospital, the process was complicated by eligibility regulations and frequently rotating housestaff. We organized a team who studied the process and identified opportunities for improvement in three areas: the selection of equipment items ordered, management of equipment-related data, and standardization of equipment delivery contracts. We produced a reference manual for staff, developed a simple database, and incorporated JCAHO home care equipment management standards into equipment delivery vendor contracts. The results of the team's efforts were an increase in efficiency, a decrease in discharge delays, and improved continuity of care. We chose to use the FOCUS-PDCA model to illustrate our approach to improving these processes.

  9. Quality improvement in healthcare delivery utilizing the patient-centered medical home model.

    Science.gov (United States)

    Akinci, Fevzi; Patel, Poonam M

    2014-01-01

    Despite the fact that the United States dedicates so much of its resources to healthcare, the current healthcare delivery system still faces significant quality challenges. The lack of effective communication and coordination of care services across the continuum of care poses disadvantages for those requiring long-term management of their chronic conditions. This is why the new transformation in healthcare known as the patient-centered medical home (PCMH) can help restore confidence in our population that the healthcare services they receive is of the utmost quality and will effectively enhance their quality of life. Healthcare using the PCMH model is delivered with the patient at the center of the transformation and by reinvigorating primary care. The PCMH model strives to deliver effective quality care while attempting to reduce costs. In order to relieve some of our healthcare system distresses, organizations can modify their delivery of care to be patient centered. Enhanced coordination of services, better provider access, self-management, and a team-based approach to care represent some of the key principles of the PCMH model. Patients that can most benefit are those that require long-term management of their conditions such as chronic disease and behavioral health patient populations. The PCMH is a feasible option for delivery reform as pilot studies have documented successful outcomes. Controversy about the lack of a medical neighborhood has created concern about the overall sustainability of the medical home. The medical home can stand independently and continuously provide enhanced care services as a movement toward higher quality care while organizations and government policy assess what types of incentives to put into place for the full collaboration and coordination of care in the healthcare system.

  10. Development and implementation of pharmaceutical care planning software for nursing homes based on the Fleetwood Model.

    Science.gov (United States)

    Lapane, Kate L; Hiris, Jeffrey; Hughes, Carmel M; Feinberg, Janice

    2006-12-15

    The effectiveness of pharmaceutical care planning software for nursing homes and the extent to which the software assisted in the implementation of the Fleetwood Model are described. During the study, one long-term-care pharmacy identified 13 nursing homes to participate in the intervention group of a study evaluating the effectiveness of the Fleetwood Model. To successfully implement the Fleetwood Model, which demands prospective drug regimen review and collaborative practices between dispensing and consultant pharmacists, a software system that exchanged information between these pharmacists was deemed necessary. Pharmacists' self-reported assessments of the use of the software and the technical difficulties reported with its use were collected. The number of interventions performed by pharmacist type, the proportion of residents receiving interventions by multiple pharmacists, and the extent to which the interventions were prospective and performed before the mandated 30-day review were estimated from data documented in the software. The consistency of software use by the pharmacists was also estimated. Seventy-one percent of dispensing pharmacists and 40% of consultant pharmacists reported using the software most or all of the time. Fourteen percent of dispensing pharmacists and 40% of consultant pharmacists reported technical difficulties with the software. Over half of newly admitted or readmitted residents received a Fleetwood intervention within 3 days of admittance into the nursing home-71.2% occurred in less than 30 days of admission. The use of information technology to increase communication among health care professionals and assist in providing prospective drug regimen review in long-term-care facilities is feasible. Collaboration and extensive field testing with end users, realistic expectations, appropriate training, and technical support are necessary when implementing new technology.

  11. Time Out-of-Home and Cognitive, Physical, and Emotional Wellbeing of Older Adults: A Longitudinal Mixed Effects Model.

    Directory of Open Access Journals (Sweden)

    Johanna Petersen

    Full Text Available Time out-of-home has been linked with numerous health outcomes, including cognitive decline, poor physical ability and low emotional state. Comprehensive characterization of this important health metric would potentially enable objective monitoring of key health outcomes. The objective of this study is to determine the relationship between time out-of-home and cognitive status, physical ability and emotional state.Participants included 85 independent older adults, age 65-96 years (M = 86.36; SD = 6.79 who lived alone, from the Intelligent Systems for Assessing Aging Changes (ISAAC and the ORCATECH Life Laboratory cohorts. Factors hypothesized to affect time out-of-home were assessed on three different temporal levels: yearly (cognitive status, loneliness, clinical walking speed, weekly (pain and mood or daily (time out-of-home, in-home walking speed, weather, and season. Subject characteristics including age, race, and gender were assessed at baseline. Total daily time out-of-home in hours was assessed objectively and unobtrusively for up to one year using an in-home activity sensor platform. A longitudinal tobit mixed effects regression model was used to relate daily time out-of-home to cognitive status, physical ability and emotional state. More hours spend outside the home was associated with better cognitive function as assessed using the Clinical Dementia Rating (CDR Scale, where higher scores indicate lower cognitive function (βCDR = -1.69, p<0.001. More hours outside the home was also associated with superior physical ability (βPain = -0.123, p<0.001 and improved emotional state (βLonely = -0.046, p<0.001; βLow mood = -0.520, p<0.001. Weather, season, and weekday also affected the daily time out-of-home.These results suggest that objective longitudinal monitoring of time out-of-home may enable unobtrusive assessment of cognitive, physical and emotional state. In addition, these results indicate that the factors affecting out-of-home

  12. Building America Best Practices Series, Volume 6: High-Performance Home Technologies: Solar Thermal & Photovoltaic Systems

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, Michael C.; Gilbride, Theresa L.; Ruiz, Kathleen A.; Steward, Heidi E.; Love, Pat M.

    2007-06-04

    This guide is was written by PNNL for the US Department of Energy's Building America program to provide information for residential production builders interested in building near zero energy homes. The guide provides indepth descriptions of various roof-top photovoltaic power generating systems for homes. The guide also provides extensive information on various designs of solar thermal water heating systems for homes. The guide also provides construction company owners and managers with an understanding of how solar technologies can be added to their homes in a way that is cost effective, practical, and marketable. Twelve case studies provide examples of production builders across the United States who are building energy-efficient homes with photovoltaic or solar water heating systems.

  13. Elastic Labour Supply and Home Production in a Monetary Growth Model

    Directory of Open Access Journals (Sweden)

    Wei-Bin Zhang

    2011-10-01

    Full Text Available This study constructs a monetary gender growth model with capital accumulation and endogenous labour supply. The real aspects of the model are based on the neoclassical growth theory and monetary aspects of the model are based on the cash-in-advance (CIA approach. We show that the dynamics of the economy can be described by 2-dimensional differential equations. We simulate equilibrium and motion of the economy with specified monetary policies, household preference and technology. As the monetary economic system is unstable, the economy may either experience unlimited growth or economic crisis. We also study effects of changes in some parameters on the economic equilibrium. For instance, as the woman raises her propensity to stay at home, the capital intensity is not affected, which results in that the wage rates, the rate and output level per unit of labour input are not affected. Nevertheless, the man increases his work time and the woman reduces her work time, resulting in the fall of the labour supply. The money holing, durable goods used at home and consumption level per household are reduced; also the total wealth, total capital inputs, total durable goods and total output levels are reduced.

  14. The development of an integrated care model for patients with severe or very severe chronic obstructive pulmonary disease (COPD): the COPD-Home model.

    Science.gov (United States)

    Sunde, Synnøve; Walstad, Rolf Aksel; Bentsen, Signe Berit; Lunde, Solfrid J; Wangen, Eva Marie; Rustøen, Tone; Henriksen, Anne Hildur

    2014-09-01

    Adherence to guidelines for managing stable chronic obstructive pulmonary disease (COPD) and its exacerbations is inadequate among healthcare workers and patients. An appropriate care model would meet patient needs, enhance their coping with COPD and improve their quality of life (QOL). This study aims to present the 'COPD-Home' as an integrated care model for patients with severe or very severe COPD. One principle of the COPD-Home model is that hospital treatment should lead to follow up in the patient's home. The model also includes education, improved coordination of levels of care, improved accessibility and a management plan. One of the main elements of the COPD-Home model is the clear role of the home-care nurse. Model development is based on earlier research and clinical experience. It comprises: (i) education provided through an education programme for patients and involved nurses, (ii) joint visits and telephone checks, (iii) a call centre for support and communication with a general practitioner and (iv) an individualised self-management plan including home monitoring and a plan for pharmacological and nonpharmacological interventions. The COPD-Home model attempts to cultivate competences and behaviours of patients and community nurses that better accord with guidelines for interventions. The next step in its development will be to evaluate its ability to assist both healthcare workers and planners to improve the management of COPD, reduce exacerbations and improve QOL and coping among patients with COPD. © 2013 Nordic College of Caring Science.

  15. Modeling the determinants of Medicaid home care payments for children with special health care needs: A structural equation model approach.

    Science.gov (United States)

    Adepoju, Omolola E; Zhang, Yichen; Phillips, Charles D

    2014-10-01

    The management of children with special needs can be very challenging and expensive. To examine direct and indirect cost drivers of home care expenditures for this vulnerable and expensive population. We retrospectively assessed secondary data on children, ages 4-20, receiving Medicaid Personal Care Services (PCS) (n = 2760). A structural equation model assessed direct and indirect effects of several child characteristics, clinical conditions and functional measures on Medicaid home care payments. The mean age of children was 12.1 years and approximately 60% were female. Almost half of all subjects reported mild, moderate or severe ID diagnosis. The mean ADL score was 5.27 and about 60% of subjects received some type of rehabilitation services. Caseworkers authorized an average of 25.5 h of PCS support per week. The SEM revealed three groups of costs drivers: indirect, direct and direct + indirect. Cognitive problems, health impairments, and age affect expenditures, but they operate completely through other variables. Other elements accumulate effects (externalizing behaviors, PCS hours, and rehabilitation) and send them on a single path to the dependent variable. A few elements exhibit a relatively complex position in the model by having both significant direct and indirect effects on home care expenditures - medical conditions, intellectual disability, region, and ADL function. The most important drivers of home care expenditures are variables that have both meaningful direct and indirect effects. The only one of these factors that may be within the sphere of policy change is the difference among costs in different regions. Copyright © 2014 Elsevier Inc. All rights reserved.

  16. Implementing a Zero Energy Ready Home Multifamily Project

    Energy Technology Data Exchange (ETDEWEB)

    Springer, David [National Renewable Energy Laboratory (NREL), Golden, CO (United States); German, Alea [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2015-08-17

    Building cost-effective, high-performance homes that provide superior comfort, health, and durability is the goal of the U.S. Department of Energy’s (DOE’s) Zero Energy Ready Home (ZERH) program. Building America research and other innovative programs throughout the country have addressed many of the technical challenges of building to the ZERH standard. The cost-effectiveness of measure packages that result in 30% source energy savings compared to a code-compliant home have been demonstrated. However, additional challenges remain, particularly with respect to convincing production builders of the strong business case for ZERH. The Alliance for Residential Building Innovation (ARBI) team believes that the keys to successfully engaging builders and developers in the California market are to help them leverage development agreement requirements, code compliance requirements, incentives, and competitive market advantages of ZERH certification, and navigate through this process. A primary objective of this project was to gain a highly visible foothold for residential buildings that are built to the DOE ZERH specification that can be used to encourage participation by other California builders. This report briefly describes two single-family homes that were ZERH certified and focuses on the experience of working with developer Mutual Housing on a 62-unit multifamily community at the Spring Lake subdivision in Woodland, California. The Spring Lake project is expected to be the first ZERH-certified multifamily project in the country. This report discusses the challenges encountered, lessons learned, and how obstacles were overcome.

  17. Community-Wide Zero Energy Ready Home Standard

    Energy Technology Data Exchange (ETDEWEB)

    Herk, A. [IBACOS, Inc., Pittsburght, PA (United States); Beggs, T. [IBACOS, Inc., Pittsburght, PA (United States)

    2016-02-05

    This report outlines the steps a developer can use when looking to create and implement higher performance standards such as the U.S. Department of Energy (DOE) Zero Energy Ready Home (ZERH) standards in a community. The report also describes the specific examples of how this process was followed by a developer, Forest City, in the Stapleton community in Denver, Colorado. IBACOS described the steps used to begin to bring the DOE ZERH standard to the Forest City Stapleton community based on 15 years of community-scale development work done by IBACOS. As a result of this prior IBACOS work, the team gained an understanding of the various components that a master developer needs to consider and created strategies for incorporating those components in the initial phases of development to achieve higher performance buildings in the community. An automated scoring system can be used to perform an internal audit that provides a detailed and consistent evaluation of how several homes under construction or builders' floor plans compare with the requirements of the DOE Zero Energy Ready Home program. This audit can be performed multiple times at specific milestones during construction to allow the builder to make changes as needed throughout construction for the project to meet Zero Energy Ready Home standards. This scoring system also can be used to analyze a builder's current construction practices and design.

  18. U.S. Department of Energy Zero Energy Ready Home Implementation

    Energy Technology Data Exchange (ETDEWEB)

    Rothgeb, Stacey K [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Schirber, T. [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership; Mosiman, G. [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership; VonThoma, E. [Univ. of Minnesota, St. Paul, MN (United States). NorthernSTAR Building America Partnership

    2017-07-25

    The intention of this project is to assist home builders in the upper Midwest in achieving DOE Zero Energy Ready Home program certification, and to document the process and outcomes involved in meeting this rigorous standard. NorthernSTAR, in conjunction with our program partner Building Knowledge, Inc., provided technical support to the builders during the design and construction process. At the time of this publication, four qualifying homes have been completed and an additional three are currently under construction to be completed later this year. Three additional homes were excluded from certification due to the HVAC contractor not completing their required credentialing until after completion of the homes, though the energy performance would have otherwise qualified the homes for program certification. Both Amaris Homes and Cobblestone Homes note that participation in the ZERH program provides them with competitive advantage in the market place at reasonable construction costs that also result in extremely satisfied clients who are willing to recommend the builders to friends and family.

  19. DOE Zero Energy Ready Home Case Study: The Imery Group — Proud Green Home, Serenbe, GA

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    The first certified Zero Energy Ready Home in Georgia was honored in the Custom Builder category of the 2014 Housing Innovation Awards. The 2,811-ft2, two-story custom home has 2x6 advanced framed walls filled with R-20 of open-cell spray foam, plus an R-6.6 insulated coated OSB sheathing. Also included is electronic monitoring equipment that tracks the PV, solar thermal water heater, ERV, mini-split heat pump with three indoor heads, solar water heater, and LED and CFL lighting.

  20. Modeling indoor air pollution of outdoor origin in homes of SAPALDIA subjects in Switzerland.

    Science.gov (United States)

    Meier, Reto; Schindler, Christian; Eeftens, Marloes; Aguilera, Inmaculada; Ducret-Stich, Regina E; Ineichen, Alex; Davey, Mark; Phuleria, Harish C; Probst-Hensch, Nicole; Tsai, Ming-Yi; Künzli, Nino

    2015-09-01

    Given the shrinking spatial contrasts in outdoor air pollution in Switzerland and the trends toward tightly insulated buildings, the Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults (SAPALDIA) needs to understand to what extent outdoor air pollution remains a determinant for residential indoor exposure. The objectives of this paper are to identify determining factors for indoor air pollution concentrations of particulate matter (PM), ultrafine particles in the size range from 15 to 300nm, black smoke measured as light absorbance of PM (PMabsorbance) and nitrogen dioxide (NO2) and to develop predictive indoor models for SAPALDIA. Multivariable regression models were developed based on indoor and outdoor measurements among homes of selected SAPALDIA participants in three urban (Basel, Geneva, Lugano) and one rural region (Wald ZH) in Switzerland, various home characteristics and reported indoor sources such as cooking. Outdoor levels of air pollutants were important predictors for indoor air pollutants, except for the coarse particle fraction. The fractions of outdoor concentrations infiltrating indoors were between 30% and 66%, the highest one was observed for PMabsorbance. A modifying effect of open windows was found for NO2 and the ultrafine particle number concentration. Cooking was associated with increased particle and NO2 levels. This study shows that outdoor air pollution remains an important determinant of residential indoor air pollution in Switzerland. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. DOE Zero Energy Ready Home Case Study: Ithaca Neighborhood Housing Services, Ithaca, New York

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-10-01

    Eleven new townhomes comply with EPA's airPLUS criteria and use EPA WaterSense-qualifying features. Foundation walls are insulated on the exterior with XPS insulation. Non-shared walls use wall panels that were produced offsite. This builder was awarded a 2013 Housing Innovation Award in the affordable home category.

  2. DOE Zero Energy Ready Home Case Study: Southeast Volusia Habitat for Humanity, Edgewater, FL

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2014-09-01

    This home garnered an award in the Affordable Builder category of the 2014 Housing Innovation Awards, and features 2x4 walls with fiberglass batt inside plus R-3 rigid foam on the exterior, ENERGY STAR lighting, appliances, and ceiling fans, a solar water heater, an energy recovery ventilation, and a high efficiency heat pump.

  3. 7 CFR Exhibit L to Subpart A of... - Insured 10-Year Home Warranty Plan Requirements

    Science.gov (United States)

    2010-01-01

    ... successor agency under Public Law 103-354 will reconsider its acceptance of the group. C. Individual state... plans have been developed offering new homeowners varying degrees of protection against builder default... Farmers Home Administration (FmHA) or its successor agency under Public Law 103-354. An acceptable...

  4. Preminary Performance Evaluation of a Near Zero Energy Home in Gainesville, Florida

    Energy Technology Data Exchange (ETDEWEB)

    Parker, Danny [Florida Solar Energy Center, Cocoa, FL (United States); Sherwin, John [Florida Solar Energy Center, Cocoa, FL (United States); Hoak, David [Florida Solar Energy Center, Cocoa, FL (United States); Chandra, Subrao [Florida Solar Energy Center, Cocoa, FL (United States); Martin, Eric [Florida Solar Energy Center, Cocoa, FL (United States)

    2009-02-20

    This case study is a summary on a near zero energy home that was built in Gainesville, FL as a result of collaboration between the Florida Solar Enegery Center and the Florida H.E.R.O., an innovative developer and builder.

  5. DOE Zero Energy Ready Home Case Study: Amaris Custom Homes, St. Paul, Minnesota

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-06-01

    For this project, Amaris worked with U.S. Department of Energy (DOE) team, NorthernSTAR Building America Partnership, to develop the first Zero Energy Ready Home (ZERH) in Minnesota's cold climate using reasonable, cost-effective, and replicable construction materials and practices. The result is a passive solar, super-efficient 3542-ft2 walkout ranch-style home with all the creature comforts. Along with meeting ZERH standards, Amaris also achieved certifications for Leadership in Energy & Environmental Design for Homes v4, MN Green Path Emerald, and a Builders Association of the Twin Cities Reggie Award of Excellence. The home achieves a HERS score of 41 without photovoltaics; with PV, the home achieves a HERS score of 5.

  6. Collective Value Creation and Empowerment in an Online Brand Community: A Netnographic Study on LEGO Builders

    Directory of Open Access Journals (Sweden)

    Pekka Tuominen

    2012-06-01

    Full Text Available Online communities are becoming “places” of belonging, information, and emotional support that people cannot do without. These social groups have a real existence for their participants, and thus have consequential effects on many aspects of behaviour. This article examines collective value creation and empowerment in an online brand community. It presents the main features of an online brand community, the process of value co-creation, and motivators for participating in online brand communities. These key factors jointly characterize collective value creation and empowerment. This netnographic study focuses on an online brand community called BrickBuilders, which is a meeting place for LEGO builders in Finland. BrickBuilders’ members feel a sense of belonging, they share similar motivations, and they create value together.

  7. VQone MATLAB toolbox: A graphical experiment builder for image and video quality evaluations: VQone MATLAB toolbox.

    Science.gov (United States)

    Nuutinen, Mikko; Virtanen, Toni; Rummukainen, Olli; Häkkinen, Jukka

    2016-03-01

    This article presents VQone, a graphical experiment builder, written as a MATLAB toolbox, developed for image and video quality ratings. VQone contains the main elements needed for the subjective image and video quality rating process. This includes building and conducting experiments and data analysis. All functions can be controlled through graphical user interfaces. The experiment builder includes many standardized image and video quality rating methods. Moreover, it enables the creation of new methods or modified versions from standard methods. VQone is distributed free of charge under the terms of the GNU general public license and allows code modifications to be made so that the program's functions can be adjusted according to a user's requirements. VQone is available for download from the project page (http://www.helsinki.fi/psychology/groups/visualcognition/).

  8. A model of the precaution adoption process: evidence from home radon testing

    International Nuclear Information System (INIS)

    Weinstein, N.D.; Sandman, P.M.

    1992-01-01

    The authors present the precaution adoption process model--a stage theory consisting of seven distinct states between ignorance and completed preventive action. The stages are 'unaware of the issue,' 'aware of the issue but not personally engaged,' 'engaged and deciding what to do,' 'planning to act but not yet having acted,' 'having decided not to act,' 'acting,' and 'maintenance.' The theory asserts that these stages represent qualitatively different patterns of behavior, beliefs, and experience and that the factors that produce transitions between stages vary depending on the specific transition being considered. Data from seven studies of home radon testing are examined to test some of the claims made by this model. Stage theories of protective behavior are contrasted with theories that see precaution adoption in terms of movement along a single continuum of action likelihood.32 references

  9. Medical staff involvement in nursing homes: development of a conceptual model and research agenda.

    Science.gov (United States)

    Shield, Renée; Rosenthal, Marsha; Wetle, Terrie; Tyler, Denise; Clark, Melissa; Intrator, Orna

    2014-02-01

    Medical staff (physicians, nurse practitioners, physicians' assistants) involvement in nursing homes (NH) is limited by professional guidelines, government policies, regulations, and reimbursements, creating bureaucratic burden. The conceptual NH Medical Staff Involvement Model, based on our mixed-methods research, applies the Donabedian "structure-process-outcomes" framework to the NH, identifying measures for a coordinated research agenda. Quantitative surveys and qualitative interviews conducted with medical directors, administrators and directors of nursing, other experts, residents and family members and Minimum Data Set, the Online Certification and Reporting System and Medicare Part B claims data related to NH structure, process, and outcomes were analyzed. NH control of medical staff, or structure, affects medical staff involvement in care processes and is associated with better outcomes (e.g., symptom management, appropriate transitions, satisfaction). The model identifies measures clarifying the impact of NH medical staff involvement on care processes and resident outcomes and has strong potential to inform regulatory policies.

  10. Home care and the new economy. Creating a new model for service delivery.

    Science.gov (United States)

    Sobolewski, S; Marren, J

    2000-01-01

    The strategy undertaken by the VNSNY for its survival has been to create a new service delivery model. The design of the SDM is based on a study of organizations, within and outside of health care, that face common challenges in the home health industry today: increased competition, declining reimbursement with escalating costs, and demands for improved outcomes and customer satisfaction. The model that emerged contained several important strategies in its design, including the alignment of team goals with organizational strategic objectives, restructuring teams as multidisciplinary units, redefining the work of teams to include practice improvement and supporting team learning, increasing members' accountability for team not individual performance. The SDM continues to evolve and improve during the process of implementation as lessons emerge from our experience with teams. Preliminary results indicate that the efforts have begun to show improvements in outcomes.

  11. Business Solutions Case Study: Marketing Zero Energy Homes: LifeStyle Homes, Melbourne, Florida

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-06-01

    Building America research has shown that high-performance homes can potentially give builders an edge in the marketplace and can boost sales. But it doesn't happen automatically. It requires a tailored, easy to understand marketing campaign and sometimes a little flair. This case study highlights LifeStyle Homes’ successful marketing approach for their SunSmart home package, which has helped to boost sales for the company. SunSmart marketing includes a modified logo, weekly blog, social media, traditional advertising, website, and sales staff training. Marketing focuses on quality, durability, healthy indoor air, and energy efficiency with an emphasis on the surety of third-party verification and the scientific approach to developing the SunSmart package. With the introduction of SunSmart, LifeStyle began an early recovery, nearly doubling sales in 2010; SunSmart sales now exceed 300 homes, including more than 20 zero energy homes. Completed homes in 2014 far outpaced the national (19%) and southern census region (27%) recovery rates for the same period. As technology improves and evolves, this builder will continue to collaborate with Building America.

  12. Measured Performance of Occupied, Side-by-Side, South Texas Homes

    Energy Technology Data Exchange (ETDEWEB)

    Chasar, Dave; vonSchramm, Valerie

    2012-09-01

    The performance of three homes in San Antonio, Texas with identical floor plans and orientation were evaluated through a partnership between the Florida Solar Energy Center (FSEC), CPS Energy, and Woodside Homes of South Texas. Measurements included whole house gas and electric use as well as heating, cooling, hot water, major appliances and indoor and outdoor conditions. One home built to builder standard practice served as the control, while the other homes demonstrated high performance features. Utility peak electric load comparisons of these dual-fuel homes provide an assessment of envelope and equipment improvements.

  13. The InfiniBand based Event Builder implementation for the LHCb upgrade

    Science.gov (United States)

    Falabella, A.; Giacomini, F.; Manzali, M.; Marconi, U.; Neufeld, N.; Valat, S.; Voneki, B.

    2017-10-01

    The LHCb experiment will undergo a major upgrade during the second long shutdown (2019 - 2020). The upgrade will concern both the detector and the Data Acquisition system, which are to be rebuilt in order to optimally exploit the foreseen higher event rate. The Event Builder is the key component of the DAQ system, for it gathers data from the sub-detectors and builds up the whole event. The Event Builder network has to manage an incoming data rate of 32 Tb/s from a 40 MHz bunch-crossing frequency, with a cardinality of about 500 nodes. In this contribution we present an Event Builder implementation based on the InfiniBand network technology. This software relies on the InfiniBand verbs, which offers a user space interface to employ the Remote Direct Memory Access capabilities provided by the InfiniBand network devices. We will present the performance of the software on a cluster connected with 100 Gb/s InfiniBand network.

  14. Response to depression treatment in the Aging Brain Care Medical Home model

    Directory of Open Access Journals (Sweden)

    LaMantia MA

    2016-10-01

    Full Text Available Michael A LaMantia,1–4 Anthony J Perkins,5,6 Sujuan Gao,2,7 Mary G Austrom,8,9 Cathy A Alder,10 Dustin D French,11,12 Debra K Litzelman,2,3,13 Ann H Cottingham,3 Malaz A Boustani1–3,5 1Indiana University Center for Aging Research, 2Regenstrief Institute, Inc., 3Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, 4Department of Medicine, University of Vermont College of Medicine, Burlington, VT, 5Indiana University Center for Health Innovation and Implementation Science, 6Indiana Clinical and Translational Sciences Institute, 7Department of Biostatistics, Indiana University School of Medicine, 8Department of Psychiatry, Indiana University School of Medicine, 9Indiana University Alzheimer’s Disease Center, 10Eskenazi Health, Indianapolis, IN, 11Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, 12Veterans Affairs Health Services Research and Development Service, Chicago, IL, 13Indiana University Center for Health Services and Outcomes Research, Indianapolis, IN, USA Objective: To evaluate the effect of the Aging Brain Care (ABC Medical Home program’s depression module on patients’ depression severity measurement over time.Design: Retrospective chart review.Setting: Public hospital system.Participants: Patients enrolled in the ABC Medical Home program between October 1, 2012 and March 31, 2014.Methods: The response of 773 enrolled patients who had multiple patient health questionnaire-9 (PHQ-9 scores recorded in the ABC Medical Home program’s depression care protocol was evaluated. Repeatedly measured PHQ-9 change scores were the dependent variables in the mixed effects models, and demographic and comorbid medical conditions were tested as potential independent variables while including random effects for time and intercept.Results: Among those patients with baseline PHQ-9 scores >10, there was a significant decrease in PHQ-9 scores over time (P<0.001; however, the effect

  15. Strategy Guideline: Partnering for High Performance Homes

    Energy Technology Data Exchange (ETDEWEB)

    Prahl, D.

    2013-01-01

    High performance houses require a high degree of coordination and have significant interdependencies between various systems in order to perform properly, meet customer expectations, and minimize risks for the builder. Responsibility for the key performance attributes is shared across the project team and can be well coordinated through advanced partnering strategies. For high performance homes, traditional partnerships need to be matured to the next level and be expanded to all members of the project team including trades, suppliers, manufacturers, HERS raters, designers, architects, and building officials as appropriate. In an environment where the builder is the only source of communication between trades and consultants and where relationships are, in general, adversarial as opposed to cooperative, the chances of any one building system to fail are greater. Furthermore, it is much harder for the builder to identify and capitalize on synergistic opportunities. Partnering can help bridge the cross-functional aspects of the systems approach and achieve performance-based criteria. Critical success factors for partnering include support from top management, mutual trust, effective and open communication, effective coordination around common goals, team building, appropriate use of an outside facilitator, a partnering charter progress toward common goals, an effective problem-solving process, long-term commitment, continuous improvement, and a positive experience for all involved.

  16. Women’s empowerment model in home-based industries in East Java Province, Indonesia

    Directory of Open Access Journals (Sweden)

    Emy Susanti

    2017-12-01

    Full Text Available This study aimed to classify the role of women, gender and characteristics of home-based industries that were managed by women in two cities of East Java Province. This study also tried to identify strengths, weaknesses and challenges faced by these women, especially impoverished women. The research employed qualitative method supported by quantitative data. The data collected through structured interviews guided by questionnaires and indepth interviews. Three main results were attained. First, it was related to the characteristics of women workers, the role of multi-burdened women, the flexible working hours, formal education but unrelated to work, and low income but still importantly needed to support economic condition. Second, three networks were found: network between manager/owner and workers that was informal and family-oriented, network between managers and local government for marketing and training, and network with the private sector for access to capital and business development. Third, the model of empowering small home-based industries should consider the specific needs of women. In other words, there is a requisite for practical and strategic gender needs that has to be comprehended and become the basis for the planning and development to conduct activities and programs for women.

  17. A Statewide Model for Assisting Nursing Home Residents to Transition Successfully to the Community

    Directory of Open Access Journals (Sweden)

    Darci Buttke

    2018-04-01

    Full Text Available Minnesota’s Return to Community Initiative (RTCI is a novel, statewide initiative to assist private paying nursing home residents to return to the community and to remain in that setting without converting to Medicaid. The objective of this manuscript is to describe in detail RTCI’s development and design, its key operational components, and characteristics of its clients and their care outcomes. Data on client characteristics and outcomes come from the Minimum Data Set, staff assessments of clients and caregivers, and Medicaid eligibility files. Most clients transitioned by the RTCI had entered the nursing facility from a hospital. Clients overwhelmingly wanted to return to the community and fit a health and functional profile making them good candidates for community discharge. Most clients went to a private residence, living alone or with a spouse; yet, adult children were the most frequent caregivers. At one year of follow-up 76% of individuals were alive and living in the community and only a small percentage (8.2% had converted to Medicaid. The RTCI holds promise as a successful model for states to adopt in assisting individuals who are at risk to become long stay nursing home residents instead to return to the community.

  18. Multipayer patient-centered medical home implementation guided by the chronic care model.

    Science.gov (United States)

    Gabbay, Robert A; Bailit, Michael H; Mauger, David T; Wagner, Edward H; Siminerio, Linda

    2011-06-01

    A unique statewide multipayer ini Pennsylvania was undertaken to implement the Patient-Centered Medical Home (PCMH) guided by the Chronic Care Model (CCM) with diabetes as an initial target disease. This project represents the first broad-scale CCM implementation with payment reform across a diverse range of practice organizations and one of the largest PCMH multipayer initiatives. Practices implemented the CCM and PCMH through regional Breakthrough Series learning collaboratives, supported by Improving Performance in Practice (IPIP) practice coaches, with required monthly quality reporting enhanced by multipayer infrastructure payments. Some 105 practices, representing 382 primary care providers, were engaged in the four regional collaboratives. The practices from the Southeast region of Pennsylvania focused on diabetes patients (n = 10,016). During the first intervention year (May 2008-May 2009), all practices achieved at least Level 1 National Committee for Quality Assurance (NCQA) Physician Practice Connections Patient-Centered Medical Home (PPC-PCMH) recognition. There was significant improvement in the percentage of patients who had evidence-based complications screening and who were on therapies to reduce morbidity and mortality (statins, angiotensin-converting enzyme inhibitors). In addition, there were small but statistically significant improvements in key clinical parameters for blood pressure and cholesterol levels, with the greatest absolute improvement in the highest-risk patients. Transforming primary care delivery through implementation of the PCMH and CCM supported by multipayer infrastructure payments holds significant promise to improve diabetes care.

  19. Work-life balance culture, work-home interaction, and emotional exhaustion: a structural equation modeling approach.

    Science.gov (United States)

    Nitzsche, Anika; Pfaff, Holger; Jung, Julia; Driller, Elke

    2013-01-01

    To examine the relationships among employees' emotional exhaustion, positive and negative work-home interaction, and perceived work-life balance culture in companies. Data for this study were collected through online surveys of employees from companies in the micro- and nanotechnology sectors (N = 509). A structural equation modeling analysis was performed. A company culture perceived by employees as supportive of their work-life balance was found to have both a direct negative effect on emotional exhaustion and an indirect negative effect meditated by negative work-home interaction. In addition, whereas negative work-home interaction associated positively with emotional exhaustion, positive work-home interaction had no significant effect. The direct and indirect relationship between work-life balance culture and emotional exhaustion has practical implications for health promotion in companies.

  20. Building America Case Study: High Performance Ducts in Hot-Dry Climates; Technology Solutions for New and Existing Homes, Energy Efficiency & Renewable Energy (EERE)

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-08-01

    ?Ducts in conditioned space (DCS) represent a high priority measure for moving the next generation of new homes to the Zero Net Energy performance level. Various strategies exist for incorporating ducts within the conditioned thermal envelope. To support this activity, in 2013 the Pacific Gas & Electric Company initiated a project with Davis Energy Group (lead for the Building America team, Alliance for Residential Building Innovation) to solicit builder involvement in California to participate in field demonstrations of various DCS strategies. Builders were given incentives and design support in exchange for providing site access for construction observation, diagnostic testing, and builder survey feedback. Information from the project was designed to feed into California's 2016 Title 24 process, but also to serve as an initial mechanism to engage builders in more high performance construction strategies. This Building America project complemented information collected in the California project with BEopt simulations of DCS performance in hot/dry climate regions.

  1. Providing High-Quality Support Services to Home-Based Child Care: A Conceptual Model and Literature Review

    Science.gov (United States)

    Bromer, Juliet; Korfmacher, Jon

    2017-01-01

    Research Findings: Home-based child care accounts for a significant proportion of nonparental child care arrangements for young children in the United States. Yet the early care and education field lacks clear models or pathways for how to improve quality in these settings. The conceptual model presented here articulates the components of…

  2. Process Mining for Individualized Behavior Modeling Using Wireless Tracking in Nursing Homes

    Directory of Open Access Journals (Sweden)

    Vicente Traver

    2013-11-01

    Full Text Available The analysis of human behavior patterns is increasingly used for several research fields. The individualized modeling of behavior using classical techniques requires too much time and resources to be effective. A possible solution would be the use of pattern recognition techniques to automatically infer models to allow experts to understand individual behavior. However, traditional pattern recognition algorithms infer models that are not readily understood by human experts. This limits the capacity to benefit from the inferred models. Process mining technologies can infer models as workflows, specifically designed to be understood by experts, enabling them to detect specific behavior patterns in users. In this paper, the eMotiva process mining algorithms are presented. These algorithms filter, infer and visualize workflows. The workflows are inferred from the samples produced by an indoor location system that stores the location of a resident in a nursing home. The visualization tool is able to compare and highlight behavior patterns in order to facilitate expert understanding of human behavior. This tool was tested with nine real users that were monitored for a 25-week period. The results achieved suggest that the behavior of users is continuously evolving and changing and that this change can be measured, allowing for behavioral change detection.

  3. Process Mining for Individualized Behavior Modeling Using Wireless Tracking in Nursing Homes

    Science.gov (United States)

    Fernández-Llatas, Carlos; Benedi, José-Miguel; García-Gómez, Juan M.; Traver, Vicente

    2013-01-01

    The analysis of human behavior patterns is increasingly used for several research fields. The individualized modeling of behavior using classical techniques requires too much time and resources to be effective. A possible solution would be the use of pattern recognition techniques to automatically infer models to allow experts to understand individual behavior. However, traditional pattern recognition algorithms infer models that are not readily understood by human experts. This limits the capacity to benefit from the inferred models. Process mining technologies can infer models as workflows, specifically designed to be understood by experts, enabling them to detect specific behavior patterns in users. In this paper, the eMotiva process mining algorithms are presented. These algorithms filter, infer and visualize workflows. The workflows are inferred from the samples produced by an indoor location system that stores the location of a resident in a nursing home. The visualization tool is able to compare and highlight behavior patterns in order to facilitate expert understanding of human behavior. This tool was tested with nine real users that were monitored for a 25-week period. The results achieved suggest that the behavior of users is continuously evolving and changing and that this change can be measured, allowing for behavioral change detection. PMID:24225907

  4. 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.

  5. Atmospheric Propagation Modeling Indicates Homing Pigeons use Loft-Specific Infrasonic 'Map' Cues

    Science.gov (United States)

    Hagstrum, J. T.; Baker, L. M.; Spritzer, J. M.; McKenna, M. H.

    2011-12-01

    Pigeons (Columba livia) released at distant sites commonly depart in directions significantly off the actual homeward bearing. Such site-dependent deviations, or biases, for birds from a given loft are generally stable over time, but can also change from hour to hour, day to day, and year to year. At some release sites, birds consistently vanish in random directions and have longer flight times and lower return rates. Release sites characterized by frequent disorientation are not uncommon for pigeon lofts in both Europe and the USA. One such site is the Jersey Hill fire tower in upstate New York located ~120 km W of the Cornell loft in Ithaca. Cornell birds released at Jersey Hill between 1968 and 1987 almost always vanished randomly, although birds from other lofts had little difficulty orienting there. The results for one day, however, stand out: on August 13, 1969, Cornell birds released at Jersey Hill vanished consistently to the NE (r = 0.921; n=7) and returned home after normal flight times. Cornell pigeons released the next day again showed 'normal' behavior for the site and departed randomly. If, in fact, the birds are using acoustic cues to navigate, the long-term acoustic 'dead' zone we propose for Jersey Hill, due to prevailing atmospheric conditions, indicates that the cues are coming from a single, relatively restricted area, most likely surrounding the home loft. We have modeled the transmission of infrasonic waves, presumably coupled to the atmosphere from ocean-generated microseisms (0.14 Hz), between the Cornell loft and a number of release sites using HARPA (Hamiltonian Acoustic Ray-tracing Program for the Atmosphere) and rawinsonde data collected near Albany and Buffalo, NY. The HARPA modeling shows that acoustic signals from the Cornell loft reached Jersey Hill only on a few release days with unusual atmospheric conditions, including August 13, and were launched at angles less than ~2° above horizontal, most likely from steep-sided terrain in

  6. Modular Zero Energy. BrightBuilt Home

    Energy Technology Data Exchange (ETDEWEB)

    Aldrich, Robb [Consortium for Advanced Residential Buildings (CARB), Norwalk, CT (United States). Steven Winters Associates, Inc.; Butterfield, Karla [Consortium for Advanced Residential Buildings (CARB), Norwalk, CT (United States). Steven Winters Associates, Inc.

    2016-03-01

    Kaplan Thompson Architects (KTA) has specialized in sustainable, energy-efficient buildings, and they have designed several custom, zero-energy homes in New England. These zero-energy projects have generally been high-end, custom homes with budgets that could accommodate advanced energy systems. In an attempt to make zero energy homes more affordable and accessible to a larger demographic, KTA explored modular construction as way to provide high-quality homes at lower costs. In the mid-2013, KTA formalized this concept when they launched BrightBuilt Home (BBH). The BBH mission is to offer a line of architect-designed, high-performance homes that are priced to offer substantial savings off the lifetime cost of a typical home and can be delivered in less time. For the past two years, CARB has worked with BBH and Keiser Homes (the primary modular manufacturer for BBH) to discuss challenges related to wall systems, HVAC, and quality control. In Spring of 2014, CARB and BBH began looking in detail on a home to be built in Lincolnville, ME by Black Bros. Builders. This report details the solution package specified for this modular plan and the challenges that arose during the project.

  7. Automated home cage assessment shows behavioral changes in a transgenic mouse model of spinocerebellar ataxia type 17.

    Science.gov (United States)

    Portal, Esteban; Riess, Olaf; Nguyen, Huu Phuc

    2013-08-01

    Spinocerebellar Ataxia type 17 (SCA17) is an autosomal dominantly inherited, neurodegenerative disease characterized by ataxia, involuntary movements, and dementia. A novel SCA17 mouse model having a 71 polyglutamine repeat expansion in the TATA-binding protein (TBP) has shown age related motor deficit using a classic motor test, yet concomitant weight increase might be a confounding factor for this measurement. In this study we used an automated home cage system to test several motor readouts for this same model to confirm pathological behavior results and evaluate benefits of automated home cage in behavior phenotyping. Our results confirm motor deficits in the Tbp/Q71 mice and present previously unrecognized behavioral characteristics obtained from the automated home cage, indicating its use for high-throughput screening and testing, e.g. of therapeutic compounds. Copyright © 2013 Elsevier B.V. All rights reserved.

  8. Home education

    OpenAIRE

    Beck, Christian W.

    2013-01-01

    Home Education seems to be a successful way to educate. Academic results and socialization processes in home education are promising. Already home education is global, home educators everywhere educate their children themselves without schools. They develop new forms of local and international co-operation. Is home education an impulse to a renewing of modern education? Is home education globalization otherwise?

  9. Tangible 3D modeling of coherent and themed structures

    DEFF Research Database (Denmark)

    Walther, Jeppe Ullè; Bærentzen, J. Andreas; Aanæs, Henrik

    2016-01-01

    We present CubeBuilder, a system for interactive, tangible 3D shape modeling. CubeBuilder allows the user to create a digital 3D model by placing physical, non-interlocking cubic blocks. These blocks may be placed in a completely arbitrary fashion and combined with other objects. In effect...... appears to be limited only by the number of blocks available....

  10. Array Configuration and Channel Model of MIMO Sensor for Home Security

    OpenAIRE

    Yamada, Hiroyoshi; Tanaka, Kei; Yamaguchi, Yoshio

    2011-01-01

    This report discusses MIMO system as home security sensor. MIMO propagation channel is very sensitive to the environmental change. The proposed radio sensor called MIMO sensor utilizes this feature to detect events for home security. We report fundamental results for evaluation of array configuration and propagation channel.

  11. Outcome of nursing home-acquired pneumonia: derivation and application of a practical model to predict 30 day mortality.

    Science.gov (United States)

    Naughton, B J; Mylotte, J M; Tayara, A

    2000-10-01

    To derive a prediction model of 30 day mortality for nursing home-acquired pneumonia (NHAP) based on factors that can be readily identified by nursing home staff at the time of diagnosis and to apply the model to management issues related to NHAP including clarifying the importance of prepneumonia functional status as a predictor of outcome of NHAP. This was a retrospective chart review of 378 episodes of NHAP treated in the nursing home or hospital during two periods: November 1997 to April 1998 and November 1998 to April 1999. Eleven nursing homes in the greater Buffalo, NY region. Nursing home residents with radiographically proven pneumonia who had at least one of the following signs/symptoms: cough, fever, purulent sputum, respiratory rate > or =25 breaths/minute, localized auscultatory findings, or pleuritic pain. Status (alive or dead) of each resident at 30 days (30 day mortality) after diagnosis of NHAP was the dependent variable. Factors predicting 30 day mortality were identified by logistic regression analysis. A scoring system was developed based on the results of the logistic model. Each episode of NHAP in the derivation cohort was scored using the model and the cohort was stratified by the model score into six categories or risk for mortality (0-5). The predictability of the model in the derivation cohort was measured using receiver operator characteristics curve analysis. Of 378 episodes of NHAP, 74% were treated initially in the nursing home and 26% were hospitalized initially for treatment. The overall 30 day mortality was 21.4%; however, the mortality rate was significantly higher for those treated initially in the hospital (29.6% vs 16.6%; P = .012). Logistic regression analysis identified four predictors of 30 day mortality: (1) respiratory rate >30 breaths/minute (2 points), (2) pulse > 125 beats/minute (1 point), (3) altered mental status (1 point), and (4) a history of dementia (1 point). Applying the scoring system to each episode in the

  12. Results from a data acquisition system prototype project using a switch-based event builder

    International Nuclear Information System (INIS)

    Black, D.; Andresen, J.; Barsotti, E.; Baumbaugh, A.; Esterline, D.; Knickerbocker, K.; Kwarciany, R.; Moore, G.; Patrick, J.; Swoboda, C.; Treptow, K.; Trevizo, O.; Urish, J.; VanConant, R.; Walsh, D.; Bowden, M.; Booth, A.; Cancelo, G.

    1991-11-01

    A prototype of a high bandwidth parallel event builder has been designed and tested. The architecture is based on a simple switching network and is adaptable to a wide variety of data acquisition systems. An eight channel system with a peak throughput of 160 Megabytes per second has been implemented. It is modularly expandable to 64 channels (over one Gigabyte per second). The prototype uses a number of relatively recent commercial technologies, including very high speed fiber-optic data links, high integration crossbar switches and embedded RISC processors. It is based on an open architecture which permits the installation of new technologies with little redesign effort. 5 refs., 6 figs

  13. Data Visualization with Flash Builder Designing RIA and AIR Applications with Remote Data Sources

    CERN Document Server

    Rocchi, Cesare

    2011-01-01

    Design and create functional applications that interact with remote data sources. You get a thorough introduction to the latest Flash Builder tools learning how you can use the built-in wizards, MXML or pure ActionScript 3 to build information-rich applications for the browser or AIR applications. Hand's on tutorials guide you through each iteration including building user interaction, charting, incorporating audio and video, customizing the UI; and a code repository provides re-usable code that you can modify and deploy in your own applications. *Hand's o

  14. Portable software for distributed readout controllers and event builders in FASTBUS and VME

    International Nuclear Information System (INIS)

    Pordes, R.; Berg, D.; Berman, E.; Bernett, M.; Brown, D.; Constanta-Fanourakis, P.; Dorries, T.; Haire, M.; Joshi, U.; Kaczar, K.; Mackinnon, B.; Moore, C.; Nicinski, T.; Oleynik, G.; Petravick, D.; Sergey, G.; Slimmer, D.; Streets, J.; Votava, M.; White, V.

    1989-12-01

    We report on software developed as part of the PAN-DA system to support the functions of front end readout controllers and event builders in multiprocessor, multilevel, distributed data acquisition systems. For the next generation data acquisition system we have undertaken to design and implement software tools that are easily transportable to new modules. The first implementation of this software is for Motorola 68K series processor boards in FASTBUS and VME and will be used in the Fermilab accelerator run at the beginning of 1990. We use a Real Time Kernel Operating System. The software provides general connectivity tools for control, diagnosis and monitoring. 17 refs., 7 figs

  15. The patient centered medical home: mental models and practice culture driving the transformation process.

    Science.gov (United States)

    Cronholm, Peter F; Shea, Judy A; Werner, Rachel M; Miller-Day, Michelle; Tufano, Jim; Crabtree, Benjamin F; Gabbay, Robert

    2013-09-01

    The Patient-Centered Medical Home (PCMH) has become a dominant model of primary care re-design. The PCMH model is a departure from more traditional models of healthcare delivery and requires significant transformation to be realized. To describe factors shaping mental models and practice culture driving the PCMH transformation process in a large multi-payer PCMH demonstration project. Individual interviews were conducted at 17 primary care practices in South Eastern Pennsylvania. A total of 118 individual interviews were conducted with clinicians (N = 47), patient educators (N = 4), office administrators (N = 12), medical assistants (N = 26), front office staff (N = 7), nurses (N = 4), care managers (N = 11), social workers (N = 4), and other stakeholders (N = 3). A multi-disciplinary research team used a grounded theory approach to develop the key constructs describing factors shaping successful practice transformation. Three central themes emerged from the data related to changes in practice culture and mental models necessary for PCMH practice transformation: 1) shifting practice perspectives towards proactive, population-oriented care based in practice-patient partnerships; 2) creating a culture of self-examination; and 3) challenges to developing new roles within the practice through distribution of responsibilities and team-based care. The most tension in shifting the required mental models was displayed between clinician and medical assistant participants, revealing significant barriers towards moving away from clinician-centric care. Key factors driving the PCMH transformation process require shifting mental models at the individual level and culture change at the practice level. Transformation is based upon structural and process changes that support orientation of practice mental models towards perceptions of population health, self-assessment, and the development of shared decision-making. Staff buy-in to the new roles

  16. The SKI*HI Model: A Comprehensive Model for Identification, Language Facilitation, and Family Support for Hearing Handicapped Children Through Home Management, Ages Birth to Six. Third Edition.

    Science.gov (United States)

    Clark, Thomas C.; Watkins, Susan

    The SKI HI program, a home intervention model for hearing impaired infants and their families, is described. An overview of the program is provided, followed by separate sections on administrative, direct service, and support service topics (sample subtopics in parentheses): child identification and processing (statewide hearing screening model,…

  17. Implementing a Zero Energy Ready Home Multifamily Project

    Energy Technology Data Exchange (ETDEWEB)

    Springer, David [Alliance for Residential Building Innovation, Davis, CA (United States); German, Alea [Alliance for Residential Building Innovation, Davis, CA (United States)

    2015-08-01

    An objective of this project was to gain a highly visible foothold for residential buildings built to the U.S. Department of Energy's Zero Energy Ready Home (ZERH) specification that can be used to encourage participation by other California builders. This report briefly describes two single family homes that were ZERH-certified, and focuses on the experience of working with developer Mutual Housing on a 62 unit multi-family community at the Spring Lake subdivision in Woodland, CA. The Spring Lake project is expected to be the first ZERH certified multi-family project nationwide. This report discusses challenges encountered, lessons learned, and how obstacles were overcome.

  18. Population Growth and Local Home Environment Externality in an Endogenous Growth Model with Two Engines of Growth

    OpenAIRE

    Shirou Kuwahara; Katsunori Yamada

    2007-01-01

    This paper presents an endogenous growth model with population growth and an inter-generational spillover of human capital: we consider the ``local home environment externality conceptualized by Galor and Tsiddon (1997a). The model will generate a negative relationship between the population growth rate and the per capita GDP growth rate, which is also present in the data. Furthermore, multiple equilibrium paths will result. As far as we know, this is the first paper that derives a multiplici...

  19. Creation of a National, At-home Model for Ashkenazi Jewish Carrier Screening.

    Science.gov (United States)

    Grinzaid, Karen Arnovitz; Page, Patricia Zartman; Denton, Jessica Johnson; Ginsberg, Jessica

    2015-06-01

    Ethnicity-based carrier screening for the Ashkenazi Jewish population has been available and encouraged by advocacy and community groups since the early 1970's. Both the American College of Medical Genetics and the American Congress of Obstetricians and Gynecologists recommend carrier screening for this population (Obstetrics and Gynecology, 114(4), 950-953, 2009; Genetics in Medicine, 10(1), 55-56, 2008). While many physicians inquire about ethnic background and offer appropriate carrier screening, studies show that a gap remains in implementing recommendations (Genetic testing and molecular biomarkers, 2011). In addition, education and outreach efforts targeting Jewish communities have had limited success in reaching this at-risk population. Despite efforts by the medical and Jewish communities, many Jews of reproductive age are not aware of screening, and remain at risk for having children with preventable diseases. Reaching this population, preferably pre-conception, and facilitating access to screening is critically important. To address this need, genetic counselors at Emory University developed JScreen, a national Jewish genetic disease screening program. The program includes a national marketing and PR campaign, online education, at-home saliva-based screening, post-test genetic counseling via telephone or secure video conferencing, and referrals for face-to-face genetic counseling as needed. Our goals are to create a successful education and screening program for this population and to develop a model that could potentially be used for other at-risk populations.

  20. Design of a Stand-Alone Photovoltaic Model for Home Lightings and Clean Environment

    International Nuclear Information System (INIS)

    Ani, Vincent Anayochukwu

    2016-01-01

    This paper gives a well-documented health risk of fuel-based lighting (kerosene lamps and fuel-powered generators) and proposed a design of a stand-alone solar PV system for sustainable home lightings in rural Nigerian area. The design was done in three different patterns of electricity consumptions with energy efficient lightings (EELs) using two different battery types (Rolls Surrette 6CS25PS and Hoppecke 10 OpzS 1000) on; (i) judicious power consumption, (ii) normal power consumption, and (iii) excess power consumption; and compared them with the incandescent light bulb consumption. The stand-alone photovoltaic energy systems were designed to match the rural Nigerian sunlight and weather conditions to meet the required lightings of the household. The objective function and constraints for the design models were formulated and optimization procedures were used to demonstrate the best solution (reliability at the lowest lifecycle cost). Initial capital costs as well as annualized costs over 5, 10, 15, 20, and 25 years were quantified and documented. The design identified the most cost-effective and reliable solar and battery array among the patterns of electricity consumption with EEL options (judicious power consumption, normal power consumption, and excess power consumption).

  1. Design of a Stand-Alone Photovoltaic (PV Models for Home Lightings and Clean Environment

    Directory of Open Access Journals (Sweden)

    Vincent Anayochukwu Ani

    2016-01-01

    Full Text Available This paper gives a well-documented health risks of fuel-based lighting (kerosene lamps and fuel-powered generators and proposed a design of a stand-alone solar PV system for sustainable home lightings in rural Nigerian area. The design was done in three different patterns of electricity consumptions with energy efficient lightings (EELs using two different battery types (Rolls Surrette 6CS25PS and hoppecke 10 OpzS 1000 on; i judicious power consumption, ii normal power consumption, iii excess power consumption; and compared them with the incandescent light bulb consumption. The stand-alone photovoltaic energy systems were designed to match the rural Nigerian sunlight and weather conditions to meet the required lightings of the household. The objective function and constraints for the design models were formulated and optimization procedure were used to demonstrate the best solution (reliability at the lowest lifecycle cost. Initial capital costs as well as annualized costs over 5, 10, 15, 20, and 25 years were quantified and documented. The design identified the most cost-effective and reliable solar and battery array among the patterns of electricity consumption with energy efficient lighting options (judicious power consumption, normal power consumption, and excess power consumption.

  2. GeoBuilder: a geometric algorithm visualization and debugging system for 2D and 3D geometric computing.

    Science.gov (United States)

    Wei, Jyh-Da; Tsai, Ming-Hung; Lee, Gen-Cher; Huang, Jeng-Hung; Lee, Der-Tsai

    2009-01-01

    Algorithm visualization is a unique research topic that integrates engineering skills such as computer graphics, system programming, database management, computer networks, etc., to facilitate algorithmic researchers in testing their ideas, demonstrating new findings, and teaching algorithm design in the classroom. Within the broad applications of algorithm visualization, there still remain performance issues that deserve further research, e.g., system portability, collaboration capability, and animation effect in 3D environments. Using modern technologies of Java programming, we develop an algorithm visualization and debugging system, dubbed GeoBuilder, for geometric computing. The GeoBuilder system features Java's promising portability, engagement of collaboration in algorithm development, and automatic camera positioning for tracking 3D geometric objects. In this paper, we describe the design of the GeoBuilder system and demonstrate its applications.

  3. Hurricanes Katrina and Rita and the Department of Veterans Affairs: a conceptual model for understanding the evacuation of nursing homes.

    Science.gov (United States)

    Dobalian, Aram; Claver, Maria; Fickel, Jacqueline J

    2010-01-01

    Hurricanes Katrina and Rita exposed significant flaws in US preparedness for catastrophic events and the nation's capacity to respond to them. These flaws were especially evident in the affected disaster areas' nursing homes, which house a particularly vulnerable population of frail older adults. Although evacuation of a healthcare facility is a key preparedness activity, there is limited research on factors that lead to effective evacuation. Our review of the literature on evacuation is focused on developing a conceptual framework to study future evacuations rather than as a comprehensive assessment of prior work. This paper summarizes what is known thus far about disaster response activities of nursing homes following natural and human-caused disasters, describes a conceptual model to guide future inquiry regarding this topic, and suggests future areas of research to further understand the decision-making process of nursing home facilitators regarding evacuating nursing home residents. To demonstrate the utility of the conceptual model and to provide guidance about effective practices and procedures, this paper focuses on the responses of Veterans Health Administration (VHA) nursing homes to the 2 hurricanes. Quarantelli's conceptual framework, as modified by Perry and Mushkatel, is useful in guiding the development of central hypotheses related to the decision-making that occurred in VA nursing homes and other healthcare facilities following Hurricanes Katrina and Rita. However, we define evacuation somewhat differently to account for the fact that evacuation may, in some instances, be permanent. Thus, we propose modifying this framework to improve its applicability beyond preventive evacuation. We need to better understand how disaster plans can be adapted to meet the needs of frail elders and other residents in nursing homes. Moreover, we must address identified gaps in the scientific literature with respect to health outcomes by tracking outcomes over time

  4. Construcción de cursos en línea con Google Course Builder

    Directory of Open Access Journals (Sweden)

    Gerardo Abel Laguna-Sánchez

    2015-12-01

    Full Text Available En este artículo se presenta una introducción sobre el manejo y alcance de la plataforma Google Course Builder para el desarrollo de cursos en línea. El desarrollo permite describir las posibilidades que ofrece la plataforma en el contexto de los modelos de clase inversa (flipped/inverted classroom y de los cursos masivos abiertos en línea (MOOC, por sus siglas en inglés. Los contenidos y conocimientos expuestos, se presentan como una alternativa que contribuye a desarrollar la capacidad de emprender y construir de forma personalizada cursos en línea. Con el fin de fundamentar la investigación, se realiza una breve reseña de marcos teóricos y se comparten algunas impresiones con base de la experiencia docente del autor, después de trabajar con cursos bajo el concepto clase inversa. Finalmente, se proporciona la referencia para el diseño de un curso tutorial en línea, construido con la plataforma Google Course Builder, para facilitar el camino y permitir un inicio rápido en el desarrollo de cursos en línea.

  5. Lost in translation? A multilingual Query Builder improves the quality of PubMed queries: a randomised controlled trial.

    Science.gov (United States)

    Schuers, Matthieu; Joulakian, Mher; Kerdelhué, Gaetan; Segas, Léa; Grosjean, Julien; Darmoni, Stéfan J; Griffon, Nicolas

    2017-07-03

    MEDLINE is the most widely used medical bibliographic database in the world. Most of its citations are in English and this can be an obstacle for some researchers to access the information the database contains. We created a multilingual query builder to facilitate access to the PubMed subset using a language other than English. The aim of our study was to assess the impact of this multilingual query builder on the quality of PubMed queries for non-native English speaking physicians and medical researchers. A randomised controlled study was conducted among French speaking general practice residents. We designed a multi-lingual query builder to facilitate information retrieval, based on available MeSH translations and providing users with both an interface and a controlled vocabulary in their own language. Participating residents were randomly allocated either the French or the English version of the query builder. They were asked to translate 12 short medical questions into MeSH queries. The main outcome was the quality of the query. Two librarians blind to the arm independently evaluated each query, using a modified published classification that differentiated eight types of errors. Twenty residents used the French version of the query builder and 22 used the English version. 492 queries were analysed. There were significantly more perfect queries in the French group vs. the English group (respectively 37.9% vs. 17.9%; p < 0.01). It took significantly more time for the members of the English group than the members of the French group to build each query, respectively 194 sec vs. 128 sec; p < 0.01. This multi-lingual query builder is an effective tool to improve the quality of PubMed queries in particular for researchers whose first language is not English.

  6. Impact of organisational characteristics on turnover intention among care workers in nursing homes in Korea: a structural equation model.

    Science.gov (United States)

    Ha, Jong Goon; Man Kim, Ji; Hwang, Won Ju; Lee, Sang Gyu

    2014-09-01

    The aim of the present study was to analyse the impact of organisational characteristics on the turnover intention of care workers working at nursing homes in Korea. Study participants included 504 care workers working at 14 nursing homes in Korea. The variables measured were: high-performance work practices, consisting of five subfactors (official training, employment stability, autonomy, employee participation and group-based payment); organisational commitment, consisting of three subfactors (affective, normative and continuance commitment); organisational support; and turnover intention. The inter-relationship between high-performance work practices, organisational support, organisational commitment and turnover intention and the fit of the hypothetical model were analysed using structural equation modelling. According to our analysis, high-performance work practices not only had a direct effect on turnover intention, but also an indirect effect by mediating organisational support and commitment. The factor having the largest direct influence on turnover intention was organisational commitment. The results of the present study suggest that to improve health conditions for frail elderly patients at nursing homes, as well as the efficiency of nursing homes through the continuance of nursing service and enhancement of quality of service, long-term care facilities should reduce the turnover intention of care workers by increasing their organisational commitment by actively implementing high-performance work practices.

  7. Activity modeling under uncertainty by trace of objects in smart homes

    Data.gov (United States)

    National Aeronautics and Space Administration — A typical resident of a smart home can be an Alzheimer patient that forgets sometimes to complete the activities that he begins. The key point to assist the smart...

  8. A physical model of a smart home using the Internet of Things

    CSIR Research Space (South Africa)

    Coetzee, L

    2012-11-01

    Full Text Available conducted to determine if the Internet of Things can enable and facilitate the network requirements of a smart home. It is found that the Internet of Things as enabling technology can facilitate the creation of smart environments....

  9. A global framework to model spatial ecosystems exposure to home and personal care chemicals in Asia.

    Science.gov (United States)

    Wannaz, Cedric; Franco, Antonio; Kilgallon, John; Hodges, Juliet; Jolliet, Olivier

    2018-05-01

    This paper analyzes spatially ecosystem exposure to home and personal care (HPC) chemicals, accounting for market data and environmental processes in hydrological water networks, including multi-media fate and transport. We present a global modeling framework built on ScenAT (spatial scenarios of emission), SimpleTreat (sludge treatment plants), and Pangea (spatial multi-scale multimedia fate and transport of chemicals), that we apply across Asia to four chemicals selected to cover a variety of applications, volumes of production and emission, and physico-chemical and environmental fate properties: the anionic surfactant linear alkylbenzene sulphonate (LAS), the antimicrobial triclosan (TCS), the personal care preservative methyl paraben (MeP), and the emollient decamethylcyclopentasiloxane (D5). We present maps of predicted environmental concentrations (PECs) and compare them with monitored values. LAS emission levels and PECs are two to three orders of magnitude greater than for other substances, yet the literature about monitored levels of LAS in Asia is very limited. We observe a good agreement for TCS in freshwater (Pearson r=0.82, for 253 monitored values covering 12 streams), a moderate agreement in general, and a significant model underestimation for MeP in sediments. While most differences could be explained by uncertainty in both chemical/hydrological parameters (DT50 water , DT50 sediments , K oc , f oc , TSS) and monitoring sites (e.g. spatial/temporal design), the underestimation of MeP concentrations in sediments may involve potential natural sources. We illustrate the relevance of local evaluations for short-lived substances in fresh water (LAS, MeP), and their inadequacy for substances with longer half-lives (TCS, D5). This framework constitutes a milestone towards higher tier exposure modeling approaches for identifying areas of higher chemical concentration, and linking large-scale fate modeling with (sub) catchment-scale ecological scenarios; a

  10. Building America Case Study: Accelerating the Delivery of Home-Performance Upgrades Using a Synergistic Business Model, Minneapolis, Minnesota

    Energy Technology Data Exchange (ETDEWEB)

    2016-04-01

    Achieving Building America energy savings goals (40 percent by 2030) will require many existing homes to install energy upgrades. Engaging large numbers of homeowners in building science-guided upgrades during a single remodeling event has been difficult for a number of reasons. Performance upgrades in existing homes tend to occur over multiple years and usually result from component failures (furnace failure) and weather damage (ice dams, roofing, siding). This research attempted to: A) Understand the homeowner's motivations regarding investing in building science based performance upgrades. B) Determining a rapidly scalable approach to engage large numbers of homeowners directly through existing customer networks. C) Access a business model that will manage all aspects of the contractor-homeowner-performance professional interface to ensure good upgrade decisions over time. The solution results from a synergistic approach utilizing networks of suppliers merging with networks of homeowner customers. Companies in the $400 to $800 billion home services industry have proven direct marketing and sales proficiencies that have led to the development of vast customer networks. Companies such as pest control, lawn care, and security have nurtured these networks by successfully addressing the ongoing needs of homes. This long-term access to customers and trust established with consistent delivery has also provided opportunities for home service providers to grow by successfully introducing new products and services like attic insulation and air sealing. The most important component for success is a business model that will facilitate and manage the process. The team analyzes a group that developed a working model.

  11. Modelling home advantage for individual teams in UEFA Champions League football

    OpenAIRE

    Goumas, Chris

    2015-01-01

    Background: Home advantage (HA) is well documented in a wide range of team sports including association football (soccer). Although much attention has been paid to differences in the overall magnitude of HA between football competitions and across time, few studies have investigated HA at the team level. Methods: A novel method of estimating HA for individual teams, based solely on home performance, was used to compare HA between the highest performing teams and countries in the Union of E...

  12. Modeling of indoor/outdoor fungi relationships in forty-four homes

    Energy Technology Data Exchange (ETDEWEB)

    Rizzo, M.J.

    1996-12-31

    From April through October 1994, a study was conducted in the Moline, Illinois-Bettendorf, Iowa area to measure bioaerosol concentrations in 44 homes housing a total of 54 asthmatic individuals. Air was sampled 3 to 10 times at each home over a period of seven months. A total of 852 pairs of individual samples were collected indoors at up to three locations (basement, kitchen, bedroom, or living room) and outside within two meters of each house.

  13. Assessment Model to Identify Patients With Stroke With a High Possibility of Discharge to Home: A Retrospective Cohort Study.

    Science.gov (United States)

    Itaya, Takahiro; Murakami, Yusuke; Ota, Akiko; Nomura, Eiichi; Fukushima, Tomoko; Nishigaki, Masakazu

    2017-10-01

    Discharge planning for inpatients with acute stroke can enhance reasonable use of healthcare resources, as well as improve clinical outcomes and decrease financial burden of patients. Especially, prediction for discharge destination is crucial for discharge planning. This study aimed to develop an assessment model to identify patients with a high possibility of discharge to home after an acute stroke. We reviewed the electronic medical records of 3200 patients with acute stroke who were admitted to a stroke center in Japan between January 1, 2011, and December 31, 2015. The outcome variable was the discharge destination of postacute stroke patients. The predictive variables were identified through logistic regression analysis. Data were divided into 2 data sets: the learning data set (n=2240) for developing the instrument and the test data set (n=960) for evaluating the predictive capability of the model. In all, 1548 (48%) patients were discharged to their homes. Multiple logistic regression analysis identified 5 predictive variables for discharge to home: living situation, type of stroke, functional independence measure motor score on admission, functional independence measure cognitive score on admission, and paresis. The assessment model showed a sensitivity of 85.0% and a specificity of 75.3% with an area under the curve equal to 0.88 (95% confidence interval, 0.86-0.89) when the cutoff point was 10. On evaluating the predictive capabilities, the model showed a sensitivity of 88.0% and a specificity of 68.7% with an area under the curve equal to 0.87 (95% confidence interval, 0.85-0.89). We have developed an assessment model for identifying patients with a high possibility of being discharged to their homes after an acute stroke. This model would be useful for health professionals to adequately plan patients' discharge soon after their admission. © 2017 American Heart Association, Inc.

  14. Health effects of home energy efficiency interventions in England: a modelling study

    Science.gov (United States)

    Milner, James; Chalabi, Zaid; Das, Payel; Jones, Benjamin; Shrubsole, Clive; Davies, Mike; Wilkinson, Paul

    2015-01-01

    Objective To assess potential public health impacts of changes to indoor air quality and temperature due to energy efficiency retrofits in English dwellings to meet 2030 carbon reduction targets. Design Health impact modelling study. Setting England. Participants English household population. Intervention Three retrofit scenarios were modelled: (1) fabric and ventilation retrofits installed assuming building regulations are met; (2) as with scenario (1) but with additional ventilation for homes at risk of poor ventilation; (3) as with scenario (1) but with no additional ventilation to illustrate the potential risk of weak regulations and non-compliance. Main outcome Primary outcomes were changes in quality adjusted life years (QALYs) over 50 years from cardiorespiratory diseases, lung cancer, asthma and common mental disorders due to changes in indoor air pollutants, including secondhand tobacco smoke, PM2.5 from indoor and outdoor sources, radon, mould, and indoor winter temperatures. Results The modelling study estimates showed that scenario (1) resulted in positive effects on net mortality and morbidity of 2241 (95% credible intervals (CI) 2085 to 2397) QALYs per 10 000 persons over 50 years follow-up due to improved temperatures and reduced exposure to indoor pollutants, despite an increase in exposure to outdoor-generated particulate matter with a diameter of 2.5 μm or less (PM2.5). Scenario (2) resulted in a negative impact of −728 (95% CI −864 to −592) QALYs per 10 000 persons over 50 years due to an overall increase in indoor pollutant exposures. Scenario (3) resulted in −539 (95% CI −678 to -399) QALYs per 10 000 persons over 50 years follow-up due to an increase in indoor exposures despite the targeting of pollutants. Conclusions If properly implemented alongside ventilation, energy efficiency retrofits in housing can improve health by reducing exposure to cold and air pollutants. Maximising the health benefits requires careful

  15. Family child care home providers as role models for children: Cause for concern?

    Directory of Open Access Journals (Sweden)

    Alison Tovar

    2017-03-01

    Full Text Available Health behaviors associated with chronic disease, particularly healthy eating and regular physical activity, are important role modeling opportunities for individuals working in child care programs. Prior studies have not explored these risk factors in family child care home (FCCH providers which care for vulnerable and at-risk populations. To address this gap, we describe the socio-demographic and health risk behavior profiles in a sample of providers (n = 166 FCCH taken from baseline data of an ongoing cluster-randomized controlled intervention (2011–2016 in North Carolina. Data were collected during on-site visits where providers completed self-administered questionnaires (socio-demographics, physical activity, fruit and vegetable consumption, number of hours of sleep per night and perceived stress and had their height and weight measured. A risk score (range: 0–6; 0 no risk to 6 high risk was calculated based on how many of the following were present: not having health insurance, being overweight/obese, not meeting physical activity, fruit and vegetable, and sleep recommendations, and having high stress. Mean and frequency distributions of participant and FCCH characteristics were calculated. Close to one third (29.3% of providers reported not having health insurance. Almost all providers (89.8% were overweight or obese with approximately half not meeting guidelines for physical activity, fruit and vegetable consumption, and sleep. Over half reported a “high” stress score. The mean risk score was 3.39 (±1.2, with close to half of the providers having a risk score of 4, 5 or 6 (45.7%. These results stress the need to promote the health of these important care providers.

  16. Quality mobility care in nursing homes: a model of moderating and mediating factors to guide intervention development.

    Science.gov (United States)

    Taylor, Janice; Sims, Jane; Haines, Terry P

    2014-01-01

    The current qualitative study aimed to understand factors in mobility care to inform practice improvements. Data were collected at three nursing homes in Melbourne, Australia, via interviews with 10 senior staff and 15 residents, focus groups with 18 direct care staff, and observations of 46 mobility events. Thematic and content analysis of data occurred. Findings included factors (a) intrinsic to residents, (b) intrinsic to staff, and (c) extrinsic to residents and staff, such as equipment and organizational factors. A model describing associations between factors and their roles as moderators and mediators of resident mobility was generated. Staff assistance, residents' mobility effort, and equipment used during mobility were posited as complete or partial mediators of resident mobility outcomes. Barriers that may compromise the quality of mobility care in nursing homes emerged. The model provides direction for improvements in mobility care that integrate safety, mobility optimization, and person- and relationship-centered care. Copyright 2014, SLACK Incorporated.

  17. The TECS model leads to active use of technology in home care

    DEFF Research Database (Denmark)

    Jensen, Ulla Gars; Skov, Hanne

    2017-01-01

    Digitization in healthcare is accelerating worldwide. This article focuses on the X-Changery development project involving home-care nurses and their use of the iPad as a new tool in patients’ homes. The goal of the project was to bring knowledge from recent research on technological literacy in ...... on and discussion of the influence of technologies on professionalism.......Digitization in healthcare is accelerating worldwide. This article focuses on the X-Changery development project involving home-care nurses and their use of the iPad as a new tool in patients’ homes. The goal of the project was to bring knowledge from recent research on technological literacy...... in working life back to a work setting, thus giving nurses new technology competencies with the aim of enhancing their professionalism through the use of the iPad as a work tool. Through field observations, learning labs and focus-group interviews we can see that X-Changery gave home-care nurses a common...

  18. Home outdoor models for traffic-related air pollutants do not represent personal exposure measurements in Southern California

    International Nuclear Information System (INIS)

    Ducret-Stich, R; Gemperli, A; Ineichen, A; Phuleria, H C; Delfino, R J; Tjoa, T; Wu, J; Liu, L-J S

    2009-01-01

    Recent studies have used measurements or estimates of traffic-related air pollutants at home or school locations to link associations between exposure and health. However, little is known about the validity of these outdoor concentrations as an estimate for personal exposure to traffic. This paper compares modelled outdoor concentrations at home with personal exposure to traffic air pollution of 63 children in two areas in Los Angeles in 2003/2004. Exposure monitoring consisted of sixteen 10-day monitoring runs, with each run monitoring 4 subjects concurrently with the active personal DataRAM for particulate matter 25 ), elemental carbon (EC) and organic carbon (OC). One child per run had concurrent indoor/outdoor home monitoring. Measurements at central sites (24-hr PM 25 , EC, OC) were taken daily and concentrations of PM 25 , EC, and OC from traffic sources were calculated using the CALINE4 model for individual residences. We modelled outdoor concentrations of PM 2 5 , EC and OC with multilinear regression including GIS and meteorological parameters and adjusted for auto-correlation between repeated measurements. The model fit (R 2 ) for home outdoor estimates was 0.94, 0.74 and 0.80 for PM 25 , EC and OC, respectively. Comparisons between these outdoor estimates and the personal measurements showed a good agreement for PM 25 (R 2 =0.65-0.70) with a mean bias of -0.7±11.8|ag for the smog receptor area, and 18.9±16.2|ag for the traffic impacted area. However the outdoor estimates were not related to personal exposure for EC (R 2 =0.01-0.29) and OC (R 2 =0.03- 0.14). Conclusions: Predictions of outdoor concentrations can be used as approximations of personal exposure to PM 25 . However, they are not appropriate for estimating personal exposure to traffic-related air pollutants including EC and OC in studies of acute exposure-response relationships.

  19. Effect of Hospital to Home nutrition management model on postoperative clinical outcomes of patients with laryngeal carcinoma

    OpenAIRE

    Song, Guihua; Liu, Haizhen

    2017-01-01

    The purpose of this investigation was to determine the effectiveness of a Hospital to Home (H2H) nutrition management model on the postoperative clinical outcomes of patients with laryngeal carcinoma. Eighty-six patients with laryngeal carcinoma were randomly divided into an observation (H2H nutrition management) or control group (routine nutrition management). The ratios of urine lactulose to mannitol (L/M) in serum orexin-A levels of patients in both groups on the 1st postoperative day were...

  20. A simulation model for aligning smart home networks and deploying smart objects

    DEFF Research Database (Denmark)

    Lynggaard, Per

    Smart homes use sensor based networks to capture activities and offer learned services to the user. These smart home networks are challenging because they mainly use wireless communication at frequencies that are shared with other services and equipments. One of the major challenges...... is the interferences produced by WiFi access points in smart home networks which are expensive to overcome in terms of battery energy. Currently, different method exists to handle this. However, they use complex mechanisms such as sharing frequencies, sharing time slots, and spatial reuse of frequencies. This paper...... introduces a unique concept which saves battery energy and lowers the interference level by simulating the network alignment and assign the necessary amount of transmit power to each individual network node and finally, deploy the smart objects. The needed transmit powers are calculated by the presented...

  1. EFL Learners' Home Culture Attachment and their Attitudes towards English Language Learning: A structural equation modeling approach

    Directory of Open Access Journals (Sweden)

    Zahra Sharifi Feriz

    2017-10-01

    Full Text Available The purpose of the present study is to examine home culture attachment construct and its underlying variables among Iranian English as Foreign Language learners as well as their attitudes towards English language learning. Pearson correlation is used with a sample of 411 English major university students from different provinces in Iran, mainly Khorasan Razavi, Khoran Jonoubi and Sistan Baluchestan participated in this study. As for the quantitative phase of data collection, the study employed home culture attachment and attitude towards English language learning questionnaires. The reliability and validity of these questionnaires are reported. A home culture attachment model and an attitude model are also developed and tested using structural equation modeling. The results suggest that all three subscales of attitudes (emotional, behavioral, and cognitive are positive and significant predictors of students' western attachment. From three subscales of attitude, only behavioral attitude is negative and significant predictors of students' religious attachment. In addition, Iranian attachment is influenced by cognitive attitudes and emotional attitudes. Besides, cognitive attitude is a positive and significant predictor of students' cultural attachment. It is also found that, artistic attachment is influenced by behavioral attitudes and emotional attitudes. Finally, the pedagogical implications are discussed in light of foreign language achievement.

  2. Strategy Guideline. Partnering for High Performance Homes

    Energy Technology Data Exchange (ETDEWEB)

    Prahl, Duncan [IBACOS, Inc., Pittsburgh, PA (United States)

    2013-01-01

    High performance houses require a high degree of coordination and have significant interdependencies between various systems in order to perform properly, meet customer expectations, and minimize risks for the builder. Responsibility for the key performance attributes is shared across the project team and can be well coordinated through advanced partnering strategies. For high performance homes, traditional partnerships need to be matured to the next level and be expanded to all members of the project team including trades, suppliers, manufacturers, HERS raters, designers, architects, and building officials as appropriate. This guide is intended for use by all parties associated in the design and construction of high performance homes. It serves as a starting point and features initial tools and resources for teams to collaborate to continually improve the energy efficiency and durability of new houses.

  3. Radon source apportionment in the home, dosimetry and risk modeling. Final report, 1993-1997

    International Nuclear Information System (INIS)

    Harley, N.H.

    1998-01-01

    This research covered the following 3 topics in 4 years: (1) the source apportionment of 222 Rn in the home; (2) the internal bronchial dosimetry of inhaled 222 Rn decay products; and (3) the lung cancer risk from inhalation of the short lived decay products of 222 Rn. A 4th year of support was appended to this grant with a switch in research effort to determine a method for long term measurement of the particle size distribution of the short lived decay products in homes

  4. DOE ZERH Case Study: New Town Builders, Town Homes at Perrin's Row, Wheat Ridge, CO

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2015-09-01

    Case study of a DOE 2015 Housing Innovation Award winning multifamily project with 26 units in the cold climate that got a HERS 54 without PV, or HERS 28 with PV, with 2x6 24” on center walls with R-23 blown fiberglass; slab foundation with R-10 rigid at slab edge; plus R-10 rigid exterior; R-22 ICF basement walls; vented attic with R-50 blown fiberglass; 92 AFUE furnace, 13 SEER AC.

  5. Flexusi Interface Builder For Computer Based Accelerator Monitoring And Control System

    CERN Document Server

    Kurakin, V G; Kurakin, P V

    2004-01-01

    We have developed computer code for any desired graphics user interface designing for monitoring and control system at the executable level. This means that operator can build up measurement console consisting of virtual devices before or even during real experiment without recompiling source file. Such functionality results in number of advantages comparing with traditional programming. First of all any risk disappears to introduce bug into source code. Another important thing is the fact the both program developers and operator staff do not interface in developing ultimate product (measurement console). Thus, small team without detailed project can design even very complicated monitoring and control system. For the reason mentioned below, approach suggested is especially helpful for large complexes to be monitored and control, accelerator being among them. The program code consists of several modules, responsible for data acquisition, control and representation. Borland C++ Builder technologies based on VCL...

  6. Organ builders, musicians and entrepreneurs: the De- Bernardi’s family in Salamanca, 1903-1932

    Directory of Open Access Journals (Sweden)

    Judith Helvia García Martín

    2018-01-01

    Full Text Available In the early 20th century, Salamanca hosted one of the most culturally and musically active families of the city during the first three decades of the century: the De- Bernardis. Their activities as organ builders, musicians, teachers and music entrepreneurs, focused on the figures of Juan De-Bernardi and his son Luis, left a mark not only in the town, through their involvement in numerous cultural events, but also building and reparing various instruments in an area that covers from the North of Portugal to the South of Cáceres. Here we reconstruct, through the information given by local hemerographic sources, their trajectory from their arrival in Salamanca in 1903 until 1932.

  7. Amphetamine use and its associated factors in body builders: a study from Tehran, Iran.

    Science.gov (United States)

    Angoorani, Hooman; Narenjiha, Hooman; Tayyebi, Behnoosh; Ghassabian, Akhgar; Ahmadi, Gelareh; Assari, Shervin

    2012-05-09

    Epidemiological studies on all types of illicit drug use among athletes are essential for both the sport community and drug control achievements. Here, we investigated the prevalence and associated factors of amphetamine use in body builders in Tehran, Iran, 2007. This study is a secondary analysis of a substance use survey done in 103 randomly selected gymnasia in Tehran (capital city of Iran). The survey was conducted from November 2007 to January 2008 and included 843 randomly selected bodybuilders (aged 40 years or less). By interviews via questionnaires the following data were obtained: age, job, marital status, education level, housing status, average monthly family income, number of family members, gymnasium area (m(2)), number of trainers, number of gymnasium members, initiation time (months), weekly duration of the sporting activity (h), monthly cost of the sporting activity, purpose of participating in sporting activity, and history of anabolic steroid and amphetamine use. One hundred twenty (13.3%) body builders reported a history of amphetamine use. According to the results of regression analysis, being married (risk ratio - RR = 0.540), and participating in body building to enhance self-esteem (RR = 0.423) or to enhance sport performance (RR = 0.545) had protective effects on amphetamine use. However, having university qualifications (RR = 1.843), using anabolic steroids (RR = 1.803) and participating in sport to maintain fitness (RR = 2.472) were linked to increased risk of amphetamine use. Well-educated bodybuilders were more likely to use amphetamines, and why this is so needs to be discovered. If further studies show that they are not aware of the dangers associated with amphetamine use, providing them with information should be considered.

  8. Dirichlet Process Gaussian Mixture Model for Activity Discovery in Smart Homes with Ambient Sensors

    NARCIS (Netherlands)

    Nguyen, Thuong; Le Viet Duc, Duc Viet; Zhang, Quing; Karunanithi, Mohan

    2017-01-01

    Most of the existing approaches to activity recognition in smart homes rely on supervised learning with well annotated sensor data. However obtaining such labeled data is not only challenging but sometimes also an unobtainable task, especially for senior citizens who may suffer various mental health

  9. Correlates of Geriatric Loneliness in Philippine Nursing Homes: A Multiple Regression Model

    Science.gov (United States)

    de Guzman, Allan B.; Maravilla, Katrina N.; Maravilla, Veniza Anne M.; Marfil, Jomille D. V.; Marinas, Janine Angelica R.; Marquez, Jorelle Michael B.

    2012-01-01

    Numerous studies have been conducted worldwide about loneliness in older adults living in nursing homes and the factors associated with it. However, only a few studies have focused on social factors that may predispose these older adults to experience loneliness. The purpose of this study was to examine the interplay between and among loneliness,…

  10. An Approximation of an Instructional Model for Developing Home Living Skills in Severely Handicapped Students.

    Science.gov (United States)

    Hamre, S.

    The author discusses the need for severely handicapped students to acquire basic home living skills, reviews task analysis principles, and provides sample instructional programs. Listed are basic grooming, dressing, domestic maintenance, and cooking skills. A sample task analysis procedure is demonstrated for the skill of brushing teeth. Reported…

  11. Distributed smart home activity recommender system using hidden Markov model principles

    DEFF Research Database (Denmark)

    Lynggaard, Per

    2013-01-01

    A smart home is able to propose learned activities to its user and learn new activities by observing the user’s behavioral patterns, that is, the user’s actions. Most of today’s discussed systems use some more or less complex classifier algorithms to predict user activities from contextual inform...

  12. A simulation model for aligning smart home networks and deploying smart objects

    DEFF Research Database (Denmark)

    Lynggaard, Per

    is the interferences produced by WiFi access points in smart home networks which are expensive to overcome in terms of battery energy. Currently, different method exists to handle this. However, they use complex mechanisms such as sharing frequencies, sharing time slots, and spatial reuse of frequencies. This paper...

  13. Home, Smart Home

    DEFF Research Database (Denmark)

    Hansen, Ellen Kathrine; Olesen, Gitte Gylling Hammershøj; Mullins, Michael

    2013-01-01

    The article places focus on how smart technologies integrated in a one family- home and particular the window offer unique challenges and opportunities for designing buildings with the best possible environments for people and nature. Toward an interdisciplinary approach, we address the interaction...... between daylight defined in technical terms and daylight defined in aesthetic, architectural terms. Through field-tests of a Danish carbon-neutral home and an analysis of five key design parameters, we explore the contradictions and potentials in smart buildings, using the smart window as example of how...... to the energy design is central. The study illuminates an approach of the design of smart houses as living organisms by connecting technology with the needs of the occupants with the power and beauty of daylight....

  14. Best Practices Case Study: David Weekley Homes - Eagle Springs and Waterhaven, Houston, TX

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2011-04-01

    Case study describing David Weekley Homes, Houston Division, has qualified more than 1,240 homes for the DOE Builders Challenge. Advanced framed 2x6 walls with open headers and two-stud corners allow more room for R-20 damp sprayed cellulose wall cavity insulation that is covered with R-5 rigid XPS foam. A radiant barrier cuts heat gain in the R-38 insulated vented attics. Draft stopping at fireplace and duct chases and behind tubs, gluing sheetrock to framing, and extensive caulking make for air-tight homes at 3.0 ACH50.

  15. Evolution of a 90-day model of care for bundled episodic payments for congestive heart failure in home care.

    Science.gov (United States)

    Feld, April; Madden-Baer, Rose; McCorkle, Ruth

    2016-01-01

    The Centers for Medicare and Medicaid Services Innovation Center's Episode-Based Payment initiatives propose a large opportunity to reduce cost from waste and variation and stand to align hospitals, physicians, and postacute providers in the redesign of care that achieves savings and improve quality. Community-based organizations are at the forefront of this care redesign through innovative models of care aimed at bridging gaps in care coordination and reducing hospital readmissions. This article describes a community-based provider's approach to participation under the Bundled Payments for Care Improvement initiative and a 90-day model of care for congestive heart failure in home care.

  16. Development of a model for organisation of and cooperation on home-based rehabilitation - an action research project.

    Science.gov (United States)

    Steihaug, Sissel; Lippestad, Jan-W; Isaksen, Hanne; Werner, Anne

    2014-01-01

    To use general policy guidelines and staff experience of rehabilitation work in two boroughs in Oslo to develop a model for organisation and cooperation in home-based rehabilitation. The project was conducted as a collaboration between researchers and employees in the two boroughs. It was a practice-oriented study designed as an action research project combining knowledge generation and improvement of practice. Data were collected at seven meetings, and individual, qualitative interviews with a total of 24 persons were conducted in the period February 2010 to June 2011. Home-based rehabilitation occurred rarely in the boroughs, and this field received little attention. However, this project provided a broad discussion of rehabilitation involving all parts of the organisation of both boroughs. In the course of the project, researchers and borough staff together developed a model for the organisation of and cooperation on rehabilitation including a coordinating unit assigned the paramount responsibility for the rehabilitation and an interdisciplinary team organising the collaboration on the practical level. When implementing a model like this in primary health services, we recommend involving several levels and service locations of the borough staff in order to legitimise the model in the organisation. An increasing number of older people with chronic diseases in the Western world have caused increasing emphasis on rehabilitation in primary health care in patients' homes. This study has elucidated challenging framework conditions for rehabilitation work in two Norwegian boroughs. To reduce municipal challenges we propose a rehabilitation model with a coordinating unit with the paramount responsibility for rehabilitation, and an interdisciplinary team constituting a suitable structure for collaboration.

  17. The feasibility of employing a home healthcare model for education and treatment of opioid overdose using a naloxone auto-injector in a private practice pain medicine clinic.

    Science.gov (United States)

    Dragovich, Anthony; Brason, Fred; Beltran, Thomas; McCoart, Amy; Plunkett, Anthony R

    2018-04-18

    The purpose of this study was to determine if employing a home healthcare model for education and treatment of opioid overdose using Evzio® (Naloxone)* auto-injector in a private practice pain clinic. A prospective survey was used to determine the feasibility of integrating a naloxone auto-injector within the patient's home with a home care training model. Twenty moderate or high-risk patients were enrolled from our chronic pain clinic. Patients who were moderate or high risk completed an evaluation survey. The naloxone auto-injector was dispensed to all patients meeting criteria. The treating provider after prescribing the naloxone auto-injector then consulted home health per standard clinical practice. All patients had home health consulted to perform overdose identification and rescue training. A Cochran's Q test was conducted to examine differences in patient knowledge pre and post training. The post training test was done 2-4 weeks later. Forty subjects enrolled after meeting inclusion/exclusion criteria. Twenty withdrew because their insurance declined coverage for the naloxone auto-injector. Those completing home health showed a statistically significant difference in their ability to correctly identify the steps needed to effectively respond to an overdose p = 0.03 Discussion: Preliminary evidence would suggest training on overdose symptom recognition and proper use of prescription naloxone for treatment in the home setting by home health staff would prove more beneficial than the clinic setting, but feasibility was hindered by unaffordable costs related to insurance coverage limitations.

  18. Children, computer exposure and musculoskeletal outcomes: the development of pathway models for school and home computer-related musculoskeletal outcomes.

    Science.gov (United States)

    Harris, Courtenay; Straker, Leon; Pollock, Clare; Smith, Anne

    2015-01-01

    Children's computer use is rapidly growing, together with reports of related musculoskeletal outcomes. Models and theories of adult-related risk factors demonstrate multivariate risk factors associated with computer use. Children's use of computers is different from adult's computer use at work. This study developed and tested a child-specific model demonstrating multivariate relationships between musculoskeletal outcomes, computer exposure and child factors. Using pathway modelling, factors such as gender, age, television exposure, computer anxiety, sustained attention (flow), socio-economic status and somatic complaints (headache and stomach pain) were found to have effects on children's reports of musculoskeletal symptoms. The potential for children's computer exposure to follow a dose-response relationship was also evident. Developing a child-related model can assist in understanding risk factors for children's computer use and support the development of recommendations to encourage children to use this valuable resource in educational, recreational and communication environments in a safe and productive manner. Computer use is an important part of children's school and home life. Application of this developed model, that encapsulates related risk factors, enables practitioners, researchers, teachers and parents to develop strategies that assist young people to use information technology for school, home and leisure in a safe and productive manner.

  19. Conjoint behavioral consultation: implementing a tiered home-school partnership model to promote school readiness.

    Science.gov (United States)

    Clarke, Brandy L; Sheridan, Susan M; Woods, Kathryn E

    2014-01-01

    An ecological perspective to school readiness focuses on child and family readiness by enhancing the developmental contexts and relationships within which children reside (e.g., home environment, parent-child relationship, home-school relationships). The Getting Ready intervention is an ecological, relationally based, tiered intervention providing both universal and intensive services to children and families to promote child and family school readiness. Intensive level consultation services were provided via Conjoint Behavioral Consultation (CBC; Sheridan & Kratochwill, 1992 , 2008 ). The purpose of this article is to describe the implementation and effects of CBC within the Getting Ready intervention to promote child and family school readiness. Keys to successful implementation of the CBC intervention and issues needing further investigation are discussed.

  20. Evaluation of a technology-enhanced integrated care model for frail older persons: protocol of the SPEC study, a stepped-wedge cluster randomized trial in nursing homes

    OpenAIRE

    Kim, Hongsoo; Park, Yeon-Hwan; Jung, Young-il; Choi, Hyoungshim; Lee, Seyune; Kim, Gi-Soo; Yang, Dong-wook; Paik, Myunghee Cho; Lee, Tae-Jin

    2017-01-01

    Background Limited evidence exists on the effectiveness of the chronic care model for people with multimorbidity. This study aims to evaluate the effectiveness of an information and communication technology- (ICT-)enhanced integrated care model, called Systems for Person-centered Elder Care (SPEC), for frail older adults at nursing homes. Methods/Design SPEC is a prospective stepped-wedge cluster randomized trial conducted at 10 nursing homes in South Korea. Residents aged 65 or older meeting...

  1. DOE ZERH Case Study: Charles Thomas Homes, Anna Model, Omaha, NE

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2015-09-01

    Case study of a DOE 2015 Housing Innovation Award winning custom home in the cold climate that got a HERS 48 without PV, with 2x6 24” on center walls with R-23 blown fiberglass, ocsf at rim joists, basement with plus 2x4 stud walls with R-23 blown fiberglass, with R-20 around slab, R-38 under slab; a vented attic with R-100 blown cellulose; 95% AFUE furnace, 14 SEER AC, ERV; heat pump water heater.

  2. IoT-Based Intelligent Modeling of Smart Home Environment for Fire Prevention and Safety

    OpenAIRE

    Faisal Saeed; Anand Paul; Abdul Rehman; Won Hwa Hong; Hyuncheol Seo

    2018-01-01

    Fires usually occur in homes because of carelessness and changes in environmental conditions. They cause threats to the residential community and may result in human death and property damage. Consequently, house fires must be detected early to prevent these types of threats. The immediate notification of a fire is the most critical issue in domestic fire detection systems. Fire detection systems using wireless sensor networks sometimes do not detect a fire as a consequence of sensor failure....

  3. Social housing: a new home living model. The ongoing experimentation between integration of knowledge and practices

    Directory of Open Access Journals (Sweden)

    Daniela Mello

    2014-10-01

    Full Text Available The most advanced social housing experiences in Italy have shown that the intrinsic value of these projects lies in the close interplay between the urban-architectural plan and the social plan. These experiences and the analysis of the numerous issues related to this operational modality have since 2011 been the focus of Urbanpromo Social housing – a cultural event aimed at disseminating a new and modern home living culture.

  4. Geographically Weighted Regression Models in Estimating Median Home Prices in Towns of Massachusetts Based on an Urban Sustainability Framework

    Directory of Open Access Journals (Sweden)

    Yaxiong Ma

    2018-03-01

    Full Text Available Housing is a key component of urban sustainability. The objective of this study was to assess the significance of key spatial determinants of median home price in towns in Massachusetts that impact sustainable growth. Our analysis investigates the presence or absence of spatial non-stationarity in the relationship between sustainable growth, measured in terms of the relationship between home values and various parameters including the amount of unprotected forest land, residential land, unemployment, education, vehicle ownership, accessibility to commuter rail stations, school district performance, and senior population. We use the standard geographically weighted regression (GWR and Mixed GWR models to analyze the effects of spatial non-stationarity. Mixed GWR performed better than GWR in terms of Akaike Information Criterion (AIC values. Our findings highlight the nature and spatial extent of the non-stationary vs. stationary qualities of key environmental and social determinants of median home price. Understanding the key determinants of housing values, such as valuation of green spaces, public school performance metrics, and proximity to public transport, enable towns to use different strategies of sustainable urban planning, while understanding urban housing determinants—such as unemployment and senior population—can help modify urban sustainable housing policies.

  5. Mini-Split Heat Pump Evaluation and Zero Energy Ready Home Support

    Energy Technology Data Exchange (ETDEWEB)

    Herk, Anastasia [IBACOS, Inc., Pittsburgh, PA (United States)

    2017-01-01

    IBACOS worked with builder Imagine Homes to evaluate the performance of an occupied new construction test house following construction of the house in the hot, humid climate of San Antonio, Texas. The project measures the effectiveness of a space conditioning strategy using a multihead mini-split heat pump (MSHP) system in a reduced-load home to achieve acceptable comfort levels (temperature and humidity) and energy performance. IBACOS collected long-term data and analyzed the energy consumption and comfort conditions of the occupied house after one year of operation. Although measured results indicate that the test system provides comfort both inside and outside the ASHRAE Standard 55-2010 range, the occupants of the house claimed both adequate comfort and appreciation of the ease of use and flexibility of the installed MSHP system. IBACOS also assisted the builder to evaluate design and specification changes necessary to comply with Zero Energy Ready Home, but the builder chose to not move forward with it because of concerns about the 'solar ready' requirements of the program.

  6. Home Modifications

    Science.gov (United States)

    ... content Skip Navigation Department of Health and Human Services Your Browser does not support javascript, so the search function on this page is disabled 1-800-677-1116 Home > Resources > Factsheets > Home ...

  7. 6. Home deliveries

    African Journals Online (AJOL)

    Sitwala

    determine factors associated with home deliveries. Main outcome .... Multiple logistic regression analyses were used to assess and estimate the factors and magnitude of effect on home deliveries. The variables in the model were age or age group, marital .... This finding coupled with lack of transport, made it very difficult for ...

  8. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... Payment Models Surgeons as Institutional Employees Our ... Ostomy Associations of America (UOAA). The skills kit contains: A booklet with information on the operation, home skills such as emptying and changing a pouch, problem solving, and home management. A DVD with demonstration ...

  9. Consumer contribution to food contamination in Brazil: modelling the food safety risk in the home

    Directory of Open Access Journals (Sweden)

    Sergio Paulo Olinto da Motta

    2014-06-01

    Full Text Available Foodborne diseases are among the most widespread public health issues, killing about 2.2 million people annually, and costing hundreds of billions of US dollars for governments, companies, families and consumers (WHO, 2007. In Brazil, foodborne diseases acquired in the home account for 55% of notified outbreaks (BRASIL, 2012. Several studies have investigated aspects of consumer behaviour concerning food poisoning, mapping practices in the home, but it remains a challenge to obtain a full picture of the consumer contribution to food contamination (REDMOND and GRIFFITH, 2003. This study aimed to assess the risks of food contamination in the home. A questionnaire containing 140 questions concerning food safety knowledge, handling practices, personal hygiene and basic health care, covering the stages when the food is under the control of the consumer, was developed and used to gather data for analysis. Appropriate scores were attributed to the questions (consequences to food safety and answers (likelihood of food contamination. A risk estimate algorithm and an appropriate risk ranking scale were used to assess the results. From August 2011 to March 2012, survey questionnaires were collected from 2,775 consumers in Brazil across 19 out of 27 state capitals. The study found risky practices with the potential to lead to food poisoning occurrences in the domestic environment in the following handling steps: food transportation, food preparation, cooking and the handling of leftovers. The personal hygiene, age, formal education, family income and basic health care habits represented the factors most related to the risky practices of consumers, which could orientate food safety educational campaigns for the Brazilian population.

  10. Home hemodialysis

    DEFF Research Database (Denmark)

    Agar, John W; Perkins, Anthony; Heaf, James G

    2015-01-01

    We describe the infrastructure that is necessary for hemodialysis in the home focusing on physical requirements, the organization of plumbing and water, and the key features that should guide the selection of machines that are suitable for home use.......We describe the infrastructure that is necessary for hemodialysis in the home focusing on physical requirements, the organization of plumbing and water, and the key features that should guide the selection of machines that are suitable for home use....

  11. Home Dissolution

    DEFF Research Database (Denmark)

    Gram-Hanssen, Kirsten; Bech-Danielsen, Claus

    2008-01-01

    Building a home and creating a family are highly inter­connec­ted processes. So what happens with the home when people separate or divorce? In this paper we address this question both from a quantitative and a qualitative approach. Based on an extensive database with socio-economic background data...... problems of dissolving a home. How to decide who should stay, who should move and how was it to stay alone in or to leave the matrimonial home?...

  12. Market Research of the Russian National and Regional Aspects of Builders Liability Insurance

    Directory of Open Access Journals (Sweden)

    Aleksander Andreevich Tsyganov

    2016-06-01

    Full Text Available The article studies the ways and level of the protection of the rights of shared construction participants in Russia, and the utilization of builders liability insurance for the purpose to identify the problem regions and the prospects of the development of mechanisms ensuring the liability of developers. The basis for the article was the study of real estate developers in 15 cities with the population over 1 million people. The article presents the data of the types of fund raising for building housing in the cities with the population over 1 million people, the regional differentiation in this parameter is highlighted. The article has explored the implementation of mechanisms ensuring the liability of developers for transfering premises to the shareholders. The main factors considered in the article are the form of registration of the relationship between a developer and an individual — an investor, as well as the mechanisms ensuring the liability of developers. It is shown that in some regions, the level of protection of the participants of shared construction is low. The mechanisms ensuring the liability of developers including the legal requirements for liability insurance and guarantee of credit institution are systematized. In the article, the key term of the liability insurance of builders for default on obligations or improperly performing the obligations on the delivery of residential properties, and also the condition of the guarantee of credit institution on the delivery of residential properties are considered. The regional features of how people participate in the construction of housing are described in the context of mechanisms ensuring the liability of developers. The use of various ensuring mechanisms, the differences in insurance by the commercial organizations and by joining the mutual society are shown. The results of the study can be used at the correction of the state and regional policy in the field of housing

  13. Dipankar Home

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education. Dipankar Home. Articles written in Resonance – Journal of Science Education. Volume 18 Issue 10 October 2013 pp 905-916 General Article. Bohr's Philosophy of Wave–Particle Complementarity · Dipankar Home · More Details Fulltext PDF ...

  14. The cost-effectiveness of a new disease management model for frail elderly living in homes for the elderly, design of a cluster randomized controlled clinical trial

    OpenAIRE

    Ribbe Miel W; Frijters Dinnus H; van Hout Hein PJ; Boorsma Marijke; Nijpels Giel

    2008-01-01

    Abstract Background The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly. Methods This study concerns a cluster randomized controlled clinical trial among five intervention homes and five usual care homes in the North-West of the Netherlands with a total of over 500 residents. All persons who are not term...

  15. Comfort in High-Performance Homes in a Hot-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Poerschke, A. [IBACOS, Inc., Pittsburgh, PA (United States); Beach, R. [IBACOS, Inc., Pittsburgh, PA (United States)

    2016-01-01

    IBACOS monitored 37 homes during the late summer and early fall of 2014 in a hot and humid climate to better understand indoor comfort conditions. These homes were constructed in the last several years by four home builders that offered a comfort and performance guarantee for the homes. The homes were located in one of four cities: Tampa, Florida; Orlando, Florida; Houston, Texas; and San Antonio, Texas. Temperature and humidity data were collected from the thermostat and each room of the house using small, battery-powered data loggers. To understand system runtime and its impact on comfort, supply air temperature also was measured on a 1-minute interval. Overall, the group of homes only exceeded a room-to-room temperature difference of 6 degrees Fahrenheit for 5% of the time.

  16. Tested R-value for straw bale walls and performance modeling for straw bale homes

    Energy Technology Data Exchange (ETDEWEB)

    Commins, T.R.; Stone, N.I.

    1998-07-01

    Since the late 1800's, houses have been built of straw. Contrary to nursery rhymes, these houses have proved sturdy and comfortable and not at all easy to blow down. In the last several years, as people have experimented with new and old building materials and looked for ways to halt rice field stubble burning, there has been a resurgence of homes built with straw. Unfortunately, there has been very little testing to determine the thermal performance of straw bale walls or to discover how these walls affect a home's heating and cooling energy consumption. Reported R-values for straw bale walls range from R-17 to R-54, depending on the test procedure, the type of straw used and the type of straw bale wall system. This paper reports on a test set-up by the California Energy Commission (Commission) and conducted in a nationally accredited lab, Architectural Testing Inc. (ATI) in Fresno, California. The paper describes the tested straw bale wall assemblies, the testing process, and problems encountered in the construction and testing of the walls. The paper also gives a reasonable R-value to use in calculating thermal performance of straw bale houses and presents findings that show that straw bale construction can decrease the heating and cooling energy usage of a typical house by up to a third over conventional practice.

  17. IoT-Based Intelligent Modeling of Smart Home Environment for Fire Prevention and Safety

    Directory of Open Access Journals (Sweden)

    Faisal Saeed

    2018-03-01

    Full Text Available Fires usually occur in homes because of carelessness and changes in environmental conditions. They cause threats to the residential community and may result in human death and property damage. Consequently, house fires must be detected early to prevent these types of threats. The immediate notification of a fire is the most critical issue in domestic fire detection systems. Fire detection systems using wireless sensor networks sometimes do not detect a fire as a consequence of sensor failure. Wireless sensor networks (WSN consist of tiny, cheap, and low-power sensor devices that have the ability to sense the environment and can provide real-time fire detection with high accuracy. In this paper, we designed and evaluated a wireless sensor network using multiple sensors for early detection of house fires. In addition, we used the Global System for Mobile Communications (GSM to avoid false alarms. To test the results of our fire detection system, we simulated a fire in a smart home using the Fire Dynamics Simulator and a language program. The simulation results showed that our system is able to detect early fire, even when a sensor is not working, while keeping the energy consumption of the sensors at an acceptable level.

  18. AgBufferBuilder: A geographic information system (GIS) tool for precision design and performance assessment of filter strips

    Science.gov (United States)

    M. G. Dosskey; S. Neelakantan; T. G. Mueller; T. Kellerman; M. J. Helmers; E. Rienzi

    2015-01-01

    Spatially nonuniform runoif reduces the water qua1iry perfortnance of constant- width filter strips. A geographic inlormation system (Gls)-based tool was developed and tested that ernploys terrain analysis to account lor spatially nonuniform runoffand produce more ellbctive filter strip designs.The computer program,AgBufTerBuilder, runs with ATcGIS versions 10.0 and 10...

  19. XML technologies for the Omaha System: a data model, a Java tool and several case studies supporting home healthcare.

    Science.gov (United States)

    Vittorini, Pierpaolo; Tarquinio, Antonietta; di Orio, Ferdinando

    2009-03-01

    The eXtensible markup language (XML) is a metalanguage which is useful to represent and exchange data between heterogeneous systems. XML may enable healthcare practitioners to document, monitor, evaluate, and archive medical information and services into distributed computer environments. Therefore, the most recent proposals on electronic health records (EHRs) are usually based on XML documents. Since none of the existing nomenclatures were specifically developed for use in automated clinical information systems, but were adapted to such use, numerous current EHRs are organized as a sequence of events, each represented through codes taken from international classification systems. In nursing, a hierarchically organized problem-solving approach is followed, which hardly couples with the sequential organization of such EHRs. Therefore, the paper presents an XML data model for the Omaha System taxonomy, which is one of the most important international nomenclatures used in the home healthcare nursing context. Such a data model represents the formal definition of EHRs specifically developed for nursing practice. Furthermore, the paper delineates a Java application prototype which is able to manage such documents, shows the possibility to transform such documents into readable web pages, and reports several case studies, one currently managed by the home care service of a Health Center in Central Italy.

  20. Body water, extracellular water, body potassium, and exchangeable sodium in body builders using anabolic steroids

    International Nuclear Information System (INIS)

    Wang, J.; Colt, E.D.W.; Pierson, R.N. Jr.

    1986-01-01

    Nine competitive male body builders aged 21 to 34 who were determined to take anabolic steroids were studied before and 6 to 10 weeks after a training cycle which included steroid administration. A control group of nine subjects matched in age and duration of competitive career, but using only natural training methods were studied on a single occasion while in training. Total body potassium (TBK) by 40 K, total body water (TBW) by 3 H 2 O dilution, extracellular water (ECW) by 35 SO 4 dilution and zero time extrapolation, and exchangeable sodium by 24 Na dilution were measured before and after training. Intracellular water (ICW) was calculated from TBW - ECW. Initially steroid users had a greater skeletal muscle mass than control subjects, and obtained a further weight gain on steroids, all in skeletal muscle, based on parallel increases in TBK and ICW. Other body composition measurements did not change significantly. A single steroid user became ill taking steroids, decreased potassium by 5%, and increased extracellular water, changes which may represent the effects of hepatic dysfunction which occurred while on anabolic steroids

  1. System diagnostic builder: a rule-generation tool for expert systems that do intelligent data evaluation

    Science.gov (United States)

    Nieten, Joseph L.; Burke, Roger

    1993-03-01

    The system diagnostic builder (SDB) is an automated knowledge acquisition tool using state- of-the-art artificial intelligence (AI) technologies. The SDB uses an inductive machine learning technique to generate rules from data sets that are classified by a subject matter expert (SME). Thus, data is captured from the subject system, classified by an expert, and used to drive the rule generation process. These rule-bases are used to represent the observable behavior of the subject system, and to represent knowledge about this system. The rule-bases can be used in any knowledge based system which monitors or controls a physical system or simulation. The SDB has demonstrated the utility of using inductive machine learning technology to generate reliable knowledge bases. In fact, we have discovered that the knowledge captured by the SDB can be used in any number of applications. For example, the knowledge bases captured from the SMS can be used as black box simulations by intelligent computer aided training devices. We can also use the SDB to construct knowledge bases for the process control industry, such as chemical production, or oil and gas production. These knowledge bases can be used in automated advisory systems to ensure safety, productivity, and consistency.

  2. Indoor air quality handbook: for designers, builders, and users of energy efficient residences

    International Nuclear Information System (INIS)

    1982-09-01

    The purpose of this handbook is to assist designers, builders, and users of energy efficient residences to achieve the goals of energy efficiency and maintenance of high indoor air quality simultaneously. The handbook helps in identifying and controlling potential problems of indoor air quality. It identifies sources and discusses effective ways to decrease concentrations of air contaminants. It focuses on indoor air quality in both single and multifamily energy-efficient residences. Information about commercial structures such as hospitals and office buildings is presented when it also applies to residences. Basic concepts of contaminants and their concentrations, sources and removal mechanisms, contaminant distribution, heat transfer, and air exchange are discussed. The effects of the building system on indoor air quality are examined. The effects of the external environment, building envelope, environmental control systems, interior design, furnishings, and inhabitants on the emission, dispersion, and removal of indoor air contaminants as well as direct and indirect effects of energy-efficient features are discussed. The health effects of specific air contaminants and the health standards developed for them are examined. Available methods for predicting and measuring contaminants and for evaluating human responses are discussed. Methods and equipment available for the control of indoor air pollution once the contaminants have been identified are also evaluated. The potential legal aspects, including regulatory intervention and civil lawsuits, of failure to evaluate and control indoor air pollution are discussed. A list of references, a glossary, and an index are also included

  3. Long-term responses of the endemic reef-builder Cladocora caespitosa to Mediterranean warming.

    Directory of Open Access Journals (Sweden)

    Diego K Kersting

    Full Text Available Recurrent climate-induced mass-mortalities have been recorded in the Mediterranean Sea over the past 15 years. Cladocora caespitosa, the sole zooxanthellate scleractinian reef-builder in the Mediterranean, is among the organisms affected by these episodes. Extensive bioconstructions of this endemic coral are very rare at the present time and are threatened by several stressors. In this study, we assessed the long-term response of this temperate coral to warming sea-water in the Columbretes Islands (NW Mediterranean and described, for the first time, the relationship between recurrent mortality events and local sea surface temperature (SST regimes in the Mediterranean Sea. A water temperature series spanning more than 20 years showed a summer warming trend of 0.06°C per year and an increased frequency of positive thermal anomalies. Mortality resulted from tissue necrosis without massive zooxanthellae loss and during the 11-year study, necrosis was recorded during nine summers separated into two mortality periods (2003-2006 and 2008-2012. The highest necrosis rates were registered during the first mortality period, after the exceptionally hot summer of 2003. Although necrosis and temperature were significantly associated, the variability in necrosis rates during summers with similar thermal anomalies pointed to other acting factors. In this sense, our results showed that these differences were more closely related to the interannual temperature context and delayed thermal stress after extreme summers, rather than to acclimatisation and adaption processes.

  4. Prototyping a 10Gigabit-Ethernet Event-Builder for a Cherenkov Telescope Array

    CERN Multimedia

    CERN. Geneva

    2012-01-01

    We present the prototyping of a 10Gigabit-Ethernet based UDP data acquisition (DAQ) system that has been conceived in the context of the Array and Control group of CTA (Cherenkov Telescope Array). The CTA consortium plans to build the next generation ground-based gamma-ray instrument, with approximately 100 telescopes of at least three different sizes installed on two sites. The genuine camera dataflow amounts to 1.2 GByte/s per camera. We have conceived and built a prototype of a front-end event builder DAQ able to receive and compute such a data rate, allowing a more sustainable level for the central data logging of the site by data reduction. We took into account characteristics and constraints of several camera electronics projects in CTA, thus keeping a generic approach to all front-end types. The big number of telescopes and the remoteness of the array sites imply that any front-end element must be robust and self-healing to a large extent. The main difficulty is to combine very high performances with a...

  5. Technological process supervising using vision systems cooperating with the LabVIEW vision builder

    Science.gov (United States)

    Hryniewicz, P.; Banaś, W.; Gwiazda, A.; Foit, K.; Sękala, A.; Kost, G.

    2015-11-01

    One of the most important tasks in the production process is to supervise its proper functioning. Lack of required supervision over the production process can lead to incorrect manufacturing of the final element, through the production line downtime and hence to financial losses. The worst result is the damage of the equipment involved in the manufacturing process. Engineers supervise the production flow correctness use the great range of sensors supporting the supervising of a manufacturing element. Vision systems are one of sensors families. In recent years, thanks to the accelerated development of electronics as well as the easier access to electronic products and attractive prices, they become the cheap and universal type of sensors. These sensors detect practically all objects, regardless of their shape or even the state of matter. The only problem is considered with transparent or mirror objects, detected from the wrong angle. Integrating the vision system with the LabVIEW Vision and the LabVIEW Vision Builder it is possible to determine not only at what position is the given element but also to set its reorientation relative to any point in an analyzed space. The paper presents an example of automated inspection. The paper presents an example of automated inspection of the manufacturing process in a production workcell using the vision supervising system. The aim of the work is to elaborate the vision system that could integrate different applications and devices used in different production systems to control the manufacturing process.

  6. The evolution of the region of interest builder for the ATLAS experiment at CERN

    International Nuclear Information System (INIS)

    Abbott, B.; Rifki, O.; Blair, R.; Love, J.; Proudfoot, J.; Zhang, J.; Crone, G.; Green, B.; Vazquez, W.P.; Vandelli, W.

    2016-01-01

    The ATLAS detector uses a real time selective triggering system to reduce the high interaction rate from 40 MHz to its data storage capacity of 1 kHz. A hardware first level (L1) trigger limits the rate to 100 kHz and a software high level trigger (HLT) selects events for offline analysis. The HLT uses the Regions of Interest (RoIs) identified by L1 and provided by the Region of Interest Builder (RoIB). The current RoIB is a custom VMEbus based system that operated reliably since the first run of the LHC . Since the LHC will reach higher luminosity and ATLAS will increase the complexity and number of L1 triggers, it is desirable to have a more flexible and more operationally maintainable RoIB in the future. In this regard, the functionality of the multi-card VMEbus based RoIB is being migrated to a PC based RoIB with a PCI-Express card. Testing has produced a system that achieved the targeted rate of 100 kHz

  7. The Evolution of the Region of Interest Builder for the ATLAS Experiment at CERN

    CERN Document Server

    AUTHOR|(INSPIRE)INSPIRE-00060668; Blair, Robert; Crone, Gordon Jeremy; Green, Barry; Love, Jeremy; Proudfoot, James; Rifki, Othmane; Panduro Vazquez, William; Vandelli, Wainer; Zhang, Jinlong

    2016-01-01

    ATLAS is a general purpose particle detector, at the Large Hadron Collider (LHC) at CERN, designed to measure the products of proton collisions. Given the high interaction rate (40 MHz), selective triggering in real time is required to reduce the rate to the experiment's data storage capacity (1 kHz). To meet this requirement, ATLAS employs a hardware trigger that reduces the rate to 100 kHz and software based triggers to select interesting interactions for physics analysis. The Region of Interest Builder (RoIB) is an essential part of the ATLAS detector Trigger and Data Acquisition (TDAQ) chain where the coordinates of the regions of interest (RoIs) identified by the first level trigger (L1) are collected and passed to the High Level Trigger (HLT) to make a decision. While the current custom VME based RoIB operated reliably during the first run of the LHC, it is desirable to have a more flexible RoIB and more operationally maintainable in the future, as the LHC reaches higher luminosity and ATLAS increases t...

  8. The Evolution of the Region of Interest Builder in the ATLAS Experiment at CERN

    CERN Document Server

    Rifki, Othmane; The ATLAS collaboration; Crone, Gordon Jeremy; Green, Barry; Love, Jeremy; Proudfoot, James; Panduro Vazquez, William; Vandelli, Wainer; Zhang, Jinlong

    2015-01-01

    ATLAS is a general purpose particle detector at the Large Hadron Collider (LHC) at CERN designed to measure the products of proton collisions. Given their high interaction rate (1GHz), selective triggering in real time is required to reduce the rate to the experiment’s data storage capacity (1KHz). To meet this requirement, ATLAS employs a combination of hardware and software triggers to select interesting collisions for physics analysis. The Region of Interest Builder (RoIB) is an integral part of the ATLAS detector Trigger and Data Acquisition (TDAQ) chain where the coordinates of the regions of interest (RoIs) identified by the first level trigger (L1) are collected and passed to the High Level Trigger (HLT) to make a decision. While the current custom RoIB operated reliably during the first run of the LHC, it is desirable to have the RoIB more operationally maintainable in the new run, which will reach higher luminosities with an increased complexity of L1 triggers. We are responsible for migrating the ...

  9. Homing oneself

    DEFF Research Database (Denmark)

    Winther, Ida Wentzel

    2009-01-01

    What is home? A building, a physical and mental phenomenon, or a concept?  There are many homes and ways `to home oneself´. Many of us quite often dwell in other places than at home (as professional commuters between two places, as travellers staying in hotels, as children of divorced parents...... living one week with mom and one week with dad). We spend so much time in and between these movements and settings that we may even (have to learn how to) ‘home ourselves'. In other words, we may use different strategies in order to create a homely feeling and a certain sense of belonging. This paper...... expands on the notion that home indicates more than a house, but also responds to the overuse of the concept home. The aim of this article is to examine how home is done, stretched between everyday life, practices, dreams, loss and cultural ideas of home. My intention is not to remove home...

  10. Building America Case Study: Zero Energy Ready Home and the Challenge of Hot Water on Demand, Denver, Colorado

    Energy Technology Data Exchange (ETDEWEB)

    2016-02-01

    "This report outlines the steps a developer can use when looking to create and implement higher performance standards such as the U.S. Department of Energy (DOE) Zero Energy Ready Home (ZERH) standards in a community. The report also describes the specific examples of how this process was followed by a developer, Forest City, in the Stapleton community in Denver, Colorado. IBACOS described the steps used to begin to bring the DOE ZERH standard to the Forest City Stapleton community based on 15 years of community-scale development work done by IBACOS. As a result of this prior IBACOS work, the team gained an understanding of the various components that a master developer needs to consider and created strategies for incorporating those components in the initial phases of development to achieve higher performance buildings in the community. An automated scoring system can be used to perform an internal audit that provides a detailed and consistent evaluation of how several homes under construction or builders' floor plans compare with the requirements of the DOE Zero Energy Ready Home program. This audit can be performed multiple times at specific milestones during construction to allow the builder to make changes as needed throughout construction for the project to meet Zero Energy Ready Home standards. This scoring system also can be used to analyze a builder's current construction practices and design.

  11. Estimating the surface area of birds: using the homing pigeon (Columba livia as a model

    Directory of Open Access Journals (Sweden)

    Cristina R. Perez

    2014-05-01

    Full Text Available Estimation of the surface area of the avian body is valuable for thermoregulation and metabolism studies as well as for assessing exposure to oil and other surface-active organic pollutants from a spill. The use of frozen carcasses for surface area estimations prevents the ability to modify the posture of the bird. The surface area of six live homing pigeons in the fully extended flight position was estimated using a noninvasive method. An equation was derived to estimate the total surface area of a pigeon based on its body weight. A pigeon's surface area in the fully extended flight position is approximately 4 times larger than the surface area of a pigeon in the perching position. The surface area of a bird is dependent on its physical position, and, therefore, the fully extended flight position exhibits the maximum area of a bird and should be considered the true surface area of a bird.

  12. Technical Approach for the Development of DOE Building America Builders Challenge Technology Information Packages (Revised)

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, D. R.; Anderson, R.

    2009-08-01

    The U.S. Department of Energy has issued a challenge to the homebuilding industry to build 220,000 high-performance homes by 2012. To qualify, homes must meet the requirements of a performance path, prescriptive path, or participating in a partner program.

  13. The Influence of Home and School Environments on Children's Diet and Physical Activity, and Body Mass Index: A Structural Equation Modelling Approach.

    Science.gov (United States)

    Haddad, Joyce; Ullah, Shahid; Bell, Lucinda; Leslie, Evie; Magarey, Anthea

    2017-11-01

    Introduction The home and school environments play important roles in influencing children's health behaviours. However, their simultaneous influence on childhood obesity has not yet been examined. We explore the relationship of the home and school environments with childhood obesity, to determine whether this relationship is mediated by children's fruit and vegetable intake and physical behaviours. Methods This study uses baseline data from 9 to 11 year old children, their parents and school principals (matched data n = 2466) from the Obesity Prevention and Lifestyle Project. Child-reported behaviours, parent-reported home environment and principal-reported school environment data were collected via questionnaires. Trained researchers measured children's height and weight, and Body Mass Index (BMI, kg/m 2 ) was calculated. Structural equation modelling was used to assess the relationship of the home and school environments with children's fruit and vegetable intake, physical activity behaviours, and children's BMI. Result The home diet environment was positively associated with child diet (β = 0.18, p environment had the largest inverse association with BMI (β = - 0.11, p  0.05). The school environment was not associated with child BMI. Discussion The home environment had a stronger association with healthier child behaviours, compared to the school environment. These findings suggest that future childhood obesity interventions targeting healthier home environments and supporting parents can promote healthier child eating and physical activity behaviours.

  14. The Bonneville Power Administration new energy-efficient homes programs: Final environmental impact statement: Volume 1, Assessing indoor air quality options

    International Nuclear Information System (INIS)

    1988-03-01

    BPA has underway marketing and incentive programs to encourage the construction of new energy-efficient homes that comply with Model Conservation Standards (MCS) developed by the Northwest Power Planning Council. These homes are designed to have lower infiltration rates than current building practices provide, which is likely to contribute to increased levels of indoor air pollutants, and may adversely affect the health of occupants. BPA's current and past new homes programs maintained ventilation rates comparable to those found in current practice homes by requiring balanced mechanical ventilation. BPA now proposes to give builders and consumers more flexibility by increasing the options for protecting indoor air quality in its new homes programs. This proposal is the impetus for this Environmental Impact Statement (EIS), which was prepared for BPA by Pacific Northwest Laboratory. BPS is preparing this EIS to assess whether other techniques maintain indoor air quality comparable to that found in homes built using current practices. Although many pollutants are potentially of great concern, our analysis concentrates on radon and formaldehyde. It is based on measured concentrations of these pollutants and measured ventilation rates in current practice. Ventilation was measured using fan pressurization tests, which measure only air leakage, and perfluorocarbon tracer gas (PFT) tests, which account for ventilation from mechanical devices and occupant behavior in addition to air leakage. These tests yielded two different estimates. We used these data to estimate pollutant concentrations and lifetime cancer rates under three alternative actions. Under all of the alternatives, radon had a much greater effect than formaldehyde. 102 refs

  15. The cost-effectiveness of a new disease management model for frail elderly living in homes for the elderly, design of a cluster randomized controlled clinical trial

    Directory of Open Access Journals (Sweden)

    Ribbe Miel W

    2008-07-01

    Full Text Available Abstract Background The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly. Methods This study concerns a cluster randomized controlled clinical trial among five intervention homes and five usual care homes in the North-West of the Netherlands with a total of over 500 residents. All persons who are not terminally ill, are able to be interviewed and sign informed consent are included. For cognitively impaired persons family proxies will be approached to provide outcome information. The Disease Management Model consists of several elements: (1 Trained staff carries out a multidimensional assessment of the patients functional health and care needs with the interRAI Long Term Care Facilities instrument (LTCF. Computerization of the LTCF produces immediate identification of problem areas and thereby guides individualized care planning. (2 The assessment outcomes are discussed in a Multidisciplinary Meeting (MM with the nurse, primary care physician, nursing home physician and Psychotherapist and if necessary other members of the care team. The MM presents individualized care plans to manage or treat modifiable disabilities and risk factors. (3 Consultation by an nursing home physician and psychotherapist is offered to the frailest residents at risk for nursing home admission (according to the interRAI LTCF. Outcome measures are Quality of Care indicators (LTCF based, Quality Adjusted Life Years (Euroqol, Functional health (SF12, COOP-WONCA, Disability (GARS, Patients care satisfaction (QUOTE, hospital and nursing home days and mortality, health care utilization and costs. Discussion This design is unique because no earlier studies were performed to evaluate the effects and costs of this Disease Management Model for disabled persons in homes for the elderly on

  16. The cost-effectiveness of a new disease management model for frail elderly living in homes for the elderly, design of a cluster randomized controlled clinical trial.

    Science.gov (United States)

    Boorsma, Marijke; van Hout, Hein P J; Frijters, Dinnus H; Ribbe, Miel W; Nijpels, Giel

    2008-07-07

    The objective of this article is to describe the design of a study to evaluate the clinical and economic effects of a Disease Management model on functional health, quality of care and quality of life of persons living in homes for the elderly. This study concerns a cluster randomized controlled clinical trial among five intervention homes and five usual care homes in the North-West of the Netherlands with a total of over 500 residents. All persons who are not terminally ill, are able to be interviewed and sign informed consent are included. For cognitively impaired persons family proxies will be approached to provide outcome information. The Disease Management Model consists of several elements: (1) Trained staff carries out a multidimensional assessment of the patients functional health and care needs with the interRAI Long Term Care Facilities instrument (LTCF). Computerization of the LTCF produces immediate identification of problem areas and thereby guides individualized care planning. (2) The assessment outcomes are discussed in a Multidisciplinary Meeting (MM) with the nurse, primary care physician, nursing home physician and Psychotherapist and if necessary other members of the care team. The MM presents individualized care plans to manage or treat modifiable disabilities and risk factors. (3) Consultation by an nursing home physician and psychotherapist is offered to the frailest residents at risk for nursing home admission (according to the interRAI LTCF). Outcome measures are Quality of Care indicators (LTCF based), Quality Adjusted Life Years (Euroqol), Functional health (SF12, COOP-WONCA), Disability (GARS), Patients care satisfaction (QUOTE), hospital and nursing home days and mortality, health care utilization and costs. This design is unique because no earlier studies were performed to evaluate the effects and costs of this Disease Management Model for disabled persons in homes for the elderly on functional health and quality of care. TRAIL

  17. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma Practice Model Stoma supplies (measurement guide, marking pen, scissors, sample pouch) Ostomy ...

  18. Comfort in High-Performance Homes in a Hot-Humid Climate

    Energy Technology Data Exchange (ETDEWEB)

    Poerschke, A. [IBACOS, Inc., Pittsburgh, PA (United States); Beach, R. [IBACOS, Inc., Pittsburgh, PA (United States)

    2016-01-22

    "9IBACOS monitored 37 homes during the late summer and early fall of 2014 in a hot and humid climate to better understand indoor comfort conditions. These homes were constructed in the last several years by four home builders that offered a comfort and performance guarantee for the homes. The homes were located in one of four cities: Tampa, Florida; Orlando, Florida; Houston, Texas; and San Antonio, Texas. Temperature and humidity data were collected from the thermostat and each room of the house using small, battery-powered data loggers. To understand system runtime and its impact on comfort, supply air temperature also was measured on a 1-minute interval. Overall, the group of homes only exceeded a room-to-room temperature difference of 6 degrees F for 5% of the time. For 80% of the time, the rooms in each house were within 4 degrees F of each other. Additionally, the impact of system runtime on comfort is discussed. Finally, measurements made at the thermostat were used to better understand the occupant operation of each cooling system's thermostat setpoint. Builders were questioned on their perceived impact of offering a comfort and performance guarantee. Their feedback, which generally indicates a positive perception, has been summarized in the report.

  19. Medicare home health utilization as a function of nursing home market factors.

    OpenAIRE

    Swan, J H; Benjamin, A E

    1990-01-01

    Rapid increases in the size and costs of the home health market, unknown impacts of Medicare's DRG hospital reimbursement on the posthospital market, and general lack of knowledge about factors that explain interstate variation in home health utilization all suggest the importance of developing and testing models of Medicare home health use. This article proposes and tests a model of state home health utilization as a function of the nursing home market. This model proposes that home health u...

  20. Campbell Creek Research Homes: FY2013 Annual Performance Report OCT.1, 2012 SEP. 30, 2013

    Energy Technology Data Exchange (ETDEWEB)

    Jackson, Roderick K [ORNL; Boudreaux, Philip R [ORNL; Munk, Jeffrey D [ORNL; Gehl, Anthony C [ORNL; Lyne, Christopher T [ORNL; Odukomaiya, Wale O [ORNL

    2014-05-01

    1.INTRODUCTION AND PROJECT OVERVIEW The Campbell Creek project is funded and managed by the Tennessee Valley Authority (TVA) Technology Innovation, Energy Efficiency, Power Delivery and Utilization Office. Technical support is provided under contract by the Oak Ridge National Laboratory (ORNL) and the Electric Power Research Institute (EPRI). The project was designed to determine the relative energy efficiency of typical new home construction, of retrofitting of existing homes, and of high-performance new homes built from the ground up for energy efficiency. This project was designed to compare three houses that represent current construction practices: a base case (Builder House CC1); a modified house that could represent a major energy-efficient retrofit (Retrofit House CC2); and a house constructed from the ground up to be a high-performance home (High Performance House CC3). To enable a valid comparison, it was necessary to simulate occupancy in all three houses and extensively monitor the structural components and the energy usage by component. In October 2013, the base case was also modified by replacing the builder-grade heating, ventilation, and air-conditioning (HVAC) system with a high-efficiency variable-speed unit. All three houses are two-story, slab-on-grade, framed construction. CC1 and CC2 are approximately 2,400 ft2. CC3 has a pantry option, used primarily as a mechanical equipment room, that adds approximately 100 ft2. All three houses are all-electric (with the exception of a gas log fireplace that is not used during the testing) and use air-source heat pumps for heating and cooling. The three homes are located in Knoxville in the Campbell Creek Subdivision. CC1 and CC2 are next door to each other with a south-facing orientation; CC3 has a north-facing orientation and is located across the street and a couple of houses down. The energy data collected will be used to determine the benefits of retrofit packages and high-performance new home

  1. Advanced GIS Exercise: Performing Error Analysis in ArcGIS ModelBuilder

    Science.gov (United States)

    Hall, Steven T.; Post, Christopher J.

    2009-01-01

    Knowledge of Geographic Information Systems is quickly becoming an integral part of the natural resource professionals' skill set. With the growing need of professionals with these skills, we created an advanced geographic information systems (GIS) exercise for students at Clemson University to introduce them to the concept of error analysis,…

  2. Pharmacist-Led Home Medicines Review and Residential Medication Management Review: The Australian Model.

    Science.gov (United States)

    Chen, Timothy F

    2016-03-01

    Older people are often prescribed multiple medicines and have a high prevalence of polypharmacy. Polypharmacy is associated with an increased risk of inappropriate use of medicines and drug-related problems. As experts in pharmacotherapy, pharmacists are well placed to review complex medication regimens and identify causes of drug-related problems and recommend solutions to prevent or resolve them. Involvement in medication review services represents a major philosophical shift and paradigm change in the way pharmacists practice, in that the focus is shifted away from the dispensing of prescription medicines to the provision of a professional service for a patient, in collaboration with their general practitioner (GP). In Australia, there are two established medication review programs: Home Medicines Review (HMR) and Residential Medication Management Review (RMMR). The objectives of this article were to describe the process of government-funded medication review services in Australia and to evaluate the contribution of pharmacists to HMR and RMMR, using evidence-based measures, such as the Drug Burden Index (DBI) and the Medication Appropriateness Index (MAI). This review found that there is good evidence to support the role of pharmacists in delivering medication review services across different settings. Although the positive impact of such services has been demonstrated using a variety of validated measures (DBI, MAI), there remains a need to also evaluate actual clinical outcomes and/or patient-reported outcomes.

  3. Estimating the surface area of birds: using the homing pigeon (Columba livia) as a model.

    Science.gov (United States)

    Perez, Cristina R; Moye, John K; Pritsos, Chris A

    2014-05-08

    Estimation of the surface area of the avian body is valuable for thermoregulation and metabolism studies as well as for assessing exposure to oil and other surface-active organic pollutants from a spill. The use of frozen carcasses for surface area estimations prevents the ability to modify the posture of the bird. The surface area of six live homing pigeons in the fully extended flight position was estimated using a noninvasive method. An equation was derived to estimate the total surface area of a pigeon based on its body weight. A pigeon's surface area in the fully extended flight position is approximately 4 times larger than the surface area of a pigeon in the perching position. The surface area of a bird is dependent on its physical position, and, therefore, the fully extended flight position exhibits the maximum area of a bird and should be considered the true surface area of a bird. © 2014. Published by The Company of Biologists Ltd | Biology Open.

  4. Financing PV solar home systems; A market intervention model from a case study in India

    Energy Technology Data Exchange (ETDEWEB)

    Painuly, J.P. [UNEP Risoe Centre on Energy, Climate and Sustainable Development, Risoe National Laboratory (Denmark); Usher, E. [Energy and Ozon Action Unit - Division of Technology, Industry and Economics - United Nations Environment Programme, Paris (France)

    2004-07-01

    Renewable Energy is expected to contribute significantly in future to World Energy Supply. It holds tremendous potential for countries like India where approximately seventy percent of the rural households are still without access to electricity. These households continue to rely on less efficient and polluting energy sources, typically biomass for cooking and heating and kerosene for lighting. Even when connected to grid, problems of capacity shortages and inconsistent quality plague the power supply, especially in rural and semi urban areas in most parts of India. Despite high initial costs, Solar Home Systems (SHS) emerge as an attractive option in the context of costly or unreliable alternatives and escalating grid power tariffs. Barrier to the growth of SHS market include a lack of access to financing, awareness, and risk perception associated with the technology, new to the customers of SHS and financing community. Consultations with stakeholders were held and an intervention was designed to address these barriers through creation of a credit facility in partnership with two banks having wide reach to the potential customers. The facility provides loan to the customers and a small subsidy to buy down high cost of the credit, which is designed to reduce over the three-year operation of the facility, with a target to reach market rates of interest at the end of the project. Technical support, awareness raising strategies and training were included as a part of the overall strategy. The credit facility was launched between April and June 2003 by the two banks. Early indications on sales have been very encouraging and the facility is expected to surpass the target of 5000 SHS sales in two years well in advance. Feedback mechanisms such as customer surveys, new initiatives to reach the poor households, and ongoing consultations with stakeholders etc. are also part of the market development strategy. (orig.)

  5. Atmospheric propagation modeling indicates homing pigeons use loft-specific infrasonic ‘map’ cues

    Science.gov (United States)

    Hagstrum, Jonathan T.

    2013-01-01

    Results from an acoustic ray-tracing program using daily meteorological profiles are presented to explain ‘release-site biases’ for homing pigeons at three experimental sites in upstate New York where W. T. Keeton and his co-workers at Cornell University conducted extensive releases between 1968 and 1987 in their investigations of the avian navigational ‘map’. The sites are the Jersey Hill and Castor Hill fire towers, and another near Weedsport, where control pigeons from the Cornell loft vanished in random directions, in directions consistently >50 deg clockwise and in directions ∼15 deg clockwise from the homeward bearing, respectively. Because Cornell pigeons were disoriented at Jersey Hill whereas birds from other lofts were not, it is inferred that Jersey Hill lies within an acoustic ‘shadow’ zone relative to infrasonic signals originating from the Cornell loft’s vicinity. Such signals could arise from ground-to-air coupling of near-continuous microseisms, or from scattering of direct microbaroms off terrain features, both of which are initially generated by wave–wave interactions in the deep ocean. HARPA runs show that little or no infrasound from the loft area arrived at Jersey Hill on days when Cornell pigeons were disoriented there, and that homeward infrasonic signals could have arrived at all three sites from directions consistent with pigeon departure bearings, especially on days when these bearings were unusual. The general stability of release-site biases might be due to influences of terrain on transmission of the homeward signals under prevailing weather patterns, whereas short-term changes in biases might be caused by rapid shifts in atmospheric conditions.

  6. Modeling and evaluating evidence-based continuing education program in nursing home dementia care (MEDCED)--training of care home staff to reduce use of restraint in care home residents with dementia. A cluster randomized controlled trial.

    Science.gov (United States)

    Testad, Ingelin; Mekki, Tone Elin; Førland, Oddvar; Øye, Christine; Tveit, Eva Marie; Jacobsen, Frode; Kirkevold, Øyvind

    2016-01-01

    The aim of this study was to evaluate the effectiveness of a tailored 7-month training intervention "Trust Before Restraint," in reducing use of restraint, agitation, and antipsychotic medications in care home residents with dementia. This is a single-blind cluster randomized controlled trial in 24 care homes within the Western Norway Regional Health Authority 2011-2013. From 24 care homes, 274 residents were included in the study, with 118 in the intervention group and 156 in the control group. Use of restraint was significantly reduced in both the intervention group and the control group despite unexpected low baseline, with a tendency to a greater reduction in the control group. There was a significant reduction in Cohen-Mansfield Agitation Inventory score in both the intervention group and the follow-up group with a slightly higher reduction in the control group, although this did not reach significance and a small nonsignificant increase in use of antipsychotics (14.1-17.7%) and antidepressants (35.9-38.4%) in both groups. This study reports on the statistically significant reduction in use of restraint in care homes, both prior and during the 7-month intervention periods, in both intervention and control groups. When interpreted within the context of the current climate of educational initiatives to reduce restraint and a greater focus on the importance of person-centered care, the study also highlights the potential success achieved with national training programs for care staff and should be further evaluated to inform future training initiatives both in Norway and internationally. Copyright © 2015 John Wiley & Sons, Ltd.

  7. "Home Made" Model to Study the Greenhouse Effect and Global Warming

    Science.gov (United States)

    Onorato, P.; Mascheretti, P.; DeAmbrosis, A.

    2011-01-01

    In this paper a simplified two-parameter model of the greenhouse effect on the Earth is developed, starting from the well known two-layer model. It allows both the analysis of the temperatures of the inner planets, by focusing on the role of the greenhouse effect, and a comparison between the temperatures the planets should have in the absence of…

  8. Disaster Hits Home: A Model of Displaced Family Adjustment after Hurricane Katrina

    Science.gov (United States)

    Peek, Lori; Morrissey, Bridget; Marlatt, Holly

    2011-01-01

    The authors explored individual and family adjustment processes among parents (n = 30) and children (n = 55) who were displaced to Colorado after Hurricane Katrina. Drawing on in-depth interviews with 23 families, this article offers an inductive model of displaced family adjustment. Four stages of family adjustment are presented in the model: (a)…

  9. Home Care

    Science.gov (United States)

    ... Aging & Health A to Z › Home Care Font size A A A Print Share Glossary Basic Facts & Information Other Resources Caregiving How To's Tools & Tips Latest Research Getting More Help Related Topics Assisted Living Community-Based Care Nursing Homes Join our e- ...

  10. The Misuse of Anabolic-Androgenic Steroids among Iranian Recreational Male Body-Builders and Their Related Psycho-Socio-Demographic factors.

    Science.gov (United States)

    Angoorani, Hooman; Halabchi, Farzin

    2015-12-01

    The high prevalence and potential side effects of anabolic-androgenic steroids (AAS) misuse by athletes has made it a major public health concern. Epidemiological studies on the abuse of such drugs are mandatory for developing effective preventive drug control programs in sports community. This study aimed to investigate the prevalence of AAS abuse and their association with some psycho-socio-demographic factors in Iranian male recreational body-builders. Between March and October 2011; 906 recreational male body-builders from 103 randomly selected bodybuilding clubs in Tehran, Iran were participated in this study. Some psycho-socio- demographic factors including age, job, average family income, family size, sport experience (months), weekly duration of the sporting activity (h), purpose of participation in sporting activity, mental health as well as body image (via General Health Questionnaire and Multidimensional Body-Self Relations Questionnaire, respectively), and history of AAS use were obtained by interviews using questionnaires. Participants were all recreational male body-builders [mean age (SD): 25.7 (7.1), ranging 14-56 yr]. Self-report of AAS abuse was registered in 150 body-builders (16.6%). Among different psycho-socio-demographic factors, only family income and sport experience were inversely associated with AAS abuse. Lifetime prevalence of AAS abuse is relatively high among recreational body-builders based on their self-report. Some psycho-socio-demographic factors including family income and sport experience may influence the prevalence of AAS abuse.

  11. Bodies, building and bricks: Women architects and builders in eight eco-communities in Argentina, Britain, Spain, Thailand and USA

    OpenAIRE

    Pickerill, J.

    2015-01-01

    Eco-building is a male domain where men are presumed to be better builders and designers, more men than women build and women find their design ideas and contributions to eco-building are belittled. This article suggests that a focus on bodies, embodiment and the ‘doing’ of building is a potentially productive way to move beyond current gender discrimination. This article makes three key interventions using empirical material from eight case studies of eco-communities in Britain, Thailand, Sp...

  12. 'Home made' model to study the greenhouse effect and global warming

    Energy Technology Data Exchange (ETDEWEB)

    Onorato, P; Mascheretti, P; DeAmbrosis, A, E-mail: pasquale.onorato@unipv.it, E-mail: anna.deambrosisvigna@unipv.it [Department of Physics ' A. Volta' , University of Pavia, Via Bassi 6, I-27100 Pavia (Italy)

    2011-03-15

    In this paper a simplified two-parameter model of the greenhouse effect on the Earth is developed, starting from the well known two-layer model. It allows both the analysis of the temperatures of the inner planets, by focusing on the role of the greenhouse effect, and a comparison between the temperatures the planets should have in the absence of greenhouse effect and their actual ones. It may also be used to predict the average temperature of the Earth surface in the future, depending on the variations of the concentration of greenhouse gases in the atmosphere due to human activities. This model can promote an elementary understanding of global warming since it allows a simple formalization of the energy balance for the Earth in the stationary condition, in the presence of greenhouse gases. For these reasons it can be introduced in courses for undergraduate physics students and for teacher preparation.

  13. 'Home made' model to study the greenhouse effect and global warming

    International Nuclear Information System (INIS)

    Onorato, P; Mascheretti, P; DeAmbrosis, A

    2011-01-01

    In this paper a simplified two-parameter model of the greenhouse effect on the Earth is developed, starting from the well known two-layer model. It allows both the analysis of the temperatures of the inner planets, by focusing on the role of the greenhouse effect, and a comparison between the temperatures the planets should have in the absence of greenhouse effect and their actual ones. It may also be used to predict the average temperature of the Earth surface in the future, depending on the variations of the concentration of greenhouse gases in the atmosphere due to human activities. This model can promote an elementary understanding of global warming since it allows a simple formalization of the energy balance for the Earth in the stationary condition, in the presence of greenhouse gases. For these reasons it can be introduced in courses for undergraduate physics students and for teacher preparation.

  14. 'Home made' model to study the greenhouse effect and global warming

    Science.gov (United States)

    Onorato, P.; Mascheretti, P.; DeAmbrosis, A.

    2011-03-01

    In this paper a simplified two-parameter model of the greenhouse effect on the Earth is developed, starting from the well known two-layer model. It allows both the analysis of the temperatures of the inner planets, by focusing on the role of the greenhouse effect, and a comparison between the temperatures the planets should have in the absence of greenhouse effect and their actual ones. It may also be used to predict the average temperature of the Earth surface in the future, depending on the variations of the concentration of greenhouse gases in the atmosphere due to human activities. This model can promote an elementary understanding of global warming since it allows a simple formalization of the energy balance for the Earth in the stationary condition, in the presence of greenhouse gases. For these reasons it can be introduced in courses for undergraduate physics students and for teacher preparation.

  15. Theology in Australian Higher Education: The "Newcastle Model" Brings Theology Home to the Academy

    Science.gov (United States)

    Douglas, Brian; Lovat, Terence

    2010-01-01

    This article investigates the movement of theological education away from diocesan controlled theological colleges in the Anglican Church of Australia into the mainstream curriculum of public universities. Particular reference is made to the establishment of Theology as an area of study at The University of Newcastle. Other models of theological…

  16. Student Success and the Family: Using the Comer Model for Home-School Connections.

    Science.gov (United States)

    Drake, Daniel D.

    1995-01-01

    Discusses the Comer Parents' Program Model, a structure to develop and plan effective parent-school partnerships. Describes the program's three levels (broad-based participation, parents-as-volunteers, and parents-as-decision-makers). Notes the need for a comprehensive plan. Discusses the four key elements of the plan: information exchange,…

  17. The decision of out-of-home placement in residential care after parental neglect: Empirically testing a psychosocial model.

    Science.gov (United States)

    Rodrigues, Leonor; Calheiros, Manuela; Pereira, Cícero

    2015-11-01

    Out-of-home placement decisions in residential care are complex, ambiguous and full of uncertainty, especially in cases of parental neglect. Literature on this topic is so far unable to understand and demonstrate the source of errors involved in those decisions and still fails to focus on professional's decision making process. Therefore, this work intends to test a socio-psychological model of decision-making that is a more integrated, dualistic and ecological version of the Theory of Planned Behavior's model. It describes the process through which the decision maker takes into account personal, contextual and social factors of the Decision-Making Ecology in the definition of his/her decision threshold. One hundred and ninety-five professionals from different Children and Youth Protection Units, throughout the Portuguese territory, participated in this online study. After reading a vignette of a (psychological and physical) neglect case toward a one-year-old child, participants were presented with a group of questions that measured worker's assessment of risk, intention, attitude, subjective norm, behavior control and beliefs toward residential care placement decision, as well as worker's behavior experience, emotions and family/child-related-values involved in that decision. A set of structural equation modeling analyses have proven the good fit of the proposed model. The intention to propose a residential care placement decision was determined by cognitive, social, affective, value-laden and experience variables and the perceived risk. Altogether our model explained 61% of professional's decision toward a parental neglect case. The theoretical and practical implications of these results are discussed, namely the importance of raising awareness about the existence of these biased psychosocial determinants. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Improving communication with palliative care cancer patients at home - A pilot study of SAGE & THYME communication skills model.

    Science.gov (United States)

    Griffiths, Jane; Wilson, Charlotte; Ewing, Gail; Connolly, Michael; Grande, Gunn

    2015-10-01

    To pilot an evidence-based communication skills model (SAGE & THYME) with UK District Nurses (DNs) who visit patients with advanced cancer early in the dying trajectory. Evidence suggests that DNs lack confidence in communication skills and in assessing cancer patients' psycho-social needs; also that they lack time. SAGE & THYME is a highly structured model for teaching patient centred interactions. It addresses concerns about confidence and time. Mixed methods. 33 DNs were trained in SAGE & THYME in a three hour workshop and interviewed in focus groups on three occasions: pre-training, immediately post-training and two months post-training. Questionnaires measuring perceived outcomes of communication, confidence in communication and motivation to use SAGE & THYME were administered at the focus groups. SAGE & THYME provided a structure for conversations and facilitated opening and closing of interactions. The main principle of patient centeredness was reportedly used by all. Knowledge about communication behaviours helpful to patients improved and was sustained two months after training. Increased confidence in communication skills was also sustained. Motivation to use SAGE & THYME was high and remained so at two months, and some said the model saved them time. Challenges with using the model included controlling the home environment and a change in style of communication which was so marked some DNs preferred to use it with new patients. Training DNs in SAGE & THYME in a three hour workshop appears to be a promising model for improving communication skills when working with cancer patients. Crown Copyright © 2015. Published by Elsevier Ltd. All rights reserved.

  19. Embracing Complexity: Using Technology to Develop a Life-Long Learning Model for Non-Working Time in the Interdependent Homes for Adults with Autism Spectrum Disorders

    Science.gov (United States)

    Chiang, I-Tsun; Chen, Mei-Li

    2011-01-01

    The purpose of this study was to employ complexity theory as a theoretical framework and technology to facilitate the development of a life-long learning model for non-working time in the interdependent homes for adults with Autism Spectrum Disorders (ASD). A "Shining Star Sustainable Action Project" of the ROC Foundation for Autistic…

  20. Applying the Job Demands--Resources Model to the Work--Home Interface: A Study among Medical Residents and Their Partners

    Science.gov (United States)

    Bakker, Arnold B.; ten Brummelhuis, Lieke L.; Prins, Jelle T.; van der Heijden, Frank M. M. A.

    2011-01-01

    Work-home interference (WHI) is a prevalent problem because most employees have substantial family responsibilities on top of their work demands. The present study hypothesized that high job demands in combination with low job resources contribute to WHI. The job demands-resources (JD-R) model was used as a theoretical framework. Using a sample of…

  1. Home composting as an alternative treatment option for organic household waste in Denmark: An environmental assessment using life cycle assessment-modelling.

    Science.gov (United States)

    Andersen, J K; Boldrin, A; Christensen, T H; Scheutz, C

    2012-01-01

    An environmental assessment of the management of organic household waste (OHW) was performed from a life cycle perspective by means of the waste-life cycle assessment (LCA) model EASEWASTE. The focus was on home composting of OHW in Denmark and six different home composting units (with different input and different mixing frequencies) were modelled. In addition, incineration and landfilling was modelled as alternatives to home composting. The most important processes contributing to the environmental impact of home composting were identified as greenhouse gas (GHG) emissions (load) and the avoided emissions in relation to the substitution of fertiliser and peat when compost was used in hobby gardening (saving). The replacement of fertiliser and peat was also identified as one of the most sensible parameters, which could potentially have a significant environmental benefit. Many of the impact categories (especially human toxicity via water (HTw) and soil (HTs)) were affected by the heavy metal contents of the incoming OHW. The concentrations of heavy metals in the compost were below the threshold values for compost used on land and were thus not considered to constitute a problem. The GHG emissions were, on the other hand, dependent on the management of the composting units. The frequently mixed composting units had the highest GHG emissions. The environmental profiles of the home composting scenarios were in the order of -2 to 16 milli person equivalents (mPE) Mg(-1) wet waste (ww) for the non-toxic categories and -0.9 to 28mPEMg(-1) ww for the toxic categories. Home composting performed better than or as good as incineration and landfilling in several of the potential impact categories. One exception was the global warming (GW) category, in which incineration performed better due to the substitution of heat and electricity based on fossil fuels. Copyright © 2011. Published by Elsevier Ltd.

  2. Moving from silos to teamwork: integration of interprofessional trainees into a medical home model.

    Science.gov (United States)

    Long, Theodore; Dann, Sarah; Wolff, Marissa Lynn; Brienza, Rebecca S

    2014-09-01

    As the United States faces an impending shortage in the primary care workforce, interprofessional teamwork training to improve clinic efficiency and health outcomes is becoming increasingly important. Currently there is limited integration of interprofessional training in educational models for health professionals. The implementation of Patient Aligned Care Teams at the Department of Veterans Affairs (VA) has provided an opportunity for interprofessional collaboration among trainee and faculty providers within the VA system. However, integration of interprofessional education is also necessary to train future providers in order to provide effective team-based care. We describe a transportable educational model for health professional collaboration from our experience as a VA Center of Excellence in Primary Care Education, including a complementary novel one-year post-Master's adult nurse practitioner interprofessional clinical fellowship. With growing recognition that interprofessional care can improve efficiency and outcomes, there is an increasing need for programs that train future providers in collaboration and team-based care.

  3. Modeling the airborne survival of influenza virus in a residential setting: the impacts of home humidification

    Directory of Open Access Journals (Sweden)

    Myatt Theodore A

    2010-09-01

    Full Text Available Abstract Background Laboratory research studies indicate that aerosolized influenza viruses survive for longer periods at low relative humidity (RH conditions. Further analysis has shown that absolute humidity (AH may be an improved predictor of virus survival in the environment. Maintaining airborne moisture levels that reduce survival of the virus in the air and on surfaces could be another tool for managing public health risks of influenza. Methods A multi-zone indoor air quality model was used to evaluate the ability of portable humidifiers to control moisture content of the air and the potential related benefit of decreasing survival of influenza viruses in single-family residences. We modeled indoor AH and influenza virus concentrations during winter months (Northeast US using the CONTAM multi-zone indoor air quality model. A two-story residential template was used under two different ventilation conditions - forced hot air and radiant heating. Humidity was evaluated on a room-specific and whole house basis. Estimates of emission rates for influenza virus were particle-size specific and derived from published studies and included emissions during both tidal breathing and coughing events. The survival of the influenza virus was determined based on the established relationship between AH and virus survival. Results The presence of a portable humidifier with an output of 0.16 kg water per hour in the bedroom resulted in an increase in median sleeping hours AH/RH levels of 11 to 19% compared to periods without a humidifier present. The associated percent decrease in influenza virus survival was 17.5 - 31.6%. Distribution of water vapor through a residence was estimated to yield 3 to 12% increases in AH/RH and 7.8-13.9% reductions in influenza virus survival. Conclusion This modeling analysis demonstrates the potential benefit of portable residential humidifiers in reducing the survival of aerosolized influenza virus by controlling humidity

  4. Modeling the airborne survival of influenza virus in a residential setting: the impacts of home humidification

    Science.gov (United States)

    2010-01-01

    Background Laboratory research studies indicate that aerosolized influenza viruses survive for longer periods at low relative humidity (RH) conditions. Further analysis has shown that absolute humidity (AH) may be an improved predictor of virus survival in the environment. Maintaining airborne moisture levels that reduce survival of the virus in the air and on surfaces could be another tool for managing public health risks of influenza. Methods A multi-zone indoor air quality model was used to evaluate the ability of portable humidifiers to control moisture content of the air and the potential related benefit of decreasing survival of influenza viruses in single-family residences. We modeled indoor AH and influenza virus concentrations during winter months (Northeast US) using the CONTAM multi-zone indoor air quality model. A two-story residential template was used under two different ventilation conditions - forced hot air and radiant heating. Humidity was evaluated on a room-specific and whole house basis. Estimates of emission rates for influenza virus were particle-size specific and derived from published studies and included emissions during both tidal breathing and coughing events. The survival of the influenza virus was determined based on the established relationship between AH and virus survival. Results The presence of a portable humidifier with an output of 0.16 kg water per hour in the bedroom resulted in an increase in median sleeping hours AH/RH levels of 11 to 19% compared to periods without a humidifier present. The associated percent decrease in influenza virus survival was 17.5 - 31.6%. Distribution of water vapor through a residence was estimated to yield 3 to 12% increases in AH/RH and 7.8-13.9% reductions in influenza virus survival. Conclusion This modeling analysis demonstrates the potential benefit of portable residential humidifiers in reducing the survival of aerosolized influenza virus by controlling humidity indoors. PMID:20815876

  5. Nursing Homes

    Science.gov (United States)

    ... changed dramatically over the past several decades. These changes have been driven by government regulations and consumer pressures. Today’s nursing homes are highly regulated, high-quality institutions for ...

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

    Science.gov (United States)

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

    2008-01-01

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

  7. Modeling School Choice: A Comparison of Public, Private-Independent, Private-Religious and Home-Schooled Students

    Science.gov (United States)

    Belfield, Clive R.

    2004-01-01

    U.S. students now have four choices of schooling: public schooling, private-religious schooling, private-independent schooling, and home-schooling. Of these, home-schooling is the most novel: since legalization across the states in the last few decades, it has grown in importance and legitimacy as an alternative choice. Thus, it is now possible to…

  8. Designing a place called home reordering the suburbs

    CERN Document Server

    Wentling, James

    2017-01-01

    This insightful volume shares design ideas to help builders, planners and architects create mass-produced affordable housing that pushes suburban development in more sustainable, liveable directions. The author argues that improving the quality of design in our new homes and communities for greater resiliency, sustainability, and equality, we can build neighborhoods and communities where residents feel more connected t their homes and to one another. Through text, photographs and illustrations, the book reviews prototypical American housing design, then suggest ways to both learn from the past as well as adapt for new environmental imperatives, demographic changes and lifestyle needs. Written by a practicing architect with 25+ years of experience optimizing residential design, this pioneering approach to suburban building will inspire readers to view mass produced housing through a new, modern lens.

  9. Nursing Home

    OpenAIRE

    Allocca Hernandez, Giacomo Antonio

    2016-01-01

    Getting old involves a lot of changes in life. Family and social relations change and mobility can decrease. These variations require new settings, and of course special care. A nursing home is a place dedicated to help with this situation. Sometimes nursing homes can be perceived as mere institutions by society, and even by future residents. Inside, senior citizens are suppose to spend the rest of their lives doing the same activities day after day. How can we improve these days? Archite...

  10. Factors predicting a home death among home palliative care recipients.

    Science.gov (United States)

    Ko, Ming-Chung; Huang, Sheng-Jean; Chen, Chu-Chieh; Chang, Yu-Ping; Lien, Hsin-Yi; Lin, Jia-Yi; Woung, Lin-Chung; Chan, Shang-Yih

    2017-10-01

    Awareness of factors affecting the place of death could improve communication between healthcare providers and patients and their families regarding patient preferences and the feasibility of dying in the preferred place.This study aimed to evaluate factors predicting home death among home palliative care recipients.This is a population-based study using a national representative sample retrieved from the National Health Insurance Research Database. Subjects receiving home palliative care, from 2010 to 2012, were analyzed to evaluate the association between a home death and various characteristics related to illness, individual, and health care utilization. A multiple-logistic regression model was used to assess the independent effect of various characteristics on the likelihood of a home death.The overall rate of a home death for home palliative care recipients was 43.6%. Age; gender; urbanization of the area where the patients lived; illness; the total number of home visits by all health care professionals; the number of home visits by nurses; utilization of nasogastric tube, endotracheal tube, or indwelling urinary catheter; the number of emergency department visits; and admission to intensive care unit in previous 1 year were not significantly associated with the risk of a home death. Physician home visits increased the likelihood of a home death. Compared with subjects without physician home visits (31.4%) those with 1 physician home visit (53.0%, adjusted odds ratio [AOR]: 3.23, 95% confidence interval [CI]: 1.93-5.42) and those with ≥2 physician home visits (43.9%, AOR: 2.23, 95% CI: 1.06-4.70) had higher likelihood of a home death. Compared with subjects with hospitalization 0 to 6 times in previous 1 year, those with hospitalization ≥7 times in previous 1 year (AOR: 0.57, 95% CI: 0.34-0.95) had lower likelihood of a home death.Among home palliative care recipients, physician home visits increased the likelihood of a home death. Hospitalizations ≥7

  11. Let my people go (home to Spain: a genealogical model of Jewish identities since 1492.

    Directory of Open Access Journals (Sweden)

    Joshua S Weitz

    Full Text Available The Spanish government recently announced an official fast-track path to citizenship for any individual who is Jewish and whose ancestors were expelled from Spain during the inquisition-related dislocation of Spanish Jews in 1492. It would seem that this policy targets a small subset of the global Jewish population, that is, restricted to individuals who retain cultural practices associated with ancestral origins in Spain. However, the central contribution of this manuscript is to demonstrate how and why the policy is far more likely to apply to a very large fraction (i.e., the vast majority of Jews. This claim is supported using a series of genealogical models that include transmissible "identities" and preferential intra-group mating. Model analysis reveals that even when intra-group mating is strong and even if only a small subset of a present-day population retains cultural practices typically associated with that of an ancestral group, it is highly likely that nearly all members of that population have direct genealogical links to that ancestral group, given sufficient number of generations have elapsed. The basis for this conclusion is that not having a link to an ancestral group must be a property of all of an individual's ancestors, the probability of which declines (nearly superexponentially with each successive generation. These findings highlight unexpected incongruities induced by genealogical dynamics between present-day and ancestral identities.

  12. Let my people go (home) to Spain: a genealogical model of Jewish identities since 1492.

    Science.gov (United States)

    Weitz, Joshua S

    2014-01-01

    The Spanish government recently announced an official fast-track path to citizenship for any individual who is Jewish and whose ancestors were expelled from Spain during the inquisition-related dislocation of Spanish Jews in 1492. It would seem that this policy targets a small subset of the global Jewish population, that is, restricted to individuals who retain cultural practices associated with ancestral origins in Spain. However, the central contribution of this manuscript is to demonstrate how and why the policy is far more likely to apply to a very large fraction (i.e., the vast majority) of Jews. This claim is supported using a series of genealogical models that include transmissible "identities" and preferential intra-group mating. Model analysis reveals that even when intra-group mating is strong and even if only a small subset of a present-day population retains cultural practices typically associated with that of an ancestral group, it is highly likely that nearly all members of that population have direct genealogical links to that ancestral group, given sufficient number of generations have elapsed. The basis for this conclusion is that not having a link to an ancestral group must be a property of all of an individual's ancestors, the probability of which declines (nearly) superexponentially with each successive generation. These findings highlight unexpected incongruities induced by genealogical dynamics between present-day and ancestral identities.

  13. PGAdb-builder: A web service tool for creating pan-genome allele database for molecular fine typing.

    Science.gov (United States)

    Liu, Yen-Yi; Chiou, Chien-Shun; Chen, Chih-Chieh

    2016-11-08

    With the advance of next generation sequencing techniques, whole genome sequencing (WGS) is expected to become the optimal method for molecular subtyping of bacterial isolates. To use WGS as a general subtyping method for disease outbreak investigation and surveillance, the layout of WGS-based typing must be comparable among laboratories. Whole genome multilocus sequence typing (wgMLST) is an approach that achieves this requirement. To apply wgMLST as a standard subtyping approach, a pan-genome allele database (PGAdb) for the population of a bacterial organism must first be established. We present a free web service tool, PGAdb-builder (http://wgmlstdb.imst.nsysu.edu.tw), for the construction of bacterial PGAdb. The effectiveness of PGAdb-builder was tested by constructing a pan-genome allele database for Salmonella enterica serovar Typhimurium, with the database being applied to create a wgMLST tree for a panel of epidemiologically well-characterized S. Typhimurium isolates. The performance of the wgMLST-based approach was as high as that of the SNP-based approach in Leekitcharoenphon's study used for discerning among epidemiologically related and non-related isolates.

  14. Limits on same-day billing in Medicaid hinders integration of behavioral health into the medical home model.

    Science.gov (United States)

    Roby, Dylan H; Jones, Erynne E

    2016-02-01

    The potential expansion of insurance coverage through the Patient Protection and Affordable Care Act of 2010 can facilitate the reduction of access barriers and improved quality for behavioral health care. More than 5 million of the newly insured are expected to have mental health and substance use disorders. In addition, state and federal efforts to integrate behavioral and medical health needs through patient-centered medical home models and innovations in payment strategies provide an unprecedented opportunity to use federal financial support to improve not only access to care, but also improve quality through active care coordination, use of interdisciplinary teams, colocating services, and engaging in warm hand-offs between providers in the same setting. These potential advances are hindered in 24 different states because of Medicaid payment policy, with 7 explicitly limiting the ability to reimburse for physical health and behavioral health services on the same day for all providers. Without the ability for providers to be reimbursed for different services on the same day to improve behavioral and medical health care coordination, these states could be limited in their ability to improve care via patient-centered approaches and interdisciplinary team-based care that would involve physicians, clinical psychologists, psychiatrists, and other mental health professionals. Limits on same-day billing in Medicaid programs could impact up to 36.7 million people in 24 states, which is approximately 52.6% of all Medicaid enrollees. (c) 2016 APA, all rights reserved).

  15. New to Care: Demands on a Health System When Homeless Veterans Are Enrolled in a Medical Home Model

    Science.gov (United States)

    Bourgault, Claire; Johnson, Erin E.; Redihan, Stephen G.; Borgia, Matthew; Aiello, Riccardo; Kane, Vincent

    2013-01-01

    Objectives. We compared service use among homeless and nonhomeless veterans newly enrolled in a medical home model and identified patterns of use among homeless veterans associated with reductions in emergency department (ED) use. Methods. We used case–control matching with a nested cohort analysis to measure 6-month health services use, new diagnoses, and care use patterns in veterans at the Providence, Rhode Island, Veterans Affairs Medical Center from 2008 to 2011. Results. We followed 127 homeless and 106 nonhomeless veterans. Both groups had similar rates of chronic medical and mental health diagnoses; 25.4% of the homeless and 18.1% of the nonhomeless group reported active substance abuse. Homeless veterans used significantly more primary, mental health, substance abuse, and ED care during the first 6 months. Homeless veterans who accessed primary care at higher rates (relative risk ratio [RRR] = 1.46; 95% confidence interval [CI] = 1.11, 1.92) or who used specialty and primary care (RRR = 10.95; 95% CI = 1.58, 75.78) had reduced ED usage. Homeless veterans in transitional housing or doubled-up at baseline (RRR = 3.41; 95% CI = 1.24, 9.42) had similar reductions in ED usage. Conclusions. Homeless adults had substantial health needs when presenting for care. High-intensity primary care and access to specialty care services could reduce ED use. PMID:24148042

  16. DOE ZERH Case Study: Mantell-Hecathorn Builders, Shenandoah Circle, Durango, CO

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2015-09-01

    Case study of a DOE 2015 Housing Innovation Award winning custom home in the cold climate that got a HERS 50 without PV, or HERS 21 with PV, with 2x6 24” on center walls with R-13 ccsf plus 3.5” blown fiberglass, plus R-10 rigid exterior; R-22 ICF basement walls; vented attic with spray foam over top plates, R-65 blown fiberglass; 96 AFUE furnace, triple-pane windows, 80% LED.

  17. Do homes that are more energy efficient consume less energy?: A structural equation model of the English residential sector

    International Nuclear Information System (INIS)

    Kelly, Scott

    2011-01-01

    Energy consumption from the residential sector is a complex socio-technical problem that can be explained using a combination of physical, demographic and behavioural characteristics of a dwelling and its occupants. A structural equation model (SEM) is introduced to calculate the magnitude and significance of explanatory variables on residential energy consumption. The benefit of this approach is that it explains the complex relationships that exist between manifest variables and their overall effect though direct, indirect and total effects. Using the English House Condition Survey (EHCS) consisting of 2531 unique cases, the main drivers behind residential energy consumption are found to be the number of household occupants, floor area, household income, dwelling efficiency (SAP), household heating patterns and living room temperature. In the multivariate case, SAP explains very little of the variance of residential energy consumption. However, this procedure fails to account for simultaneity bias between energy consumption and SAP. Using SEM its shown that dwelling energy efficiency (SAP), has reciprocal causality with dwelling energy consumption and the magnitude of these two effects are calculable. When non-recursivity between SAP and energy consumption is allowed for, SAP is shown to have a negative effect on energy consumption but conversely, homes with a propensity to consume more energy also have higher SAP rates. -- Highlights: → A Structural Equation Model (SEM) is developed to explain residential energy demand. → Key variables that drive residential energy consumption are empirically identified. → Direct, indirect and total effects are determined. → It is found that occupancy and household income are strongly mediated by floor area. → A non-recursive relationship is found to exist between energy consumption and SAP.

  18. Effect of Hospital to Home nutrition management model on postoperative clinical outcomes of patients with laryngeal carcinoma.

    Science.gov (United States)

    Song, Guihua; Liu, Haizhen

    2017-10-01

    The purpose of this investigation was to determine the effectiveness of a Hospital to Home (H2H) nutrition management model on the postoperative clinical outcomes of patients with laryngeal carcinoma. Eighty-six patients with laryngeal carcinoma were randomly divided into an observation (H2H nutrition management) or control group (routine nutrition management). The ratios of urine lactulose to mannitol (L/M) in serum orexin-A levels of patients in both groups on the 1st postoperative day were significantly higher than before surgery; these levels decreased from the 7th and 14th postoperative day, but remained higher than before surgery (ppostoperative day; those indexes were statistically decreased in the observation as compared to the control group on the 7th and 14th postoperative days. The nutritional status grades were evaluated using a Patient-Generated Subjective Global Assessment (PG-SGA) quantitative scoring at 3 months after surgery and showed that malnutrition rates were significantly lower in the observation as compared to the control group. Serum levels of hemoglobin (Hb), albumin (Alb), prealbumin (PAB) and transferrin (TRF), 3 months after surgery showed significantly lower Hb and Alb and significantly higher PAB and TRF levels in the observation compared to the control group. After one year follow-up, there were no significant differences in hospitalization time and cost between the two groups, but the postoperative complication, readmission and mortality rates in the observation group were significantly lower than that the control group. Each dimension score of quality of life in the observation group was significantly higher than the control group. In conclusion, the H2H nutrition management model can effectively improve the postoperative nutritional level of patients with laryngeal carcinoma, resulting in a lower rate of complication, readmission and mortality resulting in an improved patient's quality of life.

  19. The impact of individual and organisational factors on engagement of individuals with intellectual disability living in community group homes: a multilevel model.

    Science.gov (United States)

    Qian, X; Tichá, R; Larson, S A; Stancliffe, R J; Wuorio, A

    2015-06-01

    Being engaged in daily activities is a strong indicator of quality of life for individuals with intellectual disability (ID) who live in small community group homes. This study aimed to identify individual and organisational factors that predict high levels of engagement. Individuals with ID (n = 78), direct support professionals (DSPs; n = 174) and supervisors (n = 21) from 21 US group homes participated in the study. For each individual with ID, we conducted 80 min of observation at the person's residence. Information was also gathered regarding demographic characteristics, DSP competence, supervisor years of experience and management practices. Data were analysed using multilevel modelling. On average, individuals were engaged in social activities 12% of observed time and non-social activities 35% of the time. Individuals with greater adaptive skills who were supported by more competent staff showed significantly higher levels of social engagement. Individuals with less severe deficits in adaptive behaviours and less challenging behaviour showed higher levels of non-social engagement. Although none of the factors related to group homes were significant, 24% of the variance in non-social engagement existed among group homes. These results suggested that engagement is a dynamic construct. The extent to which an individual with ID is engaged in daily life is a result of interplay between the individual's characteristics and the group home environment. Future research is needed to investigate the influence of variables specific to the group home on the engagement level of individuals with disabilities. © 2014 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

  20. ChemSkill Builder 2000, Version 6.1 [CD-ROM] (by James D. Spain and Harold J. Peters)

    Science.gov (United States)

    Keeney-Kennicutt, Reviewed By Wendy L.

    2000-07-01

    One of the major challenges for faculty teaching general chemistry is how to encourage students to practice solving problems. We know that for students to develop chemical intuition and problem-solving skills, they must "get their hands dirty" as they decipher and unravel problems inherent to our discipline. One tool that I've used since its release in 1996 is the ChemSkill Builder, an electronic homework package. The latest version, ChemSkill Builder (CSB) 2000, version 6.1, is an excellent, effective integration of teaching and testing most quantitative and conceptual learning objectives in an interactive way. It is inexpensive and easy to use for both students and faculty. The CSB 2000 package of personalized problem sets, specifically designed to complement most general chemistry courses, is a program on CD-ROM for PC Windows users (3.1, 95, or 98), with more than 1500 questions and a 3 1/2-in. record-management disk. There is a separate grade-management disk for the instructor. It has 24 gradable chapters, each with 5 or 6 sections, plus two new chapters that are not graded: Polymer Chemistry and an Appendix of Chemical Skills. Each section begins with a short review of the topic and many have interactive explanations. If students miss an answer, they are given a second chance for 70% credit. If they still miss, the worked-out solution is presented in detail. Students can work each section as many times as they wish to improve their scores. Periodically, the students download their data directly into a PC set up by the instructor. The data can be easily converted into an ASCII file and merged with a spreadsheet. The use of CD-ROM solves the sporadic problems associated with previous versions on 3 1/2-in. disks: software glitches, failed disks, and system incompatibilities. The quality and number of graphics and interactive exercises are much improved in this latest version. I particularly enjoyed the interactive explanations of significant figures and

  1. Returning home

    DEFF Research Database (Denmark)

    Agergaard, Jytte; Brøgger, Ditte

    2016-01-01

    flows. By focusing on these educational migrants, this paper explores how they connect to their rural homes. Guided by a critical reading of the migration-development scholarship, the paper examines how migrants and their relatives make sense of educational migrants’ remitting and returning practices......, and by comparing three groups of educational migrants, the migrants’ reasons for staying connected and sending remittances are scrutinized. The paper finds that although educational migrants do not generate extensive economic remittances for local development in Nepal, they stay connected to their rural homes...

  2. Evaluation of a technology-enhanced integrated care model for frail older persons: protocol of the SPEC study, a stepped-wedge cluster randomized trial in nursing homes.

    Science.gov (United States)

    Kim, Hongsoo; Park, Yeon-Hwan; Jung, Young-Il; Choi, Hyoungshim; Lee, Seyune; Kim, Gi-Soo; Yang, Dong-Wook; Paik, Myunghee Cho; Lee, Tae-Jin

    2017-04-18

    Limited evidence exists on the effectiveness of the chronic care model for people with multimorbidity. This study aims to evaluate the effectiveness of an information and communication technology- (ICT-)enhanced integrated care model, called Systems for Person-centered Elder Care (SPEC), for frail older adults at nursing homes. SPEC is a prospective stepped-wedge cluster randomized trial conducted at 10 nursing homes in South Korea. Residents aged 65 or older meeting the inclusion/exclusion criteria in all the homes are eligible to participate. The multifaceted SPEC intervention, a geriatric care model guided by the chronic care model, consists of five components: comprehensive geriatric assessment for need/risk profiling, individual need-based care planning, interdisciplinary case conferences, person-centered care coordination, and a cloud-based information and communications technology (ICT) tool supporting the intervention process. The primary outcome is quality of care for older residents using a composite measure of quality indicators from the interRAI LTCF assessment system. Outcome assessors and data analysts will be blinded to group assignment. Secondary outcomes include quality of life, healthcare utilization, and cost. Process evaluation will be also conducted. This study is expected to provide important new evidence on the effectiveness, cost-effectiveness, and implementation process of an ICT-supported chronic care model for older persons with multiple chronic illnesses. The SPEC intervention is also unique as the first registered trial implementing an integrated care model using technology to promote person-centered care for frail older nursing home residents in South Korea, where formal LTC was recently introduced. ISRCTN11972147.

  3. Development of a home-based telehealthcare model for improving the effectiveness of the chronic care of stroke patients

    Directory of Open Access Journals (Sweden)

    Yen-Hung Kuo

    2012-01-01

    Full Text Available This study describes the development of an information technology (IT-mediated home-based healthcare model designed to improve the effectiveness of caring for stroke patients who require chronic, home care. This model was evaluated at Kaohsiung Medical Hospital in Taiwan between 2005 and 2008; 84 newly diagnosed stroke patients diagnosed as the chronic covalence stage were enrolled for preliminary testing of this model. These patients required 24-hour in-home monitoring of their health status and emergency call service. Over the course of the study, 15 emergency transfers were carried out, and the acute stroke patients were sent to the emergency care within 26 minutes, on average. This system helped physicians, patients, and their families to more efficiently detect the occurrence of recurrent stroke. In addition, we found a statistically significant finding (p < 0.001 that daily blood pressure (BP monitoring increased from 45.5% in the initial month of the study to 76% after 3–10 months of intervention. Meanwhile, the proportion of patients with an abnormal BP rate decreased from 20.5% in the initial month of the study to 10.9% after 3–10 months of intervention. This suggests that this model helped to improve patient behavior and their ability to care for themselves. This is the first study to develop an IT-mediated, home-based healthcare model in Taiwan. This model integrates both healthcare and clinical services and is capable of enhancing the effectiveness of the care provided to patients with chronic diseases, especially those in situations where self-care is essential for disease management.

  4. New Whole-House Solutions Case Study: Singer Village - A Cold Climate Zero Energy Ready Home, Derby, Connecticut

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-03-01

    After progressively incorporating ENERGY STAR for Homes Versions 1, 2, and 3 into its standard practices over the years, builder Brookside Development was seeking to build an even more sustainable product that would further increase energy efficiency, while also addressing indoor air quality, water conservation, renewable-ready, and resiliency. These objectives align with the framework of the U.S. Department of Energy Zero Energy Ready Home program, which builds upon the comprehensive building science requirements of ENERGY STAR for Homes Version 3 and proven Building America innovations and best practices. To meet this goal, Consortium for Advanced Residential Buildings partnered with Brookside Development to design and construct the first zero energy ready home in a development of seven new homes on the old Singer Estate in Derby, Connecticut.

  5. Consistency of priorities for quality improvement for nursing homes in Italy and Canada: A comparison of optimization models of resident satisfaction.

    Science.gov (United States)

    Barsanti, Sara; Walker, Kevin; Seghieri, Chiara; Rosa, Antonella; Wodchis, Walter P

    2017-08-01

    The paper seeks to identify aspects of care that may be easily modified to yield a desired level of improvement in residents' overall satisfaction with nursing homes, comparing data across Canada and Italy. Using a structured questionnaire, 681 and 1116 nursing home residents were surveyed in Ontario in 2009 and in Tuscany in 2012, respectively. Fourteen items were common to the surveys, including willingness to recommend (WTR), which was used as the dependent variable and measure of global satisfaction. The other analogous items were entered as covariates in ordinal logistic regression models predicting residents' WTR in each jurisdiction separately. Regression coefficients were then incorporated into a constrained nonlinear optimization problem selecting the most efficient combination of predictors necessary to increase WTR by as much as 15%. Staff-related aspects of care were selected first in the optimization models of each jurisdiction. In Ontario, to improve WTR the primary focus should be on staff relationships with residents, while in Tuscany it was the technical skill and knowledge of staff that was selected first by the optimization model. Different optimization solutions might mean that the strategies required to improve global satisfaction in one jurisdiction could be different than those for the other jurisdictions. The optimization model employed provides a novel solution for prioritizing areas of focus for quality improvement for nursing homes. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  6. Applying a Theory-Driven Framework to Guide Quality Improvement Efforts in Nursing Homes: The LOCK Model.

    Science.gov (United States)

    Mills, Whitney L; Pimentel, Camilla B; Palmer, Jennifer A; Snow, A Lynn; Wewiorski, Nancy J; Allen, Rebecca S; Hartmann, Christine W

    2017-06-23

    Implementing quality improvement (QI) programs in nursing homes continues to encounter significant challenges, despite recognized need. QI approaches provide nursing home staff with opportunities to collaborate on developing and testing strategies for improving care delivery. We present a theory-driven and user-friendly adaptable framework and facilitation package to overcome existing challenges and guide QI efforts in nursing homes. The framework is grounded in the foundational concepts of strengths-based learning, observation, relationship-based teams, efficiency, and organizational learning. We adapted these concepts to QI in the nursing home setting, creating the "LOCK" framework. The LOCK framework is currently being disseminated across the Veterans Health Administration. The LOCK framework has five tenets: (a) Look for the bright spots, (b) Observe, (c) Collaborate in huddles, (d) Keep it bite-sized, and (e) facilitation. Each tenet is described. We also present a case study documenting how a fictional nursing home can implement the LOCK framework as part of a QI effort to improve engagement between staff and residents. The case study describes sample observations, processes, and outcomes. We also discuss practical applications for nursing home staff, the adaptability of LOCK for different QI projects, the specific role of facilitation, and lessons learned. The proposed framework complements national efforts to improve quality of care and quality of life for nursing home residents and may be valuable across long-term care settings and QI project types. Published by Oxford University Press on behalf of The Gerontological Society of America 2017. This work is written by (a) US Government employee(s) and is in the public domain in the US.

  7. Tribal implementation of a patient-centred medical home model in Alaska accompanied by decreased hospital use

    Directory of Open Access Journals (Sweden)

    Janet M. Johnston

    2013-08-01

    Full Text Available Background. Between 1995 and 1998, tribally owned Southcentral Foundation (SCF incrementally assumed responsibility from the Indian Health Service (IHS for primary care services on the Alaska Native Medical Center (ANMC campus in Anchorage, Alaska. In 1999, SCF began implementing components of a Patient-Centered Medical Home (PCMH model to improve access and continuity of care. Objective. To evaluate hospitalisation trends before, during and after PCMH implementation. Design. Time series analysis of aggregated medical record data. Methods. Regression analysis with correlated errors was used to estimate trends over time for the percent of customer-owners hospitalised overall and for specific conditions during 4 time periods (March 1996–July 1999: SCF assumes responsibility for primary care; August 1999–July 2000: PCMH implementation starts; August 2000–April 2005: early post-PCMH implementation; May 2005–December 2009: later post-PCMH implementation. Analysis was restricted to individuals residing in Southcentral Alaska and receiving health care at ANMC. Results. The percent of SCF customer-owners hospitalised per month for any reason was steady before and during PCMH implementation, declined steadily immediately following implementation and subsequently stabilised. The percent hospitalised per month for unintentional injury or poisoning also declined during and after the PCMH implementation. Among adult asthma patients, the percent hospitalised annually for asthma declined prior to and during implementation and remained lower thereafter. The percent of heart failure patients hospitalised annually for heart failure remained relatively constant throughout the study period while the percent of hypertension patients hospitalised for hypertension shifted higher between 1999 and 2002 compared to earlier and later years. Conclusion. Implementation of PCMH at SCF was accompanied by decreases in the percent of customer-owners hospitalised monthly

  8. Does a physical activity program in the nursing home impact on depressive symptoms? A generalized linear mixed-model approach.

    Science.gov (United States)

    Diegelmann, Mona; Jansen, Carl-Philipp; Wahl, Hans-Werner; Schilling, Oliver K; Schnabel, Eva-Luisa; Hauer, Klaus

    2017-04-18

    Physical activity (PA) may counteract depressive symptoms in nursing home (NH) residents considering biological, psychological, and person-environment transactional pathways. Empirical results, however, have remained inconsistent. Addressing potential shortcomings of previous research, we examined the effect of a whole-ecology PA intervention program on NH residents' depressive symptoms using generalized linear mixed-models (GLMMs). We used longitudinal data from residents of two German NHs who were included without any pre-selection regarding physical and mental functioning (n = 163, M age = 83.1, 53-100 years; 72% female) and assessed on four occasions each three months apart. Residents willing to participate received a 12-week PA training program. Afterwards, the training was implemented in weekly activity schedules by NH staff. We ran GLMMs to account for the highly skewed depressive symptoms outcome measure (12-item Geriatric Depression Scale-Residential) by using gamma distribution. Exercising (n = 78) and non-exercising residents (n = 85) showed a comparable level of depressive symptoms at pretest. For exercising residents, depressive symptoms stabilized between pre-, posttest, and at follow-up, whereas an increase was observed for non-exercising residents. The intervention group's stabilization in depressive symptoms was maintained at follow-up, but increased further for non-exercising residents. Implementing an innovative PA intervention appears to be a promising approach to prevent the increase of NH residents' depressive symptoms. At the data-analytical level, GLMMs seem to be a promising tool for intervention research at large, because all longitudinally available data points and non-normality of outcome data can be considered.

  9. Second-home electricity consumption

    International Nuclear Information System (INIS)

    Andersen, Frits M.; Christensen, Morten S.; Jensen, Ole Michael; Kofoed, Niels-Ulrik; Morthorst, Poul Erik

    2008-01-01

    In Denmark, electricity consumption in first and second homes has developed quite differently. Since 1990, electricity consumption in ordinary residences has grown moderately, while consumption in weekend and second homes has increased considerably. In turn, this development has been blamed on a growing number of luxury cottages, new legislation permitting senior citizens to have their permanent address in their second home and a growing number of electric appliances. In order to examine the growing electricity consumption in second homes and to estimate future demand, a multidisciplinary study combining top-down and bottom-up analyses was conducted, i.e., combining models using aggregated economic parameters and feasibility studies using technical parameters, respectively. The top-down estimation showed that changes in electricity consumption in second homes correlate to changes in income. The bottom-up estimation showed that consumption was mainly affected by the frequency with which second homes were used in the winter time. This indicates that additional second homes, increased full-time use and intensified use of electric appliances are the main reasons for the observed increases in electricity consumption. Luxury tourism use and senior citizens' that use a few per cent of the second homes as their home contribute to a minor degree to the overall increase of electricity consumption. Scenarios show that this development may accelerate with increased leisure time, increased use and more permanent settlement in second homes

  10. Second-home electricity consumption

    Energy Technology Data Exchange (ETDEWEB)

    Andersen, Frits M.; Morthorst, Poul Erik [Risoe, Systems Analysis Department, Technical University of Denmark, P.O. Box 49, DK-4000 Roskilde (Denmark); Christensen, Morten S.; Kofoed, Niels-Ulrik [Esbensen Consulting Engineers, Carl Jacobsens Vej 25D, DK-2500 Valby (Denmark); Jensen, Ole Michael [Danish Building Research Institute, Department of Energy and Environment, University of Aalborg, P.O. Box 119, DK-2970 Horsholm (Denmark)

    2008-01-15

    In Denmark, electricity consumption in first and second homes has developed quite differently. Since 1990, electricity consumption in ordinary residences has grown moderately, while consumption in weekend and second homes has increased considerably. In turn, this development has been blamed on a growing number of luxury cottages, new legislation permitting senior citizens to have their permanent address in their second home and a growing number of electric appliances. In order to examine the growing electricity consumption in second homes and to estimate future demand, a multidisciplinary study combining top-down and bottom-up analyses was conducted, i.e., combining models using aggregated economic parameters and feasibility studies using technical parameters, respectively. The top-down estimation showed that changes in electricity consumption in second homes correlate to changes in income. The bottom-up estimation showed that consumption was mainly affected by the frequency with which second homes were used in the winter time. This indicates that additional second homes, increased full-time use and intensified use of electric appliances are the main reasons for the observed increases in electricity consumption. Luxury tourism use and senior citizens' that use a few per cent of the second homes as their home contribute to a minor degree to the overall increase of electricity consumption. Scenarios show that this development may accelerate with increased leisure time, increased use and more permanent settlement in second homes. (author)

  11. DOE ZERH Case Study: BPC Green Builders, Taft School, Watertown, CT

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2015-09-01

    Case study of a DOE 2015 Housing Innovation Award winning custom home in the cold climate that got a HERS 33 without PV or HERS -14 with PV, with 8.5” double 2x4 walls with 8.5” (R-32) blown cellulose plus R-6 rigid foam, basement with 3” ccsf on interior plus 2x4 stud walls with R-13 blown cellulose, with R-20 around slab, R-38 under slab; a vented attic with R-100 blown cellulose; a central heat pump; HRV; heat pump water heater; 100% LED; and Passive House Institute U.S.+, LEED platinum, and Living Building Challenge certifications.

  12. Modeling school choice: A comparison of public, private-independent, private-religious and home-schooled students

    Directory of Open Access Journals (Sweden)

    Clive R. Belfield

    2004-06-01

    Full Text Available U.S. students now have four choices of schooling: public schooling, private–religious schooling, private–independent schooling, and home-schooling. Of these, home-schooling is the most novel: since legalization across the states in the last few decades, it has grown in importance and legitimacy as an alternative choice. Thus, it is now possible to investigate the motivation for home-schooling, relative to the other schooling options. Here, we use two recent large-scale datasets to assess the school enrollment decision: the first is the National Household Expenditure Survey (1999, and the second is micro-data on SAT test-takers in 2001. We find that, generally, families with home-schoolers have similar characteristics to those with children at other types of school, but mother’s characteristics – specifically, her employment status – have a strong influence on the decision to home-school. Plausibly, religious belief has an important influence on the schooling decision, not only for Catholic students, but also those of other faiths.

  13. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... emptying and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma Practice Model Stoma supplies (measurement guide, marking pen, scissors, sample pouch) Ostomy self-care checklist Evaluation (Complete the Ostomy Patient Survey . We ...

  14. The Misuse of Anabolic-Androgenic Steroids among Iranian Recreational Male Body-Builders and Their Related Psycho-Socio-Demographic factors

    Science.gov (United States)

    ANGOORANI, Hooman; HALABCHI, Farzin

    2015-01-01

    Background: The high prevalence and potential side effects of anabolic-androgenic steroids (AAS) misuse by athletes has made it a major public health concern. Epidemiological studies on the abuse of such drugs are mandatory for developing effective preventive drug control programs in sports community. This study aimed to investigate the prevalence of AAS abuse and their association with some psycho-socio-demographic factors in Iranian male recreational body-builders. Methods: Between March and October 2011; 906 recreational male body-builders from 103 randomly selected bodybuilding clubs in Tehran, Iran were participated in this study. Some psycho-socio- demographic factors including age, job, average family income, family size, sport experience (months), weekly duration of the sporting activity (h), purpose of participation in sporting activity, mental health as well as body image (via General Health Questionnaire and Multidimensional Body-Self Relations Questionnaire, respectively), and history of AAS use were obtained by interviews using questionnaires. Results: Participants were all recreational male body-builders [mean age (SD): 25.7 (7.1), ranging 14–56 yr]. Self-report of AAS abuse was registered in 150 body-builders (16.6%). Among different psycho-socio-demographic factors, only family income and sport experience were inversely associated with AAS abuse. Conclusion: Lifetime prevalence of AAS abuse is relatively high among recreational body-builders based on their self-report. Some psycho-socio-demographic factors including family income and sport experience may influence the prevalence of AAS abuse. PMID:26811817

  15. Home Seismometer

    Science.gov (United States)

    Horiuchi, S.; Yamamoto, S.; Nakmaura, H.; Wu, C.; Rydelek, P.; Kachi, M.

    2007-12-01

    We have developed an automated system for analyzing Hi-net seismograms for earthquake early warning (EEW) in Japan. Because of limitations imposed by station spacing, our system generally cannot issue an EEW to areas within about 30 km distance of the earthquake's hypocenter. We estimate that about 10 times the number of stations would be needed to issue an EEW in these areas, but the overhead would be cost prohibitive for governmental agencies. The practical deployment of EEW in Japan has started in October, 2007 and millions of people are expected to purchase and install the receiving/alarm unit of EEW. Since most of these units are connected to internet and equipped with a CPU and memory, we realized that the addition of an inexpensive seismometer and digitizer would transform the receiver into a real-time seismic observatory, which we are calling a home seismometer; these modifications only cost about $20. The home seismometer can help to generate alerts at the time of the occurrence of a large local earthquake by using locally observed data. Also, home seismograms can be used to estimate the amplification factor in sedimentary layers, which will be used to determine the site correction for shaking intensity by comparing the waveform data from the home seismometer against those from nearby Hi-net or K-NET stations. This amplification factor, which is essentially the basis of a shake-map with very-high spatial resolution, will help to establish a safety index of houses/buildings for large earthquakes, since a structure located at a site with large seismic amplification can be damaged more seriously than those with small amplification factors. The installation of home seismometers will create an extremely dense seismic network that is without precedence. We are developing an automatic system that collects waveform data from all home seismometer installations, calculates earthquake parameters in real-time, and then sends back alarms signals based on computed

  16. Building America Case Study: BrightBuilt Home, Modular Zero Energy, Portland, Maine

    Energy Technology Data Exchange (ETDEWEB)

    2016-04-01

    Kaplan Thompson Architects (KTA) has specialized in sustainable, energy-efficient buildings, and they have designed several custom, zero-energy homes in New England. These zero-energy projects have generally been high-end, custom homes with budgets that could accommodate advanced energy systems. In an attempt to make zero energy homes more affordable and accessible to a larger demographic, KTA explored modular construction as way to provide high-quality homes at lower costs. In mid-2013, KTA formalized this concept when they launched BrightBuilt Home (BBH). The BBH mission is to offer 'a line of architect-designed, high-performance homes that are priced to offer substantial savings off the lifetime cost of a typical home and can be delivered in less time.' For the past two years, CARB has worked with BBH and Keiser Homes (the primary modular manufacturer for BBH) to discuss challenges related to wall systems, HVAC, and quality control. In Spring of 2014, CARB and BBH began looking in detail on a home to be built in Lincolnville, Maine, by Black Bros. Builders. This report details the solution package specified for this modular plan and the challenges that arose during the project.

  17. Parents as Teachers Health Literacy Demonstration project: integrating an empowerment model of health literacy promotion into home-based parent education.

    Science.gov (United States)

    Carroll, Lauren N; Smith, Sandra A; Thomson, Nicole R

    2015-03-01

    The Parents as Teachers (PAT) Health Literacy Demonstration project assessed the impact of integrating data-driven reflective practices into the PAT home visitation model to promote maternal health literacy. PAT is a federally approved Maternal, Infant, Early Childhood Home Visiting program with the goal of promoting school readiness and healthy child development. This 2-year demonstration project used an open-cohort longitudinal design to promote parents' interactive and reflective skills, enhance health education, and provide direct assistance to personalize and act on information by integrating an empowerment paradigm into PAT's parent education model. Eight parent educators used the Life Skills Progression instrument to tailor the intervention to each of 103 parent-child dyads. Repeated-measures analysis of variance, paired t tests, and logistic regression combined with qualitative data demonstrated that mothers achieved overall significant improvements in health literacy, and that home visitors are important catalysts for these improvements. These findings support the use of an empowerment model of health education, skill building, and direct information support to enable parents to better manage personal and child health and health care. © 2014 Society for Public Health Education.

  18. Task 9. Deployment of photovoltaic technologies: co-operation with developing countries. Summary of models for the implementation of solar home systems in developing countries - Part 1: Summary

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-03-15

    This first part of a two-part report for the International Energy Agency (IEA) made by Task 9 of the Photovoltaic Power Systems (PVPS) programme takes a look at the implementation of Solar Home systems in developing countries. The objective of Task 9 is to increase the successful deployment of PV systems in developing countries. This summary outlines various models for the implementation of small domestic photovoltaic (PV) systems (Solar Home Systems, SHS) in developing countries. Part 1 of this two-part document discusses three generic models. The second, separate part of the document provides a number of examples demonstrating the models described. This report focuses on the implementation of SHS. However, a considerable amount of the PV market in developing countries is stated as consisting of large systems providing electricity for social services, such as light for schools, mosques, churches, communal centres, refrigeration for health centres and drinking water for communities. It is noted that there are considerable differences between the 'social market' and the 'private market' for SHS. The 'social market' generally consists of large systems but fewer in number. The guide does not cover the detailed technical aspects of a Solar Home System or the issue of recycling old batteries.

  19. Foraging optimally for home ranges

    Science.gov (United States)

    Mitchell, Michael S.; Powell, Roger A.

    2012-01-01

    Economic models predict behavior of animals based on the presumption that natural selection has shaped behaviors important to an animal's fitness to maximize benefits over costs. Economic analyses have shown that territories of animals are structured by trade-offs between benefits gained from resources and costs of defending them. Intuitively, home ranges should be similarly structured, but trade-offs are difficult to assess because there are no costs of defense, thus economic models of home-range behavior are rare. We present economic models that predict how home ranges can be efficient with respect to spatially distributed resources, discounted for travel costs, under 2 strategies of optimization, resource maximization and area minimization. We show how constraints such as competitors can influence structure of homes ranges through resource depression, ultimately structuring density of animals within a population and their distribution on a landscape. We present simulations based on these models to show how they can be generally predictive of home-range behavior and the mechanisms that structure the spatial distribution of animals. We also show how contiguous home ranges estimated statistically from location data can be misleading for animals that optimize home ranges on landscapes with patchily distributed resources. We conclude with a summary of how we applied our models to nonterritorial black bears (Ursus americanus) living in the mountains of North Carolina, where we found their home ranges were best predicted by an area-minimization strategy constrained by intraspecific competition within a social hierarchy. Economic models can provide strong inference about home-range behavior and the resources that structure home ranges by offering falsifiable, a priori hypotheses that can be tested with field observations.

  20. Quantitative Microbial Risk Assessment Tutorial Installation of Software for Watershed Modeling in Support of QMRA - Updated 2017

    Science.gov (United States)

    This tutorial provides instructions for accessing, retrieving, and downloading the following software to install on a host computer in support of Quantitative Microbial Risk Assessment (QMRA) modeling: • QMRA Installation • SDMProjectBuilder (which includes the Mi...

  1. The Medical Home

    Science.gov (United States)

    ... Videos for Educators Search English Español The Medical Home KidsHealth / For Parents / The Medical Home What's in ... for your child. What Does the Term "Medical Home" Mean? A medical home isn't a place ...

  2. A model to increase rehabilitation adherence to home exercise programmes in patients with varying levels of self-efficacy.

    Science.gov (United States)

    Picha, Kelsey J; Howell, Dana M

    2018-03-01

    Patient adherence to rehabilitation programmes is frequently low - particularly adherence to home exercise programmes. Home exercise programmes have been identified as complementary to clinic-based physical therapy in an orthopaedic setting. Barriers to patient adherence have previously been identified within the literature. Low self-efficacy is a barrier to adherence that clinicians have the ability to have an impact on and improve. The theory of self-efficacy is defined as a person's confidence in their ability to perform a task. This theory examines the ability of a person to change through exerting control over inner processes of goal setting, self-monitoring, feedback, problem solving and self-evaluation. If clinicians are able to identify patients with low self-efficacy prior to the prescription of a home exercise programme, adjustments to individualized care can be implemented. Individualized care based on improving self-efficacy for home exercise programmes may improve patient adherence to these programmes. The purpose of this article was to use the theory of self-efficacy to direct clinicians in providing individualized programmes to patients with varying levels of self-efficacy. Copyright © 2017 John Wiley & Sons, Ltd.

  3. A home assistance model for dementia: outcome in patients with mild-to-moderate Alzheimer's disease after three months

    Directory of Open Access Journals (Sweden)

    Gabriele Carbone

    2013-03-01

    Full Text Available The treatment of dementias, which are currently incurable pathologies, requires an approach to care that involves both the patients and their families. The effect of alternative interventions, besides the pharmacological approach, therefore warrants evaluation. In this paper, we describe one such intervention, which was provided by our home care team for Alzheimer's Disease. Patients were granted a three-month period of home care assistance, which included physical and cognitive rehabilitation as well as interventions on the home environment and the family, such as psychological support for the main caregivers. The assistance was provided in thrice-weekly sessions, each lasting six hours. Twenty-two patients (age 78.4±6.5 yrs, all of whom had received a diagnosis of probable AD, were enrolled. There was a statistically significant improvement in the NPI score (p = 0.004, Barthel index (p = 0.01, Tinetti's scale (p = 0.013 and CBI score (p = 0.016 at the end of the 3-month treatment period. The patients' caregivers also reported a significant improvement in the physical and social burden at the CBI at the end of the period of home care assistance (p = 0.026 and p = 0.006. In a further evaluation performed 3 months after the end of the treatment period, the beneficial effect previously observed in both patients and caregivers was no longer present.

  4. Parental decision-making on utilisation of out-of-home respite in children's palliative care: findings of qualitative case study research - a proposed new model.

    Science.gov (United States)

    Ling, J; Payne, S; Connaire, K; McCarron, M

    2016-01-01

    Respite in children's palliative care aims to provide a break for family's from the routine of caring. Parental decision-making regarding the utilisation of out-of-home respite is dependent on many interlinking factors including the child's age, diagnosis, geographical location and the family's capacity to meet their child's care needs. A proposed model for out-of-home respite has been developed based on the findings of qualitative case study research. Utilising multiple, longitudinal, qualitative case study design, the respite needs and experiences of parents caring for a child with a life-limiting condition were explored. Multiple, in-depth interviews were undertaken with the parents identified by a hospital-based children's palliative care team. Data were analysed using thematic analysis. Each individual case consists of a whole study. Cross-case comparison was also conducted. Nine families were recruited and followed for two years. A total of 19 in-depth interviews were conducted with mothers and fathers (one or both) caring for a child with a life-limiting condition in Ireland. Each family reported vastly different needs and experiences of respite from their own unique perspective. Cross-case comparison showed that for all parents utilising respite care, regardless of their child's age and condition, home was the location of choice. Many interlinking factors influencing these decisions included: past experience of in-patient care, and trust and confidence in care providers. Issues were raised regarding the impact of care provision in the home on family life, siblings and the concept of home. Respite is an essential element of children's palliative care. Utilisation of out-of-home respite is heavily dependent on a number of interlinked and intertwined factors. The proposed model of care offers an opportunity to identify how these decisions are made and may ultimately assist in identifying the elements of responsive and family-focused respite that are important

  5. Modeling lifetime costs and health outcomes attributable to secondhand smoke exposure at home among Korean adult women.

    Science.gov (United States)

    Lee, Jiyae; Han, Ah Ram; Choi, Dalwoong; Lim, Kyung-Min; Bae, SeungJin

    2017-05-17

    The aim of this research is to estimate lifetime costs and health consequences for Korean adult women who were exposed to secondhand smoke (SHS) at home. A Markov model was developed to project the lifetime healthcare costs and health outcomes of a hypothetical cohort of Korean women who are 40 years old and were married to current smokers. The Korean epidemiological data were used to reflect the natural history of SHS-exposed and non-exposed women. The direct healthcare costs (in 2014 US dollars) and quality-adjusted life years (QALYs) were annually discounted at 5% to reflect time preference. The time horizon of the analysis was lifetime and the cycle length was 1 year. Deterministic and probabilistic sensitivity analyses were conducted. In the absence of SHS exposure, Korean women will live 41.32 years or 34.56 QALYs before discount, which corresponded to 17.29 years or 15.35 QALYs after discount. The SHS-exposed women were predicted to live 37.91 years and 31.08 QALYs before discount and 16.76 years and 14.62 QALYs after discount. The estimated lifetime healthcare cost per woman in the SHS non-exposed group was US$11 214 before the discount and US$2465 after discount. The negative impact of SHS exposure on health outcomes and healthcare costs escalated as the time horizon increased, suggesting that the adverse impact of SHS exposure may have higher impact on the later part of the lifetime. The result was consistent across a wide range of assumptions. Life expectancy might underestimate the impact of SHS exposure on health outcomes, especially if the time horizon of the analysis is not long enough. Early intervention on smoking behaviour could substantially reduce direct healthcare costs and improve quality of life attributable to SHS exposure. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  6. Design and application of a theory-based case/care management model for home care: advanced practice for nurses as care managers.

    Science.gov (United States)

    Sears, Nancy A

    2002-01-01

    Case management has developed in a variety of health care, social service, and insurance industries. Its historical pattern of development has resulted in practices that are generally administrative and technical in nature as well as being relatively generic and often undifferentiated between being a role and process. Research over the last decade has resulted in the opportunity to move case management practice for home care into a structured theory-based model and practice. Design and implementation of a specialized advanced practice care management model reflective of care management research and theory design by British researchers is beginning to show clinical and systemic results that should be replicable in other regions.

  7. The Science of Home Automation

    Science.gov (United States)

    Thomas, Brian Louis

    Smart home technologies and the concept of home automation have become more popular in recent years. This popularity has been accompanied by social acceptance of passive sensors installed throughout the home. The subsequent increase in smart homes facilitates the creation of home automation strategies. We believe that home automation strategies can be generated intelligently by utilizing smart home sensors and activity learning. In this dissertation, we hypothesize that home automation can benefit from activity awareness. To test this, we develop our activity-aware smart automation system, CARL (CASAS Activity-aware Resource Learning). CARL learns the associations between activities and device usage from historical data and utilizes the activity-aware capabilities to control the devices. To help validate CARL we deploy and test three different versions of the automation system in a real-world smart environment. To provide a foundation of activity learning, we integrate existing activity recognition and activity forecasting into CARL home automation. We also explore two alternatives to using human-labeled data to train the activity learning models. The first unsupervised method is Activity Detection, and the second is a modified DBSCAN algorithm that utilizes Dynamic Time Warping (DTW) as a distance metric. We compare the performance of activity learning with human-defined labels and with automatically-discovered activity categories. To provide evidence in support of our hypothesis, we evaluate CARL automation in a smart home testbed. Our results indicate that home automation can be boosted through activity awareness. We also find that the resulting automation has a high degree of usability and comfort for the smart home resident.

  8. Home education: globalization otherwise?:

    OpenAIRE

    Beck, Christian W.

    2006-01-01

    Home Education seems to be a successful way to educate. Academic results and socialization processes in home education are promising. Already home education is global, home educators everywhere educate their children themselves without schools. They develop new forms of local and international co-operation. Is home education an impulse to a renewing of modern education? Is home education globalization otherwise?

  9. A national program for energy-efficient mortgages and home energy rating systems: A blueprint for action. Review draft

    Energy Technology Data Exchange (ETDEWEB)

    1992-03-01

    This Review Draft reports findings and recommendations of the National Collaborative on Home Energy Rating Systems and Mortgage Incentives for Energy Efficiency. The US Department of Energy, in cooperation with the US Department of Housing and Urban Development, formed this National Collaborative as a National Energy Strategy initiative. Participating in the Collaborative were representatives of the primary and secondary mortgage markets, builder and remodeler organizations, real estate and appraiser associations, the home energy rating system industry, utility associations, consumer and public interest groups, state and local government interest groups, and environmental organizations. The Collaborative`s purpose was to develop a voluntary national program encouraging energy efficiency in homes through mortgage incentives linked to home energy ratings.

  10. A national program for energy-efficient mortgages and home energy rating systems: A blueprint for action

    Energy Technology Data Exchange (ETDEWEB)

    1992-03-01

    This Review Draft reports findings and recommendations of the National Collaborative on Home Energy Rating Systems and Mortgage Incentives for Energy Efficiency. The US Department of Energy, in cooperation with the US Department of Housing and Urban Development, formed this National Collaborative as a National Energy Strategy initiative. Participating in the Collaborative were representatives of the primary and secondary mortgage markets, builder and remodeler organizations, real estate and appraiser associations, the home energy rating system industry, utility associations, consumer and public interest groups, state and local government interest groups, and environmental organizations. The Collaborative's purpose was to develop a voluntary national program encouraging energy efficiency in homes through mortgage incentives linked to home energy ratings.

  11. Estimation of seasonal correction factors through Fourier decomposition analysis-a new model for indoor radon levels in Irish homes

    International Nuclear Information System (INIS)

    Burke, Orlaith; Murphy, Patrick; Long, Stephanie; Organo, Catherine; Fenton, David; Colgan, Peter Anthony

    2010-01-01

    Radon concentrations in homes have been shown to vary considerably with season. It is important to account for this by applying a correction factor to any home radon measurement of less than one year. To date, Irish radon measurement services have used correction factors based on data derived for the UK in the 1980s. In the absence of similar data for Ireland at the time, these were considered suitable for use due to the similarities between the climates, house types and lifestyles in the two countries. In order to better estimate the long-term radon concentration, measurements from 5640 Irish homes were used to derive a set of correction factors specifically for Ireland. These were generated by means of Fourier decomposition analysis and the new correction factors compared, using 95% confidence intervals, to those derived for the UK using the same analysis and to those currently in use for Ireland. In both cases, a significant difference was found between 10 of the 12 monthly seasonal correction factors. This paper presents the methods used in detail and the results of the analysis.

  12. Burden and outcomes of pressure ulcers in cancer patients receiving the Kerala model of home based palliative care in India: Results from a prospective observational study

    Directory of Open Access Journals (Sweden)

    Biji M Sankaran

    2015-01-01

    Full Text Available Aim: To report the prevalence and outcomes of pressure ulcers (PU seen in a cohort of cancer patients requiring home-based palliative care. Materials and Methods: All patients referred for home care were eligible for this prospective observational study, provided they were living within a distance of 35 km from the institute and gave informed consent. During each visit, caregivers were trained and educated for providing nursing care for the patient. Dressing material for PU care was provided to all patients free of cost and care methods were demonstrated. Factors influencing the occurrence and healing of PUs were analyzed using logistic regression. Duration for healing of PU was calculated using the Kaplan Meier method. P < 0.05 are taken as significant. Results: Twenty-one of 108 (19.4% enrolled patients had PU at the start of homecare services. None of the patients developed new PU during the course of home care. Complete healing of PU was seen in 9 (42.9% patients. The median duration for healing of PU was found to be 56 days. Median expenditure incurred in patients with PU was Rs. 2323.40 with a median daily expenditure of Rs. 77.56. Conclusions: The present model of homecare service delivery was found to be effective in the prevention and management of PUs. The high prevalence of PU in this cohort indicates a need for greater awareness for this complication. Clinical Trial Registry Number: CTRI/2014/03/004477

  13. Resveratrol pretreatment enhanced homing of SDF-1α-preconditioned bone marrow-derived mesenchymal stem cells in a rat model of liver cirrhosis.

    Science.gov (United States)

    Hajinejad, Mehrdad; Pasbakhsh, Parichehr; Omidi, Ameneh; Mortezaee, Keywan; Nekoonam, Saied; Mahmoudi, Reza; Kashani, Iraj Ragerdi

    2018-03-01

    Stromal cell-derived factor-1α (SDF-1α) has been known to implicate in homing of MSCs, and resveratrol has been reported to have a positive influence on SDF-1 level in the site of injury. In this study, a combined strategy was applied to evaluate bone marrow-derived MSCs (BMSCs) homing to the rat model of liver cirrhosis induced by common bile duct ligation (CBDL): (1) pretreatment delivery of resveratrol into the cirrhotic liver, and (2) transplantation of ex vivo BMSC preconditioning with SDF-1α. BMSCs were preconditioned with 10 ng/µL SDF-1α for 1 h and then labeled with the CM-Dil. Cirrhosis was induced by CBDL. Animals received intraperitoneal injection of resveratrol for 7 days, started on day 28 of CBDL post-operative. On day 36 post-operative, 1 × 10 6 of SDF-1α-preconditioned BMSCs was injected via caudal vein. Animals were sacrificed at 72 h post-cell transplantation. Immunofluorescence and flow cytometry assessments showed that the BMSC+SDF+RV group had an increased rate of homing into the liver, but it had a decreased rate of homing into the lung and spleen, as compared with the other groups (P SDF+RV group showed high protein expression of SIRT1, but low protein expression of p53 in the liver (P SDF-1α-preconditioned BMSCs in vitro, and that AKTs and CXCL12 expressed in injured liver undergoing resveratrol injection. Our findings suggest that reseveratrol pretreatment prior to SDF-1α preconditioning could be a promising strategy for designing cell-based therapies for liver cirrhosis. © 2017 Wiley Periodicals, Inc.

  14. Development and Pilot Evaluation of a Novel Dignity-Conserving End-of-Life (EoL) Care Model for Nursing Homes in Chinese Societies.

    Science.gov (United States)

    Ho, Andy H Y; Dai, Annie A N; Lam, Shu-Hang; Wong, Sandy W P; Tsui, Amy L M; Tang, Jervis C S; Lou, Vivian W Q

    2016-06-01

    The provision of end-of-life (EoL) care in long-term-care settings remains largely underdeveloped in most Chinese societies, and nursing home residents often fail to obtain good care as they approach death. This paper systematically describes the development and implementation mechanisms of a novel Dignity-Conserving EoL Care model that has been successfully adopted by three nursing homes in Hong Kong and presents preliminary evidence of its effectiveness on enhancing dignity and quality of life (QoL) of terminally ill residents. Nine terminally ill nursing home residents completed the McGill Quality of Life Questionnaire and the Nursing Facilities Quality of Life Questionnaire at baseline and 6 months post-EoL program enrollment. Wilcoxon signed rank test was used to detect significance changes in each QoL domains across time. Although significant deterioration was recorded for physical QoL, significant improvement was observed for social QoL. Moreover, a clear trend toward significant improvements was identified for the QoL domains of individuality and relationships. A holistic and compassionate caring environment, together with the core principles of family-centered care, interagency and interdisciplinary teamwork, as well as cultural-specific psycho-socio-spiritual support, are all essential elements for optimizing QoL and promoting death with dignity for nursing home residents facing morality. This study provides a useful framework to facilitate the future development of EoL care in long-term-care settings in the Chinese context. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  15. A conceptual model of family surrogate end-of-life decision-making process in the nursing home setting: goals of care as guiding stars.

    Science.gov (United States)

    Bern-Klug, Mercedes

    2014-01-01

    An increasing proportion of dying is occurring in America's nursing homes (NH). Family members are involved in (and affected by) medical decision-making on behalf of NH residents approaching the end of life, especially when the resident is cognitively impaired. This article proposes an empirically derived conceptual model of the key factors NH family surrogate decision-makers consider when establishing or changing goals of care and the iterative process as applied to the NH setting. This model also establishes the importance of family social role expectations toward their loved one as well as the concept, "stance toward dying," as key in establishing or changing the main goal of care. NH staff and physicians can use the model as a framework for providing information and support to family members. Research is needed to better understand how to prepare staff and settings to support family surrogate decision-makers, in particular around setting goals of care. The model can be generalized beyond nursing homes.

  16. An Automated Home-Cage System to Assess Learning and Performance of a Skilled Motor Task in a Mouse Model of Huntington's Disease.

    Science.gov (United States)

    Woodard, Cameron L; Bolaños, Federico; Boyd, James D; Silasi, Gergely; Murphy, Timothy H; Raymond, Lynn A

    2017-01-01

    Behavioral testing is a critical step in assessing the validity of rodent models of neurodegenerative disease, as well as evaluating the efficacy of pharmacological interventions. In models of Huntington's disease (HD), a gradual progression of impairments is observed across ages, increasing the need for sensitive, high-throughput and longitudinal assessments. Recently, a number of automated systems have been developed to perform behavioral profiling of animals within their own home-cage, allowing for 24-h monitoring and minimizing experimenter interaction. However, as of yet, few of these have had functionality for the assessment of skilled motor learning, a relevant behavior for movement disorders such as HD. To address this, we assess a lever positioning task within the mouse home-cage. Animals first acquire a simple operant response, before moving to a second phase where they must learn to hold the lever for progressively longer in a rewarded position range. Testing with this paradigm has revealed the presence of distinct phenotypes in the YAC128 mouse model of HD at three early symptomatic time points. YAC128 mice at two months old, but not older, had a motor learning deficit when required to adapt their response to changes in task requirements. In contrast, six-month-old YAC128 mice had disruptions of normal circadian activity and displayed kinematic abnormalities during performance of the task, suggesting an impairment in motor control. This system holds promise for facilitating high throughput behavioral assessment of HD mouse models for preclinical therapeutic screening.

  17. The propulsive industry; oil and gas breed a community of builders

    International Nuclear Information System (INIS)

    Jaremko, G.

    2000-01-01

    The role that government-industry cooperation has played in the development of the Canadian petroleum industry is recounted by way of providing background to delegates to the World Petroleum Congress taking place in June 2000 in Calgary, Alberta. Among individuals whose contributions have been vital to the development of the industry are the late Premier Manning of Alberta, and J. Howard Pew, President of Sun Corporation, Todd Montgomery, Michael Supple, Chris Hopkins, the triumvirate leaders of the privately owned SynEnCo Inc., the latest entry into the oilsands lineup, Dave Beckwerment and Jeff Arsenych, the visionaries behind Ravenwood Resources Inc., Robert McLeay, founder of Mera Petroleum Inc., and Robert Mansell, the economist who keeps tab on the industry from his home base at the University of Calgary. According to Mansell, four-fifths of Canadian oil and gas production is located in Alberta, which constitutes some 45 per cent of the country's economy. From manufacturing to communications and information technology, other sectors draw heavily on the oil and gas community for customers and talent. Despite occasional disparaging remarks applied to the industry as being 'a mature and sunset industry' it survives through its visionaries and adventurers who flourish in a cross-section of the community built by earlier pioneers, in various niches ranging from economical drilling for modest conventional reserves to international hunts for proverbial elephant-sized discoveries in world trouble spots. The staying power of the industry through upheavals of global proportions underlines the talent and policies that manage the Canadian petroleum industry, and provide an indication of the scale of the country's natural resources

  18. The Terabit/s Super-Fragment Builder and Trigger Throttling System for the Compact Muon Solenoid Experiment at CERN

    CERN Document Server

    Bauer, Gerry; Boyer, Vincent; Branson, James; Brett, Angela; Cano, Eric; Carboni, Andrea; Ciganek, Marek; Cittolin, Sergio; Erhan, Samim; Gigi, Dominique; Glege, Frank; Gómez-Reino, Robert; Gulmini, Michele; Gutíerrez-Mlot, Esteban; Gutleber, Johannes; Jacobs, Claude; Kim, Jin Cheol; Klute, Markus; Lipeles, Elliot; Lopez-Perez, Juan Antonio; Maron, Gaetano; Meijers, Frans; Meschi, Emilio; Moser, Roland; Murray, Steven; Oh, Alexander; Orsini, Luciano; Paus, Christoph; Petrucci, Andrea; Pieri, Marco; Pollet, Lucien; Rácz, Attila; Sakulin, Hannes; Sani, Matteo; Schieferdecker, Philipp; Schwick, Christoph; Sumorok, Konstanty; Suzuki, Ichiro; Tsirigkas, Dimitrios

    2007-01-01

    The Data Acquisition System of the Compact Muon Solenoid experiment at the Large Hadron Collider reads out event fragments of an average size of 2 kilobytes from around 650 detector front-ends at a rate of up to 100 kHz. The first stage of event-building is performed by the Super-Fragment Builder employing custom-built electronics and a Myrinet optical network. It reduces the number of fragments by one order of magnitude, thereby greatly decreasing the requirements for the subsequent event-assembly stage. By providing fast feedback from any of the front-ends to the trigger, the Trigger Throttling System prevents buffer overflows in the front-end electronics due to variations in the size and rate of events or due to back-pressure from the down-stream event-building and processing. This paper reports on new performance measurements and on the recent successful integration of a scaled-down setup of the described system with the trigger and with front-ends of all major sub-detectors. The on-going commissioning of...

  19. Manufacture of β-TCP/alginate scaffolds through a Fab@home model for application in bone tissue engineering

    International Nuclear Information System (INIS)

    Diogo, G S; Gaspar, V M; Serra, I R; Fradique, R; Correia, I J

    2014-01-01

    The growing need to treat bone-related diseases in an elderly population compels the development of novel bone substitutes to improve patient quality of life. In this context, the advent of affordable and effective rapid prototyping equipment, such as the Fab@home plotter, has contributed to the development of novel scaffolds for bone tissue engineering. In this study, we report for the first time the use of a Fab@home plotter for the production of 3D scaffolds composed by beta-tricalcium phosphate (β-TCP)/alginate hybrid materials. β-TCP/alginate mixtures were used in a proportion of 50/50% (w/w), 30/70% (w/w) and 20/80% (w/w). The printing parameters were optimized to a nozzle diameter of 20 Gauge for the production of rigid scaffolds with pre-defined architectures. We observed that, despite using similar printing parameters, both the precision and resolution of the scaffolds were significantly affected by the blend's viscosity. In particular, we demonstrate that the higher viscosity of 50/50 scaffolds (150.0 ± 3.91 mPa s) provides a higher precision in the extrusion process. The physicochemical and biological characterization of the samples demonstrated that the 50/50 scaffolds possessed a resistance to compression comparable to that of native trabecular bone. Moreover, this particular formulation also exhibited a Young's modulus that was higher than that of trabecular bone. Scanning electron microscopy and fluorescence microscopy analysis revealed that osteoblasts were able to adhere, proliferate and also penetrate into the scaffold's architecture. Altogether, our findings suggest that the Fab@home printer can be employed in the manufacture of reproducible scaffolds, using a formulation 50/50 alginate-β-TCP that has suitable properties to be applied as bone substitutes in the future. (paper)

  20. A condensed review of the intelligent user modeling of information retrieval system

    International Nuclear Information System (INIS)

    Choi, Kwang

    2001-10-01

    This study discussed theoretical aspects of user modeling, modeling cases of commecial systems and elements that need consideration when constructing user models. The results of this study are 1) Comprehensive and previous analysis of system users is required to bulid user model. 2) User information is collected from users directly and inference. 3) Frame structure is compatible to build user model. 4) Prototype user model is essential to bulid a user model and based on previous user analysis. 5) User model builder has interactive information collection, inference, flexibility, model updating functions. 6) User model builder has to reflect user's feedback

  1. Respiratory Home Health Care

    Science.gov (United States)

    ... Healthy Living > Living With Lung Disease > Respiratory Home Health Care Font: Aerosol Delivery Oxygen Resources Immunizations Pollution Nutrition ... Disease Articles written by Respiratory Experts Respiratory Home Health Care Respiratory care at home can contribute to improved ...

  2. Exercise at Home

    Science.gov (United States)

    ... Home Health Insights Exercise & Weight Exercise at Home Exercise at Home Make an Appointment Ask a Question ... with the movement and contact your provider. Posture Exercises Better posture means better breathing and movement. Axial ...

  3. Home Care Services

    Science.gov (United States)

    Home care is care that allows a person with special needs stay in their home. It might be for people who are getting ... are chronically ill, recovering from surgery, or disabled. Home care services include Personal care, such as help ...

  4. HOME Grantee Areas

    Data.gov (United States)

    Department of Housing and Urban Development — The HOME Investment Partnership Program (HOME) is authorized under Title II of the Cranston-Gonzalez National Affordable Housing Act. HOME provides formula grants to...

  5. Indoor radio channel modeling and mitigation of fading effects using linear and circular polarized antennas in combination for smart home system at 868 MHz

    Science.gov (United States)

    Wunderlich, S.; Welpot, M.; Gaspard, I.

    2014-11-01

    The markets for smart home products and services are expected to grow over the next years, driven by the increasing demands of homeowners considering energy monitoring, management, environmental controls and security. Many of these new systems will be installed in existing homes and offices and therefore using radio based systems for cost reduction. A drawback of radio based systems in indoor environments are fading effects which lead to a high variance of the received signal strength and thereby to a difficult predictability of the encountered path loss of the various communication links. For that reason it is necessary to derive a statistical path loss model which can be used to plan a reliable and cost effective radio network. This paper presents the results of a measurement campaign, which was performed in six buildings to deduce realistic radio channel models for a high variety of indoor radio propagation scenarios in the short range devices (SRD) band at 868 MHz. Furthermore, a potential concept to reduce the variance of the received signal strength using a circular polarized (CP) patch antenna in combination with a linear polarized antenna in an one-to-one communication link is presented.

  6. Models of inter professional working for older people living at home: a survey and review of the local strategies of english health and social care statutory organisations

    Directory of Open Access Journals (Sweden)

    Goodman Claire

    2011-12-01

    Full Text Available Abstract Background Most services provided by health and social care organisations for older people living at home rely on interprofessional working (IPW. Although there is research investigating what supports and inhibits how professionals work together, less is known about how different service models deliver care to older people and how effectiveness is measured. The aim of this study was to describe how IPW for older people living at home is delivered, enacted and evaluated in England. Method An online survey of health and social care managers across England directly involved in providing services to older people, and a review of local strategies for older people services produced by primary care organisations and local government adult services organisations in England. Results The online survey achieved a 31% response rate and search strategies identified 50 local strategies that addressed IPW for older people living at home across health and social care organisations. IPW definitions varied, but there was an internal consistency of language informed by budgeting and organisation specific definitions of IPW. Community Services for Older People, Intermediate Care and Re-enablement (rehabilitation Teams were the services most frequently identified as involving IPW. Other IPW services identified were problem or disease specific and reflected issues highlighted in local strategies. There was limited agreement about what interventions or strategies supported the process of IPW. Older people and their carers were not reported to be involved in the evaluation of the services they received and it was unclear how organisations and managers judged the effectiveness of IPW, particularly for services that had an open-ended commitment to the care of older people. Conclusion Health and social care organisations and their managers recognise the value and importance of IPW. There is a theoretical literature on what supports IPW and what it can achieve

  7. High Performance Homes That Use 50% Less Energy Than the DOE Building America Benchmark Building

    Energy Technology Data Exchange (ETDEWEB)

    Christian, J.

    2011-01-01

    This document describes lessons learned from designing, building, and monitoring five affordable, energy-efficient test houses in a single development in the Tennessee Valley Authority (TVA) service area. This work was done through a collaboration of Habitat for Humanity Loudon County, the US Department of Energy (DOE), TVA, and Oak Ridge National Laboratory (ORNL).The houses were designed by a team led by ORNL and were constructed by Habitat's volunteers in Lenoir City, Tennessee. ZEH5, a two-story house and the last of the five test houses to be built, provided an excellent model for conducting research on affordable high-performance houses. The impressively low energy bills for this house have generated considerable interest from builders and homeowners around the country who wanted a similar home design that could be adapted to different climates. Because a design developed without the project constraints of ZEH5 would have more appeal for the mass market, plans for two houses were developed from ZEH5: a one-story design (ZEH6) and a two-story design (ZEH7). This report focuses on ZEH6, identical to ZEH5 except that the geothermal heat pump is replaced with a SEER 16 air source unit (like that used in ZEH4). The report also contains plans for the ZEH6 house. ZEH5 and ZEH6 both use 50% less energy than the DOE Building America protocol for energyefficient buildings. ZEH5 is a 4 bedroom, 2.5 bath, 2632 ft2 house with a home energy rating system (HERS) index of 43, which qualifies it for federal energy-efficiency incentives (a HERS rating of 0 is a zero-energy house, and a conventional new house would have a HERS rating of 100). This report is intended to help builders and homeowners build similar high-performance houses. Detailed specifications for the envelope and the equipment used in ZEH5 are compared with the Building America Benchmark building, and detailed drawings, specifications, and lessons learned in the construction and analysis of data gleaned

  8. Marketers across the U. S. find propane water heaters a viable load-builder

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-01

    Rather than the usual annual update reporting on specific models and upgrades from water heater manufacturers, the authors concentrate on water heater marketing in the propane industry. Some of the marketing strategies they present are the result of exclusive interviews and some are recaps of water heater marketing plans mentioned in the AFRED study, but marketers across the country are unanimous in their appreciation of the lowly water heater.

  9. Home safe home: Evaluation of a childhood home safety program.

    Science.gov (United States)

    Stewart, Tanya Charyk; Clark, Andrew; Gilliland, Jason; Miller, Michael R; Edwards, Jane; Haidar, Tania; Batey, Brandon; Vogt, Kelly N; Parry, Neil G; Fraser, Douglas D; Merritt, Neil

    2016-09-01

    The London Health Sciences Centre Home Safety Program (HSP) provides safety devices, education, a safety video, and home safety checklist to all first-time parents for the reduction of childhood home injuries. The objective of this study was to evaluate the HSP for the prevention of home injuries in children up to 2 years of age. A program evaluation was performed with follow-up survey, along with an interrupted time series analysis of emergency department (ED) visits for home injuries 5 years before (2007-2013) and 2 years after (2013-2015) implementation. Spatial analysis of ED visits was undertaken to assess differences in home injury rates by dissemination areas controlling differences in socioeconomic status (i.e., income, education, and lone-parent status) at the neighborhood level. A total of 3,458 first-time parents participated in the HSP (a 74% compliance rate). Of these, 20% (n = 696) of parents responded to our questionnaire, with 94% reporting the program to be useful (median, 6; interquartile range, 2 on a 7-point Likert scale) and 81% learning new strategies for preventing home injuries. The median age of the respondent's babies were 12 months (interquartile range, 1). The home safety check list was used by 87% of respondents to identify hazards in their home, with 95% taking action to minimize the risk. The time series analysis demonstrated a significant decline in ED visits for home injuries in toddlers younger than2 years of age after HSP implementation. The declines in ED visits for home injuries remained significant over and above each socioeconomic status covariate. Removing hazards, supervision, and installing safety devices are key facilitators in the reduction of home injuries. Parents found the HSP useful to identify hazards, learn new strategies, build confidence, and provide safety products. Initial finding suggests that the program is effective in reducing home injuries in children up to 2 years of age. Therapeutic/care management study

  10. Field Measurements of Heating Efficiency of Electric Forced-Air Furnaces in Six Manufactured Homes.

    Energy Technology Data Exchange (ETDEWEB)

    Davis, Bob; Palmiter, Larry S.; Siegel, Jeff

    1994-07-26

    This report presents the results of field measurements of heating efficiency for six manufactured homes in the Pacific Northwest heated with electric forced-air systems. This is the first in a series of regional and national efforts to measure in detail the heating efficiency of manufactured homes. Only six homes were included in this study because of budgetary constraints; therefore this is not a representative sample. These investigations do provide some useful information on the heating efficiency of these homes. Useful comparisons can be drawn between these study homes and site-built heating efficiencies measured with a similar protocol. The protocol used to test these homes is very similar to another Ecotope protocol used in the study conducted in 1992 and 1993 for the Bonneville Power Administration to test the heating efficiency of 24 homes. This protocol combined real-time power measurements of furnace energy usage with energy usage during co-heat periods. Accessory data such as house and duct tightness measurements and tracer gas measurements were used to describe these homes and their heating system efficiency. Ensuring that manufactured housing is constructed in an energy and resource efficient manner is of increasing concern to manufactured home builders and consumers. No comparable work has been done to measure the heating system efficiency of MCS manufactured homes, although some co-heat tests have been performed on manufactured homes heated with natural gas to validate HUD thermal standards. It is expected that later in 1994 more research of this kind will be conducted, and perhaps a less costly and less time-consuming method for testing efficiencies will be develops.

  11. Home-cage anxiety levels in a transgenic rat model for Spinocerebellar ataxia type 17 measured by an approach-avoidance task: The light spot test.

    Science.gov (United States)

    Kyriakou, Elisavet I; Nguyen, Huu Phuc; Homberg, Judith R; Van der Harst, Johanneke E

    2017-08-18

    Measuring anxiety in a reliable manner is essential for behavioural phenotyping of rodent models such as the rat model for Spinocerebellar ataxia type 17 (SCA17) where anxiety is reported in patients. An automated tool for assessing anxiety within the home cage can minimize human intervention, stress of handling, transportation and novelty. We applied the anxiety test "light spot" (LS) (white led directed at the food-hopper) to our transgenic SCA17 rat model in the PhenoTyper 4500 ® to extend the knowledge of this automated tool for behavioural phenotyping and to verify an anxiety-like phenotype at three different disease stages for use in future therapeutic studies. Locomotor activity was increased in SCA17 rats at 6 and 9 months during the first 15min of the LS, potentially reflecting increased risk assessment. Both genotypes responded to the test with lower duration in the LS zone and higher time spent inside the shelter compared to baseline. We present the first data of a rat model subjected to the LS. The LS can be considered more biologically relevant than a traditional test as it measures anxiety in a familiar situation. The LS successfully evoked avoidance and shelter-seeking in rats. SCA17 rats showed a stronger approach-avoidance conflict reflected by increased activity in the area outside the LS. This home cage test, continuously monitoring pre- and post-effects, provides the opportunity for in-depth analysis, making it a potentially useful tool for detecting subtle or complex anxiety-related traits in rodents. Copyright © 2017 Elsevier B.V. All rights reserved.

  12. Intermediate care: for better or worse? Process evaluation of an intermediate care model between a university hospital and a residential home

    Directory of Open Access Journals (Sweden)

    Janmaat Tonnie ACM

    2005-05-01

    Full Text Available Abstract Background Intermediate care was developed in order to bridge acute, primary and social care, primarily for elderly persons with complex care needs. Such bridging initiatives are intended to reduce hospital stays and improve continuity of care. Although many models assume positive effects, it is often ambiguous what the benefits are and whether they can be transferred to other settings. This is due to the heterogeneity of intermediate care models and the variety of collaborating partners that set up such models. Quantitative evaluation captures only a limited series of generic structure, process and outcome parameters. More detailed information is needed to assess the dynamics of intermediate care delivery, and to find ways to improve the quality of care. Against this background, the functioning of a low intensity early discharge model of intermediate care set up in a residential home for patients released from an Amsterdam university hospital has been evaluated. The aim of this study was to produce knowledge for management to improve quality of care, and to provide more generalisable insights into the accumulated impact of such a model. Methods A process evaluation was carried out using quantitative and qualitative methods. Registration forms and patient questionnaires were used to quantify the patient population in the model. Statistical analysis encompassed T-tests and chi-squared test to assess significance. Semi-structured interviews were conducted with 21 staff members representing all disciplines working with the model. Interviews were transcribed and analysed using both 'open' and 'framework' approaches. Results Despite high expectations, there were significant problems. A heterogeneous patient population, a relatively unqualified staff and cultural differences between both collaborating partners impeded implementation and had an impact on the functioning of the model. Conclusion We concluded that setting up a low intensity

  13. Using the Technology Acceptance Model to explore community dwelling older adults' perceptions of a 3D interior design application to facilitate pre-discharge home adaptations.

    Science.gov (United States)

    Money, Arthur G; Atwal, Anita; Young, Katherine L; Day, Yasmin; Wilson, Lesley; Money, Kevin G

    2015-08-26

    In the UK occupational therapy pre-discharge home visits are routinely carried out as a means of facilitating safe transfer from the hospital to home. Whilst they are an integral part of practice, there is little evidence to demonstrate they have a positive outcome on the discharge process. Current issues for patients are around the speed of home visits and the lack of shared decision making in the process, resulting in less than 50 % of the specialist equipment installed actually being used by patients on follow-up. To improve practice there is an urgent need to examine other ways of conducting home visits to facilitate safe discharge. We believe that Computerised 3D Interior Design Applications (CIDAs) could be a means to support more efficient, effective and collaborative practice. A previous study explored practitioners perceptions of using CIDAs; however it is important to ascertain older adult's views about the usability of technology and to compare findings. This study explores the perceptions of community dwelling older adults with regards to adopting and using CIDAs as an assistive tool for the home adaptations process. Ten community dwelling older adults participated in individual interactive task-focused usability sessions with a customised CIDA, utilising the think-aloud protocol and individual semi-structured interviews. Template analysis was used to carry out both deductive and inductive analysis of the think-aloud and interview data. Initially, a deductive stance was adopted, using the three pre-determined high-level themes of the technology acceptance model (TAM): Perceived Usefulness (PU), Perceived Ease of Use (PEOU), Actual Use (AU). Inductive template analysis was then carried out on the data within these themes, from which a number of sub-thmes emerged. Regarding PU, participants believed CIDAs served as a useful visual tool and saw clear potential to facilitate shared understanding and partnership in care delivery. For PEOU, participants were

  14. Laffer Curves and Home Production

    Directory of Open Access Journals (Sweden)

    Kotamäki Mauri

    2017-06-01

    Full Text Available In the earlier related literature, consumption tax rate Laffer curve is found to be strictly increasing (see Trabandt and Uhlig (2011. In this paper, a general equilibrium macro model is augmented by introducing a substitute for private consumption in the form of home production. The introduction of home production brings about an additional margin of adjustment – an increase in consumption tax rate not only decreases labor supply and reduces the consumption tax base but also allows a substitution of market goods with home-produced goods. The main objective of this paper is to show that, after the introduction of home production, the consumption tax Laffer curve exhibits an inverse U-shape. Also the income tax Laffer curves are significantly altered. The result shown in this paper casts doubt on some of the earlier results in the literature.

  15. Leaving home and entering the housing market.

    NARCIS (Netherlands)

    Clark, W.A.V.; Mulder, C.H.

    2000-01-01

    We use a multinomial choice model of owning a home, owning a trailer, or renting to examine the housing-market entry of young adults in the USA after they have left the parental home. We also model the choice between renting independently and sharing with roommates. We show that the likelihood of

  16. Experiences of three states implementing the Medicaid health home model to address opioid use disorder-Case studies in Maryland, Rhode Island, and Vermont.

    Science.gov (United States)

    Clemans-Cope, Lisa; Wishner, Jane B; Allen, Eva H; Lallemand, Nicole; Epstein, Marni; Spillman, Brenda C

    2017-12-01

    The United States is facing an unprecedented opioid epidemic. The Affordable Care Act (ACA) included several provisions designed to increase care coordination in state Medicaid programs and improve outcomes for those with chronic conditions, including substance use disorders. Three states-Maryland, Rhode Island, and Vermont - adopted the ACA's optional Medicaid health home model for individuals with opioid use disorder. The model coordinates opioid use disorder treatment that features opioid agonist therapy provided at opioid treatment programs (OTPs) and Office-based Opioid Treatment (OBOT) with medical and behavioral health care and other services, including those addressing social determinants of health. This study examines state approaches to opioid health homes (OHH) and uses a retrospective analysis to identify facilitators and barriers to the program's implementation from the perspectives of multiple stakeholders. We conducted 28 semi-structured discussions with 70 discussants across the three states, including representatives from state agencies, OHH providers (OTPs and OBOTs), Medicaid health plans, and provider associations. Discussions were recorded, transcribed, and analyzed using NVivo. In addition, we reviewed state health home applications, policies, regulatory guidance, reporting, and other available OHH materials. We adapted the Exploration, Preparation, Implementation, and Sustainment (EPIS) model as a guiding framework to examine the collected data, helping us to identify key factors affecting each stage of the OHH implementation. Overall, discussants reported that the OHH model was implemented successfully and was responsible for substantial improvements in patient care. Contextual factors at both the state level (e.g., legislation, funding, state leadership, program design) and provider level (OHH provider characteristics, leadership, adaptability) affected each stage of implementation of the OHH model. States took a variety of approaches in

  17. Veteran family reintegration, primary care needs, and the benefit of the patient-centered medical home model.

    Science.gov (United States)

    Hinojosa, Ramon; Hinojosa, Melanie Sberna; Nelson, Karen; Nelson, David

    2010-01-01

    Men and women returning from the wars in Afghanistan and Iraq face a multitude of difficulties while integrating back into civilian life, but the importance of their veteran status is often overlooked in primary care settings. Family physicians have the potential to be the first line of defense to ensure the well-being of veterans and their families because many will turn to nonmilitary and non-Veterans Affairs providers for health care needs. An awareness of the unique challenges faced by this population is critical to providing care. A patient-centered medical home orientation can help the family physician provide veterans and their families the care they need. Specific recommendations for family physicians include screening their patient population; providing timely care; treating the whole family; and integrating care from multiple disciplines and specialties, providing veterans and families with "one-stop shopping" care. An awareness of the unique challenges faced by veterans and their families translates into better overall outcomes for this population.

  18. Donor mesenchymal stem cells home to maternal wounds after transamniotic stem cell therapy (TRASCET) in a rodent model.

    Science.gov (United States)

    Graham, Christopher D; Shieh, Hester F; Brazzo, Joseph A; Zurakowski, David; Fauza, Dario O

    2017-06-01

    Transamniotic stem cell therapy (TRASCET) with amniotic fluid-derived MSCs (afMSCs) has emerged experimentally as a practical treatment strategy for congenital anomalies. In this study, we sought to determine whether afMSCs migrate to the mother following TRASCET. Pregnant rat dams were divided into three groups. Two groups received volume-matched injections into all amniotic cavities of either a suspension of afMSCs labeled with a luciferase reporter gene or the luciferase protein alone. In a third group, a suspension of labeled cells was aliquoted onto the serosal surface of the uterus. Maternal samples from the laparotomy scar (fascia and skin separately), bone marrow, and peripheral blood were procured, along with placenta and umbilical cord. Specimens were screened for luminescence via microplate luminometry. Luminescence was detected in 60% (9/15) of the fascial scars from the group receiving intraamniotic injection of afMSCs, but in none of the other groups (Pcells in the placenta and their presence in maternal fascia (Wald test=10.2; P=0.001). Amniotic mesenchymal stem cells migrate to maternal sites of injury after intraamniotic injection. Maternal homing of donor cells must be considered in the setting of transamniotic stem cell therapy. N/A (animal and laboratory study). Copyright © 2017 Elsevier Inc. All rights reserved.

  19. [Development and Application of a Performance Prediction Model for Home Care Nursing Based on a Balanced Scorecard using the Bayesian Belief Network].

    Science.gov (United States)

    Noh, Wonjung; Seomun, Gyeongae

    2015-06-01

    This study was conducted to develop key performance indicators (KPIs) for home care nursing (HCN) based on a balanced scorecard, and to construct a performance prediction model of strategic objectives using the Bayesian Belief Network (BBN). This methodological study included four steps: establishment of KPIs, performance prediction modeling, development of a performance prediction model using BBN, and simulation of a suggested nursing management strategy. An HCN expert group and a staff group participated. The content validity index was analyzed using STATA 13.0, and BBN was analyzed using HUGIN 8.0. We generated a list of KPIs composed of 4 perspectives, 10 strategic objectives, and 31 KPIs. In the validity test of the performance prediction model, the factor with the greatest variance for increasing profit was maximum cost reduction of HCN services. The factor with the smallest variance for increasing profit was a minimum image improvement for HCN. During sensitivity analysis, the probability of the expert group did not affect the sensitivity. Furthermore, simulation of a 10% image improvement predicted the most effective way to increase profit. KPIs of HCN can estimate financial and non-financial performance. The performance prediction model for HCN will be useful to improve performance.

  20. The impact of patients' perceptions of the listening skills of the pharmacist on their willingness to re-use Home Medicines Reviews: a structural equation model.

    Science.gov (United States)

    Carter, Stephen R; Moles, Rebekah; White, Lesley; Chen, Timothy F

    2015-01-01

    Research has shown that consumers prefer a pharmacist who is skilled in communication and pays particular attention to friendliness, empathy and attentiveness. Medication management interviews tend to be more time consuming than other patient-pharmacist interactions. The extra time for these interviews provides patients with an opportunity to evaluate the quality of interpersonal care provided by the pharmacist. Patient evaluations of pharmacists may influence their intentions to use medication management services. In previous studies, a conceptual model based on information-seeking theory was developed and used to explain a significant amount of the variation in consumers' and caregivers' willingness to use Australia's Home Medicines Review (HMR) service. The aim of this paper was to extend the conceptual model to include the influence of patients' evaluation of interpersonal care provided. We aimed to test the hypothesis that patients' perceptions of how well the pharmacist listened to them during their most recent HMR interview (Listening) would increase their willingness to re-use HMR (Willingness). Patients (N = 595) who had experienced Australia's Home Medicines Review (HMR) within the previous 6 months completed questionnaires. Exploratory and confirmatory factor analyzes were used to validate the measurement scales. Structural equation modeling was used to test the model. The structural model provided a reasonable fit to the data and explained 53% of the variation in Willingness. The structural model revealed that Listening increased patients' perceptions that the HMR provided positive outcomes (Outcomes) (β = 0.37, P < 0.05) and directly and indirectly increased Willingness (β = 0.61, P < 0.05). These results suggest that patients' willingness to use a medication management service in the future is strongly influenced by their perceptions of how well the pharmacist listened to them during their last medication review interview. Improving

  1. Targeting HIV services to male migrant workers in southern Africa would not reverse generalized HIV epidemics in their home communities: a mathematical modeling analysis.

    Science.gov (United States)

    Klein, Daniel J; Eckhoff, Philip A; Bershteyn, Anna

    2015-03-01

    Migrant populations such as mine workers contributed to the spread of HIV in sub-Saharan Africa. We used a mathematical model to estimate the community-wide impact of targeting treatment and prevention to male migrants. We augmented an individual-based network model, EMOD-HIV v0.8, to include an age-dependent propensity for males to migrate. Migrants were exposed to HIV outside their home community, but continued to participate in HIV transmission in the community during periodic visits. Migrant-targeted interventions would have been transformative in the 1980s to 1990s, but post-2015 impacts were more modest. When targetable migrants comprised 2% of adult males, workplace HIV prevention averted 3.5% of community-wide infections over 20 years. Targeted treatment averted 8.5% of all-cause deaths among migrants. When migrants comprised 10% of males, workplace prevention averted 16.2% of infections in the community, one-quarter of which were among migrants. Workplace prevention and treatment acted synergistically, averting 17.1% of community infections and 11.6% of deaths among migrants. These estimates do not include prevention of secondary spread of HIV or tuberculosis at the workplace. Though cost-effective, targeting migrants cannot collapse generalized epidemics in their home communities. Such a strategy would only have been possible prior to the early 1990s. However, migrant-targeted interventions synergize with general-population expansion of HIV services. © The Author 2015. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

  2. Optimasi Perencanaan Produksi Kue Dan Bakery di Home Industry “SELARAS CAKE” Menggunakan Model Goal Programming

    Directory of Open Access Journals (Sweden)

    Nusaibah Al Istiqomah

    2017-04-01

    Full Text Available This study aimed to: know the model of the production planning problem solving goal programming model without the priority objectives and goal programming model of the priority goals, determine the demand forecast cakes and bakery as well as to determine which is optimal between the two models in determining the amount of production. This research was conducted in bakery products such as cakes and banana muffins, brownies, sponge rollers, greenis, bakery and chocolate pizza bakery. By reviewing of some of the literature, this problem can be solved by using a goal programming models and models without priority objectives programminng goal with the priority goal. Based on the research, production plans generated from both models is identical, ie the amount of production of banana muffins as many as 31 586 units, greenis as many as 31 839 units, sponge rollers as many as 31 839 units, brownies as many as 60645 units, chocolate bakery as many as 16 425 units, and pizza bakery as many as 164 245 units , Meanwhile, on the model of goal programming without priority objectives the company obtained revenue of Rp 426,034,500.00 with a production cost of US $ 147,021,000.00, while the advantages of goal programming models with a priority goal of Rp 376,759,500.00 and production costs Rp 131,006,600.00. This means, if the profit is assumed to revenue minus production costs, then for a greater profit, the company suggested using the model of goal programming without priority objectives for yield greater reductions.

  3. Meals in nursing homes

    DEFF Research Database (Denmark)

    Kofod, Jens Erik; Birkemose, A.

    2004-01-01

    Undernutrition is present among 33% of nursing home residents in Denmark. Hence, it is relevant to examine the meal situation at nursing homes to single out factors that may increase or reduce the residents' food intake. in the ongoing Danish nursing home debate it is claimed that a new type...... of nursing home improves the residents' meal situation with a positive effect on nutrition. The aim of this work is to test the general hypothesis that (i) residents appreciate the meal situation in these nursing homes and (ii) nutritional status of the residents is improved in this type of nursing home....... This study was carried out in four Danish nursing homes at various locations in Denmark. The methods used are qualitative interviews and observations at four nursing homes in combination with measurement of body mass index (BMI) at two of the four nursing homes. Undernutrition is defined as a BMI below 20...

  4. Summer Meal Capacity Builder

    Data.gov (United States)

    Department of Agriculture — Allows users to search for summer meal sites from the previous summer by zip code, adding “layers” of information, such as free and reduced-price lunch participation...

  5. [METHODS OF MODELING TEMPERATURE REGIMES IN TESTS OF POLYMER CONTAINING BUILDING MATERIALS AND FURNITURE FOR HOMES AND PUBLIC BUILDINGS].

    Science.gov (United States)

    Dubova, G P; Chubirko, M I; Obolonskiy, M F; Khrapov, R Yu; Kamenev, V I

    2015-01-01

    This article is devoted to the modeling of temperature conditions in performance of research of polymer containing building materials and furniture. The authors draw attention to the different conditions of modeling used in the existing guidance documents, and provide a unified approach to this problem, namely in the performance of the study to use the temperature regime, which corresponds to the maximum value of the optimum temperature range for residential and industrial premises.

  6. General vs. domain specific recycling behaviour - Applying a multilevel comprehensive action determination model to recycling in Norwegian student homes

    OpenAIRE

    Klöckner, Christian; Oppedal, Inger Olin

    2011-01-01

    This paper reports the results of a multilevel structure equation model predicting general and fraction specific self-reported recycling behaviour. The model was tested on a sample of 697 undergraduate students from four Norwegian universities who each reported their degree of participation in the local recycling schemes for paper/cardboard, glass, metal, and plastic. It was demonstrated that variance in recycling behaviour can be divided into a smaller general part that is relatively stable ...

  7. Assessing home-based rehabilitation within the development of an integrated model of care for people living with HIV in a resource-poor community

    Directory of Open Access Journals (Sweden)

    Saul Cobbing

    2017-01-01

    Full Text Available Background: People living with HIV (PLHIV are living longer lives but are at a greater risk of developing disability. South Africa has the largest antiretroviral therapy (ART programme in the world, shifting HIV from a deadly to a chronic disease. The integration of rehabilitation into chronic care is therefore now crucial to ensure the highest quality of life of PLHIV.Aim: To describe how a home-based rehabilitation (HBR programme adhered to the fundamental principles of a theoretical model of integrated care developed for the study setting in KwaZulu-Natal, South Africa.Method: The process and results from the HBR programme were assessed in relation to the model of care to ascertain which principles of the model were addressed with the HBR programme and which elements require further investigation.Results: The HBR programme was able to apply a number of principles such as evidence-based practice, task shifting to lay personnel, enabling patient-centred care and maximising function and independence of PLHIV. Other elements such as the adoption of a multidisciplinary approach, training on the use of disability screening tools and the use of evidence to influence policy development were more difficult to implement.Conclusion: It is possible to implement elements of the integrated model of care. Further research is needed to understand how principles that require further training and collaboration with other stakeholders can be implemented. The results of this study provide additional evidence towards understanding the feasibility of the theoretical model and what is required to adjust and test the full model.

  8. Divergent selection on home pen locomotor activity in a chicken model: Selection program, genetic parameters and direct response on activity and body weight.

    Directory of Open Access Journals (Sweden)

    Joergen B Kjaer

    Full Text Available General locomotor activity (GLA in poultry has attracted attention, as it negatively influences production costs (energy expenditure and feed consumption and welfare parameters (bone strength, litter quality, feather pecking and cannibalism. Laying hen lines diverging in the average level of spontaneous locomotor activity in the home pen were developed by genetic selection using the founder New Hampshire line. Activity was recorded using RFID technology at around five weeks of age during four to five days in the home pen. After initial phenotyping, the least active birds were selected for the low activity line and the most active for the high activity line, with no gene transfer between lines. In each of six generations, approximately ten sires were mated to twenty dams producing 158 to 334 offspring per line per generation. The response to selection was rapid and of a considerable magnitude. In sixth generation, the level of GLA was approximately halved in the low and doubled in the high line compared to the control (7.2, 14.9 and 28.7 recordings/h. Estimated heritability of locomotor activity in the low and high line was 0.38 and 0.33, respectively. Males, in general, were more active than females. High line birds were significantly heavier than low line birds. In fourth, fifth, and sixth generation, low as well as high line birds were lighter than control line birds. This selection experiment demonstrates variation in heritability for GLA and, as a result, genetically diverged lines have been developed. These lines can be used as models for further studies of underlying physiological, neural and molecular genetic mechanisms of spontaneous locomotor activity.

  9. Eldercare at Home: Choosing a Nursing Home

    Science.gov (United States)

    ... the way. Moving from one's home to a nursing home is a big life change. Adjusting to the move and becoming comfortable will ... residents. Ask them what they like and what changes they would suggest. What ... nursing assistants and observe them with residents. Nursing assistants ...

  10. The Model of the "Space of Music Dialogue": Three Instances of Practice in Australian Homes and Classrooms

    Science.gov (United States)

    Tomlinson, Michelle M.

    2018-01-01

    Multimodal analysis of classroom music interactions, using the model of the "Space of Music Dialogue" in video analysis of students' music improvisation, was useful to inform teachers of students' collaborative achievements in music invention. Research has affirmed that students' cognitive thinking skills were promoted by improvisation.…

  11. Cost-effectiveness of a nurse practitioner-family physician model of care in a nursing home: controlled before and after study.

    Science.gov (United States)

    Lacny, Sarah; Zarrabi, Mahmood; Martin-Misener, Ruth; Donald, Faith; Sketris, Ingrid; Murphy, Andrea L; DiCenso, Alba; Marshall, Deborah A

    2016-09-01

    To examine the cost-effectiveness of a nurse practitioner-family physician model of care compared with family physician-only care in a Canadian nursing home. As demand for long-term care increases, alternative care models including nurse practitioners are being explored. Cost-effectiveness analysis using a controlled before-after design. The study included an 18-month 'before' period (2005-2006) and a 21-month 'after' time period (2007-2009). Data were abstracted from charts from 2008-2010. We calculated incremental cost-effectiveness ratios comparing the intervention (nurse practitioner-family physician model; n = 45) to internal (n = 65), external (n = 70) and combined internal/external family physician-only control groups, measured as the change in healthcare costs divided by the change in emergency department transfers/person-month. We assessed joint uncertainty around costs and effects using non-parametric bootstrapping and cost-effectiveness acceptability curves. Point estimates of the incremental cost-effectiveness ratio demonstrated the nurse practitioner-family physician model dominated the internal and combined control groups (i.e. was associated with smaller increases in costs and emergency department transfers/person-month). Compared with the external control, the intervention resulted in a smaller increase in costs and larger increase in emergency department transfers. Using a willingness-to-pay threshold of $1000 CAD/emergency department transfer, the probability the intervention was cost-effective compared with the internal, external and combined control groups was 26%, 21% and 25%. Due to uncertainty around the distribution of costs and effects, we were unable to make a definitive conclusion regarding the cost-effectiveness of the nurse practitioner-family physician model; however, these results suggest benefits that could be confirmed in a larger study. © 2016 John Wiley & Sons Ltd.

  12. The home concept in poetic texts: new ways of understanding

    Directory of Open Access Journals (Sweden)

    С А Радзиевская

    2010-03-01

    Full Text Available The article focuses on the analysis of the HOME concept in American poetic texts and on the description of the model of its content. Linguocognitive mechanisms of the formation of the images of home are revealed.

  13. HOME Rent Limits

    Data.gov (United States)

    Department of Housing and Urban Development — In accordance with 24 CFR Part 92.252, HUD provides maximum HOME rent limits. The maximum HOME rents are the lesser of: The fair market rent for existing housing for...

  14. Nursing Home Quality Initiative

    Data.gov (United States)

    U.S. Department of Health & Human Services — This Nursing Home Quality Initiative (NHQI) website provides consumer and provider information regarding the quality of care in nursing homes. NHQI discusses quality...

  15. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... UOAA). The skills kit contains: A booklet with information on the operation, home skills such as emptying and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma ...

  16. Ostomy Home Skills Program

    Medline Plus

    Full Text Available ... kit contains: A booklet with information on the operation, home skills such as emptying and changing a pouch, problem solving, and home management. A DVD with demonstration of each skill Stoma ...

  17. Home Health Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Home Health Compare has information about the quality of care provided by Medicare-certified home health agencies throughout the nation. Medicare-certified means the...

  18. Home Improvements Prevent Falls

    Science.gov (United States)

    ... turn JavaScript on. Feature: Falls and Older Adults Home Improvements Prevent Falls Past Issues / Winter 2014 Table ... and ensure your safety. "Safe-ty-fy" Your Home Some Questions for Your Provider Will my medicines ...

  19. Eye Injuries at Home

    Science.gov (United States)

    ... Steps to Safer Champagne Celebrations Eye Injuries at Home Leer en Español: Lesiones de los ojos en ... chore is being done. Preventing Eye Injuries at Home Wearing protective eyewear will prevent 90 percent of ...

  20. Home Canning and Botulism

    Science.gov (United States)

    ... this? Submit What's this? Submit Button Past Emails Home Canning and Botulism Language: English (US) Español (Spanish) ... myself and others safe when it comes to home-canned foods? Many cases of foodborne botulism have ...