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Sample records for care volume ii

  1. A Study in Child Care (Case Study from Volume II-A): "A Rolls-Royce of Day Care." Day Care Programs Reprint Series.

    Science.gov (United States)

    O'Farrell, Brigid

    The Amalgamated Day Care Center is an independent trust established through a collective bargaining agreement between the Amalgamated Clothing Workers of America, AFL-CIO, and the employers of the garment industry. The free center, open from 6:00 a.m. to 6:00 p.m., is located near the Chicago garment industries to minimize transportation problems…

  2. DART II documentation. Volume III. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    1979-10-01

    The DART II is a remote, interactive, microprocessor-based data acquistion system suitable for use with air monitors. This volume of DART II documentation contains the following appendixes: adjustment and calibration procedures; mother board signature list; schematic diagrams; device specification sheets; ROM program listing; 6800 microprocessor instruction list, octal listing; and cable lists. (RWR)

  3. Site Environmental Report for 1998 Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Ruggieri, Michael

    1999-09-30

    Volume II of the Site Environment Report for 1998 is provided by Ernest Orlando Lawrence Berkeley National Laboratory as a supplemental appendix to the report printed in volume I. Volume II contains the environmental monitoring and sampling data used to generate summary results in the main report for routine and non routine activities at the Laboratory (except for groundwater sampling data, which may be found in the reports referred to in chapter 6). Data presented in the tables are given in International System of Units (SI) units of measure.

  4. Site Environmental Report for 1998 Volume II

    International Nuclear Information System (INIS)

    Volume II of the Site Environment Report for 1998 is provided by Ernest Orlando Lawrence Berkeley National Laboratory as a supplemental appendix to the report printed in volume I. Volume II contains the environmental monitoring and sampling data used to generate summary results in the main report for routine and non routine activities at the Laboratory (except for groundwater sampling data, which may be found in the reports referred to in chapter 6). Data presented in the tables are given in International System of Units (SI) units of measure

  5. Culture of Schools. Final Report. Volume II

    Science.gov (United States)

    American Anthropological Association, Washington, DC.

    Volume II of this 4-volume report contains the second half of a report on the Conference on the Culture of Schools held at Greystone, New York, (the first half of the conference report appears in Vol. I, SP 003 900), and the first part of a report on the Colloquium on the Culture of Schools held at the New School for Social Research in 1966. (The…

  6. Site Environmental Report for 2007 Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Lackner, Regina E; Baskin, David; Fox, Robert; Jelinski, John; Pauer, Ron; Thorson, Patrick; Wahl, Linnea; Wyrick, Steve

    2008-09-15

    The Site Environmental Report for 2007 is an integrated report on the environmental programs at Lawrence Berkeley National Laboratory and satisfies the requirements of DOE Order 231.1A, Environment, Safety, and Health Reporting. Volume II contains individual data results from surveillance and monitoring activities.

  7. Site Environmental Report for 2008, Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Lackner, Regina; Baskin, David; Fox, Robert; Jelinski, John; Pauer, Ron; Thorson, Patrick; Wahl, Linnea; Xu, Suying

    2009-09-21

    The Site Environmental Report for 2008 is an integrated report on environmental programs at Lawrence Berkeley National Laboratory and satisfies the requirements of DOE Order 231.1 A., Environment, Safety, and Health Reporting. Volume II contains individual data results from surveillance and monitoring activities

  8. 1996 Site environmental report. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-09-01

    Ernest Orlando Lawrence Berkeley National Laboratory presents Volume II, data appendix as a reference document to supplement the 1996 Site Environmental Report. Volume II contains the raw environmental monitoring and sampling data used to generate many of the summary results included in the main report for both routine and nonroutine activities. This appendix includes a legend that cross-references the enclosed data tables with summary tables in the main report. The legend also provides a listing of more detailed descriptions for the station location codes used in the appendices` tables. Data presented in the tables are given in Systeme International (SI) units. The glossary found in the main report contains a listing of the SI units.

  9. DART II documentation. Volume III. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    1979-05-23

    The DART II is a data acquisition system that can be used with air pollution monitoring equipment. This volume contains appendices that deal with the following topics: adjustment and calibration procedures (power supply adjustment procedure, ADC calibration procedure, analog multiplexer calibration procedure); mother board signature list; schematic diagrams; device specification sheets (microprocessor, asynchronous receiver/transmitter, analog-to-digital converter, arithmetic processing unit, 5-volt power supply, +- 15-volt power supply, 24-volt power supply, floppy disk formater/controller, random access static memory); ROM program listing; 6800 microprocessor instruction set, octal listing; and cable lists. (RR)

  10. Volume, outcome, and the organization of intensive care.

    Science.gov (United States)

    Kahn, Jeremy M

    2007-01-01

    Increasing evidence suggests that high case volume is associated with improved outcomes in the intensive care unit (ICU). Potential explanations for the volume-outcome relationship include selective referral, clinical experience and organizational factors common to high-volume ICUs. Distinguishing between these explanations has important health policy implications, because outcomes at low-volume ICUs could be improved either by exporting best practices found at high-volume centers or by regionalizing adult critical care - two very different care strategies. Future research efforts should be directed at better characterizing the process of care in high-volume ICUs and exploring the feasibility of creating a regionalized system of care. PMID:17493293

  11. Site Environmental Report for 2005 Volume I and Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Ruggieri, Michael

    2006-07-07

    Each year, Ernest Orlando Lawrence Berkeley National Laboratory prepares an integrated report on its environmental programs to satisfy the requirements of United States Department of Energy Order 231.1A, ''Environment, Safety, and Health Reporting''. The ''Site Environmental Report for 2005'' summarizes Berkeley Lab's environmental management performance, presents environmental monitoring results, and describes significant programs for calendar year 2005. (Throughout this report, Ernest Orlando Lawrence Berkeley National Laboratory is referred to as ''Berkeley Lab'', ''the Laboratory'', ''Lawrence Berkeley National Laboratory'', and ''LBNL''.) The report is separated into two volumes. Volume I contains an overview of the Laboratory, the status of environmental programs, and summarized results from surveillance and monitoring activities. This year's Volume I text body is organized into an executive summary followed by six chapters. The report's structure has been reorganized this year, and it now includes a chapter devoted to environmental management system topics. Volume II contains individual data results from surveillance and monitoring activities. The ''Site Environmental Report'' is distributed by releasing it on the Web from the Berkeley Lab Environmental Services Group (ESG) home page, which is located at http://www.lbl.gov/ehs/esg/. Many of the documents cited in this report also are accessible from the ESG Web page. CD and printed copies of this Site Environmental Report are available upon request. The report follows the Laboratory's policy of using the International System of Units (SI), also known as the metric system of measurements. Whenever possible, results are also reported using the more conventional (non-SI) system of measurements, because the non-SI system is referenced by several current

  12. ALICE: Physics Performance Report, Volume II

    International Nuclear Information System (INIS)

    the subsystem designs, and a description of the offline framework and Monte Carlo event generators. The present volume, Volume II, contains the majority of the information relevant to the physics performance in proton-proton, proton-nucleus, and nucleus-nucleus collisions. Following an introductory overview, Chapter 5 describes the combined detector performance and the event reconstruction procedures, based on detailed simulations of the individual subsystems. Chapter 6 describes the analysis and physics reach for a representative sample of physics observables, from global event characteristics to hard processes

  13. Blanket comparison and selection study. Volume II

    International Nuclear Information System (INIS)

    This volume contains extensive data for the following chapters: (1) solid breeder tritium recovery, (2) solid breeder blanket designs, (3) alternate blanket concept screening, and (4) safety analysis. The following appendices are also included: (1) blanket design guidelines, (2) power conversion systems, (3) helium-cooled, vanadium alloy structure blanket design, (4) high wall loading study, and (5) molten salt safety studies

  14. Bibliography of Utah radioactive occurrences. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Doelling, H.H. (comp.)

    1983-07-01

    The references in this bibliography were assembled by reviewing published bibliographies of Utah geology, unpublished reports of the US Geological Survey and the Department of Energy, and various university theses. Each of the listings is cross-referenced by location and subject matter. This report is published in two volumes.

  15. Blanket comparison and selection study. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    1983-10-01

    This volume contains extensive data for the following chapters: (1) solid breeder tritium recovery, (2) solid breeder blanket designs, (3) alternate blanket concept screening, and (4) safety analysis. The following appendices are also included: (1) blanket design guidelines, (2) power conversion systems, (3) helium-cooled, vanadium alloy structure blanket design, (4) high wall loading study, and (5) molten salt safety studies. (MOW)

  16. Bibliography of Utah radioactive occurrences. Volume II

    International Nuclear Information System (INIS)

    The references in this bibliography were assembled by reviewing published bibliographies of Utah geology, unpublished reports of the US Geological Survey and the Department of Energy, and various university theses. Each of the listings is cross-referenced by location and subject matter. This report is published in two volumes

  17. International Photovoltaic Program Plan. Volume II. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Costello, D.; Koontz, R.; Posner, D.; Heiferling, P.; Carpenter, P.; Forman, S.; Perelman, L.

    1979-12-01

    This second volume of a two-part report on the International Photovoltaic Program Plan contains appendices summarizing the results of analyses conducted in preparation of the plan. These analyses include compilations of relevant statutes and existing Federal programs; strategies designed to expand the use of photovoltaics abroad; information on the domestic photovoltaic plan and its impact on the proposed international plan; perspectives on foreign competition; industry views on the international photovoltaic market and ideas about how US government actions could affect this market; international financing issues; and information on issues affecting foreign policy and developing countries.

  18. Draft Strategic Laboratory Missions Plan. Volume II

    International Nuclear Information System (INIS)

    This volume described in detail the Department's research and technology development activities and their funding at the Department's laboratories. It includes 166 Mission Activity Profiles, organized by major mission area, with each representing a discrete budget function called a Budget and Reporting (B ampersand R) Code. The activities profiled here encompass the total research and technology development funding of the laboratories from the Department. Each profile includes a description of the activity and shows how the funding for that activity is distributed among the DOE laboratories as well as universities and industry. The profiles also indicate the principal laboratories for each activity, as well as which other laboratories are involved. The information in this volume is at the core of the Strategic Laboratory Mission Plan. It enables a reader to follow funds from the Department's appropriation to a specific activity description and to specific R ampersand D performing institutions. This information will enable the Department, along with the Laboratory Operations Board and Congress, to review the distribution of R ampersand D performers chosen to execute the Department's missions

  19. Draft Strategic Laboratory Missions Plan. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    This volume described in detail the Department`s research and technology development activities and their funding at the Department`s laboratories. It includes 166 Mission Activity Profiles, organized by major mission area, with each representing a discrete budget function called a Budget and Reporting (B & R) Code. The activities profiled here encompass the total research and technology development funding of the laboratories from the Department. Each profile includes a description of the activity and shows how the funding for that activity is distributed among the DOE laboratories as well as universities and industry. The profiles also indicate the principal laboratories for each activity, as well as which other laboratories are involved. The information in this volume is at the core of the Strategic Laboratory Mission Plan. It enables a reader to follow funds from the Department`s appropriation to a specific activity description and to specific R & D performing institutions. This information will enable the Department, along with the Laboratory Operations Board and Congress, to review the distribution of R & D performers chosen to execute the Department`s missions.

  20. Immunobiology of natural killer cells. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Lotzova, E.; Herberman, R.B.

    1986-01-01

    This book provides a review of natural killer (NK) cell-mediated immunity in humans and experimental animal system. Topics for the volume include: In vivo activities of NK cells against primary and metastatic tumors in experimental animals; involvement of NK cells in human malignant disease; impaired NK cell profile in leukemia patients; in vivo modulation of NK activity in cancer patients; implications of aberrant NK cell activity in nonmalignant, chronic diseases; NK cell role in regulation of the growth and functions of hemopoietic and lymphoid cells; NK cells active against viral, bacterial, protozoan, and fungal infections; cytokine secretion and noncytotoxic functions of human large granular lymphocytes; augmentation of NK activity; regulation of NK cell activity by suppressor cells; NK cell cloning technology and characteristics of NK cell clones; comparison of antibody-dependent cellular cytotoxicity (ADCC) and NK activity, and index.

  1. Augmented Fish Health Monitoring; Volume II of II, Completion Report.

    Energy Technology Data Exchange (ETDEWEB)

    Michak, Patty

    1991-12-01

    The Bonneville Power Administration (BPA) initiated the Augmented Fish Health Monitoring project in 1986. This project was a five year interagency project involving fish rearing agencies in the Columbia Basin. Participating agencies included: Washington Department of Fisheries (WDF), Oregon Department of Fish and Wildlife, Idaho Department of Fish and Game, and the US Fish and Wildlife Service (USFWS). This is the final data report for the Augmented Fish Health Monitoring project. Data collected and sampling results for 1990 and 1991 are presented within this report. An evaluation of this project can be found in Augmented Fish Health Monitoring, Volume 1, Completion Report.'' May, 1991. Pathogen detection methods remained the same from methods described in Augmented Fish Health Monitoring, Annual Report 1989,'' May, 1990. From January 1, 1990 to June 30, 1991 fish health monitoring sampling was conducted. In 1990 21 returning adult stocks were sampled. Juvenile pre-release exams were completed on 20 yearling releases, and 13 sub-yearling releases in 1990. In 1991 17 yearling releases and 11 sub-yearling releases were examined. Midterm sampling was completed on 19 stocks in 1990. Organosomatic analysis was performed at release on index station stocks; Cowlitz spring and fall chinook, Lewis river early coho and Lyons Ferry fall chinook.

  2. Survey of biomass gasification. Volume II. Principles of gasification

    Energy Technology Data Exchange (ETDEWEB)

    Reed, T.B. (comp.)

    1979-07-01

    Biomass can be converted by gasification into a clean-burning gaseous fuel that can be used to retrofit existing gas/oil boilers, to power engines, to generate electricity, and as a base for synthesis of methanol, gasoline, ammonia, or methane. This survey describes biomass gasification, associated technologies, and issues in three volumes. Volume I contains the synopsis and executive summary, giving highlights of the findings of the other volumes. In Volume II the technical background necessary for understanding the science, engineering, and commercialization of biomass is presented. In Volume III the present status of gasification processes is described in detail, followed by chapters on economics, gas conditioning, fuel synthesis, the institutional role to be played by the federal government, and recommendations for future research and development.

  3. National Environmental Policy Act compliance guide. Volume II (reference book)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-09-01

    This document (Volume II of the National Environmental Policy Act Compliance Guide) contains current copies of regulations and guidance from the Council on Environmental Quality, the Department of Energy, the Department of State, and the Environmental Protection Agency, related to compliance with the National Environmental Policy Act of 1969 (NEPA).

  4. Tokamak experimental power reactor conceptual design. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    1976-08-01

    Volume II contains the following appendices: (1) summary of EPR design parameters, (2) impurity control, (3) plasma computational models, (4) structural support system, (5) materials considerations for the primary energy conversion system, (6) magnetics, (7) neutronics penetration analysis, (8) first wall stress analysis, (9) enrichment of isotopes of hydrogen by cryogenic distillation, and (10) noncircular plasma considerations. (MOW)

  5. Activity report 1990-1992 and proceedings. Volume II

    International Nuclear Information System (INIS)

    A report of the European Seismological Commission (ESC) on 1990-1992 activities and Proceedings of the General Assembly of the ESC are presented in two volumes. Volume II covers the following topics: study of seismic sound, seismotectonic analysis, deep seismic sounding, the three-dimensional structure of the European lithosphere-asthenosphere system, complexity in earthquake occurrence, earthquake hazard, strong and weak earthquake ground motions, macroseismology, microzonation, and applications in earthquake engineering. One paper dealing with the connection between seismicity and the CO2-222Rn content in spring water has been inputted to INIS. (Z.S.)

  6. Mechanical Behaviour of Materials Volume II Fracture Mechanics and Damage

    CERN Document Server

    François, Dominique; Zaoui, André

    2013-01-01

    Designing new structural materials, extending lifetimes and guarding against fracture in service are among the preoccupations of engineers, and to deal with these they need to have command of the mechanics of material behaviour. This ought to reflect in the training of students. In this respect, the first volume of this work deals with elastic, elastoplastic, elastoviscoplastic and viscoelastic behaviours; this second volume continues with fracture mechanics and damage, and with contact mechanics, friction and wear. As in Volume I, the treatment links the active mechanisms on the microscopic scale and the laws of macroscopic behaviour. Chapter I is an introduction to the various damage phenomena. Chapter II gives the essential of fracture mechanics. Chapter III is devoted to brittle fracture, chapter IV to ductile fracture and chapter V to the brittle-ductile transition. Chapter VI is a survey of fatigue damage. Chapter VII is devoted to hydogen embrittlement and to environment assisted cracking, chapter VIII...

  7. Rethinking Care Coordination: Paradigm Shifting From Volume to Value.

    Science.gov (United States)

    Volland, Jennifer; Blockberger-Miller, Sue

    2015-01-01

    Although care coordination is not a new concept, it has been fraught with a myriad of definitions. Among these, core themes can be gleaned to help the home healthcare clinician understand their role and responsibilities as part of a high-functioning team. For a shift from volume to value to occur, in a way that is meaningful to the patient, a holistic paradigm needs to be fully embraced by all members of the interdisciplinary team. As healthcare continues to shift to a fair-market demand for services system, transparency becomes a driver for patient information and choice. Care coordination, clinical outcomes, and consumerism in this new era become integrally linked. Home care clinicians have a higher level of accountability to deliver patient-centered care that necessitates shifting from a "disease state" mentality to a view that encompasses mind, body, and spirit in totality. Home healthcare agencies will need to view their own organization as occurring within a maturation cycle of interdisciplinary team development and continually strive for exceptional care delivery, transparency in outcomes, and full team collaboration with a holistic mindset, in order to make the shift from volume to value that will be necessary to thrive. PMID:26529446

  8. O*NET Final Technical Report. Volume I [and] Volume II [and] Volume III.

    Science.gov (United States)

    Peterson, Norman G.; Mumford, Michael D.; Borman, Walter C.; Jeanneret, P. Richard; Fleishman, Edwin A.; Levin, Kerry Y.

    This document contains the three volumes of the technical report for development of the prototype of the Occupational Information Network (O*NET), which is intended to replace the "Dictionary of Occupational Titles.""General Introduction" (Norman G. Peterson) presents an overview of O*NET's purpose, content, and structure. "Research Method:…

  9. Technology transfer package on seismic base isolation - Volume II

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-02-14

    This Technology Transfer Package provides some detailed information for the U.S. Department of Energy (DOE) and its contractors about seismic base isolation. Intended users of this three-volume package are DOE Design and Safety Engineers as well as DOE Facility Managers who are responsible for reducing the effects of natural phenomena hazards (NPH), specifically earthquakes, on their facilities. The package was developed as part of DOE's efforts to study and implement techniques for protecting lives and property from the effects of natural phenomena and to support the International Decade for Natural Disaster Reduction. Volume II contains the proceedings for the Short Course on Seismic Base Isolation held in Berkeley, California, August 10-14, 1992.

  10. Coal conversion control technology. Volume II. Gaseous emissions, solid wastes

    Energy Technology Data Exchange (ETDEWEB)

    Bostwick, L.E.; Smith, M.R.; Moore, D.O.; Webber, D.K.

    1979-10-01

    Information has been gathered on coal conversion process streams. Available and developing control technology has been evaluated in view of the requirements of present and proposed federal, state, regional and international environmental standards. The study indicates that it appears possible to evolve technology to reduce each of the components of each process stream to an environmentally acceptable level. The conclusion has also been reached that such an approach would be costly and difficult of execution. Because all coal conversion processes are net users of water, liquid effluents need be treated only for recycling within the process, thus achieving essentially zero discharge. Further, with available technology gaseous emissions can be controlled to meet present environmental standards, particulates can be controlled or eliminated and disposal of solid wastes can be managed to avoid deleterious environmental effects. Volume I focuses on environmental regulations for gaseous, liquid, and solid wastes, and the control technology for liquid effluents. Volume II deals with the control technology of gaseous emissions and solid wastes. Volume III includes a program for economic analysis of control technology and includes the appendix.

  11. Recovery of Navy distillate fuel from reclaimed product. Volume II. Literature review

    Energy Technology Data Exchange (ETDEWEB)

    Brinkman, D.W.; Whisman, M.L.

    1984-11-01

    In an effort to assist the Navy to better utilize its waste hydrocarbons, NIPER, with support from the US Department of Energy, is conducting research designed to ultimately develop a practical technique for converting Reclaimed Product (RP) into specification Naval Distillate Fuel (F-76). This first phase of the project was focused on reviewing the literature and available information from equipment manufacturers. The literature survey has been carefully culled for methodology applicable to the conversion of RP into diesel fuel suitable for Navy use. Based upon the results of this study, a second phase has been developed and outlined in which experiments will be performed to determine the most practical recycling technologies. It is realized that the final selection of one particular technology may be site-specific due to vast differences in RP volume and available facilities. A final phase, if funded, would involve full-scale testing of one of the recommended techniques at a refueling depot. The Phase I investigations are published in two volumes. Volume 1, Technical Discussion, includes the narrative and Appendices I and II. Appendix III, a detailed Literature Review, includes both a narrative portion and an annotated bibliography containing about 800 references and abstracts. This appendix, because of its volume, has been published separately as Volume 2.

  12. Sodium fast reactor safety and licensing research plan. Volume II.

    Energy Technology Data Exchange (ETDEWEB)

    Ludewig, H. (Brokhaven National Laboratory, Upton, NY); Powers, D. A.; Hewson, John C.; LaChance, Jeffrey L.; Wright, A. (Argonne National Laboratory, Argonne, IL); Phillips, J.; Zeyen, R. (Institute for Energy Petten, Saint-Paul-lez-Durance, France); Clement, B. (IRSN/DPAM.SEMIC Bt 702, Saint-Paul-lez-Durance, France); Garner, Frank (Radiation Effects Consulting, Richland, WA); Walters, Leon (Advanced Reactor Concepts, Los Alamos, NM); Wright, Steve; Ott, Larry J. (Oak Ridge National Laboratory, Oak Ridge, TN); Suo-Anttila, Ahti Jorma; Denning, Richard (Ohio State University, Columbus, OH); Ohshima, Hiroyuki (Japan Atomic Energy Agency, Ibaraki, Japan); Ohno, S. (Japan Atomic Energy Agency, Ibaraki, Japan); Miyhara, S. (Japan Atomic Energy Agency, Ibaraki, Japan); Yacout, Abdellatif (Argonne National Laboratory, Argonne, IL); Farmer, M. (Argonne National Laboratory, Argonne, IL); Wade, D. (Argonne National Laboratory, Argonne, IL); Grandy, C. (Argonne National Laboratory, Argonne, IL); Schmidt, R.; Cahalen, J. (Argonne National Laboratory, Argonne, IL); Olivier, Tara Jean; Budnitz, R. (Lawrence Berkeley National Laboratory, Berkeley, CA); Tobita, Yoshiharu (Japan Atomic Energy Agency, Ibaraki, Japan); Serre, Frederic (Centre d' %C3%94etudes nucl%C3%94eaires de Cadarache, Cea, France); Natesan, Ken (Argonne National Laboratory, Argonne, IL); Carbajo, Juan J. (Oak Ridge National Laboratory, Oak Ridge, TN); Jeong, Hae-Yong (Korea Atomic Energy Research Institute, Daejeon, Korea); Wigeland, Roald (Idaho National Laboratory, Idaho Falls, ID); Corradini, Michael (University of Wisconsin-Madison, Madison, WI); Thomas, Justin (Argonne National Laboratory, Argonne, IL); Wei, Tom (Argonne National Laboratory, Argonne, IL); Sofu, Tanju (Argonne National Laboratory, Argonne, IL); Flanagan, George F. (Oak Ridge National Laboratory, Oak Ridge, TN); Bari, R. (Brokhaven National Laboratory, Upton, NY); Porter D. (Idaho National Laboratory, Idaho Falls, ID); Lambert, J. (Argonne National Laboratory, Argonne, IL); Hayes, S. (Idaho National Laboratory, Idaho Falls, ID); Sackett, J. (Idaho National Laboratory, Idaho Falls, ID); Denman, Matthew R.

    2012-05-01

    Expert panels comprised of subject matter experts identified at the U.S. National Laboratories (SNL, ANL, INL, ORNL, LBL, and BNL), universities (University of Wisconsin and Ohio State University), international agencies (IRSN, CEA, JAEA, KAERI, and JRC-IE) and private consultation companies (Radiation Effects Consulting) were assembled to perform a gap analysis for sodium fast reactor licensing. Expert-opinion elicitation was performed to qualitatively assess the current state of sodium fast reactor technologies. Five independent gap analyses were performed resulting in the following topical reports: (1) Accident Initiators and Sequences (i.e., Initiators/Sequences Technology Gap Analysis), (2) Sodium Technology Phenomena (i.e., Advanced Burner Reactor Sodium Technology Gap Analysis), (3) Fuels and Materials (i.e., Sodium Fast Reactor Fuels and Materials: Research Needs), (4) Source Term Characterization (i.e., Advanced Sodium Fast Reactor Accident Source Terms: Research Needs), and (5) Computer Codes and Models (i.e., Sodium Fast Reactor Gaps Analysis of Computer Codes and Models for Accident Analysis and Reactor Safety). Volume II of the Sodium Research Plan consolidates the five gap analysis reports produced by each expert panel, wherein the importance of the identified phenomena and necessities of further experimental research and code development were addressed. The findings from these five reports comprised the basis for the analysis in Sodium Fast Reactor Research Plan Volume I.

  13. Sodium fast reactor safety and licensing research plan - Volume II

    International Nuclear Information System (INIS)

    Expert panels comprised of subject matter experts identified at the U.S. National Laboratories (SNL, ANL, INL, ORNL, LBL, and BNL), universities (University of Wisconsin and Ohio State University), international agencies (IRSN, CEA, JAEA, KAERI, and JRC-IE) and private consultation companies (Radiation Effects Consulting) were assembled to perform a gap analysis for sodium fast reactor licensing. Expert-opinion elicitation was performed to qualitatively assess the current state of sodium fast reactor technologies. Five independent gap analyses were performed resulting in the following topical reports: (1) Accident Initiators and Sequences (i.e., Initiators/Sequences Technology Gap Analysis), (2) Sodium Technology Phenomena (i.e., Advanced Burner Reactor Sodium Technology Gap Analysis), (3) Fuels and Materials (i.e., Sodium Fast Reactor Fuels and Materials: Research Needs), (4) Source Term Characterization (i.e., Advanced Sodium Fast Reactor Accident Source Terms: Research Needs), and (5) Computer Codes and Models (i.e., Sodium Fast Reactor Gaps Analysis of Computer Codes and Models for Accident Analysis and Reactor Safety). Volume II of the Sodium Research Plan consolidates the five gap analysis reports produced by each expert panel, wherein the importance of the identified phenomena and necessities of further experimental research and code development were addressed. The findings from these five reports comprised the basis for the analysis in Sodium Fast Reactor Research Plan Volume I.

  14. Endline report – Ethiopia, CARE Ethiopia MFS II country evaluations

    OpenAIRE

    Ingen, van, T.; Kusters, C.S.L.; Zerfu, E.; Kefyalew, D.; Peters, B; Buizer, N.N.

    2015-01-01

    This report presents the findings of the endline of the evaluation of the organisational capacity component of the MFS II country evaluations. The focus of this report is Ethiopia, CARE Ethiopia. The format is based on the requirements by the synthesis team and NWO/WOTRO. The endline was carried out in 2014. The baseline was carried out in 2012.

  15. The African Experience. Volume I: Syllabus Lectures; Volume II: Bibliographic References; Volume IIIA: Introductory Essays; Volume IIIB: Introductory Essays.

    Science.gov (United States)

    Paden, John N.; Soja, Edward W.

    In response to demands for more and better teaching about Africa in American higher education, the US Office of Education requested that the Program of African Studies at Northwestern University generate a set of teaching materials which could be used in introductory undergraduate courses. Included in these volumes, these materials provide…

  16. Savannah River Site Approved Site Treatment Plan, 2001 Annual Update (Volumes I and II)

    Energy Technology Data Exchange (ETDEWEB)

    Lawrence, B.

    2001-04-30

    The Compliance Plan Volume (Volume I) identifies project activity scheduled milestones for achieving compliance with Land Disposal Restrictions. Information regarding the technical evaluation of treatment options for SRS mixed wastes is contained in the Background Volume (Volume II) and is provided for information.

  17. Bedside ultrasonography-Applications in critical care: Part II

    Directory of Open Access Journals (Sweden)

    Jose Chacko

    2014-01-01

    Full Text Available Point of care ultrasonography, performed by acute care physicians, has developed into an invaluable bedside tool providing important clinical information with a major impact on patient care. In Part II of this narrative review, we describe ultrasound guided central venous cannulation, which has become standard of care with internal jugular vein cannulation. Besides improving success rates, real-time guidance also significantly reduces the incidence of complications. We also discuss compression ultrasonography - a quick and effective bedside screening tool for deep vein thrombosis of the lower extremity. Abdominal ultrasound offers vital clues in the emergency setting; in the unstable trauma victim, a focused examination may provide immediate answers and has largely superseded diagnostic peritoneal lavage in diagnosing intraperitoneal bleed. From estimation of intracranial pressure to transcranial Doppler studies, ultrasound is becoming increasingly relevant to neurocritical care. Ultrasound may also help with airway management in several situations, including percutaneous tracheostomy. Clearly, bedside ultrasonography has become an indispensable part of intensive care practice - in the rapid assessment of critically ill-patients as well as in enhancing the safety of invasive procedures.

  18. Brayton isotope power system. Volume II. System evaluation attributes

    Energy Technology Data Exchange (ETDEWEB)

    1978-03-15

    This volume of the Brayton Isotope Power System, Phase II Plan, contains the self-evaluation by AiResearch, GE, and TECO, addressing Section 3 of The Dynamic Systems Evaluation Criteria and Procedures established by the Department of Energy. These evaluation criteria addresses: Component Feasibility; Flight System Design Performance; GDS Test Results; Reliability and Practicality; Safety; Spacecraft Integration; and Cost and Risk. Included in each of these general categories are several attributes, each of which addresses a separate component, feature, or area of interest related to the power system, its development status, degree of preparedness for proceeding into a flight program, and/or the contractors' performance during Phase I. The key elements which indicate the readiness of a radioisotope power system to progress into a flight qualification program are: an advanced state of development of the power conversion system; demonstrated or exhibited potential for space systems standards of reliability; evident capability of meeting system safety requirements; favorable cost/benefit tradeoff considering projected missions and technology advancement potential; and proven feasibility of fabricating and qualifying a flight system and integrating it with a candidate spacecraft and launch vehicle. As a result of considerable government investment in Brayton system component development, the MHW isotope heat source and the BIPS Phase I Ground Demonstration System, the BIPS is a more advanced state of development than any previous radioisotope power system technology. Evidence of this is presented along with a complete review of the attributes, the contractor recommended ratings, and the rationale for the self-evaluation.

  19. Prescriptive Package. Improving Patrol Productivity. Volume II. Specialized Patrol.

    Science.gov (United States)

    Schack, Stephen; Gay, William G.

    Designed to assist police departments in improving the productivity of their patrol operations, this volume on specialized patrol and a companion volume on routine patrol operations are intended for use by various sizes of departments. The volume of specialized patrol focuses upon the appropriate use and effective operation of specialized patrol…

  20. Kilowatt isotope power system. Phase II plan. Volume I. Phase II program plan

    International Nuclear Information System (INIS)

    The development of a Kilowatt Isotope Power System (KIPS) was begun in 1975 for the purpose of satisfying the power requirements of satellites in the 1980's. The KIPS is a 238PuO2-fueled organic Rankine cycle turbine power system to provide a design output of 500 to 2000 W. Phase II of the overall 3-phase KIPS program is described. This volume presents a program plan for qualifying the organic Rankine power system for flight test in 1982. The program plan calls for the design and fabrication of the proposed flight power system; conducting a development and a qualification program including both environmental and endurance testing, using an electrical and a radioisotope heat source; planning for flight test and spacecraft integration; and continuing ground demonstration system testing to act as a flight system breadboard and to accumulate life data

  1. Industrial Maintenance, Volume II-B. Post Secondary Curriculum Guide.

    Science.gov (United States)

    Butler, Raymond H.; And Others

    This volume is the third of four volumes that comprise a curriculum guide for a postsecondary industrial maintenance program. It contains part of section 3 of the guide which contains the unit guides for 10 of the 12 duties included in the course. Each of the 247 tasks included in these 10 duties is presented on a separate page and contains the…

  2. Industrial Maintenance, Volume II-A. Post Secondary Curriculum Guide.

    Science.gov (United States)

    Butler, Raymond H.; And Others

    This volume is the second of four volumes that comprise a curriculum guide for a postsecondary industrial maintenance program. It contains part of section 3 of the guide which contains the unit guides for two of the 12 duties included in the course. Each of the 197 tasks included in these two duties is presented on a separate page and contains the…

  3. Heavy Duty Mechanics Apprenticeship Training, Module One. Volume II.

    Science.gov (United States)

    Batchelor, Leslie A.; Abercrombie, Richard, Ed.

    This training manual, the second of two volumes, comprises the final three blocks in a nine-block in-service training course for apprentices working in heavy duty mechanics. Addressed in the individual blocks included in this volume are engines, basic electricity, and winches. Each block contains a section on parts theory that gives the purpose,…

  4. An Independent Scientific Assessment of Well Stimulation in California Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Long, Jane C.S. [California Council on Science and Technology, Sacramento, CA (United States); Feinstein, Laura C. [California Council on Science and Technology, Sacramento, CA (United States); Bachmann, Corinne E. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Birkholzer, Jens T. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Camarillo, Mary Kay [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Domen, Jeremy K. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Foxall, William [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Houseworth, James [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Jin, Ling [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Jordan, Preston D. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Maddalena, Randy L. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); McKone, Thomas E. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Millstein, Dev E. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Reagan, Matthew T. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sandelin, Whitney L. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Stringfellow, William T. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Varadharajan, Charuleka [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Cooley, Heather [Pacific Inst., Oakland, CA (United States); Donnelly, Kristina [Pacific Inst., Oakland, CA (United States); Heberger, Matthew G. [Pacific Inst., Oakland, CA (United States); Hays, Jake [PSE Healthy Energy, Berkeley, CA (United States); Shonkoff, Seth B.C. [PSE Healthy Energy, Berkeley, CA (United States); Brandt, Adam [Stanford Univ., CA (United States); Englander, Jacob G. [Stanford Univ., CA (United States); Hamdoun, Amro [Univ. of California of San Diego, La Jolla, CA (United States); Nicklisch, Sascha C.T. [Univ. of California of San Diego, La Jolla, CA (United States); Harrison, Robert J. [Univ. of California, San Francisco, CA (United States); Wettstein, Zachary S. [Univ. of California, San Francisco, CA (United States); Banbury, Jenner [California State Univ. Stanislaus, Turlock, CA (United States); Cypher, Brian L. [California State Univ. Stanislaus, Turlock, CA (United States); Phillips, Scott E. [California State Univ. Stanislaus, Turlock, CA (United States)

    2015-07-01

    This study is issued in three volumes. Volume I, issued in January 2015, describes how well stimulation technologies work, how and where operators deploy these technologies for oil and gas production in California, and where they might enable production in the future. Volume II, the present volume, discusses how well stimulation could affect water, atmosphere, seismic activity, wildlife and vegetation, and human health. Volume II reviews available data, and identifies knowledge gaps and alternative practices that could avoid or mitigate these possible impacts. Volume III, also issued in July 2015, presents case studies that assess environmental issues and qualitative risks for specific geographic regions. A final Summary Report summarizes key findings, conclusions and recommendations of all three volumes.

  5. Admission Volume and Quality of Mental Health Care Among Danish Patients With Recently Diagnosed Schizophrenia

    DEFF Research Database (Denmark)

    Jørgensen, Mette; Mainz, Jan; Johnsen, Søren Paaske

    2016-01-01

    OBJECTIVE: The relationship between admission volume and the quality of mental health care remains unclear. This study examined the association between admission volume of psychiatric hospital units and quality of mental health care among patients with recently diagnosed schizophrenia (past year......) admitted to units in Denmark. METHODS: In a nationwide population-based cohort study, 3,209 patients admitted to psychiatric hospital units between 2004 and 2011 were identified from the Danish Schizophrenia Registry. Admission volume was categorized into four quartiles according to the individual unit...... care was defined as having received processes of care recommended in guidelines. RESULTS: Compared with patients admitted to low-volume psychiatric hospital units, patients admitted to very-high-volume units were more likely to receive high overall quality of mental health care (≥80% of recommended...

  6. Preliminary feasibility study on storage of radioactive wastes in Columbia River basalts. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    ,

    1976-11-01

    Volume II comprises four appendices: analytical data and sample locations for basalt flow type localities; Analytical data and sample locations for measured field sections in Yakima basalts; core hole lithology and analytical data; and geophysical logs. (LK)

  7. TIBER II/ETR final design report: Volume 2, 3.0 Engineering

    International Nuclear Information System (INIS)

    This paper discusses the design of the TIBER II Tokamak. This particular volume discusses: mechanical systems; electrical systems; shield nuclear analysis and tritium issues; reactor building facilities; and tritium systems

  8. Fixed site neutralization model programmer's manual. Volume II

    International Nuclear Information System (INIS)

    This report relates to protection of nuclear materials at nuclear facilities. This volume presents the source listings for the Fixed Site Neutralization Model and its supporting modules, the Plex Preprocessor and the Data Preprocessor

  9. Draft Site Treatment Plan (DSTP), Volumes I and II

    International Nuclear Information System (INIS)

    Site Treatment Plans (STP) are required for facilities at which the DOE generates or stores mixed waste. This Draft Site Treatment Plan (DSTP) the second step in a three-phase process, identifies the currently preferred options for treating mixed waste at the Savannah River Site (SRS) or for developing treatment technologies where technologies do not exist or need modification. The DSTP reflects site-specific preferred options, developed with the state's input and based on existing available information. To the extent possible, the DSTP identifies specific treatment facilities for treating the mixed waste and proposes schedules. Where the selection of specific treatment facilities is not possible, schedules for alternative activities such as waste characterization and technology assessment are provided. All schedule and cost information presented is preliminary and is subject to change. The DSTP is comprised of two volumes: this Compliance Plan Volume and the Background Volume. This Compliance Plan Volume proposes overall schedules with target dates for achieving compliance with the land disposal restrictions (LDR) of RCRA and procedures for converting the target dates into milestones to be enforced under the Order. The more detailed discussion of the options contained in the Background Volume is provided for informational purposes only

  10. Draft Site Treatment Plan (DSTP), Volumes I and II

    Energy Technology Data Exchange (ETDEWEB)

    D`Amelio, J.

    1994-08-30

    Site Treatment Plans (STP) are required for facilities at which the DOE generates or stores mixed waste. This Draft Site Treatment Plan (DSTP) the second step in a three-phase process, identifies the currently preferred options for treating mixed waste at the Savannah River Site (SRS) or for developing treatment technologies where technologies do not exist or need modification. The DSTP reflects site-specific preferred options, developed with the state`s input and based on existing available information. To the extent possible, the DSTP identifies specific treatment facilities for treating the mixed waste and proposes schedules. Where the selection of specific treatment facilities is not possible, schedules for alternative activities such as waste characterization and technology assessment are provided. All schedule and cost information presented is preliminary and is subject to change. The DSTP is comprised of two volumes: this Compliance Plan Volume and the Background Volume. This Compliance Plan Volume proposes overall schedules with target dates for achieving compliance with the land disposal restrictions (LDR) of RCRA and procedures for converting the target dates into milestones to be enforced under the Order. The more detailed discussion of the options contained in the Background Volume is provided for informational purposes only.

  11. A Curriculum Activities Guide to Water Pollution and Environmental Studies, Volume II - Appendices.

    Science.gov (United States)

    Hershey, John T., Ed.; And Others

    This publication, Volume II of a two volume set of water pollution studies, contains seven appendices which support the studies. Appendix 1, Water Quality Parameters, consolidates the technical aspects of water quality including chemical, biological, computer program, and equipment information. Appendix 2, Implementation, outlines techniques…

  12. Human Rehabilitation Techniques. Disability Analyses: Chronic Disease Disabilities. Volume II, Part C.

    Science.gov (United States)

    Sigelman, C.; And Others

    Volume II, Section C of a six-volume final report (which covers the findings of a research project on policy and technology related to rehabilitation of disabled individuals) presents a review of literature on six types of chronic disease disabilities--rheumatoid arthritis, coronary heart disease, emphysema, carcinoma of the colon/rectum, kidney…

  13. Human Rehabilitation Techniques. Disability Analyses: Behavioral Disabilities. Volume II, Part B.

    Science.gov (United States)

    Sigelman, C.; And Others

    Volume II, Section B of a six-volume final report (which covers the findings of a research project on policy and technology related to rehabilitation of disabled individuals) presents a review of literature on three types of behavior disabilities--epilepsy, mental retardation, and schizophrenia. Individual chapters on each disability cover the…

  14. Computer Chips and Paper Clips. Technology and Women's Employment. Volume II. Case Studies and Policy Perspectives.

    Science.gov (United States)

    Hartmann, Heidi I., Ed.; And Others

    This volume contains 12 papers commissioned by the Panel on Technology and Women's Employment. "Technology, Women, and Work: Policy Perspectives" (Eli Ginzberg) is an overview that provides a context for the volume. The four case studies in Part II describe the impact of information technology in the insurance industry, among bookkeepers, among…

  15. State of the art review of degradation processes in LMFBR materials. Volume I. Mechanical properties. Volume II. Corrosion behavior. Revision 1

    International Nuclear Information System (INIS)

    A revision to Volume I and Volume II of the LMFBR materials degradation summary is presented. Information is included on NaOH corrosive effects, effects of metal cleaning procedures, and caustic stress corrosion cracking of reactor materials. (JRD)

  16. MANUAL: BIOVENTING PRINCIPLES AND PRACTICE VOLUME II. BIOVENTING DESIGN

    Science.gov (United States)

    The results from bioventing research and development efforts and from the pilot-scale bioventing systems have been used to produce this two-volume manual. Although this design manual has been written based on extensive experience with petroleum hydrocarbons (and thus, many exampl...

  17. Geothermal completion technology life cycle cost model (GEOCOM). Volume I. Final report. Volume II. User instruction manual

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, E.R.; Hoessel, W.C.; Mansure, A.J.; McKissen, P.

    1982-07-01

    Just as with petroleum wells, drilling and completing a geothermal well at minimum original cost may not be the most cost-effective way to exploit the resource. The impacts of the original completion activities on production and costs later in the life of the well must also be considered. In order to evaluate alternate completion and workover technologies, a simple computer model has been developed to compare total life-cycle costs for a geothermal well to total production or injection. Volume I discusses the mechanics of the model and then presents detailed results from its application to different completion and workover questions. Volume II is the user instruction manual.

  18. Analysis of some nuclear waste management options. Volume II. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Berman, L.E.; Ensminger, D.A.; Giuffre, M.S.; Koplik, C.M.; Oston, S.G.; Pollak, G.D.; Ross, B.I.

    1978-10-10

    This report describes risk analyses performed on that portion of a nuclear fuel cycle which begins following solidification of high-level waste. Risks associated with handling, interim storage and transportation of the waste are assessed, as well as the long term implications of disposal in deep mined cavities. The risk is expressed in terms of expected dose to the general population and peak dose to individuals in the population. This volume consists of appendices which provide technical details of the work performed.

  19. Site specific analysis of geothermal development-data files of prospective sites. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Trehan, R.; Cohen, A.; Gupta, J.; Jacobsen, W.; Leigh, J.; True, S.

    1978-08-01

    Development scenarios for 37 hydrothermal and geopressured prospects in the United States were analyzed to assist DOE's Division of Geothermal Energy in mission-oriented planning of geothermal resource development. This second volume of the three-volume series contains the detailed site-specific analyses in terms of technological, economic, and other requirements for meeting the postulated schedules. This presentation should be used in conjunction with Volume III, which contains detailed descriptive data files for each of the 37 prospects. These data files were used for the analyses contained in Volume II and should be useful for other geothermal resource studies. (JGB)

  20. Petroleum industry in Latin America: volume II Columbia, Ecuador, Venezuela

    International Nuclear Information System (INIS)

    This second of a three volume work presented separately paged reviews of the energy sector of each of the three countries, i.e. Colombia, Ecuador and Venezuela. Although the organization of the three sections varied slightly, in essence they were quite similar, providing in each case, a brief outline of the country's history, and examining in considerable depth the economic outlook, the physical and market characteristics, the legal and regulatory framework, and the prevailing political climate of the country, with a view to their potential effect on the energy sector. Figs., tabs., refs

  1. State energy price system. Volume II: data base development

    Energy Technology Data Exchange (ETDEWEB)

    Fang, J.M.; Nieves, L.A.; Sherman, K.L.; Hood, L.J.

    1982-06-01

    This volume documents the entire data development process in sufficient detail to permit critical assessment of the data base. However, since a methodological discussion is included in Chapter 3 of Volume I, it is not repeated here. The data base development process was conducted in a fuel-by-fuel fashion, following the general sequence of electricity, natural gas, coal, distillate fuel, motor gasoline, diesel, kerosene, jet fuel, residual fuel, and liquefied petroleum gas. For each of the fuels, a detailed data source review was conducted, which included a preliminary screening against criteria set up for this purpose. After this first screening, the data sources that met most of the review criteria were evaluated in more detail. If one data source met all the criteria, that data source was recommended for use, with minimal change or imputation. If there were substantial gaps in the available data series, then alternative imputation procedures were developed and compared, and recommendations were formulated. This entire procedure was then documented in a draft working paper for review and discussion. To the extent reasonable and practical, comments from the formal EIA reviews were then incorporated into the final recommendations and the data base was developed.

  2. Commingled uranium-tailings study. Volume II. Technical report

    International Nuclear Information System (INIS)

    Public Law 96-540, Section 213, directs the Secretary of Energy to develop a plan for a cooperative program to provide assistance in the stabilization and management of defense-related uranium mill tailings commingled with other tailings. In developing the plan, the Secretary is further directed to: (1) establish the amount and condition of tailings generated under federal contracts; (2) examine appropriate methodologies for establishing the extent of federal assistance; and (3) consult with the owners and operators of each site. This technical report summarizes US Department of Energy (DOE) and contractor activities in pursuit of items (1), (2), and (3) above. Recommendations regarding policy and a cooperative plan for federal assistance are under separate cover as Volume I

  3. Volume of activity and occupancy rate in intensive care units. Association with mortality

    NARCIS (Netherlands)

    Iapichino, G; Gattinoni, L; Radrizzani, D; Simini, B; Bertolini, G; Ferla, L; Mistraletti, G; Porta, F; Miranda, DR

    2004-01-01

    Objective. Mortality after many procedures is lower in centers where more procedures are done. It is controversial whether this is true for intensive care units, too. We examined the relationship between the volume of activity of intensive care units (ICUs) and mortality by a measure of risk-adjuste

  4. Subseabed disposal program annual report, January-December 1979. Volume II. Appendices (principal investigator progress reports). Part 2 of 2

    International Nuclear Information System (INIS)

    Volume II of the sixth annual report describing the progress and evaluating the status of the Subseabed Disposal Program contains the appendices referred to in Volume II, Summary and Status. Because of the length of Volume II, it has been split into two parts for publication purposes. Part 1 contains Appendices A-O; Part 2 contains Appendices P-FF. Separate abstracts have been prepared for each appendix for inclusion in the Energy Data Base

  5. Los Alamos Controlled Air Incinerator for radioactive waste. Volume II. Engineering design reference manual

    International Nuclear Information System (INIS)

    This two-volume report is a detailed design and operating documentation of the Los Alamos National Laboratory Controlled Air Incinerator (CAI) and is an aid to technology transfer to other Department of Energy contractor sites and the commercial sector. Volume I describes the CAI process, equipment, and performance, and it recommends modifications based on Los Alamos experience. It provides the necessary information for conceptual design and feasibility studies. Volume II provides descriptive engineering information such as drawings, specifications, calculations, and costs. It aids duplication of the process at other facilities

  6. Controlled air incinerator for radioactive waste. Volume II. Engineering design references manual

    International Nuclear Information System (INIS)

    This two-volume report is a detailed design and operating documentation of the Los Alamos National Laboratory Controlled Air Incinerator (CAI) and is an aid to technology transfer to other Department of Energy contractor sites and the commercial sector. Volume I describes the CAI process, equipment, and performance, and it recommends modifications based on Los Alamos experience. It provides the necessary information for conceptual design and feasibility studies. Volume II provides descriptive engineering information such as drawings, specifications, calculations, and costs. It aids duplication of the process at other facilities

  7. Proceedings of the 1984 DOE nuclear reactor and facility safety conference. Volume II

    International Nuclear Information System (INIS)

    This report is a collection of papers on reactor safety. The report takes the form of proceedings from the 1984 DOE Nuclear Reactor and Facility Safety Conference, Volume II of two. These proceedings cover Safety, Accidents, Training, Task/Job Analysis, Robotics and the Engineering Aspects of Man/Safety interfaces

  8. Kilowatt isotope power system, Phase II Plan. Volume IV. Teledyne FSCD vs GDS

    Energy Technology Data Exchange (ETDEWEB)

    1978-03-15

    This Volume contains Teledyne's input to the Kilowatt Isotope Power System Phase II Plan. Included is a description of the Flight System Heat Generation System, Flight System Radiator, Thermal Insulation Stability, GDS Heat Generation System and GDS Radiator.

  9. Proceedings of the 1995 U.S. DOE hydrogen program review. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    The 1995 US DOE Hydrogen Program Review was held April 18-21, 1995 in Coral Gables, FL. Volume II of the Proceedings contains 8 papers presented under the subject of hydrogen storage and 17 papers presented on hydrogen production. Selected papers are indexed separately for inclusion in the Energy Science and Technology Database.

  10. Performance assessment of the SOFA, APACHE II scoring system, and SAPS II in intensive care unit organophosphate poisoned patients.

    Science.gov (United States)

    Kim, Yong Hwan; Yeo, Jung Hoon; Kang, Mun Ju; Lee, Jun Ho; Cho, Kwang Won; Hwang, SeongYoun; Hong, Chong Kun; Lee, Young Hwan; Kim, Yang Weon

    2013-12-01

    This study assessed the ability of the Sequential Organ Failure Assessment (SOFA) and Acute Physiology, Chronic Health Evaluation (APACHE) II scoring systems, as well as the Simplified Acute Physiology Score (SAPS) II method to predict group mortality in intensive care unit (ICU) patients who were poisoned with organophosphate. The medical records of 149 organophosphate poisoned patients admitted to the ICU from September 2006 to December 2012 were retrospectively examined. The SOFA, APACHE II, and SAPS II were calculated based on initial laboratory data in the Emergency Department, and during the first 24 hr of ICU admission. The probability of death was calculated for each patient based on the SOFA score, APACHE II score, and SAPS II equations. The ability to predict group mortality by the SOFA score, APACHE II score, and SAPS II method was assessed using two by two decision matrices and receiver operating characteristic (ROC) curve analysis. A total of 131 patients (mean age, 61 yr) were enrolled. The sensitivities, specificities, and accuracies were 86.2%, 82.4%, and 83.2% for the SOFA score, respectively; 65.5%, 68.6%, and 67.9% for the APACHE II scoring system, respectively; and 86.2%, 77.5%, and 79.4% for the SAPS II, respectively. The areas under the curve in the ROC curve analysis for the SOFA score, APACHE II scoring system, and SAPS II were 0.896, 0.716, and 0.852, respectively. In conclusion, the SOFA, APACHE II, and SAPS II have different capability to discriminate and estimate early in-hospital mortality of organophosphate poisoned patients. The SOFA score is more useful in predicting mortality, and easier and simpler than the APACHE II and SAPS II.

  11. HYDRA-II: A hydrothermal analysis computer code: Volume 3, Verification/validation assessments

    International Nuclear Information System (INIS)

    HYDRA-II is a hydrothermal computer code capable of three-dimensional analysis of coupled conduction, convection, and thermal radiation problems. This code is especially appropriate for simulating the steady-state performance of spent fuel storage systems. The code has been evaluated for this application for the US Department of Energy's Commercial Spent Fuel Management Program. HYDRA-II provides a finite difference solution in cartesian coordinates to the equations governing the conservation of mass, momentum, and energy. A cylindrical coordinate system may also be used to enclose the cartesian coordinate system. This exterior coordinate system is useful for modeling cylindrical cask bodies. The difference equations for conservation of momentum are enhanced by the incorporation of directional porosities and permeabilities that aid in modeling solid structures whose dimensions may be smaller than the computational mesh. The equation for conservation of energy permits modeling of orthotropic physical properties and film resistances. Several automated procedures are available to model radiation transfer within enclosures and from fuel rod to fuel rod. The documentation of HYDRA-II is presented in three separate volumes. Volume I - Equations and Numerics describes the basic differential equations, illustrates how the difference equations are formulated, and gives the solution procedures employed. Volume II - User's Manual contains code flow charts, discusses the code structure, provides detailed instructions for preparing an input file, and illustrates the operation of the code by means of a model problem. This volume, Volume III - Verification/Validation Assessments, provides a comparison between the analytical solution and the numerical simulation for problems with a known solution. This volume also documents comparisons between the results of simulations of single- and multiassembly storage systems and actual experimental data. 11 refs., 55 figs., 13 tabs

  12. HYDRA-II: A hydrothermal analysis computer code: Volume 2, User's manual

    International Nuclear Information System (INIS)

    HYDRA-II is a hydrothermal computer code capable of three-dimensional analysis of coupled conduction, convection, and thermal radiation problems. This code is especially appropriate for simulating the steady-state performance of spent fuel storage systems. The code has been evaluated for this application for the US Department of Energy's Commercial Spent Fuel Management Program. HYDRA-II provides a finite-difference solution in cartesian coordinates to the equations governing the conservation of mass, momentum, and energy. A cylindrical coordinate system may also be used to enclose the cartesian coordinate system. This exterior coordinate system is useful for modeling cylindrical cask bodies. The difference equations for conservation of momentum incorporate directional porosities and permeabilities that are available to model solid structures whose dimensions may be smaller than the computational mesh. The equation for conservation of energy permits modeling of orthotropic physical properties and film resistances. Several automated methods are available to model radiation transfer within enclosures and from fuel rod to fuel rod. The documentation of HYDRA-II is presented in three separate volumes. Volume 1 - Equations and Numerics describes the basic differential equations, illustrates how the difference equations are formulated, and gives the solution procedures employed. This volume, Volume 2 - User's Manual, contains code flow charts, discusses the code structure, provides detailed instructions for preparing an input file, and illustrates the operation of the code by means of a sample problem. The final volume, Volume 3 - Verification/Validation Assessments, provides a comparison between the analytical solution and the numerical simulation for problems with a known solution. 6 refs

  13. HYDRA-II: A hydrothermal analysis computer code: Volume 2, User's manual

    Energy Technology Data Exchange (ETDEWEB)

    McCann, R.A.; Lowery, P.S.; Lessor, D.L.

    1987-09-01

    HYDRA-II is a hydrothermal computer code capable of three-dimensional analysis of coupled conduction, convection, and thermal radiation problems. This code is especially appropriate for simulating the steady-state performance of spent fuel storage systems. The code has been evaluated for this application for the US Department of Energy's Commercial Spent Fuel Management Program. HYDRA-II provides a finite-difference solution in cartesian coordinates to the equations governing the conservation of mass, momentum, and energy. A cylindrical coordinate system may also be used to enclose the cartesian coordinate system. This exterior coordinate system is useful for modeling cylindrical cask bodies. The difference equations for conservation of momentum incorporate directional porosities and permeabilities that are available to model solid structures whose dimensions may be smaller than the computational mesh. The equation for conservation of energy permits modeling of orthotropic physical properties and film resistances. Several automated methods are available to model radiation transfer within enclosures and from fuel rod to fuel rod. The documentation of HYDRA-II is presented in three separate volumes. Volume 1 - Equations and Numerics describes the basic differential equations, illustrates how the difference equations are formulated, and gives the solution procedures employed. This volume, Volume 2 - User's Manual, contains code flow charts, discusses the code structure, provides detailed instructions for preparing an input file, and illustrates the operation of the code by means of a sample problem. The final volume, Volume 3 - Verification/Validation Assessments, provides a comparison between the analytical solution and the numerical simulation for problems with a known solution. 6 refs.

  14. Subseabed disposal program annual report, January-December 1980. Volume II. Appendices (principal investigator progress reports). Part 1

    Energy Technology Data Exchange (ETDEWEB)

    Hinga, K.R. (ed.)

    1981-07-01

    Volume II of the sixth annual report describing the progress and evaluating the status of the Subseabed Disposal Program contains the appendices referred to in Volume I, Summary and Status. Because of the length of Volume II, it has been split into two parts for publication purposes. Part 1 contains Appendices A-Q; Part 2 contains Appendices R-MM. Separate abstracts have been prepared for each appendix for inclusion in the Energy Data Base.

  15. Subseabed disposal program annual report, January-December 1979. Volume II. Appendices (principal investigator progress reports). Part 1 of 2

    International Nuclear Information System (INIS)

    Volume II of the sixth annual report describing the progress and evaluating the status of the Subseabed Disposal Program contains the appendices referred to in Volume I, Summary and Status. Because of the length of Volume II, it has been split into two parts for publication purposes. Part 1 contains Appendices A-O; Part 2 contains Appendices P-FF. Separate abstracts have been prepared of each Appendix for inclusion in the Energy Data Base

  16. Subseabed disposal program annual report, January-December 1980. Volume II. Appendices (principal investigator progress reports). Part 1

    International Nuclear Information System (INIS)

    Volume II of the sixth annual report describing the progress and evaluating the status of the Subseabed Disposal Program contains the appendices referred to in Volume I, Summary and Status. Because of the length of Volume II, it has been split into two parts for publication purposes. Part 1 contains Appendices A-Q; Part 2 contains Appendices R-MM. Separate abstracts have been prepared for each appendix for inclusion in the Energy Data Base

  17. Simulation model for wind energy storage systems. Volume II. Operation manual. [SIMWEST code

    Energy Technology Data Exchange (ETDEWEB)

    Warren, A.W.; Edsinger, R.W.; Burroughs, J.D.

    1977-08-01

    The effort developed a comprehensive computer program for the modeling of wind energy/storage systems utilizing any combination of five types of storage (pumped hydro, battery, thermal, flywheel and pneumatic). An acronym for the program is SIMWEST (Simulation Model for Wind Energy Storage). The level of detail of SIMWEST is consistent with a role of evaluating the economic feasibility as well as the general performance of wind energy systems. The software package consists of two basic programs and a library of system, environmental, and load components. Volume II, the SIMWEST operation manual, describes the usage of the SIMWEST program, the design of the library components, and a number of simple example simulations intended to familiarize the user with the program's operation. Volume II also contains a listing of each SIMWEST library subroutine.

  18. Energy extension service pilot program evaluation report: the first year. Volume II: pilot state reports

    Energy Technology Data Exchange (ETDEWEB)

    1979-09-01

    Volume II of the Energy Extension Service Evaluation presents a discussion of the operations of the ten EES pilot-state programs during the period from October 1, 1977 through September 30, 1978. Each of the ten pilot states - Alabama, Connecticut, Michigan, New Mexico, Pennsylvania, Tennessee, Texas, Washington, Wisconsin, and Wyoming - received a grant of approximately $1.1 million to develop and implement a 19-month program beginning on October 1, 1977. Volume II provides a case-study description of the operations of the pilot program in each state, with special attention given to the two programs selected in each state for more detailed study and survey research. Some survey data and analysis are presented for the emphasis programs.

  19. Infarct volume predicts critical care needs in stroke patients treated with intravenous thrombolysis

    International Nuclear Information System (INIS)

    Patients receiving intravenous thrombolysis with recombinant tissue plasminogen activator (IVT) for ischemic stroke are monitored in an intensive care unit (ICU) or a comparable unit capable of ICU interventions due to the high frequency of standardized neurological exams and vital sign checks. The present study evaluates quantitative infarct volume on early post-IVT MRI as a predictor of critical care needs and aims to identify patients who may not require resource intense monitoring. We identified 46 patients who underwent MRI within 6 h of IVT. Infarct volume was measured using semiautomated software. Logistic regression and receiver operating characteristics (ROC) analysis were used to determine factors associated with ICU needs. Infarct volume was an independent predictor of ICU need after adjusting for age, sex, race, systolic blood pressure, NIH Stroke Scale (NIHSS), and coronary artery disease (odds ratio 1.031 per cm3 increase in volume, 95 % confidence interval [CI] 1.004-1.058, p = 0.024). The ROC curve with infarct volume alone achieved an area under the curve (AUC) of 0.766 (95 % CI 0.605-0.927), while the AUC was 0.906 (95 % CI 0.814-0.998) after adjusting for race, systolic blood pressure, and NIHSS. Maximum Youden index calculations identified an optimal infarct volume cut point of 6.8 cm3 (sensitivity 75.0 %, specificity 76.7 %). Infarct volume greater than 3 cm3 predicted need for critical care interventions with 81.3 % sensitivity and 66.7 % specificity. Infarct volume may predict needs for ICU monitoring and interventions in stroke patients treated with IVT. (orig.)

  20. Infarct volume predicts critical care needs in stroke patients treated with intravenous thrombolysis

    Energy Technology Data Exchange (ETDEWEB)

    Faigle, Roland; Marsh, Elisabeth B.; Llinas, Rafael H.; Urrutia, Victor C. [Johns Hopkins University School of Medicine, Department of Neurology, Baltimore, MD (United States); Wozniak, Amy W. [Johns Hopkins University, Department of Biostatistics, Bloomberg School of Public Health, Baltimore, MD (United States)

    2014-10-26

    Patients receiving intravenous thrombolysis with recombinant tissue plasminogen activator (IVT) for ischemic stroke are monitored in an intensive care unit (ICU) or a comparable unit capable of ICU interventions due to the high frequency of standardized neurological exams and vital sign checks. The present study evaluates quantitative infarct volume on early post-IVT MRI as a predictor of critical care needs and aims to identify patients who may not require resource intense monitoring. We identified 46 patients who underwent MRI within 6 h of IVT. Infarct volume was measured using semiautomated software. Logistic regression and receiver operating characteristics (ROC) analysis were used to determine factors associated with ICU needs. Infarct volume was an independent predictor of ICU need after adjusting for age, sex, race, systolic blood pressure, NIH Stroke Scale (NIHSS), and coronary artery disease (odds ratio 1.031 per cm{sup 3} increase in volume, 95 % confidence interval [CI] 1.004-1.058, p = 0.024). The ROC curve with infarct volume alone achieved an area under the curve (AUC) of 0.766 (95 % CI 0.605-0.927), while the AUC was 0.906 (95 % CI 0.814-0.998) after adjusting for race, systolic blood pressure, and NIHSS. Maximum Youden index calculations identified an optimal infarct volume cut point of 6.8 cm{sup 3} (sensitivity 75.0 %, specificity 76.7 %). Infarct volume greater than 3 cm{sup 3} predicted need for critical care interventions with 81.3 % sensitivity and 66.7 % specificity. Infarct volume may predict needs for ICU monitoring and interventions in stroke patients treated with IVT. (orig.)

  1. Ocean Thermal Energy Conversion (OTEC) test facilities study program. Final report. Volume II. Part A

    Energy Technology Data Exchange (ETDEWEB)

    1977-01-17

    Results are presented of an 8-month study to develop alternative non-site-specific OTEC facilities/platform requirements for an integrated OTEC Test Program which may include land and floating test facilities. The document, Volume II - Appendixes is bound in three parts (A, B, and C) which together comprise a compendium of the most significant detailed data developed during the study. Part A contains definitions, baseline revisions, test plans, and energy utilization sections.

  2. Study of the Utah uranium-milling industry. Volume II. Utah energy resources: uranium

    International Nuclear Information System (INIS)

    This report is a general overview of the uranium mining and milling industry and its history and present status with particular reference to Utah. This volume serves two purposes: (1) it serves as a companion volume to Volume I, which is a policy analysis; and (2) it serves as one of a set of energy resource assessment studies previously performed by the authors. The following topics are covered: development of the uranium industry on the Colorado Plateau with emphasis on Utah; geology of uranium; uranium reserves; uranium exploration in Utah; uranium ore production and mining operation in Utah; uranium milling operations in Utah; utilization of uranium; uranium mill tailings; and future outlook. Appendices on pricing of uranium and incentives for production since World War II are also presented

  3. Estimating the cold war mortgage: The 1995 baseline environmental management report. Volume II: Site summaries

    International Nuclear Information System (INIS)

    This volume, Volume II presents the site data that was used to generate the Department of Energy's (DOE) initial Baseline Environmental Management Report (BEMR). The raw data was obtained by DOE field personnel from existing information sources and anticipated environmental management strategies for their sites and was tempered by general assumptions and guidance developed by DOE Headquarters personnel. This data was then integrated by DOE Headquarters personnel and modified to ensure that overall constraints such as funding and waste management capacity were addressed. The site summaries are presented by State and broken out by discrete activities and projects. The Volume I Glossary has been repeated to facilitate the reader's review of Volume II. The information presented in the site summaries represents the best data and assumptions available as of February 1, 1995. Assumptions that have not been mandated by formal agreement with appropriate regulators and other stakeholders do not constitute decisions by the Department nor do they supersede existing agreements. In addition, actions requiring decisions from external sources regarding unknowns such as future land use and funding/scheduling alternatives, as well as internal actions such as the Department's Strategic Realignment initiative, will alter the basis and general assumptions used to generate the results for this report. Consequently, the numbers presented in the site summaries do not represent outyear budget requests by the field installations

  4. Just health care (II): Is equality too much?

    Science.gov (United States)

    Fleck, L M

    1989-12-01

    In a previous essay I criticized Engelhardt's libertarian conception of justice, which grounds the view that society's obligation to assure access to adequate health care for all is a matter of beneficence. Beneficence fails to capture the moral stringency associated with many claims for access to health care. In the present paper I argue that these claims are really matters of justice proper, where justice is conceived along moderate egalitarian lines, such as those suggested by Rawls and Daniels, rather than strong egalitarian lines. Further, given the empirical complexity associated with the distribution of contemporary health care, I argue that what we really need to address the relevant policy issues adequately is a theory of health care justice, as opposed to an all-purpose conception of justice. Daniels has made an important start toward that goal, though there are some large policy areas which I discuss that his account of health care justice does not really speak to. Finally, practical matters of health care justice really need to be addressed in a 'non-ideal' mode, a framework in which philosophers have done little.

  5. Coal conversion control technology. Volume II. Gaseous emissions; solid wastes. Final report, April 1977-November 1978

    Energy Technology Data Exchange (ETDEWEB)

    Bostwick, L.E.; Smith, M.R.; Moore, D.O.; Webber, D.K.

    1979-10-01

    This volume is the product of an information-gathering effort relating to coal conversion process streams. Available and developing control technology has been evaluated in view of the requirements of present and proposed federal, state, regional, and international environmental standards. The study indicates that it appears possible to evolve technology to reduce each component of each process stream to an environmentally acceptable level. It also indicates that such an approach would be costly and difficult to execute. Because all coal conversion processes are net users of water, liquid effluents need be treated only for recycling within the process, thus achieving essentially zero discharge. With available technology, gaseous emissions can be controlled to meet present environmental standards, particulates can be controlled or eliminated, and disposal of solid wastes can be managed to avoid deleterious environmental effects. This volume (II) deals with the control technology of gaseous emissions and solid wastes.

  6. Hydrocarbonization process evaluation report. Volume II. Evaluation of process feasibility. [49 refs

    Energy Technology Data Exchange (ETDEWEB)

    Holmes, J.M.; Dyslin, D.A.; Edwards, M.S.; Joy, D.S.; Peterson, G.R.

    1977-07-01

    Volume II of a two-volume study concerning the preliminary design and economic evaluation of a Hydrocarbonization Facility includes: (1) a review of the current status of the major processing units, (2) an assessment of operating problems, (3) considerations of possible process alternatives, (4) an evaluation of the overall process feasibility, and (5) recommendations for future process development. Results of the study emphasize the need for testing the evaluated process, which is based on the Clean Coke Process, in a continuous pilot plant using a wide variety of highly caking bituminous coals as feed material. A program suggested for the pilot plant would encompass: (1) development of improved methods for the prevention of agglomeration of highly caking coals during hydrocarbonization, (2) optimization of the yields of coal liquids, (3) investigation of a single-stage high-temperature hydrocarbonizer optimized for char production, and (4) optimization of beneficiation ratios employed during coal preparation.

  7. Integrating model of the Project Independence Evaluation System. Volume VI. Data documentation. Part II

    Energy Technology Data Exchange (ETDEWEB)

    Allen, B J

    1979-02-01

    This documentation describes the PIES Integrating Model as it existed on January 1, 1978. This Volume VI of six volumes is data documentation, containing the standard table data used for the Administrator's Report at the beginning of 1978, along with the primary data sources and the office responsible. It also contains a copy of a PIES Integrating Model Report with a description of its content. Following an overview chapter, Chapter II, Supply and Demand Data Tables and Sources for the Mid-range Scenario for Target Years 1985 and 1990, data on demand, price, and elasticity; coal; imports; oil and gas; refineries; synthetics, shale, and solar/geothermal; transportation; and utilities are presented. The following data on alternate scenarios are discussed: low and high demand; low and high oil and gas supply; refinery and oil and gas data assuming a 5% annual increase in real world oil prices. Chapter IV describes the solution output obtained from an execution of PIES.

  8. Underground Energy Storage Program: 1981 annual report. Volume II. Technical summaries

    Energy Technology Data Exchange (ETDEWEB)

    Kannberg, L.D.

    1982-06-01

    This is the 1981 annual report for the Underground Energy Storage Program administered by the Pacific Northwest Laboratory for the US Department of Energy. The two-volume document describes all of the major research funded under this program during the period March 1981 to March 1982. Volume II presents the amplified technical summaries of individual tasks and projects conducted during this reporting period. The activities of the authors reporting herein were actually broader in scope than may be reflected by the mini-reports. Readers wishing additional information on specific topics are invited to contact individual authors. The work described here represents one segment of a continuing effort to encourage development and implementation of advanced energy storage technology. The results and progress reported here rely on earlier studies and will, in turn, provide a basis for continued efforts to develop the STES and CAES technologies.

  9. Dead layer and active volume determination for GERDA Phase II detectors

    Energy Technology Data Exchange (ETDEWEB)

    Lehnert, Bjoern [TU Dresden (Germany); Collaboration: GERDA-Collaboration

    2013-07-01

    The GERDA experiment investigates the neutrinoless double beta decay of {sup 76}Ge and is currently running Phase I of its physics program. Using the same isotope as the Heidelberg Moscow (HDM) experiment, GERDA aims to directly test the claim of observation by a subset of the HDM collaboration. For the update to Phase II of the experiment in 2013, the collaboration organized the production of 30 new Broad Energy Germanium (BEGe) type detectors from original 35 kg enriched material and tested their performance in the low background laboratory HADES in SCK.CEN, Belgium. With additional 20 kg of detectors, GERDA aims to probe the degenerated hierarchy scenario. One of the crucial detector parameters is the active volume (AV) fraction which directly enters into all physics analysis. This talk presents the methodology of dead layer and AV determination with different calibration sources such as {sup 241}Am, {sup 133}Ba, {sup 60}Co and {sup 228}Th and the results obtained for the new Phase II detectors. Furthermore, the AV fraction turned out to be the largest systematic uncertainty in the analysis of Phase I data which makes it imperative to reduce its uncertainty for Phase II. This talk addresses the major contributions to the AV uncertainty and gives an outlook for improvements in Phase II analysis.

  10. Dead layer and active volume determination for GERDA Phase II detectors

    International Nuclear Information System (INIS)

    The GERDA experiment investigates the neutrinoless double beta decay of 76Ge and is currently running Phase I of its physics program. Using the same isotope as the Heidelberg Moscow (HDM) experiment, GERDA aims to directly test the claim of observation by a subset of the HDM collaboration. For the update to Phase II of the experiment in 2013, the collaboration organized the production of 30 new Broad Energy Germanium (BEGe) type detectors from original 35 kg enriched material and tested their performance in the low background laboratory HADES in SCK.CEN, Belgium. With additional 20 kg of detectors, GERDA aims to probe the degenerated hierarchy scenario. One of the crucial detector parameters is the active volume (AV) fraction which directly enters into all physics analysis. This talk presents the methodology of dead layer and AV determination with different calibration sources such as 241Am, 133Ba, 60Co and 228Th and the results obtained for the new Phase II detectors. Furthermore, the AV fraction turned out to be the largest systematic uncertainty in the analysis of Phase I data which makes it imperative to reduce its uncertainty for Phase II. This talk addresses the major contributions to the AV uncertainty and gives an outlook for improvements in Phase II analysis.

  11. World Energy Data System (WENDS). Volume II. Country data, CZ-KS

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-06-01

    The World Energy Data System contains organized data on those countries and international organizations that may have critical impact on the world energy scene. Included in this volume, Vol. II, are Czechoslovakia, Denmark, Egypt, Finland, France, Germany (East), Germany (West), Greece, Guinea, India, Indonesia, Iran, Italy, Japan, and Korea (South). The following topics are covered for most of the countries: economic, demographic, and educational profiles; energy policy; indigenous energy resources and uses; forecasts, demand, exports, imports of energy supplies; environmental considerations of energy use; power production facilities; energy industries; commercial applications of energy; research and development activities of energy; and international activities.

  12. Forecasting the Future Food Service World of Work. Final Report. Volume II. Centralized Food Service Systems. Service Management Reports.

    Science.gov (United States)

    Powers, Thomas F., Ed.; Swinton, John R., Ed.

    Volume II of a three-volume study on the future of the food service industry considers the effects that centralized food production will have on the future of food production systems. Based on information from the Fair Acres Project and the Michigan State University Vegetable Processing Center, the authors describe the operations of a centralized…

  13. The role of technology in reducing health care costs. Phase II and phase III.

    Energy Technology Data Exchange (ETDEWEB)

    Cilke, John F.; Parks, Raymond C.; Funkhouser, Donald Ray; Tebo, Michael A.; Murphy, Martin D.; Hightower, Marion Michael; Gallagher, Linda K.; Craft, Richard Layne, II; Garcia, Rudy John

    2004-04-01

    In Phase I of this project, reported in SAND97-1922, Sandia National Laboratories applied a systems approach to identifying innovative biomedical technologies with the potential to reduce U.S. health care delivery costs while maintaining care quality. The effort provided roadmaps for the development and integration of technology to meet perceived care delivery requirements and an economic analysis model for development of care pathway costs for two conditions: coronary artery disease (CAD) and benign prostatic hypertrophy (BPH). Phases II and III of this project, which are presented in this report, were directed at detailing the parameters of telemedicine that influence care delivery costs and quality. These results were used to identify and field test the communication, interoperability, and security capabilities needed for cost-effective, secure, and reliable health care via telemedicine.

  14. Solid Waste Operations Complex W-113, Detail Design Report (Title II). Volume 3: Specifications

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    The Solid Waste Retrieval Facility--Phase 1 (Project W113) will provide the infrastructure and the facility required to retrieve from Trench 04, Burial ground 4C, contact handled (CH) drums and boxes at a rate that supports all retrieved TRU waste batching, treatment, storage, and disposal plans. This includes (1) operations related equipment and facilities, viz., a weather enclosure for the trench, retrieval equipment, weighing, venting, obtaining gas samples, overpacking, NDE, NDA, shipment of waste and (2) operations support related facilities, viz., a general office building, a retrieval staff change facility, and infrastructure upgrades such as supply and routing of water, sewer, electrical power, fire protection, roads, and telecommunication. Title I design for the operations related equipment and facilities was performed by Raytheon/BNFL, and that for the operations support related facilities including infrastructure upgrade was performed by KEH. These two scopes were combined into an integrated W113 Title II scope that was performed by Raytheon/BNFL. Volume 3 is a compilation of the construction specifications that will constitute the Title II materials and performance specifications. This volume contains CSI specifications for non-equipment related construction material type items, performance type items, and facility mechanical equipment items. Data sheets are provided, as necessary, which specify the equipment overall design parameters.

  15. Environmental control implications of generating electric power from coal. Technology status report. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    None

    1976-12-01

    This is the first in a series of reports evaluating environmental control technologies applicable to the coal-to-electricity process. The technologies are described and evaluated from an engineering and cost perspective based upon the best available information obtained from utility experience and development work in progress. Environmental control regulations and the health effects of pollutants are also reviewed. Emphasis is placed primarily upon technologies that are now in use. For SO/sub 2/ control, these include the use of low sulfur coal, cleaned coal, or flue-gas desulfurization systems. Electrostatic precipitators and fabric filters used for the control of particulate matter are analyzed, and combustion modifications for NO/sub x/ control are described. In each area, advanced technologies still in the development stage are described briefly and evaluated on the basis of current knowledge. Fluidized-bed combustion (FBC) is a near-term technology that is discussed extensively in the report. The potential for control of SO/sub 2/ and NO/sub x/ emissions by use of FBC is analyzed, as are the resulting solid waste disposal problems, cost estimates, and its potential applicability to electric utility systems. Volume II presents the detailed technology analyses complete with reference citations. This same material is given in condensed form in Volume I without references. A brief executive summary is also given in Volume I.

  16. Preliminary evaluation of alternative waste form solidification processes. Volume II. Evaluation of the processes

    Energy Technology Data Exchange (ETDEWEB)

    1980-08-01

    This Volume II presents engineering feasibility evaluations of the eleven processes for solidification of nuclear high-level liquid wastes (HHLW) described in Volume I of this report. Each evaluation was based in a systematic assessment of the process in respect to six principal evaluation criteria: complexity of process; state of development; safety; process requirements; development work required; and facility requirements. The principal criteria were further subdivided into a total of 22 subcriteria, each of which was assigned a weight. Each process was then assigned a figure of merit, on a scale of 1 to 10, for each of the subcriteria. A total rating was obtained for each process by summing the products of the subcriteria ratings and the subcriteria weights. The evaluations were based on the process descriptions presented in Volume I of this report, supplemented by information obtained from the literature, including publications by the originators of the various processes. Waste form properties were, in general, not evaluated. This document describes the approach which was taken, the developent and application of the rating criteria and subcriteria, and the evaluation results. A series of appendices set forth summary descriptions of the processes and the ratings, together with the complete numerical ratings assigned; two appendices present further technical details on the rating process.

  17. Preliminary evaluation of alternative waste form solidification processes. Volume II. Evaluation of the processes

    International Nuclear Information System (INIS)

    This Volume II presents engineering feasibility evaluations of the eleven processes for solidification of nuclear high-level liquid wastes (HHLW) described in Volume I of this report. Each evaluation was based in a systematic assessment of the process in respect to six principal evaluation criteria: complexity of process; state of development; safety; process requirements; development work required; and facility requirements. The principal criteria were further subdivided into a total of 22 subcriteria, each of which was assigned a weight. Each process was then assigned a figure of merit, on a scale of 1 to 10, for each of the subcriteria. A total rating was obtained for each process by summing the products of the subcriteria ratings and the subcriteria weights. The evaluations were based on the process descriptions presented in Volume I of this report, supplemented by information obtained from the literature, including publications by the originators of the various processes. Waste form properties were, in general, not evaluated. This document describes the approach which was taken, the developent and application of the rating criteria and subcriteria, and the evaluation results. A series of appendices set forth summary descriptions of the processes and the ratings, together with the complete numerical ratings assigned; two appendices present further technical details on the rating process

  18. The Day Care Needs of the Indigent Children of West Virginia, with Recommendations for a Model Day Care Program and Delivery System. Volume 2.

    Science.gov (United States)

    Hodges, Walter L.; And Others

    This volume describes and discusses six major proposals for a complete model system of day care for indigent children in West Virginia. The recommendations include: (1) developing more specific objectives to be accomplished for children, parents, care providers, and the state; (2) developing a public education program designed to help parents…

  19. Is higher volume of post-acute care patients associated with a lower rehospitalization rate in skilled nursing facilities?

    OpenAIRE

    Li, Yue; Cai, Xueya; Yin, Jun; Glance, Laurent G; Mukamel, Dana B

    2011-01-01

    This study determined whether higher patient volume of skilled nursing facility (SNF) care was associated with a lower hospital transfer rate. Using the nursing home Minimum Data Set and the On-line Survey, Certification, and Reporting file, we assembled a national cohort of Medicare SNF post-acute care admissions between January and September of 2008. Multivariable analyses based on Cox proportional hazards models found that patients admitted to high-volume SNFs (annual number of admissions ...

  20. Journal of Sustainable Development of Energy, Water and Environment Systems - Volume II

    Directory of Open Access Journals (Sweden)

    Neven Duić

    2014-12-01

    Full Text Available The Journal of Sustainable Development of Energy, Water and Environment Systems – JSDEWES is an international journal dedicated to the improvement and dissemination of knowledge on methods, policies and technologies for increasing the sustainability of development by de-coupling growth from natural resources and replacing them with knowledge based economy, taking into account its economic, environmental and social pillars, as well as methods for assessing and measuring sustainability of development, regarding energy, transport, water, environment and food production systems and their many combinations. In total 32 manuscripts were published in Volume II, all of them reviewed by at least two reviewers. The Journal of Sustainable Development of Energy, Water and Environment Systems would like to thank reviewers for their contribution to the quality of the published manuscripts.

  1. Heater test planning for the Near Surface Test Facility at the Hanford reservation. Volume II. Appendix

    International Nuclear Information System (INIS)

    Volume II contains the following information: theoretical support for radioactive waste storage projects - development of data analysis methods and numerical models; injectivity temperature profiling as a means of permeability characterization; geophysical holes at the Near Surface Test Facility (NSTF), Hanford; proposed geophysical and hydrological measurements at NSTF; suggestions for characterization of the discontinuity system at NSTF; monitoring rock property changes caused by radioactive waste storage using the electrical resistivity method; microseismic detection system for heated rock; Pasco Basin groundwater contamination study; a letter to Mark Board on Gable Mountain Faulting; report on hydrofracturing tests for in-situ stress measurement, NSTF, Hole DC-11, Hanford Reservation; and borehole instrumentation layout for Hanford Near Surface Test Facility

  2. Proposed Tenaska Washington II Generation Project : Final Environmental Impact Statement. Volume 2: Public Involvement.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1994-01-01

    In regard to the proposed Tenaska Washington II Generation Project, the goal of the Bonneville Power Administration`s (BPA) Environmental Impact Statement (EIS) public involvement process is to determine the issues to be examined and pertinent analyses to be conducted and to solicit comments on the content and quality of information presented in the Draft Environmental Impact Statement (DEIS). Comments and questions are solicited from the public and government agencies during the scoping process and during the comment period and public hearing on the DEIS, to find out what is of most concern to them. The end product of the public involvement process is the Comment Report which follows in part of this volume on Public Involvement.

  3. Coal liquefaction: A research and development needs assessment: Final report, Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Schindler, H.D.; Burke, F.P.; Chao, K.C.; Davis, B.H.; Gorbaty, M.L.; Klier, K.; Kruse, C.W.; Larsen, J.W.; Lumpkin, R.E.; McIlwain, M.E.; Wender, I.; Stewart, N.

    1989-03-01

    Volume II of this report on an assessment of research needs for coal liquefaction contains reviews of the five liquefaction technologies---direct, indirect, pyrolysis, coprocessing, and bioconversion. These reviews are not meant to be encyclopedic; several outstanding reviews of liquefaction have appeared in recent years and the reader is referred to these whenever applicable. Instead, these chapters contain reviews of selected topics that serve to support the panel's recommendations or to illustrate recent accomplishments, work in progress, or areas of major research interest. At the beginning of each of these chapters is a brief introduction and a summary of the most important research recommendations brought out during the panel discussions and supported by the material presented in the review. A review of liquefaction developments outside the US is included. 594 refs., 100 figs., 60 tabs.

  4. The performance of customised APACHE II and SAPS II in predicting mortality of mixed critically ill patients in a Thai medical intensive care unit.

    Science.gov (United States)

    Khwannimit, B; Bhurayanontachai, R

    2009-09-01

    The aim of this study was to evaluate and compare the performance of customised Acute Physiology and Chronic Health Evaluation HII (APACHE II) and Simplified Acute Physiology Score HII (SAPS II) in predicting hospital mortality of mixed critically ill Thai patients in a medical intensive care unit. A prospective cohort study was conducted over a four-year period. The subjects were randomly divided into calibration and validation groups. Logistic regression analysis was used for customisation. The performance of the scores was evaluated by the discrimination, calibration and overall fit in the overall group and across subgroups in the validation group. Two thousand and forty consecutive intensive care unit admissions during the study period were split into two groups. Both customised models showed excellent discrimination. The area under the receiver operating characteristic curve of the customised APACHE II was greater than the customised SAPS II (0.925 and 0.892, P APACHE II in overall populations and various subgroups but insufficient calibration for the customised SAPS II. The customised SAPS II showed good calibration in only the younger, postoperative and sepsis patients subgroups. The overall performance of the customised APACHE II was better than the customised SAPS II (Brier score 0.089 and 0.109, respectively). Our results indicate that the customised APACHE II shows better performance than the customised SAPS II in predicting hospital mortality and could be used to predict mortality and quality assessment in our unit or other intensive care units with a similar case mix.

  5. Comparative assessment of TRU waste forms and processes. Volume II. Waste form data, process descriptions, and costs

    International Nuclear Information System (INIS)

    This volume contains supporting information for the comparative assessment of the transuranic waste forms and processes summarized in Volume I. Detailed data on the characterization of the waste forms selected for the assessment, process descriptions, and cost information are provided. The purpose of this volume is to provide additional information that may be useful when using the data in Volume I and to provide greater detail on particular waste forms and processes. Volume II is divided into two sections and two appendixes. The first section provides information on the preparation of the waste form specimens used in this study and additional characterization data in support of that in Volume I. The second section includes detailed process descriptions for the eight processes evaluated. Appendix A lists the results of MCC-1 leach test and Appendix B lists additional cost data. 56 figures, 12 tables

  6. Blade system design studies volume II : preliminary blade designs and recommended test matrix.

    Energy Technology Data Exchange (ETDEWEB)

    Griffin, Dayton A. (Global Energy Concepts, LLC, Kirkland, WA)

    2004-06-01

    As part of the U.S. Department of Energy's Wind Partnerships for Advanced Component Technologies (WindPACT) program, Global Energy Concepts, LLC is performing a Blade System Design Study (BSDS) concerning innovations in materials, processes and structural configurations for application to wind turbine blades in the multi-megawatt range. The BSDS Volume I project report addresses issues and constraints identified to scaling conventional blade designs to the megawatt size range, and evaluated candidate materials, manufacturing and design innovations for overcoming and improving large blade economics. The current report (Volume II), presents additional discussion of materials and manufacturing issues for large blades, including a summary of current trends in commercial blade manufacturing. Specifications are then developed to guide the preliminary design of MW-scale blades. Using preliminary design calculations for a 3.0 MW blade, parametric analyses are performed to quantify the potential benefits in stiffness and decreased gravity loading by replacement of a baseline fiberglass spar with carbon-fiberglass hybrid material. Complete preliminary designs are then presented for 3.0 MW and 5.0 MW blades that incorporate fiberglass-to-carbon transitions at mid-span. Based on analysis of these designs, technical issues are identified and discussed. Finally, recommendations are made for composites testing under Part I1 of the BSDS, and the initial planned test matrix for that program is presented.

  7. Planning manual for energy resource development on Indian lands. Volume II. Management and contractual arrangements

    Energy Technology Data Exchange (ETDEWEB)

    1978-03-01

    This volume explores options for strengthening tribal control of energy-resource-development activities on their reservations. These options fall into two major categories: improvement of the tribe's internal administrative capability to plan, monitor, and regulate development activities; Part I of this volume addresses how this can be done. Another option deals with stronger and more-explicit contract terms in the development, agreement, and enforcement of those terms; Part II deals with this subject. In order to develop an effective control system, a tribe must be concerned with both of these areas. Contract stipulations will not be effective unless the tribe can ensure that they are enforced. Likewise, in monitoring and regulating company activities, a tribe is in a stronger position if it is backed up by contract terms governing operations on the reservation. The Tribes participating in this study have different levels of managerial capability and technical expertise in the energy field. Their interest in stronger controls on development varies. Therefore, a range of options is suggested.

  8. THE MOUNTAIN IRON DIFFUSION PROGRAM: PHASE 1 SOUTH VANDENBERG: VOLUME II

    Energy Technology Data Exchange (ETDEWEB)

    Hinds, W. T.; Nickola, P. W.

    1968-01-01

    The purpose of the study was to determine an empirical diffusion equation for South Vandenberg. The scope of the operation included 1) tracer releases from two sites near two launch points and collection of diffusion and meteorological data over South Vandenberg; 2) reduction and analysis of diffusion and meteorological data for South Vandenberg. This Volume II contains a detailed discussion of techniques and data analysis. A description of the physical setting of South Vandenberg is contained in both volumes, to provide geographical nomenclature and relationships to the readers. Chapter 2 describes the experimental technique, meteorological support, and some of the problems involved in the program. A summary of the test conditions and data reduction methods is also included. In Chapter 3, a brief presentation of the theory of turbulent diffusion is given. Chapter 4 deals with data aquisition and reduction. Chapter 5 presents the diffusion data in summary form, and discusses the methods used for estimating plume growth. The integration of the data into theoretical relationships is discussed in Chapter 6. The results of brief investigations into other aspects of the Mountain Iron data, such as short-term releases and traj ectory determination, are discussed in Chapter 7. Finally, to lend confidence to use of the data and resulting equations, the Mountain Iron data are compared in several ways in Chapter 8 to earlier data from North Vandenberg and Hanford. Appendices contain a tabulation of the basic diffusion data, a listing of terminology and units, and aircraft sampling results.

  9. Final report on Phase II remedial action at the former Middlesex Sampling Plant and associated properties. Volume 2

    International Nuclear Information System (INIS)

    Volume 2 presents the radiological measurement data taken after remedial action on properties surrounding the former Middlesex Sampling Plant during Phase II of the DOE Middlesex Remedial Action Program. Also included are analyses of the confirmatory radiological survey data for each parcel with respect to the remedial action criteria established by DOE for the Phase II cleanup and a discussion of the final status of each property. Engineering details of this project and a description of the associated health physics and environmental monitoring activities are presented in Volume 1

  10. Evaluation of nosocomial infection risk using APACHE II scores in the neurological intensive care unit.

    Science.gov (United States)

    Li, Hai-Ying; Li, Shu-Juan; Yang, Nan; Hu, Wen-Li

    2014-08-01

    To evaluate the feasibility and accuracy of using the Acute Physiology, Age and Chronic Health Evaluation II (APACHE II) scoring system for predicting the risk of nosocomial infection in the neurological intensive care unit (NICU), 216 patients transferred to NICU within 24hours of admission were retrospectively evaluated. Based on admission APACHE II scores, they were classified into three groups, with higher APACHE II scores representing higher infectious risk. The device utilization ratios and device-associated infection ratios of NICU patients were analyzed and compared with published reports on patient outcome. Statistical analysis of nosocomial infection ratios showed obvious differences between the high-risk, middle-risk and low-risk groups (pAPACHE II model in predicting the risk of nosocomial infection was 0.81, which proved to be reliable and consistent with the expectation. In addition, we found statistical differences in the duration of hospital stay (patient-days) and device utilization (device-days) between different risk groups (pAPACHE II scoring system was validated in predicting the risk of nosocomial infection, duration of patient-days and device-days, and providing accurate assessment of patients' condition, so that appropriate prevention strategies can be implemented based on admission APACHE II scores.

  11. Tiotropium bromide in the routine care of GOLD stage II COPD patients: a pharmaeconomic evaluation

    OpenAIRE

    Orietta Zaniolo; Michela Carsi; Sergio Iannazzo

    2011-01-01

    Background: a secondary pre-specified analysis of the UPLIFT cohort demonstrated that the inclusion of tiotropium bromide in the routine care of GOLD stage II (moderate) chronic obstructive pulmonary disease (COPD) patients is associated with stronger improvements of survival, quality of life, and exacerbation rate than those shown in the total cohort; in this subgroup, tiotropium furthermore induces a significant reduction in the rate of FEV1 decline.Objective: to adapt the Spiriva® model, o...

  12. APACHE II: preliminary report on 100 intensive care unit cases in University Hospital, Kuala Lumpur.

    Science.gov (United States)

    Teoh, G S; Mah, K K; abd Majid, S; Streram; Yee, M K

    1991-03-01

    A good overall assessment of the severity of illnesses of patients admitted to a general intensive care unit (ICU) is not without problems. The APACHE (acute physiology and chronic health evaluation) prognostic scoring system enables us to stratify acutely ill patients and compare efficiency of ICU therapy in different hospitals. This preliminary study carried out on 100 consecutive admissions to the ICU in University Hospital, Kuala Lumpur showed the spectrum of ICU admissions and the direct relationship between APACHE II score and mortality.

  13. IGF-II transgenic mice display increased aberrant colon crypt multiplicity and tumor volume after 1,2-dimethylhydrazine treatment

    Directory of Open Access Journals (Sweden)

    Oesterle Doris

    2006-01-01

    Full Text Available Abstract In colorectal cancer insulin-like growth factor II (IGF-II is frequently overexpressed. To evaluate, whether IGF-II affects different stages of tumorigenesis, we induced neoplastic alterations in the colon of wild-type and IGF-II transgenic mice using 1,2-dimethylhydrazine (DMH. Aberrant crypt foci (ACF served as markers of early lesions in the colonic mucosa, whereas adenomas and carcinomas characterized the endpoints of tumor development. DMH-treatment led initially to significantly more ACF in IGF-II transgenic than in wild-type mice. This increase in ACF was especially prominent for those consisting of ≥three aberrant crypts (AC. Nevertheless, adenomas and adenocarcinomas of the colon, present after 34 weeks in both genetic groups, were not found at different frequency. Tumor volumes, however, were significantly higher in IGF-II transgenic mice and correlated with serum IGF-II levels. Immunohistochemical staining for markers of proliferation and apoptosis revealed increased cell proliferation rates in tumors of IGF-II transgenic mice without significant affection of apoptosis. Increased proliferation was accompanied by elevated localization of β-catenin in the cytosol and cell nuclei and reduced appearance at the inner plasma membrane. In conclusion, we provide evidence that IGF-II, via activation of the β-catenin signaling cascade, promotes growth of ACF and tumors without affecting tumor numbers.

  14. Nuclear proliferation and civilian nuclear power: report of the Nonproliferation Alternative Systems Assessment Program. Volume II. Proliferation resistance

    Energy Technology Data Exchange (ETDEWEB)

    1979-12-01

    Volume II assesses proliferation resistance. Chapters are devoted to: assessment of civilian nuclear systems (once-through fuel-cycle systems, closed fuel cycle systems, research reactors and critical facilities); assessment of associated sensitive materials and facilities (enrichment, problems with storage of spent fuel and plutonium content, and reprocessing and refabrication facilities); and safeguards for alternative fuel cycles.

  15. Nuclear proliferation and civilian nuclear power: report of the Nonproliferation Alternative Systems Assessment Program. Volume II. Proliferation resistance

    International Nuclear Information System (INIS)

    Volume II assesses proliferation resistance. Chapters are devoted to: assessment of civilian nuclear systems (once-through fuel-cycle systems, closed fuel cycle systems, research reactors and critical facilities); assessment of associated sensitive materials and facilities (enrichment, problems with storage of spent fuel and plutonium content, and reprocessing and refabrication facilities); and safeguards for alternative fuel cycles

  16. The history of the IEA volume II: major policies and actions

    International Nuclear Information System (INIS)

    Volume II of the History of the International Energy Agency (IEA) continues the story which began with the Origins and Structure of the Agency in Volume I. After examining the industrial countries'energy policies leading up to the 1973-1974 crisis, the current Volume focuses on the new policies adopted in the IEA during its first twenty years.The first part of this book deals with a section on 'Energy Policy Origins of the 1973-1974 Oil Supply Vulnerability : The Optimistic-Passive Approach to Oil Policy'. The main events and developments leading up to the crisis are briefly outlined together with a short presentation of the policy views and critical conclusions that were made on that situation by some of the most knowledgeable oil specialists of the period. The second part surveys IEA oil security, beginning with the oil Emergency Sharing System. The IAE's long-term policies for reducing its Members'dependence on imported oil are the subject of the third part. In this part is described the development of some of the leading IEA work in the field of energy and the environment, the Agency's far-reaching reviews of Members'policies in this sector and a discussion of the 'free markets' policy and of the IEA Shared Goals of 1993. The fourth part deals with the still longer-term Energy Research and Development in the IEA and is a review of the internal organization of IEA work in the R and D field. The fifth part follows with a discussion of the Oil Market policies and practices of the Agency, where the main and durable goals are 'transparency and information dissemination'. The last part addresses the Agency's policies and actions with respect to Co-operation with Non-Member Countries. Then, it takes up Members'policies and activities in connection with the oil producer and consumer country dialogue of 1976-1977 and outlines its disappointing outcome. (O.L.). 2 figs., 13 tabs

  17. Quality of Type II Diabetes Care in Primary Health Care Centers in Kuwait: Employment of a Diabetes Quality Indicator Set (DQIS)

    OpenAIRE

    Dalia Badawi; Shadi Saleh; Nabil Natafgi; Yara Mourad; Kazem Behbehani

    2015-01-01

    Diabetes Mellitus is one of the major public health challenges, affecting more than 347 million adults worldwide. The impact of diabetes necessitates assessing the quality of care received by people with diabetes, especially in countries with a significant diabetes burden such as Kuwait. This paper aimed at piloting an approach for measuring Type II diabetes care performance through the use of a diabetes quality indicator set (DQIS) in primary health care. The DQIS for Kuwait was adapted from...

  18. Energy Extension Service Pilot Program: evaluation report after two years. Volume II. State reports

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-04-01

    This report, Vol. II, presents a discussion of the operations of the ten EES pilot state programs during the period from October 1, 1977 through September 30, 1979. Each of the ten pilot states - Alabama, Connecticut, Michigan, New Mexico, Pennsylvania, Tennessee, Texas, Washington, Wisconsin, and Wyoming - received a grant of approximately $1.1 million to develop and implement an 18-month program beginning on October 1, 1977. In September 1978, each State received an additional $370,000 for service-delivery programs for the extension of the pilot program, April 1979 through September 1979. A case-study description of the operations of the pilot program in each State is provided here, with special attention given to the two programs selected in each State for more-detailed study and survey research. Although the thrust of this volume is descriptive, some survey data and analyses are presented for the emphasis programs. Two telephone surveys of clients and a non-client sample were conducted, one at the end of the first year of the pilot program (October 1977 - September 1978) and one at the end of the second year (October 1978 - September 1979).

  19. Energy Economic Data Base (EEDB) Program: Phase I, Volume II. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1979-12-01

    This Volume II of Phase I of the Energy Economic Data Base Program contains appendices. Appendix A-1 provides the site and environmental data, derived from Appendix A of Guide for Economic Evaluation of Nuclear Reactor Plant Designs, USAEC Report NUS-531, modified to reflect current requirements. These data form the bases of the criteria used for designing the facility and for evaluating the routine and accidental release of radioactive liquids and gases to the environment. Appendix A-2 provides the site and environmental data as derived from Appendix A of NUS-531, and modified to reflect coal-plant siting, forming the bases of the criteria used for designing the facility and for evaluating the release of liquids and gases to the environment. A description of the topography of the hypothetical city, Middletown, is given. Appendix B provides an overall summary of the conclusions of NUS' work on all NUS tasks in support of the nuclear fuel-cycle work in Phase I. Appendix C-1 introduces the concepts involved and addresses methods of calculation of fixed charges applicable to investor-owned utilities, as used in the EEDB. Appendix C-2 consists of review and revision of each plant's fuel cycle and operating and maintenance costs in accordance with the EEDB update procedures. In Appendix D, NSSS Capital Costs for a Mature LMFBR Industry, much information is provided on plant description, cost estimate, comparison and discussion, drawings, and equipment list. (MCW)

  20. Critical Infrastructure Protection II, The International Federation for Information Processing, Volume 290.

    Science.gov (United States)

    Papa, Mauricio; Shenoi, Sujeet

    The information infrastructure -- comprising computers, embedded devices, networks and software systems -- is vital to day-to-day operations in every sector: information and telecommunications, banking and finance, energy, chemicals and hazardous materials, agriculture, food, water, public health, emergency services, transportation, postal and shipping, government and defense. Global business and industry, governments, indeed society itself, cannot function effectively if major components of the critical information infrastructure are degraded, disabled or destroyed. Critical Infrastructure Protection II describes original research results and innovative applications in the interdisciplinary field of critical infrastructure protection. Also, it highlights the importance of weaving science, technology and policy in crafting sophisticated, yet practical, solutions that will help secure information, computer and network assets in the various critical infrastructure sectors. Areas of coverage include: - Themes and Issues - Infrastructure Security - Control Systems Security - Security Strategies - Infrastructure Interdependencies - Infrastructure Modeling and Simulation This book is the second volume in the annual series produced by the International Federation for Information Processing (IFIP) Working Group 11.10 on Critical Infrastructure Protection, an international community of scientists, engineers, practitioners and policy makers dedicated to advancing research, development and implementation efforts focused on infrastructure protection. The book contains a selection of twenty edited papers from the Second Annual IFIP WG 11.10 International Conference on Critical Infrastructure Protection held at George Mason University, Arlington, Virginia, USA in the spring of 2008.

  1. Systems Description; Sperry Low Temperature Geothermal Conversion System - Phase I and Phase II; Final Report, Volume III

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Hugh B.

    1982-01-01

    This Volume should be considered the introductory volume to the series of six volumes even though numbered out of sequence. Volumes I and II were completed first and released in 1981 while a staff member was available to do the work. Volumes III through VI are being written and released some two years later as DOE funding became available for the purpose. They are as complete as possible considering that almost all the people involved in the program are now unavailable. This Volume III is an overview of the entire program, and many of the items presented herein briefly will be found in expanded form in one of the other five volumes. It will be noticed that assumptions and parameters such as well flow, well temperature, wet bulb temperatures, etc., involved in the several different performance calculations in the volume vary somewhat. These calculations were made at different times for different purposes and no attempt has been made to bring them into exact agreement.

  2. The Charged Aerosol Release Experiment (Care II) to Study Artificial Dusty Plasmas in the Upper Atmosphere

    Science.gov (United States)

    Bernhardt, P. A.; Siefring, C. L.; Gatling, G.; Briczinski, S. J., Jr.; Vierinen, J.; Bhatt, A.; Holzworth, R. H., II; McCarthy, M.; Gustavsson, B.; La Hoz, C.; Latteck, R.

    2015-12-01

    A sounding rocket launched from Andoya, Norway in September 2015 carried 37 rocket motors and a multi-instrument daughter payload into the ionosphere to study the generation of plasma wave electric fields and ionospheric density disturbances by the high-speed injection of dust particles. The primary purpose of the CARE II mission is to validate the dress-particle theory of enhanced incoherent scatter from a dusty plasma and to validate models of plasma instabilities driven by high-speed charged particles. The CARE II chemical payload produces 66 kg of micron-sized dust particles composed of aluminium oxide. In addition to the dust, simple molecular combustion products such as N2, H2, CO2, CO, H20 and NO will be injected into the bottomside of the F-layer. Charging of the dust and ion charge exchange with the molecules yields plasma particles moving at hypersonic velocities. Streaming instabilities and shear electric fields causes plasma turbulence that can be detected using ground radars and in situ plasma instruments. The instrument payload was separated from the chemical release payload soon after launch to measure electric field vectors, electron and ion densities, and integrated electron densities from the rocket to the ground. The chemical release of high speed dust was directed upward on the downleg of the rocket trajectory to intersect the F-Layer. The instrument section was about 600 meters from the dust injection module at the release time. Ground HF and UHF radars were operated to detected scatter and refraction by the modified ionosphere. Optical instruments from airborne and ground observatories were used to map the dispersal of the dust using scattered sunlight. The plasma interactions are being simulated with both fluid and particle-in-cell (PIC) codes. CARE II is a follow-on to the CARE I rocket experiment conducted from Wallops Island Virginia in September 2009.

  3. A Fire Safety Certification System for Board and Care Operators and Staff. SBIR Phase II: Final Report.

    Science.gov (United States)

    Walker, Bonnie L.

    This report describes Phase II of a project which developed a system for delivering fire safety training to board and care providers who serve adults with developmental disabilities. Phase II focused on developing and pilot testing a "train the trainers" workshop for instructors and field testing the provider's workshop. Evaluation of the 2-day…

  4. Sampling artifact in volume weighted velocity measurement. II. Detection in simulations and comparison with theoretical modeling

    Science.gov (United States)

    Zheng, Yi; Zhang, Pengjie; Jing, Yipeng

    2015-02-01

    Measuring the volume weighted velocity power spectrum suffers from a severe systematic error due to imperfect sampling of the velocity field from the inhomogeneous distribution of dark matter particles/halos in simulations or galaxies with velocity measurement. This "sampling artifact" depends on both the mean particle number density n¯P and the intrinsic large scale structure (LSS) fluctuation in the particle distribution. (1) We report robust detection of this sampling artifact in N -body simulations. It causes ˜12 % underestimation of the velocity power spectrum at k =0.1 h /Mpc for samples with n¯ P=6 ×10-3 (Mpc /h )-3 . This systematic underestimation increases with decreasing n¯P and increasing k . Its dependence on the intrinsic LSS fluctuations is also robustly detected. (2) All of these findings are expected based upon our theoretical modeling in paper I [P. Zhang, Y. Zheng, and Y. Jing, Sampling artifact in volume weighted velocity measurement. I. Theoretical modeling, arXiv:1405.7125.]. In particular, the leading order theoretical approximation agrees quantitatively well with the simulation result for n¯ P≳6 ×10-4 (Mpc /h )-3 . Furthermore, we provide an ansatz to take high order terms into account. It improves the model accuracy to ≲1 % at k ≲0.1 h /Mpc over 3 orders of magnitude in n¯P and over typical LSS clustering from z =0 to z =2 . (3) The sampling artifact is determined by the deflection D field, which is straightforwardly available in both simulations and data of galaxy velocity. Hence the sampling artifact in the velocity power spectrum measurement can be self-calibrated within our framework. By applying such self-calibration in simulations, it is promising to determine the real large scale velocity bias of 1013M⊙ halos with ˜1 % accuracy, and that of lower mass halos with better accuracy. (4) In contrast to suppressing the velocity power spectrum at large scale, the sampling artifact causes an overestimation of the velocity

  5. Pre-Employment Laboratory Training. General Agricultural Mechanics Volume II. Instructional Materials.

    Science.gov (United States)

    Texas A and M Univ., College Station. Vocational Instructional Services.

    This course outline, the second volume of a two-volume set, consists of lesson plans for pre-employment laboratory training in general agricultural mechanics. Covered in the eight lessons included in this volume are cold metal work, soldering, agricultural safety programs, farm shops, farm structures, farm and ranch electrification, soil and water…

  6. Implementing AORN recommended practices for a safe environment of care, part II.

    Science.gov (United States)

    Kennedy, Lynne

    2014-09-01

    Construction in and around a working perioperative suite is a challenge beyond merely managing traffic patterns and maintaining the sterile field. The AORN "Recommended practices for a safe environment of care, part II" provides guidance on building design; movement of patients, personnel, supplies, and equipment; environmental controls; safety and security; and control of noise and distractions. Whether the OR suite evolves through construction, reconstruction, or remodeling, a multidisciplinary team of construction experts and health care professionals should create a functional plan and communicate at every stage of the project to maintain a safe environment and achieve a well-designed outcome. Emergency preparedness, a facility-wide security plan, and minimization of noise and distractions in the OR also help enhance the safety of the perioperative environment.

  7. Tiotropium bromide in the routine care of GOLD stage II COPD patients: a pharmaeconomic evaluation

    Directory of Open Access Journals (Sweden)

    Orietta Zaniolo

    2011-06-01

    Full Text Available Background: a secondary pre-specified analysis of the UPLIFT cohort demonstrated that the inclusion of tiotropium bromide in the routine care of GOLD stage II (moderate chronic obstructive pulmonary disease (COPD patients is associated with stronger improvements of survival, quality of life, and exacerbation rate than those shown in the total cohort; in this subgroup, tiotropium furthermore induces a significant reduction in the rate of FEV1 decline.Objective: to adapt the Spiriva® model, originally built to evaluate cost-effectiveness of tiotropium inclusion in the general COPD population, to GOLD II patients.Methods: the Spiriva® model is a probabilistic Markov patient-level simulation developed over a lifetime horizon to compare outcomes associated with the inclusion of tiotropium in routine care (RC for COPD treatment with those obtained with RC alone. Patients are characterised by gender, age, height, smoking status and FEV1. Model structure and sources have been maintained unvaried, except for demographic characteristics, specific for GOLD II patients, as extrapolated from an Italian observational study, and tiotropium efficacy, based on the secondary analysis of GOLD II UPLIFT patients. As in the original model, only direct health care costs are considered.Results: patients treated with tiotropium on average (95% CI gain 0.70 (0.00/7.23 LYs or 0.77 (0.02/4.67 QALYs compared to RC. The incremental lifetime cost is € 3,520 (-6,391/26,686, meaning that the incremental cost required to gain a QALY (incremental cost-effectiveness ratio – ICER is equal to € 4,548. Sensitivity analysis shows that tiotropium has a 50% probability of being cost-effective for a willingness-to-pay (WTP around 4,600 €/QALY; 100% probability is achieved with a WTP of € 9,300.Conclusions: the adoption of a strategy based on the inclusion of tiotropium from the early COPD stages represents good value for money in Italy, as the ICER estimated for GOLD II

  8. Interview-based Qualitative Research in Emergency Care Part II: Data Collection, Analysis and Results Reporting.

    Science.gov (United States)

    Ranney, Megan L; Meisel, Zachary F; Choo, Esther K; Garro, Aris C; Sasson, Comilla; Morrow Guthrie, Kate

    2015-09-01

    Qualitative methods are increasingly being used in emergency care research. Rigorous qualitative methods can play a critical role in advancing the emergency care research agenda by allowing investigators to generate hypotheses, gain an in-depth understanding of health problems or specific populations, create expert consensus, and develop new intervention and dissemination strategies. In Part I of this two-article series, we provided an introduction to general principles of applied qualitative health research and examples of its common use in emergency care research, describing study designs and data collection methods most relevant to our field (observation, individual interviews, and focus groups). Here in Part II of this series, we outline the specific steps necessary to conduct a valid and reliable qualitative research project, with a focus on interview-based studies. These elements include building the research team, preparing data collection guides, defining and obtaining an adequate sample, collecting and organizing qualitative data, and coding and analyzing the data. We also discuss potential ethical considerations unique to qualitative research as it relates to emergency care research.

  9. Is higher volume of postacute care patients associated with a lower rehospitalization rate in skilled nursing facilities?

    Science.gov (United States)

    Li, Yue; Cai, Xueya; Yin, Jun; Glance, Laurent G; Mukamel, Dana B

    2012-02-01

    This study determined whether higher patient volume of skilled nursing facility (SNF) care was associated with a lower hospital transfer rate. Using the nursing home Minimum Data Set and the Online Survey, Certification, and Reporting file, we assembled a national cohort of Medicare SNF postacute care admissions between January and September of 2008. Multivariable analyses based on Cox proportional hazards models found that patients admitted to high-volume SNFs (annual number of admissions in the top tertile group) showed an approximately 15% reduced risk for 30-day rehospitalization and an approximately 25% reduced risk for 90-day rehospitalization, compared with patients admitted to low-volume SNFs (annual number of admissions in the bottom tertile group, or practice makes perfect" effect, a "selective referral" effect, or both. PMID:21810798

  10. River Protection Project Integrated safety management system phase II verification report, volumes I and II - 8/19/99

    Energy Technology Data Exchange (ETDEWEB)

    SHOOP, D.S.

    1999-09-10

    The Department of Energy policy (DOE P 450.4) is that safety is integrated into all aspects of the management and operations of its facilities. In simple and straightforward terms, the Department will ''Do work safely.'' The purpose of this River Protection Project (RPP) Integrated Safety Management System (ISMS) Phase II Verification was to determine whether ISMS programs and processes are implemented within RFP to accomplish the goal of ''Do work safely.'' The goal of an implemented ISMS is to have a single integrated system that includes Environment, Safety, and Health (ES&H) requirements in the work planning and execution processes to ensure the protection of the worker, public, environment, and federal property over the RPP life cycle. The ISMS is comprised of the (1) described functions, components, processes, and interfaces (system map or blueprint) and (2) personnel who are executing those assigned roles and responsibilities to manage and control the ISMS. Therefore, this review evaluated both the ''paper'' and ''people'' aspects of the ISMS to ensure that the system is implemented within RPP. Richland Operations Office (RL) conducted an ISMS Phase I Verification of the TWRS from September 28-October 9, 1998. The resulting verification report recommended that TWRS-RL and the contractor proceed with Phase II of ISMS verification given that the concerns identified from the Phase I verification review are incorporated into the Phase II implementation plan.

  11. Safety analysis report for the TRUPACT-II shipping package (condensed version). Volume 1, Rev. 14

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-10-01

    The condensed version of the TRUPACT-II Contact Handled Transuranic Waste Safety Analysis Report for Packaging (SARP) contains essential material required by TRUPACT-II users, plus additional contents (payload) information previously submitted to the U.S. Nuclear Regulatory Commission. All or part of the following sections, which are not required by users of the TRUPACT-II, are deleted from the condensed version: (i) structural analysis, (ii) thermal analysis, (iii) containment analysis, (iv) criticality analysis, (v) shielding analysis, and (vi) hypothetical accident test results.

  12. Safety analysis report for the TRUPACT-II shipping package (condensed version). Volume 1, Rev. 14

    International Nuclear Information System (INIS)

    The condensed version of the TRUPACT-II Contact Handled Transuranic Waste Safety Analysis Report for Packaging (SARP) contains essential material required by TRUPACT-II users, plus additional contents (payload) information previously submitted to the U.S. Nuclear Regulatory Commission. All or part of the following sections, which are not required by users of the TRUPACT-II, are deleted from the condensed version: (i) structural analysis, (ii) thermal analysis, (iii) containment analysis, (iv) criticality analysis, (v) shielding analysis, and (vi) hypothetical accident test results

  13. How To Set Up Your Own Small Business. Volumes I-II and Overhead Transparencies.

    Science.gov (United States)

    Fallek, Max

    This two-volume textbook and collection of overhead transparency masters is intended for use in a course in setting up a small business. The following topics are covered in the first volume: getting off to a good start, doing market research, forecasting sales, financing a small business, understanding the different legal needs of different types…

  14. Reports of LSAC Sponsored Research: Volume II, 1970-1974. Law School Admission Research.

    Science.gov (United States)

    Law School Admission Council, Princeton, NJ.

    Thirty-four research reports and summaries of projects studying law school admission and the Law School Admission Test (LSAT) are presented. These research projects were supported by the Law School Admission Council between 1970 and 1974. A subject index and an author index for volume I, covering 1949-1969, and for this volume are also provided.…

  15. DICTIONARY OF OCCUPATIONAL TITLES, 1965. VOLUME II, OCCUPATIONAL CLASSIFICATION AND INDUSTRY INDEX.

    Science.gov (United States)

    Bureau of Employment Security (DOL), Washington, DC.

    VOLUME 2 COMPLEMENTS VOLUME 1 (VT 003 654) BY PROVIDING A CLASSIFICATION STRUCTURE WHICH GROUPS JOBS HAVING THE SAME BASIC OCCUPATIONAL, INDUSTRIAL, OR WORKER CHARACTERISTICS. THE SECTIONS ARE (1) THE OCCUPATIONAL CATEGORIES, DIVISIONS, AND GROUPS, (2) AN ALPHABETIC ARRANGEMENT OF OCCUPATIONAL DIVISIONS AND GROUPS, (3) THE OCCUPATIONAL GROUP…

  16. Final Safety Analysis Addenda to Hazards Summary Report, Experimental Breeder Reactor II (EBR-II): upgrading of plant protection system. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Allen, N. L.; Keeton, J. M.; Sackett, J. I. [comps.

    1980-06-01

    This report is the second in a series of compilations of the formal Final Safety Analysis Addenda (FSAA`s) to the EBR-II Hazard Summary Report and Addendum. Sections 2 and 3 are edited versions of the original FSAA`s prepared in support of certain modifications to the reactor-shutdown-system portion of the EBR-II plant-protection system. Section 4 is an edited version of the original FSAA prepared in support of certain modifications to a system classified as an engineered safety feature. These sections describe the pre- and postmodification system, the rationale for the modification, and required supporting safety analysis. Section 5 provides an updated description and analysis of the EBR-II emergency power system. Section 6 summarizes all significant modifications to the EBR-II plant-protection system to date.

  17. Proceedings of the 1984 workshop on high-energy excitations in condensed matter. Volume II

    International Nuclear Information System (INIS)

    This volume covers electronic excitations, momentum distributions, high energy photons, and a wrap-up session. Abstracts of individual items from the conference were prepared separately for the data base

  18. STATE-OF-THE-ART: MILITARY EXPLOSIVES AND PROPELLANTS PRODUCTION INDUSTRY. VOLUME II. WASTEWATER CHARACTERIZATION

    Science.gov (United States)

    This study has surveyed the military explosives and propellant manufacturing industry, covering both 'GOGO' and 'GOGO' facilities. Sources of wastewater, volumes, and pollutant constituents have been reported where such data existed. Treatment technology currently in use at the v...

  19. Proceedings of the 1984 workshop on high-energy excitations in condensed matter. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Silver, R.N. (comp.)

    1984-12-01

    This volume covers electronic excitations, momentum distributions, high energy photons, and a wrap-up session. Abstracts of individual items from the conference were prepared separately for the data base. (GHT)

  20. Conceptual design and systems analysis of photovoltaic systems. Volume II. Study results. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Kirpich, A.

    1977-03-19

    This investigation of terrestrial PV systems considered the technical and economic feasibility for systems in three size categories: a small system of about 12 kW peak output for on-site residential use; a large 1500 MW central power plant contributing to the bulk energy of a utility system power grid; and an intermediate size system of about 250 kW for use on public or commercial buildings. In each category, conceptual designs were developed, performance was analyzed for a range of climatic regions, economic analyses were performed, and assessments were made of pertinent institutional issues. The report consists of three volumes. Volume I contains a Study Summary of the major study results. This volume contains the detailed results pertaining to on-site residential photovoltaic systems, central power plant photovoltaic systems, and intermediate size systems applied to commercial and public buildings. Volume III contains supporting appendix material. (WHK)

  1. Fixed site neutralization model programmer's manual. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Engi, D.; Chapman, L.D.; Judnick, W.; Blum, R.; Broegler, L.; Lenz, J.; Weinthraub, A.; Ballard, D.

    1979-12-01

    This report relates to protection of nuclear materials at nuclear facilities. This volume presents the source listings for the Fixed Site Neutralization Model and its supporting modules, the Plex Preprocessor and the Data Preprocessor. (DLC)

  2. Consistency check on volume and triad operator quantization in loop quantum gravity: II

    Energy Technology Data Exchange (ETDEWEB)

    Giesel, K [MPI f. Gravitationsphysik, Albert-Einstein-Institut, Am Muehlenberg 1, 14476 Potsdam (Germany); Thiemann, T [MPI f. Gravitationsphysik, Albert-Einstein-Institut, Am Muehlenberg 1, 14476 Potsdam (Germany)

    2006-09-21

    In this paper, we provide the techniques and proofs for the results presented in our companion paper concerning the consistency check on volume and triad operator quantization in loop quantum gravity.

  3. Assessment of control technology for stationary sources. Volume II: control technology data tables. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Minicucci, D.; Herther, M.; Babb, L.; Kuby, W.

    1980-02-01

    This report, the Control Technology Data Tables, is the second volume of the three-volume final report for the contract. It presents in tabular format, qualitative descriptions of control options for the various sources and quantitative information on control technology cost, efficiency, reliability, energy consumption, other environmental impacts and application status. Also included is a code list which classifies the stationary sources examined by industry, process, and emission source.

  4. Fukushima Daiichi Unit 1 Uncertainty Analysis-Exploration of Core Melt Progression Uncertain Parameters-Volume II.

    Energy Technology Data Exchange (ETDEWEB)

    Denman, Matthew R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Brooks, Dusty Marie [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-08-01

    Sandia National Laboratories (SNL) has conducted an uncertainty analysi s (UA) on the Fukushima Daiichi unit (1F1) accident progression wit h the MELCOR code. Volume I of the 1F1 UA discusses the physical modeling details and time history results of the UA. Volume II of the 1F1 UA discusses the statistical viewpoint. The model used was developed for a previous accident reconstruction investigation jointly sponsored by the US Department of Energy (DOE) and Nuclear Regulatory Commission (NRC). The goal of this work was to perform a focused evaluation of uncertainty in core damage progression behavior and its effect on key figures - of - merit (e.g., hydrogen production, fraction of intact fuel, vessel lower head failure) and in doing so assess the applicability of traditional sensitivity analysis techniques .

  5. Efficacy of an Intervention Based on the Theory of Planned Behavior on Foot Care Performance in Type II Diabetic Patients

    OpenAIRE

    Beiranvand; Asadizaker; Fayazi; Yaralizadeh

    2015-01-01

    Background It is known that health education on foot care is a common strategy for preventing diabetic foot and reducing the rate of lower limb amputation. Objectives To evaluate the efficacy of an intervention based on the theory of planned behavior for improving foot care in patients with type II diabetes in 2013 in Ahvaz, Iran. Patients and Methods In this clinical trial, 69 pat...

  6. GENII (Generation II): The Hanford Environmental Radiation Dosimetry Software System: Volume 3, Code maintenance manual: Hanford Environmental Dosimetry Upgrade Project

    Energy Technology Data Exchange (ETDEWEB)

    Napier, B.A.; Peloquin, R.A.; Strenge, D.L.; Ramsdell, J.V.

    1988-09-01

    The Hanford Environmental Dosimetry Upgrade Project was undertaken to incorporate the internal dosimetry models recommended by the International Commission on Radiological Protection (ICRP) in updated versions of the environmental pathway analysis models used at Hanford. The resulting second generation of Hanford environmental dosimetry computer codes is compiled in the Hanford Environmental Dosimetry System (Generation II, or GENII). This coupled system of computer codes is intended for analysis of environmental contamination resulting from acute or chronic releases to, or initial contamination of, air, water, or soil, on through the calculation of radiation doses to individuals or populations. GENII is described in three volumes of documentation. This volume is a Code Maintenance Manual for the serious user, including code logic diagrams, global dictionary, worksheets to assist with hand calculations, and listings of the code and its associated data libraries. The first volume describes the theoretical considerations of the system. The second volume is a Users' Manual, providing code structure, users' instructions, required system configurations, and QA-related topics. 7 figs., 5 tabs.

  7. GENII [Generation II]: The Hanford Environmental Radiation Dosimetry Software System: Volume 3, Code maintenance manual: Hanford Environmental Dosimetry Upgrade Project

    International Nuclear Information System (INIS)

    The Hanford Environmental Dosimetry Upgrade Project was undertaken to incorporate the internal dosimetry models recommended by the International Commission on Radiological Protection (ICRP) in updated versions of the environmental pathway analysis models used at Hanford. The resulting second generation of Hanford environmental dosimetry computer codes is compiled in the Hanford Environmental Dosimetry System (Generation II, or GENII). This coupled system of computer codes is intended for analysis of environmental contamination resulting from acute or chronic releases to, or initial contamination of, air, water, or soil, on through the calculation of radiation doses to individuals or populations. GENII is described in three volumes of documentation. This volume is a Code Maintenance Manual for the serious user, including code logic diagrams, global dictionary, worksheets to assist with hand calculations, and listings of the code and its associated data libraries. The first volume describes the theoretical considerations of the system. The second volume is a Users' Manual, providing code structure, users' instructions, required system configurations, and QA-related topics. 7 figs., 5 tabs

  8. Properties of the volume operator in loop quantum gravity: II. Detailed presentation

    Energy Technology Data Exchange (ETDEWEB)

    Brunnemann, Johannes [Department of Mathematics, University of Hamburg, 20146 Hamburg (Germany); Rideout, David [Perimeter Institute for Theoretical Physics, Waterloo, Ontario N2L 2Y5 (Canada)], E-mail: brunnemann@math.uni-hamburg.de, E-mail: drideout@perimeterinstitute.ca

    2008-03-21

    The properties of the volume operator in loop quantum gravity, as constructed by Ashtekar and Lewandowski, are analyzed for the first time at generic vertices of valence greater than four. We find that the occurrence of a smallest non-zero eigenvalue is dependent upon the geometry of the underlying graph and is not a property of the volume operator itself. The present analysis benefits from the general simplified formula for matrix elements of the volume operator derived in Brunnemann and Thiemann (2006 Class. Quantum Grav. 23 1289), making it feasible to implement it on a computer as a matrix which is then diagonalized numerically. The resulting eigenvalues serve as a database to investigate the spectral properties of the volume operator. Analytical results on the spectrum at 4-valent vertices are included. This is a companion paper to Brunnemann and Rideout (2007 Properties of the volume operator in loop quantum gravity: I. Results Preprint 0706.0469), providing details of the analysis presented there.

  9. Fluorescent Ratiometric Indicators Based on Cu(II-Induced Changes in Poly(NIPAM Microparticle Volume

    Directory of Open Access Journals (Sweden)

    Aaron M. Jones

    2013-01-01

    Full Text Available Microparticles consisting of the thermal responsive polymer N-isopropyl acrylamide (polyNIPAM, a metal ion-binding ligand and a fluorophore pair that undergoes fluorescence resonance energy transfer (FRET have been prepared and characterized. Upon the addition of Cu(II, the microparticles swell or contract depending on whether charge is introduced or neutralized on the polymer backbone. The variation in microparticle morphology is translated into changes in emission of each fluorophore in the FRET pair. By measuring the emission intensity ratio between the FRET pair upon Cu(II addition, the concentration of metal ion in solution can be quantified. This ratiometric fluorescent indicator is the newest technique in an ongoing effort to use emission spectroscopy to monitor Cu(II thermodynamic activity in environmental water samples.

  10. Survey of fish impingement at power plants in the United States. Volume II. Inland waters

    International Nuclear Information System (INIS)

    Impingement of fish at cooling-water intakes of 33 power plants located on inland waters other than the Great Lakes has been surveyed and data are presented. Descriptions of site, plant, and intake design and operation are provided. Reports in this volume summarize impingement data for individual plants in tabular and histogram formats. Information was available from differing sources such as the utilities themselves, public documents, regulatory agencies, and others. Thus, the extent of detail in the reports varies greatly from plant to plant. Histogram preparation involved an extrapolation procedure that has inadequacies. The reader is cautioned in the use of information presented in this volume to determine intake-design acceptability or intensity of impacts on ecosystems. No conclusions are presented herein; data comparisons are made in Volume IV

  11. Survey of fish impingement at power plants in the United States. Volume II. Inland waters

    Energy Technology Data Exchange (ETDEWEB)

    Freeman, III, Richard F.; Sharma, Rajendra K.

    1977-03-01

    Impingement of fish at cooling-water intakes of 33 power plants located on inland waters other than the Great Lakes has been surveyed and data are presented. Descriptions of site, plant, and intake design and operation are provided. Reports in this volume summarize impingement data for individual plants in tabular and histogram formats. Information was available from differing sources such as the utilities themselves, public documents, regulatory agencies, and others. Thus, the extent of detail in the reports varies greatly from plant to plant. Histogram preparation involved an extrapolation procedure that has inadequacies. The reader is cautioned in the use of information presented in this volume to determine intake-design acceptability or intensity of impacts on ecosystems. No conclusions are presented herein; data comparisons are made in Volume IV.

  12. The Amsterdam Studies of Acute Psychiatry - II (ASAP-II: a comparative study of psychiatric intensive care units in the Netherlands

    Directory of Open Access Journals (Sweden)

    van Venrooij Janine

    2009-09-01

    Full Text Available Abstract Background The number of patients in whom mental illness progresses to stages in which acute, and often forced treatment is warranted, is on the increase across Europe. As a consequence, more patients are involuntarily admitted to Psychiatric Intensive Care Units (PICU. From several studies and reports it has become evident that important dissimilarities exist between PICU's. The current study seeks to describe organisational as well as clinical and patient related factors across ten PICU's in and outside the Amsterdam region, adjusted for or stratified by level of urbanization. Method/Design This paper describes the design of the Amsterdam Studies of Acute Psychiatry II (ASAP-II. This study is a prospective observational cohort study comparing PICU's in and outside the Amsterdam region on various patient characteristics, treatment aspects and recovery related variables. Dissimilarities were measured by means of collecting standardized forms which were filled out in the framework of care as usual, by means of questionnaires filled out by mental health care professionals and by means of extracting data from patient files for every consecutive patient admitted at participating PICU's during a specific time period. Urbanization levels for every PICU were calculated conform procedures as proposed by the Dutch Central Bureau for Statistics (CBS. Discussion The current study may provide a deeper understanding of the differences between psychiatric intensive care units that can be used to promote best practice and benchmarking procedures, and thus improve the standard of care.

  13. ICPP calcined solids storage facility closure study. Volume II: Cost estimates, planning schedules, yearly cost flowcharts, and life-cycle cost estimates

    International Nuclear Information System (INIS)

    This document contains Volume II of the Closure Study for the Idaho Chemical Processing Plant Calcined Solids Storage Facility. This volume contains draft information on cost estimates, planning schedules, yearly cost flowcharts, and life-cycle costs for the four options described in Volume I: (1) Risk-Based Clean Closure; NRC Class C fill, (2) Risk-Based Clean Closure; Clean fill, (3) Closure to landfill Standards; NRC Class C fill, and (4) Closure to Landfill Standards; Clean fill

  14. Activity-Based Funding of Hospitals and Its Impact on Mortality, Readmission, Discharge Destination, Severity of Illness, and Volume of Care: A Systematic Review and Meta-Analysis

    OpenAIRE

    Palmer, Karen S.; Thomas Agoritsas; Danielle Martin; Taryn Scott; Sohail M Mulla; Ashley P Miller; Arnav Agarwal; Andrew Bresnahan; Afeez Abiola Hazzan; Jeffery, Rebecca A.; Arnaud Merglen; Ahmed Negm; Siemieniuk, Reed A; Neera Bhatnagar; Dhalla, Irfan A

    2014-01-01

    Background: Activity-based funding (ABF) of hospitals is a policy intervention intended to re-shape incentives across health systems through the use of diagnosis-related groups. Many countries are adopting or actively promoting ABF. We assessed the effect of ABF on key measures potentially affecting patients and health care systems: mortality (acute and post-acute care); readmission rates; discharge rate to post-acute care following hospitalization; severity of illness; volume of care. ...

  15. The new production theory for health care through clinical reengineering: a study of clinical guidelines--Part II.

    Science.gov (United States)

    Sharp, J R

    1995-01-01

    In Part I of this two-part article, in the December 1994 issue of the journal, the author discussed the manufacturing theories of Peter Drucker in terms of their applicability for the health care field. He concluded that Drucker's four principles and practices of manufacturing--statistical quality control, manufacturing accounting, modular organization, and systems approach--do have application to the health care system. Clinical guidelines, a variation on the Drucker theory, are a specific example of the manufacturing process in health. The performance to date of some guidelines and their implications for the health care reform debate are discussed in Part II of the article. PMID:10139603

  16. Industrial Special Wastes Generated in Iowa and Manpower Characteristics of Employee Handlers, Volume II.

    Science.gov (United States)

    Pierce, David R.

    This document, Vol. II in a set, presents the results of the development and instruction of two pilot modules. The first module deals with pesticide container recycling. The second module deals with hazardous substances, especially paints and solvents. Each module contains background information, instructor narrative, student activities, and…

  17. Missouri Journal of Research in Music Education, Volume II, Number 5.

    Science.gov (United States)

    Hilton, Lewis B., Ed.

    1971-01-01

    The six articles presented in this journal are: I. Research in Action: The Transfer of Research in Music and Music Education into the Classroom by Jack R. Stephenson; II. Programmed Instruction and Music Education by Douglas L. Turpin; III. Music Education and the Blind by Joan Thief Gagnepain; IV. Improved Teaching Through the Use of the…

  18. Ocean Thermal Energy Conversion (OTEC) platform configuration and integration. Volume II. Conceptual design. Final report

    Energy Technology Data Exchange (ETDEWEB)

    None

    1978-06-01

    The purpose of this project is to evaluate six candidate hullforms as candidates for the OTEC commercial plant. This volume is a summary of the conceptual design including facility requirements, cost, schedule, and site sensitivity. Two OTEC commercial plant configurations are considered in this study: the ship and the semi-submersible. Engineering drawings are presented. (WHR)

  19. State In-Service Training for Correctional Personnel. Final Report. Volume II.

    Science.gov (United States)

    Kiefer, George W.

    This is part of the final report on a project that focused on the inservice training needs of correctional personnel in the Illinois penal system. Most of this volume is devoted to an overview of existing staff training for line personnel and parole agents; an assessment of unmet training needs; group discussion and other demonstration projects in…

  20. Introduction to Psychology and Leadership. Part Ten; Discipline. Segments I & II, Volume X, Script.

    Science.gov (United States)

    Westinghouse Learning Corp., Annapolis, MD.

    The tenth volume of the introduction to psychology and leadership course (see the final reports which summarize the development project, EM 010 418, EM 010 419, and EM 010 484) concentrates on discipline and is presented in two parts. This document is a self-instructional text with a tape script and intrinsically programed sections. EM 010 442 is…

  1. Savannah River Plant - Project 8980 engineering and design history. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    1957-01-01

    This volume provides an engineering and design history of the 100 area of the Savannah River Plant. This site consisted of five separate production reactor sites, 100-R, P, L, K, and C. The document summarizes work on design of the reactors, support facilities, buildings, siting, etc. for these areas.

  2. Engineering Drawing Practices - Volume I of II: Aerospace and Ground Support Equipment

    Science.gov (United States)

    Schwindt, Paul A.

    2015-01-01

    This manual establishes the essential requirements and reference documents for the preparation and revision of digital product definition data sets prepared for or by NASA at KSC. This volume is only applicable to KSC in-house programs/projects. These requirements do not apply to the preparation of illustrations, artwork, or figures in technical publications.

  3. Supply-demand analysis. Volume II. of the offshore oil industry support craft market. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Durfee, J.H.

    1977-10-01

    Volume Two of this report presents a description of the market for offshore petroleum industry support craft and an analysis of that market. Financial performance of five major operating companies is described. A forecast of support craft supply and demand for 1977, 1982, and 1987 is included.

  4. Financial Report of Ontario Universities, 2001-02. Volume II: Affiliated and Federated Colleges and Universities.

    Science.gov (United States)

    Council of Ontario Universities, Toronto.

    This report contains detailed financial information that provides financial accountability to the Province of Ontario, Canada, for funds received by the 42 provincially assisted universities and colleges during the 2001-2002 fiscal year. It is the latest in an annual series that dates back more than 25 years. This volume contains information on 21…

  5. Catalog of physical protection equipment. Book 1: Volume II. Intrusion detection components

    International Nuclear Information System (INIS)

    This volume covers acoustic components, microwave/radar components, electro-optic barriers, electric field components, orientation components, ferrous metal detection components, proximity detection components, vibration detection components, seismic components, pressure-sensitive components, pressure mats, continuity components, electrical/magnetic switches, fire detection components, and mechanical contact switches

  6. Dancetime! 500 Years of Social Dance. Volume II: 20th Century. [Videotape].

    Science.gov (United States)

    Teten, Carol

    This 50-minute VHS videotape is the second in a 2-volume series that presents 500 years of social dance, music, and fashion. It features dance and music of the 20th century, including; 1910s: animal dances, castle walk, apache, and tango; 1920s: black bottom and charleston; 1930s: marathon, movie musicals, big apple, and jitterbug; 1940s: rumba;…

  7. AEROBIC AND ANAEROBIC TREATMENT OF C.I. DISPERSE BLUE 79 - VOLUME II, APPENDICES

    Science.gov (United States)

    This study was conducted to determine the fate of C.I. Disperse Blue 79, one of the largest production volume dyes, and select biodegradation products in a conventionally operated activated sludge process and an anaerobic sludge digestion system. To achieve this objective, a pilo...

  8. Publications of Los Alamos Research, 1977-1981: formerly Publications of LASL Research. Volume II

    International Nuclear Information System (INIS)

    This volume is a bibliography of Los Alamos publications during the specified period in the following areas: general physics; nuclear physics; particles and fields; radioisotope and radiation applications; nuclear materials security safeguards; solar energy; theoretical plasma physics; and transportation of property and nuclear materials

  9. Higher Education and Development in South-East Asia. Volume II, Country Profiles.

    Science.gov (United States)

    Hayden, Howard; And Others

    This document, the second of three volumes concerned with the role of institutions of higher education in the development of countries in South-East Asia, presents country profiles for Burma, Thailand, Laos, Cambodia, Viet-Nam, Malaysia, Singapore, Indonesia, and the Philippines. The profile emphasizes background, higher education, educational…

  10. Developing maintainability for tokamak fusion power systems. Phase I report. Volume II. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Zahn, H.S.

    1977-10-01

    This volume contains the following appendices: (1) baseline large module time estimates, (2) baseline intermediate module time estimates, (3) baseline small module time estimates, (4) alternate concept estimates, (5) maintenance equipment concepts, (6) additional reactor design definition, and (7) TOCOMO supplements. (MOW)

  11. SNAP II and SNAPPE II as Predictors of Neonatal Mortality in a Pediatric Intensive Care Unit: Does Postnatal Age Play a Role?

    Directory of Open Access Journals (Sweden)

    Mirta Noemi Mesquita Ramirez

    2014-01-01

    Full Text Available Introduction. In developing countries, a lack of decentralization of perinatal care leads to many high-risk births occurring in facilities that do not have NICU, leading to admission to a PICU. Objective. To assess SNAP II and SNAPPE II as predictors of neonatal death in the PICU. Methodology. A prospective study of newborns divided into 3 groups according to postnatal age: Group 1 (G1, of 0 to 6 days; Group 2 (G2 of 7 to 14 days; and Group 3 (G3, of 15 to 28 days. Variables analyzed were SNAP II, SNAPPE II, perinatal data, and known risk factors for death. The Hosmer-Lemeshow test and the receiver operating characteristics (ROC curve were used with SPSS 17.0 for statistical analysis. An Alpha error <5% was considered significant. Results. We analyzed 290 newborns, including 192 from G1, 41 from G2, and 57 from G3. Mortality was similar in all 3 groups. Median SNAP II was higher in newborns that died in all 3 groups (P<0.05. The area under the ROC curve for SNAP II for G1 was 0.78 (CI 95% 0.70–0.86, for G2 0.66 (CI 95% 0.37–0.94, and for G3 0.74 (CI 95% 0.53–0.93. The area under the ROC curve for SNAPPE II for G1 was 0.76 (CI 95% 0.67–0.85, for G2 0.60 (CI 95% 0.30–0.90, and for G3 0.74 (CI 95% 0.52–0.95. Conclusions. SNAP II and SNAPPE II showed moderate discrimination in predicting mortality. The results are not strong enough to establish the correlation between the score and the risk of mortality.

  12. Impact of geothermal technology improvements on royalty collections on federal lands: Volume II: Appendices

    Energy Technology Data Exchange (ETDEWEB)

    1988-10-01

    This volume contains the appendices for the ''Impact of Geothermal Technology Improvements on Royalty Collections on Federal Lands, Final Report, Volume I.'' The material in this volume supports the conclusions presented in Volume I and details each Known Geothermal Resource Area's (KGRA's) royalty estimation. Appendix A details the physical characteristics of each KGRA considered in Volume I. Appendix B supplies summary narratives on each state which has a KGRA. The information presented in Appendix C shows the geothermal power plant area proxies chosen for each KGRA considered within the report. It also provides data ranges which fit into the IMGEO model for electric energy cost estimates. Appendix D provides detailed cost information from the IMGEO model if no Geothermal Program RandD goals were completed beyond 1987 and if all the RandD goals were completed by the year 2000. This appendix gives an overall electric cost and major system costs, which add up to the overall electric cost. Appendix E supplies information for avoided cost projections for each state involved in the study that were used in the IMGEO model run to determine at what cost/kWh a 50 MWe plant could come on line. Appendix F supplies the code used in the determination of royalty income, as well as, tabled results of the royalty runs (detailed in Appendix G). The tabled results show royalty incomes, assuming a 10% discount rate, with and without RandD and with and without a $0.01/kWh transmission cost. Individual data sheets for each KGRA royalty income run are presented in Appendix G.

  13. Hypophosphatemia on the intensive care unit: individualized phosphate replacement based on serum levels and distribution volume.

    NARCIS (Netherlands)

    Bech, A.; Blans, M.; Raaijmakers, M.; Mulkens, C.; Telting, D.; Boer, H. de

    2013-01-01

    BACKGROUND: Hypophosphatemia occurs in about 25% of patients admitted to the intensive care unit. To date, a safe and validated phosphate replacement protocol is not available. OBJECTIVE: To evaluate an individualized phosphate replacement regimen. DESIGN: Fifty consecutive intensive care unit patie

  14. Form factors in finite volume II:disconnected terms and finite temperature correlators

    OpenAIRE

    Pozsgay, B.; Takacs, G.

    2007-01-01

    Continuing the investigation started in a previous work, we consider form factors of integrable quantum field theories in finite volume, extending our investigation to matrix elements with disconnected pieces. Numerical verification of our results is provided by truncated conformal space approach. Such matrix elements are important in computing finite temperature correlation functions, and we give a new method for generating a low temperature expansion, which we test for the one-point functio...

  15. Preliminary design of the Carrisa Plains solar central receiver power plant. Volume II. Plant specifications

    Energy Technology Data Exchange (ETDEWEB)

    Price, R. E.

    1983-12-31

    The specifications and design criteria for all plant systems and subsystems used in developing the preliminary design of Carrisa Plains 30-MWe Solar Plant are contained in this volume. The specifications have been organized according to plant systems and levels. The levels are arranged in tiers. Starting at the top tier and proceeding down, the specification levels are the plant, system, subsystem, components, and fabrication. A tab number, listed in the index, has been assigned each document to facilitate document location.

  16. Design of Studies for Development of BPA Fish and Wildlife Mitigation Accounting Policy Phase II, Volume II, 1985-1988 Technical Report.

    Energy Technology Data Exchange (ETDEWEB)

    Kneese, Allen V.

    1988-08-01

    The incremental costs of corrective measures to lessen the environmental impacts of the hydroelectric system are expected to increase and difficult questions to arise about the costs, effectiveness, and justification of alternative measures and their systemwide implications. The BPA anticipate this situation by launching a forward-looking research program aimed at providing methodological tools and data suitable for estimating the productivity and cost implications of mitigation alternatives in a timely manner with state-of-the-art accuracy. Resources for the Future (RFF) agreed at the request of the BPA to develop a research program which would provide an analytical system designed to assist the BPA Administrator and other interested and responsible parties in evaluating the ecological and economic aspects of alternative protection, enhancement, and mitigation measures. While this progression from an ecological understanding to cost-effectiveness analyses is straightforward in concept, the complexities of the Columbia River system make the development of analytical methods far from simple in practice. The Phase 2 final report outlines the technical issues involved in developing an analytical system and proposes a program of research to address these issues. The report is presented in the Summary Report (Volume 1), and the present volume which consists of three technical reports: Part I, Modeling the Salmon and Steelhead Fisheries of the Columbia River Basin; Part II, Models for Cost-Effectiveness Analysis; and Part III, Ocean Fisheries Harvest Management.

  17. Short transmembrane domains with high-volume exoplasmic halves determine retention of Type II membrane proteins in the Golgi complex.

    Science.gov (United States)

    Quiroga, Rodrigo; Trenchi, Alejandra; González Montoro, Ayelén; Valdez Taubas, Javier; Maccioni, Hugo J F

    2013-12-01

    It is still unclear why some proteins that travel along the secretory pathway are retained in the Golgi complex whereas others make their way to the plasma membrane. Recent bioinformatic analyses on a large number of single-spanning membrane proteins support the hypothesis that specific features of the transmembrane domain (TMD) are relevant to the sorting of these proteins to particular organelles. Here we experimentally test this hypothesis for Golgi and plasma membrane proteins. Using the Golgi SNARE protein Sft1 and the plasma membrane SNARE protein Sso1 from Saccharomyces cerevisiae as model proteins, we modified the length of their TMDs and the volume of their exoplasmic hemi-TMD, and determined their subcellular localization both in yeast and mammalian cells. We found that short TMDs with high-volume exoplasmic hemi-TMDs confer Golgi membrane residence, whereas TMDs with low-volume exoplasmic hemi-TMDs, either short or long, confer plasma membrane residence to these proteins. Results indicate that the shape of the exoplasmic hemi-TMD, in addition to the length of the entire TMD, determine retention in the Golgi or exit to the plasma membrane of Type II membrane proteins.

  18. Demonstration, testing, & evaluation of in situ heating of soil. Draft final report, Volume II: Appendices A to E

    Energy Technology Data Exchange (ETDEWEB)

    Dev, H.; Enk, J.; Jones, D.; Saboto, W.

    1996-02-12

    This document is a draft final report for US DOE contract entitled, {open_quotes}Demonstration Testing and Evaluation of In Situ Soil Heating,{close_quotes} Contract No. DE-AC05-93OR22160, IITRI Project No. C06787. This report is presented in two volumes. Volume I contains the technical report This document is Volume II, containing appendices with background information and data. In this project approximately 300 cu. yd. of clayey soil containing a low concentration plume of volatile organic chemicals was heated in situ by the application of electrical energy. It was shown that as a result of heating the effective permeability of soil to air flow was increased such that in situ soil vapor extraction could be performed. The initial permeability of soil was so low that the soil gas flow rate was immeasurably small even at high vacuum levels. When scaled up, this process can be used for the environmental clean up and restoration of DOE sites contaminated with VOCs and other organic chemicals boiling up to 120{degrees}to 130{degrees}C in the vadose zone. Although it may applied to many types of soil formations, it is particularly attractive for low permeability clayey soil where conventional in situ venting techniques are limited by low air flow.

  19. Rapidity and Transverse Mass Spectra of Hadrons in a New Excluded-Volume Model II

    CERN Document Server

    Tiwari, S K; Singh, C P

    2012-01-01

    Remarkable success gained by various thermal and statistical approaches in describing the particle multiplicities and their ratios has emphasized the formation of a fireball consisting of chemically equilibrated hot and dense hadron gas (HG) produced in the ultrarelativistic heavy-ion collisions. In an earlier paper referred as I, we proposed a thermodynamically consistent excluded-volume model for the HG fireball and we noticed that the model gives a suitable description for various properties of multiparticle production and their ratios in the entire range of temperatures and baryon densities. Furthermore, a numerical calculation indicates that the model respects causality and the values of the transport coefficients (such as shear viscosity to entropy ($\\eta/s$) ratio, and the speed of sound etc.) suitably match with the predictions of other HG models. The aim in this paper is to obtain the variations of freeze-out volume in a slice of unit rapidity i.e. $dV/dy$ as well as total volume of the fireball with...

  20. Tank Waste Remediation System, Hanford Site, Richland, Washington. Final Environmental Impact Statement. Volume II

    International Nuclear Information System (INIS)

    This document, Volume 2, provides the inventory of waste addressed in this Final Environmental Impact Statement (EIS) for the Tank Waste Remediation System, Hanford Site, Richland, Washington. The inventories consist of waste from the following four groups: (1) Tank waste; (2) Cesium (Cs) and Strontium (Sr) capsules; (3) Inactive miscellaneous underground storage tanks (MUSTs); and (4) Anticipated future tank waste additions. The major component by volume of the overall waste is the tank waste inventory (including future tank waste additions). This component accounts for more than 99 percent of the total waste volume and approximately 70 percent of the radiological activity of the four waste groups identified previously. Tank waste data are available on a tank-by-tank basis, but the accuracy of these data is suspect because they primarily are based on historical records of transfers between tanks rather than statistically based sampling and analyses programs. However, while the inventory of any specific tank may be suspect, the overall inventory for all of the tanks combined is considered more accurate. The tank waste inventory data are provided as the estimated overall chemical masses and radioactivity levels for the single-shell tanks (SSTs) and double-shell tanks (DSTs). The tank waste inventory data are broken down into tank groupings or source areas that were developed for analyzing groundwater impacts

  1. German Emergency Care in Neurosurgery and Military Neurology during World War II, 1939-1945.

    Science.gov (United States)

    Stahnisch, Frank W

    2016-01-01

    A critical analysis of the historical involvement of neurology and neurosurgery in military emergency care services enables us to better contextualize and appreciate the development of modern neurology at large. Wartime neurosurgery and civil brain science during the German Nazi period tightly coalesced in examining the specific injury types, which military neurosurgeons such as Wilhelm Toennis, Klaus Joachim Zuelch, and Georg Merrem encountered and treated based on their neurophysiological understanding gained from earlier peacetime research. Collaborative associations with Dr. Toennis in particular proved to be highly beneficial to other military neurologists and neurosurgeons during World War II and beyond. This article also discusses the prewar developments and considers the fate of German neurosurgeons and military neurologists after the war. The envisaged dynamic concepts of fast action, reaction, and recycling, which contemporary physicians had intensively studied in the preceding scientific experiments in their neurophysiological laboratories, had already been introduced into neurological surgery during the interwar period. In retrospect, World War II emergency rescue units greatly strengthened military operations through an active process of 'recycling' indispensable army personnel. Neurosurgical emergency chains thereby introduced another decisive step in the modernization of warfare, in that they increased the momentum of military mobility in the field. Notwithstanding the violence of warfare and the often inhumane ways in which such knowledge in the field of emergency neurology was gained, the protagonists among the group of experts in military neurology and neurosurgery strongly contributed to the postwar clinical neuroscience community in Germany. In differing political pretexts, this became visible in both East Germany and West Germany after the war, while the specific military and political conditions under which this knowledge of emergency medicine

  2. German Emergency Care in Neurosurgery and Military Neurology during World War II, 1939-1945.

    Science.gov (United States)

    Stahnisch, Frank W

    2016-01-01

    A critical analysis of the historical involvement of neurology and neurosurgery in military emergency care services enables us to better contextualize and appreciate the development of modern neurology at large. Wartime neurosurgery and civil brain science during the German Nazi period tightly coalesced in examining the specific injury types, which military neurosurgeons such as Wilhelm Toennis, Klaus Joachim Zuelch, and Georg Merrem encountered and treated based on their neurophysiological understanding gained from earlier peacetime research. Collaborative associations with Dr. Toennis in particular proved to be highly beneficial to other military neurologists and neurosurgeons during World War II and beyond. This article also discusses the prewar developments and considers the fate of German neurosurgeons and military neurologists after the war. The envisaged dynamic concepts of fast action, reaction, and recycling, which contemporary physicians had intensively studied in the preceding scientific experiments in their neurophysiological laboratories, had already been introduced into neurological surgery during the interwar period. In retrospect, World War II emergency rescue units greatly strengthened military operations through an active process of 'recycling' indispensable army personnel. Neurosurgical emergency chains thereby introduced another decisive step in the modernization of warfare, in that they increased the momentum of military mobility in the field. Notwithstanding the violence of warfare and the often inhumane ways in which such knowledge in the field of emergency neurology was gained, the protagonists among the group of experts in military neurology and neurosurgery strongly contributed to the postwar clinical neuroscience community in Germany. In differing political pretexts, this became visible in both East Germany and West Germany after the war, while the specific military and political conditions under which this knowledge of emergency medicine

  3. Correlation of APACHE II and SOFA scores with length of stay in various surgical intensive care units.

    Science.gov (United States)

    Milić, Morena; Goranović, Tatjana; Holjevac, Jadranka Katancić

    2009-09-01

    The aim of this study was to evaluate the usefulness of using Acute Physiology and Chronic Health Evaluation (APACHE) II score and Sequential Organ Failure Assessment (SOFA) score as the predictors of length of stay (LOS) in various surgical intensive care units (ICUs) and to test the hypothesis that the significance of scoring for predicting LOS is greater in specialized surgical ICUs. We scored patients in a non-specialized general surgical ICU (n = 328) and in a specialized cardiosurgical ICU (n = 158) consecutively on admission (APACHE II-1st day; SOFA-1st day) and on third day of stay (APACHE II-3rd day; SOFA-3rd day) in a 4-month period. LOS and APACHE II/SOFA scores were significantly correlated both on admission and on third day of stay in the general surgical ICU (APACHE II-1st day r = 0.289; SOFA-1st day r = 0.306; APACHE II-3rd day r = 0.728; SOFA-3rd day r = 0.725). LOS and APACHE II on admission were not significantly correlated in the cardiosurgical ICU (APACHE II-1st day r = 0.092), while SOFA on admission and APACHE II and SOFA on third day were significantly correlated (SOFA-1st day r = 0.258; APACHE II-3rd day r = 0.716; SOFA-3rd day r = 0.719). Usefulness of scoring for predicting LOS in ICU varied between different surgical ICUs. Contrary to our hypothesis, scoring had greater value for predicting LOS in the non-specialized general surgical ICU. APACHE II score on admission had no value for predicting LOS in the cardiosurgical ICU.

  4. Decreased plasma albumin concentration results in increased volume of distribution and decreased elimination of midazolam in intensive care patients.

    Science.gov (United States)

    Vree, T B; Shimoda, M; Driessen, J J; Guelen, P J; Janssen, T J; Termond, E F; van Dalen, R; Hafkenscheid, J C; Dirksen, M S

    1989-11-01

    The pharmacokinetic parameters of 16 patients in the intensive care unit, sedated with midazolam, were evaluated. A large variation was observed in the plasma concentration of midazolam and between the plasma concentration of midazolam and its metabolite 1-hydroxymethylmidazolam glucuronide. The plasma albumin concentration governs the volume of distribution of midazolam. Decreased plasma albumin concentration (25 gm/L) results in an increased volume of distribution and a decreased elimination rate of midazolam. The observed plasma concentration ratio between the parent drug and its metabolite 1-hydroxymethylmidazolam glucuronide is governed by the variables of protein binding, the metabolic rate of midazolam, and the renal clearance of the glucuronide metabolite itself (which can be considered as a measure of the kidney function of the patient). PMID:2582710

  5. Structuring polymer blends with bicontinuous phase morphology. Part II. Tailoring blends with ultralow critical volume fraction

    DEFF Research Database (Denmark)

    Lyngaae-Jørgensen, Jørgen; Utracki, Leszek

    2003-01-01

    A hypothesis providing a guideline for the development of immiscible polymer blends with co-continuous phase structure at very low critical volume fraction of one component is. postulated and experimentally verified. Based on a number of simplifying assumptions the following relation was derived......: phi(cr) = k(lambdagamma)(1-z)/(theta(b)(*))(z) where lambdagamma is a Deborah number and theta(b)(*) is a dimensionless break-up time. The equation parameters, k and z are constant that depend on the flow field hence on the blending equipment. For the studies an internal mixer with Walzenkneter...

  6. Subseabed Disposal Program Plan. Volume II. FY80 budget and subtask work plans

    International Nuclear Information System (INIS)

    This volume of the Subseabed Disposal Program Plan presents a breakdown of the master program structure by major activity. Each activity is described and accompanied by a specific cost plan schedule and a milestone plan. The costs have been compiled in the Cost Plan Schedules attached to each Subtask Work Plan. The FY 1980 budget for the Subseabed Disposal Program is summarized at the second level of the Work Breakdown Structure. The milestone plans for FY 80 are presented. The milestones can be changed only with the concurrence of the Sandia Subseabed Program Manager

  7. Profile and severity of the patients of intensive care units: prospective application of the APACHE II index.

    Science.gov (United States)

    De Freitas, Eliane Regina Ferreira Sernache

    2010-01-01

    This study aimed to understand the profile and severity of patients in physiotherapy treatment after their admission to the intensive care unit (ICU) by applying the APACHE II index. One hundred and forty six subjects, with a mean age of 60.5 +/- 19.2 years, were evaluated. The APACHE II index was applied in the first 24 hours to evaluate the severity and mortality risk score. Patients were monitored until hospital discharge or death. The mean APACHE II score was 20+/-7.3 with an estimated risk of death of 32.4% and observed mortality of 58.2%. The mean hospital stay was 27.8+/-25.2 days. The patients in physiotherapy at the institution studied were predominantly male, elderly, from the emergency service for treatment (non-surgical), and had clear severity, suggested by the APACHE II score and the observed mortality.

  8. Reproductive behavior following evacuation to foster care duringWorld War II

    Directory of Open Access Journals (Sweden)

    Torsten Santavirta

    2015-07-01

    Full Text Available Background: Family disruption and separation form parents during childhood may have long-lasting effects on the child. Previous literature documents associations between separation from parents and cognitive ability, educational attainment, and health, but little is known about effects on subsequent reproductive behavior. Objective: We evaluate the associations between unaccompanied evacuation to foster care and subsequent marriage and fertility behavior by comparing Finnish children who were evacuated to Swedish foster families during World War II to their non-evacuated siblings. Methods: In total, some 49,000 children were evacuated for a period ranging from months to years. We analyze a nationally representative sample of 2,009 evacuees born in 1933-1944 by combining data collected from war time government records with 1950 and 1971 censuses and 1971-2011 population registers. Results: Comparison of evacuated and nonevacuated same-sex siblings suggests no associations between evacuation and the probability of ever marrying, timing of first birth, and completed family size, although some associations are found in na¨ıve means comparisons. This difference in results across models is suggestive of negative selection of evacuee families. Conclusions: We do not find consistent evidence of any causal effect of family disruption on family formation and reproductive behavior. The results are sensitive to controlling for unobserved selection and suggest that some of the adverse outcomes documented in earlier literature could change if selection was accounted for.

  9. Microbial Risk and Health Care Associated Infections Diseases at Dok II Hospital Jayapura

    Directory of Open Access Journals (Sweden)

    Yermia Yermia

    2016-09-01

    Full Text Available One of the best parameter to evaluate the quality of indoor environment is the air microorganisms. It has been found various types of microorganisms such as fungi, bacteria, viruses, and amoebae. Bacteria that cause healthcare associated infections can live and thrive in a hospital environment either in air, water, floor, food and medical or non-medical objects. The general objective of this study was to analyze the relationship between quality airborne bacteria in the treatment room with the incidence of healthcare-associated infections t the General Hospital of DOK II Jayapura. This study was an observational analytic with cross sectional study, observation directly performed to determine the state of the environment and the maintenance room operating room, equipment used by doctors and nurses to treat patients and see whether the services carried out hygienically. Results indicated that a type of bacteria commonly found were Bacillus sp group and Staphylococcus sp are almost found in every treatment room. There are several bacterial pathogens were identified in the treatment room include Staphylococcus sp. Furthermore, respondents who potentially Related Infections Health Services more than that is not potentially; 27 patients (25.0% and that no potential 81 patients (75.0%. Chi Square test results demonstrate the value of research p-value of 0.000 (0.000 <0.05 means that Ho is rejected, it means that there is a relationship between the presence of bacteria in the air with the potential Health Care Associated Infections.

  10. Physics of laser fusion. Volume II. Diagnostics of experiments on laser fusion targets at LLNL

    International Nuclear Information System (INIS)

    These notes present the experimental basis and status for laser fusion as developed at LLNL. There are two other volumes in this series: Vol. I, by C.E. Max, presents the theoretical laser-plasma interaction physics; Vol. III, by J.F. Holzrichter et al., presents the theory and design of high-power pulsed lasers. A fourth volume will present the theoretical implosion physics. The notes consist of six sections. The first, an introductory section, provides some of the history of inertial fusion and a simple explanation of the concepts involved. The second section presents an extensive discussion of diagnostic instrumentation used in the LLNL Laser Fusion Program. The third section is a presentation of laser facilities and capabilities at LLNL. The purpose here is to define capability, not to derive how it was obtained. The fourth and fifth sections present the experimental data on laser-plasma interaction and implosion physics. The last chapter is a short projection of the future

  11. Small Volume Fraction Limit of the Diblock Copolymer Problem: II. Diffuse-Interface Functional

    CERN Document Server

    Choksi, Rustum

    2010-01-01

    We present the second of two articles on the small volume fraction limit of a nonlocal Cahn-Hilliard functional introduced to model microphase separation of diblock copolymers. After having established the results for the sharp-interface version of the functional (arXiv:0907.2224), we consider here the full diffuse-interface functional and address the limit in which epsilon and the volume fraction tend to zero but the number of minority phases (called particles) remains O(1). Using the language of Gamma-convergence, we focus on two levels of this convergence, and derive first- and second-order effective energies, whose energy landscapes are simpler and more transparent. These limiting energies are only finite on weighted sums of delta functions, corresponding to the concentration of mass into `point particles'. At the highest level, the effective energy is entirely local and contains information about the size of each particle but no information about their spatial distribution. At the next level we encounter...

  12. Hot-gas cleanup system model development. Volume II. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Ushimaru, K.; Bennett, A.; Bekowies, P.J.

    1982-11-01

    Under Contract to the Department of Energy (DOE) through the Morgantown Energy Technology Center (METC), Flow Industries, Inc., has developed computer models to simulate the physical performance of five hot-gas cleanup devices for pressurized, fluidized-bed combustion (PFBC), combined-cycle power plants. Separate cost models have also been developed to estimate the cost of each device. The work leading to the development of these models is described in Volume I of this report. This volume contains the user's manuals for both the physical and cost models. The manuals for the physical models are given first followed by those for the cost models. Each manual is a complete and separate document. The model names and devices and their respective subroutine names are: (1) Moving Granular Bed Filter by Combustion Power Company, USRCGB, QFCOST; (2) Ceramic Bag Filter by Acurex, USRACB, QDCOST; (3) Electrostatic Granular Bed Filter by General Electric, USRGGB, QACOST; (4) Electrostatic Precipitator by Research Cottrell, USRCEP, QECOST; and (5) Electrocyclone by General Electric, USRGCY, QBCOST.

  13. Final waste management programmatic environmental impact statement for managing treatment, storage, and disposl of radioactive and hazardous waste. Volume II

    International Nuclear Information System (INIS)

    The Final Waste Management Programmatic Environmental Impact Statement (WM PEIS) examines the potential environmental and cost impacts of strategic management alternatives for managing five types of radioactive and hazardous wastes that have resulted and will continue to result from nuclear defense and research activities at a variety of sites around the United States. The five waste types are low-level mixed waste, low-level waste, transuranic waste, high-level waste, and hazardous waste. The WM PEIS provides information on the impacts of various siting alternatives which the Department of Energy (DOE) will use to decide at which sites to locate additional treatment, storage, and disposal capacity for each waste type.Volume II is an integral part of the Office of Environmental Management''s (EM''s) Waste Management Programmatic Environmental Impact Statement (WM PEIS), which portrays the impacts of EM''s waste management activities at each of the 17 major DOE sites evaluated in the WM PEIS

  14. Solvent-refined-coal (SRC) process. Volume II. Sections V-XIV. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1982-05-01

    This report documents the completion of development work on the Solvent Refined Coal Process by The Pittsburgh and Midway Coal Mining Co. The work was initiated in 1966 under Office of Coal Research, US Department of Interior, Contract No. 14-01-0001-496 and completed under US Department of Energy Contract No. DE-AC05-79ET10104. This report discusses work leading to the development of the SRC-I and SRC-II processes, construction of the Fort Lewis Pilot Plant for the successful development of these processes, and results from the operation of this pilot plant. Process design data generated on a 1 ton-per-day Process Development Unit, bench-scale units and through numerous research projects in support of the design of major demonstration plants are also discussed in summary form and fully referenced in this report.

  15. Proceedings of the sixth international conference on fluidized bed combustion. Volume II. Technical sessions

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-08-01

    The Sixth International Conference on Fluidized Bed Combustion was held April 9-11, 1980, at the Atlanta Hilton, Atlanta, Georgia. It was sponsored by the US Department of Energy, the Electric Power Research Institute, the US Environmental Protection Agency, and the Tennessee Valley Authority. The papers covered recent developments in atmospheric and pressurized fluidized-bed combustion, especially the design, operation and control of pilot and demonstration plants. The cleanup of combustion products and the erosion, corrosion and fouling of gas turbines was emphasized also. Fifty-five papers from Volume 2 of the proceedings have been entered individually into EDB and ERA; five papers had been entered previously from other sources. (LTN)

  16. Reproducible Volume Restoration and Efficient Long-term Volume Retention after Point-of-care Standardized Cell-enhanced Fat Grafting in Breast Surgery

    OpenAIRE

    dos Anjos, Severiano; Matas-Palau, Aina; Mercader, Josep; Adam J. Katz; Llull, Ramon (ca.1232-1316)

    2015-01-01

    Background: Lipoaspirated fat grafts are used to reconstruct volume defects in breast surgery. Although intraoperative treatment decisions are influenced by volume changes observed immediately after grafting, clinical effect and patient satisfaction are dependent on volume retention over time. The study objectives were to determine how immediate breast volume changes correlate to implanted graft volumes, to understand long-term adipose graft volume changes, and to study the “dose” effect of a...

  17. Volume profiles for the reversible binding of dioxygen to cobalt(II) complexes. Evidence for a substitution-controlled process

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, M.; Espenson, J.H.; Bakac, A. (Iowa State Univ., Ames, IA (United States)); Eldik, R. van (Univ. of Witten/Herdecke (Germany))

    1994-01-05

    The rate constants for the binding and release of dioxygen from two cobalt(II) macrocycles have been determined in aqueous solution as a function of pressure at 25.0[degrees]C. The products of these reactions are L[sup 1]CoOO[sup 2+] and L[sup 2]CoOO[sup 2+], where L[sup 1] = cyclam and L[sup 2] = hexamethylcyclam. The pressure dependence of the equilibrium constant for the L[sup 2] system was also evaluated, giving [delta]V[degrees] = [minus]22.- [+-] 0.4 mL mol[sup [minus]1]. The binding rate constants have [delta]V* = +0.4 [+-] 0.5 mL mol[sup [minus]1] (L[sup 1]) and [minus]4.7 [+-] 0.3 mL mol[sup [minus]1] (L[sup 2]). The reverse reaction for L[sup 2]CoOO[sup 2+] has [delta]V* = +17.9 [+-] 0.5 mL mol[sup [minus]1]. The volume profile is presented for the L[sup 2] system, from which an interchange mechanism for substitution at Co(II) is proposed. Electron transfer is not significantly advanced at the transition state. The reverse reaction, released of dioxygen from the cobalt(III)-superoxo complex, has a large positive value of [delta]V*, consistent with the electron transfer preceding the partial dissociation of O[sub 2].

  18. Analysis of the permitting processes associated with exploration of Federal OCS leases. Final report. Volume II. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    1980-11-01

    Under contract to the Office of Leasing Policy Development (LPDO), Jack Faucett Associates is currently undertaking the description and analysis of the Outer Continental Shelf (OCS) regulatory process to determine the nature of time delays that affect OCS production of oil and gas. This report represents the results of the first phase of research under this contract, the description and analysis of regulatory activity associated with exploration activities on the Federal OCS. Volume 1 contains the following three sections: (1) study results; (2) Federal regulatory activities during exploration of Federal OCS leases which involved the US Geological Survey, Environmental Protection Agency, US Coast Guard, Corps of Engineers, and National Ocean and Atmospheric Administration; and (3) state regulatory activities during exploration of Federal OCS leases of Alaska, California, Louisiana, Massachusetts, New Jersey, North Carolina and Texas. Volume II contains appendices of US Geological Survey, Environmental Protection Agency, Coast Guard, Corps of Engineers, the Coastal Zone Management Act, and Alaska. The major causes of delay in the regulatory process governing exploration was summarized in four broad categories: (1) the long and tedious process associated with the Environmental Protection Agency's implementation of the National Pollutant Discharge Elimination System Permit; (2) thelack of mandated time periods for the completion of individual activities in the permitting process; (3) the lack of overall coordination of OCS exploratory regulation; and (4) the inexperience of states, the Federal government and industry relating to the appropriate level of regulation for first-time lease sale areas.

  19. Portable microcomputer for the analysis of plutonium gamma-ray spectra. Volume II. Software description and listings

    International Nuclear Information System (INIS)

    A portable microcomputer has been developed and programmed for the International Atomic Energy Agency (IAEA) to perform in-field analysis of plutonium gamma-ray spectra. The unit includes a 16-bit LSI-11/2 microprocessor, 32-K words of memory, a 20-character display for user prompting, a numeric keyboard for user responses, and a 20-character thermal printer for hard-copy output of results. The unit weights 11 kg and has dimensions of 33.5 x 30.5 x 23.0 cm. This compactness allows the unit to be stored under an airline seat. Only the positions of the 148-keV 241Pu and 208-keV 237U peaks are required for spectral analysis that gives plutonium isotopic ratios and weight percent abundances. Volume I of this report provides a detailed description of the data analysis methodology, operation instructions, hardware, and maintenance and troubleshooting. Volume II describes the software and provides software listings

  20. Assessment of the health and environmental effects of power generation in the Midwest. Volume II. Ecological effects

    Energy Technology Data Exchange (ETDEWEB)

    Dvorak, A J; Pentecost, E D

    1977-04-01

    This report presents an initial evaluation of the major health and environmental issues associated with increased coal use in the six Midwestern states of Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin. Using an integrated assessment approach, the evaluation proceeds from a base-line scenario of energy demand and facility siting for the period 1975 to 2020. Emphasis is placed on impacts from coal extraction, land reclamation, coal combustion for electrical generation, and coal gasification. The range of potential impacts and constraints is illustrated by a second scenario that represents an expected upper limit for coal utilization in Illinois. Volume I of the report includes a characterization of the energy demand and siting scenarios, coal related technologies, and coal resources, and the related impacts on air quality, water quality, and human health. Volume II includes background information on the native ecosystems, climate, soils, and agricultural land use and a description of the ecological impacts expected from coal utilization in southern Illinois, which as ecosystems representative of a large segment of the six-state area.

  1. A Report to Congress on Long-Term Stewardship. Volume II, Site Summaries

    Energy Technology Data Exchange (ETDEWEB)

    None

    2001-01-01

    During World War II and the Cold War, the Federal government developed and operated a vast network of industrial facilities for the research, production, and testing of nuclear weapons, as well as for other scientific and engineering research. These processes left a legacy of radioactive and chemical waste, environmental contamination, and hazardous facilities and materials at well over a 100 sites in 30 States and one U.S. Territory. Hundreds of thousand of acres of residually contaminated soils, contaminated groundwater, surface water and sediment contamination, and contaminated buildings are present at many sites across the country. These sites range in size from less than one acre, containing only a single facility, to large sites spanning over 100,000 acres with huge uranium enrichment plants and plutonium processing canyons. Since 1989, the U.S. Department of Energy’s (DOE) Environmental Management (EM) program has made significant progress in addressing this environmental legacy. Millions of cubic meters of waste have been removed, stabilized, or disposed of, resulting in significant risk and cost reduction. In addition, DOE began disposing of transuranic (i.e., plutonium-contaminated) waste in the nation’s first deep geologic repository – the Waste Isolation Pilot Plant in New Mexico. DOE is now carrying out its long-term stewardship obligations at dozens of sites, including smaller sites where DOE has completed cleanup work for the entire site and many larger sites where DOE has remediated portions of the site.

  2. Energy use in the marine transportation industry: Task II. Regulations and Tariffs. Final report, Volume III

    Energy Technology Data Exchange (ETDEWEB)

    None

    1977-12-01

    The evaluation of the energy impacts of regulations and tariffs is structured around three sequential steps: identification of agencies and organizations that impact the commercial marine transportation industry; identification of existing or proposed regulations that were perceived to have a significant energy impact; and quantification of the energy impacts. Following the introductory chapter, Chapter II describes the regulatory structure of the commercial marine transportation industry and includes a description of the role of each organization and the legislative basis for their jurisdiction and an identification of major areas of regulation and those areas that have an energy impact. Chapters III through IX each address one of the 7 existing or proposed regulatory or legislative actions that have an energy impact. Energy impacts of the state of Washington's tanker regulations, of tanker segregated ballast requirements, of inland waterway user charges, of cargo pooling and service rationalization, of the availability of intermodal container transportation services, of capacity limitations at lock and dam 26 on the Mississippi River and the energy implications of the transportation alternatives available for the West Coast crude oil supplies are discussed. (MCW)

  3. Safety analysis report for the TRUPACT-II shipping package (condensed version). Volume 2, Rev. 14

    International Nuclear Information System (INIS)

    This appendix determines the effective G values for payload shipping categories of contact handled transuranic (CH-TRU) waste materials, based on the radiolytic G values for waste materials that are discussed in detail in Appendix 3.6.8 of the Safety Analysis Report for the TRUPACT-II Shipping Package. The effective G values take into account self-absorption of alpha decay energy inside particulate contamination and the fraction of energy absorbed by nongas-generating materials. As described in Appendix 3.6.8, an effective G value, Geff, is defined by: Geff - ΣM (FM x GM) FM-fraction of energy absorbed by material maximum G value for a material where the sum is over all materials present inside a waste container. The G value itself is determined primarily by the chemical properties of the material and its temperature. The value of F is determined primarily by the size of the particles containing the radionuclides, the distribution of radioactivity on the various materials present inside the waste container, and the stopping distance of alpha particles in air, in the waste materials, or in the waste packaging materials

  4. Safety analysis report for the TRUPACT-II shipping package (condensed version). Volume 2, Rev. 14

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-10-01

    This appendix determines the effective G values for payload shipping categories of contact handled transuranic (CH-TRU) waste materials, based on the radiolytic G values for waste materials that are discussed in detail in Appendix 3.6.8 of the Safety Analysis Report for the TRUPACT-II Shipping Package. The effective G values take into account self-absorption of alpha decay energy inside particulate contamination and the fraction of energy absorbed by nongas-generating materials. As described in Appendix 3.6.8, an effective G value, G{sub eff}, is defined by: G{sub eff} - {Sigma}{sub M} (F{sub M} x G{sub M}) F{sub M}-fraction of energy absorbed by material maximum G value for a material where the sum is over all materials present inside a waste container. The G value itself is determined primarily by the chemical properties of the material and its temperature. The value of F is determined primarily by the size of the particles containing the radionuclides, the distribution of radioactivity on the various materials present inside the waste container, and the stopping distance of alpha particles in air, in the waste materials, or in the waste packaging materials.

  5. Soil Properties Database of Spanish Soils Volume II.- Asturias, Cantabria and Pais Vasco

    International Nuclear Information System (INIS)

    The soil vulnerability determines the sensitivity of the soil after an accidental radioactive contamination due to Cs-137 and Sr-90. The Departamento de Impacto Ambiental de la Energia of CIEMAT is carrying out an assessment of the radiological vulnerability of the different Spanish soils found on the Iberian Peninsula. This requires the knowledge of the soil properties for the various types of existing soils. In order to achieve this aim, a bibliographical compilation of soil profiles has been made to characterize the different soil types and create a database of their properties. Depending on the year of publication and the type of documentary source, the information compiled from the available bibliography is very heterogeneous. Therefore. an important effort has been made to normalize and process the information prior to its incorporation to the database. This volume presents the criteria applied to normalize and process the data as well as the soil properties of the various soil types belonging to the Comunidades Autonomas de Asturias, Cantabria and Pais Vasco. (Author) 34 refs

  6. Study of advanced fission power reactor development for the United States. Volume II

    International Nuclear Information System (INIS)

    This report presents the results of a multi-phase research study which had as its objective the comparative study of various advanced fission reactors and evaluation of alternate strategies for their development in the USA through the year 2020. By direction from NSF, ''advanced'' reactors were defined as those which met the dual requirements of (1) offering a significant improvement in fissile fuel utilization as compared to light-water reactors and (2) currently receiving U.S. Government funding. (A detailed study of the LMFBR was specifically excluded, but cursory baseline data were obtained from ERDA sources.) Included initially were the High-Temperature Gas-Cooled Reactor (HTGR), Gas-Cooled Fast Reactor (GCFR), Molten Salt Reactor (MSR), and Light-Water Breeder Reactor (LWBR). Subsequently, the CANDU Heavy Water Reactor (HWR) was included for comparison due to increased interest in its potential. This volume presents the reasoning process and analytical methods utilized to arrive at the conclusions for the overall study

  7. International Best Practice Basis for Assessing Recovery Operations. Annex II of Technical Volume 5

    International Nuclear Information System (INIS)

    This volume seeks to identify lessons learned related to post-accident recovery that may further improve preparedness worldwide. This objective assessment of the recovery programme is made according to international best practice. In the practice and assessment of radiation and nuclear safety, international best practice is a process or technique that is likely to consistently produce superior results. An important principle is that a ‘best’ practice can evolve to become better as improvements are discovered and lessons are learned from past experience. The lessons to be learned from the recovery programme as it unfolds in Japan will feed back into improving international best practice in post-accident recovery worldwide. Best practice is used to maintain quality and is a component of quality management systems and standards, such as ISO 9000. It is generally regarded as being the most efficient and effective way to accomplish desired outcomes. The body of best practice is used as a benchmark and for self assessment

  8. Evaluation of line focus solar central power systems. Volume II. Systems evaluation

    Energy Technology Data Exchange (ETDEWEB)

    1980-03-15

    An evaluation was completed to ascertain the applicability of line focus technologies to electrical power applications and to compare their performance and cost potential with point focus central receiver power systems. It was concluded that although the high temperature line focus (SRI) and fixed mirror line focus (GA) concepts duplicate the heat source characteristics and power conversion technology of the central receiver concepts these configurations do not offer a sufficient improvement in cost to warrant full scale development. The systems are, however, less complex than their point focus counterpart and should the central receiver system development falter they provide reasonable technology alternatives. The parabolic trough concept (BDM) was found to provide a low temperature technology alternative to the central receiver concept with promising performance and cost potential. Its continued development is recommended, with special emphasis on lower temperature (< 700/sup 0/F) applications. Finally, a variety of new promising line focus power system configurations were identified for a range of utility and industrial applications and recommendations were made on their implementation. This volume contains the detailed report. (WHK)

  9. Site characterization report for the basalt waste isolation project. Volume II

    International Nuclear Information System (INIS)

    The reference location for a repository in basalt for the terminal storage of nuclear wastes on the Hanford Site and the candidate horizons within this reference repository location have been identified and the preliminary characterization work in support of the site screening process has been completed. Fifteen technical questions regarding the qualification of the site were identified to be addressed during the detailed site characterization phase of the US Department of Energy-National Waste Terminal Storage Program site selection process. Resolution of these questions will be provided in the final site characterization progress report, currently planned to be issued in 1987, and in the safety analysis report to be submitted with the License Application. The additional information needed to resolve these questions and the plans for obtaining the information have been identified. This Site Characterization Report documents the results of the site screening process, the preliminary site characterization data, the technical issues that need to be addressed, and the plans for resolving these issues. Volume 2 contains chapters 6 through 12: geochemistry; surface hydrology; climatology, meteorology, and air quality; environmental, land-use, and socioeconomic characteristics; repository design; waste package; and performance assessment

  10. Sampling Artifact in Volume Weighted Velocity Measurement.--- II. Detection in simulations and comparison with theoretical modelling

    CERN Document Server

    Zheng, Yi; Jing, Yipeng

    2014-01-01

    Measuring the volume weighted velocity power spectrum suffers from a severe systematic error, due to imperfect sampling of the velocity field from inhomogeneous distribution of dark matter particles/halos in simulations or galaxies with velocity measurement. This "sampling artifact" depends on both the mean particle number density $\\bar{n}_P$ and the intrinsic large scale structure (LSS) fluctuation in the particle distribution. (1) We report robust detection of this sampling artifact in N-body simulations. It causes $\\sim 12%$ nderestimation of the velocity power spectrum at $k=0.1$h/Mpc for samples with $\\bar{n}_P=6\\times10^{-3}$ (Mpc/h)$^{-3}$. This systematic underestimation increases with decreasing $\\bar{n}_P$ and increasing $k$. Its dependence on the intrinsic LSS fluctuations is also robustly detected. (2) All these findings are expected by our theoretical modelling in paper I \\cite{Zhang14}. In particular, the leading order theoretical approximation agrees quantitatively well with simulation result f...

  11. Feasibility evaluation solar heated textile process water. Volume II. Appendices. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Hester, J. C.; Beard, J. N.; Robinson, G. F.; Harnett, R. M.

    1977-02-01

    The general objectives of this study are to determine the technical and economic feasibility of the use of solar energy for heating waters in the textile industry and to develop a plan for efforts beyond this feasibility study phase. Specific objectives include (1) determine the industry requirements for heated process water, (2) assess particular schemes and their economic impact, (3) study the total cost environment for solar water heating in this industry, and (4) recommend future experiments. This volume contains the appendices: (A) fiber distribution and end use data; (B) computer model description for textile plant energy balances; (C) computer model description to generate local solar potential; (D) computer model description for system synthesis and analysis; (E) computer model to determine pressure drop, flow distribution and plumbing components; (F) area requirement plots for various use rates, temperature levels, seasons, orientations and collector types for textile operations; (G) computer model description of economic variables for COSMO1 and COSMO2; (H) rate of return plots for various textile applications and energy cost scenerios; and (I) data base for efficiency curves for six collector types. (WHK)

  12. Site characterization report for the basalt waste isolation project. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    None

    1982-11-01

    The reference location for a repository in basalt for the terminal storage of nuclear wastes on the Hanford Site and the candidate horizons within this reference repository location have been identified and the preliminary characterization work in support of the site screening process has been completed. Fifteen technical questions regarding the qualification of the site were identified to be addressed during the detailed site characterization phase of the US Department of Energy-National Waste Terminal Storage Program site selection process. Resolution of these questions will be provided in the final site characterization progress report, currently planned to be issued in 1987, and in the safety analysis report to be submitted with the License Application. The additional information needed to resolve these questions and the plans for obtaining the information have been identified. This Site Characterization Report documents the results of the site screening process, the preliminary site characterization data, the technical issues that need to be addressed, and the plans for resolving these issues. Volume 2 contains chapters 6 through 12: geochemistry; surface hydrology; climatology, meteorology, and air quality; environmental, land-use, and socioeconomic characteristics; repository design; waste package; and performance assessment.

  13. LIFAC sorbent injection desulfurization demonstration project. Final report, volume II: Project performance and economics

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-01-01

    This publication discusses the demonstration of the LIFAC sorbent injection technology at Richmond Power and Light`s Whitewater Valley Unit No. 2, performed under the auspices of the U.S. Department of Energy`s (DOE) Clean Coal Technology Program. LIFAC is a sorbent injection technology capable of removing 75 to 85 percent of a power plant`s SO{sub 2} emissions using limestone at calcium to sulfur molar ratios of between 2 and 2.5 to 1. The site of the demonstration is a coal-fired electric utility power plant located in Richmond, Indiana. The project is being conducted by LIFAC North America (LIFAC NA), a joint venture partnership of Tampella Power Corporation and ICF Kaiser Engineers, in cooperation with DOE, RP&L, and Research Institute (EPRI), the State of Indiana, and Black Beauty Coal Company. The purpose of Public Design Report Volume 2: Project Performance and Economics is to consolidate, for public use, the technical efficiency and economy of the LIFAC Process. The report has been prepared pursuant to the Cooperative Agreement No. DE-FC22-90PC90548 between LIFAC NA and the U.S. Department of Energy.

  14. Fuel Quality/Processing Study. Volume II. Appendix, Task I, literature survey

    Energy Technology Data Exchange (ETDEWEB)

    O' Hara, J B; Bela, A; Jentz, N E; Klumpe, H W; Kessler, R E; Kotzot, H T; Loran, B I

    1981-04-01

    This activity was begun with the assembly of information from Parsons' files and from contacts in the development and commercial fields. A further more extensive literature search was carried out using the Energy Data Base and the American Petroleum Institute Data Base. These are part of the DOE/RECON system. Approximately 6000 references and abstracts were obtained from the EDB search. These were reviewed and the especially pertinent documents, approximately 300, were acquired in the form of paper copy or microfiche. A Fuel Properties form was developed for listing information pertinent to gas turbine liquid fuel properties specifications. Fuel properties data for liquid fuels from selected synfuel processes, deemed to be successful candidates for near future commercial plants were tabulated on the forms. The processes selected consisted of H-Coal, SRC-II and Exxon Donor Solvent (EDS) coal liquefaction processes plus Paraho and Tosco shale oil processes. Fuel properties analyses for crude and distillate syncrude process products are contained in Section 2. Analyses representing synthetic fuels given refinery treatments, mostly bench scale hydrotreating, are contained in Section 3. Section 4 discusses gas turbine fuel specifications based on petroleum source fuels as developed by the major gas turbine manufacturers. Section 5 presents the on-site gas turbine fuel treatments applicable to petroleum base fuels impurities content in order to prevent adverse contaminant effects. Section 7 relates the environmental aspects of gas turbine fuel usage and combustion performance. It appears that the near future stationary industrial gas turbine fuel market will require that some of the synthetic fuels be refined to the point that they resemble petroleum based fuels.

  15. Status of volcanic hazard studies for the Nevada Nuclear Waste Storage Investigations. Volume II

    International Nuclear Information System (INIS)

    Volcanic hazard investigations during FY 1984 focused on five topics: the emplacement mechanism of shallow basalt intrusions, geochemical trends through time for volcanic fields of the Death Valley-Pancake Range volcanic zone, the possibility of bimodal basalt-rhyolite volcanism, the age and process of enrichment for incompatible elements in young basalts of the Nevada Test Site (NTS) region, and the possibility of hydrovolcanic activity. The stress regime of Yucca Mountain may favor formation of shallow basalt intrusions. However, combined field and drill-hole studies suggest shallow basalt intrusions are rare in the geologic record of the southern Great Basin. The geochemical patterns of basaltic volcanism through time in the NTS region provide no evidence for evolution toward a large-volume volcanic field or increases in future rates of volcanism. Existing data are consistent with a declining volcanic system comparable to the late stages of the southern Death Valley volcanic field. The hazards of bimodal volcanism in this area are judged to be low. The source of a 6-Myr pumice discovered in alluvial deposits of Crater Flat has not been found. Geochemical studies show that the enrichment of trace elements in the younger rift basalts must be related to an enrichment of their mantle source rocks. This geochemical enrichment event, which may have been metasomatic alteration, predates the basalts of the silicic episode and is, therefore, not a young event. Studies of crater dimensions of hydrovolcanic landforms indicate that the worst case scenario (exhumation of a repository at Yucca Mountain by hydrovolcanic explosions) is unlikely. Theoretical models of melt-water vapor explosions, particularly the thermal detonation model, suggest hydrovolcanic explosion are possible at Yucca Mountain. 80 refs., 21 figs., 5 tabs

  16. Status of volcanic hazard studies for the Nevada Nuclear Waste Storage Investigations. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Crowe, B.M.; Wohletz, K.H.; Vaniman, D.T.; Gladney, E.; Bower, N.

    1986-01-01

    Volcanic hazard investigations during FY 1984 focused on five topics: the emplacement mechanism of shallow basalt intrusions, geochemical trends through time for volcanic fields of the Death Valley-Pancake Range volcanic zone, the possibility of bimodal basalt-rhyolite volcanism, the age and process of enrichment for incompatible elements in young basalts of the Nevada Test Site (NTS) region, and the possibility of hydrovolcanic activity. The stress regime of Yucca Mountain may favor formation of shallow basalt intrusions. However, combined field and drill-hole studies suggest shallow basalt intrusions are rare in the geologic record of the southern Great Basin. The geochemical patterns of basaltic volcanism through time in the NTS region provide no evidence for evolution toward a large-volume volcanic field or increases in future rates of volcanism. Existing data are consistent with a declining volcanic system comparable to the late stages of the southern Death Valley volcanic field. The hazards of bimodal volcanism in this area are judged to be low. The source of a 6-Myr pumice discovered in alluvial deposits of Crater Flat has not been found. Geochemical studies show that the enrichment of trace elements in the younger rift basalts must be related to an enrichment of their mantle source rocks. This geochemical enrichment event, which may have been metasomatic alteration, predates the basalts of the silicic episode and is, therefore, not a young event. Studies of crater dimensions of hydrovolcanic landforms indicate that the worst case scenario (exhumation of a repository at Yucca Mountain by hydrovolcanic explosions) is unlikely. Theoretical models of melt-water vapor explosions, particularly the thermal detonation model, suggest hydrovolcanic explosion are possible at Yucca Mountain. 80 refs., 21 figs., 5 tabs.

  17. Possible interrelationship between changes in F-actin and myosin II, protein phosphorylation, and cell volume regulation in Ehrlich ascites tumor cells

    DEFF Research Database (Denmark)

    Pedersen, S F; Hoffmann, E K

    2002-01-01

    Osmotic shrinkage of Ehrlich ascites tumor cells (EATC) elicited translocation of myosin II from the cytosol to the cortical region, and swelling elicits concentration of myosin II in the Golgi region. Rho kinase and p38 both appeared to be involved in shrinkage-induced myosin II reorganization. In...... effects on F-actin. The subsequent F-actin depolymerization, however, appeared MLCK- and PKC-dependent, and the initial swelling-induced F-actin depolymerization was MLCK-dependent; both effects were apparently secondary to kinase-mediated effects on cell volume changes. NHE1 in EATC is activated both by...

  18. Medical care for interned enemy aliens: a role for the US Public Health Service in World War II.

    Science.gov (United States)

    Fiset, Louis

    2003-10-01

    During World War II, the US Public Health Service (USPHS) administered health care to 19 000 enemy aliens and Axis merchant seamen interned by the Justice Department through its branch, the Immigration and Naturalization Service (INS). The Geneva Prisoners of War Convention of 1929, which the United States applied to civilian internees, provided guidelines for belligerent nations regarding humanitarian treatment of prisoners of war, including for their health. The INS forged an agreement with the USPHS to meet these guidelines for the German, Italian, and Japanese internees and, in some cases, their families. Chronic shortages and crowded camps continuously challenged USPHS administrators. Nevertheless, the USPHS offered universal access to care and provided treatment often exceeding care received by many American citizens. PMID:14534217

  19. TIBER II/ETR final design report: Volume 3, 5.0 Radiation safety and environment; 6.0 Physics and technology R and D needs

    International Nuclear Information System (INIS)

    This paper discusses the design of the TIBER II Tokamak. This particular volume discusses: safety and environmental requirements and design targets; accident analyses; personnel safety and maintenance exposure; effluent control; waste management and decommissioning; safety considerations in building design; and safety and environmental conclusions and recommendations

  20. TECHNICAL REPORT ON TECHNOLOGICALLY ENHANCED NATURALLY OCCURRING RADIOACTIVE MATERIALS FROM URANIUM MINING, VOLUME II: INVESTIGATION OF POTENTIAL HEALTH, GEOGRAPHIC, AND ENVIRONMENTAL ISSUES OF ABANDONED URANIUM MINES

    Science.gov (United States)

    Volume II investigates the potential radiogenic risks from abandoned uranium mines and evaluates which may pose the greatest hazards to members of the public and to the environment. The intent of this report is to identify who may be most likely to be exposed to wastes at small a...

  1. External validation of Acute Physiology and Chronic Health Evaluation IV in Dutch intensive care units and comparison with Acute Physiology and Chronic Health Evaluation II and Simplified Acute Physiology Score II

    NARCIS (Netherlands)

    S. Brinkman; F. Bakhshi-Raiez; A. Abu-Hanna; E. de Jonge; R.J. Bosman; L. Peelen; N.F. de Keizer

    2011-01-01

    Purpose: The aim of this study was to validate and compare the performance of the Acute Physiology and Chronic Health Evaluation (APACHE) IV in the Dutch intensive care unit (ICU) population to the APACHE II and Simplified Acute Physiology Score (SAPS) II. Materials and Methods: This is a prospectiv

  2. Black liquor combustion validated recovery boiler modeling: Final year report. Volume 2 (Appendices I, section 5 and II, section 1)

    Energy Technology Data Exchange (ETDEWEB)

    Grace, T.M.; Frederick, W.J.; Salcudean, M.; Wessel, R.A.

    1998-08-01

    This project was initiated in October 1990, with the objective of developing and validating a new computer model of a recovery boiler furnace using a computational fluid dynamics (CFD) code specifically tailored to the requirements for solving recovery boiler flows, and using improved submodels for black liquor combustion based on continued laboratory fundamental studies. The key tasks to be accomplished were as follows: (1) Complete the development of enhanced furnace models that have the capability to accurately predict carryover, emissions behavior, dust concentrations, gas temperatures, and wall heat fluxes. (2) Validate the enhanced furnace models, so that users can have confidence in the predicted results. (3) Obtain fundamental information on aerosol formation, deposition, and hardening so as to develop the knowledge base needed to relate furnace model outputs to plugging and fouling in the convective sections of the boiler. (4) Facilitate the transfer of codes, black liquid submodels, and fundamental knowledge to the US kraft pulp industry. Volume 2 contains the last section of Appendix I, Radiative heat transfer in kraft recovery boilers, and the first section of Appendix II, The effect of temperature and residence time on the distribution of carbon, sulfur, and nitrogen between gaseous and condensed phase products from low temperature pyrolysis of kraft black liquor.

  3. Final programmatic environmental impact statement for the uranium mill tailings remedial action ground water project. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    None

    1996-10-01

    Volume II of the programmatic environmental impact statement (PElS) is a comment and response document; it is the collection of the comments received on the draft PElS. The U.S. Department of Energy's (DOE) response to each comment is provided after each comment. If the comment resulted in a change to the PElS, the affected section number of the PElS is provided in the response. Comments 1 through 259 were received at public hearings. The name of the hearing at which the comment was received is listed after each comment. Comments were recorded on flip charts and by notetakers. DOE representatives were present to hear the comments and respond to them. The DOE's written response is provided after each comment. Comments 260 through 576 were received in writing at the hearings, and from various federal, tribal, and state agencies and from individuals during the public comment period. Copies of the written comments follow the comments and responses.

  4. Final programmatic environmental impact statement for the uranium mill tailings remedial action ground water project. Volume II

    International Nuclear Information System (INIS)

    Volume II of the programmatic environmental impact statement (PElS) is a comment and response document; it is the collection of the comments received on the draft PElS. The U.S. Department of Energy's (DOE) response to each comment is provided after each comment. If the comment resulted in a change to the PElS, the affected section number of the PElS is provided in the response. Comments 1 through 259 were received at public hearings. The name of the hearing at which the comment was received is listed after each comment. Comments were recorded on flip charts and by notetakers. DOE representatives were present to hear the comments and respond to them. The DOE's written response is provided after each comment. Comments 260 through 576 were received in writing at the hearings, and from various federal, tribal, and state agencies and from individuals during the public comment period. Copies of the written comments follow the comments and responses

  5. Policy challenges for the pediatric rheumatology workforce: Part II. Health care system delivery and workforce supply

    Directory of Open Access Journals (Sweden)

    Henrickson Michael

    2011-08-01

    Full Text Available Abstract The United States pediatric population with chronic health conditions is expanding. Currently, this demographic comprises 12-18% of the American child and youth population. Affected children often receive fragmented, uncoordinated care. Overall, the American health care delivery system produces modest outcomes for this population. Poor, uninsured and minority children may be at increased risk for inferior coordination of services. Further, the United States health care delivery system is primarily organized for the diagnosis and treatment of acute conditions. For pediatric patients with chronic health conditions, the typical acute problem-oriented visit actually serves as a barrier to care. The biomedical model of patient education prevails, characterized by unilateral transfer of medical information. However, the evidence basis for improvement in disease outcomes supports the use of the chronic care model, initially proposed by Dr. Edward Wagner. Six inter-related elements distinguish the success of the chronic care model, which include self-management support and care coordination by a prepared, proactive team. United States health care lacks a coherent policy direction for the management of high cost chronic conditions, including rheumatic diseases. A fundamental restructure of United States health care delivery must urgently occur which places the patient at the center of care. For the pediatric rheumatology workforce, reimbursement policies and the actions of health plans and insurers are consistent barriers to chronic disease improvement. United States reimbursement policy and overall fragmentation of health care services pose specific challenges for widespread implementation of the chronic care model. Team-based multidisciplinary care, care coordination and self-management are integral to improve outcomes. Pediatric rheumatology demand in the United States far exceeds available workforce supply. This article reviews the career

  6. National Utility Financial Statement model (NUFS). Volume II of III: user's guide. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1981-10-29

    This volume is a User's Guide for the National Utility Financial Statement Model (NUFS). This is the second of three volumes describing NUFS provided by ICF Incorporated under contract DEAC01-79EI10579. The three volumes are entitled: Model Overview and Description; User's Guide; and Software Description. This volume describes each necessary input file, discusses user options, and describes the job stream necessary to run the model.

  7. The influence of volume and intensive care unit organization on hospital mortality in patients admitted with severe sepsis: a retrospective multicentre cohort study.

    NARCIS (Netherlands)

    Peelen, L.; Keizer, N.F. de; Peek, N.; Scheffer, G.J.; Voort, P.H. van der; Jonge, E. de

    2007-01-01

    INTRODUCTION: The aim of the study was to assess the influence of annual volume and factors related to intensive care unit (ICU) organization on in-hospital mortality among patients admitted to the ICU with severe sepsis. METHODS: A retrospective cohort study was conducted using the database of the

  8. Passing and Failing Learners: Policies and Practices in Ondangwa and Rundu in Grades 1 to 3, Volumes I and II.

    Science.gov (United States)

    Fair, Kristi

    This two volume document investigates the policies and processes that result in learners failing or passing in grades 1-3 in Ondangwa and Rundu education regions of Namibia. The first volume is a synthesis of the research, while volume two presents the "raw" data provided to help ground the reader in real life school settings. Ondangwa and Rundu…

  9. Fast gas heating in nitrogenoxygen discharge plasma: II. Energy exchange in the afterglow of a volume nanosecond discharge at moderate pressures

    OpenAIRE

    Mintoussov, E I; Pendleton, S J; Gerbault, F; Popov, N. A.; Starikovskaia, S M

    2011-01-01

    Abstract gas heating in nitrogen?oxygen discharge plasma. II. Energy exchange in the afterglow of a volume nanosecond discharge at moderate pressures. Abstract. The process of fast gas heating in air in the near afterglow of a pulsed nanosecond spatially uniform discharge has been investigated experimentally and numerically at moderate (3?9 mbar) pressures and high (200?400 Td) reduced electric fields. The temporal behavior of discharge current, deposited energy, electric field and tempera...

  10. Causes of death in intensive care patients with a low APACHE II score

    NARCIS (Netherlands)

    Berkel, A. van; Lieshout, J.v.; Hellegering, J.; Hoeven, J.G. van der; Pickkers, P.

    2012-01-01

    Background: Little is known about the actual causes of death of patients with a low APACHE II score, but iatrogenic reasons may play a role. The aim of this study was to evaluate the demographics, course of disease, and causes of death in this specific group of ICU patients. Methods: For this retros

  11. Critical Care Nurses Inadequately Assess SAPS II Scores of Very Ill Patients in Real Life

    Directory of Open Access Journals (Sweden)

    Andreas Perren

    2012-01-01

    Full Text Available Background. Reliable ICU severity scores have been achieved by various healthcare workers but nothing is known regarding the accuracy in real life of severity scores registered by untrained nurses. Methods. In this retrospective multicentre audit, three reviewers independently reassessed 120 SAPS II scores. Correlation and agreement of the sum-scores/variables among reviewers and between nurses and the reviewers’ gold standard were assessed globally and for tertiles. Bland and Altman (gold standard—nurses of sum scores and regression of the difference were determined. A logistic regression model identifying risk factors for erroneous assessments was calculated. Results. Correlation for sum scores among reviewers was almost perfect (mean ICC = 0.985. The mean (±SD nurse-registered SAPS II sum score was 40.3±20.2 versus 44.2±24.9 of the gold standard (32 points scores. The lowest agreement was found in high SAPS II tertiles for haemodynamics (k = 0.45–0.51. Conclusions. In real life, nurse-registered SAPS II scores of very ill patients are inaccurate. Accuracy of scores was not associated with nurses’ characteristics.

  12. Inventory of Federal energy-related environment and safety research for FY 1977. Volume II. Project listings

    Energy Technology Data Exchange (ETDEWEB)

    1978-07-01

    This volume contains Biomedical and Environmental Research, Environmental Control Technology Research, and Operational and Environmental Safety Research project listings. The projects are ordered numerically by log number.

  13. Management of infections in critically ill returning travellers in the intensive care unit-II

    DEFF Research Database (Denmark)

    Rello, Jordi; Manuel, Oriol; Eggimann, Philippe;

    2016-01-01

    This position paper is the second ESCMID Consensus Document on this subject and aims to provide intensivists, infectious disease specialists, and emergency physicians with a standardized approach to the management of serious travel-related infections in the intensive care unit (ICU) or the emerge......This position paper is the second ESCMID Consensus Document on this subject and aims to provide intensivists, infectious disease specialists, and emergency physicians with a standardized approach to the management of serious travel-related infections in the intensive care unit (ICU......) or the emergency department. This document is a cooperative effort between members of two European Society of Clinical Microbiology and Infectious Diseases (ESCMID) study groups and was coordinated by Hakan Leblebicioglu and Jordi Rello for ESGITM (ESCMID Study Group for Infections in Travellers and Migrants...

  14. Education on foot care in people with diabetes mellitus, type II

    OpenAIRE

    Antonia Kalogianni; Maria Polikandrioti

    2009-01-01

    Diabetes mellitus is a disease related to numerous complications, including neuropathy, peripheral vascular disease and trauma. These complications in conjunction with the infection of the foot ulcers is the leading cause of amputations of feet (non-traumatic lower limb amputation).Aim: The purpose of this study was to systematically review the evidence on the way and methods of caring diabetic foot.Method and material: The method οf the present study included research of medical and nurs...

  15. Education on foot care in people with diabetes mellitus, type II

    Directory of Open Access Journals (Sweden)

    Antonia Kalogianni

    2009-05-01

    Full Text Available Diabetes mellitus is a disease related to numerous complications, including neuropathy, peripheral vascular disease and trauma. These complications in conjunction with the infection of the foot ulcers is the leading cause of amputations of feet (non-traumatic lower limb amputation.Aim: The purpose of this study was to systematically review the evidence on the way and methods of caring diabetic foot.Method and material: The method οf the present study included research of medical and nursing literature data-bases using specific keywords.Results: The review of the literature showed that the most effective intervention to prevent and treat ulceration of diabetic foot is patients’ education which should be mainly focused on early recognition of the diabetic foot, daily self-care, proper footwear, modification of the way of living and adherence of the participants to the instructions of healthcare team. Relevant research has shown that diabetic patients attending education programs should initially be stratified according to their needs and afterwards to be determined the type of intervention management according to the foot risk category they belong. The ultimate goal of every educative intervention is to reduce the incidence of ulceration and amputation through reinforcing patients' knowledge of prevention and self-management.Conclusions: Foot care education is absolutely necessary to be incorporated in the diabetic treatment approach. Through educative interventions diabetic patients will acquire the essential knowledge and skills that contribute to the improvement of their clinical outcome.

  16. Preventing Cancer in the Workplace and Community. Volume II. Cancer, the Worker and the Community. An Independent Study Guide.

    Science.gov (United States)

    Li, Virginia C., Ed.; And Others

    This second volume of a two-volume set on prevention of cancer in the workplace is a self-instructional manual designed for independent study by students who consult on a regular basis with an instructor. The manual follows a consistent format. The narrative text in each of three sections presents current knowledge about the subject and refers to…

  17. Halo Gas and Galaxy Disk Kinematics of a Volume-Limited Sample of MgII Absorption-Selected Galaxies at z~0.1

    CERN Document Server

    Kacprzak, G G; Barton, E J; Cooke, J

    2011-01-01

    We have directly compared MgII halo gas kinematics to the rotation velocities derived from emission/absorption lines of the associated host galaxies. Our 0.096volume-limited sample comprises 13 ~L* galaxies, with impact parameters of 12-90 kpc from background quasars sight-lines, associated with 11 MgII absorption systems with MgII equivalent widths 0.3< W_r(2796)<2.3A. For only 5/13 galaxies, the absorption resides to one side of the galaxy systemic velocity and trends to align with one side of the galaxy rotation curve. The remainder have absorption that spans both sides of the galaxy systemic velocity. These results differ from those at z~0.5, where 74% of the galaxies have absorption residing to one side of the galaxy systemic velocity. For all the z~0.1 systems, simple extended disk-like rotation models fail to reproduce the full MgII velocity spread, implying other dynamical processes contribute to the MgII kinematics. In fact 55% of the galaxies are "counter-rotating" with respect ...

  18. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 2. March-April 2003

    Science.gov (United States)

    Zamani, Rahman, Ed.; Guralnick, Eva, Ed.; Kunitz, Judith Ed.

    2003-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  19. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 6, November-December 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  20. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 21, Number 1. January-February 2008

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Turner, Debra, Ed.

    2008-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  1. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 4. July-August 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Walsh, Eileen, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  2. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 23, Number 2, March-April 2010

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2010-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  3. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 21, Number 3, May-June 2008

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.

    2008-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of this newsletter are to promote and support a healthy and safe environment for all…

  4. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 2. March-April 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Lucich, Mardi, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  5. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 1. January-February 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Walsh, Eileen, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  6. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 3, May-June 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  7. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 2, March-April 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  8. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 2. March-April 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Walsh, Eileen, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  9. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 4. July-August 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  10. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 6, November-December 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of this newsletter are to promote and support a healthy and safe environment for all…

  11. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 23, Number 1, January-February 2010

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2010-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  12. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 6. November-December 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  13. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 3, May-June 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  14. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 4. July-August 2003

    Science.gov (United States)

    Zamani, Rahman, Ed.; Guralnick, Eva, Ed.; Kunitz, Judith Ed.

    2003-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  15. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 21, Number 6. November-December 2008

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.

    2008-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  16. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 5, September-October 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  17. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 4, July-August 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  18. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 21, Number 2. March-April 2008

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.

    2008-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  19. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 1, January-February 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  20. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 1. January-February 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Lucich, Mardi, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  1. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 21, Number 4, July-August 2008

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.

    2008-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  2. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 3. May-June 2003

    Science.gov (United States)

    Zamani, Rahman, Ed.; Guralnick, Eva, Ed.; Kunitz, Judith, Ed.

    2003-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  3. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 2, March-April 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  4. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 3, May-June 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  5. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 23, Number 3, May-June 2010

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2010-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of this newsletter are to promote and support a healthy and safe environment for all…

  6. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 1. January-February 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  7. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 5, September-October 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of this newsletter are to promote and support a healthy and safe environment for all…

  8. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 1. January-February 2002

    Science.gov (United States)

    Zamani, Rahman, Ed.; Guralnick, Eva, Ed.; Kunitz, Judith, Ed.

    2002-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  9. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 1. January-February 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  10. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 5. September-October 2003

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Jensen, Susan, Ed.; Lucich, Mardi, Ed.

    2003-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  11. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 3. May-June 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Kunitz, Judith, Ed.; Lucich, Mardi, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  12. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 5, September-October 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  13. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 6. November-December 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Lucich, Mardi, Ed.; Walsh, Eileen, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  14. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 23, Number 4, July-August 2010

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2010-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  15. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 4, July-August 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  16. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 5. September-October 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Lucich, Mardi, Ed.; Walsh, Eileen, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  17. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 6, November-December 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of this newsletter are to promote and support a healthy and safe environment for all…

  18. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 5. September-October 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Walsh, Eileen, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  19. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 2, March-April 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  20. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 6. November-December 2003

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Jensen, Susan, Ed.; Lucich, Mardi, Ed.

    2003-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  1. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 4. July-August 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Kunitz, Judith Ed.; Lucich, Mardi, Ed.; Walsh, Eileen, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  2. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 3. May-June 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Walsh, Eileen, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  3. Technology assessment of offshore industry and its impact on the maritime industry 1976-2000. Volume II. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Durfee, J.H.

    1977-08-01

    Volume Two examines the various impacts on the traditional maritime industry of offshore industry development, and describes the areas of planning needed by the maritime industry to accommodate those impacts.

  4. Immobilization of defense high-level waste: an assessment of technological strategies and potential regulatory goals. Volume II

    International Nuclear Information System (INIS)

    This volume contains the following appendices: selected immobilization processes, directory of selected European organizations involved in HLW management, U.S. high-level waste inventories, and selected European HLW program

  5. Standards of specialized diabetes care. Edited by Dedov II, Shestakova MV (6th edition

    Directory of Open Access Journals (Sweden)

    Ivan Ivanovich Dedov

    2013-06-01

    Full Text Available Dear Colleagues!We are glad to present the 6th Edition of Standards of Diabetes Care. These evidence-based guidelines were designed to standardize and facilitate diabetes care in all regions of the Russian Federation. The Standards are updated on the regular basis to incorporate new data and relevant recommendations from national and international clinical societies, including World Health Organization Guidelines (WHO, 2011, International Diabetes Federation (IDF, 2011, American Diabetes Association (ADA, 2013, American Association of Clinical Endocrinologists (AACE, 2009, International Society for Pediatric and Adolescent Diabetes (ISPAD, 2009 and Russian Association of Endocrinologists (RAE, 2011, 2012. Current edition of the “Standards” also integrates results of completed randomized clinical trials (ADVANCE, ACCORD, VADT, UKPDS, etc., as well as findings from the national studies of diabetes mellitus (DM, conducted in close partnership with a number of Russian hospitals.Latest data indicates that prevalence of DM increased during the last decade more than two-fold, reaching some 371 million patients by 2013. According to the current estimation by the International Diabetes Federation, every tenth inhabitant of the planet will be suffering from DM by 2030. These observations resulted in the UN Resolution 61/225 passed on 20.12.2006 that encouraged all Member States “to develop national policies for the prevention, treatment and care of diabetes”.Like many other countries, Russian Federation experiences a sharp rise in the prevalence of DM. According to Russian State Diabetes Register, there are at least 3.799 million patients with DM in this country. However, the epidemiological survey conducted by the Federal Endocrinology Research Centre during 2002-2010 suggests that actual prevalence is 3 to 4 times greater than the officially recognized and, by this estimate, amounts to 9-10 million persons, comprising 7% of the

  6. Diffusion of good practices of care and decline of the association with case volume: the example of breast conserving surgery

    Directory of Open Access Journals (Sweden)

    Zorzi Manuel

    2007-10-01

    Full Text Available Abstract Background Several previous studies conducted on cancer registry data and hospital discharge records (HDR have found an association between hospital volume and the recourse to breast conserving surgery (BCS for breast cancer. The aim of the current study is to depict concurrent time trends in the recourse to BCS and its association with hospital volume. Methods Admissions of breast cancer patients for BCS or mastectomy in the period 2000–2004 were identified from the discharge database of the Veneto Region (Italy. The role of procedural volume (low 100 breast cancer surgeries/year, and of individual risk factors obtainable from HDR was assessed through a hierarchical log-binomial regression. Results Overall, the recourse to BCS was higher in medium (risk ratio = 1.12, 95% confidence interval 1.07–1.18 and high-volume (1.09, 1.03–1.14 compared to low-volume hospitals. The proportion of patients treated in low-volume hospitals dropped from 22% to 12%, with a concurrent increase in the activity of medium-volume providers. The increase over time in breast conservation (globally from 56% to 67% was steeper in the categories of low- and medium-volume hospitals with respect to high caseload. Conclusion The growth in the recourse to BCS was accompanied by a decline of the association with hospital volume; larger centers probably acted as early adopters of breast conservation strategies that subsequently spread to smaller providers.

  7. Central receiver solar thermal power system. Phase 1. CDRL item 2; Pilot Plant preliminary design report. Volume II. System decription and system analysis

    Energy Technology Data Exchange (ETDEWEB)

    Hallet, Jr., R. W.; Gervais, R. L.

    1977-10-01

    An active system analysis and integration effort has been maintained. These activities have included the transformation of initial program requirements into a preliminary system design, the evolution of subsystem requirements which lay the foundation for subsystem design and test activity, and the overseeing of the final preliminary design effort to ensure that the subsystems are operationally compatible and capable of producing electricity at the lowest possible cost per unit of energy. Volume II of the Preliminary Design Report presents the results of the overall system effort that went on during this contract. The effort is assumed to include not only the total system definition and design but also all subsystem interactions.

  8. A care counselling model for HIV reactive patients in rural Malawi - Part II

    Directory of Open Access Journals (Sweden)

    Y Sliep

    2001-09-01

    Full Text Available The purpose of the research conducted was to explore and describe HIV patients experience of their illness within the context of rural Malawi and, based on the results of the study, to describe a model for counselling HIV reactive patients in rural Malawi which would meet both the internal and external needs of the patient. Nursing for the Whole Person Theory, as well as symbolic interactionism and the research model of Botes, were used as paradigm, as the researcher believes a person is fundamentally a historical social being who can only be understood in a specific cultural context of space and time. The research was also conducted within a counselling context and different disciplines were integrated in the study. The research method followed two phases each addressing a different objective. Firstly, exploration and description of the HIV reactive individual’s experience of illness, compilation of a demographic profile of the patients in the study and a description of their identified needs as well as possible resources, exploration and description of the primary care givers’ experience of HIV reactive patients and the exploration and description of the viewpoint of counsellors in terms of counselling HIV reactive patients. In the first phase of the study in-depth phenomenological interviews were conducted with identified groups. Focus interviews were conducted with a hundred AIDS patients to identify the needs and resources of the patients and to compile a demographic profile. Focus groups discussions were conducted with counsellors for more complete comprehension. Data-analysis and literature control was undertaken. In the second phase of the study theory generation was used in order to develop a counselling model for AIDS patients and guidelines for implementing the model were generated. Based on the results of the analysis the major concept enable was identified as the essence of a model for counselling AIDS patients in rural Malawi

  9. [Level of knowledge of patients with type II diabetes mellitus in primary care].

    Science.gov (United States)

    Piñeiro Chonsa, F; Lara Valdivielso, E; Muñoz Cacho, P; Herrera Plaza, T; Rodríguez Cordero, R; Mayo Alastrey, M A

    1991-01-01

    A personal interview to 148 patients was carried out with the aim of getting to know the level of information of type II diabetic patients at an Urban Health Center in Santander. A validated questionnaire made up of 14 questions on general aspects of diabetis, dietetic habits and capability to handle complications was used. The Cronbach's alpha coefficient of questionnaire was 0.69. The correct answer average was 6.3 (IC = 5.9-6.5). Patients were best informed about general aspects and had much less information with regard to the handling of complications and to their diet. The differences among these three sections of questions were significative (p less than 0.001). The patients under diet treatment obtained worse results than those treated with oral hipoglucemiants and insulin. Our results are worse than those reported by other similar populations at a national level. Also, and due to the differences in knowledge within this group, we believe that the establishment of groups and subgroups when educating diabetic patients is possible and also highly recommended.

  10. Overview of patient care issues and treatment in bipolar spectrum and bipolar II disorder.

    Science.gov (United States)

    Calabrese, Joseph R

    2008-06-01

    Recent studies have reported lifetime prevalence estimates of 1.0% for bipolar I disorder, 1.1% for bipolar II disorder, and 2.4% to 4.7% for subthreshold bipolar disorder, illustrating the need for consensus definitions of bipolar spectrum disorders. These definitions will aid researchers in studying viable treatments options, as well as help clinicians in the differential diagnosis of patients. Broader definitions of bipolar spectrum disorders would also allow clinicians to more accurately diagnose patients, rather than placing them in the catchall category of bipolar disorder not otherwise specified. Bipolar symptoms that are currently labeled as subthreshold symptoms are becoming increasingly recognized as having relevant clinical implications. Despite diagnostic controversy, screening for the presence of mania in patients who present with depressive symptoms is a critical step in the appropriate treatment of bipolar spectrum disorders. Identifying the early onset of bipolar symptoms as manifested in prodromal disorders such as childhood major depressive disorder and attention-deficit/hyperactivity disorder is also important for possible early intervention and improved outcomes.

  11. Social medicalization (II: biomedical limits and proposals for primary care clinic

    Directory of Open Access Journals (Sweden)

    Charles Dalcanale Tesser

    2006-01-01

    Full Text Available Social medicalization diminishes or even destroys the population's autonomy regarding disease and healthcare and generates an endless demand on health services. It consists on an important challenge the SUS (Unified Health System. This article discusses the limits of biomedical knowledge and practices in relation to their contribution to the promotion of users' autonomy and proposes some guidelines for handling these limits. It comes to the conclusion that intervention technologies, biomedical knowledge and its cognitive procedures contribute very little to patients' autonomy. The article suggests a shift of the biomedical knowledge's meanings, focused on the healing function of health professionals. This shift should be regarded as a mission to rebuild autonomy, prevent and heal the lived sicknesses, beside the ones that are diagnosed. It defends a reorganization of primary care biomedical clinic's values and goals, such as the diagnosis' relativity, the end of disease and risk ontology, the end of the control obsession, the fight against biomedical dogmatism, and giving priority to therapeutics.

  12. Nuclear proliferation and civilian nuclear power. Report of the Nonproliferation Alternative Systems Assessment Program. Volume II. Proliferation resistance

    Energy Technology Data Exchange (ETDEWEB)

    1980-06-01

    The purpose of this volume is limited to an assessment of the relative effects that particular choices of nuclear-power systems, for whatever reasons, may have on the possible spread of nuclear-weapons capabilities. This volume addresses the concern that non-nuclear-weapons states may be able to initiate efforts to acquire or to improve nuclear-weapons capabilities through civilian nuclear-power programs; it also addresses the concern that subnational groups may obtain and abuse the nuclear materials or facilities of such programs, whether in nuclear-weapons states (NWS's) or nonnuclear-weapons states (NNW's). Accordingly, this volume emphasizes one important factor in such decisions, the resistance of nuclear-power systems to the proliferation of nuclear-weapons capabilities.

  13. Earth-atmosphere radiation budget analyses derived from noaa satellite data, June 1974-February 1978. Volume II

    International Nuclear Information System (INIS)

    Earth-atmosphere radiation budget data as determined from the Scanning Radiometers (SR) aboard NOAA operational satellites are presented in analyzed maps and profiles for the period June 1974 through February 1978. Monthly, seasonal, and annual averages are presented in two separate volumes. Volume 1 contains analyzed mapped fields and Volume 2 contains meridional profiles of zonal averages. The quantities displayed are albedo, absorbed solar radiation, outgoing longwave radiation, and net radiation. The profiles are based on zonal means at every 2.5 degrees latitude for the entire latitude circle and for three longitudinal sectors: 0 degrees-117.5 degrees E, 120 degrees E-122.5 degrees W, and 120.0 degrees W-2.5 degrees W. Albedo, absorbed solar radiation, and outgoing longwave radiation are displayed in profile form

  14. Nuclear proliferation and civilian nuclear power. Report of the Nonproliferation Alternative Systems Assessment Program. Volume II. Proliferation resistance

    International Nuclear Information System (INIS)

    The purpose of this volume is limited to an assessment of the relative effects that particular choices of nuclear-power systems, for whatever reasons, may have on the possible spread of nuclear-weapons capabilities. This volume addresses the concern that non-nuclear-weapons states may be able to initiate efforts to acquire or to improve nuclear-weapons capabilities through civilian nuclear-power programs; it also addresses the concern that subnational groups may obtain and abuse the nuclear materials or facilities of such programs, whether in nuclear-weapons states (NWS's) or nonnuclear-weapons states (NNW's). Accordingly, this volume emphasizes one important factor in such decisions, the resistance of nuclear-power systems to the proliferation of nuclear-weapons capabilities

  15. SMACS - a system of computer programs for probabilistic seismic analysis of structures and subsystems. Volume II. Example problem

    International Nuclear Information System (INIS)

    In this volume of the SMACS User's Manual an example problem is presented to demonstrate the type of problem that SMACS is capable of solving and to familiarize the user with format of the various data files involved. This volume is organized into thirteen appendices which follow a short description of the problem. Each appendix contains listings of the input and output files associated with each computer run that was necessary to solve the problem. In cases where one SMACS program uses data generated by another SMACS program, the data file is shown in the appendix for the programs which generated it

  16. Solar Pilot Plant, Phase I. Preliminary design report. Volume II. System description and system analysis. CDRL item 2

    Energy Technology Data Exchange (ETDEWEB)

    None

    1977-05-01

    Honeywell conducted a parametric analysis of the 10-MW(e) solar pilot plant requirements and expected performance and established an optimum system design. The main analytical simulation tools were the optical (ray trace) and the dynamic simulation models. These are described in detail in Books 2 and 3 of this volume under separate cover. In making design decisions, available performance and cost data were used to provide a design reflecting the overall requirements and economics of a commercial-scale plant. This volume contains a description of this analysis/design process and resultant system/subsystem design and performance.

  17. TIBER II/ETR final design report: Volume 1, 1.0 Introduction; 2.0 plasma engineering

    International Nuclear Information System (INIS)

    This paper discusses the design of the TIBER II tokamak test reactor. Specific topics discussed are the physics objectives for Tiber, magnetics, baseline operating point, pulsed inductive operation, edge physics and impurity control, fueling, disruption control, vertical stability and impurity flow reversal

  18. AN INVESTIGATION OF THE TRAINING AND SKILL REQUIREMENTS OF INDUSTRIAL MACHINERY MAINTENANCE WORKERS. VOLUME II. FINAL REPORT.

    Science.gov (United States)

    LYNN, FRANK

    THE APPENDIXES FOR "AN INVESTIGATION OF THE TRAINING AND SKILL REQUIREMENTS OF INDUSTRIAL MACHINERY MAINTENANCE WORKERS, FINAL REPORT, VOLUME I" (VT 004 006) INCLUDE (1) TWO LETTERS FROM PLANT ENGINEERS STRESSING THE IMPORTANCE OF TRAINING MACHINERY MAINTENANCE WORKERS, (2) A DESCRIPTION OF THE MAINTENANCE TRAINING SURVEY, A SAMPLE QUESTIONNAIRE,…

  19. Entrepreneurship Education for Agriculture. Phase "O" Planning Project Report. Performance Report. Volume II: Bibliography and Storyboard Scripts.

    Science.gov (United States)

    Lee and Associates, Starkville, MS.

    Volume 2 of this report is supplementary and contains three bibliographies: (1) Annotated Bibliography on Minority Entrepreneurship in Agriculture; (2) Annotated Bibliography on Entrepreneurship Education in Agriculture; (3) Bibliography on Entrepreneurship. The next section presents three storyboard scripts for instructional videotapes on…

  20. Spectral (Finite) Volume Method for Conservation Laws on Unstructured Grids II: Extension to Two Dimensional Scalar Equation

    Science.gov (United States)

    Wang, Z. J.; Liu, Yen; Kwak, Dochan (Technical Monitor)

    2002-01-01

    The framework for constructing a high-order, conservative Spectral (Finite) Volume (SV) method is presented for two-dimensional scalar hyperbolic conservation laws on unstructured triangular grids. Each triangular grid cell forms a spectral volume (SV), and the SV is further subdivided into polygonal control volumes (CVs) to supported high-order data reconstructions. Cell-averaged solutions from these CVs are used to reconstruct a high order polynomial approximation in the SV. Each CV is then updated independently with a Godunov-type finite volume method and a high-order Runge-Kutta time integration scheme. A universal reconstruction is obtained by partitioning all SVs in a geometrically similar manner. The convergence of the SV method is shown to depend on how a SV is partitioned. A criterion based on the Lebesgue constant has been developed and used successfully to determine the quality of various partitions. Symmetric, stable, and convergent linear, quadratic, and cubic SVs have been obtained, and many different types of partitions have been evaluated. The SV method is tested for both linear and non-linear model problems with and without discontinuities.

  1. Education, Work and Employment--Volume II. Segmented Labour Markets, Workplace Democracy and Educational Planning, Education and Self-Employment.

    Science.gov (United States)

    Carnoy, Martin; And Others

    This volume contains three studies covering separate yet complementary aspects of the problem of the relationships between the educational system and the production system as manpower user. The first monograph on the theories of the markets seeks to answer two questions: what can be learned from the work done on the segmentation of the labor…

  2. University Commission on Human Relations: Focusing on Racism & Other Forms of Discrimination. Final Report. Volume II: Transcripts of Public Hearings.

    Science.gov (United States)

    James, Olive C. R., Ed.; Matson, Hollis N., Ed.

    This volume contains transcripts of six public hearings held by the San Francisco State University Commission on Human Relations between September and December 1989. The first hearing focused on Asian Pacific Americans and received testimony on higher education admissions policies, treatment in equity programs, student services, health issues,…

  3. The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II: Intensive care benefit for the elderly

    DEFF Research Database (Denmark)

    Sprung, Charles L; Artigas, Antonio; Kesecioglu, Jozef;

    2012-01-01

    for intensive care unit admission. INTERVENTIONS:: Admission or rejection to intensive care unit. MEASUREMENTS AND MAIN RESULTS:: Demographic, clinical, hospital, physiologic variables, and 28-day mortality were obtained on consecutive patients. There were 8,472 triages in 6,796 patients, 5,602 (82%) were......RATIONALE:: Life and death triage decisions are made daily by intensive care unit physicians. Admission to an intensive care unit is denied when intensive care unit resources are constrained, especially for the elderly. OBJECTIVE:: To determine the effect of intensive care unit triage decisions...... on mortality and intensive care unit benefit, specifically for elderly patients. DESIGN:: Prospective, observational study of triage decisions from September 2003 until March 2005. SETTING:: Eleven intensive care units in seven European countries. PATIENTS:: All patients >18 yrs with an explicit request...

  4. Initial distribution volume of glucose can be approximated using a conventional glucose analyzer in the intensive care unit

    OpenAIRE

    Ishihara, Hironori; Nakamura, Hitomi; Okawa, Hirobumi; Takase, Hajime; Tsubo, Toshihito; Hirota, Kazuyoshi

    2005-01-01

    Introduction We previously reported that initial distribution volume of glucose (IDVG) reflects central extracellular fluid volume, and that IDVG may represent an indirect measure of cardiac preload that is independent of the plasma glucose values present before glucose injection or infusion of insulin and/or vasoactive drugs. The original IDVG measurement requires an accurate glucose analyzer and repeated arterial blood sampling over a period of 7 min after glucose injection. The purpose of ...

  5. C-Band Airport Surface Communications System Standards Development. Phase II Final Report. Volume 1: Concepts of Use, Initial System Requirements, Architecture, and AeroMACS Design Considerations

    Science.gov (United States)

    Hall, Edward; Isaacs, James; Henriksen, Steve; Zelkin, Natalie

    2011-01-01

    This report is provided as part of ITT s NASA Glenn Research Center Aerospace Communication Systems Technical Support (ACSTS) contract NNC05CA85C, Task 7: New ATM Requirements-Future Communications, C-Band and L-Band Communications Standard Development and was based on direction provided by FAA project-level agreements for New ATM Requirements-Future Communications. Task 7 included two subtasks. Subtask 7-1 addressed C-band (5091- to 5150-MHz) airport surface data communications standards development, systems engineering, test bed and prototype development, and tests and demonstrations to establish operational capability for the Aeronautical Mobile Airport Communications System (AeroMACS). Subtask 7-2 focused on systems engineering and development support of the L-band digital aeronautical communications system (L-DACS). Subtask 7-1 consisted of two phases. Phase I included development of AeroMACS concepts of use, requirements, architecture, and initial high-level safety risk assessment. Phase II builds on Phase I results and is presented in two volumes. Volume I (this document) is devoted to concepts of use, system requirements, and architecture, including AeroMACS design considerations. Volume II describes an AeroMACS prototype evaluation and presents final AeroMACS recommendations. This report also describes airport categorization and channelization methodologies. The purposes of the airport categorization task were (1) to facilitate initial AeroMACS architecture designs and enable budgetary projections by creating a set of airport categories based on common airport characteristics and design objectives, and (2) to offer high-level guidance to potential AeroMACS technology and policy development sponsors and service providers. A channelization plan methodology was developed because a common global methodology is needed to assure seamless interoperability among diverse AeroMACS services potentially supplied by multiple service providers.

  6. C-Band Airport Surface Communications System Standards Development. Phase II Final Report. Volume 2: Test Bed Performance Evaluation and Final AeroMACS Recommendations

    Science.gov (United States)

    Hall, Edward; Magner, James

    2011-01-01

    This report is provided as part of ITT s NASA Glenn Research Center Aerospace Communication Systems Technical Support (ACSTS) contract NNC05CA85C, Task 7: New ATM Requirements-Future Communications, C-Band and L-Band Communications Standard Development and was based on direction provided by FAA project-level agreements for New ATM Requirements-Future Communications. Task 7 included two subtasks. Subtask 7-1 addressed C-band (5091- to 5150-MHz) airport surface data communications standards development, systems engineering, test bed and prototype development, and tests and demonstrations to establish operational capability for the Aeronautical Mobile Airport Communications System (AeroMACS). Subtask 7-2 focused on systems engineering and development support of the L-band digital aeronautical communications system (L-DACS). Subtask 7-1 consisted of two phases. Phase I included development of AeroMACS concepts of use, requirements, architecture, and initial high-level safety risk assessment. Phase II builds on Phase I results and is presented in two volumes. Volume I is devoted to concepts of use, system requirements, and architecture, including AeroMACS design considerations. Volume II (this document) describes an AeroMACS prototype evaluation and presents final AeroMACS recommendations. This report also describes airport categorization and channelization methodologies. The purposes of the airport categorization task were (1) to facilitate initial AeroMACS architecture designs and enable budgetary projections by creating a set of airport categories based on common airport characteristics and design objectives, and (2) to offer high-level guidance to potential AeroMACS technology and policy development sponsors and service providers. A channelization plan methodology was developed because a common global methodology is needed to assure seamless interoperability among diverse AeroMACS services potentially supplied by multiple service providers.

  7. Inventory of Federal energy-related environment and safety research for FY 1978. Volume II. Project listings and indexes

    International Nuclear Information System (INIS)

    This volume contains summaries of FY-1978 government-sponsored environment and safety research related to energy. Project summaries were collected by Aerospace Corporation under contract with the Department of Energy, Office of Program Coordination, under the Assistant Secretary for Environment. Summaries are arranged by log number, which groups the projects by reporting agency. The log number is a unique number assigned to each project from a block of numbers set aside for each agency. Information about the projects is included in the summary listings. This includes the project title, principal investigators, research organization, project number, contract number, supporting organization, funding level if known, related energy sources with numbers indicating percentages of effort devoted to each, and R and D categories. A brief description of each project is given, and this is followed by subject index terms that were assigned for computer searching and for generating the printed subject index in Volume IV

  8. Inventory of Federal energy-related environment and safety research for FY 1979. Volume II. Project listings and indexes

    International Nuclear Information System (INIS)

    This volume contains summaries of FY 1979 government-sponsored environment and safety research related to energy arranged by log number, which groups the projects by reporting agency. The log number is a unique number assigned to each project from a block of numbers set aside for each contributing agency. Information elements included in the summary listings are project title, principal investigators, research organization, project number, contract number, supporting organization, funding level, related energy sources with numbers indicating percentages of effort devoted to each, and R and D categories. A brief description of each project is given, and this is followed by subject index terms that were assigned for computer searching and for generating the printed subject index in the back of this volume

  9. Inventory of Federal energy-related environment and safety research for FY 1979. Volume II. Project listings and indexes

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-12-01

    This volume contains summaries of FY 1979 government-sponsored environment and safety research related to energy arranged by log number, which groups the projects by reporting agency. The log number is a unique number assigned to each project from a block of numbers set aside for each contributing agency. Information elements included in the summary listings are project title, principal investigators, research organization, project number, contract number, supporting organization, funding level, related energy sources with numbers indicating percentages of effort devoted to each, and R and D categories. A brief description of each project is given, and this is followed by subject index terms that were assigned for computer searching and for generating the printed subject index in the back of this volume.

  10. Inventory of Federal energy-related environment and safety research for FY 1978. Volume II. Project listings and indexes

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-12-01

    This volume contains summaries of FY-1978 government-sponsored environment and safety research related to energy. Project summaries were collected by Aerospace Corporation under contract with the Department of Energy, Office of Program Coordination, under the Assistant Secretary for Environment. Summaries are arranged by log number, which groups the projects by reporting agency. The log number is a unique number assigned to each project from a block of numbers set aside for each agency. Information about the projects is included in the summary listings. This includes the project title, principal investigators, research organization, project number, contract number, supporting organization, funding level if known, related energy sources with numbers indicating percentages of effort devoted to each, and R and D categories. A brief description of each project is given, and this is followed by subject index terms that were assigned for computer searching and for generating the printed subject index in Volume IV.

  11. Smolt Monitoring Program, Volume II, Migrational Characteristics of Columbia Basin Salmon and Steelhead Trout, 1986 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Fish Passage Center

    1987-02-01

    Smolt Monitoring Program Annual Report, 1986, Volume I, describes the results of travel time monitoring and other migrational characteristics of yearling and sub-yearling chinook salmon (Oncorhynchus tshawytscha), sockeye salmon (Oncorhynchus nerka), and steelhead trout (Salmo gairdneri). This volume presents the data from Fish Passage Center freeze brands used in the analysis of travel time for Lewiston, Lower Granite, Lower Monumental, Rock Island, McNary, and John Day dams. Summary of data collection procedures and explanation of data listings are presented in conjunction with the mark recapture data. Data for marked fish not presented in this report will be provided upon request. Daily catch statistics (by species), flow, and sample parameters for the smolt monitoring sites, Clearwater, Lewiston, Lower Granite, Lower Monumental, Rock Island, McNary, John Day, and Bonneville also will be provided upon request.

  12. Development of a community energy conservation program. Volume II. Energy saving techniques for use by local governments

    Energy Technology Data Exchange (ETDEWEB)

    1976-11-26

    This volume contains technical material related to community energy conservation programs, and supplements the organizational material in Volume I. It is in looseleaf format so that sections related to specific topics can be easily copied or transferred to individuals responsible for various sorts of conservation, such as carpooling programs, building improvements, and community outreach. Three technical chapters are included, discussing topics in the areas of: internal city and county operations; community powers and regulations, and outreach programs. In the first, the concern is with what the community can do to reduce energy use in its own operations, an effective first step in promoting comprehensive energy conservation. The second chapter analyzes ways that the police power and fiscal powers of the community can be used for energy conservation, through building codes, zoning, and similar measures. In the final chapter, ways to promote energy conservation in the community are discussed: programs include outreach to households and firms, carpool promotion, waste oil recycling, etc.

  13. 150 kWe solar-powered deep well irrigation facility. Volume II. Main report. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1977-08-30

    The screening, selection, and detailed optimized design of a 150 kW solar-powered irrigation facility for construction on a farm in Arizona are described. The heliostat/central receiver collector system was selected, and a steam Rankine cycle power system using molten salt heat transfer fluid was chosen. Systems analyses and detailed designs of the subsystems are presented. Cost estimates are included, and the Phase II program plan is detailed. (WHK)

  14. Potential use of geothermal resources in the Snake River Basin: an environmental overview. Volume II. Annotated bibliography

    Energy Technology Data Exchange (ETDEWEB)

    Spencer, S.G.; Russell, B.F.; Sullivan, J.F. (eds.)

    1979-09-01

    This volume is a partially annotated bibliography of reference materials pertaining to the seven KGRA's. The bibliography is divided into sections by program element as follows: terrestrial ecology, aquatic ecology, heritage resources, socioeconomics and demography, geology, geothermal, soils, hydrology and water quality, seismicity, and subsidence. Cross-referencing is available for those references which are applicable to specific KGRA's. (MHR)

  15. Light-Weight Radioisotope Heater Unit Safety Analysis Report (LWRHU-SAR). Volume II. Accident model document

    International Nuclear Information System (INIS)

    Purposes of this volume (AMD), are to: Identify all malfunctions, both singular and multiple, which can occur during the complete mission profile that could lead to release outside the clad of the radioisotopic material contained therein; provide estimates of occurrence probabilities associated with these various accidents; evaluate the response of the LWRHU (or its components) to the resultant accident environments; and associate the potential event history with test data or analysis to determine the potential interaction of the released radionuclides with the biosphere

  16. Evaluation and Ranking of Geothermal Resources for Electrical Generation or Electrical Offset in Idaho, Montana, Oregon and Washington. Volume II.

    Energy Technology Data Exchange (ETDEWEB)

    Bloomquist, R. Gordon

    1985-06-01

    This volume contains appendices on: (1) resource assessment - electrical generation computer results; (2) resource assessment summary - direct use computer results; (3) electrical generation (high temperature) resource assessment computer program listing; (4) direct utilization (low temperature) resource assessment computer program listing; (5) electrical generation computer program CENTPLANT and related documentation; (6) electrical generation computer program WELLHEAD and related documentation; (7) direct utilization computer program HEATPLAN and related documentation; (8) electrical generation ranking computer program GEORANK and related documentation; (9) direct utilization ranking computer program GEORANK and related documentation; and (10) life cycle cost analysis computer program and related documentation. (ACR)

  17. Application analysis of solar total energy systems to the residential sector. Volume II, energy requirements. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1979-07-01

    This project analyzed the application of solar total energy systems to appropriate segments of the residential sector and determined their market penetration potential. This volume covers the work done on energy requirements definition and includes the following: (1) identification of the single-family and multi-family market segments; (2) regionalization of the United States; (3) electrical and thermal load requirements, including time-dependent profiles; (4) effect of conservation measures on energy requirements; and (5) verification of simulated load data with real data.

  18. Results of level-ii oncoplasty in breast cancer patients: an early experience from a tertiary care hospital in pakistan

    International Nuclear Information System (INIS)

    Objective: To assess the oncologic and cosmetic outcomes for breast cancer patients who underwent breast conservation therapy using Level II oncoplasty techniques. Methods: The prospective, non-randomised and descriptive study was conducted at the Department of Surgery, Unit IV of Civil Hospital, Karachi, from December 2009 to November 2011 in which 21 consecutive women with breast carcinoma who underwent wide local excision with remodeling mammoplasty were enrolled. All patients were reviewed by the surgeon and medical oncologist every 3 months for the first year. A grading system of 5-1 (excellent to poor) was employed and those with 3 or more were considered to have acceptable results. Results: The mean patient age was 45.38+-10.09 years (range: 26-70); 11 (52.3%) were premenopausal and 10 (47.7%) were postmenopausal; and 5 (27.8%) had family history of breast cancer. The mean size of the tumour determined by histology was 59.9+-3.18 mm (range: 25-150). Eight (30%) patients received preoperative chemotherapy to downsize the tumour. Three (14.2%) patients received preoperative radiotherapy. Mean operative time was 1.59+-0.52 hours (range: 1-2.5 hours). Mean volume of breast tissue excised from the breast containing the tumour was 545.27+-412.06 cm3 (range: 43.70-1456). Assessment of excision margins showed no tumour at the margins of 19 (90.4%) patients. Two (9.5%) patients had close but negative margins. The mean hospital stay was 7.10+-3.30 days (range: 4-15). There were early complications in 4 (19%) patients. One (4.76%) patient had late complications. Two (9.5%) patients developed tumour recurrence; both had an ipsilateral tumour recurrence. None of the patients developed metastases and one died of cardiac problem. Twenty (95.2%) patients had an acceptable post-surgical cosmetic result. Conclusion: Level II oncoplasty was a safe option in breast conservation allowing large sized and difficult-location tumour excision with good cosmetic outcome in the study

  19. Structured assessment approach version 1. License submittal document content and format for material control and accounting assessment. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Parziale, A.A.; Sacks, I.J.

    1979-10-01

    A methodology, the Structured Assessment Approach, has been developed for the assessment of the effectiveness of material control and accounting (MC and A) safeguards systems at nuclear fuel cycle facilities. This methodology has been refined into a computational tool, the SAA Version 1 computational package, that was used first to analyze a hypothetical fuel cycle facility and used more recently to assess operational nuclear plants. The Version 1 analysis package is designed to analyze safeguards systems that prevent the diversion of special nuclear material (SNM) from nuclear fuel cycle facilities and to provide assurance that diversion has not occurred. This report is the second volume, the License Submittal Document Content and Format for Material Control and Accounting Assessment, of a four-volume document. It presents the content and format of the LSD necessary for Material Control and Accounting (MC and A) assessment with the SAA Version 1. The LSD is designed to provide the necessary data input to perform all four stages of analyses associated with the SAA. A full-size but Hypothetical Fuel Cycle Facility (HFCF) is used as an example to illustrate the required input data content and data format and to illustrate the procedure for generating the LSD. Generation of the LSD is the responsibility of the nuclear facility licensee applicant.

  20. Compact high order finite volume method on unstructured grids II: Extension to two-dimensional Euler equations

    Science.gov (United States)

    Wang, Qian; Ren, Yu-Xin; Li, Wanai

    2016-06-01

    In this paper, the compact least-squares finite volume method on unstructured grids proposed in our previous paper is extended to multi-dimensional systems, namely the two-dimensional Euler equations. The key element of this scheme is the compact least-squares reconstruction in which a set of constitutive relations are constructed by requiring the reconstruction polynomial and its spatial derivatives on the control volume of interest to conserve their averages on the face-neighboring cells. These relations result in an over-determined linear equation system. A large sparse system of linear equations is resulted by using the least-squares technique. An efficient solution strategy is of crucial importance for the application of the proposed scheme in multi-dimensional problems since both direct and iterative solvers for this system are computationally very expensive. In the present paper, it is found that in the cases of steady flow simulation and unsteady flow simulation using dual time stepping technique, the present reconstruction method can be coupled with temporal discretization scheme to achieve high computational efficiency. The WBAP limiter and a problem-independent shock detector are used in the simulation of flow with discontinuities. Numerical results demonstrate the high order accuracy, high computational efficiency and capability of handling both complex physics and geometries of the proposed schemes.

  1. Antibacterial resistances in uncomplicated urinary tract infections in women: ECO·SENS II data from primary health care in Austria

    Directory of Open Access Journals (Sweden)

    Kamenski Gustav

    2012-09-01

    Full Text Available Abstract Background Uncomplicated urinary tract infections (UTI are a frequent reason for consultation of women in primary health care. To avoid therapy failure and development of resistances, the choice of an antibiotic should be based on the knowledge of recent local resistance data but these data are scarce for the Austrian primary health care sector. Within the context of the ECO·SENS II study it was the aim to obtain appropriate and relevant local resistance data and describe the changes in the resistance pattern in comparison to the ECO·SENS study. Methods 23 GPs from different parts of Austria participated in the study between July 2007 and November 2008. According to the defined inclusion- and exclusion criteria female patients with symptoms of an uncomplicated UTI were included and a midstream urine sample was collected. In case of significant bacteriuria susceptibility testing of E. coli against 14 antibiotics was performed. Descriptive statistical methods were used. Results In 313 patients included in the study, a total of 147 E. coli isolates (47% were detected and tested. The resistance rates were in %: Mecillinam (0.0, nitrofurantoin (0.7, fosfomycin trometamol (0.7, gentamycin (1.4, cefotaxime (2.7, ceftazidime (2.7, Cephadroxil (4.1 and ciprofloxacin (4.1. Higher resistance rates were found in amoxicillin/clavulanic acid (8.9, nalidixic acid (9.6, trimethoprim/sulphamethoxazole (14.4, trimethoprim (15.8, sulphamethoxazole (21.2 and ampicillin (28.8. Additionally, the comparison of these results with the results of the ECO·SENS study demonstrated an increase in resistance rates of ampicillin, amoxicillin/clavulanic acid, nalidixic acid and ciprofloxacin. Conclusions The resistance data for E. coli in uncomplicated UTIs in women gained by this study are the most recent data for this disease in Austria at the moment. The increased resistance rates of amoxicillin/clavulanic acid, ciprofloxacin and nalidixic acid should be

  2. Hepatic transplantation outcomes for carefully selected cirrhotic patients with hepatocellular carcinoma: experience at a small- to medium-volume centre.

    LENUS (Irish Health Repository)

    Qasim, A

    2012-02-01

    BACKGROUND: Hepatic transplantation outcomes for cirrhotic patients with hepatocellular carcinoma (HCC) at a small- to medium-volume centre are not fully known due to relative novelty of patient selection criteria. AIM: To determine hepatic transplantation outcomes for HCC at a small- to medium-volume centre. Patients and methods Hepatocellular carcinoma patients were listed for transplantation according to the International Guideline and further categorized as those fulfilling or exceeding Milan or University of San Francisco (UCSF) criteria on explanted liver morphology. Outcomes including mortality, retransplantation, and tumour recurrence rate were analysed. RESULTS: Twenty-six patients had HCC and on explanted liver morphology, Milan and UCSF criteria met 15 and 18 patients, respectively. Patients and graft survival at 3 months, 1 and 5 years were 100, 96, 84, and 88, 84, 77%, respectively. Outcomes favoured Milan criteria but did not reach statistical significance. CONCLUSIONS: Hepatic transplantation for HCC at a small-to medium-volume transplant centre had comparable survival outcomes to high-volume centres.

  3. Phase II final report and second update of the energy economic data base (EEDB) program. Volume 1 of 1

    Energy Technology Data Exchange (ETDEWEB)

    1981-04-01

    The Energy Economic Data Base (EEDB) Program deals with the development of cost data for nuclear and comparison electric power generating stations. The objective of the USDOE EEDB Program is to provide periodic updates of technical and cost (capital, fuel and operating and maintenance) information of significance to the US Department of Energy. This information is intended to be used by USDOE in evaluating and monitoring US Civilian nuclear power programs, and to provide them with a consistent means of evaluating the nuclear option against alternatives. This report presents the Second Update of the EEDB for a cost and regulation date of January 1, 1979, prepared during Phase II of the EEDB Program. The Second Update is the first of a series of periodic updates marking the beginning of the next step in meeting the objective of the EEDB Program.

  4. Compliance problems of small utility systems with the Powerplant and Industrial Fuel Use Act of 1978: volume II - appendices

    Energy Technology Data Exchange (ETDEWEB)

    None

    1981-01-01

    A study of the problems of compliance with the Powerplant and Industrial Fuel Use Act of 1978 experienced by electric utility systems which have a total generating capacity of less than 2000 MW is presented. This volume presents the following appendices: (A) case studies (Farmington, New Mexico; Lamar, Colorado; Dover, Delaware; Wolverine Electric Cooperative, Michigan; Central Telephone and Utilities, Kansas; Sierra Pacific Power Company, Nevada; Vero Beach, Florida; Lubbock, Texas; Western Farmers Cooperative, Oklahoma; and West Texas Utilities Company, Texas); (B) contacts and responses to study; (C) joint action legislation chart; (D) Texas Municipal Power Agency case study; (E) existing generating units jointly owned with small utilities; (F) future generating units jointly owned with small utilities; (G) Federal Register Notice of April 17, 1980, and letter of inquiry to utilities; (H) small utility responses; and (I) Section 744, PIFUA. (WHK)

  5. Sources and effects of ionizing radiation. UNSCEAR 2000 report to the General Assembly, with scientific annexes. Volume II: Effects

    International Nuclear Information System (INIS)

    Over the past few years the United Nations Scientific Committee on the effects of Atomic Radiation has undertaken a broad review of the sources and effects of ionizing radiation. In the present report, the Committee, drawing on the main conclusions of its scientific assessment summarizes the developments in radiation science in the years leading up to the next millennium. It covers the following: the effects of radiation exposure; levels of radiation exposure; radiological consequences of the Chernobyl accident; sources of radiation exposure including natural exposures, man-made environmental exposures, medical and occupational exposures; radiation associated cancer. This volume includes five Annexes covering: DNA repair and mutagenesis; biological effects at low radiation doses; combined effects of radiation and other agents; epidemiological evaluation of radiation-induced cancer and exposure effects of the Chernobyl accident

  6. Artificial heart development program. Volume II. System support. Phase III summary report, July 1, 1973--September 30, 1977

    International Nuclear Information System (INIS)

    Volume 2 covers major activities of the Artificial Heart Development program that supported the design, fabrication, and test of the system demonstration units. Section A.1.0 provides a listing beyond that of the body of the report on the components needed for an implantation. It also presents glove box sterilization calibration results and results of an extensive mock circulation calibration. Section A.2.0 provides detailed procedures for assembly, preparing for use, and the use of the system and major components. Section A.3.0 covers the component research and development activities undertaken to improve components of the existing system units and to prepare for a future prototype system. Section A.4.0 provides a listing of the top assembly drawings of the major systems variations fabricated and tested

  7. Artificial heart development program. Volume II. System support. Phase III summary report, July 1, 1973--September 30, 1977

    Energy Technology Data Exchange (ETDEWEB)

    1977-01-01

    Volume 2 covers major activities of the Artificial Heart Development program that supported the design, fabrication, and test of the system demonstration units. Section A.1.0 provides a listing beyond that of the body of the report on the components needed for an implantation. It also presents glove box sterilization calibration results and results of an extensive mock circulation calibration. Section A.2.0 provides detailed procedures for assembly, preparing for use, and the use of the system and major components. Section A.3.0 covers the component research and development activities undertaken to improve components of the existing system units and to prepare for a future prototype system. Section A.4.0 provides a listing of the top assembly drawings of the major systems variations fabricated and tested.

  8. Stroke Statistics in Korea: Part II Stroke Awareness and Acute Stroke Care, A Report from the Korean Stroke Society and Clinical Research Center For Stroke

    OpenAIRE

    Hong, Keun-Sik; Bang, Oh Young; Kim, Jong S.; Heo, Ji Hoe; Yu, Kyung-Ho; Bae, Hee-Joon; Kang, Dong-Wha; Lee, Jin Soo; Kwon, Sun U.; Oh, Chang Wan; Lee, Byung-Chul; Yoon, Byung-Woo

    2013-01-01

    The aim of the current Part II of Stroke Statistics in Korea is to summarize nationally representative data on public awareness, pre-hospital delay, thrombolysis, and quality of acute stroke care in a single document. The public's knowledge of stroke definition, risk factors, warning signs, and act on stroke generally remains low. According to studies using open-ended questions, the correct definition of stroke was recognized in less than 50%, hypertension as a stroke risk factor in less than...

  9. Tumor volume measurement error using computed tomography imaging in a phase II clinical trial in lung cancer.

    Science.gov (United States)

    Henschke, Claudia I; Yankelevitz, David F; Yip, Rowena; Archer, Venice; Zahlmann, Gudrun; Krishnan, Karthik; Helba, Brian; Avila, Ricardo

    2016-07-01

    To address the error introduced by computed tomography (CT) scanners when assessing volume and unidimensional measurement of solid tumors, we scanned a precision manufactured pocket phantom simultaneously with patients enrolled in a lung cancer clinical trial. Dedicated software quantified bias and random error in the [Formula: see text], and [Formula: see text] dimensions of a Teflon sphere and also quantified response evaluation criteria in solid tumors and volume measurements using both constant and adaptive thresholding. We found that underestimation bias was essentially the same for [Formula: see text], and [Formula: see text] dimensions using constant thresholding and had similar values for adaptive thresholding. The random error of these length measurements as measured by the standard deviation and coefficient of variation was 0.10 mm (0.65), 0.11 mm (0.71), and 0.59 mm (3.75) for constant thresholding and 0.08 mm (0.51), 0.09 mm (0.56), and 0.58 mm (3.68) for adaptive thresholding, respectively. For random error, however, [Formula: see text] lengths had at least a fivefold higher standard deviation and coefficient of variation than [Formula: see text] and [Formula: see text]. Observed [Formula: see text]-dimension error was especially high for some 8 and 16 slice CT models. Error in CT image formation, in particular, for models with low numbers of detector rows, may be large enough to be misinterpreted as representing either treatment response or disease progression. PMID:27660808

  10. A large-volume high-pressure and high-temperature apparatus for in situ X-ray observation, ' SPEED-Mk.II'

    Science.gov (United States)

    Katsura, Tomoo; Funakoshi, Ken-ichi; Kubo, Atsushi; Nishiyama, Norimasa; Tange, Yoshinori; Sueda, Yu-ichiro; Kubo, Tomoaki; Utsumi, Wataru

    2004-06-01

    SPEED-Mk.II, the second KAWAI-type high P- T apparatus for in situ X-ray observation that was installed at the bending magnet beam line at SPring-8, is described. The guide block system was designed so that the change of the relative dimension of the cubic compression space with press load can be minimized by repeated adjustments. The hydraulic system was designed so as to enable smooth compression and decompression. These precise controls should be advantageous for high-pressure generation, especially when sintered diamond (SD) anvils are used. An oscillation system was equipped for the first time in a large volume press, making it possible to obtain high-quality diffraction patterns even when the number of sample grains is limited. The use of the oscillation system also reduces errors in pressure determination that may be caused by insufficient averaging of diffraction angles over grains in a limited diffraction volume, because the oscillating grains should sweep through the 2 θ range that is allowed by the finite widths of the optical slits.

  11. Interim report on the development and application of environmental mapped data digitization, encoding, analysis, and display software for the ALICE system. Volume II. [MAP, CHAIN, FIX, and DOUT, in FORTRAN IV for PDP-10

    Energy Technology Data Exchange (ETDEWEB)

    Amiot, L.W.; Lima, R.J.; Scholbrock, S.D.; Shelman, C.B.; Wehman, R.H.

    1979-06-01

    Volume I of An Interim Report on the Development and Application of Environmental Mapped Data Digitization, Encoding, Analysis, and Display Software for the ALICE System provided an overall description of the software developed for the ALICE System and presented an example of its application. The scope of the information presented in Volume I was directed both to the users and developers of digitization, encoding, analysis, and display software. Volume II presents information which is directly related to the actual computer code and operational characteristics (keys and subroutines) of the software. Volume II will be of more interest to developers of software than to users of the software. However, developers of software should be aware that the code developed for the ALICE System operates in an environment where much of the peripheral hardware to the PDP-10 is ANL/AMD built. For this reason, portions of the code may have to be modified for implementation on other computer system configurations. 11 tables.

  12. Effect of acupressure on milk volume of breastfeeding mothers referring to selected health care centers in Tehran

    OpenAIRE

    Esfahani, Mitra Savabi; Berenji-Sooghe, Shohreh; Valiani, Mahboubeh; Ehsanpour, Soheila

    2015-01-01

    Background: Breast milk is the main food source for infants’ growth and development. Insufficient milk is one of the obstacles to the adequate use of this substance. One of the treatments to help this issue is acupressure. Therefore, the present study was designed to determine the effect of acupressure on maternal milk volume. Materials and Methods: This study is a randomized clinical trial in which 60 breastfeeding mothers complaining of hypogalactia and meeting the inclusion criteria were s...

  13. Phase II remedial action at the former Middlesex Sampling Plant site and associated properties. Final report. Volume 1

    International Nuclear Information System (INIS)

    The former Middlesex Sampling Plant (MSP) and several adjacent and vicinity properties in Middlesex and Piscataway, New Jersey were designated in 1976 for remedial action under the Formerly Utilized Sites Remedial Action Program (FUSRAP). During the period 1943-55 uranium and thorium ores and concentrates were processed at the plant. Consequently, the plant site and several nearby properties were contaminated with radioactive residues. Phase I work comprised the construction of an impervious asphalt storage pad and drainage system at the former MSP site as well as decontamination of two properties adjacent to the site and three properties in the vicinity. Phase II involved cleanup of low-level radioactive waste that had migrated onto other properties adjacent to the site, the construction of an extension to the waste storage pad, and the installation there of a treatment system for rain runoff. All parcels were cleaned to the remedial action criterion level of 5 pCi/g radium-226 plus background specified by DOE. The effectiveness of the remedial action was corroborated by verification soil sampling, near-surface gamma measurement, and exposure rate measurement. In a subsequent phase or phases, the wastes stored at the site will be removed for permanent disposal and the entire property decontaminated and decommissioned for unrestricted use

  14. A volume-limited sample of X-ray galaxy groups and clusters - II. X-ray cavity dynamics

    CERN Document Server

    Panagoulia, E K; Sanders, J S; Hlavacek-Larrondo, J

    2014-01-01

    We present the results of our study of a volume-limited sample (z <= 0.071) of 101 X-ray galaxy groups and clusters, in which we explore the X-ray cavity energetics. Out of the 101 sources in our parent sample, X-ray cavities are found in 30 of them, all of which have a central cooling time of less than3 Gyr. New X-ray cavities are detected in three sources. We focus on the subset of sources that have a central cooling time of less than 3 Gyr, whose active galactic nucleus (AGN) duty cycle is approximately 61 percent (30/49). This rises to over 80 percent for a central cooling time of less than 0.5 Gyr. When projection effects and central radio source detection rates are considered, the actual duty cycle is probably much higher. In addition, we show that data quality strongly affects the detection rates of X-ray cavities. After calculating the cooling luminosity and cavity powers of each source with cavities, it is evident that the bubbling process induced by the central AGN has to be, on average, continuo...

  15. Fort Hood Solar Total Energy Project. Volume II. Preliminary design. Part 1. System criteria and design description. Final report

    Energy Technology Data Exchange (ETDEWEB)

    None,

    1979-01-01

    This volume documents the preliminary design developed for the Solar Total Energy System to be installed at Fort Hood, Texas. Current system, subsystem, and component designs are described and additional studies which support selection among significant design alternatives are presented. Overall system requirements which form the system design basis are presented. These include program objectives; performance and output load requirements; industrial, statutory, and regulatory standards; and site interface requirements. Material in this section will continue to be issued separately in the Systems Requirements Document and maintained current through revision throughout future phases of the project. Overall system design and detailed subsystem design descriptions are provided. Consideration of operation and maintenance is reflected in discussion of each subsystem design as well as in an integrated overall discussion. Included are the solar collector subsystem; the thermal storage subsystem, the power conversion sybsystem (including electrical generation and distribution); the heating/cooling and domestic hot water subsystems; overall instrumentation and control; and the STES building and physical plant. The design of several subsystems has progressed beyond the preliminary stage; descriptions for such subsystems are therefore provided in more detail than others to provide complete documentation of the work performed. In some cases, preliminary design parameters require specific verificaton in the definitive design phase and are identified in the text. Subsystem descriptions will continue to be issued and revised separately to maintain accuracy during future phases of the project. (WHK)

  16. Imprinting Hatchery Reared Salmon and Steelhead Trout for Homing, Volume II of III; Data Summaries, 1978-1983 Final Report.

    Energy Technology Data Exchange (ETDEWEB)

    Slatick, Emil; Ringe, R.R.; Zaugg, Waldo S. (Northwest and Alaska Fisheries Science Center, Coastal Zone and Estuarine Studies Division, Seattle, WA)

    1988-02-02

    The main functions of the National Marine Fisheries Service (NMFS) aquaculture task biologists and contractual scientists involved in the 1978 homing studies were primarily a surveillance of fish physiology, disease, and relative survival during culture in marine net-pens, to determine if there were any unusual factors that might affect imprinting and homing behavior. The studies were conducted with little background knowledge of the implications of disease and physiology on imprinting and homing in salmonids. The health status or the stocks were quite variable as could be expected. The Dworshak and Wells Hatcheries steelhead suffered from some early stresses in seawater, probably osmoregulatory. The incidences of latent BKD in the Wells and Chelan Hatcheries steelhead and Kooskia Hatchery spring chinook salmon were extremely high, and how these will affect survival in the ocean is not known. Gill enzyme activity in the Dworshak and Chelan Hatcheries steelhead at release was low. Of the steelhead, survival in the Tucannon Hatchery stock will probably be the highest, with Dworshak Hatchery stock the lowest. This report contains the data for the narratives in Volume I.

  17. Proposed Tenaska Washington II Generation Project : Final Environmental Impact Statement. Volume 1: Environmental Analysis and Technical Appendices.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1994-01-01

    BPA is considering whether to purchase electrical power from a proposed privately-owned combustion-turbine electrical generation plant in Washington. The plant would be fired by natural gas and would use combined-cycle technology to generate 240 average megawatts (aMW) of energy. The plant would be developed, owned, and operated by Tenaska Washington Partners II, L.P. The project would be located about 19 kilometers (12 miles) southeast of downtown Tacoma in the Frederickson Industrial Area, Pierce County. The proposed plant would occupy about half of a 6.4-hectare (16-acre) parcel and would be consistent with the industrial character of its surroundings. The proposed site is currently undeveloped and zoned for industrial use by the county. Main environmental concerns identified in the scoping process and in comments on the Draft Environmental Impact Statement (EIS) include: (1) potential air quality impacts, such as emissions and their contribution to the {open_quotes}greenhouse{close_quotes} effect; (2) potential health and safety impacts, such as nuisance odors, plant safety, visibility and heat-emission systems which may affect low-flying planes and potential health effects of electric and magnetic fields; and (3) potential water quality and quantity impacts, such as the amount of wastewater to be discharged, the source and amount of water required for plant operation. These and other issues are discussed in detail in the EIS. The proposed project already includes many features designed to reduce environmental impacts. Based on investigations performed for the EIS, no significant unavoidable adverse environmental impacts associated with the proposed project were identified, and no evidence emerged to suggest that the proposed action is controversial. The EIS is being mailed to numerous agencies, groups, and individuals (see Section 8.0). There will be a 30-day no-action period before any decisions are made and the Record of Decision is signed.

  18. Stock Summary Reports for Columbia River Anadromous Salmonids, Volume II; Oregon Subbasins Above Bonneville Dam, 1992 CIS Summary Report.

    Energy Technology Data Exchange (ETDEWEB)

    Olsen, Eric; Pierce, Paige (Oregon Department of Fish and Wildlife, Clackamas, OR); Hatch, Keith (Columbia River Inter-Tribal Fish Commission, Portland, OR)

    1993-05-01

    An essential component of the effort to rebuild the Columbia Basin's anadromous fish resources is that available information and experience be organized and shared among numerous organizations and individuals. Past experience and knowledge must form the basis for actions into the future. Much of this knowledge exists only in unpublished form in agency and individual files. Even that information which is published in the form of technical and contract reports receives only limited distribution and is often out of print and unavailable after a few years. Only a small fixtion of the basin's collective knowledge is captured in permanent and readily available databases (such as the Northwest Environmental Database) or in recognized journals. State, tribal, and fedend fishery managers have recognized these information management problems and have committed to a program, the Coordinated Information System Project, to capture and share more easily the core data and other information upon which management decisions am based. That project has completed scoping and identification of key information needs and development of a project plan. Work performed under the CM project will be coordinated with and extend information contained in the Northwest Environmental Database. Construction of prototype systems will begin in Phase 3. This report is one in a series of seven describing the results of the Coordinated Information System scoping and needs identification phase. A brief description of each of these reports follows. This report (Roger 1992) summarizes and integrates the results of the next five reports and relates them to deliverables identified in the Phase II cooperative agreement. Broader issues of organization and operation which are not appropriate for the more focused reports are also discussed. This report should be viewed as an executive summary for the CM project to date. If one wants a quick overview of the CIS project, this report and the project plan

  19. Ultrasensitive and low-volume point-of-care diagnostics on flexible strips - a study with cardiac troponin biomarkers.

    Science.gov (United States)

    Shanmugam, Nandhinee Radha; Muthukumar, Sriram; Prasad, Shalini

    2016-01-01

    We demonstrate a flexible, mechanically stable, and disposable electrochemical sensor platform for monitoring cardiac troponins through the detection and quantification of cardiac Troponin-T (cTnT). We designed and fabricated nanostructured zinc oxide (ZnO) sensing electrodes on flexible porous polyimide substrates. We demonstrate ultrasensitive detection is capable at very low sample volumes due to the confinement phenomenon of target species within the ZnO nanostructures leading to enhancement of biomolecular binding on the sensor electrode surface. The performance of the ZnO nanostructured sensor electrode was evaluated against gold and nanotextured ZnO electrodes. The electrochemical sensor functions on affinity based immunoassay principles whereby monoclonal antibodies for cTnT were immobilized on the sensor electrodes using thiol based chemistry. Detection of cTnT in phosphate buffered saline (PBS) and human serum (HS) buffers was achieved at low sample volumes of 20 μL using non-faradaic electrochemical impedance spectroscopy (EIS). Limit of detection (LOD) of 1E-4 ng/mL (i.e. 1 pg/mL) at 7% CV (coefficient of variation) for cTnT in HS was demonstrated on nanostructured ZnO electrodes. The mechanical integrity of the flexible biosensor platform was demonstrated with cyclic bending tests. The sensor performed within 12% CV after 100 bending cycles demonstrating the robustness of the nanostructured ZnO electrochemical sensor platform. PMID:27634488

  20. Ultrasensitive and low-volume point-of-care diagnostics on flexible strips - a study with cardiac troponin biomarkers

    Science.gov (United States)

    Shanmugam, Nandhinee Radha; Muthukumar, Sriram; Prasad, Shalini

    2016-09-01

    We demonstrate a flexible, mechanically stable, and disposable electrochemical sensor platform for monitoring cardiac troponins through the detection and quantification of cardiac Troponin-T (cTnT). We designed and fabricated nanostructured zinc oxide (ZnO) sensing electrodes on flexible porous polyimide substrates. We demonstrate ultrasensitive detection is capable at very low sample volumes due to the confinement phenomenon of target species within the ZnO nanostructures leading to enhancement of biomolecular binding on the sensor electrode surface. The performance of the ZnO nanostructured sensor electrode was evaluated against gold and nanotextured ZnO electrodes. The electrochemical sensor functions on affinity based immunoassay principles whereby monoclonal antibodies for cTnT were immobilized on the sensor electrodes using thiol based chemistry. Detection of cTnT in phosphate buffered saline (PBS) and human serum (HS) buffers was achieved at low sample volumes of 20 μL using non-faradaic electrochemical impedance spectroscopy (EIS). Limit of detection (LOD) of 1E-4 ng/mL (i.e. 1 pg/mL) at 7% CV (coefficient of variation) for cTnT in HS was demonstrated on nanostructured ZnO electrodes. The mechanical integrity of the flexible biosensor platform was demonstrated with cyclic bending tests. The sensor performed within 12% CV after 100 bending cycles demonstrating the robustness of the nanostructured ZnO electrochemical sensor platform.

  1. Comparison of acute physiology and chronic health evaluation II and acute physiology and chronic health evaluation IV to predict intensive care unit mortality

    Directory of Open Access Journals (Sweden)

    Bashu Dev Parajuli

    2015-01-01

    Full Text Available Context: Clinical assessment of severity of illness is an essential component of medical practice to predict the outcome of critically ill-patient. Acute Physiology and Chronic Health Evaluation (APACHE model is one of the widely used scoring systems. Aims: This study was designed to evaluate the Performance of APACHE II and IV scoring systems in our Intensive Care Unit (ICU. Settings and Design: A prospective study in 6 bedded ICU, including 76 patients all above 15 years. Subjects and Methods: APACHE II and APACHE IV scores were calculated based on the worst values in the first 24 h of admission. All enrolled patients were followed, and outcome was recorded as survivors or nonsurvivors. Statistical Analysis Used: SPSS version 17. Results: The mean APACHE score was significantly higher among nonsurvivors than survivors (P < 0.005. Discrimination for APACHE II and APACHE IV was fair with area under receiver operating characteristic curve of 0.73 and 0.79 respectively. The cut-off point with best Youden index for APACHE II was 17 and for APACHE IV was 85. Above cut-off point, mortality was higher for both models (P < 0.005. Hosmer-Lemeshow Chi-square coefficient test showed better calibration for APACHE II than APACHE IV. A positive correlation was seen between the models with Spearman′s correlation coefficient of 0.748 (P < 0.01. Conclusions: Discrimination was better for APACHE IV than APACHE II model however Calibration was better for APACHE II than APACHE IV model in our study. There was good correlation between the two models observed in our study.

  2. Incidence, microbiological profile of nosocomial infections, and their antibiotic resistance patterns in a high volume Cardiac Surgical Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Manoj Kumar Sahu

    2016-01-01

    Full Text Available Background: Nosocomial infections (NIs in the postoperative period not only increase morbidity and mortality, but also impose a significant economic burden on the health care infrastructure. This retrospective study was undertaken to (a evaluate the incidence, characteristics, risk factors and outcomes of NIs and (b identify common microorganisms responsible for infection and their antibiotic resistance profile in our Cardiac Surgical Intensive Care Unit (CSICU. Patients and Methods: After ethics committee approval, the CSICU records of all patients who underwent cardiovascular surgery between January 2013 and December 2014 were reviewed retrospectively. The incidence of NI, distribution of NI sites, types of microorganisms and their antibiotic resistance, length of CSICU stay, and patient-outcome were determined. Results: Three hundred and nineteen of 6864 patients (4.6% developed NI after cardiac surgery. Lower respiratory tract infections (LRTIs accounted for most of the infections (44.2% followed by surgical-site infection (SSI, 11.6%, bloodstream infection (BSI, 7.5%, urinary tract infection (UTI, 6.9% and infections from combined sources (29.8%. Acinetobacter, Klebsiella, Escherichia coli, and Staphylococcus were the most frequent pathogens isolated in patients with LRTI, BSI, UTI, and SSI, respectively. The Gram-negative bacteria isolated from different sources were found to be highly resistant to commonly used antibiotics. Conclusion: The incidence of NI and sepsis-related mortality, in our CSICU, was 4.6% and 1.9%, respectively. Lower respiratory tract was the most common site of infection and Gram-negative bacilli, the most common pathogens after cardiac surgery. Antibiotic resistance was maximum with Acinetobacter spp.

  3. COMMUNITTY HEALTH II – SUBJECT THAT PROMOTES THE LEARNING- SERVING-COMUNITTY INTERACTION AIMING THE PROMOTION OF HEALTH, CARE AND COMFORT

    Directory of Open Access Journals (Sweden)

    Onã Silva

    2013-09-01

    Full Text Available Introduction: In the context of the teaching and learning process, the communication between the fields of study and their subjects is important, once such integration reflects on the formation and the learning-serving-community triad. This pedagogical basis figures in the syllabi of the subjects Community Health II and its Training Course, offered by the Nursing Program. Objective: Reporting the teaching and learning process for the academic subject Community Health II, as being an inclusive part of learning-serving-community triad, with regards of developing care for the health of individuals, family and community, according to the reports of the experiences of this author during the training course. Methodological Description: It was reported the events dealing with the data experienced by the author over the second term of 2012. The following places were used in that report. In the academic environment and in the training course which took place in one of the administrative regions of Distrito Federal. The pedagogical theoretical basis was made on Paulo Freire. Data were collected from the studied subjects, legislation, theoretical and practical meetings, communication materials on the virtual environment among other sources. Results and discussion: this experience revealed that the subject CH-II presents an interdisciplinary, multiprofessional and inclusive view of learning-serving-community triad. The participants mediated by the problematization contributed for the construction of theoretical and practical knowledge using reflections, debates, and discussions according to the Pedagogy of Autonomy. The teaching and learning methods permitted the development of independence, competencies and abilities contained in the political project. Conclusion: The training course experienced in the environment of CH-II was an unique experience, generating benefits to all the people involved in the process, besides the resignification of their practices

  4. Solid Waste Operations Complex W-113, Detail Design Report (Title II). Volume 2: Solid waste retrieval facilities -- Phase 1, detail design drawings

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-09-01

    The Solid Waste Retrieval Facility--Phase 1 (Project W113) will provide the infrastructure and the facility required to retrieve from Trench 04, Burial ground 4C, contact handled (CH) drums and boxes at a rate that supports all retrieved TRU waste batching, treatment, storage, and disposal plans. This includes (1) operations related equipment and facilities, viz., a weather enclosure for the trench, retrieval equipment, weighing, venting, obtaining gas samples, overpacking, NDE, NDA, shipment of waste and (2) operations support related facilities, viz., a general office building, a retrieval staff change facility, and infrastructure upgrades such as supply and routing of water, sewer, electrical power, fire protection, roads, and telecommunication. Title I design for the operations related equipment and facilities was performed by Raytheon/BNFL, and that for the operations support related facilities including infrastructure upgrade was performed by KEH. These two scopes were combined into an integrated W113 Title II scope that was performed by Raytheon/BNFL. Volume 2 provides the complete set of the Detail Design drawings along with a listing of the drawings. Once approved by WHC, these drawings will be issued and baselined for the Title 3 construction effort.

  5. A retrospective study using the pressure ulcer scale for healing (PUSH) tool to examine factors affecting stage II pressure ulcer healing in a Korean acute care hospital.

    Science.gov (United States)

    Park, Kyung Hee

    2014-09-01

    Stage II pressure ulcers (PUs) should be managed promptly and appropriately in order to prevent complications. To identify the factors affecting Stage II PU healing and optimize care, the electronic medical records of patients with a Stage II PU in an acute care hospital were examined. Patient and ulcer characteristics as well as nutritional assessment variables were retrieved, and ulcer variables were used to calculate Pressure Ulcer Scale for Healing (PUSH) scores. The effect of all variables on healing status (healed versus nonhealed) and change in PUSH score for healing rate were compared. Records of 309 Stage II PUs from 155 patients (mean age 61.2 ± 15.2 [range 5-89] years, 182 [58.9%] male) were retrieved and analyzed. Of those, 221 healed and 88 were documented as not healed at the end of the study. The variables that were significantly different between patients with PUs that did and did not heal were: major diagnosis (P = 0.001), peripheral arterial disease (P = 0.007), smoking (P = 0.048), serum albumin ( Braden scale score (P = 0.003), and mean arterial pressure (MAP, mm Hg) (P = 0.026). The Cox proportional hazard model showed a significant positive difference in PUSH score change -indicative of healing - when pressure-redistribution surfaces were used (P <0.001, HR = 2.317), PU size was small (≤3.0 cm2, P = 0.006, HR = 1.670), MAP (within a range of 52-112 mm Hg) was higher P = 0.010, HR = 1.016), and patients were provided multivitamins (P = 0.037, HR=1.431). The results of this study suggest strategies for healing Stage II PUs in the acute care setting should include early recognition of lower-stage PUs, the provision of static pressure-redistribution surfaces and multivitamins, and maintaining higher MAP may facilitate healing and prevent deterioration. Further prospective research is warranted to verify the effect of these interventions.

  6. Korean Advanced Course: Volume II.

    Science.gov (United States)

    Defense Language Inst., Washington, DC.

    This is the second of seven readers, prepared by the Defense Language Institute, for continuation training in Korean after the Basic Course. The 20 reading lessons, printed in Korean script, have been drawn from several readers published by the Ministry of Education of the Republic of Korea in 1970. Each unit concludes with a set of questions and…

  7. Dinetah: Navajo History. Volume II.

    Science.gov (United States)

    Roessel, Robert A., Jr.

    Using archaeological data, written chronicles of Spanish explorers and missionaries, and oral narratives and legends, the book traces the history of the Navajo people to their original homeland, Dinetah, located primarily off the present reservation in an area south and east of Farmington, New Mexico. The book discusses various theories on Navajo…

  8. International Linear Collider Technical Design Report (Volumes 1 through 4)

    Energy Technology Data Exchange (ETDEWEB)

    Harrison M.

    2013-03-27

    The design report consists of four volumes: Volume 1, Executive Summary; Volume 2, Physics; Volume 3, Accelerator (Part I, R and D in the Technical Design Phase, and Part II, Baseline Design); and Volume 4, Detectors.

  9. A Phase II randomised controlled trial assessing the feasibility, acceptability and potential effectiveness of Dignity Therapy for older people in care homes: Study protocol

    Directory of Open Access Journals (Sweden)

    Richardson Alison

    2009-03-01

    Full Text Available Abstract Background Although most older people living in nursing homes die there, there is a dearth of robust evaluations of interventions to improve their end-of-life care. Residents usually have multiple health problems making them heavily reliant on staff for their care, which can erode their sense of dignity. Dignity Therapy has been developed to help promote dignity and reduce distress. It comprises a recorded interview, which is transcribed, edited then returned to the patient, who can bequeath it to people of their choosing. Piloting has suggested that Dignity Therapy is beneficial to people dying of cancer and their families. The aims of this study are to assess the feasibility, acceptability and potential effectiveness of Dignity Therapy to reduce psychological and spiritual distress in older people reaching the end of life in care homes, and to pilot the methods for a Phase III RCT. Methods/design A randomised controlled open-label trial. Sixty-four residents of care homes for older people are randomly allocated to one of two groups: (i Intervention (Dignity Therapy offered in addition to any standard care, and (ii Control group (standard care. Recipients of the "generativity" documents are asked their views on taking part in the study and the therapy. Both quantitative and qualitative outcomes are assessed in face-to-face interviews at baseline and at approximately one and eight weeks after the intervention (equivalent in the control group. The primary outcome is residents' sense of dignity (potential effectiveness assessed by the Patient Dignity Inventory. Secondary outcomes for residents include depression, hopefulness and quality of life. In view of the relatively small sample size, quantitative analysis is mainly descriptive. The qualitative analysis uses the Framework method. Discussion Dignity Therapy is brief, can be done at the bedside and could help both patients and their families. This detailed exploratory research shows if

  10. Task Descriptions in Diagnostic Radiology. Research Report No. 7. Volume 3, Machine-Related, Patient Care and Administrative Tasks: What Radiologists, Technologists, Nurses and Physicists Do to Run Things and Look After Patients and Equipment.

    Science.gov (United States)

    Gilpatrick, Eleanor

    The third of four volumes in Research Report No. 7 of the Health Services Mobility Study (HSMS), this book contains 149 diagnostic radiologist task descriptions that cover activities in the area of nursing (patient care), film processing, quality assurance, radiation protection, machine maintenance, housekeeping, and administration at the…

  11. Collaborative Care for Patients With Severe Personality Disorders: Analyzing the Execution Process in a Pilot Study (Part II)

    NARCIS (Netherlands)

    Stringer, Barbara; Meijel, Berno van; Karman, Pieter; Koekkoek, Bauke; Kerkhof, Ad J.F.M.; Beekman, Aartjan T.F.

    2014-01-01

    Purpose To examine the factors that influence the effective execution of a collaborative care program (CCP) for patients with severe personality disorders. Design and Methods A multiple case study using qualitative research methods. Findings Three factors were identified as influencing the executi

  12. [Part II. Scientific evidence in end-stage chronic organ failure. A position paper on shared care planning].

    Science.gov (United States)

    Gristina, Giuseppe R; Orsi, Luciano; Carlucci, Annalisa; Causarano, Ignazio R; Formica, Marco; Romanò, Massimo

    2014-01-01

    The therapeutic options related to chronic organ failure are interconnected to the variability of human biological responses and the personal history and choices of the chronically ill patient on one hand, and with the variable human answers to therapies on the other hand. All these aspects may explain the small number and low quality of studies aimed to define the clinical criteria useful in identifying end-stage chronically ill patients, as highlighted through the 2012-2013 Medline survey performed by the task force. These results prevented the grading of scientific evidence. However, taking into account the evidence based medicine definition, the task force believes the clinical reasoning and the individual experience of clinicians as well as the patients and families preferences cannot be replaced "tout court" with a strict methodological research. Accordingly, the working method selected by the task force members was to draw up a set of clinical parameters based on the available scientific literature, submitting it to a peer review process carried out by an expert panel. This paper discusses a set of clinical parameters included in the clinical decision-making algorithm and shared by nine medical societies. For each chronic organ failure these clinical parameters should be intended not as a rigid cutoff system to make a choice between two selected care options (intensive vs palliative), rather as the starting point for a joint and careful consideration regarding the opportunity to adopt the clinical decision-making algorithm care proposed in Part I. PMID:24553593

  13. Child protection and adult depression: evaluating the long-term consequences of evacuating children to foster care during World War II.

    Science.gov (United States)

    Santavirta, Nina; Santavirta, Torsten

    2014-03-01

    This paper combined data collected from war time government records with survey data including background characteristics, such as factors that affected eligibility, to examine the adult depression outcomes of individuals who were evacuated from Finland to temporary foster care in Sweden during World War II. Using war time government records and survey data for a random sample of 723 exposed individuals and 1321 matched unexposed individuals, the authors conducted least squares adjusted means comparison to examine the association between evacuation and adult depression (Beck Depression Inventory). The random sample was representative for the whole population of evacuees who returned to their biological families after World War II. The authors found no statistically significant difference in depressive symptoms during late adulthood between the two groups; for example, the exposed group had a 0.41 percentage points lower average Beck Depression Inventory score than the unexposed group (p = 0.907). This study provides no support for family disruption during early childhood because of the onset of sudden shocks elevating depressive symptoms during late adulthood.

  14. Family Caregiver Palliative Care Intervention in Supporting Caregivers of Patients With Stage II-IV Gastrointestinal, Gynecologic, and Urologic Cancers

    Science.gov (United States)

    2016-07-12

    Healthy, no Evidence of Disease; Localized Transitional Cell Cancer of the Renal Pelvis and Ureter; Metastatic Transitional Cell Cancer of the Renal Pelvis and Ureter; Psychosocial Effects of Cancer and Its Treatment; Recurrent Bladder Cancer; Recurrent Cervical Cancer; Recurrent Colon Cancer; Recurrent Gastric Cancer; Recurrent Ovarian Epithelial Cancer; Recurrent Ovarian Germ Cell Tumor; Recurrent Pancreatic Cancer; Recurrent Rectal Cancer; Recurrent Renal Cell Cancer; Recurrent Transitional Cell Cancer of the Renal Pelvis and Ureter; Recurrent Urethral Cancer; Recurrent Uterine Sarcoma; Regional Transitional Cell Cancer of the Renal Pelvis and Ureter; Stage II Bladder Cancer; Stage II Renal Cell Cancer; Stage II Urethral Cancer; Stage IIA Cervical Cancer; Stage IIA Colon Cancer; Stage IIA Gastric Cancer; Stage IIA Ovarian Epithelial Cancer; Stage IIA Ovarian Germ Cell Tumor; Stage IIA Pancreatic Cancer; Stage IIA Rectal Cancer; Stage IIA Uterine Sarcoma; Stage IIB Cervical Cancer; Stage IIB Colon Cancer; Stage IIB Gastric Cancer; Stage IIB Ovarian Epithelial Cancer; Stage IIB Ovarian Germ Cell Tumor; Stage IIB Pancreatic Cancer; Stage IIB Rectal Cancer; Stage IIB Uterine Sarcoma; Stage IIC Colon Cancer; Stage IIC Ovarian Epithelial Cancer; Stage IIC Ovarian Germ Cell Tumor; Stage IIC Rectal Cancer; Stage III Bladder Cancer; Stage III Pancreatic Cancer; Stage III Renal Cell Cancer; Stage III Urethral Cancer; Stage IIIA Cervical Cancer; Stage IIIA Colon Cancer; Stage IIIA Gastric Cancer; Stage IIIA Ovarian Epithelial Cancer; Stage IIIA Ovarian Germ Cell Tumor; Stage IIIA Rectal Cancer; Stage IIIA Uterine Sarcoma; Stage IIIB Cervical Cancer; Stage IIIB Colon Cancer; Stage IIIB Gastric Cancer; Stage IIIB Ovarian Epithelial Cancer; Stage IIIB Ovarian Germ Cell Tumor; Stage IIIB Rectal Cancer; Stage IIIB Uterine Sarcoma; Stage IIIC Colon Cancer; Stage IIIC Gastric Cancer; Stage IIIC Ovarian Epithelial Cancer; Stage IIIC Ovarian Germ Cell Tumor; Stage IIIC Rectal

  15. Index to 35mm Educational Filmstrips. Fourth Edition. Volume II. Subject Heading Outline, Index to Subject Headings, Subject Guide, Producer/Distributor Code Section.

    Science.gov (United States)

    University of Southern California, Los Angeles. National Information Center for Educational Media.

    Comprising the second volume of the index to 35mm educational filmstrips, this subject guide and directory of producers-distributors lists filmstrips appearing in the alphabetical index (Volume I). The subject guide lists filmstrips by categories and subcategories, and a subject headings outline and index to subject headings made the categories…

  16. Residual limb volume change: Systematic review of measurement and management

    Directory of Open Access Journals (Sweden)

    Joan E. Sanders, PhD

    2011-10-01

    Full Text Available Management of residual limb volume affects decisions regarding timing of fit of the first prosthesis, when a new prosthetic socket is needed, design of a prosthetic socket, and prescription of accommodation strategies for daily volume fluctuations. This systematic review assesses what is known about measurement and management of residual limb volume change in persons with lower-limb amputation. Publications that met inclusion criteria were grouped into three categories: group I: descriptions of residual limb volume measurement techniques; group II: studies investigating the effect of residual limb volume change on clinical care in people with lower-limb amputation; and group III: studies of residual limb volume management techniques or descriptions of techniques for accommodating or controlling residual limb volume. We found that many techniques for the measurement of residual limb volume have been described but clinical use is limited largely because current techniques lack adequate resolution and in-socket measurement capability. Overall, limited evidence exists regarding the management of residual limb volume, and the evidence available focuses primarily on adults with transtibial amputation in the early postoperative phase. While we can draw some insights from the available research about residual limb volume measurement and management, further research is required.

  17. Evidence-based neurosurgery. Basic concepts for the appraisal and application of scientific information to patient care (Part II).

    Science.gov (United States)

    Esene, Ignatius N; Baeesa, Saleh S; Ammar, Ahmed

    2016-07-01

    Medical evidence is obtainable from approaches, which might be descriptive, analytic and integrative and ranked into levels of evidence, graded according to quality and summarized into strengths of recommendation. Sources of evidence range from expert opinions through well-randomized control trials to meta-analyses. The conscientious, explicit, and judicious use of current best evidence in making decisions related to the care of individual patients defines the concept of evidence-based neurosurgery (EBN). We reviewed reference books of clinical epidemiology, evidence-based practice and other previously related articles addressing principles of evidence-based practice in neurosurgery. Based on existing theories and models and our cumulative years of experience and expertise conducting research and promoting EBN, we have synthesized and presented a holistic overview of the concept of EBN. We have also underscored the importance of clinical research and its relationship to EBN. Useful electronic resources are provided. The concept of critical appraisal is introduced. PMID:27356649

  18. Developing Successful Proposals in Women's Educational Equity, Volume I: The Guide = Desarrollo de propuestas exitosas relacionadas con la equidad educativa de la mujer, volumen I: La guia. Volume II: The Supplement. Volume III: The Swipe File. Volume IV: Workshop Training Manual.

    Science.gov (United States)

    Matthews, Walter R.; And Others

    Four volumes present materials and a training workshop on proposal writing. The materials aim to give people the skills and resources with which to translate their ideas into fully developed grant proposals for projects related to educational equity for women. However, the information is applicable to most other funding procedures. The first…

  19. Access to Care for Multiple Sclerosis in Times of Economic Crisis in Greece – the HOPE II Study

    Directory of Open Access Journals (Sweden)

    Kyriakos Souliotis

    2016-02-01

    Full Text Available Background While there is currently no cure for multiple sclerosis (MS, treatment with biologic diseasemodifying drugs (bDMDs can reduce the impact of the condition on the lives of patients. In Greece, the regulatory change in the distribution system of bDMDs, limited their administration through the designated pharmacies of the National Organization for Healthcare Services Provision (EOPYY or the National Health System (ESY hospitals, thus potentially impacting access to MS treatment. In this context, the aim of this paper was to assess the barriers to bDMDs, by recording MS patients’ experiences. Methods A survey research was conducted between January and February 2014 in Athens and 5 other major Greek cities with the methods of personal and telephone interview. A structured questionnaire was used to elicit socio-economic and medical information, information related to obstacles in accessing bDMDs and medical treatment, from MS patients that visited EOPYY pharmacies during the study period. Results During the last year 69% of 179 participants reported that the distribution system of bDMDs has improved. Thirteen percent of participants encountered problems in accessing their medication, and 16.9% of participants in accessing their physician, with the obstacles being more pronounced for non-Athens residents. Frequent obstacles to bDMDs were the distance from EOPYY pharmacies and difficulties in obtaining a diagnosis from an EOPYY/ESY physician, while obstacles to medical care were delays in appointment booking and travel difficulties. Conclusion Even though the major weaknesses of the distribution system of bDMDs have improved, further amelioration of the system could be achieved through the home delivery of medicines to patients living in remote areas, and through the development of a national MS registry.

  20. PATRAM '80. Proceedings. Volume 2

    International Nuclear Information System (INIS)

    Volume 2 contains papers from the following sessions: Safeguards-Related Problems; Neutronics and Criticality; Operations and Systems Experience II; Plutonium Systems; Intermediate Storage in Casks; Operations and Systems Planning; Institutional Issues; Structural and Thermal Evaluation I; Poster Session B; Extended Testing I; Structural and Thermal Evaluation II; Extended Testing II; and Emergency Preparedness and Response. Individual papers were processed. (LM)

  1. PATRAM '80. Proceedings. Volume 2

    Energy Technology Data Exchange (ETDEWEB)

    Huebner, H.W. (ed.)

    1980-01-01

    Volume 2 contains papers from the following sessions: Safeguards-Related Problems; Neutronics and Criticality; Operations and Systems Experience II; Plutonium Systems; Intermediate Storage in Casks; Operations and Systems Planning; Institutional Issues; Structural and Thermal Evaluation I; Poster Session B; Extended Testing I; Structural and Thermal Evaluation II; Extended Testing II; and Emergency Preparedness and Response. Individual papers were processed. (LM)

  2. Plutonium working group report on environmental, safety and health vulnerabilities associated with the department's plutonium storage. Volume II, Appendix B, Part 13: Sites with small plutonium holdings site assessment team report

    International Nuclear Information System (INIS)

    This Appendix contains the initial responses to the Question Set received from each of the sites with small plutonium holdings. The WGAT report for sites with small plutonium holdings was then prepared, based on these initial site responses plus supplemental information obtained via telephone request with the site contractor and/or DOE Field Office personnel. These supplements serve to clarify information in the initial question set responses and/or obtain additional information. This WGAT report is published as Volume II, Part 13

  3. RETINOPATHY OF PREMATURITY SCREENING OF 500 INFANTS IN A LEVEL II NEONATAL INTENSIVE CARE UNIT AT A MEDICAL COLLEGE HOSPITAL IN SOUTHERN KARNATAKA

    Directory of Open Access Journals (Sweden)

    Keerthi

    2014-09-01

    Full Text Available INTRODUCTION: Retinopathy of prematurity (ROP is the leading cause of infant blindness and predominantly affects premature, low birth weight babies.1 India and other middle-income countries are said to be suffering from the ‘third epidemic’. ROP is multi-factorial and early detection and treatment of threshold ROP with timely laser treatment results in excellent outcome.3-8 OBJECTIVES: 1. To determine the yield of ROP in a level II neonatal intensive care unit (NICU at a Government Medical College Hospital in Mandya district. 2. To determine disease characteristics and outcome of treatment. METHODOLOGY: The study is a prospective analysis of infants admitted during March 1st 2009 and November 30th, 2011(33 months at the NICU of Mandya Institute of Medical Sciences (MIMS Hospital. All infants weighing care, a collaborative, timely and appropriate screening strategy is necessary in the community to prevent ROP blindness in rural infants.

  4. Management strategies to effect change in intensive care units: lessons from the world of business. Part II. Quality-improvement strategies.

    Science.gov (United States)

    Gershengorn, Hayley B; Kocher, Robert; Factor, Phillip

    2014-03-01

    The success of quality-improvement projects relies heavily on both project design and the metrics chosen to assess change. In Part II of this three-part American Thoracic Society Seminars series, we begin by describing methods for determining which data to collect, tools for data presentation, and strategies for data dissemination. As Avedis Donabedian detailed a half century ago, defining metrics in healthcare can be challenging; algorithmic determination of the best type of metric (outcome, process, or structure) can help intensive care unit (ICU) managers begin this process. Choosing appropriate graphical data displays (e.g., run charts) can prompt discussions about and promote quality improvement. Similarly, dashboards/scorecards are useful in presenting performance improvement data either publicly or privately in a visually appealing manner. To have compelling data to show, ICU managers must plan quality-improvement projects well. The second portion of this review details four quality-improvement tools-checklists, Six Sigma methodology, lean thinking, and Kaizen. Checklists have become commonplace in many ICUs to improve care quality; thinking about how to maximize their effectiveness is now of prime importance. Six Sigma methodology, lean thinking, and Kaizen are techniques that use multidisciplinary teams to organize thinking about process improvement, formalize change strategies, actualize initiatives, and measure progress. None originated within healthcare, but each has been used in the hospital environment with success. To conclude this part of the series, we demonstrate how to use these tools through an example of improving the timely administration of antibiotics to patients with sepsis. PMID:24601668

  5. Management strategies to effect change in intensive care units: lessons from the world of business. Part II. Quality-improvement strategies.

    Science.gov (United States)

    Gershengorn, Hayley B; Kocher, Robert; Factor, Phillip

    2014-03-01

    The success of quality-improvement projects relies heavily on both project design and the metrics chosen to assess change. In Part II of this three-part American Thoracic Society Seminars series, we begin by describing methods for determining which data to collect, tools for data presentation, and strategies for data dissemination. As Avedis Donabedian detailed a half century ago, defining metrics in healthcare can be challenging; algorithmic determination of the best type of metric (outcome, process, or structure) can help intensive care unit (ICU) managers begin this process. Choosing appropriate graphical data displays (e.g., run charts) can prompt discussions about and promote quality improvement. Similarly, dashboards/scorecards are useful in presenting performance improvement data either publicly or privately in a visually appealing manner. To have compelling data to show, ICU managers must plan quality-improvement projects well. The second portion of this review details four quality-improvement tools-checklists, Six Sigma methodology, lean thinking, and Kaizen. Checklists have become commonplace in many ICUs to improve care quality; thinking about how to maximize their effectiveness is now of prime importance. Six Sigma methodology, lean thinking, and Kaizen are techniques that use multidisciplinary teams to organize thinking about process improvement, formalize change strategies, actualize initiatives, and measure progress. None originated within healthcare, but each has been used in the hospital environment with success. To conclude this part of the series, we demonstrate how to use these tools through an example of improving the timely administration of antibiotics to patients with sepsis.

  6. The 5th World Congress of chemical engineering: Technologies critical to a changing World. Volume II: Agriculture, food biotechnology biomedical electric power process safety

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    Volume 2 of the proceedings from the 5th World Congress of Chemical Engineering covers four major topic areas from which papers were selected for the database: Agriculture, Food; Biotechnology; Electric Power, and Process Safety. Pertinent subtopics include: Renewable Resource Engineering; Special Processes in the Food Industry; Advances in Metabolite Production; Advances in Fermentation and Cell Culture Engineering; Coal and Nuclear Central Station Power Plants; Large Natural Gas Fired Power Stations; Distributed Generation; Potential Impact of Biomass Energy; and Chemical Hazards in Plant Design. 29 papers were selected from Volume 1 for the database.

  7. A Phase II Comparative Study of Gross Tumor Volume Definition With or Without PET/CT Fusion in Dosimetric Planning for Non–Small-Cell Lung Cancer (NSCLC): Primary Analysis of Radiation Therapy Oncology Group (RTOG) 0515

    International Nuclear Information System (INIS)

    Background: Radiation Therapy Oncology Group (RTOG) 0515 is a Phase II prospective trial designed to quantify the impact of positron emission tomography (PET)/computed tomography (CT) compared with CT alone on radiation treatment plans (RTPs) and to determine the rate of elective nodal failure for PET/CT-derived volumes. Methods: Each enrolled patient underwent definitive radiation therapy for non–small-cell lung cancer (≥60 Gy) and had two RTP datasets generated: gross tumor volume (GTV) derived with CT alone and with PET/CT. Patients received treatment using the PET/CT-derived plan. The primary end point, the impact of PET/CT fusion on treatment plans was measured by differences of the following variables for each patient: GTV, number of involved nodes, nodal station, mean lung dose (MLD), volume of lung exceeding 20 Gy (V20), and mean esophageal dose (MED). Regional failure rate was a secondary end point. The nonparametric Wilcoxon matched-pairs signed-ranks test was used with Bonferroni adjustment for an overall significance level of 0.05. Results: RTOG 0515 accrued 52 patients, 47 of whom are evaluable. The follow-up time for all patients is 12.9 months (2.7–22.2). Tumor staging was as follows: II = 6%; IIIA = 40%; and IIIB = 54%. The GTV was statistically significantly smaller for PET/CT-derived volumes (98.7 vs. 86.2 mL; p < 0.0001). MLDs for PET/CT plans were slightly lower (19 vs. 17.8 Gy; p = 0.06). There was no significant difference in the number of involved nodes (2.1 vs. 2.4), V20 (32% vs. 30.8%), or MED (28.7 vs. 27.1 Gy). Nodal contours were altered by PET/CT for 51% of patients. One patient (2%) has developed an elective nodal failure. Conclusions: PET/CT-derived tumor volumes were smaller than those derived by CT alone. PET/CT changed nodal GTV contours in 51% of patients. The elective nodal failure rate for GTVs derived by PET/CT is quite low, supporting the RTOG standard of limiting the target volume to the primary tumor and involved nodes.

  8. Engineering characterization of ground motion. Task II. Effects of ground motion characteristics on structural response considering localized structural nonlinearities and soil-structure interaction effects. Volume 2

    International Nuclear Information System (INIS)

    This report presents the results of part of a two-task study on the engineering characterization of earthquake ground motion for nuclear power plant design. Task I of the study, which is presented in NUREG/CR-3805, Vol. 1, developed a basis for selecting design response spectra taking into account the characteristics of free-field ground motion found to be significant in causing structural damage. Task II incorporates additional considerations of effects of spatial variations of ground motions and soil-structure interaction on foundation motions and structural response. The results of Task II are presented in four parts: (1) effects of ground motion characteristics on structural response of a typical PWR reactor building with localized nonlinearities and soil-structure interaction effects; (2) empirical data on spatial variations of earthquake ground motion; (3) soil-structure interaction effects on structural response; and (4) summary of conclusions and recommendations based on Tasks I and II studies. This report presents the results of the first part of Task II. The results of the other parts will be presented in NUREG/CR-3805, Vols. 3 to 5

  9. Analysis and Approach to the Development of an Advanced Multimedia Instructional System. Volume II. Appendix III. Media Cost Data. Final Report.

    Science.gov (United States)

    Rhode, William E.; And Others

    Basic cost estimates for selected instructional media are tabled in this document, Part II (Appendix III) of the report "Analysis and Approach to the Development of an Advanced Multimedia Instructional System" by William E. Rhode and others. Learning materials production costs are given for motion pictures, still visuals, videotapes, live…

  10. HISTORY OF EMPLOYMENT AND MANPOWER POLICY IN THE UNITED STATES. PARTS I AND II, DEPRESSION EXPERIENCE, PROPOSALS, AND PROGRAMS. SELECTED READINGS IN EMPLOYMENT AND MANPOWER, VOLUME 5.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Public Welfare.

    THE SELECTED READINGS WERE COMPILED TO PROVIDE SUBCOMMITTEE MEMBERS WITH A BROAD BACKGROUND OF DEVELOPMENTS LEADING TO THE EMPLOYMENT ACT OF 1946 AND WITH APPRAISALS OF ITS ADEQUACY AND EFFECTIVENESS. MATERIAL IN THIS VOLUME SPANS THE LATE 1920'S AND THE GREAT DEPRESSION. PARTS III AND IV (VT 004 820) CONTINUE THE HISTORICAL BACKGROUND AND REVIEW.…

  11. Personality and Biography: Proceedings of the Sixth International Conference on the History of Adult Education. Volume II: Biographies of Adult Educators from Five Continents.

    Science.gov (United States)

    Friedenthal-Haase, Martha, Ed.

    This volume contains 36 biographies: "I.T.A. Wallace-Johnson and Radical Adult Education (AE) in Sierra Leone in the Years 1938/1939" (Turay); "Frank C. Laubach as the Father of the Adult Literacy Movement in India" (Ghosh); "A Historical Study on the Theory and Practice of Social and AE in Korea" (Lee); "Integrative Adult Educators" (Yaron);…

  12. Profile and severity of the patients of intensive care units: prospective application of the APACHE II index Perfil y gravedad de los pacientes de las unidades de terapia intensiva: aplicación prospectiva del puntaje APACHE II Perfil e gravidade dos pacientes das unidades de terapia intensiva: aplicação prospectiva do escore APACHE II

    Directory of Open Access Journals (Sweden)

    Eliane Regina Ferreira Sernache de Freitas

    2010-06-01

    Full Text Available This study aimed to understand the profile and severity of patients in physiotherapy treatment after their admission to the intensive care unit (ICU by applying the APACHE II index. One hundred and forty six subjects, with a mean age of 60.5 ± 19.2 years, were evaluated. The APACHE II index was applied in the first 24 hours to evaluate the severity and mortality risk score. Patients were monitored until hospital discharge or death. The mean APACHE II score was 20±7.3 with an estimated risk of death of 32.4% and observed mortality of 58.2%. The mean hospital stay was 27.8±25.2 days. The patients in physiotherapy at the institution studied were predominantly male, elderly, from the emergency service for treatment (non-surgical, and had clear severity, suggested by the APACHE II score and the observed mortality.Este estudio tuvo como objetivo conocer el perfil y la gravedad de pacientes asistidos por la fisioterapia, después de su ingreso en las unidades de terapia intensiva (UTI, a través de la aplicación del puntaje APACHE II. Se evaluaron 146 individuos con promedio de edad de 60,5±19,2 años. El puntaje APACHE II fue aplicado en las primeras 24h para evaluar la gravedad y dar puntuación al riesgo de mortalidad. Los pacientes fueron acompañados hasta el momento del alta hospitalaria o de la muerte. El puntaje APACHE II promedio fue de 20±7,3 con riesgo estimado de muerte de 32,4% y mortalidad observada de 58,2%. El promedio de permanencia hospitalaria fue de 27,8±25,2 días. En los pacientes asistidos por la fisioterapia de la institución investigada, el predominio fue del sexo masculino, ancianos, provenientes de la atención rápida para tratamiento clínico (no quirúrgico y que presentan nítida gravedad, sugerida por el puntaje APACHE II y por la mortalidad observada.Este estudo teve como objetivo conhecer o perfil e a gravidade de pacientes assistidos pela fisioterapia, após o seu ingresso nas unidades de terapia intensiva

  13. II-VI semiconductor compounds

    CERN Document Server

    1993-01-01

    For condensed matter physicists and electronic engineers, this volume deals with aspects of II-VI semiconductor compounds. Areas covered include devices and applications of II-VI compounds; Co-based II-IV semi-magnetic semiconductors; and electronic structure of strained II-VI superlattices.

  14. Recueil des legislations linguistiques dans le monde. Tome II: La Belgique et ses Communautes linguistiques (Record of World Language-Related Legislation. Volume II: Belgium and its Linguistic Communities).

    Science.gov (United States)

    Leclerc, Jacques, Ed.

    The volume is one of a series of six listing language-related legislation around the world. It presents the texts, in French, of laws of the central Belgian government and of the Flemish-speaking, French-speaking, and German-speaking communities within Belgium. The laws concern official languages, language maintenance, and language use in…

  15. Improving Kenya's Domestic Horticultural Production and Marketing System: Current Competitiveness, Forces of Change, and Challenges for the Future Volume II: Horticultural Marketing

    OpenAIRE

    Tschirley, David L.; Muendo, Kavoi Mutuku; Weber, Michael T.

    2004-01-01

    The specific objectives of this Volume are to: estimate the share of domestic FFV production going to international and domestic markets; determine the share of imports from Tanzania and Uganda in Kenya’s horticultural markets; investigate the competitiveness of Kenya’s horticultural produce in local and regional markets; determine the current and likely future share of key marketing channels in Kenya’s domestic FFV marketing system, especially “modern” channels such as supermarkets and more ...

  16. Effect of transcutaneous electrical muscle stimulation on muscle volume in patients with septic shock

    DEFF Research Database (Denmark)

    Poulsen, Jesper Brøndum; Møller, Kirsten; Jensen, Claus V;

    2011-01-01

    Objective: Intensive care unit admission is associated with muscle wasting and impaired physical function. We investigated the effect of early transcutaneous electrical muscle stimulation on quadriceps muscle volume in patients with septic shock. Design: Randomized interventional study using...... a single-legged exercise design with the contralateral leg serving as a paired control. Setting: A mixed 18-bed intensive care unit at a tertiary care university hospital. Patients: Eight adult male intensive care unit patients with septic shock included within 72 hrs of diagnosis. Interventions: After...... muscle was manually delineated on the computed tomography slices, and muscle volumes were calculated after three-dimensional reconstruction. Measurements and Main Results: Median age and Acute Physiology and Chronic Health Evaluation II score were 67 years (interquartile range, 64–72 years) and 25...

  17. Impact of Distance in the Provision of Maternal Health Care Services and Its Accountability in Murarai-II Block, Birbhum District

    Directory of Open Access Journals (Sweden)

    Alokananda Ghosh

    2016-06-01

    Full Text Available The maternal health issue was a part of the Millennium Development Goals (MDGs, Target-5. Now it has been incorporated into Target-3 of 17 points Sustainable Development Goal-2030, declared by the United Nations, 2015. In India, about 50% of newborn deaths can be reduced by taking good care of the mother during pregnancy, childbirth and postpartum period. This requires timely, well-equipped healthcare by trained providers, along with emergency transportation for referral obstetric emergency. Governments need to ensure physicians in the rural underserved areas. The utilisation of maternal healthcare services (MHCSs depends on both the availability and accessibility of services along with accountability. This study is based on an empirical retrospective survey, also called a historic study, to evaluate the influences of distance on the provision of maternal health services and on its accountability in Murarai-II block, Birbhum District. The major objective of the study is to identify the influence of distance on the provision and accountability of the overall MHCSs. The investigation has found that there is a strong inverse relationship (-0.75 between accessibility index and accountability score with p-value = 0.05. Tracking of pregnant women, identification of high risk pregnancy and timely Postnatal Care (PNC have become the dominant factors of the maternal healthcare services in the first Principal Component Analysis (PCA, explaining 49.67% of the accountability system. Overall, institutional barriers to accessibility are identified as important constraints behind lesser accountability of the services, preventing the anticipated benefit. This study highlights the critical areas where maternal healthcare services are lacking. The analysis has highlighted the importance of physical access to health services in shaping the provision of maternal healthcare services. Drawing on empirical observations of operation of public distribution system in

  18. Validation of the APACHE IV model and its comparison with the APACHE II, SAPS 3, and Korean SAPS 3 models for the prediction of hospital mortality in a Korean surgical intensive care unit

    OpenAIRE

    Lee, Hannah; Shon, Yoon-Jung; Kim, Hyerim; Paik, Hyesun; Park, Hee-Pyoung

    2014-01-01

    Background The Acute Physiology and Chronic Health Evaluation (APACHE) IV model has not yet been validated in Korea. The aim of this study was to compare the ability of the APACHE IV with those of APACHE II, Simplified Acute Physiology Score (SAPS) 3, and Korean SAPS 3 in predicting hospital mortality in a surgical intensive care unit (SICU) population. Methods We retrospectively reviewed electronic medical records for patients admitted to the SICU from March 2011 to February 2012 in a univer...

  19. Program plan for the DOE Office of Fusion Energy First Wall/Blanket/Shield Engineering Technology Program. Volume II. Detailed technical plan. Revision 2

    International Nuclear Information System (INIS)

    The four sections which comprise Part II describe in detail the technical basis for each of the four Program Elements (PE's) of the FWBS Engineering Technology Program (ETP). Each PE is planned to be executed in a number of phases. The purpose of the DTP's is to delineate detailed near-term research, development, and testing required to establish a FWBS engineering data base. Optimum testing strategies and construction of test facilities where needed are identified. The DTP's are based on guidelines given by Argonne National Laboratory which included the basic programmatic goals and the requirements for the types of tests and test conditions

  20. 'DRF-G - Grenoble Department of Fundamental Research. Activity report 1985, Nr 20. Volume II: 'Chemical Physics' 'Biology'

    International Nuclear Information System (INIS)

    This volume contains synthetic reports of researches performed in chemistry, in the field of biological and medical applications of nuclear magnetic resonance, and in biology during the 1981-1983 period or only during 1983. As far as chemistry is concerned, the following topics have been addressed: conducting organic polymers, organic and analytic electrochemistry, coordination chemistry, molecular dynamics, vegetal macromolecules, nucleic acids. As far as biology is concerned, the following topics have been addressed: systems associated with membranes, metalloproteins, cell biology and differentiation, immuno-chemistry, haematology, vegetal physiology, structural studies of proteins. Staff lists of researchers are provided for chemistry laboratories and biology laboratories, as well a list of publications

  1. A history of the Water Resources Branch of the United States Geological Survey: volume 4, years of World War II, July 1, 1939 to June 30, 1947

    Science.gov (United States)

    Follansbee, Robert

    1939-01-01

    This period extends from July 1, 1939, to June 30, 1947, and is called the years of World War II, although it was not until December 1941 that the United States entered the war which began in Europe in September 1939. By the beginning of the period, it was evident that this country might be drawn into the conflict and a rearmament program including the draft act , effective in September 1940, was started and prosecuted vigorously prior to December 1941, when the attack on Pearl Harbor forced us into the war. Although the war was not officially ended by June 1947, President Truman proclaimed the end of hostilities on December 31, 1946, thus terminating some of his war-time powers, and by further action terminated other war-time powers as of June 30, 1947.

  2. I. Excluded Volume Effects in Ising Cluster Distributions and Nuclear Multifragmentation II. Multiple-Chance Effects in α-Particle Evaporation

    Energy Technology Data Exchange (ETDEWEB)

    Breus, Dimitry Eugene [Univ. of California, Berkeley, CA (United States)

    2005-05-16

    In Part 1, geometric clusters of the Ising model are studied as possible model clusters for nuclear multifragmentation. These clusters may not be considered as non-interacting (ideal gas) due to excluded volume effect which predominantly is the artifact of the cluster's finite size. Interaction significantly complicates the use of clusters in the analysis of thermodynamic systems. Stillinger's theory is used as a basis for the analysis, which within the RFL (Reiss, Frisch, Lebowitz) fluid-of-spheres approximation produces a prediction for cluster concentrations well obeyed by geometric clusters of the Ising model. If thermodynamic condition of phase coexistence is met, these concentrations can be incorporated into a differential equation procedure of moderate complexity to elucidate the liquid-vapor phase diagram of the system with cluster interaction included. The drawback of increased complexity is outweighted by the reward of greater accuracy of the phase diagram, as it is demonstrated by the Ising model. A novel nuclear-cluster analysis procedure is developed by modifying Fisher's model to contain cluster interaction and employing the differential equation procedure to obtain thermodynamic variables. With this procedure applied to geometric clusters, the guidelines are developed to look for excluded volume effect in nuclear multifragmentation. In part 2, an explanation is offered for the recently observed oscillations in the energy spectra of α-particles emitted from hot compound nuclei. Contrary to what was previously expected, the oscillations are assumed to be caused by the multiple-chance nature of α-evaporation. In a semi-empirical fashion this assumption is successfully confirmed by a technique of two-spectra decomposition which treats experimental α-spectra has having contributions from at least two independent emitters. Building upon the success of the multiple-chance explanation of the oscillations, Moretto's single

  3. Fuzziness and medicine philosophical reflections and application systems in health care a companion volume to Sadegh-Zadeh’s handbook of analytical philosophy of medicine

    CERN Document Server

    Tabacchi, Marco

    2013-01-01

    This book is a collection of contributions written by philosophers and scientists active in different fields, such as mathematics, logics, social sciences, computer sciences and linguistics. They comment on and discuss various parts of and subjects and propositions introduced in the Handbook of Analytical Philosophy of Medicine from Kazem Sadegh-Zadeh, published by Springer in 2012. This volume reports on the fruitful exchange and debate that arose in the fuzzy community upon the publication of the Handbook. This was not only very much appreciated by the community but also seen as a critical starting point for beginning a new discussion. The results of this discussion, which involved many different perspectives from science and the humanities and was warmly encouraged by Kazem Sadegh-Zadeh himself, are accurately reported in this volume, which is intended to be a critical companion to Kazem Sadegh-Zadeh´s handbook.   Rudolf Seising is currently an adjoint researcher at the European Centre for Soft Computing...

  4. Aerial gamma ray and magnetic survey, Powder River II Project: the Newcastle and Gillette Quadrangles of Wyoming and South Dakota; the Ekalaka Quadrangle of Montana, South and North Dakota. Volume I. Final report

    International Nuclear Information System (INIS)

    During the months of August through September 1978, geoMetrics, Inc. flew approximately 9000 line miles of high sensitivity airborne radiometric and magnetic data in eastern Wyoming and southern Montana over three 10 x 20 NTMS quadrangle (Newcastle, Gillette, and Ekalaka) as part of the Department of Energy's National Uranium Resource Evaluation program. All radiometric and magnetic data were fully reduced and interpreted by geoMetrics, and are presented as four volumes (one Volume I and three Volume II's) in this report. The survey area lies entirely within the northern Great Plains Physiographic Province. The deep Powder River Basin and the Black Hills Uplift are the two dominant structures in the area. Both structures strike NNW approximately parallel to each other with the Powder River Basin to the west of the Uplift. The Basin is one of the largest and deepest in the northern Great Plains and contains over 17,000 feet of Phanerozoic sediments at its deepest point. Economic deposits of oil, coal, bentonite and uranium are found in the Tertiary and/or Cretaceous rocks of the Basin. Gold, silver, lead, copper, manganese, rare-earth elements and uranium have been mined in the Uplift. Epigenetic uranium deposits lie primarily in the Monument Hills - Box Creek and Pumpkin Buttes - Turnercrest districts within arkosic sandstones of the Paleocene Fort Union Formation. A total of 368 groups of statistical values in the uranium window meet the criteria for valid anomalies and are discussed in the interpretation sections (83 in Newcastle, 109 in Gillette, and 126 in Ekalaka). Most anomalies lie in the Tertiary sediments of the Powder River Basin, but only a few are clearly related to known uranium mines or prospects. Magnetic data generally delineate the deep Powder River Basin relative to the Black Hills Uplift. Higher frequency anomalies appear related to producing oil fields and mapped sedimentary structures

  5. The Cool ISM in Elliptical Galaxies. II. Gas Content in the Volume - Limited Sample and Results from the Combined Elliptical and Lenticular Surveys

    CERN Document Server

    Welch, Gary A; Young, Lisa M

    2010-01-01

    We report new observations of atomic and molecular gas in a volume limited sample of elliptical galaxies. Combining the elliptical sample with an earlier and similar lenticular one, we show that cool gas detection rates are very similar among low luminosity E and SO galaxies but are much higher among luminous S0s. Using the combined sample we revisit the correlation between cool gas mass and blue luminosity which emerged from our lenticular survey, finding strong support for previous claims that the molecular gas in ellipticals and lenticulars has different origins. Unexpectedly, however, and contrary to earlier claims, the same is not true for atomic gas. We speculate that both the AGN feedback and merger paradigms might offer explanations for differences in detection rates, and might also point towards an understanding of why the two gas phases could follow different evolutionary paths in Es and S0s. Finally we present a new and puzzling discovery concerning the global mix of atomic and molecular gas in ear...

  6. District heating and cooling systems for communities through power plant retrofit distribution network, Phase 2. Final report, 1 March 1980-31 January 1984. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    1984-01-31

    This volume begins with an Introduction summarizing the history, methodology and scope of the study, the project team members and the private and public groups consulted in the course of the study. The Load and Service Area Assessment follows, including: a compilation and analysis of existing statistical thermal load data from census data, industrial directories, PSE and G records and other sources; an analysis of responses to a detailed, 4-page thermal load questionnaire; data on public buildings and fuel and energy use provided by the New Jersey Dept. of Energy; and results of other customer surveys conducted by PSE and G. A discussion of institutional questions follows. The general topic of rates is then discussed, including a draft hypothetical Tariff for Thermal Services. Financial considerations are discussed including a report identifying alternative ownership/financing options for district heating systems and the tax implications of these options. Four of these options were then selected by PSE and G and a financial (cash-flow) analysis done (by the PSE and G System Planning Dept.) in comparison with a conventional heating alternative. Year-by-year cost of heat ($/10/sup 6/ Btu) was calculated and tabulated, and the various options compared.

  7. Solar Central Receiver Hybrid Power Systems sodium-cooled receiver concept. Final report. Volume II, Book 2. Conceptual design, Sections 5 and 6

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-01-01

    The overall, long-term objective of the Solar Central Receiver Hybrid Power System program is to identify, characterize, and ultimately demonstrate the viability and cost effectiveness of solar/fossil, steam Rankine cycle, hybrid power systems that: (1) consist of a combined solar central receiver energy source and a nonsolar energy source at a single, common site, (2) may operate in the base, intermediate, and peaking capacity modes, (3) produce the rated output independent of variations in solar insolation, (4) provide a significant savings (50% or more) in fuel consumption, and (5) produce power at the minimum possible cost in mills/kWh. It is essential that these hybrid concepts be technically feasible and economically competitive with other systems in the near to mid-term time period (1985-1990) on a commercial scale. The program objective for Phase I is to identify and conceptually characterize solar/fossil steam Rankine cycle, commercial-scale, power plant systems that are economically viable and technically feasible. This volume contains the detailed conceptual design and cost/performance estimates and an assessment of the commercial scale solar central receiver hybrid power system. (WHK)

  8. Solar Central Receiver Hybrid Power Systems sodium-cooled receiver concept. Final report. Volume II, Book 1. Conceptual design, Sections 1 through 4

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-01-01

    The overall, long-term objective of the Solar Central Receiver Hybrid Power System program is to identify, characterize, and ultimately demonstrate the viability and cost effectiveness of solar/fossil, steam Rankine cycle, hybrid power systems that: (1) consist of a combined solar central receiver energy source and a nonsolar energy source at a single, common site, (2) may operate in the base, intermediate, and peaking capacity modes, (3) produce the rated output independent of variations in solar insolation, (4) provide a significant savings (50% or more) in fuel consumption, and (5) produce power at the minimum possible cost in mills/kWh. It is essential that these hybrid concepts be technically feasible and economically competitive with other systems in the near to mid-term time period (1985-1990) on a commercial scale. The program objective for Phase I is to identify and conceptually characterize solar/fossil steam Rankine cycle, commercial-scale, power plant systems that are economically viable and technically feasible. This volume presents in detail the market analysis, parametric analysis, and the selection process for the preferred system. (WHK)

  9. FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU PERAWATAN KEHAMILAN (ANTE NATAL CARE (ANC IBU HAMIL : Studi Di Wilayah Kerja Puskesmas Gondanglegi Kabupaten Dati II Malang

    Directory of Open Access Journals (Sweden)

    Paiman Soeparmanto

    2012-11-01

    Full Text Available The purpose of this study was to study the factors that influenced the behaviour of prenatal care. Its conducted to 180 samples of pregnan­ cies. There were 3 stages of sampling regent (kabupaten, district (kecamatan/Health Centre and village. All pregnancies in selected villages were samples (cluster. The data collection was conducted using interview guide and analized using multiple linier regression. The results were: that variable with strongest influence to the prenatal care behaviour was level of pregnancy care knowledge. Other variables were accesibility to health fasilities and health education par­ticipation.   Keyword: Ante natal care

  10. Primary care nurses: effects on secondary care referrals for diabetes?

    NARCIS (Netherlands)

    Dijk, C.E. van; Verheij, R.A.; Hansen, J.; Velden, L. van der; Nijpels, G.; Groenewegen, P.P.; Bakker, D.H. de

    2010-01-01

    BACKGROUND: Primary care nurses play an important role in diabetes care, and were introduced in GP-practice partly to shift care from hospital to primary care. The aim of this study was to assess whether the referral rate for hospital treatment for diabetes type II (T2DM) patients has changed with t

  11. State policies and requirements for management of uranium mining and milling in New Mexico. Volume II. Water availability in the San Juan Structural Basin

    International Nuclear Information System (INIS)

    This volume contains Two parts: Part One is an analysis of an issue paper prepared by the office of the New Mexico State Engineer on water availability for uranium production. Part Two is the issue paper itself. The State Engineer's report raises the issue of a scarce water supply in the San Juan Structural Basin acting as a constraint on the growth of the uranium mining and milling industry in New Mexico. The water issue in the structural basin is becoming an acute policy issue because of the uranium industry's importance to and rapid growth within the structural basin. Its growth places heavy demands on the region's scarce water supply. The impact of mine dewatering on water supply is of particular concern. Much of the groundwater has been appropriated or applied for. The State Engineer is currently basing water rights decisions upon data which he believes to be inadequate to determine water quality and availability in the basin. He, along with the USGS and the State Bureau of Mines and Mineral Resources, recommends a well drilling program to acquire the additional information about the groundwater characteristics of the basin. The information would be used to provide input data for a computer model, which is used as one of the bases for decisions concerning water rights and water use in the basin. The recommendation is that the appropriate DOE office enter into discussions with the New Mexico State Engineer to explore the potential mutual benefits of a well drilling program to determine the water availability in the San Juan Structural Basin

  12. High resolution spectral domain optical coherence tomography (SD-OCT in multiple sclerosis, Part II - the Total Macular Volume. The first follow up study over two years.

    Directory of Open Access Journals (Sweden)

    Nermin eSerbecic

    2014-02-01

    Full Text Available Background: To date, the results of studies investigating the use of optical coherence tomography (OCT in multiple sclerosis (MS patients seem to be preliminary, and at times contradictory. Reasons for this include the incompletely understood aetiology and heterogeneity of MS, the physiological variations of the retinal nerve fibre layer (RNFL or total macular volume (TMV, and limitations in methodology. Firstly, it remains to be discovered whether any retinal changes develop in a stepwise fashion or continuously, and if so, whether these occur in all MS patients or a subset. Secondly, as any hypothesized retinal changes are likely to be subtle, newly available high resolution spectral domain OCT devices (SD-OCT will be prerequisite. Thirdly, cross-sectional studies can never replace longitudinal studies to determine changes over time and extrapolation must be avoided. Additionally, if the hypothesis is correct, then retinal and global brain tissue changes must be detected in a substantial majority of MS patients, and they should correlate strictly with each other. Furthermore, detection should be possible in MS patients with a high degree of disease activity and/or long disease course. Methodology: Thirty-seven MS patients (relapsing remitting, n=27; secondary progressive, n=10 were examined prospectively on two occasions with a median interval of 22.4±0.5 months [range 19-27]. We used SD-OCT with the Spectralis 3.5mm circle scan protocol with locked reference images and eye tracking mode. None of the patients had an optic neuritis 12 months prior to study entry or during the observation period. Principal Findings: The initial TMV pattern differed between study participants, but was found unchanged over 2-year observation period despite high disease activity or long disease course. The TMV correlated well with the RNFL.Conclusions: The significance of differences in TMV- (and RNFL- between study participants remains unclear. Until these

  13. XTROEM-FV: a new code for computational astrophysics based on very high order finite-volume methods - II. Relativistic hydro- and magnetohydrodynamics

    Science.gov (United States)

    Núñez-de la Rosa, Jonatan; Munz, Claus-Dieter

    2016-07-01

    In this work, we discuss the extension of the XTROEM-FV code to relativistic hydrodynamics and magnetohydrodynamics. XTROEM-FV is a simulation package for computational astrophysics based on very high order finite-volume methods on Cartesian coordinates. Arbitrary spatial high order of accuracy is achieved with a weighted essentially non-oscillatory (WENO) reconstruction operator, and the time evolution is carried out with a strong stability preserving Runge-Kutta scheme. In XTROEM-FV has been implemented a cheap, robust, and accurate shock-capturing strategy for handling complex shock waves problems, typical in an astrophysical environment. The divergence constraint of the magnetic field is tackled with the generalized Lagrange multiplier divergence cleaning approach. Numerical computations of smooth flows for the relativistic hydrodynamics and magnetohydrodynamics equations are performed and confirm the high-order accuracy of the main reconstruction algorithm for such kind of flows. XTROEM-FV has been subject to a comprehensive numerical benchmark, especially for complex flows configurations within an astrophysical context. Computations of problems with shocks with very high order reconstruction operators up to seventh order are reported. For instance, one-dimensional shock tubes problems for relativistic hydrodynamics and magnetohydrodynamics, as well as two-dimensional flows like the relativistic double Mach reflection problem, the interaction of a shock wave with a bubble, the relativistic Orszag-Tang vortex, the cylindrical blast wave problem, the rotor problem, the Kelvin-Helmholtz instability, and an astrophysical slab jet. XTROEM-FV represents a new attempt to simulate astrophysical flow phenomena with very high order numerical methods.

  14. User manual for AQUASTOR: a computer model for cost analysis of aquifer thermal-energy storage oupled with district-heating or cooling systems. Volume II. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Huber, H.D.; Brown, D.R.; Reilly, R.W.

    1982-04-01

    A computer model called AQUASTOR was developed for calculating the cost of district heating (cooling) using thermal energy supplied by an aquifer thermal energy storage (ATES) system. the AQUASTOR Model can simulate ATES district heating systems using stored hot water or ATES district cooling systems using stored chilled water. AQUASTOR simulates the complete ATES district heating (cooling) system, which consists of two prinicpal parts: the ATES supply system and the district heating (cooling) distribution system. The supply system submodel calculates the life-cycle cost of thermal energy supplied to the distribution system by simulating the technical design and cash flows for the exploration, development, and operation of the ATES supply system. The distribution system submodel calculates the life-cycle cost of heat (chill) delivered by the distribution system to the end-users by simulating the technical design and cash flows for the construction and operation of the distribution system. The model combines the technical characteristics of the supply system and the technical characteristics of the distribution system with financial and tax conditions for the entities operating the two systems into one techno-economic model. This provides the flexibility to individually or collectively evaluate the impact of different economic and technical parameters, assumptions, and uncertainties on the cost of providing district heating (cooling) with an ATES system. This volume contains all the appendices, including supply and distribution system cost equations and models, descriptions of predefined residential districts, key equations for the cooling degree-hour methodology, a listing of the sample case output, and appendix H, which contains the indices for supply input parameters, distribution input parameters, and AQUASTOR subroutines.

  15. Final Report: Design & Evaluation of Energy Efficient Modular Classroom Structures Phase II / Volume I-VII, January 17, 1995 - October 30, 1999

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-10-30

    We are developing innovations to enable modular builders to improve the energy performance of their classrooms with no increase in first cost. The Modern Building Systems' (MBS) classroom building conforms to the stringent Oregon energy code, and at $18/ft{sup 2} ($1.67/m{sup 2}) (FOB the factory) it is at the low end of the cost range for modular classrooms. We have investigated daylighting, cross-ventilation, solar preheat of ventilation air, air-to-air heat exchanger, electric lighting controls, and down-sizing HVAC systems as strategies to improve energy performance. We were able to improve energy performance with no increase in first cost in all climates examined. Two papers and a full report on Phase I of this study are available. The work described in this report is from the second phase of the project. In the first phase we redesigned the basic modular classroom to incorporate energy strategies including daylighting, cross-ventilation, solar preheating of ventilation air, and insulation. We also explored thermal mass but determined that it was not a cost-effective strategy in the five climates we examined. Energy savings ranged from 6% to 49% with an average of 23%. Paybacks ranged from 1.3 years to 23.8 years, an average of 12.1 years. In Phase II the number of baseline buildings was expanded by simulating buildings that would be typical of those produced by Modern Building Systems, Inc. (MBS) for each of the seven locations/climates. A number of parametric simulations were performed for each energy strategy. Additionally we refined our previous algorithm for a solar ventilation air wall preheater and developed an algorithm for a roof preheater configuration. These algorithms were coded as functions in DOE 2.1E. We were striving for occupant comfort as well as energy savings. We performed computer analyses to verify adequate illumination on vertical surfaces and acceptable glare levels when using daylighting. We also used computational fluid dynamics

  16. Sequential (gemcitabine/vinorelbine and concurrent (gemcitabine radiochemotherapy with FDG-PET-based target volume definition in locally advanced non-small cell lung cancer: first results of a phase I/II study

    Directory of Open Access Journals (Sweden)

    Stanzel Sven

    2007-06-01

    Full Text Available Abstract Background The aim of the study was to determine the maximal tolerated dose (MTD of gemcitabine every two weeks concurrent to radiotherapy, administered during an aggressive program of sequential and simultaneous radiochemotherapy for locally advanced, unresectable non-small cell lung cancer (NSCLC and to evaluate the efficacy of this regime in a phase II study. Methods 33 patients with histologically confirmed NSCLC were enrolled in a combined radiochemotherapy protocol. 29 patients were assessable for evaluation of toxicity and tumor response. Treatment included two cycles of induction chemotherapy with gemcitabine (1200 mg/m2 and vinorelbine (30 mg/m2 at day 1, 8 and 22, 29 followed by concurrent radiotherapy (2.0 Gy/d; total dose 66.0 Gy and chemotherapy with gemcitabine every two weeks at day 43, 57 and 71. Radiotherapy planning included [18F] fluorodeoxyglucose positron emission tomography (FDG PET based target volume definition. 10 patients were included in the phase I study with an initial gemcitabine dose of 300 mg/m2. The dose of gemcitabine was increased in steps of 100 mg/m2 until the MTD was realized. Results MTD was defined for the patient group receiving gemcitabine 500 mg/m2 due to grade 2 (next to grade 3 esophagitis in all patients resulting in a mean body weight loss of 5 kg (SD = 1.4 kg, representing 8% of the initial weight. These patients showed persisting dysphagia 3 to 4 weeks after completing radiotherapy. In accordance with expected complications as esophagitis, dysphagia and odynophagia, we defined the MTD at this dose level, although no dose limiting toxicity (DLT grade 3 was reached. In the phase I/II median follow-up was 15.7 months (4.1 to 42.6 months. The overall response rate after completion of therapy was 64%. The median overall survival was 19.9 (95% CI: [10.1; 29.7] months for all eligible patients. The median disease-free survival for all patients was 8.7 (95% CI: [2.7; 14.6] months. Conclusion

  17. Sequential (gemcitabine/vinorelbine) and concurrent (gemcitabine) radiochemotherapy with FDG-PET-based target volume definition in locally advanced non-small cell lung cancer: first results of a phase I/II study

    International Nuclear Information System (INIS)

    The aim of the study was to determine the maximal tolerated dose (MTD) of gemcitabine every two weeks concurrent to radiotherapy, administered during an aggressive program of sequential and simultaneous radiochemotherapy for locally advanced, unresectable non-small cell lung cancer (NSCLC) and to evaluate the efficacy of this regime in a phase II study. 33 patients with histologically confirmed NSCLC were enrolled in a combined radiochemotherapy protocol. 29 patients were assessable for evaluation of toxicity and tumor response. Treatment included two cycles of induction chemotherapy with gemcitabine (1200 mg/m2) and vinorelbine (30 mg/m2) at day 1, 8 and 22, 29 followed by concurrent radiotherapy (2.0 Gy/d; total dose 66.0 Gy) and chemotherapy with gemcitabine every two weeks at day 43, 57 and 71. Radiotherapy planning included [18F] fluorodeoxyglucose positron emission tomography (FDG PET) based target volume definition. 10 patients were included in the phase I study with an initial gemcitabine dose of 300 mg/m2. The dose of gemcitabine was increased in steps of 100 mg/m2 until the MTD was realized. MTD was defined for the patient group receiving gemcitabine 500 mg/m2 due to grade 2 (next to grade 3) esophagitis in all patients resulting in a mean body weight loss of 5 kg (SD = 1.4 kg), representing 8% of the initial weight. These patients showed persisting dysphagia 3 to 4 weeks after completing radiotherapy. In accordance with expected complications as esophagitis, dysphagia and odynophagia, we defined the MTD at this dose level, although no dose limiting toxicity (DLT) grade 3 was reached. In the phase I/II median follow-up was 15.7 months (4.1 to 42.6 months). The overall response rate after completion of therapy was 64%. The median overall survival was 19.9 (95% CI: [10.1; 29.7]) months for all eligible patients. The median disease-free survival for all patients was 8.7 (95% CI: [2.7; 14.6]) months. After induction chemotherapy, the maximum tolerated dose

  18. Costs of Emergency Care

    Science.gov (United States)

    ... to care for patients, not fewer, and medical liability reform would help reduce overall costs by reducing ... NewsMediaResources/StatisticsData/Just%202%20booklet.pdf [ii] Report: Accounting for the cost of US health care: A ...

  19. Cirurgia cardíaca em uma sociedade multiétnica: a experiência do Caribbean Heart Care Cardiac surgery in a multi-ethnic low volume service: the Caribbean Heart Care Experience

    Directory of Open Access Journals (Sweden)

    Jose Burgos-Irazabal

    2005-09-01

    Full Text Available OBJETIVO: A população do Caribe constitui uma sociedade multiétnica, incluindo caucasianos, afro-caribenhos, indianos, asiáticos, hispânicos, europeus e nativos, com uma grande variabilidade de padrões socioeconômicos. A incidência e os tipos de doenças cardíacas também variam significativamente entre essas etnias. Relatamos aqui a experiência (em pacientes adultos e pediátricos em um serviço de cirurgia cardíaca de baixo volume em Trinidad e Tobago, no Caribe. MÉTODO: O programa de cirurgia cardíaca de adultos começou em novembro de 1993, são reportados os dados de 878 pacientes (629 homens, idade entre 18 e 88 anos, com média de 67 anos. Destes, 39,4% eram diabéticos e 46,5% hipertensos. Os procedimentos incluíram cirurgia de revascularização miocárdica (CRM, reparo e substituição de valvas e cirurgias da aorta. O programa de cirurgia cardíaca pediátrica (idades entre duas semanas e 21 anos começou em setembro de 1998, tendo sido realizado um total de 279 operações. RESULTADOS: Adultos - a mortalidade total foi de 3,8%. A maioria dos procedimentos foi CRM (82,3% com mortalidade total de 2,8% (0% em 2004. A técnica sem circulação extracorpórea foi empregada em 43% dos procedimentos de CRM (71,2% em 2004. A cirurgia de valva aórtica foi feita em 49 pacientes, e a substituição/reparo da valva mitral em 96 doentes. Pediátricos - a maioria dos procedimentos foi correção de comunicação interventricular (111, comunicação interatrial (57, tetralogia de Fallot (23, e 88 outros (com mortalidade de 1,5%. CONCLUSÃO: Cirurgia cardíaca em um serviço multiétnico de baixo volume pode ser realizada com excelentes resultados, comparáveis com padrões internacionais de qualidade.INTRODUCTION: The Caribbean is a multi-ethnic society, including Caucasian, Afro-Caribbean, East Indians, Asians, Hispanics, European and natives, which has a broad range of living standards. The incidence and types of heart diseases

  20. Increased mortality associated with meticillin-resistant Staphylococcus aureus (MRSA) infection in the intensive care unit: results from the EPIC II study

    NARCIS (Netherlands)

    Hanberger, H.; Walther, S.; Leone, M.; Barie, P.S.; Rello, J.; Lipman, J.; Marshall, J.C.; Anzueto, A.; Sakr, Y.; Pickkers, P.; Felleiter, P.; Engoren, M.; Vincent, J.L.

    2011-01-01

    Controversy continues regarding whether the presence of meticillin resistance increases mortality risk in Staphylococcus aureus infections. In this study, we assessed the role of meticillin resistance in survival of patients with S. aureus infection included in the EPIC II point-prevalence study of

  1. Development and evaluation of a patient-centered cardiovascular health education program among insured primary care patients with hypertension in rural Nigeria: The QUICK-II study

    NARCIS (Netherlands)

    A.O. Odusola

    2015-01-01

    Background: Cardiovascular diseases (CVD) are increasingly common in Nigeria and sub Saharan Africa (SSA). Poverty is rampant and quality of primary care substandard. Moreover adherence capacity for prescribed anti-hypertensive treatment is limited and blood pressure (BP) control consequently poor.

  2. Report on the behalf of the special commission for the examination of the bill project, after activation of the accelerated procedure, related to energy transition for a green growth (nr 2188) - Nr 2230. Volume I, Volume II - comparative table, Volume III - hearings, impact study

    International Nuclear Information System (INIS)

    The first volume of this huge report reports the general discussion and the detailed examination, discussion and modifications of the French bill project on energy transition. The addressed topics are: the definition of common objectives for a successful energy transition, for a strengthening of France energy independence and for the struggle against global warming; a better renovation of buildings to save energy, to reduce prices and to create jobs; the development of clean transports to improve air quality and to protect health; the struggle against wastage and the promotion of circular economy from product design to product recycling; the promotion of renewable energies to diversify our energies and valorise territorial resources; the strengthening of nuclear safety and citizen information; the simplification and clarification of procedures for efficiency and competitiveness gains; the empowerment of citizen, enterprises, territories and State to act together. The second volume proposes a table which gives a comparative overview between the bill project text and the text modified and adopted by the commission. The third volume reports hearings of the minister and of several representatives of professional, public, and consumer organisations and bodies. It also contains the report of an impact study performed on all the different arrangements and measures contained by the bill project

  3. Memoir and Scientific Correspondence of the Late Sir George Gabriel Stokes, Bart. 2 Volume Paperback Set

    Science.gov (United States)

    Stokes, George Gabriel; Larmor, Joseph

    2010-06-01

    Volume 1: Preface; Part I. Personal and Biographical; Part II. General Scientific Career; Part IIIa. Special Scientific Correspondence; Appendix; Index. Volume 2: Part. III. Special Scientific Correspondence; Index.

  4. MARS code manual volume II: input requirements

    International Nuclear Information System (INIS)

    Korea Advanced Energy Research Institute (KAERI) conceived and started the development of MARS code with the main objective of producing a state-of-the-art realistic thermal hydraulic systems analysis code with multi-dimensional analysis capability. MARS achieves this objective by very tightly integrating the one dimensional RELAP5/MOD3 with the multi-dimensional COBRA-TF codes. The method of integration of the two codes is based on the dynamic link library techniques, and the system pressure equation matrices of both codes are implicitly integrated and solved simultaneously. In addition, the Equation-Of-State (EOS) for the light water was unified by replacing the EOS of COBRA-TF by that of the RELAP5. This input manual provides a complete list of input required to run MARS. The manual is divided largely into two parts, namely, the one-dimensional part and the multi-dimensional part. The inputs for auxiliary parts such as minor edit requests and graph formatting inputs are shared by the two parts and as such mixed input is possible. The overall structure of the input is modeled on the structure of the RELAP5 and as such the layout of the manual is very similar to that of the RELAP. This similitude to RELAP5 input is intentional as this input scheme will allow minimum modification between the inputs of RELAP5 and MARS3.1. MARS3.1 development team would like to express its appreciation to the RELAP5 Development Team and the USNRC for making this manual possible

  5. Factors influencing electric utility expansion. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Masud, E. [ed.

    1977-01-01

    This report, Vol. 2, submitted by the General Electric Co., identifies factors that should be considered in planning interconnected systems and discusses how these factors relate to one another. The objective is to identify all the factors and classify them by their use and importance in arriving at a decision. Chapter 2 discusses the utility system and its system behavior characteristics, emphasizing behavior that affects the planning of the bulk-power generation and transmission system. Chapter 3 introduces interconnection planning by discussing the new system characteristics brought to operation and planning. Forty-two factors associated with cost, reliability, constraints, and coordination are related to each other by factor trees. Factor trees display the relationship of one factor such as reliability to more-detailed factors which in turn are further related to individual characteristics of facilities. These factor trees provide a structure to the presentation. A questionnaire including the 42 factors was completed by 52 system planners from utility companies and government authorities. The results of these questionnaires are tabulated and presented with pertinent discussion of each factor. Chapter 4 deals with generation planning, recognizing the existence of interconnections. Chapter 5 addresses transmission planning, questions related to reliability and cost measures and constraints, and factors related to both analytical techniques and planning procedures. The chapter ends with a discussion of combined generation-transmission planning. (MCW)

  6. Electric Power annual 1996: Volume II

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-01

    This document presents a summary of electric power industry statistics. Data are included on electric utility retail sales of electricity, revenues, environmental information, power transactions, emissions, and demand-side management.

  7. Electric power annual 1995. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-01

    This document summarizes pertinent statistics on various aspects of the U.S. electric power industry for the year and includes a graphic presentation. Data is included on electric utility retail sales and revenues, financial statistics, environmental statistics of electric utilities, demand-side management, electric power transactions, and non-utility power producers.

  8. Radioactivity studies. Progress report. Volume II

    International Nuclear Information System (INIS)

    The metabolism of 243244Cm in nine adult female baboons following intravenous injection was studied. Curium-243,244 was administered as a single injection of curium citrate in dosages of 0.053 to 0.220 μCi/kg. The behavior of 243244Cm at these low dosages was quantitated by external whole-body and partial-body counting, bioassay of blood, urine and feces samples, liver biopsies, and post-mortem tissues analysis. Curium-243,244 rapidly passed from the blood to other tissues. At 1 and 24 h after injection, the amounts circulating were 10% and 1%, respectively. At 24 h after injection 70% of the 243244Cm was located within soft tissues, probably associated with extracellular fluid; the liver alone contained 32% of the injected activity. During the first weeks the content of 243244Cm in soft tissues decreased sharply. As time progressed, significant deposition was noted in the liver and the skeleton. Approximately 20% of the injected activity was in the liver at 1 month with a 40 day half-time. The skeleton reached a maximum burden of 57% by 100 days; the half-time observed in bone was 4 to 16 y. During the first 24 h, 10% of the injected activity appeared in the urine decreasing to 0.1%/day at 30 days and 0.01%/day at 200 days. Fecal excretion increased reaching a maximum level at four weeks. The amount of 243244Cm excreted in the feces during the initial 4 to 5 months (approx. 20%) and the rate of elimination in the feces after the first month paralleled the retention in the liver indicating an hepatic-biliary-fecal pathway. A model illustrating the interaction of seven internal compartments with respect to the translocation kinetics of 243244Cm was derived based upon this data. Solutions of the model were derived for two specific time-related exposures

  9. Scientific and Technical Chinese, Volume II. Glossary.

    Science.gov (United States)

    Kao, Kung-yi; And Others

    A composite English-to-Chinese glossary of all terms introduced in the individual lessons of "Scientific and Technical Chinese" is presented here. The appendices include lists of weights and measures and chemical elements, and a partial list of Chinese government organizations and research institutes related to science and technology. (AMH)

  10. Understanding Competition in Spine Care.

    Science.gov (United States)

    Sharan, Alok D; Schroeder, Gregory D; West, Michael E; Vaccaro, Alexander R

    2016-04-01

    The changing landscape from volume to value represents a natural transformation in the health care industry. Increasingly provider groups are finding themselves responding to unfamiliar market forces. Whether explicit or implicit, competition is playing a larger role for the sustainability of providers. For spine care providers who are attempting to navigate the transition from volume to value, understanding the forces that shape competition in health care can help achieve success. PMID:26925860

  11. Physical illness in patients with severe mental disorders. II. Barriers to care, monitoring and treatment guidelines, plus recommendations at the system and individual level

    Science.gov (United States)

    DE HERT, MARC; COHEN, DAN; BOBES, JULIO; CETKOVICH-BAKMAS, MARCELO; LEUCHT, STEFAN; M. NDETEI, DAVID; W. NEWCOMER, JOHN; UWAKWE, RICHARD; ASAI, ITSUO; MÖLLER, HANS-JURGEN; GAUTAM, SHIV; DETRAUX, JOHAN; U. CORRELL, CHRISTOPH

    2011-01-01

    Physical disorders are, compared to the general population, more prevalent in people with severe mental illness (SMI). Although this excess morbidity and mortality is largely due to modifiable lifestyle risk factors, the screening and assessment of physical health aspects remains poor, even in developed countries. Moreover, specific patient, provider, treatment and system factors act as barriers to the recognition and to the management of physical diseases in people with SMI. Psychiatrists can play a pivotal role in the improvement of the physical health of these patients by expanding their task from clinical psychiatric care to the monitoring and treatment of crucial physical parameters. At a system level, actions are not easy to realize, especially for developing countries. However, at an individual level, even simple and very basic monitoring and treatment actions, undertaken by the treating clinician, can already improve the problem of suboptimal medical care in this population. Adhering to monitoring and treatment guidelines will result in a substantial enhancement of physical health outcomes. Furthermore, psychiatrists can help educate and motivate people with SMI to address their suboptimal lifestyle, including smoking, unhealthy diet and lack of exercise. The adoption of the recommendations presented in this paper across health care systems throughout the world will contribute to a significant improvement in the medical and related psychiatric health outcomes of patients with SMI. PMID:21633691

  12. Site Environmental Report for 2009, Volume 2

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Suying

    2010-08-19

    Volume II of the Site Environmental Report for 2009 is provided by Ernest Orlando Lawrence Berkeley National Laboratory as a supplemental appendix to Volume I, which contains the body of the report. Volume II contains the environmental monitoring and sampling data used to generate summary results of routine and nonroutine sampling at the Laboratory, except for groundwater sampling data, which may be found in the reports referred to in Chapter 4 of Volume I. The results from sample collections are more comprehensive in Volume II than in Volume I: for completeness, all results from sample collections that began or ended in calendar year (CY) 2009 are included in this volume. However, the samples representing CY 2008 data have not been used in the summary results that are reported in Volume I. (For example, although ambient air samples collected on January 6, 2009, are presented in Volume II, they represent December 2008 data and are not included in Table 4-2 in Volume I.) When appropriate, sampling results are reported in both conventional and International System (SI) units. For some results, the rounding procedure used in data reporting may result in apparent differences between the numbers reported in SI and conventional units. (For example, stack air tritium results reported as < 1.5 Bq/m3 are shown variously as < 39 and < 41 pCi/m3. Both of these results are rounded correctly to two significant digits.)

  13. Care seeking, complementary therapy and herbal medicine use among people with type 2 diabetes and cardiovascular disease CAMELOT phase II: Surveying for diversity

    DEFF Research Database (Denmark)

    Manderson, Lenore; Oldenburg, Brian; Lin, Vivian;

    2012-01-01

    use and the relevance of social, locational, economic and cultural factors to health behaviour. Valid survey returns totalled 2915 (290 online and 2625 postal), providing a rich data set on health status, health care and costs, demographic and social information, and quality of life. In the 12 months......Many Australians manage their health through the combined use of conventional medicine and complementary and alternative medicine, with substantial direct and indirect costs to government and consumers. Our interest was in the varied health practices of people with type 2 diabetes...

  14. Safety and hemostatic efficacy of fibrin pad in partial nephrectomy: Results of an open-label Phase I and a randomized, standard-of-care-controlled Phase I/II study

    Directory of Open Access Journals (Sweden)

    Nativ Ofer

    2012-11-01

    Full Text Available Abstract Background Bleeding severity, anatomic location, tissue characteristics, and visibility are common challenges encountered while managing intraoperative bleeding, and conventional hemostatic measures (suture, ligature, and cautery may sometimes be ineffective or impractical. While topical absorbable hemostats (TAH are useful hemostatic adjuvants, each TAH has associated disadvantages. Methods We evaluated the safety and hemostatic efficacy of a new advanced biologic combination product―fibrin pad―to potentially address some gaps associated with TAHs. Fibrin pad was assessed as adjunctive hemostat in open partial nephrectomy in single-center, open-label, Phase I study (N = 10, and as primary hemostat in multicenter, single-blind, randomized, standard-of-care (SOC-controlled Phase I/II study (N = 7 in Israel. It was used to control mild-to-moderate bleeding in Phase I and also spurting arterial bleeding in Phase I/II study. Phase I study assessed safety and Phase I/II study, proportion of successes at 10 min following randomization, analyzed by Fisher exact tests at 5% significance level. Results Phase I (N = 10: All patients completed the study. Hemostasis was achieved within 3–4 min (average = 3.1 min of a single application in all patients. Fibrin pad was found to be safe for human use, with no product-related adverse events reported. Phase I/II (N = 7: Hemostatic success at 10 min (primary endpoint was achieved in 3/4 patients treated with fibrin pad versus 0/3 patients treated with SOC. No clinically significant change in laboratory or coagulation parameters was recorded, except a case of post-procedural hemorrhage with fibrin pad, which was considered serious and related to the fibrin pad treatment, and required re-operation. Although Data Safety Monitoring Board authorized trial continuation, the sponsor decided against proceeding toward an indication for primary treatment of severe arterial

  15. PATRAM '80. Proceedings. Volume 1

    International Nuclear Information System (INIS)

    Volume 1 contains papers from the following sessions: Plenary Session; Regulations, Licensing and Standards; LMFBR Systems Concepts; Risk/Safety Assessment I; Systems and Package Design; US Institutional Issues; Risk/Safety Assessment II; Leakage, Leak Rate and Seals; Poster Session A; Operations and Systems Experience I; Manufacturing Processes and Materials; and Quality Assurance and Maintenance. Individual papers were processed. (LM)

  16. Eddy current manual, volume 2

    International Nuclear Information System (INIS)

    This report on eddy current testing is divided into three sections: (a) Demonstration of Basic Principles, (b) Practical (Laboratory) Tests and, (c) Typical Certification Questions. It is intended to be used as a supplement to ΣEddy Current Manual, Volume 1Σ (AECL-7523) during CSNDT Foundation Level II and III courses

  17. PATRAM '80. Proceedings. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Huebner, H.W. (ed.)

    1980-01-01

    Volume 1 contains papers from the following sessions: Plenary Session; Regulations, Licensing and Standards; LMFBR Systems Concepts; Risk/Safety Assessment I; Systems and Package Design; US Institutional Issues; Risk/Safety Assessment II; Leakage, Leak Rate and Seals; Poster Session A; Operations and Systems Experience I; Manufacturing Processes and Materials; and Quality Assurance and Maintenance. Individual papers were processed. (LM)

  18. Assistência domiciliaria ao idoso: perfil do cuidador formal - parte II Asistencia domiciliar al anciano: perfil del cuidador formal - parte II The home care of elderly: caregiver profile - part two

    Directory of Open Access Journals (Sweden)

    Kozue Kawasaki

    2001-12-01

    Full Text Available O idoso fragilizado, mantido em seu domicílio, requer cuidados específicos, os quais são realizados muitas vezes por pessoas contratadas pela família para tal, denominadas cuidadores formais. Frente o aumento da oferta de trabalho destas pessoas e a escassez de literatura nacional sobre seu perfiL, desenvolvemos um estudo com 41 pessoas que ofereceram seus serviços através de anúncios em dois jornais de maior circulação no município de Campinas, São Paulo. Tal estudo teve por objetivos: 1. caracterizar estes cuidadores (este objetivo foi contemplado com um artigo publicado anteriormente e 2. verificar as atividades propostas para a assistência ao idoso. No presente trabalho serão apresentados os dados referentes ao segundo objetivo.El anciano debilitado, mantenido en su habitación, carece de cuidados específicos, los cuales han sido realizados muchas veces por personas contratadas, denominadas cuidadores formales. Frente al aumento de oferta de trabajo de estas personas y a la escasez de literatura sobre el perfil, desarrollamos un estudio con 41 anunciantes que ofrecieron sus servicios dos periódicos de grande circulación en el municipio de Campinas, San Pablo, con los siguientes objetivos: 1. caracterizar estos cuidadores y 2. verificar las actividades propuestas para la asistencial al anciano. El presente trabajo presenta los datos referentes a lo secundo objetivo.The frail elderly, maintained in its home, request specific cares, which are accomplished many times by people contracted, denominated formal caregivers. With the increase of the offer of these people's work and the shortage literature on its profile, we developed a study with 41 advertisers that offered their services in two newspapers of larger circulation in the city of Campinas, São Paulo, with the following objectives: 1. to characterize these caregivers and 2. to verify the activities proposals for care to the elderly. In the present work the referring data

  19. A multi-stage compartmental model for HIV-infected individuals: II--application to insurance functions and health-care costs.

    Science.gov (United States)

    Billard, L; Dayananda, P W A

    2014-03-01

    Stochastic population processes have received a lot of attention over the years. One approach focuses on compartmental modeling. Billard and Dayananda (2012) developed one such multi-stage model for epidemic processes in which the possibility that individuals can die at any stage from non-disease related causes was also included. This extra feature is of particular interest to the insurance and health-care industries among others especially when the epidemic is HIV/AIDS. Rather than working with numbers of individuals in each stage, they obtained distributional results dealing with the waiting time any one individual spent in each stage given the initial stage. In this work, the impact of the HIV/AIDS epidemic on several functions relevant to these industries (such as adjustments to premiums) is investigated. Theoretical results are derived, followed by a numerical study.

  20. Zooplankton biomass (displacement and settled volume) data collected during the International Cooperative Investigations of the Tropical Atlantic EQUALANT I, EQUALANT II, and EQUALANT III projects from 1963-02-15 to 1964-07-09 (NODC Accession 0071432)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Zooplankton biomass (displacement and settled volume) data collected during the International Cooperative Investigations of the Tropical Atlantic EQUALANT I,...

  1. Nuclear volume and prognosis in ovarian cancer

    DEFF Research Database (Denmark)

    Mogensen, O.; Sørensen, Flemming Brandt; Bichel, P.;

    1992-01-01

    The prognostic value of the volume-weighted mean nuclear volume (MNV) was investigated retrospectively in 100 ovarian cancer patients with FIGO-stage IB-II (n = 51) and stage III-IV (n = 49) serous tumors. No association was demonstrated between the MNV and the survival or between the MNV and two...

  2. Culture of Schools. Final Report. Volume III.

    Science.gov (United States)

    American Anthropological Association, Washington, DC.

    The third volume of this 4-volume report contains the last two speeches, on educational philosophy and the role of reason in society, from the Colloquium on the Culture of Schools held at the New School for Social Research (preceding speeches are in Vol. II, SP 003 901), reports on conferences on the culture of schools held in Pittsburgh and…

  3. Prospects for a genuine revival of primary health care--through the visible hand of social justice rather than the invisible hand of the market: Part II.

    Science.gov (United States)

    Katz, Alison Rosamund

    2010-01-01

    This second part of a two-part article explores the prospects for genuine revival of primary health care (PHC) as announced by the WHO in 2008, with reference, briefly, to Global Health Watch 2, published by the People's Health Movement, Medact, and Equity Gauge Alliance, and, in more depth, to the positions of social and people's movements most closely aligned with the original values and principles of Alma-Ata and the structural foundations of the PHC project. The author argues that the social justice struggle for health cannot be limited to curbing capitalism's excesses. The multiple crises of today--in energy, water, food, the environment, finance, science, information, and democracy--must be recognized as capitalist crises and addressed as such. Particular attention is given to ideology, including the distortion of human nature and society under neoliberal capitalism, and to moral foundations of Health for All. Not only must the invisible hand of the market be replaced by the visible hand of social justice, but the single ideology proclaiming the "end of history" and, by implication, the end of politics and political struggle must be exposed and rejected as neoliberal, totalitarian propaganda. In line with the spirit and intention of the U.N. Charter, PHC remains a political project for a fair and safe world in which Health for All is both possible and necessary. PMID:20198807

  4. Psychological Nursing Care of Malaria Patients in Peace-keeping Level II Hospital%维和二级医院疟疾患者心理护理

    Institute of Scientific and Technical Information of China (English)

    翟瑜; 刘云; 王雪莲; 黄艳; 张艳宁

    2014-01-01

    Peace-keeping secondary hospital in the Democratic Republic of Congo is in charge of the medical support of the peacekeepers in south Kivu of the Congo .Because Congo is a high risk place of malaria des-ignated by WHO , malaria has been a common and frequently -occurring disease of peacekeepers .Because of great differences of culture, language, living style, and eating habits, they have large psychological pressure .The article summarized the experiences of psychological nursing care of malaria disease , so as to achieve better treatment effects.%驻刚果(金)维和二级医院的主要职责是为驻刚果(金)南基伍省的维和人员提供医疗保障服务。由于部队驻地是世界卫生组织指定的疟疾高发区,因此疟疾也是医院工作人员的常见病、多发病。由于文化、语言、生活以及饮食习惯差异等原因,维和人员患病期间心理压力大。本文总结了疟疾患者心理护理的经验,以期为后期获得较好的治疗效果打下坚实基础。

  5. The issue of penal and legal protection of the intensive care unit physician within the context of patient's consent to treatment. Part II: unconscious patient.

    Science.gov (United States)

    Siewiera, Jacek; Kübler, Andrzej; Filipowska, Monika; Trnka, Jakub; Zamaro-Michalska, Aleksandra

    2014-01-01

    Cultural changes in Western societies, as well as the rapid development of medical technology during the last quarter of a century, have led to many changes in the relationship between a physician and a patient. During this period, the patient's consent to treatment has proven to be an essential component of any decision relating to the patient's health. The patient's will component, as an essential element of the legality of the treatment process, is also reflected in the Polish legislation. The correct interpretation of the legal regulations and the role the patient's will plays in the therapeutic decision-making process within the Intensive Care Unit (ICU) requires the consideration of both the good of the patient and the physician's safety in terms of his criminal responsibility. Clinical experience indicates that the physicians' decisions result in the choice of the best treatment strategy for a patient only if they are based on current medical knowledge and an assessment of therapeutic opportunities. The good of the patient must be the sole objective of the physician's actions, and as a result of the current state of medical knowledge and the medical prognosis, all the conditions of the legal safety of a physician taking decisions must be met. In this paper, the authors have set out how to obtain consent (substantive consent) to treat an unconscious patient in the ICU in light of the current Polish law, as well as a physician's daily practice. The solutions proposed in the text of the publication are aimed at increasing the legal safety of the ICU physicians when making key decisions relating to the strategy of the treatment of ICU patients.

  6. Evaluation of the Apache II and the oncologic history, as indicative predictions of mortality in the unit of intensive care of the INC September 1996 -December 1997

    International Nuclear Information System (INIS)

    They are multiple the indexes of severity that have been carried out to value the predict and the quality of a patient's life, especially when this it enters to the unit of intensive care (UIC); however, the oncologic patient presents particularities in their mobility, that it supposes a different behavior in the results of the Indexes. Presently work is compared the Apache scale and the oncologic history like morbid mortality as predictors in the UCI. 207 patients were included that entered the UCI between September of 1996 and December of 1997. It was a mortality of 29%, the stay of most of this group of patient smaller than 24 hours or bigger than 8 days. To the entrance, 50% of the patients presented superior averages at 15 in the Apache Scale and at the 48 hours, alone 30.4% continued with this value. The patients with hematologic neoplasia presented superior average at 15 in 87%, with a mortality of 63.3% with average between 15 and 24 to the entrance, the risk of dying was 9.8 times but that with inferior average. In the hematologic patient, the risk of dying was 5.7 times but regarding the solid tumors. The system but altered it was the breathing one, with an increase in the risk of dying from 2,8 times for each increment utility in the scale. Contrary to described in the literature, the oncologic diagnoses and the neoplasia statistic they didn't influence in the mortality of the patients

  7. Mosquito Management on National Wildlife Refuges, Ecosystem Effects Study. Phase II, Part 1 - Effects of Ultra Low Volume Applications of Pyrethrin, Malathion and Permethrin on Macro-Invertebrates in the Sacramento National Wildlife Refuge, California

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Mosquito control districts often use ultra-low volume (ULV) applications of insecticides to control adult mosquitoes. Few field studies have tested the effects of...

  8. The Nature of Reinforcement: Part I. (Volume I), Part II. (Volume II).

    Science.gov (United States)

    Glaser, Robert, Ed.

    Part One of this report describes the first half of a conference, designed to examine the nature of reinforcement, which was held at the University of Pittsburgh in June 1969. The topics discussed include: "Reward in Human Learning: Theoretical Issues and Strategic Choice Points"; "Are Reinforcement Concepts Able to Provide Reinforcement for…

  9. Relationship between stroke volume and pulse pressure during blood volume perturbation: a mathematical analysis.

    Science.gov (United States)

    Bighamian, Ramin; Hahn, Jin-Oh

    2014-01-01

    Arterial pulse pressure has been widely used as surrogate of stroke volume, for example, in the guidance of fluid therapy. However, recent experimental investigations suggest that arterial pulse pressure is not linearly proportional to stroke volume. However, mechanisms underlying the relation between the two have not been clearly understood. The goal of this study was to elucidate how arterial pulse pressure and stroke volume respond to a perturbation in the left ventricular blood volume based on a systematic mathematical analysis. Both our mathematical analysis and experimental data showed that the relative change in arterial pulse pressure due to a left ventricular blood volume perturbation was consistently smaller than the corresponding relative change in stroke volume, due to the nonlinear left ventricular pressure-volume relation during diastole that reduces the sensitivity of arterial pulse pressure to perturbations in the left ventricular blood volume. Therefore, arterial pulse pressure must be used with care when used as surrogate of stroke volume in guiding fluid therapy.

  10. Renormalized Volume

    CERN Document Server

    Gover, A Rod

    2016-01-01

    For any conformally compact manifold with hypersurface boundary we define a canonical renormalized volume functional and compute an explicit, holographic formula for the corresponding anomaly. For the special case of asymptotically Einstein manifolds, our method recovers the known results. The anomaly does not depend on any particular choice of regulator, but the coefficients of divergences do. We give explicit formulae for these divergences valid for any choice of regulating hypersurface; these should be relevant to recent studies of quantum corrections to entanglement entropies. The anomaly is expressed as a conformally invariant integral of a local Q-curvature that generalizes the Branson Q-curvature by including data of the embedding. In each dimension this canonically defines a higher dimensional generalization of the Willmore energy/rigid string action. We show that the variation of these energy functionals is exactly the obstruction to solving a singular Yamabe type problem with boundary data along the...

  11. Sampling artifact in volume weighted velocity measurement. I. Theoretical modeling

    Science.gov (United States)

    Zhang, Pengjie; Zheng, Yi; Jing, Yipeng

    2015-02-01

    Cosmology based on large scale peculiar velocity prefers volume weighted velocity statistics. However, measuring the volume weighted velocity statistics from inhomogeneously distributed galaxies (simulation particles/halos) suffers from an inevitable and significant sampling artifact. We study this sampling artifact in the velocity power spectrum measured by the nearest particle velocity assignment method by Zheng et al., [Phys. Rev. D 88, 103510 (2013).]. We derive the analytical expression of leading and higher order terms. We find that the sampling artifact suppresses the z =0 E -mode velocity power spectrum by ˜10 % at k =0.1 h /Mpc , for samples with number density 10-3 (Mpc /h )-3 . This suppression becomes larger for larger k and for sparser samples. We argue that this source of systematic errors in peculiar velocity cosmology, albeit severe, can be self-calibrated in the framework of our theoretical modelling. We also work out the sampling artifact in the density-velocity cross power spectrum measurement. A more robust evaluation of related statistics through simulations will be presented in a companion paper by Zheng et al., [Sampling artifact in volume weighted velocity measurement. II. Detection in simulations and comparison with theoretical modelling, arXiv:1409.6809.]. We also argue that similar sampling artifact exists in other velocity assignment methods and hence must be carefully corrected to avoid systematic bias in peculiar velocity cosmology.

  12. Hanford spent nuclear fuel project recommended path forward, volume III: Alternatives and path forward evaluation supporting documentation

    Energy Technology Data Exchange (ETDEWEB)

    Fulton, J.C.

    1994-10-01

    Volume I of the Hanford Spent Nuclear Fuel Project - Recommended Path Forward constitutes an aggressive series of projects to construct and operate systems and facilities to safely retrieve, package, transport, process, and store K Basins fuel and sludge. Volume II provided a comparative evaluation of four Alternatives for the Path Forward and an evaluation for the Recommended Path Forward. Although Volume II contained extensive appendices, six supporting documents have been compiled in Volume III to provide additional background for Volume II.

  13. Environmental Pollution: Noise Pollution - Sonic Boom. Volume I.

    Science.gov (United States)

    Defense Documentation Center, Alexandria, VA.

    The unclassified, annotated bibliography is Volume I of a two-volume set on Noise Pollution - Sonic Boom in a series of scheduled bibliographies on Environmental Pollution. Volume II is Confidential. Corporate author-monitoring agency, subject, title, contract, and report number indexes are included. (Author/JR)

  14. Multiparameter Intelligent Monitoring in Intensive Care II (MIMIC-II)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The objective of this Bioengineering Research Partnership is to focus the resources of a powerful interdisciplinary team from academia (MIT), industry (Philips...

  15. Prenatal Care

    Science.gov (United States)

    ... am thinking about getting pregnant. How can I take care of myself? You should start taking care of ... What should I do — or not do — to take care of myself and my unborn baby? Follow these ...

  16. Critical Care

    Science.gov (United States)

    Critical care helps people with life-threatening injuries and illnesses. It might treat problems such as complications from surgery, ... attention by a team of specially-trained health care providers. Critical care usually takes place in an ...

  17. Palliative Care

    Science.gov (United States)

    Palliative care is treatment of the discomfort, symptoms, and stress of serious illness. It provides relief from distressing symptoms ... of the medical treatments you're receiving. Hospice care, care at the end of life, always includes ...

  18. Self Care

    Science.gov (United States)

    ... Care Connections Experiences Research Learning Evaluation Print Email Self Care If you are living with a chronic ... help you cope can make a real difference. Self-care techniques are things you can do for ...

  19. Analysis of the structural parameters that influence gas production from the Devonian shale. Annual progress report, 1979-1980. Volume II. Data repository and reports published during fiscal year 1979-1980: regional structure, surface structure, surface fractures, hydrology

    Energy Technology Data Exchange (ETDEWEB)

    Negus-De Wys, J.; Dixon, J. M.; Evans, M. A.; Lee, K. D.; Ruotsala, J. E.; Wilson, T. H.; Williams, R. T.

    1980-10-01

    This volume comprises appendices giving regional structure data, surface structure data, surface fracture data, and hydrology data. The fracture data covers oriented Devonian shale cores from West Virginia, Ohio, Virginia, Pennsylvania, and Kentucky. The subsurface structure of the Eastern Kentucky gas field is also covered. (DLC)

  20. Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, Including Changes Related to the Electronic Health Record Incentive Program; Extensions of the Medicare-Dependent, Small Rural Hospital Program and the Low-Volume Payment Adjustment for Hospitals. Final rule; interim final rule with comment period.

    Science.gov (United States)

    2015-08-17

    We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2016. Some of these changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act), the Pathway for Sustainable Growth Reform(SGR) Act of 2013, the Protecting Access to Medicare Act of 2014, the Improving Medicare Post-Acute Care Transformation Act of 2014, the Medicare Access and CHIP Reauthorization Act of 2015, and other legislation. We also are addressing the update of the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits for FY 2016.As an interim final rule with comment period, we are implementing the statutory extensions of the Medicare dependent,small rural hospital (MDH)Program and changes to the payment adjustment for low-volume hospitals under the IPPS.We also are updating the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) for FY 2016 and implementing certain statutory changes to the LTCH PPS under the Affordable Care Act and the Pathway for Sustainable Growth Rate (SGR) Reform Act of 2013 and the Protecting Access to Medicare Act of 2014.In addition, we are establishing new requirements or revising existing requirements for quality reporting by specific providers (acute care hospitals,PPS-exempt cancer hospitals, and LTCHs) that are participating in Medicare, including related provisions for eligible hospitals and critical access hospitals participating in the Medicare Electronic Health Record (EHR)Incentive Program. We also are updating policies relating to the

  1. Recovery of Navy distillate fuel from reclaimed product. Volume I. Technical discussion

    Energy Technology Data Exchange (ETDEWEB)

    Brinkman, D.W.; Whisman, M.L.

    1984-11-01

    In an effort to assist the Navy to better utilize its waste hydrocarbons, NIPER, with support from the US Department of Energy, is conducting research designed to ultimately develop a practical technique for converting Reclaimed Product (RP) into specification Naval Distillate Fuel (F-76). The first phase of the project was focused on reviewing the literature and available information from equipment manufacturers. The literature survey has been carefully culled for methodology applicable to the conversion of RP into diesel fuel suitable for Navy use. Based upon the results of this study, a second phase has been developed and outlined in which experiments will be performed to determine the most practical recycling technologies. It is realized that the final selection of one particular technology may be site-specific due to vast differences in RP volume and available facilities. A final phase, if funded, would involve full-scale testing of one of the recommended techniques at a refueling depot. The Phase I investigations are published in two volumes. Volume 1, Technical Discussion, includes the narrative and Appendices I and II. Appendix III, a detailed Literature Review, includes both a narrative portion and an annotated bibliography containing about 800 referenvces and abstracts. This appendix, because of its volume, has been published separately as Volume 2. 18 figures, 4 tables.

  2. 1998-1999 Patterns of Care Study process survey of national practice patterns using breast-conserving surgery and radiotherapy in the management of Stage I-II breast cancer

    International Nuclear Information System (INIS)

    Purpose: The Patterns of Care Study survey process evaluation has been an effective means of assessing the evaluation and treatment practices used by radiation oncologists in the United States for Stage I-II breast cancer. The current 1998-1999 report updates the previous 1989 and 1993-1994 analyses and reflects the recent changes in surgery and systemic therapy observed nationally in the management of early-stage disease. Methods and Materials: A weighted sample size of 71,877 patient records of women treated with breast-conserving surgery and radiotherapy (RT) was obtained from a stratified two-stage sampling of 353 patient records. These cases were centrally reviewed from academic and private radiation oncology practices across the United States. The data collected included patient characteristics, clinical and pathologic factors, and surgical and RT details. The results were compared with those of previous Patterns of Care Study survey reports. Results: Of the patients in the current survey, 97% had undergone mammography before biopsy. A review of the primary tumor pathologic findings indicated improved quantification of an intraductal component from 7.0% in 1993-1994 to 20.4% in 1998-1999 (p = 0.01). The tumor characteristics were better defined, with estrogen and progesterone receptor measurement performed in 91.4% and 91.3% in the 1998-1999 survey vs. 83.7% and 80.3% in the 1989 survey, respectively (p = 0.03 and p = 0.002, respectively). Axillary dissection was performed in 82.2% in the present survey compared with 93.6% in the 1993-1994 survey (p = 0.0004); sentinel node biopsy was performed in 20.1% of the present cases. The use of CT for planning was increased in the current survey, with 22.9% cases CT planned vs. 9% in 1993-1994 (p = 0.10). In the present survey, 100% had received whole breast RT. When a supraclavicular field was added, the dose was prescribed to a specified depth in 67.5% of cases, most commonly 3 cm. When an axillary field was added

  3. Echocardiographic features of right ventricular volume overload

    Directory of Open Access Journals (Sweden)

    Shah Lilam

    1979-01-01

    Full Text Available Interventricular septal motion is studied in sixty tow cases clas-sified into 3 groups; Gr. 1-right ventricular volume overload (RVVO; Gr. II-combined right ventricular volume overload and left ventricular volume overload (RVVO + LVVO; Gr. III-com-bined right ventricular volume overload and right ventricular pres-sure overload (RVVO + RVPO. A linear relationship was obtained between the right ventricu-lar dimension index (RVDI obtained echocardiographically and the magnitude of the left to right shunt at the atrial level (Qn/Qs. Two rare instances of false negatives in a hemodynamically in-significant left to right shunt and in a large ASD are reported. Modification of abnormal septal motion in Gr. II and Gr. III is studied. Lesion specific features of certain anomalies i.e. Ebstein′s ano-maly, total anomalous pulmonary venous return (TAPVR and en-docardial cushion defects (ECD are discussed.

  4. Modeling Non-maturing Savings Volumes

    OpenAIRE

    Paraschiv, Florentina

    2012-01-01

    In Basel II the regulators stress the importance of finding realistic volumes models for non-maturing accounts (NMAs), given their cash-flow uncer- tainty due to optionality. Focusing on Swiss savings accounts, we identify their seasonal pattern and we derive their sensitivity to market rates and to relevant macroeconomic factors. We derive a realistic volumes model, that allows for cash-flow forecasting, which is essential for liquidity management in banks.

  5. AngleⅡ类错患者髁突表面积与体积三维重建测量%Three-dimensional reconstruction study of condyle volume and surface area in Angle′s class II malocclusion patients

    Institute of Scientific and Technical Information of China (English)

    杨珊; 何科; 任嫒姝; 戴红卫

    2012-01-01

    目的 运用锥束CT(CBCT)测量AngleⅡ类错患者髁突的表面积和体积,探讨AngleⅡ类错患者髁突形态大小的特点.方法 选择该院正畸科就诊患者中年龄为20~28岁的AngleⅡ类错患者66例(男33例,女33例)进行CBCT检查,运用Mimics10.0软件对左、右两侧髁突进行三维重建,测量其表面积与体积,计算髁突形态指数.并与AngleⅠ类错患者髁突大小进行比较.结果 AngleⅡ类错患者男性的髁突体积与表面积均大于女性(P0.05).结论 AngleⅡ类错患者的髁突大小与性别和髁突位置有关.且AngleⅡ类错患者髁突小于AngleⅠ类错患者.%Objective To measure the condyle volume and surface area in the patients with Angle s class Ⅱ malocclusion by cone beam CT(CBCT) and to study the characteristics of mandibular condylar size. Methods 66 young patients with Angle's class Ⅱ malocclusion were chosen from our hospital(aged 20 - 28 years;33 males and 33 females). All patients received CBCT examina tion,the CT slice used the Mimics 10. 0 software for three dimensional reconstruction of the condyle to measure the condyle vol ume,surface area and shape index(ratio of volume and surface area). The comparison between class Ⅱ malocclusion patients and class Ⅰ malocclusion patients was performed. Results The condyle volume and surface area in male patients with class Ⅱ maloc elusion were significantly greater than those in female patients(P0. 05). Conclusion The condyle volume is related to the genders and condyle position. The size of man dibular condyle in class Ⅱ malocclusion patients is smaller than class Ⅰ malocclusion patients.

  6. NURE aerial gamma-ray and magnetic reconnaissance survey of portions of New Mexico, Arizona and Texas. Volume II. New Mexico-Las Cruces NI 13-10 Quadrangle. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1981-09-01

    The results of a high-sensitivity, aerial gamma-ray spectrometer and magnetometer survey of the Las Cruces two degree quadrangle, New Mexico, are presented. Instrumentation and methods are described in Volume 1 of this final report. The work was done by Carson Helicopters, Inc., and International Exploration, Inc. The work was performed for the US Department of Energy - National Uranium Resource Evaluation (NURE) program. Analysis of this radiometric data yielded 192 statistically significant eU anomalies. Of this number, thirty-nine were considered to be of sufficient strength to warrant further investigation.

  7. NURE aerial gamma-ray and magnetic reconnaissance survey of portions of New Mexico, Arizona and Texas. Volume II. New Mexico-Las Cruces NI 13-10 Quadrangle. Final report

    International Nuclear Information System (INIS)

    The results of a high-sensitivity, aerial gamma-ray spectrometer and magnetometer survey of the Las Cruces two degree quadrangle, New Mexico, are presented. Instrumentation and methods are described in Volume 1 of this final report. The work was done by Carson Helicopters, Inc., and International Exploration, Inc. The work was performed for the US Department of Energy - National Uranium Resource Evaluation (NURE) program. Analysis of this radiometric data yielded 192 statistically significant eU anomalies. Of this number, thirty-nine were considered to be of sufficient strength to warrant further investigation

  8. Graphics gems II

    CERN Document Server

    Arvo, James

    1991-01-01

    Graphics Gems II is a collection of articles shared by a diverse group of people that reflect ideas and approaches in graphics programming which can benefit other computer graphics programmers.This volume presents techniques for doing well-known graphics operations faster or easier. The book contains chapters devoted to topics on two-dimensional and three-dimensional geometry and algorithms, image processing, frame buffer techniques, and ray tracing techniques. The radiosity approach, matrix techniques, and numerical and programming techniques are likewise discussed.Graphics artists and comput

  9. Status and Habitat Requirements of the White Sturgeon Populations in the Columbia River Downstream from McNary Dam Volume II; Supplemental Papers and Data Documentation, 1986-1992 Final Report.

    Energy Technology Data Exchange (ETDEWEB)

    Beamesderfer, Raymond C.; Nigro, Anthony A. [Oregon Dept. of Fish and Wildlife, Clackamas, OR (US)

    1995-01-01

    This is the final report for research on white sturgeon Acipenser transmontanus from 1986--92 and conducted by the National Marine Fisheries Service (NMFS), Oregon Department of Fish and Wildlife (ODFW), US Fish and Wildlife Service (USFWS), and Washington Department of Fisheries (WDF). Findings are presented as a series of papers, each detailing objectives, methods, results, and conclusions for a portion of this research. This volume includes supplemental papers which provide background information needed to support results of the primary investigations addressed in Volume 1. This study addresses measure 903(e)(1) of the Northwest Power Planning Council's 1987 Fish and Wildlife Program that calls for ''research to determine the impact of development and operation of the hydropower system on sturgeon in the Columbia River Basin.'' Study objectives correspond to those of the ''White Sturgeon Research Program Implementation Plan'' developed by BPA and approved by the Northwest Power Planning Council in 1985. Work was conducted on the Columbia River from McNary Dam to the estuary.

  10. Blending of hydrogen in natural gas distribution systems. Volume II. Combustion tests of blends in burners and appliances. Final report, June 1, 1976--August 30, 1977. [8, 11, 14, 20, 22, 25, and 31% hydrogen

    Energy Technology Data Exchange (ETDEWEB)

    None

    1977-10-01

    The emerging ''hydrogen economy'' is a strong contender as one method to supplement or extend the domestic natural gas supply. This volume of the subject study ''Blending Hydrogen in Natural Gas Distribution Systems'' describes combustion studies to determine the maximum amount of hydrogen that can be blended in natural gas and utilized satisfactorily in typical appliances with no adjustment or conversion. Eleven pilot burners and twenty-three main burners typical of those in current use were operated on hydrogen-natural gas mixtures containing approximately 8, 11, 14, 20, 22, 25, and 31 percent, by volume, hydrogen. The eleven pilot burners and thirteen main burners were tested outside the appliance they were a part of. Ten main burners were tested in their respective appliances. Performance of the various burners tested are as follows: (1) Gas blends containing more than 6 to 11% hydrogen are the limiting mixtures for target type pilot burners. (2) Gas blends containing more than 20 to 22% hyrogen are the limiting mixtures for main burners operating in the open. (3) Gas blends containing more than 22 to 25% hydrogen are the limiting mixtures for main burners tested in appliances. (4) Modification of the orifice in target pilots or increasing the supply pressure to a minimum of 7 inches water column will permit the use of gas blends with 20% hydrogen.

  11. The Role of Data in Health Care Disparities in Medicaid...

    Data.gov (United States)

    U.S. Department of Health & Human Services — According to findings reported in The Role of Data in Health Care Disparities in Medicaid Managed Care, published in Volume 2, Issue 4 of the Medicare and Medicaid...

  12. Tracheostomy care

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000076.htm Tracheostomy care To use the sharing features on this ... through your nose and mouth. Caring for Your Tracheostomy Once the hole in your neck is not ...

  13. Daily Care

    Science.gov (United States)

    ... to Know Online Tools Enhancing Daily Life Daily Plan Activities Communication Food & Eating Music & Art Personal Care Incontinence Bathing ... Tweet Email | Print Create a Daily Routine Daily Plan Activities Communication Food/Eating Get Tips on Personal Care Bathing ...

  14. Continuing Care

    Science.gov (United States)

    ... Care Obesity at Midlife May Speed Alzheimer’s Onset Hello from my mom Easing the Behavior Problems of ... Managers Continuing Care FOR MORE ARTICLES CLICK HERE Hello from my mom Common Estate Planning Errors Alzheimer’s ...

  15. Pin care

    Science.gov (United States)

    ... gov/pubmed/24302374 . Nagy K. Discharge instructions for wound cares. The American Association of the Surgery of Trauma. www.aast.org/discharge-instructions-for-wound-cares . Accessed May 13, 2016.

  16. Integration home care in the care chain: results from the EURHOMAP study.

    NARCIS (Netherlands)

    Genet, N.; Boerma, W.

    2010-01-01

    Background: Demand for home care is expected to rise sharply across Europe as a result of trends of reduced institutional care and the ageing of populations. The increased volume and complexity in home care will challenge the coordination of services delivered in the home situation and the coordinat

  17. Comparing Care

    NARCIS (Netherlands)

    Evert Pommer; Isolde Woittiez; John Stevens

    2007-01-01

    Home care is one of the most important means of compensating for disabilities and ensuring continuity in people's daily functioning. Home care services in the Netherlands have recently been transferred from a national social security provision for long-term care to a local social service. In most ot

  18. NURE aerial gamma-ray and magnetic reconnaissance survey of portions of New Mexico, Arizona and Texas. Volume II. Arizona-Holbrook NI 12-5 Quadrangle. Final report

    International Nuclear Information System (INIS)

    The results of a high-sensitivity, aerial gamma-ray spectrometer and magnetometer survey of the Holbrook two degree quadrangle, Arizona are presented. Instrumentation and methods are described in Volume 1 of this final report. The work was done by Carson Helicopters, Inc., and Carson Helicopters was assisted in the interpretation by International Exploration, Inc. The work was performed for the US Department of Energy - National Uranium Resource Evaluation (NURE) program. Analysis of this radiometric data yielded 260 statistically significant eU anomalies. Of this number, forty-four were considered to be of sufficient strength to warrant further investigation. These preferred anomalies are separated into groups having some geologic aspect in common

  19. Integration of thermal and food processing residuals into a system for commercial culture of freshwater shrimp. (power plant waste heat utilization in aquaculture). Volume II. Final report Jul 74--Oct 76

    Energy Technology Data Exchange (ETDEWEB)

    Eble, A.F.

    1977-01-01

    It has been demonstrated that all life-cycle stages of the tropical freshwater prawn, Macrobrachium rosenbergii, can be cultured successfully using waste-heat effluents of the Mercer Generating Station, Trenton, N.J. Further, high-density culture of the prawn is possible and practical. Rainbow trout (Salmo gairdneri) culture has also been successfully demonstrated utilizing the waste-heat discharges of an electric generating station. Efficient systems have been designed for intensive annual two-crop production. Postlarval prawns are grown in indoor heated nurseries in early spring, and placed in outdoor ponds in mid-May at sizes of 5 to 6cm and harvested in late October as 11 to 12cm adults. Experiments culturing the American eel (Anguilla rostrata) in waste-heat discharge waters of the generating system have been successful. Presented in Volume 2 is the research work conducted in this study. (Portions of this document are not fully legible)

  20. Quantitation of regional cerebral blood flow corrected for partial volume effect using O-15 water and PET: II. Normal values and gray matter blood flow response to visual activation

    DEFF Research Database (Denmark)

    Law, I; Iida, H; Holm, S;

    2000-01-01

    of 6 minutes after IV bolus injection of H2(15)O. Four of these scans were performed using 2D and four using 3D acquisition. Visual stimulation was presented in four scans, and four scans were during rest. Model C was found optimal based on Akaike's Information Criteria (AIC) and had the smallest...... and the autoradiographic method. There were no significant changes in the perfusable tissue fraction by the activation induced rCBF increases. The largest activation response was found using Model C (median = 39.1%). The current study clearly demonstrates the importance of PVE correction in the quantitation of r......CBF in normal humans. The potential use of this method is to cost-effectively deliver PVE corrected measures of rCBF and tissue volumes without reference to imaging modalities other than PET...

  1. Coal liquefaction and gas conversion: Proceedings. Volume 2

    Energy Technology Data Exchange (ETDEWEB)

    1993-12-31

    Volume II contains papers presented at the following sessions: Indirect Liquefaction (oxygenated fuels); and Indirect Liquefaction (Fischer-Tropsch technology). Selected papers have been processed separately for inclusion in the Energy Science and Technology Database.

  2. INTRA/Mod3.2. Manual and code description. Volume 2 - User`s manual

    Energy Technology Data Exchange (ETDEWEB)

    Andersson, Jenny; Edlund, O.; Hermann, J.; Johansson, Lise-Lotte

    1999-01-01

    The INTRA Manual consists of two volumes. Volume I of the manual is a thorough description of the code INTRA, the physical modelling of INTRA and the ruling numerics, and volume II, the User`s Manual is an input description. This document, the User`s Manual, Volume II, contains a detailed description of how to use INTRA, how to set up an input file, how to run INTRA and also post-processing

  3. Site Environmental Report for 2008, Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Lackner, Regina; Baskin, David; Fox, Robert; Jelinski, John; Pauer, Ron; Thorson, Patrick; Wahl, Linnea; Xu, Suying

    2009-09-21

    The Site Environmental Report for 2008 is an integrated report on the environmental programs at Lawrence Berkeley National Laboratory and satisfies the requirements of DOE order 231.1A, Environment, Safety, and Health Reporting. Volume II contains individual data results from surveillance and monitoring activities

  4. Coal slurry combustion and technology. Volume 2

    Energy Technology Data Exchange (ETDEWEB)

    1983-01-01

    Volume II contains papers presented at the following sessions of the Coal Slurry Combustion and Technology Symposium: (1) bench-scale testing; (2) pilot testing; (3) combustion; and (4) rheology and characterization. Thirty-three papers have been processed for inclusion in the Energy Data Base. (ATT)

  5. Impact of entrainment and impingement on fish populations in the Hudson River Estuary. Volume II. Impingement impact analyses, evaluations of alternative screening devices, and critiques of utility testimony relating to density-dependent growth, the age-composition of the striped bass spawning stock, and the LMS real-time life cycle model

    Energy Technology Data Exchange (ETDEWEB)

    Barnthouse, L. W.; Van Winkle, W.; Golumbek, J.; Cada, G. F.; Goodyear, C. P.; Christensen, S. W.; Cannon, J. B.; Lee, D. W.

    1982-04-01

    This volume includes a series of four exhibits relating to impacts of impingement on fish populations, together with a collection of critical evaluations of testimony prepared for the utilities by their consultants. The first exhibit is a quantitative evaluation of four sources of bias (collection efficiency, reimpingement, impingement on inoperative screens, and impingement survival) affecting estimates of the number of fish killed at Hudson River power plants. The two following exhibits contain, respectively, a detailed assessment of the impact of impingement on the Hudson River white perch population and estimates of conditional impingement mortality rates for seven Hudson River fish populations. The fourth exhibit is an evaluation of the engineering feasibility and potential biological effectiveness of several types of modified intake structures proposed as alternatives to cooling towers for reducing impingement impacts. The remainder of Volume II consists of critical evaluations of the utilities' empirical evidence for the existence of density-dependent growth in young-of-the-year striped bass and white perch, of their estimate of the age-composition of the striped bass spawning stock in the Hudson River, and of their use of the Lawler, Matusky, and Skelly (LMS) Real-Time Life Cycle Model to estimate the impact of entrainment and impingement on the Hudson River striped bass population.

  6. Impact of entrainment and impingement on fish populations in the Hudson River Estuary. Volume II. Impingement impact analyses, evaluations of alternative screening devices, and critiques of utility testimony relating to density-dependent growth, the age-composition of the striped bass spawning stock, and the LMS real-time life cycle model

    International Nuclear Information System (INIS)

    This volume includes a series of four exhibits relating to impacts of impingement on fish populations, together with a collection of critical evaluations of testimony prepared for the utilities by their consultants. The first exhibit is a quantitative evaluation of four sources of bias (collection efficiency, reimpingement, impingement on inoperative screens, and impingement survival) affecting estimates of the number of fish killed at Hudson River power plants. The two following exhibits contain, respectively, a detailed assessment of the impact of impingement on the Hudson River white perch population and estimates of conditional impingement mortality rates for seven Hudson River fish populations. The fourth exhibit is an evaluation of the engineering feasibility and potential biological effectiveness of several types of modified intake structures proposed as alternatives to cooling towers for reducing impingement impacts. The remainder of Volume II consists of critical evaluations of the utilities' empirical evidence for the existence of density-dependent growth in young-of-the-year striped bass and white perch, of their estimate of the age-composition of the striped bass spawning stock in the Hudson River, and of their use of the Lawler, Matusky, and Skelly (LMS) Real-Time Life Cycle Model to estimate the impact of entrainment and impingement on the Hudson River striped bass population

  7. TBscore II

    DEFF Research Database (Denmark)

    Rudolf, Frauke; Lemvik, Grethe; Abate, Ebba;

    2013-01-01

    Abstract Background: The TBscore, based on simple signs and symptoms, was introduced to predict unsuccessful outcome in tuberculosis patients on treatment. A recent inter-observer variation study showed profound variation in some variables. Further, some variables depend on a physician assessing...... them, making the score less applicable. The aim of the present study was to simplify the TBscore. Methods: Inter-observer variation assessment and exploratory factor analysis were combined to develop a simplified score, the TBscore II. To validate TBscore II we assessed the association between start...

  8. INF Code related matters. Joint IAEA/IMO literature survey on potential consequences of severe maritime accidents involving the transport of radioactive material. 2 volumes. Vol. I - Report and publication titles. Vol. II - Relevant abstracts

    International Nuclear Information System (INIS)

    This literature survey was undertaken jointly by the International Maritime Organization (IMO) and the International Atomic Energy Agency (IAEA) as a step in addressing the subject of environmental impact of accidents involving materials subject to the IMO's Code for the Safe Carriage of Irradiated Nuclear Fuel, Plutonium and High-Level Radioactive Wastes in Flasks on Board Ships, also known as the INF Code. The results of the survey are provided in two volumes: the first one containing the description of the search and search results with the list of generated publication titles, and the second volume containing the abstracts of those publications deemed relevant for the purposes of the literature survey. Literature published between 1980 and mid-1999 was reviewed by two independent consultants who generated publication titles by performing searches of appropriate databases, and selected the abstracts of relevant publications for inclusion in this survey. The IAEA operates INIS, the world's leading computerised bibliographical information system on the peaceful uses of nuclear energy. The acronym INIS stands for International Nuclear Information System. INIS Members are responsible for determining the relevant nuclear literature produced within their borders or organizational confines, and then preparing the associated input in accordance with INIS rules. INIS records are included in other major databases such as the Energy, Science and Technology database of the DIALOG service. Because it is the INIS Members, rather than the IAEA Secretariat, who are responsible for its contents, it was considered appropriate that INIS be the primary source of information for this literature review. Selected unpublished reports were also reviewed, e.g. Draft Proceedings of the Special Consultative Meeting of Entities involved in the maritime transport of materials covered by the INF Code (SCM 5), March 1996. Many of the formal papers at SCM 5 were included in the literature

  9. Advance care directives

    Science.gov (United States)

    ... advance directive; Do-not-resuscitate - advance directive; Durable power of attorney - advance care directive; POA - advance care directive; Health care agent - advance care directive; Health care proxy - ...

  10. Access and care issues in urban urgent care clinic patients

    Directory of Open Access Journals (Sweden)

    Adams Jill C

    2009-12-01

    the potential increase in urgent care volume in a universal healthcare system. Additionally, this study adds to the body of literature supporting the important role of timely primary care in healthcare maintenance.

  11. 1987 Oak Ridge model conference: Proceedings: Volume 2, Environmental protection

    International Nuclear Information System (INIS)

    See the abstract for Volume I for general information on the conference. Topics discussed in Volume II include data management techiques for environmental protection efforts, the use of models in environmental auditing, in emergency plans, chemical accident emergency response, risk assessment, monitoring of waste sites, air and water monitoring of waste sites, and in training programs

  12. 1987 Oak Ridge model conference: Proceedings: Volume 2, Environmental protection

    Energy Technology Data Exchange (ETDEWEB)

    1987-01-01

    See the abstract for Volume I for general information on the conference. Topics discussed in Volume II include data management techiques for environmental protection efforts, the use of models in environmental auditing, in emergency plans, chemical accident emergency response, risk assessment, monitoring of waste sites, air and water monitoring of waste sites, and in training programs. (TEM)

  13. Achieving Finite Element Mesh Quality via Optimization of the Jacobian Matrix Norm and Associated Quantities, Part II - A Framework for Volume Mesh Optimization and the Condition Number of the Jacobian Matrix

    Energy Technology Data Exchange (ETDEWEB)

    Knupp, P.M.

    1999-03-26

    Three-dimensional unstructured tetrahedral and hexahedral finite element mesh optimization is studied from a theoretical perspective and by computer experiments to determine what objective functions are most effective in attaining valid, high quality meshes. The approach uses matrices and matrix norms to extend the work in Part I to build suitable 3D objective functions. Because certain matrix norm identities which hold for 2 x 2 matrices do not hold for 3 x 3 matrices. significant differences arise between surface and volume mesh optimization objective functions. It is shown, for example, that the equivalence in two-dimensions of the Smoothness and Condition Number of the Jacobian matrix objective functions does not extend to three dimensions and further. that the equivalence of the Oddy and Condition Number of the Metric Tensor objective functions in two-dimensions also fails to extend to three-dimensions. Matrix norm identities are used to systematically construct dimensionally homogeneous groups of objective functions. The concept of an ideal minimizing matrix is introduced for both hexahedral and tetrahedral elements. Non-dimensional objective functions having barriers are emphasized as the most logical choice for mesh optimization. The performance of a number of objective functions in improving mesh quality was assessed on a suite of realistic test problems, focusing particularly on all-hexahedral ''whisker-weaved'' meshes. Performance is investigated on both structured and unstructured meshes and on both hexahedral and tetrahedral meshes. Although several objective functions are competitive, the condition number objective function is particularly attractive. The objective functions are closely related to mesh quality measures. To illustrate, it is shown that the condition number metric can be viewed as a new tetrahedral element quality measure.

  14. Ovarian volume throughout life

    DEFF Research Database (Denmark)

    Kelsey, Thomas W; Dodwell, Sarah K; Wilkinson, A Graham;

    2013-01-01

    cancer. To date there is no normative model of ovarian volume throughout life. By searching the published literature for ovarian volume in healthy females, and using our own data from multiple sources (combined n=59,994) we have generated and robustly validated the first model of ovarian volume from...... to about 2.8 mL (95% CI 2.7-2.9 mL) at the menopause and smaller volumes thereafter. Our model allows us to generate normal values and ranges for ovarian volume throughout life. This is the first validated normative model of ovarian volume from conception to old age; it will be of use in the diagnosis...

  15. RELATIVE BLOOD VOLUME: THE MEANS OF INTRADIALYSIS HYPOTENSION PREVENTION

    OpenAIRE

    V. A. Terehov; A. G. Strokov

    2010-01-01

    Intravascular volume preservation is the first choice measure for the prevention of intradialysis hypotension. At present there are devices that allow continuous monitoring of relative blood volume (RBV) changes during haemodialysis (HD). The aim of this research was to investigate (i) the regularity of RBV curve during haemo- dialysis and (ii) the efficacy of some measures for intravascular volume preservation. In patients with hyperhydration RBV curves were monotone; in all cases relation ...

  16. PORT II

    Science.gov (United States)

    Muniz, Beau

    2009-01-01

    One unique project that the Prototype lab worked on was PORT I (Post-landing Orion Recovery Test). PORT is designed to test and develop the system and components needed to recover the Orion capsule once it splashes down in the ocean. PORT II is designated as a follow up to PORT I that will utilize a mock up pressure vessel that is spatially compar able to the final Orion capsule.

  17. Site Environmental Report for 1999 - Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Ruggieri, M

    2000-08-12

    Each year, Ernest Orlando Lawrence Berkeley National Laboratory prepares an integrated report on its environmental programs to satisfy the requirements of United States Department of Energy Order 231.1. The Site Environmental Report for 1999 is intended to summarize Berkeley Lab's compliance with environmental standards and requirements, characterize environmental management efforts through surveillance and monitoring activities, and highlight significant programs and efforts for calendar year 1999. The report is separated into two volumes. Volume I contains a general overview of the Laboratory, the status of environmental programs, and summary results from surveillance and monitoring activities. Each chapter in Volume I begins with an outline of the sections that follow, including any tables or figures found in the chapter. Readers should use section numbers (e.g., {section}1.5) as navigational tools to find topics of interest in either the printed or the electronic version of the report. Volume II contains the individual data results from monitoring programs.

  18. Multi-Objective Optimization of Two-Stage Helical Gear Train Using NSGA-II

    Directory of Open Access Journals (Sweden)

    R. C. Sanghvi

    2014-01-01

    Full Text Available Gears not only transmit the motion and power satisfactorily but also can do so with uniform motion. The design of gears requires an iterative approach to optimize the design parameters that take care of kinematics aspects as well as strength aspects. Moreover, the choice of materials available for gears is limited. Owing to the complex combinations of the above facts, manual design of gears is complicated and time consuming. In this paper, the volume and load carrying capacity are optimized. Three different methodologies (i MATLAB optimization toolbox, (ii genetic algorithm (GA, and (iii multiobjective optimization (NSGA-II technique are used to solve the problem. In the first two methods, volume is minimized in the first step and then the load carrying capacities of both shafts are calculated. In the third method, the problem is treated as a multiobjective problem. For the optimization purpose, face width, module, and number of teeth are taken as design variables. Constraints are imposed on bending strength, surface fatigue strength, and interference. It is apparent from the comparison of results that the result obtained by NSGA-II is more superior than the results obtained by other methods in terms of both objectives.

  19. Supportive Care.

    Science.gov (United States)

    Olsen, Pia Riis; Lorenzo, Rosalía

    2016-01-01

    This chapter takes its point of departure in psychosocial aspects of supportive care in adolescent and young adult cancer care. The purpose is to describe some of the challenges that these young people face following a cancer diagnosis and guide healthcare professionals in how to provide care that improves the quality of life. In most hospitals and healthcare systems, adolescents and young adults are cared for and treated in settings for children or adults. Accordingly, healthcare professionals may lack attention to and knowledge about what characterize young peoples' life situation, their special needs and how to meet them. The topics we include in the chapter are the following: the youth friendly environment, social support and social network, parents, information during a psychosocial crisis event, the use of HEADSS, peer support, fertility, body image and self-esteem, after treatment and future challenges and palliative and end of life care. PMID:27595353

  20. On the Activation Volume for Dislocation Creep and Diffusion in Olivine and Other Minerals

    Science.gov (United States)

    Karato, S.

    2006-12-01

    The activation volume is an important parameter that characterizes the pressure dependence of plastic deformation. However, experimental determination of activation volume is challenging and, for olivine, the published results range from ~0 to ~30 cm3/mol. This vast range of V* is translated into more than 10 orders of magnitude difference in viscosity in the deep upper mantle (for a given stress). The main reasons for this large discrepancy include (i) the large experimental errors in the previous experimental studies on V* due to the limited pressure range and the limited resolution of mechanical measurements and (ii) the confusions in parameterization of flow law. In this talk, I will discuss several issues in determining and interpreting V*. In addition to the issues of uncertainties in experimental measurements, one important issue in the experimental determination of V* is the choice of flow law formula. It is customary to use a power-law equation to determine V*, but the appropriateness of power-law relationship is not obvious, and two issues need to be addressed carefully. First, at stress exceeding ~200 MPa (for olivine), deviation from power- law behavior is appreciable and the exponential flow law becomes important. The transition to exponential flow law will result in (i) apparently small V* if the data were fitted to a power-law relation, and (ii) apparently negative dependence of activation enthalpy (as observed by Green and Borch (1987)). Second, the flow-law parameterization under water-saturated conditions needs to include the pressure dependence of water fugacity. When this effect is ignored, apparently small activation volume would be obtained. Third, if deform,ation is in the transient creep regime rather than in the "steady-state" creep regime, then the activation volume will be an apparent activation volume that can be significantly lower than the "true" activation volume if the transient creep behavior is pressure-dependent. I will review the

  1. Health care engineering

    CERN Document Server

    Frize, Monique

    2013-01-01

    Part II of Health Care Engineering begins with statistics on the occurrence of medical errors and adverse events, and includes some technological solutions. A chapter on electronic medical records follows. The knowledge management process divided into four steps is described; this includes a discussion on data acquisition, storage, and retrieval. The next two chapters discuss the other three steps of the knowledge management process (knowledge discovery, knowledge translation, knowledge integration and sharing). The last chapter briefly discusses usability studies and clinical trials.This two-

  2. 38 CFR 17.32 - Informed consent and advance care planning.

    Science.gov (United States)

    2010-07-01

    .... (ii) VA Durable Power of Attorney for Health Care. A written instruction on a VA form which designates... will, durable power of attorney for health care, or other advance health care planning document, the... care treatment decisions. Health care agent. An individual named by the patient in a Durable Power...

  3. Volume Regulation in Epithelia

    DEFF Research Database (Denmark)

    Larsen, Erik Hviid; Hoffmann, Else Kay

    2016-01-01

    We review studies on regulatory volume decrease (RVD) and regulatory volume increase (RVI) of major ion and water transporting vertebrate epithelia. The rate of RVD and RVI is faster in cells of high osmotic permeability like amphibian gallbladder and mammalian proximal tubule as compared...... to amphibian skin and mammalian cortical collecting tubule of low and intermediate osmotic permeability. Crosstalk between entrance and exit mechanisms interferes with volume regulation both at aniso-osmotic and iso-osmotic volume perturbations. It has been proposed that cell volume regulation is an intrinsic...

  4. Inside ISIS II

    CERN Multimedia

    1981-01-01

    ISIS stands for Identification of Secondaries by Ionization Sampling. It was a drift chamber with an active volume of about 40 m3 built by Oxford University as a particle identifier for the European Hybrid Spectrometer (EHS). The photo shows the electrostatic grading structure and the central anode-wire plane, with Roger Giles standing just under it (Annual Report 1981 p. 57, Fig. 4). ISIS-II differed from the prototype ISIS-I only in the depth of the track (4 m instead of 1 m) thus extending the momentum range for particle identification to 50 GeV/c. See Nucl. Instr. and Meth. 224 (1984) 396, and Nucl. Instr. and Meth. 258 (1987) 26.

  5. Nursing workload in a trauma intensive care unit

    OpenAIRE

    Luana Loppi Goulart; Roberta Nazário Aoki; Camila Fernanda Lourençon Vegian; Edinêis de Brito Guirardello

    2014-01-01

    Severely injured patients with multiple and conflicting injuries present themselves to nursing professionals at critical care units faced with care management challenges. The goal of the present study is to evaluate nursing workload and verify the correlation between workload and the APACHE II severity index. It is a descriptive study, conducted in the Trauma Intensive Care Unit of a teaching hospital. We used the Nursing Activities Score and APACHE II as instruments. The sample comprised 32 ...

  6. Hospice Care

    Science.gov (United States)

    ... your care. Other team members may include a music therapist, physical therapist, speech therapist or occupational therapist. ... to the Terms and Conditions and Privacy Policy Popular Articles 1 Understanding Blood Pressure Readings 2 Sodium ...

  7. Multidisciplinary Care.

    Science.gov (United States)

    Daly, Megan E; Riess, Jonathan W

    2016-01-01

    Optimal multidisciplinary care of the lung cancer patient at all stages should encompass integration of the key relevant medical specialties, including not only medical, surgical, and radiation oncology, but also pulmonology, interventional and diagnostic radiology, pathology, palliative care, and supportive services such as physical therapy, case management, smoking cessation, and nutrition. Multidisciplinary management starts at staging and tissue diagnosis with pathologic and molecular phenotyping, extends through selection of a treatment modality or modalities, management of treatment and cancer-related symptoms, and to survivorship and end-of-life care. Well-integrated multidisciplinary care may reduce treatment delays, improve cancer-specific outcomes, and enhance quality of life. We address key topics and areas of ongoing investigation in multidisciplinary decision making at each stage of the lung cancer treatment course for early-stage, locally advanced, and metastatic lung cancer patients. PMID:27535399

  8. Caring Encounters

    Science.gov (United States)

    Gunn, Alyson

    2012-01-01

    Children with autism may seem to not care about things or have the same range of emotions as those of us who see them and care for them. But they do have empathy and they can be taught how to communicate it, says the author, a teacher of children with autism. We simply need to listen to them, watch them, and be with them in their moment.

  9. National Institute for Petroleum and Energy Research quarterly technical report, July 1--September 30, 1992. Volume 2, Energy production research

    Energy Technology Data Exchange (ETDEWEB)

    1992-12-01

    Volume II includes: chemical flooding--supporting research; gas displacement--supporting research; thermal recovery--supporting research; geoscience technology; resource assessment technology; and microbial technology.

  10. Biochars derived from various crop straws: characterization and Cd(II) removal potential.

    Science.gov (United States)

    Sun, Jingkuan; Lian, Fei; Liu, Zhongqi; Zhu, Lingyan; Song, Zhengguo

    2014-08-01

    Five types of biochars prepared from four crop straws and one wood shaving at 600 °C were characterized, and their sorption to Cd(II) were determined to investigate the differences in capacity to function as sorbents to heavy metals. Surface areas and pore volumes of the biochars were inversely correlated to the lignin content of raw biomass. The biochars derived from crop straws displayed more developed pore structure than wood char due to the higher lignin content of wood. Sorption capacity of the biochars to Cd(II) followed the order of corn straw>cotton straw>wheat straw>rice straw>poplar shaving, which was not strictly consistent with the surface area of the chars. The surface characteristics of chars before and after Cd(II) sorption were investigated with scanning electron microscopy equipped with an energy dispersive X-ray spectroscopy and Fourier transform infrared spectroscopy, which suggested that the higher sorption of Cd(II) on corn straw chars was mainly attributed to cation exchange, surface precipitation of carbonate, and surface complexation with oxygen-containing groups. This study indicated that crop straw biochars exhibit distinct sorption capacities to heavy metals due to various surface characteristics, and thus the sorption efficiency should be carefully evaluated specific to target contaminant. PMID:24859708

  11. 78 FR 29441 - Child Care and Development Fund (CCDF) Program

    Science.gov (United States)

    2013-05-20

    ... 20, 2013 Part II Department of Health and Human Services 45 CFR Part 98 Child Care and Development... Development Fund (CCDF) Program AGENCY: Office of Child Care (OCC), Administration for Children and Families...: The Administration for Children and Families (ACF) proposes to amend the Child Care and...

  12. Analysis II

    CERN Document Server

    Tao, Terence

    2016-01-01

    This is part two of a two-volume book on real analysis and is intended for senior undergraduate students of mathematics who have already been exposed to calculus. The emphasis is on rigour and foundations of analysis. Beginning with the construction of the number systems and set theory, the book discusses the basics of analysis (limits, series, continuity, differentiation, Riemann integration), through to power series, several variable calculus and Fourier analysis, and then finally the Lebesgue integral. These are almost entirely set in the concrete setting of the real line and Euclidean spaces, although there is some material on abstract metric and topological spaces. The book also has appendices on mathematical logic and the decimal system. The entire text (omitting some less central topics) can be taught in two quarters of 25–30 lectures each. The course material is deeply intertwined with the exercises, as it is intended that the student actively learn the material (and practice thinking and writing ri...

  13. Estimation of the water volume to be managed in the infrastructure of phase II of the artificial recharge plant in the El Carracillo region, Segovia (western area); Determinacion de los volumenes de agua a gestionar en las infraestructuras de la fase II del proyecto de recarga artificial del acuifero cuaternario de la comarca de El Carracillo, Segovia (sector occidental)

    Energy Technology Data Exchange (ETDEWEB)

    Macias Antequera, C.; Martinez Gamo, R.; Martinez Rubio, J.

    2014-10-01

    The first hydrogeological investigation for the definition of the Carracillo aquifer (Segovia) was carried out in order to plan the best possible artificial recharge works provided for within the framework of the Royal Decree- Law 9/1998 El Carracillo Aquifer Recharge. Intake and Pipeline Work, Infiltration and Irrigation Adequacy (Segovia) These studies revealed the existence of two regions hydro geologically favourable for water storage from flows derived from the river Cega: the first known as the paleo-landform site located within the irrigation area, and the second area called the storage area located in the eastern sector of the district. In order to exactly estimate the minimum and maximum volume of water that has to be managed in the paleo-landform site over a period of five years, the Tragsa Group has carried out, at the request of the Ministry of Agriculture Fisheries and Food, some of the hydrogeological work, which included the exhaustive follow up of the piezometric behaviour of the aquifer and the detailed analysis of each of the external actions that have a direct influence upon it, such as the useful rain, the artificial recharge, the extraction by pumping, and the overland flow, amongst others. (Author)

  14. No-migration variance petition. Volume 3, Revision 1: Appendix B, Attachments A through D

    Energy Technology Data Exchange (ETDEWEB)

    1990-03-01

    Volume III contains the following attachments: TRUPACT-II content codes (TRUCON); TRUPACT-II chemical list; chemical compatibility analysis for Rocky Flats Plant waste forms (Appendix 2.10.12 of TRUPACT-II safety analysis report); and chemical compatibility analyses for waste forms across all sites.

  15. Integrating Palliative Care into Primary Care.

    Science.gov (United States)

    Gorman, Rosemary D

    2016-09-01

    Improved quality of life, care consistent with patient goals of care, and decreased health care spending are benefits of palliative care. Palliative care is appropriate for anyone with a serious illness. Advances in technology and pharmaceuticals have resulted in increasing numbers of seriously ill individuals, many with a high symptom burden. The numbers of individuals who could benefit from palliative care far outweighs the number of palliative care specialists. To integrate palliative care into primary care it is essential that resources are available to improve generalist palliative care skills, identify appropriate patients and refer complex patients to specialist palliative care providers.

  16. Wound Care in Primary Health Care

    OpenAIRE

    Nail Ersoz; Ismail Hakki Ozerhan; Fatih Zor

    2008-01-01

    Wound care starts with occuring of wound. Primary health care wound care important as to affect on quality of healing. It is given information about the types of wounds, brief wound physiopathology and presented the options of wound care to primary health care wound care proffessionals in this article. Wound care must be done in a systematic process by health care professionals. [TAF Prev Med Bull 2008; 7(1.000): 71-74

  17. Wound Care in Primary Health Care

    Directory of Open Access Journals (Sweden)

    Nail Ersoz

    2008-02-01

    Full Text Available Wound care starts with occuring of wound. Primary health care wound care important as to affect on quality of healing. It is given information about the types of wounds, brief wound physiopathology and presented the options of wound care to primary health care wound care proffessionals in this article. Wound care must be done in a systematic process by health care professionals. [TAF Prev Med Bull. 2008; 7(1: 71-74

  18. Wound Care in Primary Health Care

    Directory of Open Access Journals (Sweden)

    Nail Ersoz

    2008-02-01

    Full Text Available Wound care starts with occuring of wound. Primary health care wound care important as to affect on quality of healing. It is given information about the types of wounds, brief wound physiopathology and presented the options of wound care to primary health care wound care proffessionals in this article. Wound care must be done in a systematic process by health care professionals. [TAF Prev Med Bull 2008; 7(1.000: 71-74

  19. Quality-quantity decomposition of income elasticity of U.S. hospital care expenditure using state-level panel data.

    Science.gov (United States)

    Chen, Weiwei; Okunade, Albert; Lubiani, Gregory G

    2014-11-01

    Economic theory suggests that income growth could lead to changes in consumption quantity and quality as the spending on a commodity changes. Similarly, the volume and quality of healthcare consumption could rise with incomes because of demographic changes, usage of innovative medical technologies, and other factors. Hospital healthcare spending is the largest component of aggregate US healthcare expenditures. The novel contribution of our paper is estimating and decomposing the income elasticity of hospital care expenditures (HOCEXP) into its quantity and quality components. By using a 1999-2008 panel dataset of the 50 US states, results from the seemingly unrelated regressions model estimation reveal the income elasticity of HOCEXP to be 0.427 (std. error=0.044), with about 0.391 (calculated std. error=0.044) arising from care quality improvements and 0.035 (std. error=0.050) emanating from the rise in usage volume. Our novel research findings suggest the following: (i) the quantity part of hospital expenditure is inelastic to income change; (ii) almost the entire income-induced rise in hospital expenditure comes from care quality changes; and (iii) the 0.427 income elasticity of HOCEXP, the largest component of total US healthcare expenditure, makes hospital care a normal commodity and a much stronger technical necessity than aggregate healthcare. Policy implications are discussed.

  20. Transformation Volume Effects on Shape Memory Alloys

    Directory of Open Access Journals (Sweden)

    Anna Kosogor

    2013-07-01

    Full Text Available It is generally accepted that the martensitic transformations (MTs in the shape memory alloys (SMAs are mainly characterized by the shear deformation of the crystal lattice that arises in the course of MT, while a comparatively small volume change during MT is considered as the secondary effect, which can be disregarded when the basic characteristics of MTs and functional properties of SMAs are analyzed. This point of view is a subject to change nowadays due to the new experimental and theoretical findings. The present article elucidates (i the newly observed physical phenomena in different SMAs in their relation to the volume effect of MT; (ii the theoretical analysis of the aforementioned volume-related phenomena.