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Sample records for center options study

  1. Options Study - Phase II

    Energy Technology Data Exchange (ETDEWEB)

    R. Wigeland; T. Taiwo; M. Todosow; W. Halsey; J. Gehin

    2010-09-01

    The Options Study has been conducted for the purpose of evaluating the potential of alternative integrated nuclear fuel cycle options to favorably address the issues associated with a continuing or expanding use of nuclear power in the United States. The study produced information that can be used to inform decisions identifying potential directions for research and development on such fuel cycle options. An integrated nuclear fuel cycle option is defined in this study as including all aspects of the entire nuclear fuel cycle, from obtaining natural resources for fuel to the ultimate disposal of used nuclear fuel (UNF) or radioactive wastes. Issues such as nuclear waste management, especially the increasing inventory of used nuclear fuel, the current uncertainty about used fuel disposal, and the risk of nuclear weapons proliferation have contributed to the reluctance to expand the use of nuclear power, even though it is recognized that nuclear power is a safe and reliable method of producing electricity. In this Options Study, current, evolutionary, and revolutionary nuclear energy options were all considered, including the use of uranium and thorium, and both once-through and recycle approaches. Available information has been collected and reviewed in order to evaluate the ability of an option to clearly address the challenges associated with the current implementation and potential expansion of commercial nuclear power in the United States. This Options Study is a comprehensive consideration and review of fuel cycle and technology options, including those for disposal, and is not constrained by any limitations that may be imposed by economics, technical maturity, past policy, or speculated future conditions. This Phase II report is intended to be used in conjunction with the Phase I report, and much information in that report is not repeated here, although some information has been updated to reflect recent developments. The focus in this Options Study was to

  2. Nevada Transportatoion Options Study

    Energy Technology Data Exchange (ETDEWEB)

    P. GEHNER; E.M. WEAVER; L. FOSSUM

    2006-05-25

    This study performs a cost and schedule analysis of three Nevada Transportation options that support waste receipt at the repository. Based on the U.S. Department of Energy preference for rail transportation in Nevada (given in the Final Environmental Impact Statement), it has been assumed that a branch rail line would be constructed to support waste receipt at the repository. However, due to potential funding constraints, it is uncertain when rail will be available. The three Nevada Transportation options have been developed to meet a varying degree of requirements for transportation and to provide cost variations used in meeting the funding constraints given in the Technical Direction Letter guidelines for this study. The options include combinations of legal-weight truck, heavy-haul truck, and rail. Option 1 uses a branch rail line that would support initial waste receipt at the repository in 2010. Rail transportation would be the primary mode, supplemented by legal weight trucks. This option provides the highest level of confidence in cost and schedule, lowest public visibility, greatest public acceptability, lowest public dose, and is the recommended option for support of waste receipt. The completion of rail by 2010 will require spending approximately $800 million prior to 2010. Option 2 uses a phased rail approach to address a constrained funding scenario. To meet funding constraints, Option 2 uses a phased approach to delay high cost activities (final design and construction) until after initial waste receipt in 2010. By doing this, approximately 95 percent of the cost associated with completion of a branch rail line is deferred until after 2010. To support waste receipt until a branch rail line is constructed in Nevada, additional legal-weight truck shipments and heavy-haul truck shipments (on a limited basis for naval spent nuclear fuel) would be used to meet the same initial waste receipt rates as in Option 1. Use of heavy-haul shipments in the absence

  3. The safeguards options study

    Energy Technology Data Exchange (ETDEWEB)

    Hakkila, E.A.; Mullen, M.F.; Olinger, C.T.; Stanbro, W.D. [Los Alamos National Lab., NM (United States); Olsen, A.P.; Roche, C.T.; Rudolph, R.R. [Argonne National Lab., IL (United States); Bieber, A.M.; Lemley, J. [Brookhaven National Lab., Upton, NY (United States); Filby, E. [Idaho National Engineering Lab., Idaho Falls, ID (United States)] [and others

    1995-04-01

    The Safeguards Options Study was initiated to aid the International Safeguards Division (ISD) of the DOE Office of Arms Control and Nonproliferation in developing its programs in enhanced international safeguards. The goal was to provide a technical basis for the ISD program in this area. The Safeguards Options Study has been a cooperative effort among ten organizations. These are Argonne National Laboratory, Brookhaven National Laboratory, Idaho National Engineering Laboratory, Lawrence Livermore National Laboratory, Los Alamos National Laboratory, Mound Laboratory, Oak Ridge National Laboratory, Pacific Northwest Laboratories, Sandia National Laboratories, and Special Technologies Laboratory. Much of the Motivation for the Safeguards Options Study is the recognition after the Iraq experience that there are deficiencies in the present approach to international safeguards. While under International Atomic Energy Agency (IAEA) safeguards at their declared facilities, Iraq was able to develop a significant weapons program without being noticed. This is because negotiated safeguards only applied at declared sites. Even so, their nuclear weapons program clearly conflicted with Iraq`s obligations under the Nuclear Nonproliferation Treaty (NPT) as a nonnuclear weapon state.

  4. Retrieval options study

    Energy Technology Data Exchange (ETDEWEB)

    1980-03-01

    This Retrieval Options Study is part of the systems analysis activities of the Office of Nuclear Waste Isolation to develop the scientific and technological bases for radioactive waste repositories in various geologic media. The study considers two waste forms, high level waste and spent fuel, and defines various classes of waste retrieval and recovery. A methodology and data base are developed which allow the relative evaluation of retrieval and recovery costs and the following technical criteria: safety; technical feasibility; ease of retrieval; probable intact retrieval time; safeguards; monitoring; criticality; and licensability. A total of 505 repository options are defined and the cost and technical criteria evaluated utilizing a combination of facts and engineering judgments. The repositories evaluated are selected combinations of the following parameters: Geologic Media (salt, granite, basalt, shale); Retrieval Time after Emplacement (5 and 25 years); Emplacement Design (nominal hole, large hole, carbon steel canister, corrosion resistant canister, backfill in hole, nominal sleeves, thick wall sleeves); Emplacement Configuration (single vertical, multiple vertical, single horizontal, multiple horizontal, vaults; Thermal Considerations; (normal design, reduced density, once-through ventilation, recirculated ventilation); Room Backfill; (none, run-of-mine, early, 5 year delay, 25 year delay, decommissioned); and Rate of Retrieval; (same as emplacement, variably slower depending on repository/canister condition).

  5. Comparison of Head Center Position and Screw Fixation Options Between a Jumbo Cup and an Offset Center of Rotation Cup in Revision Total Hip Arthroplasty: A Computer Simulation Study.

    Science.gov (United States)

    Faizan, Ahmad; Black, Brandon J; Fay, Brian D; Heffernan, Christopher D; Ries, Michael D

    2016-01-01

    Jumbo acetabular cups are commonly used in revision total hip arthroplasty (THA). A straightforward reaming technique is used which is similar to primary THA. However, jumbo cups may also be associated with hip center elevation, limited screw fixation options, and anterior soft tissue impingement. A partially truncated hemispherical shell was designed with an offset center of rotation, thick superior rim, and beveled anterior and superior rims as an alternative to a conventional jumbo cup. A three dimensional computer simulation was used to assess head center position and safe screw trajectories. Results of this in vitro study indicate that a modified hemispherical implant geometry can reduce head center elevation while permitting favorable screw fixation trajectories into the pelvis in comparison to a conventional jumbo cup.

  6. AFCI Options Study

    Energy Technology Data Exchange (ETDEWEB)

    R. Wigeland; T. Taiwo; M. Todosow; W. Halsey; J. Gehin

    2009-09-01

    This report describes the background and framework for both organizing the discussion and providing information on the potential for nuclear energy R&D to develop alternative nuclear fuel cycles that would address the issues with the current implementations of nuclear power, including nuclear waste disposal, proliferation risk, safety, security, economics, and sustainability. The disposition of used fuel is the cause of many of the concerns, and the possible approaches to used fuel management identify a number of basic technology areas that need to be considered. The basic science in each of the technology areas is discussed, emphasizing what science is currently available, where scientific knowledge may be insufficient, and especially to identify specific areas where transformational discoveries may allow achievement of performance goals not currently attainable. These discussions lead to the wide range of technical options that have been the basis for past and current research and development on advanced nuclear fuel cycles in the United States. The results of this work are then briefly reviewed to show the extent to which such approaches are capable of addressing the issues with nuclear power, the potential for moving further, and the inherent limitations.

  7. Solar thermal activation study of the Land of Hessen. Study on solar options for municipal swimming pools, gymnasia and sports centers in Hessen. Solarthermische Aktivierungsstudie Hessen. Studie zur solaren Eignung von kommunalen Freibaedern sowie Turn- und Sporthallen in Hessen

    Energy Technology Data Exchange (ETDEWEB)

    1994-09-01

    This study is to give communities and districts in the Land of Hessen a decision aid on whether solar service water or pool water heating would be an economically efficient alternative in numerical swimming pools or sports centers. (orig.)

  8. CyberKnife Stereotactic Ablative Radiotherapy as an Option of Treatment for Patients With Prostate Cancer Having Oligometastatic Lymph Nodes: Single-Center Study Outcome Evaluation.

    Science.gov (United States)

    Napieralska, Aleksandra; Miszczyk, Leszek; Stąpór-Fudzińska, Małgorzata

    2016-10-01

    The aim of this study was to evaluate the effectiveness of CyberKnife-based stereotactic ablative radiotherapy on prostate cancer lymph node metastases. Our material consisted of 18 patients with 31 metastatic lymph nodes irradiated between 2011 and 2014 using CyberKnife-based stereotactic ablative radiotherapy. Patients were irradiated using fraction dose varied from 6 to 15 Gy (median 10), to the total dose of 24 to 45 Gy (median 30). Irradiated lymph node size varied from 0.4 to 4.0 cm. In all, 9 patients had single lymph node metastasis and 9 patients had metastases of 2 to 4 lymph nodes. Prostate-specific antigen concentration before radiotherapy varied from 0.01 to 15.58 (mean 6.97; median 4.66). All patients at the time of radiotherapy and follow-up received androgen deprivation therapy. Mann-Whitney U, Kaplan-Meier method, and log-rank tests were used in statistical analysis. We obtained the following results: after CyberKnife stereotactic ablative radiotherapy, prostate-specific antigen concentration dropped in majority of cases and during the last control varied from 0.00 to 258.00 (median 2.5), and was lower in patients without dissemination to other organs (P = .01). Complete regression was found in 12 lesions, stable disease in 13, and progression in 4. In 7 patients, the dissemination to other organs occurred. Our results allow us to conclude that CyberKnife stereotactic ablative radiotherapy of prostate cancer lymph node oligometastases gives good local control and relatively good prostate-specific antigen response.

  9. Cementitious waste option scoping study report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, A.E.; Taylor, D.D.

    1998-02-01

    A Settlement Agreement between the Department of Energy (DOE) and the State of Idaho mandates that all high-level radioactive waste (HLW) now stored at the Idaho Chemical Processing Plant (ICPP) on the Idaho National Engineering and Environmental Laboratory (INEEL) will be treated so that it is ready to be moved out of Idaho for disposal by a target date of 2035. This study investigates the nonseparations Cementitious Waste Option (CWO) as a means to achieve this goal. Under this option all liquid sodium-bearing waste (SBW) and existing HLW calcine would be recalcined with sucrose, grouted, canisterized, and interim stored as a mixed-HLW for eventual preparation and shipment off-Site for disposal. The CWO waste would be transported to a Greater Confinement Disposal Facility (GCDF) located in the southwestern desert of the US on the Nevada Test Site (NTS). All transport preparation, shipment, and disposal facility activities are beyond the scope of this study. CWO waste processing, packaging, and interim storage would occur over a 5-year period between 2013 and 2017. Waste transport and disposal would occur during the same time period.

  10. Design Options Study. Volume III. Qualitative Assessment.

    Science.gov (United States)

    1980-09-01

    would be obtained for a 500,000 lb- or 600,000 lb-payload- aircraft is uncertain. Assesment of De3ign-Option Substitutien TO summnarize the preceding...exhaust smoke and prohibit fuel venting to the atmosphere. In accordance with APR 80-36, as discussed previously in conjunction with the noise...Laboratory in terms of combustor efficiency, specific NO Xvalues, and specific levels Of Visible smoke . In the Most recent EPA proposals. emission

  11. CENTER FOR CYBER SECURITY STUDIES

    Data.gov (United States)

    Federal Laboratory Consortium — The mission of the Center for Cyber Security Studies is to enhance the education of midshipmen in all areas of cyber warfare, to facilitate the sharing of expertise...

  12. Comparatively speaking : a psycholinguistic study of optionality in grammar

    OpenAIRE

    2007-01-01

    GRAMMATICAL OPTIONALITY refers to the ability to realize the same meaning using more than one grammatical expression, as in the dative alternation, or the choice between active and passive encodings of a transitive event. Optionality has been studied extensively in the syntactic domain, and has provided numerous insights concerning the kinds of factors that influence production, the functional benefits of speaker choice, and the nature of syntactic development. In the present work, I inaugura...

  13. Hot isostatic press waste option study report

    Energy Technology Data Exchange (ETDEWEB)

    Russell, N.E.; Taylor, D.D.

    1998-02-01

    A Settlement Agreement between the Department of Energy and the State of Idaho mandates that all high-level radioactive waste now stored at the Idaho Chemical Processing Plant be treated so that it is ready to move out of Idaho for disposal by the target date of 2035. This study investigates the immobilization of all Idaho Chemical Processing Plant calcine, including calcined sodium bearing waste, via the process known as hot isostatic press, which produces compact solid waste forms by means of high temperature and pressure (1,050 C and 20,000 psi), as the treatment method for complying with the settlement agreement. The final waste product would be contained in stainless-steel canisters, the same type used at the Savannah River Site for vitrified waste, and stored at the Idaho National Engineering and Environmental Laboratory until a national geological repository becomes available for its disposal. The waste processing period is from 2013 through 2032, and disposal at the High Level Waste repository will probably begin sometime after 2065.

  14. Direct cementitious waste option study report

    Energy Technology Data Exchange (ETDEWEB)

    Dafoe, R.E.; Losinski, S.J.

    1998-02-01

    A settlement agreement between the Department of Energy (DOE) and the State of Idaho mandates that all high-level radioactive waste (HLW) now stored at the Idaho Chemical Processing Plant (ICPP) will be treated so that it is ready to be moved out of Idaho for disposal by a target data of 2035. This study investigates the direct grouting of all ICPP calcine (including the HLW dry calcine and those resulting from calcining sodium-bearing liquid waste currently residing in the ICPP storage tanks) as the treatment method to comply with the settlement agreement. This method involves grouting the calcined waste and casting the resulting hydroceramic grout into stainless steel canisters. These canisters will be stored at the Idaho National Engineering and Environmental Laboratory (INEEL) until they are sent to a national geologic repository. The operating period for grouting treatment will be from 2013 through 2032, and all the HLW will be treated and in interim storage by the end of 2032.

  15. Center for Botanical Interaction Studies

    Data.gov (United States)

    Federal Laboratory Consortium — Research Area: Dietary Supplements, Herbs, Antioxidants Program:Centers for Dietary Supplements Research: Botanicals Description:This center will look at safety and...

  16. MOOSES: Multiple Option Observation System for Experimental Studies.

    Science.gov (United States)

    Tapp, Jon; Wehby, Joseph

    The Multiple Option Observation System for Experimental Studies (MOOSES) is a flexible data collection and analysis package for applied behavioral research that addresses the needs of researchers interested in live coding of observational data. MOOSES allows the researcher to design a coding system for a particular research question. General types…

  17. Low-Carbon Warehousing: Examining Impacts of Building and Intra-Logistics Design Options on Energy Demand and the CO2 Emissions of Logistics Centers

    Directory of Open Access Journals (Sweden)

    Julia Freis

    2016-05-01

    Full Text Available Logistics centers contribute to CO2 emissions in the building and logistics sector and therefore share a responsibility to decarbonize not only the supply chain. Synergy effects in both building and intra-logistics should be considered as suitable levers to lower energy demand and related CO2 emissions. This research develops firs t with a systemic approach an integrated analytical model for energy calculation and reference building models for different types of logistics centers to provide basic knowledge and a methodological framework for planners and managers to aid in the selection of different intra-logistics and building design options for optimum energy efficiency. It then determines the energy demand in reference building models and performs parameter studies to examine interrelations and impacts of design options for intra-logistics, building technology, and building skin on energy demand. It combines these to optimized reference building models to show the extent to which energy and CO2 emission savings can be reached. The results show that it is possible to significantly lower CO2 emissions. However, there are clear differences between the different types of logistics centers and the impacts of different design options.

  18. Center for Creative Studies, Detroit

    Science.gov (United States)

    AIA Journal, 1976

    1976-01-01

    One of the ten buildings chosen to receive 1976 AIA honor awards, the arts center houses the departments of sculpture, painting, graphics, advertising art, photography, and industrial design. (Author/MLF)

  19. Cooperative Monitoring Center Occasional Paper/8: Cooperative Border Security for Jordan: Assessment and Options

    Energy Technology Data Exchange (ETDEWEB)

    Qojas, M.

    1999-03-01

    This document is an analysis of options for unilateral and cooperative action to improve the security of Jordan's borders. Sections describe the current political, economic, and social interactions along Jordan's borders. Next, the document discusses border security strategy for cooperation among neighboring countries and the adoption of confidence-building measures. A practical cooperative monitoring system would consist of hardware for early warning, command and control, communications, and transportation. Technical solutions can expand opportunities for the detection and identification of intruders. Sensors (such as seismic, break-wire, pressure-sensing, etc.) can warn border security forces of intrusion and contribute to the identification of the intrusion and help formulate the response. This document describes conceptual options for cooperation, offering three scenarios that relate to three hypothetical levels (low, medium, and high) of cooperation. Potential cooperative efforts under a low cooperation scenario could include information exchanges on military equipment and schedules to prevent misunderstandings and the establishment of protocols for handling emergency situations or unusual circumstances. Measures under a medium cooperation scenario could include establishing joint monitoring groups for better communications, with hot lines and scheduled meetings. The high cooperation scenario describes coordinated responses, joint border patrols, and sharing border intrusion information. Finally, the document lists recommendations for organizational, technical, and operational initiatives that could be applicable to the current situation.

  20. A Study on Fuel Options for Power Generation in Thailand

    Directory of Open Access Journals (Sweden)

    Weerin Wangjiraniran

    2010-07-01

    Full Text Available This study focuses on the impact of utilizing gas, coal and nuclear for longterm power generation on generation cost, emission and resource availability. A scenario-based energy accounting model has been applied for creating long-term future scenarios. A baseline scenario has been created on the basis of the existing power development plan (PDP. Three alternative scenarios of coal, nuclear and gas options have been projected for the period beyond the PDP, i.e. 2022-2030. The results indicate that nuclear has high potential for GHG mitigation and cost reduction. For coal option, the benefit of cost reduction would be diminished at carbon price above 40 USD/ton. However, clean technology development as well as the momentum of global trend will be the key factor for coal utilization. The results also show the need of fuel diversification in term of the natural gas reserve depletion. It is clearly seen that natural gas supply in Thailand would inevitably depends very much on the LNG import in long-term. Hence, attraction of natural gas in term of cheap domestic resource utilization will be vanished.

  1. A feasibility study for a manufacturing technology deployment center

    Energy Technology Data Exchange (ETDEWEB)

    1994-10-31

    The Automation & Robotics Research Institute (ARRI) and the Texas Engineering Extension Service (TEEX) were funded by the U.S. Department of Energy to determine the feasibility of a regional industrial technology institute to be located at the Superconducting Super Collider (SSC) Central Facility in Waxahachie, Texas. In response to this opportunity, ARRI and TEEX teamed with the DOE Kansas City Plant (managed by Allied Signal, Inc.), Los Alamos National Laboratory (managed by the University of California), Vought Aircraft Company, National Center for Manufacturing Sciences (NCMS), SSC Laboratory, KPMG Peat Marwick, Dallas County Community College, Navarro Community College, Texas Department of Commerce (TDOC), Texas Manufacturing Assistance Center (TMAC), Oklahoma Center for the Advancement of Science and Technology, Arkansas Science and Technology Authority, Louisiana Productivity Center, and the NASA Mid-Continent Technology Transfer Center (MCTTC) to develop a series of options, perform the feasibility analysis and secure industrial reviews of the selected concepts. The final report for this study is presented in three sections: Executive Summary, Business Plan, and Technical Plan. The results from the analysis of the proposed concept support the recommendation of creating a regional technology alliance formed by the states of Texas, New Mexico, Oklahoma, Arkansas and Louisiana through the conversion of the SSC Central facility into a Manufacturing Technology Deployment Center (MTDC).

  2. American Studies Center:An Introduction

    Institute of Scientific and Technical Information of China (English)

    Shu; HONG

    2013-01-01

    The year 2012 was remarkable in the history of American Studies at Sichuan University.First,it marked the 28thAnniversary of the founding of the American Studies Center,which had its official debut in May,1984,coinciding with the establishment of the US Consulate General in Chengdu.U.S.Vice President George Bush was present at the Inauguration Ceremony of the American Studies Center,and afterwards gave an important talk to the university faculty and students.The past 28years have witnessed the steady development of this Center.In June,2012,the

  3. The Study on Policy Options for Siting Hazardous Energy Facility

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jin Oh [Korea Energy Economics Institute, Euiwang (Korea)

    2000-10-01

    The problem of site allocation on locally unwanted land uses related to energy utilities that extended most recently is becoming a new energy policy issue due to the improvement of national standard of living and livelihood quality. Residents do not generally agree on establishing the construction of public energy utilities in their village due to NIMBY syndrome while they basically agree to have them. These circumstances made a big problem against mass production of industry society and the improvement of the national welfare. Locally unwanted land use related to energy utilities includes waste incineration system, nuclear power plant, coal fired power plant, oil and Gas storage tank, briquette manufacturing plant and etc. Opportunity for SOC projects carried out by central and local government is lost because of the regional egoism. The site dispute between government and residents obstructs optimal energy supply to be necessary for industry growth and the national welfare. The main objective of this study is to propose the policy option for finding a solution after surveying theory and background of site troubles and dispute factors. Final results of this study propose a solution on structural and institutional dispute. The former introduces three kinds of approaches such as tradition, compensation and negotiation. The transition of an environmentally sound energy consumption pattern and the improvement of energy efficiency could be carried out by traditional approaches. To claim the damage and offer the accommodation facilities could be settled by compensational approaches. The establishment of regional decentralization on NIMBY facilities could be settled by negotiatory approaches through fair share criteria. The latter proposes 1) 'polluter pays principle', 2) internalization of social cost and benefit on air or water pollution, 3) the behind - the - scene negotiation in a bid to settle a site dispute, 4) and supporting system for peripheral areas

  4. Diversifying the Social Studies: The Trend Toward Optional Public Schools

    Science.gov (United States)

    Barr, Robert D.

    1974-01-01

    Developments of alternative schools are reviwed, emphasizing differences in five types of public school options and the similarities of these types in respect to their social education programs. (Author/KM)

  5. American Studies Center:An Introduction

    Institute of Scientific and Technical Information of China (English)

    Shu; HONG

    2013-01-01

    <正>The year 2012 was remarkable in the history of American Studies at Sichuan University.First,it marked the 28thAnniversary of the founding of the American Studies Center,which had its official debut in May,1984,coinciding with the establishment of the US Consulate General in Chengdu.U.S.Vice President George Bush was present at the Inauguration Ceremony of the American Studies Center,and

  6. Incidence of Venous Thromboembolic Events in Mandated Risk Assessment versus Optional DVT Prophylaxis Era at a Large Tertiary Cancer Center.

    Science.gov (United States)

    Kukar, Moshim; Asaro, Joseph; Aquino, Anthony; Groman, Adrienne; Skitzki, Joseph; Kane, John M

    2015-09-01

    Cancer patients are thought to be at high risk for venous thromboembolic events (DVT/PE). Beginning in October 2007, our tertiary cancer center instituted "mandated risk assessment" computerized DVT prophylaxis order entry, for all hospital admissions with an option for active opt out by the physician with a stated reason. Retrospective review of all DVT/PE events within 30 days of a hospital admission [any inpatient admission (IA) and outpatient surgery (OPS)] in comparable "optional (O)" (January 2005-September 2007) vs "mandated risk assessment (M)" (October 2007-May 2010) DVT prophylaxis order eras. Patient demographics, admission details, type of prophylaxis, treatment, and outcome were also analyzed. There were 16,363 for the O (11,944 IA/4,419 OPS) and 17,757 for the M (12,957 IA/4,800 OPS) DVT prophylaxis order eras. The number of DVT/PE events in the O era was 67 (prevalence 0.41%) versus 102 for the M era (prevalence 0.57%), P = 0.037. In the DVT/PE patients, DVT prophylaxis had been ordered during the index admission in 66 per cent for O versus 83 per cent for M (P = 0.008). Low-molecular-weight heparin was increasingly used in M era (33% vs 16%, P = 0.009). There was also no difference between O vs M era for status at DVT/PE diagnosis (outpatient 36% vs 24%) or associated symptoms. There were no deaths attributable to DVT/PE in the O era versus 3 deaths in the M era. Although DVT prophylaxis use improved with "mandated risk assessment" ordering, the DVT/PE incidence did not decrease. It may be difficult to overcome the surprisingly low baseline prevalence and multiple risk factors in this population.

  7. Impact of Flexibility Options on Grid Economic Carrying Capacity of Solar and Wind: Three Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Denholm, Paul [National Renewable Energy Lab. (NREL), Golden, CO (United States); Novacheck, Joshua [National Renewable Energy Lab. (NREL), Golden, CO (United States); Jorgenson, Jennie [National Renewable Energy Lab. (NREL), Golden, CO (United States); O' Connell, Matthew [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-12-01

    In this study, we attempt to quantify the benefits of various options of grid flexibility by measuring their impact on two measures: economic carrying capacity and system costs. Flexibility can increase economic carrying capacity and reduce overall system costs. In some cases, options that provide a limited increase in economic carrying capacity can provide significant operational savings, thus demonstrating the need to evaluate flexibility options using multiple metrics. The value of flexibility options varies regionally due to different generation mixes and types of renewables. The more rapid decline in PV value compared to wind makes PV more dependent on adding flexibility options, including transmission and energy storage.

  8. Impact of Flexibility Options on Grid Economic Carrying Capacity of Solar and Wind: Three Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Denholm, Paul [National Renewable Energy Lab. (NREL), Golden, CO (United States); Novacheck, Joshua [National Renewable Energy Lab. (NREL), Golden, CO (United States); Jorgenson, Jennie [National Renewable Energy Lab. (NREL), Golden, CO (United States); O' Connell, Matthew [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2016-12-01

    In this study, we attempt to quantify the benefits of various options of grid flexibility by measuring their impact on two measures: economic carrying capacity and system costs. Flexibility can increase ECC and reduce overall system costs. In some cases, options that provide a limited increase in ECC can provide significant operational savings, thus demonstrating the need to evaluate flexibility options using multiple metrics. The value of flexibility options varies regionally due to different generation mixes and types of renewables. The more rapid decline in PV value compared to wind makes PV more dependent on adding flexibility options, including transmission and energy storage.

  9. Cosmos, an international center for advanced studies

    Science.gov (United States)

    Ryzhov, Iurii; Alifanov, Oleg; Sadin, Stanley; Coleman, Paul

    1990-01-01

    The concept of Cosmos, a Soviet operating center for aerospace activities, is presented. The main Cosmos participants are the Institute for Aerospace Education, the Institute for Research and Commercial Development, and the Department of Space Policy and Socio-Economic Studies. Cosmos sponsors a number of educational programs, basic research, and studies of the social impact of space-related technologies.

  10. Stockbridge Munsee Community Health and Wellness Center and the Mohican Family Center Renewable Energy and Energy Efficiency Feasibility Study

    Energy Technology Data Exchange (ETDEWEB)

    DeRocher, Andy [Stockbridge-Munsee Health and Wellness Center, Bowler, WI (United States); Barrnett, Michael [Stockbridge-Munsee Health and Wellness Center, Bowler, WI (United States)

    2014-03-14

    The results of the Renewable Energy and Energy Efficiency Feasibility Study of Stockbridge Munsee Community’s Health and Wellness Center (HWC) indicate that a variety of renewable energy options and energy conservation measures (ECMs) exist for the facility. A requirement of the Request for Proposal for this study was to assess renewable energy options that could offset 30 to 100 percent of the HWC’s energy use. This study identifies that a geothermal system is the most cost effective renewable energy option available to decrease the HWC’s energy consumption by 30 to 100 percent. Currently the HWC performs in the lowest 8 percent of buildings in its building category, as scored in the EPA portfolio manager benchmarking tool. Multiple ECM opportunities have been identified with paybacks of less than five years to yield an estimated 25-percent decrease in annual energyconsumption. The ECMs within this payback period are estimated to save $26,800 per year with an implementation cost of just $4,650 (0.2 year payback). For the Mohican Family Center document: The results of the Renewable Energy and Energy Efficiency Feasibility Study of Stockbridge Munsee Community’s Mohican Family Center (MFC) indicate that a variety of renewable energy options and energy conservation measures (ECMs) exist for the facility. A requirement of the Request for Proposal for this study was to assess renewable energy options that could offset 30 to 100 percent of the MFC’s energy use. This study identifies that a geothermal system is the most cost effective renewable energy option available to decrease the MFC’s energy consumption by 30 to 100 percent. Currently the MFC performs better than 80 percent of buildings in its building category, as scored in the EPA portfolio manager benchmarking tool. Multiple ECM opportunities have been identified with short term paybacks to yield an estimated 13-percent decrease in energy consumption. The ECMs within this payback period are estimated

  11. Study on Alternative Cargo Launch Options from the Lunar Surface

    Energy Technology Data Exchange (ETDEWEB)

    Cheryl A. Blomberg; Zamir A. Zulkefli; Spencer W. Rich; Steven D. Howe

    2013-07-01

    In the future, there will be a need for constant cargo launches from Earth to Mars in order to build, and then sustain, a Martian base. Currently, chemical rockets are used for space launches. These are expensive and heavy due to the amount of necessary propellant. Nuclear thermal rockets (NTRs) are the next step in rocket design. Another alternative is to create a launcher on the lunar surface that uses magnetic levitation to launch cargo to Mars in order to minimize the amount of necessary propellant per mission. This paper investigates using nuclear power for six different cargo launching alternatives, as well as the orbital mechanics involved in launching cargo to a Martian base from the moon. Each alternative is compared to the other alternative launchers, as well as compared to using an NTR instead. This comparison is done on the basis of mass that must be shipped from Earth, the amount of necessary propellant, and the number of equivalent NTR launches. Of the options, a lunar coil launcher had a ship mass that is 12.7% less than the next best option and 17 NTR equivalent launches, making it the best of the presented six options.

  12. The Center for Star Formation Studies

    Science.gov (United States)

    Hollenbach, D.; Bell, K. R.; Laughlin, G.

    2002-01-01

    The Center for Star Formation Studies, a consortium of scientists from the Space Science Division at Ames and the Astronomy Departments of the University of California at Berkeley and Santa Cruz, conducts a coordinated program of theoretical research on star and planet formation. Under the directorship of D. Hollenbach (Ames), the Center supports postdoctoral fellows, senior visitors, and students; meets regularly at Ames to exchange ideas and to present informal seminars on current research; hosts visits of outside scientists; and conducts a week-long workshop on selected aspects of star and planet formation each summer.

  13. Immobilized low-level waste disposal options configuration study

    Energy Technology Data Exchange (ETDEWEB)

    Mitchell, D.E.

    1995-02-01

    This report compiles information that supports the eventual conceptual and definitive design of a disposal facility for immobilized low-level waste. The report includes the results of a joint Westinghouse/Fluor Daniel Inc. evaluation of trade-offs for glass manufacturing and product (waste form) disposal. Though recommendations for the preferred manufacturing and disposal option for low-level waste are outside the scope of this document, relative ranking as applied to facility complexity, safety, remote operation concepts and ease of retrieval are addressed.

  14. Center for the Study of Traumatic Stress

    Science.gov (United States)

    2016-06-15

    problems of those exposed to war, disaster and other traumatic events. Third, we are dedicated to research in translational studies, neuro- science ...and high- ly-productive team functions in a well-coordinated manner and in a unified direction . That combined effort and synergy results in the rapid...Center continued its clinical work in neuro- science and neurobiology by conducting clinical trials to improve the treatment of stress, PTSD and TBI

  15. Hanford Nuclear Energy Center: a conceptual study

    Energy Technology Data Exchange (ETDEWEB)

    Harty, H. (comp.)

    1978-09-30

    The objective of the study is to develop an improved understanding of the nuclear energy center (NEC) concept and to identify research and development needed to evaluate the concept fully. A specific context was selected for the study--the Hanford site. Thus, the study primarily addresses the HNEC concept, but the findings are extrapolated to generic NECs where possible. The major emphasis in the HNEC study was to explore potential technical and environmental problems in a specific context and in sufficient detail to evaluate potential problems and propose practical solutions. The areas of concern are typical of those considered in preparing environmental and safety analysis reports, including: topics dealing with engineering choices (e.g., site selection, heat sink management, electrical transmission, and reliability of generation); environmental matters (e.g., terrestrial and radiological effects); socioeconomic factors (e.g., community impacts); and licensing considerations.

  16. Analytic and Experimental Studies of the Errors in Numerical Methods for the Valuation of Options

    Institute of Scientific and Technical Information of China (English)

    P.Lin; J. J. H. Miller; G. I. Shishkin

    2008-01-01

    The value of a European option satisfies the Black-Scholes equation with appropriately specified final and boundary conditions. We transform the problem to an initial boundary value problem in dimensionless form. There are two parameters in the coefficients of the resulting linear parabolic partial differential equation. For a range of values of these parameters, the solution of the problem has a boundary or an initial layer. The initial function has a discontinuity in the first-order derivative, which leads to the appearance of an interior layer. We construct analytically the asymptotic solution of the equation in a finite domain. Based on the asymptotic solution we can determine the size of the artificial boundary such that the required solution in a finite domain in x and at the final time is not affected by the boundary. Also, we study computationally the behaviour in the maximum norm of the errors in numerical solutions in cases such that one of the parameters varies from finite (or pretty large) to small values, while the other parameter is fixed and takes either finite (or pretty large) or small values. Crank-Nicolson explicit and implicit schemes using centered or upwind approximations to the derivative are studied. We present numerical computations, which determine experimentally the parameter-uniform rates of convergence. We note that this rate is rather weak, due probably to mixed sources of error such as initial and boundary layers and the discontinuity in the derivative of the solution.

  17. Specific schedule conditions for the formation of personnel of A or B category working in nuclear facilities. Option research center

    CERN Document Server

    Int. At. Energy Agency, Wien

    2002-01-01

    This document describes the specific dispositions relative to the Research Center, for the formation to the conventional and radiation risks prevention of personnel of A or B category working in nuclear facilities. The application domain, the applicable documents, the liability, the specificity of the Research Center and of the retraining, the Passerelle formation, are presented. (A.L.B.)

  18. The New Center for Advanced Energy Studies

    Energy Technology Data Exchange (ETDEWEB)

    L.J. Bond; K. Kostelnik; R.A. Wharton; A. Kadak

    2006-06-01

    A secure and affordable energy supply is essential for achieving U.S. national security, in continuing U.S. prosperity and in laying the foundation to enable future economic growth. The next generation energy workforce in the U.S. is a critical element in meeting both national and global energy needs. The Center for Advanced Energy Studies (CAES) was established in 2005 in response to U.S. Department of Energy (DOE) requirements. CAES, located at the new Idaho National Laboratory (INL), will address critical energy education, research, policy study and training needs. CAES is a unique joint partnership between the Battelle Energy Alliance (BEA), the State of Idaho, an Idaho University Consortium (IUC), and a National University Consortium (NUC). CAES will be based in a new facility that will foster collaborative academic and research efforts among participating institutions.

  19. CHoosing Options for Insomnia in Cancer Effectively (CHOICE): Design of a patient centered comparative effectiveness trial of acupuncture and cognitive behavior therapy for insomnia.

    Science.gov (United States)

    Garland, Sheila N; Gehrman, Philip; Barg, Frances K; Xie, Sharon X; Mao, Jun J

    2016-03-01

    Insomnia is a prevalent and persistent side effect of cancer, which if left unaddressed, can be unremitting and negatively influence physical and mental well-being. Acupuncture and Cognitive Behavioral Therapy (CBT) are commonly used non-pharmacological treatments that are efficacious for treating insomnia in cancer patients; however, little is known about the comparative effectiveness of these options. The goal of personalized medicine is to determine which treatments are most effective for which individuals, and patient preference for treatment is a particularly important contributor to adherence and outcomes. Here we describe the design of a clinical trial that begins to determine how best to personalize the treatment of insomnia for cancer survivors. This project is a randomized controlled comparative effectiveness trial with a nested qualitative study comparing acupuncture and CBT for insomnia and co-morbid symptoms in a heterogeneous sample of 160 cancer survivors. The primary aim is to determine which treatment is associated with the largest reduction in insomnia severity. The secondary aim is to examine the demographic, clinical, and psychological characteristics that predict and/or moderate treatment effect. Patients will receive ten treatments of acupuncture or 7 sessions of CBT over eight weeks and complete validated patient-reported outcome measures of sleep and co-morbid symptoms at baseline, mid-treatment, post-treatment, and at three-months to assess durability of effect. The results of the proposed study have the potential to improve healthcare outcomes by helping cancer survivors and their caregivers make informed and evidence-based decisions, leading to patient-centered and personalized care for cancer survivors with insomnia.

  20. Center for Advanced Energy Studies Program Plan

    Energy Technology Data Exchange (ETDEWEB)

    Kevin Kostelnik

    2005-09-01

    The world is facing critical energy-related challenges regarding world and national energy demands, advanced science and energy technology delivery, nuclear engineering educational shortfalls, and adequately trained technical staff. Resolution of these issues is important for the United States to ensure a secure and affordable energy supply, which is essential for maintaining U.S. national security, continued economic prosperity, and future sustainable development. One way that the U.S. Department of Energy (DOE) is addressing these challenges is by tasking the Battelle Energy Alliance, LLC (BEA) with developing the Center for Advanced Energy Studies (CAES) at the Idaho National Laboratory (INL). By 2015, CAES will be a self-sustaining, world-class, academic and research institution where the INL; DOE; Idaho, regional, and other national universities; and the international community will cooperate to conduct critical energy-related research, classroom instruction, technical training, policy conceptualization, public dialogue, and other events.

  1. VAMOS: The verification and monitoring options study: Current research options for in-situ monitoring and verification of contaminant remediation and containment within the vadose zone

    Energy Technology Data Exchange (ETDEWEB)

    Betsill, J.D. [Sandia National Labs., Albuquerque, NM (United States); Gruebel, R.D. [Tech Reps., Inc., Albuquerque, NM (United States)

    1995-09-01

    The Verification and Monitoring Options Study Project (VAMOS) was established to identify high-priority options for future vadose-zone environmental research in the areas of in-situ remediation monitoring, post-closure monitoring, and containment emplacement and verification monitoring. VAMOS examined projected needs not currently being met with applied technology in order to develop viable monitoring and verification research options. The study emphasized a compatible systems approach to reinforce the need for utilizing compatible components to provide user friendly site monitoring systems. To identify the needs and research options related to vadose-zone environmental monitoring and verification, a literature search and expert panel forums were conducted. The search included present drivers for environmental monitoring technology, technology applications, and research efforts. The forums included scientific, academic, industry, and regulatory environmental professionals as well as end users of environmental technology. The experts evaluated current and future monitoring and verification needs, methods for meeting these needs, and viable research options and directions. A variety of high-priority technology development, user facility, and technology guidance research options were developed and presented as an outcome of the literature search and expert panel forums.

  2. Addressing mitigation options within the South African country study

    Energy Technology Data Exchange (ETDEWEB)

    Roos, Gina [Eskom (South Africa)

    1998-10-01

    The South African Country Study Programme is being executed under the auspices of the South African Department of Environmental Affairs and Tourism (DEAandT). The full study comprises the following four components, each headed by a technical coordinator: the 1990 greenhouse gas emissions inventory; a study of South Africa`s vulnerability to climate change and possible adaptation strategies; potential mitigation actions and; policy development. Ideally, these components should be executed in sequence. However, in view of South Africa`s commitments in terms of the Framework Convention on Climate Change (FCCC) and the need to draw up a national communication, it was decided to execute the components simultaneously, with an emphasis on coordination between the components. (EG)

  3. ANALYSIS OF OPTION FOR ENTREPRENEURSHIP OF STUDENTS STUDYING ECONOMICS

    Directory of Open Access Journals (Sweden)

    Camelia, VECHIU

    2014-11-01

    Full Text Available Entrepreneurship is important, entrepreneur plays a major role at micro and maroeconomic level. Entrepreneur is the manager and employee at the same time, is leader and innovator, his company provides products and services that society needs. Europe needs more entrepreneurs and those who want to follow the path of entrepreneurship needs to face multiple challenges that can be overcome when the future entrepreneur benefit from a complex entrepreneurship education. This paper aims, through applied questionnaire, to identify whether future economists are determined to choose the path of entrepreneurship and start a business on their own. Also, we wanted to identify the obstacles that interviewees consider that you have to struggle to start their business. We applied a questionnaire to students, final year bachelor's degree, studying economics. They were chosen because during the three years study several economic disciplines: microeconomics, macroeconomics, management, accounting, finance, law, economic analysis, the national economy, European policy.

  4. Study on distributed energy options in Skaftkaerr testbed. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Pesola, A.; Hagstroem, M.; Vanhanen, J. (Gaia Consulting Oy, Helsinki (Finland))

    2011-07-01

    In the distributed energy production model electricity or heat is produced near the end-user in relatively small units - using very often local renewable energy sources. These are e.g. solar thermal or photovoltaic applications, wind power, fuel cells or other small-scale CHP technologies using e.g. bio-based fuels. Locally produced intermittent renewable electricity can be optimized by storing produced electricity and using it when electricity price is high. Electricity storage is an important part of smart grid development from the perspective of supply-demand flexibility. Heat can be stored as well using e.g. water tank placed either under or above the ground. Distributed energy production technologies are already utilized in domestic residential areas and the trend is emerging. Designing and planning needs to be emphasized in order to build and maintain technically and economically sustainable energy system. The objective of this study is to present the possibilities of distributed energy production and storage technologies. The study highlights available technologies and services of distributed energy production and helps to build up a testbed solution that could lead to demonstration-scale application in near future. This testbed is a part of developing process of Skaftkaerr area where energy efficiency and environmental issues are emphasized. In this report, feasible production and storage technologies are presented in Chapter 2. Chapter 3 introduces economical characteristics of studied technologies. Chapter 4 points out suitable technologies for Skaftkaerr area and presents profitability analysis of these technologies via two cases. Domestic actors in technology value chains are also presented in Chapter 4. Chapter 5 summarizes the study and its findings

  5. Engineering study of tank fill options for landfill closure

    Energy Technology Data Exchange (ETDEWEB)

    Skelly, W.A.

    1996-09-27

    To prepare single-shell tanks for closure, it will be necessary to piece some type of load- bearing fill material inside the tanks to support the domes. Provision of internal support permits the simplifying assumption that the combined weight of the dome, the existing operational soil cover, and the surface barrier will eventually transfer to and be carried by the fill. This engineering study provides descriptions and evaluations of four alternative concepts for fitting and stabilizing nominally empty SSTs with fill materials. For this study it is assumed that 99 percent (or more) of tank wastes will be retrieved before closure is undertaken. The alternatives are: Gravel: tanks would be fitted with crushed aggregate using a rotating stinger apparatus installed in the central riser; Grout: tanks would be fitted with a pumpable, ex-situ mixed grout formulation; Hybrid: tanks would be fitted first with coarse aggregate, then with grout, producing a pre-placed aggregate concrete material; or Concrete: tank. would be filled with a highly-flowable, ex-situ mixed concrete formulation.

  6. Environmental Studies. Plano Outdoor Learning Center.

    Science.gov (United States)

    Plano Independent School District, TX.

    This curriculum guide for the Plano Intermediate School District (Texas) Outdoor Learning Center is divided into three major sections. Section I provides information on the numbered stations/posts found along the perimeter and inner trails of the center and includes brief comments on the philosophy of environmental education and the history…

  7. Use, option and externality values: are contingent valuation studies in health care mis-specified?

    Science.gov (United States)

    Smith, Richard D

    2007-08-01

    A general population sample of Australian respondents completed a contingent valuation (CV) survey that asked them to value six scenarios. These varied according to whether the scenario was seeking to elicit: (i) use value; (ii) externality value; (iii) option value; or (iv) a combination. Results indicate that use plus externality and/or option value was significantly greater than use value alone. As CV studies in health (care) overwhelmingly focus on use value alone - often implicitly through study design rather than explicitly - this raises the possibility of mis-specification in CV research in health (care). The implications for CV in health (care) are considered.

  8. Center for the Study of Traumatic Stress

    Data.gov (United States)

    Federal Laboratory Consortium — As part of the Department of Psychiatry of our federal medical school, the Uniformed Services University of the Health Sciences (USUHS), the Center was established...

  9. Modeling the Implied Volatility Surface-: A Study for S&P 500 Index Option

    Directory of Open Access Journals (Sweden)

    Jin Zheng

    2013-02-01

    Full Text Available The aim of this study is to demonstrate a framework to model the implied volatilities of S&P 500 index options and estimate the implied volatilities of stock prices using stochastic processes. In this paper, three models are established to estimate whether the implied volatilities are constant during the whole life of options. We mainly concentrate on the Black-Scholes and Dumas’ option models and make the empirical comparisons. By observing the daily-recorded data of S&P 500 index, we study the volatility model and volatility surface. Results from numerical experiments show that the stochastic volatilities are determined by moneyness rather than constant. Our research is of vital importance, especially for forecasting stock market shocks and crises, as one of the applications.

  10. Study of the Option Ordering Policy concerning Perishable Farm Produce Based on Revenue Sharing Contract

    Institute of Scientific and Technical Information of China (English)

    Xiaojing; LIU

    2014-01-01

    This paper considers the two-echelon supply chain system which consists of single agricultural producers and retailers,and analyzes the impact of sharing ratio on the option ordering quantity,and retailers and producers’ expected profits.Studies have shown that in the case of decentralization,when the revenue sharing ratio is between 0 and 0.3,the option ordering quantity of farm produce is a decreasing function of the sharing ratio; when the revenue sharing ratio is between 0.3 and 1,the option ordering quantity of farm produce is an increasing function of sharing ratio; when the revenue sharing ratio is between 0.421 and 1,the agricultural producers and retailers’ expected profits are an increasing function of sharing ratio.Finally,through the numerical calculation,the applicability of the conclusions is verified,to provide a reference for the supply chain management practices.

  11. Feasibility Study for the Ivano-Frankivsk District Heating Repowering: Analysis of Options

    Energy Technology Data Exchange (ETDEWEB)

    Markel, L.; Popelka, A.; Laskarevsky, V.

    2002-03-20

    Part of the U.S. Initiative on Joint Implementation with the Ukraine Inter-Ministerial Commission on Climate Change, financed by the US Department of Energy. The project was implemented by a team consisting of the US company SenTech, Inc. and the Ukrainian company Esco-West. The main objective of the effort was to assess available alternatives of Ivano-Frankivsk (I-F) District Heating repowering and provide information for I-F's investment decision process. This study provides information on positive and negative technical and economic aspects of available options. Three options were analyzed for technical merit and economic performance: 1. Installation of cogeneration system based on Gas Turbine (GT) and Heat Recovery Heat Exchanger with thermal capacity of 30 MW and electrical capacity of 13.5 MW. This Option assumes utilization of five existing boilers with total capacity of 221 MW. Existing boilers will be equipped with modern controls. Equipment in this Option was sized for longest operating hours, about 8000 based on the available summer baseload. 2. Installation of Gas Turbine Combined Cycle (GTCC) and Heat Recovery Steam Generator (HRSG) with thermal capacity 45 MW and electrical capacity of 58.7 MW. This Option assumes utilization of five existing boilers with total capacity of 221 MW. Existing boilers will be equipped with modern controls. The equipment was sized for medium, shoulder season thermal load, and some cooling was assumed during the summer operation for extension of operating hours for electricity production. 3. Retrofit of six existing boilers (NGB) with total thermal capacity of 255.9 MW by installation of modern control system and minor upgrades. This option assumes only heat production with minimum investment. The best economic performance and the largest investment cost would result from alternative GTCC. This alternative has positive Net Present Value (NPV) with discount rate lower than about 12%, and has IRR slightly above 12%. The

  12. ART attrition and risk factors among Option B+ patients in Haiti: A retrospective cohort study

    Science.gov (United States)

    Domerçant, Jean Wysler; Adler, Michelle; Yuhas, Krista; Myrtil, Martine; Young, Paul; François, Kesner; Grand’Pierre, Reynold; Lowrance, David

    2017-01-01

    Objectives In October 2012, the Haitian Ministry of Health endorsed the “Option B+” strategy to eliminate mother-to-child transmission of HIV and achieve HIV epidemic control. The objective of this paper is to assess and identify risk factors for attrition from the national ART program among Option B+ patients in the 12 months after ART initiation. Design This retrospective cohort study included patients newly initiating ART from October 2012-August 2013 at 68 ART sites covering 45% of all newly enrolled ART patients in all regions of Haiti. Methods With data from electronic medical records, we carried out descriptive analysis of sociodemographic, clinical, and pregnancy-related correlates of ART attrition, and used a modified Poisson regression approach to estimate relative risks in a multivariable model. Results There were 2,166 Option B+ patients who initiated ART, of whom 1,023 were not retained by 12 months (47.2%). One quarter (25.3%) dropped out within 3 months of ART initiation. Protective factors included older age, more advanced HIV disease progression, and any adherence counseling prior to ART initiation, while risk factors included starting ART late in gestation, starting ART within 7 days of HIV testing, and using an atypical ART regimen. Discussion Our study demonstrates early ART attrition among Option B+ patients and contributes evidence on the characteristics of women who are most at risk of attrition in Haiti. Our findings highlight the importance of targeted strategies to support retention among Option B+ patients. PMID:28264045

  13. Investigating the Experiences of Childhood Cancer Patients and Parents Participating in Optional Nontherapeutic Clinical Research Studies in the UK

    Science.gov (United States)

    Errington, Julie; Malik, Ghada; Evans, Julie; Baston, Jenny; Parry, Annie; Price, Lisa; Johnstone, Hina; Peters, Selena; Oram, Victoria; Howe, Karen; Whiteley, Emma; Tunnacliffe, Jane

    2016-01-01

    Background While the majority of childhood cancer clinical trials are treatment related, additional optional research investigations may be carried out that do not directly impact on treatment. It is essential that these studies are conducted ethically and that the experiences of families participating in these studies are as positive as possible. Methods A questionnaire study was carried out to investigate the key factors that influence why families choose to participate in optional nontherapeutic research studies, the level of understanding of the trials involved, and the experiences of participation. Results A total of 100 participants from six UK centers were studied; 77 parents, 10 patients >16 years, and 13 patients aged 8–15 years. Ninety‐seven percent of parents and 90% of patients felt that information provided prior to study consent was of the right length, with 52% of parents and 65% of patients fully understanding the information provided. Seventy‐four percent of parents participated in research studies in order to “do something important”, while 74% of patients participated “to help medical staff”. Encouragingly, <5% of participants felt that their clinical care would be negatively affected if they did not participate. Positive aspects of participation included a perception of increased attention from medical staff. Negative aspects included spending longer periods in hospital and the requirement for additional blood samples. Ninety‐six percent of parents and 87% of patients would participate in future studies. Conclusions The study provides an insight into the views of childhood cancer patients and their parents participating in nontherapeutic clinical research studies. Overwhelmingly, the findings suggest that participation is seen as a positive experience. PMID:26928983

  14. [Interventional neuroradiology: current options].

    Science.gov (United States)

    Szikora, István; Marosfői, Miklós; Berentei, Zsolt; Gubucz, István

    2015-04-26

    Modern interventional neuroradiology has a leading role in the treatment of ischemic and hemorrhagic stroke, and it provides more and more important treatment options for degenerative diseases of the vertebral column and the management of correlated pain. During the last decades interventional neuroradiology has played a primary role in the treatment of intracranial berry aneurysms due to the continuous technical improvements. Ongoing studies proved superiority of mechanical stent-thrombectomy in acute proximal occlusion of cerebral arteries. Less invasive neurointerventional methods, such as vertebroplasty, are widely used in osteoporotic and neoplastic pathologic fractures of the vertebral bodies. These treatments should be performed in a specialized center by well trained physicians.

  15. Perpetual American vanilla option pricing under single regime change risk: an exhaustive study

    Science.gov (United States)

    Montero, Miquel

    2009-07-01

    Perpetual American options are financial instruments that can be readily exercised and do not mature. In this paper we study in detail the problem of pricing this kind of derivatives, for the most popular flavour, within a framework in which some of the properties—volatility and dividend policy—of the underlying stock can change at a random instant of time but in such a way that we can forecast their final values. Under this assumption we can model actual market conditions because most relevant facts usually entail sharp predictable consequences. The effect of this potential risk on perpetual American vanilla options is remarkable: the very equation that will determine the fair price depends on the solution to be found. Sound results are found under the optics both of finance and physics. In particular, a parallelism among the overall outcome of this problem and a phase transition is established.

  16. Patient-Centered Personal Health Record and Portal Implementation Toolkit for Ambulatory Clinics: A Feasibility Study.

    Science.gov (United States)

    Nahm, Eun-Shim; Diblasi, Catherine; Gonzales, Eva; Silver, Kristi; Zhu, Shijun; Sagherian, Knar; Kongs, Katherine

    2017-04-01

    Personal health records and patient portals have been shown to be effective in managing chronic illnesses. Despite recent nationwide implementation efforts, the personal health record and patient portal adoption rates among patients are low, and the lack of support for patients using the programs remains a critical gap in most implementation processes. In this study, we implemented the Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit in a large diabetes/endocrinology center and assessed its preliminary impact on personal health record and patient portal knowledge, self-efficacy, patient-provider communication, and adherence to treatment plans. Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit is composed of Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit-General, clinic-level resources for clinicians, staff, and patients, and Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit Plus, an optional 4-week online resource program for patients ("MyHealthPortal"). First, Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit-General was implemented, and all clinicians and staff were educated about the center's personal health record and patient portal. Then general patient education was initiated, while a randomized controlled trial was conducted to test the preliminary effects of "MyHealthPortal" using a small sample (n = 74) with three observations (baseline and 4 and 12 weeks). The intervention group showed significantly greater improvement than the control group in patient-provider communication at 4 weeks (t56 = 3.00, P = .004). For other variables, the intervention group tended to show greater improvement; however, the differences were not significant. In this preliminary study, Patient-Centered Personal Health Record and Patient Portal Implementation Toolkit showed potential for filling the gap in the current

  17. Evaluation Study of Day-Care Centers in Israel.

    Science.gov (United States)

    Korazim, Malka; Trachtenberg, Silvia

    In recent years, day-care centers for the elderly have been playing an increasingly important role in the community service system for the elderly in Israel. ESHEL, one of the leading agencies in developing day-care services in Israel initiated a comprehensive evaluation study of day-care centers to identify variations among different types of…

  18. Autism Center First to Study Minimally Verbal Children

    Science.gov (United States)

    ... on. Feature: Taste, Smell, Hearing, Language, Voice, Balance Autism Center First to Study Minimally Verbal Children Past ... research exploring the causes, diagnosis, and treatment of autism spectrum disorder (ASD), a complex developmental disorder that ...

  19. Tri-Service Center for Oral Health Studies (TSCOHS)

    Data.gov (United States)

    Federal Laboratory Consortium — The Tri-Service Center for Oral Health Studies (TSCOHS), a service of the Postgraduate Dental College, is chartered by the Department of Defense TRICARE Management...

  20. The Plant Information Center (PIC): A Web-Based Learning Center for Botanical Study.

    Science.gov (United States)

    Greenberg, J.; Daniel, E.; Massey, J.; White, P.

    The Plant Information Center (PIC) is a project funded under the Institute of Museum and Library Studies that aims to provide global access to both primary and secondary botanical resources via the World Wide Web. Central to the project is the development and employment of a series of applications that facilitate resource discovery, interactive…

  1. Heat Exchanger Design Options and Tritium Transport Study for the VHTR System

    Energy Technology Data Exchange (ETDEWEB)

    Chang H. Oh; Eung S. Kim

    2008-09-01

    This report presents the results of a study conducted to consider heat exchanger options and tritium transport in a very high temperature reactor (VHTR) system for the Next Generation Nuclear Plant Project. The heat exchanger options include types, arrangements, channel patterns in printed circuit heat exchangers (PCHE), coolant flow direction, and pipe configuration in shell-and-tube designs. Study considerations include: three types of heat exchanger designs (PCHE, shell-and-tube, and helical coil); single- and two-stage unit arrangements; counter-current and cross flow configurations; and straight pipes and U-tube designs in shell-and-tube type heat exchangers. Thermal designs and simple stress analyses were performed to estimate the heat exchanger options, and the Finite Element Method was applied for more detailed calculations, especially for PCHE designs. Results of the options study show that the PCHE design has the smallest volume and heat transfer area, resulting in the least tritium permeation and greatest cost savings. It is theoretically the most reliable mechanically, leading to a longer lifetime. The two-stage heat exchanger arrangement appears to be safer and more cost effective. The recommended separation temperature between first and second stages in a serial configuration is 800oC, at which the high temperature unit is about one-half the size of the total heat exchanger core volume. Based on simplified stress analyses, the high temperature unit will need to be replaced two or three times during the plant’s lifetime. Stress analysis results recommend the off-set channel pattern configuration for the PCHE because stress reduction was estimated at up to 50% in this configuration, resulting in a longer lifetime. The tritium transport study resulted in the development of a tritium behavior analysis code using the MATLAB Simulink code. In parallel, the THYTAN code, previously performed by Ohashi and Sherman (2007) on the Peach Bottom data, was revived

  2. Liquid–Liquid Mixing Studies in Annular Centrifugal Contactors Comparing Stationary Mixing Vane Options

    Energy Technology Data Exchange (ETDEWEB)

    Wardle, Kent E.

    2015-11-10

    Comparative studies of multiphase operation of annular centrifugal contactors showing the impact of housing stationary mixing vane configuration. A number of experimental results for several different mixing vane options are reported with selected measurements in a lab-scale 5 cm contactor and 12.5 cm engineering-scale unit. Fewer straight vanes give greater mixingzone hold-up compared to curved vanes. Quantitative comparison of droplet size distribution also showed a significant decrease in mean diameter for four straight vanes versus eight curved vanes. This set of measurements gives a compelling case for careful consideration of mixing vane geometry when evaluating hydraulic operation and extraction process efficiency of annular centrifugal contactors.

  3. Royal Canadian Mounted Police National Operations Center Layout Study and Design Options

    Science.gov (United States)

    2012-03-01

    and related child goals. That is, following each top-level goal, all related first-level goals were listed, and between each first-level goals, all...documentation and feedback from the interviews with NOC personnel. This inventory illustrates the hierarchical relationship between child and...as (S), (C), (R), or (U). It is not necessary to include here abstracts in both official languages unless the text is bilingual .) The Centre for

  4. Public meeting: Western New York Nuclear Service Center options study. [Problem of West Valley plant

    Energy Technology Data Exchange (ETDEWEB)

    None

    1978-04-01

    This document is a transcript of the meeting, with additional written comments. The main topic is the West Valley Processing Plant and how to dispose of it and its high-level wastes. Objective is to get public input on this topic. (DLC)

  5. Rehabilitation Options

    Science.gov (United States)

    ... Speech Pathology Occupational Therapy Art Therapy Recreational therapy Neuropsychology Home Care Options Advanced Care Planning Palliative Care ... Speech Pathology Occupational Therapy Art Therapy Recreational therapy Neuropsychology Home Care Options Advanced Care Planning Palliative Care ...

  6. STUDY OF PASSIVE DIDACTIC TEACHER CENTERED APPROACH AND AN ACTIVE STUDENT CENTERED APPROACH IN TEACHING ANATOMY

    Directory of Open Access Journals (Sweden)

    Sharadkumar Pralhad Sawant

    2015-09-01

    Full Text Available The importance of Anatomy in undergraduate medical education cannot be adequately emphasised. For doctors, the human body is the focus of investigation and intervention on a daily basis; for this reason, the study of anatomy in some form, will continue to be essential to safe medical practice. It is necessary for core knowledge of anatomy to be assimilated by all doctors in order to practice medicine safely. It may be true that most doctors do not need to dissect a cadaver or study a prosection in order to practice, but if they do, it can improve their understanding and this surely has to be of benefit both for the safety of the patient and satisfaction of the doctor as a professional. Teacher-centered typically refers to learning situations in which the teacher asserts control over the material that students study. In contrast,to teacher centered learning, student-centered typically refers to forms of instruction that, for example, give students opportunities to lead learning activities, participate more actively in discussions, design their own learning projects, explore topics that interest them, and generally contribute to the design of their own course of study. Additionally, student-centered instruction is often associated with classrooms that feature desks arranged in circles or small groups (rather than rows of desks that face the teacher, with “self-guided” or “self-paced” learning, or with learning experiences that occur outside of traditional classroom settings. Anatomy teaching has undergone major changes due to time constraints and the rapid advances in computer technology. Also there has been a shift a teaching methodologies from a passive didactic teacher- centered approach to an active student - centered approach. Conclusion: We should develop and implement an instructional design that focuses on incorporating active-learning and student-centered pedagogy into what is previously a traditional lecture-based course. These

  7. Preferences for different insomnia treatment options in people with schizophrenia and related psychoses: A qualitative study

    Directory of Open Access Journals (Sweden)

    Flavie eWaters

    2015-07-01

    Full Text Available Symptoms of psychosis such as hallucinations and delusions can be intrusive and unwanted and often remain treatment-resistant. Due to recent progress in basic and clinical sciences, novel approaches such as sleep-based interventions are increasingly becoming offered to address the physical and mental health issues of people with severe mental illness. While the primary outcome is to improve sleep, studies have demonstrated that interventions that target symptoms of insomnia can also produce improvements in the severity of psychotic symptoms, quality of life and functional outcomes. This study presents qualitative data on the attitudes and preferences of people with schizophrenia and schizo-affective disorders to three different types of therapies for insomnia (standard pharmacological, melatonin-based, and cognitive and/or behaviour therapy. Interviews included discussions regarding the perceived advantages and limitations of different therapies, enablers to taking up the preferred option, as well as personal strategies that have helped respondents with sleep problems in the past. Results showed that, when given the choice, these individuals prefer psychological and behavioural-type therapy to other sleep interventions because of its potential to support and empower them in taking responsibility for their own recovery. Pharmacological therapies, by contrast, are viewed as useful in managing acute sleep problems, but only as a short-term solution. Overall, the findings underscore the need for patients’ active engagement when making decisions about treatment options.

  8. Deep UV to NIR Space Telescopes and Exoplanet Coronagraphs: A Trade Study on Throughput, Polarization, Mirror Coating Options and Requirements

    Science.gov (United States)

    Balasubramanian, Kunjithapatham; Shaklan, Stuart; Give'on, Amir; Cady, Eric; Marchen, Luis

    2011-01-01

    The NASA Exoplanet program and the Cosmic Origins program are exploring technical options to combine the visible to NIR performance requirements of a space coronagraph with the general astrophysics requirements of a space telescope covering the deep UV spectrum. Are there compatible options in terms of mirror coatings and telescope architecture to satisfy both goals? In this paper, we address some of the main concerns, particularly relating to polarization in the visible and throughput in the UV. Telescope architectures employing different coating options compatible with current technology are considered in this trade study.

  9. The feasibility study I on the blanket fuel options for the ATW/HYPER

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Woan; Lee, Byoung Oon; Lee, Bong Sang; Park, Won Seok; Meyer, M.K; Hayes, S.L

    2001-01-01

    The choice of a blanket fuel cycle technology and the fuel type for HYPER/ATW are important to develop an ADS with better economics, performance and safety. Even though several fuel types have been considered as an alternative of the blanket fuels for HYPER/ATW, the metal alloy and the dispersion fuels were selected as the candidate fuels for ADS, and the technical feasibilities for both fuels are evaluated in this report. General performance characteristics, fabrication abilities, technical aspects, safety aspects, economics, and non-proliferation aspects for each fuel type are reviewed and evaluated. And some technological problems are addressed in this report, focused on the development strategy, the roadmaps, and the flexibility to meet the missions and specific designs. This study has been performed at the first stage of conceptual design. Since it is under the lack of physical properties for each fuel material, no an attempt is made to select the best fuel option, but the more better fuel options are recommended.

  10. Market Reaction to the Approval of Stock Option Plans: an Event Study of Bovespa Listed Companies

    Directory of Open Access Journals (Sweden)

    Fernanda Finotti Cordeiro Perobelli

    2009-07-01

    Full Text Available This paper aims to verify market reactions to Employee Stock Options Plans (ESOP proposals and awards in the Brazilian Stock Exchange from July 1994 to March 2007. In order to achieve such objective, event studies methodology was applied and the original sample (comprised by all companies that adopted ESOP during the survey period was divided according to employees’ eligibility to ESOP and CEOs bargain power. Using non-parametric tests (Sign Test e Wilcoxon Rank Sum Test, we could verify that announcements of ESOP proposals and ESOP awards were not related to positive abnormal returns. As the opposite, returns around those announcements dates were negatives, in general. Such pattern could be explained by some theoretical consequences of ESOP plans: increase in the CEOs risky behavior, constrains in the dividend policy and CEOs opportunistic behavior by managing the timing of their voluntary disclosures around stock option awards. We also found evidences suggesting that employees´ eligibility is related to abnormal returns. When all employees are awarded, returns are even more negative. Possible explanations are indirect costs of capital pulverization and increase in the companies cost of capital due to the ESOP. Our findings suggest that an ESOP adoption in a poor governance environment can increase agency problems, instead of aligning CEOs and shareholders interests.

  11. Virtual Machines and Networks - Installation, Performance Study, Advantages and Virtualization Options

    CERN Document Server

    Ali, Ishtiaq; 10.5121/ijnsa.2011.3101

    2011-01-01

    The interest in virtualization has been growing rapidly in the IT industry because of inherent benefits like better resource utilization and ease of system manageability. The experimentation and use of virtualization as well as the simultaneous deployment of virtual software are increasingly getting popular and in use by educational institutions for research and teaching. This paper stresses on the potential advantages associated with virtualization and the use of virtual machines for scenarios, which cannot be easily implemented and/or studied in a traditional academic network environment, but need to be explored and experimented by students to meet the raising needs and knowledge-base demanded by the IT industry. In this context, we discuss various aspects of virtualization - starting from the working principle of virtual machines, installation procedure for a virtual guest operating system on a physical host operating system, virtualization options and a performance study measuring the throughput obtained ...

  12. A choice experiment analysis for solid waste disposal option: a case study in Malaysia.

    Science.gov (United States)

    Pek, Chuen-Khee; Jamal, Othman

    2011-11-01

    In Malaysia, most municipal wastes currently are disposed into poorly managed 'controlled tipping' systems with little or no pollution protection measures. This study was undertaken to assist the relevant governmental bodies and service providers to identify an improved waste disposal management strategy. The study applied the choice experiment technique to estimate the nonmarket values for a number of waste disposal technologies. Implicit prices for environmental attributes such as psychological fear, land use, air pollution, and river water quality were estimated. Compensating surplus estimates incorporating distance from the residences of the respondents to the proposed disposal facility were calculated for a number of generic and technology-specific choice sets. The resulting estimates were higher for technology-specific options, and the distance factor was a significant determinant in setting an equitable solid waste management fee.

  13. Systems engineering study: tank 241-C-103 organic skimming,storage, treatment and disposal options

    Energy Technology Data Exchange (ETDEWEB)

    Klem, M.J.

    1996-10-23

    This report evaluates alternatives for pumping, storing, treating and disposing of the separable phase organic layer in Hanford Site Tank 241-C-103. The report provides safety and technology based preferences and recommendations. Two major options and several varations of these options were identified. The major options were: 1) transfer both the organic and pumpable aqueous layers to a double-shell tank as part of interim stabilization using existing salt well pumping equipment or 2) skim the organic to an above ground before interim stabilization of Tank 241-C-103. Other options to remove the organic were considered but rejected following preliminary evaluation.

  14. Educational Resources Information Center (ERIC) File Partition Study: Final Report.

    Science.gov (United States)

    Hull, Cynthia C.; Wanger, Judith

    A study to provide the National Center for Educational Communication (NCE) with information that could be useful in making the ERIC data base more relevant to the needs of educators and more efficiently usable by them is discussed. Specific purposes of this project were to use an empirical field-survey study as an armature around which to: (1)…

  15. Center of Discovery I Study Guide. Education 302.

    Science.gov (United States)

    Cain, Robert B.; And Others

    This study guide contains the objectives, design, and evaluation in plan for Center of Discovery I, and lists topics, directives, and basic readings and in-depth references and the self-tests for an 11-week program of independent study within the first of four education courses in a 2-year program. The major part of the guide is devoted to a…

  16. The Center for Coastal Studies: Sustainable Development Education in Mexico

    Science.gov (United States)

    Ollervides, F.; Farrell, T.

    2007-01-01

    Purpose: The purpose of this paper is to present The School for Field Studies-Center for Coastal Studies (SFS-CCS) as a success story in sustainable development education. This success is based on a unique academic model, which incorporates sustainable development opportunities and challenges faced by the local community into the program…

  17. Social Work Information Center 2.0: A Case Study

    Science.gov (United States)

    Xu, F. Grace

    2009-01-01

    The social work library at USC provides a case study of an academic library's transition to an information center service model. Analysis of the collection, user community, Web 2.0 applications, and Web usage data demonstrates how the changes facilitated library services and information literacy instruction. (Contains 6 tables and 3 figures.)

  18. Usability Studies and User-Centered Design in Digital Libraries

    Science.gov (United States)

    Comeaux, David J.

    2008-01-01

    Digital libraries continue to flourish. At the same time, the principles of user-centered design and the practice of usability testing have been growing in popularity, spreading their influence into the library sphere. This article explores the confluence of these two trends by surveying the current literature on usability studies of digital…

  19. Environmental Studies Center Teacher Books. 4th Grade - Mangrove Communities.

    Science.gov (United States)

    Martin County Schools, Jensen Beach, FL. Environmental Studies Center.

    This teacher's guide, one of nine teacher packages developed for use in the sequential, hands-on, field-oriented, K-8 environmental education program of the Martin County Schools in Florida, was developed for use with elementary children in grade four prior to and after a visit to an environmental studies center located near an estuarine area. The…

  20. The Impact of the Prior Density on a Minimum Relative Entropy Density: A Case Study with SPX Option Data

    Directory of Open Access Journals (Sweden)

    Cassio Neri

    2014-05-01

    Full Text Available We study the problem of finding probability densities that match given European call option prices. To allow prior information about such a density to be taken into account, we generalise the algorithm presented in Neri and Schneider (Appl. Math. Finance 2013 to find the maximum entropy density of an asset price to the relative entropy case. This is applied to study the impact of the choice of prior density in two market scenarios. In the first scenario, call option prices are prescribed at only a small number of strikes, and we see that the choice of prior, or indeed its omission, yields notably different densities. The second scenario is given by CBOE option price data for S&P500 index options at a large number of strikes. Prior information is now considered to be given by calibrated Heston, Schöbel–Zhu or Variance Gamma models. We find that the resulting digital option prices are essentially the same as those given by the (non-relative Buchen–Kelly density itself. In other words, in a sufficiently liquid market, the influence of the prior density seems to vanish almost completely. Finally, we study variance swaps and derive a simple formula relating the fair variance swap rate to entropy. Then we show, again, that the prior loses its influence on the fair variance swap rate as the number of strikes increases.

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

    Energy Technology Data Exchange (ETDEWEB)

    2014-10-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

    None

    2014-10-01

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

  3. Technology Transfer Challenges: A Case Study of User-Centered Design in NASA's Systems Engineering Culture

    Science.gov (United States)

    Quick, Jason

    2009-01-01

    The Upper Stage (US) section of the National Aeronautics and Space Administration's (NASA) Ares I rocket will require internal access platforms for maintenance tasks performed by humans inside the vehicle. Tasks will occur during expensive critical path operations at Kennedy Space Center (KSC) including vehicle stacking and launch preparation activities. Platforms must be translated through a small human access hatch, installed in an enclosed worksite environment, support the weight of ground operators and be removed before flight - and their design must minimize additional vehicle mass at attachment points. This paper describes the application of a user-centered conceptual design process and the unique challenges encountered within NASA's systems engineering culture focused on requirements and "heritage hardware". The NASA design team at Marshall Space Flight Center (MSFC) initiated the user-centered design process by studying heritage internal access kits and proposing new design concepts during brainstorming sessions. Simultaneously, they partnered with the Technology Transfer/Innovative Partnerships Program to research inflatable structures and dynamic scaffolding solutions that could enable ground operator access. While this creative, technology-oriented exploration was encouraged by upper management, some design stakeholders consistently opposed ideas utilizing novel, untested equipment. Subsequent collaboration with an engineering consulting firm improved the technical credibility of several options, however, there was continued resistance from team members focused on meeting system requirements with pre-certified hardware. After a six-month idea-generating phase, an intensive six-week effort produced viable design concepts that justified additional vehicle mass while optimizing the human factors of platform installation and use. Although these selected final concepts closely resemble heritage internal access platforms, challenges from the application of the

  4. 'Unstructured Data' Practices in Polar Institutions and Networks: a Case Study with the Arctic Options Project

    OpenAIRE

    2014-01-01

    Arctic Options: Holistic Integration for Arctic Coastal-Marine Sustainability is a new three-year research project to assess future infrastructure associated with the Arctic Ocean regarding: (1) natural and living environment; (2) built environment; (3) natural resource development; and (4) governance. For the assessments, Arctic Options will generate objective relational schema from numeric data as well as textual data. This paper will focus on the ‘long tail of smaller, heterogeneous, and o...

  5. Mineral carbonation: energy costs of pretreatment options and insights gained from flow loop reaction studies

    Energy Technology Data Exchange (ETDEWEB)

    Penner, Larry R.; O' Connor, William K.; Dahlin, David C.; Gerdemann, Stephen J.; Rush, Gilbert E.

    2004-01-01

    Sequestration of carbon as a stable mineral carbonate has been proposed to mitigate environmental concerns that carbon dioxide may with time escape from its sequestered matrix using alternative sequestration technologies. A method has been developed to prepare stable carbonate products by reacting CO2 with magnesium silicate minerals in aqueous bicarbonate/chloride media at high temperature and pressure. Because this approach is inherently expensive due to slow reaction rates and high capital costs, studies were conducted to improve the reaction rates through mineral pretreatment steps and to cut expenses through improved reactor technology. An overview is given for the estimated cost of the process including sensitivity to grinding and heating as pretreatment options for several mineral feedstocks. The energy costs are evaluated for each pretreatment in terms of net carbon avoided. New studies with a high-temperature, high-pressure flow-loop reactor have yielded information on overcoming kinetic barriers experienced with processing in stirred autoclave reactors. Repeated tests with the flow-loop reactor have yielded insights on wear and failure of system components, on challenges to maintain and measure flow, and for better understanding of the reaction mechanism.

  6. Studies of Cs3Sb cathodes for the CLIC drive beam photo injector option

    CERN Document Server

    Martini, Irene; Doebert, Steffen; Fedosseev, Valentine; Hessler, Christoph; Martyanov, Mikhail

    2013-01-01

    Within the CLIC (Compact Linear Collider) project, feasibility studies of a photo injector option for the drive beam as an alternative to its baseline design using a thermionic electron gun are on-going. This R&D program covers both the laser and the photocathode side. Whereas the available laser pulse energy in ultra-violet (UV) is currently limited by the optical defects in the 4thharmonics frequency conversion crystal induced by the0.14 ms long pulse trains, recent measurements of Cs3Sbphotocathodes sensitive to green light showed their potential to overcome this limitation. Moreover, using visible laser beams leads to better stability of produced electron bunches and one can take advantages of the availability of higher quality optics. The studied Cs3Sbphotocathodes have been produced in the CERN photo emission laboratory using the co-deposition technique and tested in a DC gun set-up. The analysis of data acquired during the cathode production process will be presented in this paper, as well as the r...

  7. Outcomes and satisfaction of two optional cadaveric dissection courses: A 3-year prospective study.

    Science.gov (United States)

    Pais, Diogo; Casal, Diogo; Mascarenhas-Lemos, Luís; Barata, Pedro; Moxham, Bernard J; Goyri-O'Neill, João

    2017-03-01

    Teaching time dedicated to anatomy education has been reduced at many medical schools around the world, including Nova Medical School in Lisbon, Portugal. In order to minimize the effects of this reduction, the authors introduced two optional, semester-long cadaveric dissection courses for the first two years of the medical school curriculum. These courses were named Regional Anatomy I (RAI) and Regional Anatomy II (RAII). In RAI, students focus on dissecting the thorax, abdomen, pelvis, and perineum. In RAII, the focus shifts to the head, neck, back, and upper and lower limbs. This study prospectively analyzes students' academic achievement and perceptions within the context of these two, newly-introduced, cadaveric dissection courses. Students' satisfaction was assessed anonymously through a questionnaire that included items regarding students' perception of the usefulness of the courses for undergraduate teaching, as well as with regards to future professional activity. For each of the three academic years studied, the final score (1 to 20) in General Anatomy (GA), RAI, and RAII was on average 14.26 ± 1.89; 16.94 ± 1.02; 17.49 ± 1.01, respectively. The mean results were lower in GA than RAI or RAII (P Educ 10: 127-136. © 2016 American Association of Anatomists.

  8. AVTA Federal Fleet PEV Readiness Data Logging and Characterization Study for NASA Stennis Space Center

    Energy Technology Data Exchange (ETDEWEB)

    Schey, Stephen [Idaho National Lab. (INL), Idaho Falls, ID (United States); Francfort, Jim [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-05-01

    Federal agencies are mandated to purchase alternative fuel vehicles, increase consumption of alternative fuels, and reduce petroleum consumption. Available plug-in electric vehicles (PEVs) provide an attractive option in the selection of alternative fuel vehicles. PEVs, which consist of both battery electric vehicles (BEVs) and plug-in hybrid electric vehicles (PHEVs), have significant advantages over internal combustion engine (ICE) vehicles in terms of energy efficiency, reduced petroleum consumption, and reduced production of greenhouse gas (GHG) emissions, and they provide performance benefits with quieter, smoother operation. This study intended to evaluate the extent to which NASA Stennis Space Center (Stennis) could convert part or all of their fleet of vehicles from petroleum-fueled vehicles to PEVs.

  9. Synthesis of the study performed by the IRSN regarding safety options of the ATMEA1 reactor; Synthese de l'examen mene par l'IRSN au sujet des options de surete du reacteur ATMEA1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-02-15

    The ATMEA1 reactor is a new concept for next generation 1000 MWe pressurized water reactors. This report first recalls the context of the IRSN study of safety options regarding this reactor: a first phase for the examination of these options, and a second phase for the examination of the safety option report and complementary reports on topics identified in phase 1. The main conclusions of phase 1 are recalled, as well as the topics addressed during the several meetings. Then, it lists the significant issues addressed in the different reports associated with these meetings

  10. Using unfolding case studies in a subject-centered classroom.

    Science.gov (United States)

    Day, Lisa

    2011-08-01

    The recently published report of the Carnegie Foundation's National Study of Nursing Education points out significant problems with classroom teaching in schools of nursing. This article suggests Palmer's idea of the subject-centered classroom as a way to transform nursing school classrooms into collaborative learning communities. For Palmer, the subject is the big idea of nursing practice-the nurse-patient/client/family/community relationship-that should take the lead in stimulating inquiry and discussion. The article goes on to describe how teachers can develop and use unfolding case studies to bring the subject to the center of the classroom. By doing so, the classroom becomes a place where students learn a sense of salience, develop their clinical imagination, and begin their formation as professional nurses.

  11. Decontamination options for Bacillus anthracis-contaminated drinking water determined from spore surrogate studies.

    Science.gov (United States)

    Raber, Ellen; Burklund, Alison

    2010-10-01

    Five parameters were evaluated with surrogates of Bacillus anthracis spores to determine effective decontamination alternatives for use in a contaminated drinking water supply. The parameters were as follows: (i) type of Bacillus spore surrogate (B. thuringiensis or B. atrophaeus), (ii) spore concentration in suspension (10(2) and 10(6) spores/ml), (iii) chemical characteristics of the decontaminant (sodium dichloro-S-triazinetrione dihydrate [Dichlor], hydrogen peroxide, potassium peroxymonosulfate [Oxone], sodium hypochlorite, and VirkonS), (iv) decontaminant concentration (0.01% to 5%), and (v) exposure time to decontaminant (10 min to 1 h). Results from 138 suspension tests with appropriate controls are reported. Hydrogen peroxide at a concentration of 5% and Dichlor or sodium hypochlorite at a concentration of 2% were highly effective at spore inactivation regardless of spore type tested, spore exposure time, or spore concentration evaluated. This is the first reported study of Dichlor as an effective decontaminant for B. anthracis spore surrogates. Dichlor's desirable characteristics of high oxidation potential, high level of free chlorine, and a more neutral pH than that of other oxidizers evaluated appear to make it an excellent alternative. All three oxidizers were effective against B. atrophaeus spores in meeting the EPA biocide standard of greater than a 6-log kill after a 10-min exposure time and at lower concentrations than typically reported for biocide use. Solutions of 5% VirkonS and Oxone were less effective as decontaminants than other options evaluated in this study and did not meet the EPA's efficacy standard for a biocide, although they were found to be as effective for concentrations of 10(2) spores/ml. Differences in methods and procedures reported by other investigators make quantitative comparisons among studies difficult.

  12. 'Unstructured Data' Practices in Polar Institutions and Networks: a Case Study with the Arctic Options Project

    Directory of Open Access Journals (Sweden)

    Paul Arthur Berkman

    2014-10-01

    Full Text Available Arctic Options: Holistic Integration for Arctic Coastal-Marine Sustainability is a new three-year research project to assess future infrastructure associated with the Arctic Ocean regarding: (1 natural and living environment; (2 built environment; (3 natural resource development; and (4 governance. For the assessments, Arctic Options will generate objective relational schema from numeric data as well as textual data. This paper will focus on the ‘long tail of smaller, heterogeneous, and often unstructured datasets’ that ‘usually receive minimal data management consideration’,as observed in the 2013 Communiqué from the International Forum on Polar Data Activities in Global Data Systems.

  13. Vegetation studies, National Training Center, Fort Irwin, California

    Energy Technology Data Exchange (ETDEWEB)

    Brandt, C.A.; Rickard, W.H.; Cadoret, N.A.

    1997-09-01

    During the spring of 1992, the Pacific Northwest National Laboratory (PNNL) conducted surveys of the Avawatz and Granite mountains springs for the National Training Center (NTC) to evaluate the occurrence of sensitive plant species in these areas. PNNL also conducted a survey of the eastern outwash of the Paradise Range for the occurrence of Lane Mountain milk vetch (Astragalus jaegerianus). In spring of 1993, PNNL conducted an additional study of Lane Mountain milk vetch on the NTC to determine habitat characteristics for this plant and to develop a method for predicting its potential occurrence, based on simple habitat attributes. The results of these studies are itemized.

  14. Study of color centers induced by PIXE irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Absil, J.; Garnir, H.-P.; Strivay, D.; Oger, C.; Weber, G. E-mail: g.weber@ulg.ac.be

    2002-12-01

    The particle induced X-ray emission method is perfectly adapted to the study, by external beam, of art objects (like paintings) and allows non-destructive analysis of the atomic composition of the target. However, a strange phenomenon occurs during irradiation on some pigments: dark brownish stains appear, and this could be due to the formation of color centers. In fact, these darkening spots progressively fade out and disappear after a few weeks. Heat and UV light accelerate the decreasing process. The aim of this study is to understand the physical processes of the stain creation and to find a way to make stains disappear, avoiding any damage for the painting.

  15. Evaluation of the Individualized Study Program: Reduced Study Load Option and Basic Skills Workshops.

    Science.gov (United States)

    Hunziker, Celeste M.

    The Individualized Study Program (ISP) at the University of California, Davis, which is designed to enhance retention of students with academic skill deficiencies, was evaluated. The target group was disadvantaged students who had not met the university's entrance requirements. Attention was focused on two aspects of the program: allowing students…

  16. Low-Carbon Warehousing: Examining Impacts of Building and Intra-Logistics Design Options on Energy Demand and the CO2 Emissions of Logistics Centers

    OpenAIRE

    Julia Freis; Philipp Vohlidka; Willibald A. Günthner

    2016-01-01

    Logistics centers contribute to CO2 emissions in the building and logistics sector and therefore share a responsibility to decarbonize not only the supply chain. Synergy effects in both building and intra-logistics should be considered as suitable levers to lower energy demand and related CO2 emissions. This research develops firs t with a systemic approach an integrated analytical model for energy calculation and reference building models for different types of logistics centers to provide b...

  17. The Impact on Family Functioning of Social Media Use by Depressed Adolescents: A Qualitative Analysis of the Family Options Study

    OpenAIRE

    Lewis, Andrew J; Knight, Tess; Germanov, Galit; Benstead, Michelle Lisa; Joseph, Claire Ingrid; Poole, Lucinda

    2015-01-01

    Background Adolescent depression is a prevalent mental health problem, which can have a major impact on family cohesion. In such circumstances, excessive use of the Internet by adolescents may exacerbate family conflict and lack of cohesion. The current study aims to explore these patterns within an intervention study for depressed adolescents. Method The current study draws upon data collected from parents within the family options randomized controlled trial that examined family ...

  18. The impact on family functioning of social media use by depressed adolescents: a qualitative analysis of the Family Options Study

    OpenAIRE

    Andrew James Lewis; Tess eKnight; Galit eGermanov; Michelle Lisa Benstead; Claire Ingrid Joseph; Lucinda ePoole

    2015-01-01

    Background: Adolescent depression is a prevalent mental health problem, which can have a major impact on family cohesion. In such circumstances, excessive use of the Internet by adolescents may exacerbate family conflict and lack of cohesion. The current study aims to explore these patterns within an intervention study for depressed adolescents.Method: The current study draws upon data collected within the Family Options randomized controlled trial that examined family-based interventions for...

  19. Envisioning a Quantitative Studies Center: A Liberal Arts Perspective

    Directory of Open Access Journals (Sweden)

    Gizem Karaali

    2010-01-01

    Full Text Available Several academic institutions are searching for ways to help students develop their quantitative reasoning abilities and become more adept at higher-level tasks that involve quantitative skills. In this note we study the particular way Pomona College has framed this issue within its own context and what it plans to do about it. To this end we describe our efforts as members of a campus-wide committee that was assigned the duty of investigating the feasibility of founding a quantitative studies center on our campus. These efforts involved analysis of data collected through a faculty questionnaire, discipline-specific input obtained from each departmental representative, and a survey of what some of our peer institutions are doing to tackle these issues. In our studies, we identified three critical needs where quantitative support would be most useful in our case: tutoring and mentoring for entry-level courses; support for various specialized and analytic software tools for upper-level courses; and a uniform basic training for student tutors and mentors. We surmise that our challenges can be mitigated effectively via the formation of a well-focused and -planned quantitative studies center. We believe our process, findings and final proposal will be helpful to others who are looking to resolve similar issues on their own campuses.

  20. New Mexico Center for Particle Physics: Studies of fundamental interactions

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, J.A.J.

    1992-01-01

    The New Mexico Center/UNM group research program includes the CDF experiment at Fermilab and the SDC experiment at the SSC. In both experiments the UNM group research focuses on silicon strip tracking systems. The present research goals are to develop and utilize precision silicon tracking to increase significantly the physics reach of the Tevatron, and to make possible the study of high-P[sub t] physics at the SSC. The search for the t-quark in CDF is the primary goal of the upcoming Tevatron runs. This Progress Report summarizes our research accomplishments from the last year.

  1. Case study: a data warehouse for an academic medical center.

    Science.gov (United States)

    Einbinder, J S; Scully, K W; Pates, R D; Schubart, J R; Reynolds, R E

    2001-01-01

    The clinical data repository (CDR) is a frequently updated relational data warehouse that provides users with direct access to detailed, flexible, and rapid retrospective views of clinical, administrative, and financial patient data for the University of Virginia Health System. This article presents a case study of the CDR, detailing its five-year history and focusing on the unique role of data warehousing in an academic medical center. Specifically, the CDR must support multiple missions, including research and education, in addition to administration and management. Users include not only analysts and administrators but clinicians, researchers, and students.

  2. Central Station Design Options

    DEFF Research Database (Denmark)

    2011-01-01

    The purpose of EDISON Work Package 4.1 is the evaluation of possible Central (charging) Stations design options for making possible the public charging of Electric Vehicles (EVs). A number of scenarios for EVs are assessed, with special emphasis on the options of Fast Charging and Battery Swapping....... The work identifies the architecture, sizing and siting of prospective Central Stations in Denmark, which can be located at shopping centers, large car parking lots or gas stations. Central Stations are planned to be integrated in the Danish distribution grid. The Danish island of Bornholm, where a high.......g. due to vandalism, the charge supply circuit is disconnected. More electrical vehicles on the market are capable today of quick charging up to 50 kW power level. The feasibility of Central Stations with fast charging/swapping option, their capacity, design, costs and grid impact, as well as battery...

  3. Study of a conceptual nuclear energy center at Green River, Utah. Power demand, load center assessment and transmission

    Energy Technology Data Exchange (ETDEWEB)

    Smith, D.R.; Thaik, A.; Pingel, P.

    1982-02-01

    This document constitutes a segment of a feasibility study investigating the ramification of constructing a nuclear energy center in an arid western region. In this phase of the study. The projected power demands and load center locations were reviewed and assessed. Alternative transmission systems were analysed and a conceptual transmission for bulk power transportation is proposed with potential line routes. Environmental impacts of the proposed transmission were also identified.

  4. Survey Probability and Factors affecting Farmers Participation in Future and Option Markets Case Study: Cotton product in Gonbad kavos city

    Directory of Open Access Journals (Sweden)

    F. sakhi

    2016-03-01

    Full Text Available Introduction: Farmers are facing with a variety of natural and unnatural risks in agricultural activities, and thus their income is unstable. A wide range of risks such as risks of production, price risk, financial and human risks, influence the income of agricultural products. One of the major risks that farmers faced is the risk of price volatility of agricultural products. Cotton is one of the agricultural products with high real price volatility. Numerous tools for marketing and risk management for agricultural products in the face of price risks are available. Futures and options contracts may be the most important available tools (to reduce price volatility in agricultural products. The purpose of the current study was to look at the possibility of farmers participations in the future and option markets that presented as a means to reduce the cotton prices volatility. The dependent variable for this purpose had four categories and these included: participate in both the market, participation in the future market, participation in the option market and participation in both future and option markets. Materials and Methods: data gathered with interview and completing 200 questionnaires of cotton growers using simple random sampling. Multinomial Logit Regression Model was used for data analysis. Results and Discussion: To measure content validity of the preliminary study the validity of confirmatory factor analysis were used. For calculating reliability, the pre-test done with 30 questionnaires and reliability, coefficient Cronbach alpha was 0.79. The independence of dependent variables categories was confirmed by Hausman test results. The Likelihood ratio and Wald showed these categories are not combinable. Results indicated into period 2014 -2015 and the sample under study, 35% of cotton growers unwilling to participate in future and option markets. Farmers willingness to participate in future and option market was 19% and %21

  5. NAFTA as an agricultural "policy option" for Mexico : a case study within a two-level framework

    OpenAIRE

    Røssaak, Camilla

    1996-01-01

    NAFTA AS AN AGRICULTURAL 'POLICY OPTION' FOR MEXICO: A CASE STUDY WITHIN A TWO- LEVEL FRAMEWORK The main focus of the thesis was the agricultural negotiation process between Mexico and the United States within the NAFTA process. I wanted to investigate to what extent this process led to changes in Mexican agricultural policy. Furthermore I wanted to find out whose interests were taken into consideration when Mexico negotiated agriculture in NAFTA. If so, was this done at the expense o...

  6. Life Sciences Division and Center for Human Genome Studies 1994

    Energy Technology Data Exchange (ETDEWEB)

    Cram, L.S.; Stafford, C. [comp.

    1995-09-01

    This report summarizes the research and development activities of the Los Alamos National Laboratory`s Life Sciences Division and the biological aspects of the Center for Human Genome Studies for the calendar year 1994. The technical portion of the report is divided into two parts, (1) selected research highlights and (2) research projects and accomplishments. The research highlights provide a more detailed description of a select set of projects. A technical description of all projects is presented in sufficient detail so that the informed reader will be able to assess the scope and significance of each project. Summaries useful to the casual reader desiring general information have been prepared by the group leaders and appear in each group overview. Investigators on the staff of the Life Sciences Division will be pleased to provide further information.

  7. Tianjin Normal University Establishes Women’s Studies Center

    Institute of Scientific and Technical Information of China (English)

    1994-01-01

    IN July, 1993, an international seminar titled "Chinese Women and Development—Status, Health and Employment" was sponsored by the Women’s Studies Center at Tianjin Normal University. More than 100 international and domestic specialists and workers who deal with women’s issues attended. At the conference, the Women’s Research Institute of the All-China Women’s Federation disclosed the results of an investigation about the status of women in China, which was launched in the early 1990s on a nationwide scale. The results showed that China’s economic reform has greatly affected women. As a result, many researchers who began their research by considering China’s present economic situation, tried to determine the influences the state’s

  8. Life Sciences Division and Center for Human Genome Studies

    Energy Technology Data Exchange (ETDEWEB)

    Spitzmiller, D.; Bradbury, M.; Cram, S. (comps.)

    1992-05-01

    This report summarizes the research and development activities of Los Alamos National Laboratories Life Sciences Division and biological aspects of the Center for Human Genome Studies for the calendar year 1991. Selected research highlights include: yeast artificial chromosome libraries from flow sorted human chromosomes 16 and 21; distances between the antigen binding sites of three murine antibody subclasses measured using neutron and x-ray scattering; NFCR 10th anniversary highlights; kinase-mediated differences found in the cell cycle regulation of normal and transformed cells; and detecting mutations that cause Gaucher's disease by denaturing gradient gel electrophoresis. Project descriptions include: genomic structure and regulation, molecular structure, cytometry, cell growth and differentiation, radiation biology and carcinogenesis, and pulmonary biology.

  9. More options lead to more searching and worse choices in finding partners for romantic relationships online: an experimental study.

    Science.gov (United States)

    Wu, Pai-Lu; Chiou, Wen-Bin

    2009-06-01

    It is not surprising that the Internet has become a means by which people expand their social networks and form close relationships. Almost every online-dating Web site provides members with search tools. However, do users truly benefit from more complete searches of a large pool of possibilities? The present study, based on the cognitive perspective, examined whether more search options triggered excessive searching, leading to worse choices and poorer selectivity. We argue that more search options lead to less selective processing by reducing users' cognitive resources, distracting them with irrelevant information, and reducing their ability to screen out inferior options. A total of 128 Taiwanese late adolescents and adults with experience in online romantic relationships participated in an experimental study. After entering the characteristics they found desirable in a partner in such a relationship, participants were randomly assigned to receive one of three levels of available profiles. The dependent measures consisted of the number of profiles searched, the average preference difference for all profiles viewed, the preference difference for the chosen profile, and the degree of selectivity. These measures were used to determine whether more attention was devoted to better alternatives and less attention to worse alternatives. The data supported the predictions. Implications and directions for further research are discussed.

  10. Study of a conceptual nuclear energy center at Green River, Utah. Final summary report

    Energy Technology Data Exchange (ETDEWEB)

    Williams, J.T. (ed.)

    1982-09-01

    This document summarizes a conceptual study on the feasibility and practicality of developing a nuclear energy center (NEC) at a representative Western site. The site selected for this conceptual study, an area of about 50 square miles, is located 15 miles south of Green River, Utah. The conceptual NEC would consist of nine nuclear electric generating units, arranged on the site in three clusters of three reactors each (triads), separated by about 2 1/2 miles. Of the total electric output of 11,250 MWe that the NEC could produce, about 82% is assumed to be transmitted out of Utah to Colorado, New Mexico, Arizona, Nevada, and California. The technical engineering issues studied included geology and seismology, plant design, low-level radioactive waste disposal, transmission, and construction schedules and costs. Socioeconomic issues included were demographics, land use, community service needs, and fiscal impacts. Environmental considerations included terrestrial and aquatic ecology, visual impact, and secondary population impacts. Radiological issues were concerned with the safety and risks of an NEC and an on-site low-level waste facility. Institutional issues included methods of ownership, taxation, implications of energy export, and water allocation. The basic finding was that an NEC would be technically feasible, but a number of socioeconomic and institutional issues would require resolution before a Western regional NEC could be considered a viable power plant siting option.

  11. Use of the Paid Open Access Option in Hybrid Open Access Journals in Agriculture: A Mixed-Methods Study

    Directory of Open Access Journals (Sweden)

    Megan Kocher

    2016-12-01

    Full Text Available We explore the use and usefulness of the hybrid open access publishing model in agricultural sciences using a combination of quantitative and qualitative methods. To ascertain the level of usage of the paid open access option in hybrid open access journals in agriculture, we studied the agriculture-related journals published by six commercial publishers. These publishers offer authors the option of paying a fee, often close to $3,000 per article, to make their article immediately freely available, usually with a Creative Commons license. We defined agriculture broadly but also assigned each journal to a subspecialty (e.g., animal science in order to see if there were differences based on these subdivisions. For each journal we gathered data for 2014-2015 and noted the total number of research articles and the number of those that were made freely available by authors paying the open access fee. To give context to our results we also surveyed local faculty in agricultural sciences, asking their reasons for considering the paid open access options and the sources of the funds to pay for it. Survey respondents were asked about their academic position and rank to see if there were differences to be noted. We also investigated the findability of the open access articles, noting if each individual publisher offered a way to easily locate all the freely available articles in a particular journal and if there are other avenues to easily locate these articles.

  12. Developing and Implementing Climate Change Adaptation Options in Forest Ecosystems: A Case Study in Southwestern Oregon, USA

    Directory of Open Access Journals (Sweden)

    Jessica E. Halofsky

    2016-11-01

    Full Text Available Climate change will likely have significant effects on forest ecosystems worldwide. In Mediterranean regions, such as that in southwestern Oregon, USA, changes will likely be driven mainly by wildfire and drought. To minimize the negative effects of climate change, resource managers require tools and information to assess climate change vulnerabilities and to develop and implement adaptation actions. We developed an approach to facilitate development and implementation of climate change adaptation options in forest management. This approach, applied in a southwestern Oregon study region, involved establishment of a science–manager partnership, a science-based assessment of forest and woodland vulnerabilities to climate change, climate change education in multiple formats, hands-on development of adaptation options, and application of tools to incorporate climate change in planned projects. Through this approach, we improved local manager understanding of the potential effects of climate change in southwestern Oregon, and enabled evaluation of proposed management activities in the context of climatic stressors. Engaging managers throughout the project increased ownership of the process and outcomes, as well as the applicability of the adaptation options to on-the-ground actions. Science–management partnerships can effectively incorporate evolving science, regardless of the socio-political environment, and facilitate timely progress in adaptation to climate change.

  13. Lifestyle modification and metformin as long-term treatment options for obese adolescents: study protocol

    Directory of Open Access Journals (Sweden)

    Watson Margaret

    2009-11-01

    Full Text Available Abstract Background Childhood obesity is a serious health concern affecting over 155 million children in developed countries worldwide. Childhood obesity is associated with significantly increased risk for development of type 2 diabetes, cardiovascular disease and psychosocial functioning problems (i.e., depression and decreased quality of life. The two major strategies for management of obesity and associated metabolic abnormalities are lifestyle modification and pharmacologic therapy. This paper will provide the background rationale and methods of the REACH childhood obesity treatment program. Methods/design The REACH study is a 2-year multidisciplinary, family-based, childhood obesity treatment program. Seventy-two obese adolescents (aged 10-16 years and their parents are being recruited to participate in this randomized placebo controlled trial. Participants are randomized to receive either metformin or placebo, and are then randomized to a moderate or a vigorous intensity supervised exercise program for the first 12-weeks. After the 12-week exercise program, participants engage in weekly exercise sessions with an exercise facilitator at a local community center. Participants engage in treatment sessions with a dietitian and social worker monthly for the first year, and then every three months for the second year. The primary outcome measure is change in body mass index and the secondary outcome measures are changes in body composition, risk factors for type 2 diabetes and cardiovascular disease, changes in diet, physical activity, and psychosocial well-being (e.g., quality of life. It is hypothesized that participants who take metformin and engage in vigorous intensity exercise will show the greatest improvements in body mass index. In addition, it is hypothesized that participants who adhere to the REACH program will show improvements in body composition, physical activity, diet, psychosocial functioning and risk factor profiles for type 2

  14. Climate change and maritime transport on the Saint Lawrence : exploratory study of adaptation options; Changements climatiques et transport maritime sur le Saint-Laurent : etude exploratoir d'options d'adaptation

    Energy Technology Data Exchange (ETDEWEB)

    D' Arcy, P. [Fisheries and Oceans Canada, Quebec Region, PQ (Canada); Bibeault, J.F. [Environment Canada, Montreal, PQ (Canada). Meteorological Service of Canada; Raffa, R. [Transport Quebec, Quebec, PQ (Canada)

    2005-07-01

    Some climate change scenarios envisage a decrease in water levels in the Saint Lawrence Seaway, which could have appreciable impacts on commercial navigation. This study focused on climate adaptation options that would allow maritime and harbour activities to remain at their current level. The study was divided into two parts. The first part evaluated the modelled water levels in the river part of the St. Lawrence from Montreal to Quebec City. The evaluation was carried out using a numerical hydraulic model which integrated the results of the most recent climatic scenarios for the Great Lakes Basin, the Ottawa River and apprehended rising ocean levels. According to the worst case climatic scenario, the decrease in water levels could reach 1 meter in Montreal and 30 centimetres at Trois-Rivieres. Simulations identified the area around Becancour as the limit for the effect of water level decrease. New regulations to be adopted by the International Joint Committee will seek to share the impacts between the upstream, Great Lakes and the downstream, Saint Lawrence Seaway. The paper emphasized the complexity of predicting the recurrence of hydrological events of this magnitude because of the uncertainty of climatic conditions. The second part of the study presented 2 options for commercial navigation in changing water levels. The first option excluded any physical modification from the river, while the second included alteration work. The economic, environmental and social impacts of both options were discussed. refs., tabs., figs.

  15. Logistics Distribution Center Location Optimizatio Model An Example Study

    Directory of Open Access Journals (Sweden)

    Li Lingling

    2017-01-01

    Full Text Available This paper analyzes and investigates the situation of the today’s site of distribution centers .Then taking SF Express for an example ,In the light of minimize the total expense ,the location models for single distribution centers is established with the corresponding resolutions given .After that ,The location of the single distribution center of SF Express ,the starting point of which is Zhengzhou Railway Station ,can be determined with the help of distance-testing function of 360 map to conclude its coordinate and then determine its exact service spot .This paper will test the feasibility of above models by the chosen cases with the application of LINGO software.

  16. A quasi-experimental study on a new service option for short-term residential care of older stroke patients

    Directory of Open Access Journals (Sweden)

    Chau PH

    2013-09-01

    Full Text Available Pui-hing Chau,1 Fannie Yeung,2 Tsz-wai Chan,1 Jean Woo2 1School of Nursing, The University of Hong Kong, Hong Kong; 2Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong Abstract: We conducted a quasi-experimental study to compare the effectiveness of a new short-term residential care option for stroke rehabilitation with that of usual day hospital care. Primary data were collected from stroke patients and their caregivers from June 2009 to May 2012. New service option users and their caregivers were recruited for the intervention group, while users of usual public geriatric day hospital care and their caregivers were recruited for the control group. The primary outcome measures were Modified Barthel Index (MBI and Mini-Mental Status Examination (MMSE scores. Trained research assistants assessed the outcome measures at the beginning of the rehabilitation program (baseline and at a 4-month follow-up. Sixty and 128 stroke patients were recruited for the intervention and control groups, respectively; 50 and 105 participants, respectively, completed the 4-month follow-up. At 4-month follow-up, the intervention group had an increased MBI score of 15.3 (95% confidence interval [CI] 10.8–19.8 and an MMSE score of 1.3 (95% CI 0.4–2.1. In comparison, the control group had an increased MBI score of 13.3 (95% CI 9.7–16.8 and an MMSE score of 1.1 (95% CI 0.4–1.9. Both groups showed a significant improvement in MBI and MMSE scores after 4 months, and there was no significant between-group difference. To conclude, the new service option and the usual care option showed similar improvement in rehabilitation outcomes at 4 months after baseline. Initiatives to provide alternative care options on a user-pay model should be encouraged to ensure a sustainable health care system. Keywords: rehabilitation, residential care, day hospital, stroke, elderly, Hong Kong

  17. Cognitive and Affective Aspects of Creative Option Generation in Every Day Life Situations

    Directory of Open Access Journals (Sweden)

    T. Sophie Schweizer

    2016-08-01

    Full Text Available Which factors influence a human being’s ability to develop new perspectives and be creative? This ability is pivotal for any context in which new cognitions are required, such as innovative endeavors in science and art, or psychotherapeutic settings. In this article we seek to bring together two research programs investigating the generation of creative options: On the one hand, research on option generation in the decision-making literature and, on the other hand, cognitive and clinical creativity research. Previous decision-making research has largely neglected the topic of generating creative options. Experiments typically provided participants with a clear set of options to choose from, but everyday life situations are less structured and allow countless ways to react. Before choosing an option, agents have to self-generate a set of options to choose from. Such option generation processes have only recently moved to the center of attention. The present study examines the creative quality of self-generated options in daily life situations. A student sample (N = 48 generated options for action in 70 shortly described everyday life scenarios. We rated the quality of the options on three dimensions of creativity- originality, feasibility, and divergence - and linked these qualities to option generation fluency (speed and number of generated options, situational features like the familiarity and the affective valence of the situation in which the options were generated, and trait measures of cognitive performance. We found that when situations were familiar to the participant, greater negative affective valence of the situation was associated with more originality and divergence of generated options. We also found that a higher option generation fluency was associated with a greater maximal originality of options. We complete our article with a joint research agenda for researchers in the decision-making field focusing on option generation and

  18. Studying the properties of Aerogel at Marshall Space Flight Center

    Science.gov (United States)

    1996-01-01

    NASA scientists at Marshall Space Flight Center are collaborating with scientists at the Lawrence Berkeley National Laboratory on an experiment in space with a fascinating material called Aerogel. Aerogel is the lightest solid material known - only three times the density of air - and has tremendous insulating capability. In its current smoky form, Aerogel can be used to insulate the walls of houses and engine compartments of cars. It was also used in the space program as insulating material on the rover, Sojourner, aboard the Mars Pathfinder. Because Aerogel has a smoky appearance, its current usages are limited. However, NASA researchers believe that by taking this research to space, they can resolve the problem of making Aerogel transparent enough to see clearly through. So far, recent space experiments have been encouraging. The samples produced in microgravity indicate a change in the microstructure of the material as compared to ground samples. MSFC scientists continue to study the effects of microgravity on Aerogel as their research in space continues.

  19. Center for Advanced Energy Studies (CAES) Strategic Plan

    Energy Technology Data Exchange (ETDEWEB)

    Kevin Kostelnik; Keith Perry

    2007-07-01

    Twenty-first century energy challenges include demand growth, national energy security, and global climate protection. The Center for Advanced Energy Studies (CAES) is a public/private partnership between the State of Idaho and its academic research institutions, the federal government through the U.S. Department of Energy (DOE) and the Idaho National Laboratory (INL) managed by the Battelle Energy Alliance (BEA). CAES serves to advance energy security for our nation by expanding the educational opportunities at the Idaho universities in energy-related areas, creating new capabilities within its member institutions, and delivering technological innovations leading to technology-based economic development for the intermountain region. CAES has developed this strategic plan based on the Balanced Scorecard approach. A Strategy Map (Section 7) summarizes the CAES vision, mission, customers, and strategic objectives. Identified strategic objectives encompass specific outcomes related to three main areas: Research, Education, and Policy. Technical capabilities and critical enablers needed to support these objectives are also identified. This CAES strategic plan aligns with and supports the strategic objectives of the four CAES institutions. Implementation actions are also presented which will be used to monitor progress towards fulfilling these objectives.

  20. Study on Venture Capital Investment Risk Avoiding Base on Option Pricing in Agricultural Production and Processing Enterprises

    Science.gov (United States)

    Zhang, Xubo

    This paper uses the approaches and models of option theory to analyze two-stage venture capital investment in agricultural production and processing enterprises decision-making under uncertainty. Mathematics expressions of this two-stage venture capital investment decision-making are presented. An option value model about two-stage venture capital investment decision-making base on options pricing theory under the uncertainty is presented. Get the solution of option pricing model which we present.

  1. Louisiana Speaks Transportation Option B Roadway Improvements, UTM Zone 15N NAD 83, Louisiana Recovery Authority (2007), [louisiana_speaks_transportation_option_b_roadway_improvements

    Data.gov (United States)

    Louisiana Geographic Information Center — This GIS shapefile data illustrates the regional roadways included in the Louisiana Speaks community growth option of compact and dispersed development (Option B)....

  2. Louisiana Speaks Transportation Option A Roadway Improvements, UTM Zone 15N NAD 83, Louisiana Recovery Authority (2007), [louisiana_speaks_transportation_option_a_roadway_improvements

    Data.gov (United States)

    Louisiana Geographic Information Center — This GIS shapefile data illustrates the regional roadways included in the Louisiana Speaks Regional Plan community growth option of dispersed development (Option A)....

  3. Louisiana Speaks Transportation Option C Roadway Improvements, UTM Zone 15N NAD 83, Louisiana Recovery Authority (2007), [louisiana_speaks_transportation_option_c_roadway_improvements

    Data.gov (United States)

    Louisiana Geographic Information Center — This GIS shapefile data illustrates the regional roadways included in the Louisiana Speaks community growth option of compact development (Option C). This network...

  4. Studies on nonsense mediated decay reveal novel therapeutic options for genetic diseases.

    Science.gov (United States)

    Bashyam, Murali D

    2009-01-01

    Scientific breakthroughs have often led to commercially viable patents mainly in the field of engineering. Commercialization in the field of medicine has been restricted mostly to machinery and engineering on the one hand and therapeutic drugs for common chronic ailments such as cough, cold, headache, etc, on the other. Sequencing of the human genome has attracted the attention of pharmaceutical companies and now biotechnology has become a goldmine for commercialization of products and processes. Recent advances in our understanding of basic biological processes have resulted in the opening of new avenues for treatment of human genetic diseases, especially single gene disorders. A significant proportion of human genetic disorders have been shown to be caused due to degradation of transcripts for specific genes through a process called nonsense mediated decay (NMD). The modulation of NMD provides a viable therapeutic option for treatment of several genetic disorders and therefore has been a good prospect for patenting and commercialization. In this review the molecular basis for NMD and attempts to treat genetic diseases which result from NMD are discussed.

  5. A Preliminary Study on Choosing Sports Tourism as a Leisure Time Option

    Directory of Open Access Journals (Sweden)

    Maura Stancu

    2011-01-01

    Full Text Available Problem statement: It has long been acknowledged that, when speaking about sports tourism, we must consider, on one side, tourism-an economic and social phenomenon that is specific to modern civilization and on the other side sports-the most widely spread social phenomenon in the world. No other events had such a complex unfolding than sports events, and tourism had undoubtedly become one of the world’s greatest industries. Our assumption was that physical education and sports teachers have successfully contributed to the accomplishment of objective of “forming the habit of practicing physical exercise for recreational, emulative and compensatory purposes throughout the life span”. Approach: To test this assumption we have initiated a sociological research: a questionnaire was applied on a sample of 50 persons. Collected data were analyzed using descriptive and inferential procedures. Results: The results allowed the confirmation of stated research hypotheses. We have shown that practicing a performance sport is significantly related with preference for risk, adventure tourism (Chi-square = 6,614, d.f. = 1, p = 0,010. Conclusions: Citizen’s option for sports tourism activities were shown to be relevant for physical education and sports teachers, in order to better organize their activities.

  6.  Euro Membership as a Real Option Trigger: An Empirical Study of EU15 Manufacturing Firms

    DEFF Research Database (Denmark)

    Aabo, Tom

    ) to exercise real options such as to establish alliances / partnerships, to enter new markets / market segments, to switch suppliers, and to generally expand in the Euro-area. The results are robust after controlling for the size of the firms and their sales in the Euro-area. The results go beyond what......This empirical study of manufacturing firms (NAICS 33) in the EU15 countries shows that the introduction of the Euro has made Euro firms (firms based in one of the twelve Euro countries) more inclined than non-Euro firms (firms based in one of the three non-Euro countries: UK, Sweden and Denmark...

  7. HMI/ SCADA standards in the design of data center interfaces: A network operations center case study

    Directory of Open Access Journals (Sweden)

    Said Filali-Yachou

    2015-01-01

    Full Text Available En este artículo se presenta la evaluación de las interfaces de la sala del Centro de Operaciones NOC (Network Operations Cent er del NAP (Network Access Point de Canarias, siguiendo estándares y normativas HMI, así como la guía ergonómica de supervisión GEDI S. En base a los resultados obtenid os, se presenta un prototipo de mejora de la interfaz actual.El Centro de Operaciones NOC del Instituto Tecnológico y de Energías Renovables (ITER se encarga de monit orizar las diversas infraestructuras del Data Center como son l a climatización, suminis tro eléctrico, protec ción contra incendio s, seguridad, centros técnicos, parques eólicos, plantas fotovo ltaicas, así como las distintas infraestructura s desplegadas alrededor del c able submarino perteneciente al consorcio de Cana-Link (el cabl e que une la Península y Canarias, el anillo terrestre y la Red IRIS. Para unificar algunos de estos sistemas y facilitar la tarea diaria de supervisión, se emplea un software SC ADA especializad o en la gestió n de edificios.

  8. Impact of FFS on farmer's adoption of IPM options for tomato: A case study from the Gezira State, Sudan

    Directory of Open Access Journals (Sweden)

    Ahmed Mirghani Abdel Rahman

    2012-09-01

    Full Text Available In Sudan pests and diseases are the major problem of vegetables production. Tomato crop is considered as the most important vegetable crop in the country according to its economic and nutrition value. There are many pest and diseases retarding tomato production such as whitefly, American bollworm, TYLCV and powdery mildew. Therefore some IPM options for tomato and onion were validated in FFS in order to help farmers in controlling the most important pests and diseases. The main objective of this study was to determine the impact of FFS on farmer's adoption of IPM options for tomato in the Gezira State, Sudan. Field survey was used to collect data from three Farmer Field Schools in the Gezira State namely: Um Dagarsi, Hantoub and Faris in the 2009/2010 growing season. All FFS participants were used, i.e. 30 FFS- participants from each school. Equal number of non-FFS participants (90 was used for comparison, by using the simple random sampling technique. The collected data were statistically analyzed and interpreted using percentage, frequency distribution and chi-square test. The results showed that the FFS schools were positively affected farmer's adoption of IPM options for tomato. It can be concluded that the FFS approach is very efficient in the transfer of farm technology for vegetable farmers through their participation in various activities of FFS schools. Thus, FFS approach must become national policy, share authority of extension organizations in control and execution of FFS activities with farmer unions for more effective participations of clientele in all activities of the schools and More efforts should be exerted in distribution of all inputs to farmers with reasonable prices through various agricultural centres.

  9. Mars ISRU for Production of Mission Critical Consumables - Options, Recent Studies, and Current State of the Art

    Science.gov (United States)

    Sanders, G. B.; Paz, A.; Oryshchyn, L.; Araghi, K.; Muscatello, A.; Linne, D.; Kleinhenz, J.; Peters, T.

    2015-01-01

    In 1978, a ground breaking paper titled, "Feasibility of Rocket Propellant Production on Mars" by Ash, Dowler, and Varsi discussed how ascent propellants could be manufactured on the Mars surface from carbon dioxide collected from the atmosphere to reduce launch mass. Since then, the concept of making mission critical consumables such as propellants, fuel cell reactants, and life support consumables from local resources, commonly known as In-Situ Resource Utilization (ISRU), for robotic and human missions to Mars has been studied many times. In the late 1990's, NASA initiated a series of Mars Human Design Reference Missions (DRMs), the first of which was released in 1997. These studies primarily focused on evaluating the impact of making propellants on Mars for crew ascent to Mars orbit, but creating large caches of life support consumables (water & oxygen) as a backup for regenerative life support systems for long-duration surface stays (>500 days) was also considered in Mars DRM 3.0. Until science data from the Mars Odyssey orbiter and subsequent robotic missions revealed that water may be widely accessable across the surface of Mars, prior Mars ISRU studies were limited to processing Mars atmospheric resources (carbon dioxide, nitrogen, argon, oxygen, and water vapor). In December 2007, NASA completed the Mars Human Design Reference Architecture (DRA) 5.0 study which considered water on Mars as a potential resource for the first time in a human mission architecture. While knowledge of both water resources on Mars and the hardware required to excavate and extract the water were very preliminary, the study concluded that a significant reduction in mass and significant enhancements to the mission architecture were possible if Mars water resources were utilized. Two subsequent Mars ISRU studies aimed at reexamining ISRU technologies, processing options, and advancements in the state-of-the-art since 2007 and to better understand the volume and packaging associated

  10. Language-Centered Social Studies: A Natural Integration.

    Science.gov (United States)

    Barrera, Rosalinda B.; Aleman, Magdalena

    1983-01-01

    Described is a newspaper project in which elementary students report life as it was in the Middle Ages. Students are involved in a variety of language-centered activities. For example, they gather and evaluate information about medieval times and write, edit, and proofread articles for the newspaper. (RM)

  11. Asia-Pacific Center for Security Studies Annual Report 2008

    Science.gov (United States)

    2008-01-01

    reducing system interdiction risks, and educa- tional technology upgrades permeate all learning spaces within the Center, as well as at the condominium ...analy- ses – in some cases reducing cycle- times from days to minutes. EKMS will be comprised of a suite of modern software applications that will

  12. Really Useful Knowledge: A Cultural Studies Agenda for Writing Centers.

    Science.gov (United States)

    Cooper, Marilyn M.

    1994-01-01

    Argues that writing centers have the essential function of critiquing institutions and creating knowledge about writing. Explains how this function has clear implications for what tutors should know and how they should be trained. Enlists Antonio Gramsci's theory of culture to analyze traditional composition teaching and research. (HB)

  13. Centers for Catholic Studies and the Public Voice of Religion

    Science.gov (United States)

    Brigham, Erin

    2011-01-01

    This article explores debates about the public role of religion in a secular context. Drawing on the work of critical theorist, Jurgen Habermas, this article claims that the United States requires a viable public sphere in which religious and secular voices can learn from each other. Highlighting the work of the Lane Center for Catholic Studies…

  14. Famitinib in metastatic renal cell carcinoma: a single center study

    Institute of Scientific and Technical Information of China (English)

    ZHANG Wen; ZHOU Ai-ping; QIN Qiong; CHANG Chun-xiao; JIANG Hao-yuan; MA Jian-hui; WANG Jin-wan

    2013-01-01

    Background Famitinib is a novel and potent multitargeting receptor tyrosine kinase inhibitor.The phase I clinical study showed that famitinib was well tolerated and had a broad anti-tumor spectrum.The purpose of this study was to examine the efficacy and safety of famitinib for the treatment of metastatic renal cell carcinoma (mRCC).Methods The data of famitinib in treating patients with mRCC from the single-center phases Ⅰ and Ⅱ clinical trials were analyzed.Famitinib was administered orally at the dose of 13-30 mg once daily until tumor progression,occurrence of intolerable adverse reactions or withdrawal of the informed consent.Results A total of 24 patients with mRCC were treated including 17 patients at a dose of 25 mg once daily,4 patients at a dose of 27 mg and 1 patient each at a dose of 13 mg,20 mg and 30 mg,respectively.Twelve (50.0%) patients achieved partial response (PR) and 9 patients achieved stable disease (SD).Progressive disease was found in 3 (12.5%) patients.The disease control rate was 87.5%.The median follow-up time was 17.6 months; the median progression free survival (PFS) was 10.7 (95% Cl7.0-14.4) months; and the estimated median overall survival (OS) time was 33.0 (95% Cl8.7-57.3) months.The adverse drug reactions mainly included hypertension (54.1%),hand-foot skin reactions (45.8%),diarrhea (33.3%),mucositis (29.2%),neutropenia (45.8%),thrombocytopenia (29.2%),hyperlipidemia (41.7%) and proteinuria (41.7%).The incidence rate of grades 3 and 4 adverse events was low,mainly including hypertension 12.5%,hand-foot skin reactions 4.2%,neutropenia 4.2%,thrombocytopenia 4.2%,hyperlipidemia 4.2% and proteinuria 12.5%.Conclusions Famitinib has significant anti-tumor activity in mRCC.The common adverse reactions are generally manageable.

  15. Private Investment Options to Alleviate the Shortage of Cancer Centers in China%引入市场资金建设肿瘤防治医疗实体的探讨

    Institute of Scientific and Technical Information of China (English)

    边启强; 钱朝南

    2012-01-01

    This article discusses the need for expanding the number of state—of-the—art cancer centers in China in order to improve quality of cancer care, advance biomedical research, and train the next generation of cancer-care providers. Because public investment is likely limited for financing such expensive centers, it is imperative to consider the option of private investment for building diis type of health care infrastructure in China. A public-private partnership (PPP) model is proposed for constructing such centers. One of the important reasons for proposing this PPP model is to mitigate public concerns about the access to and the quality of cancer care when the new centers are built in the communities where public cancer centers are operating with limited capacity. A consistent evaluation system should be applied to evaluate the performance of PPP cancer centers and the public cancer centers. Additional reforms in the health care regulatory environment are needed to ensure the successful increase of the number of cancer centers in China.%中国目前面临提高癌症防治质量,加快癌症医学研究发展速度,加快培养新—代癌症防治工作者的挑战,迅速扩大高水平肿瘤防治中心的建设显得尤为重要.建立一个新的肿瘤中心是一项非常昂贵的投资,在目前国家资金对公立医院投入有限的严峻形势下,引进私人资金来设立肿瘤中心已迫在眉睫.文章建议以公私合作的模式来建立新的私立肿瘤中心——市场投资与公立肿瘤中心共同管理的结合体.对于服务质量的评估,公立癌症中心与公私合作的癌症中心应该使用同一标准.我们提出的公私合作模式还有助于解除公众和国家决策者对私立肿瘤中心可能引起当地入院难和治疗水平下降问题的后顾之忧.此外,进一步深化医疗体制改革将是保障私立肿瘤中心顺利筹建和运行的关键.

  16. The Study of Students-centered English Teaching at Colleges

    Institute of Scientific and Technical Information of China (English)

    WANG Xue-zhu

    2015-01-01

    The lack of communicative efficiency among students is still an important problem in China ’s English teaching circle. Learner-centered language teaching and learning approach proposed by Nunan and Breenin 1980s is the best one to solve the problem. This paper briefly presents the approach and mainly talks about how to apply the approach in the authentic teaching and learning situation. The adoption of this method will definitely promote the English teaching reform in China.

  17. The Study of Students-centered English Teaching at Colleges

    Institute of Scientific and Technical Information of China (English)

    王雪竹

    2015-01-01

    The lack of communicative efficiency among students is still an important problem in China’s English teaching circle.Learner-centered language teaching and learning approach proposed by Nunan and Breenin 1980s is the best one to solve the problem.This paper briefly presents the approach and mainly talks about how to apply the approach in the authentic teaching and learning situation.The adoption of this method will definitely promote the English teaching reform in China.

  18. Energy use baselining study for the National Naval Medical Center

    Energy Technology Data Exchange (ETDEWEB)

    Parker, G.B.; Halverson, M.A.

    1992-04-01

    This report provides an energy consumption profile for fourteen buildings at the National Naval Medical Center (NNMC) in Bethesda, Maryland. Recommendations are also made for viable energy efficiency projects funded with assistance from the servicing utility (Potomic Electric Power Company) in the form of rebates and incentives available in their Demand Side Management (DSM) program and through Shared Energy Savings (SES) projects. This report also provides estimates of costs and potential energy savings of the recommended projects.

  19. Cross - Currency Hedging Using Options

    OpenAIRE

    Suri, Akshay

    2006-01-01

    In today's competitive global markets, most firms are vulnerable to increasing fluctuation in foreign exchange, which is leading them to make use of Currency Derivatives to hedge their risks. Among the several derivatives available, Currency Options are the second most popular instrument used to hedge currency risk. Options are a very distinctive set of instruments that are available to hedge Currency risk. This study provides empirical evidence on why companies employ Currency Options to hed...

  20. Extracorporeal Membrane Oxygenation Outcomes in Acute Respiratory Distress Treatment: Case Study in a Chinese Referral Center

    Science.gov (United States)

    Huang, Lei; Li, Tong; Xu, Lei; Hu, Xiao-min; Duan, Da-wei; Li, Zhi-bo; Gao, Xin-jing; Li, Jun; Wu, Peng; Liu, Ying-Wu

    2017-01-01

    Background No definitive conclusions have been drawn from the available data about the utilization of extracorporeal membrane oxygenation (ECMO) to treat severe acute respiratory distress syndrome (ARDS). The aim of this study was to review our center’s experience with ECMO and determine predictors of outcome from our Chinese center. Material/Methods We retrospectively analyzed a total of 23 consecutive candidates who fulfilled the study entry criteria between January 2009 and December 2015. Detailed clinical data, ECMO flow, and respiratory parameters before and after the introduction of ECMO were compared among in-hospital survivors and nonsurvivors; factors associated with mortality were investigated. Results Hemodynamics and oxygenation parameters were significantly improved after ECMO initiation. Thirteen patients survived to hospital discharge. Univariate correlation analysis demonstrated that APACHE II score (r=−0.463, p=0.03), acute kidney injury (r=−0.574, p=0.005), membrane oxygenator replacement (r=−0.516, p=0.014) and total length of hospital stay (r=0.526, p=0.012) were significantly correlated with survival to hospital discharge, and that the evolution of the levels of urea nitrogen, platelet, and fibrinogen may help to determine patient prognosis. Sixteen patients referred for ECMO from an outside hospital were successfully transported to our institution by ambulance, including seven transported under ECMO support. The survival rate of the ECMO-transport group was comparable to the conventional transport or the non-transport group (both p=1.000). Conclusions ECMO is an effective alternative option for severe ARDS. APACHE II score on admission, onset of acute kidney injury, and membrane oxygenator replacement, and the evolution of levels of urea nitrogen, platelet, and fibrinogen during hospitalization may help to determine the in-hospital patient prognosis. By establishing a well-trained mobile ECMO team, a long-distance, inter

  1. Polyethylene Glycol Electrolyte Lavage Solution versus Colonic Hydrotherapy for Bowel Preparation before Colonoscopy: A Single Center, Randomized, and Controlled Study.

    Science.gov (United States)

    Cao, Yan; Zhang, Kai-Yuan; Li, Jiao; Lu, Hao; Xie, Wan-Ling; Liao, Sheng-Tao; Chen, Dong-Feng; Zeng, Deng-Feng; Lan, Chun-Hui

    2014-01-01

    This single center, randomized, and controlled study aimed to compare the effectiveness and safety of polyethylene glycol electrolyte lavage (PEG-EL) solution and colonic hydrotherapy (CHT) for bowel preparation before colonoscopy. A total of 196 eligible outpatients scheduled for diagnostic colonoscopy were randomly assigned to the PEG-EL (n = 102) or CHT (n = 94) groups. Primary outcome measures included colonic cleanliness and adverse effects. Secondary outcome measures were patient satisfaction and preference, colonoscopic findings, ileocecal arrival rate, examiner satisfaction, and cecal intubation time. The results show that PEG-EL group was associated with significantly better colonic cleanliness than CHT group, fewer adverse effects, and increased examiner satisfaction. However, the CHT group had higher patient satisfaction and higher diverticulosis detection rates. Moreover, the results showed the same ileocecal arrival rate and patient preference between the two groups (P > 0.05). These findings indicate that PEG-EL is the preferred option in patients who followed the preparation instructions completely.

  2. Options of sustainable groundwater supply from safe aquifers in areas with elevated arsenic - a case study from Bangladesh

    Science.gov (United States)

    Jakariya, M.; Bhattacharya, P.; Bromssen, M. V.

    2008-05-01

    Access to safe drinking water is a basic human right. Several millions of people, mainly in developing countries are affected by arsenic in drinking water and the global impact now makes it a top priority water quality issue. A wide gap between the number of exposed people and the pace of mitigation programmes in rural areas of developing countries is the main problem in providing safe drinking water. The main challenge is to develop a sustainable mitigation option that rural and disadvantaged people can adopt and implement themselves to overcome possible public heath hazards. During the recent years, new approaches have emerged in Bangladesh, primarily emerging out of people's own initiative. The local drillers target presumed safe aquifers on the basis of colour and texture of the sediments. A recent study by our research group revealed a distinct correlation between the colour characteristics of the sediments and the groundwater redox conditions. The coupling between the colour of sediments and the redox characteristics of groundwater may thus be used as a tool to assess the risk for As mobilization from the aquifers. The study showed that it is possible to assess the relative risk of high concentrations of As in aquifers if the colour characteristics of the sediments are known and thus, local drillers may target safe aquifers. For validating the sustainability of this mitigation option geological, hydrogeological and microbiological investigations are needed. The sustainability of the aquifers needs to be assessed by combining results from various field and laboratory investigations and by running predictive models. There is also a need to raise the awareness and thereby create a platform for motivating the local drillers to be educated in installing safe tubewells. Awareness raising and community mobilisation are two top priorities for implementing a sustainable safe water project in rural village areas. Significant preparation, attention, and focus must be

  3. Integrating futures studies with organizational development : design options for the scenario project "RSW2020"

    NARCIS (Netherlands)

    Twist, van M.J.W.; Steen, van der M.; Vlist, van der M.J.; Demkes, R.H.J.

    2011-01-01

    Most futures studies are not used by managers and strategists and do not influence the direction of organizational development. Although the contribution of future studies to management is in theory all but self-evident, the practice in organizations is that futures knowledge is hardly used, or at m

  4. A Comparison of Platform Options for Deep-water Floating Offshore Vertical Axis Wind Turbines: An Initial Study.

    Energy Technology Data Exchange (ETDEWEB)

    Bull, Diana L; Fowler, Matthew; Goupee, Andrew

    2014-08-01

    This analysis utilizes a 5 - MW VAWT topside design envelope created by Sandia National Laborator ies to compare floating platform options fo r each turbine in the design space. The platform designs are based on two existing designs, the OC3 Hywind spar - buoy and Principal Power's WindFloat semi - submersible. These designs are scaled using Froude - scaling relationships to determine an appropriately sized spar - buoy and semi - submersible design for each topside. Both the physical size of the required platform as well as mooring configurations are considered. Results are compared with a comparable 5 - MW HAWT in order to identify potential differences in the platform and mooring sizing between the VAWT and HAWT . The study shows that there is potential for cost savings due to reduced platform size requirements for the VAWT.

  5. Pedestrian Planning in City Centers: a Study of Guimarães and Braga

    Directory of Open Access Journals (Sweden)

    Khan Rubayet Rahaman

    2010-04-01

    Full Text Available People are walking in cities for different reasons. Some walkers walk for going to work, some are walking for shopping and some are for leisure during day and night hours. Medium sized cities like Braga and Guimarães in Portugal are depending on car for even shorter trips up to 2 kilometers. However, the walkways are allowing people to walk in convenient and safe way including late night environment. The pedestrians feel troublesome to walk on the footpaths because of illegal parking and discontinuation of walkways. Municipality transport plans and master plans do not incorporate pedestrians as a major component. But this egress mode of transportation is very important in medium sized city centers like Guimarães and Braga for the people to enjoy city centers’ activities. This paper focuses on the types of walkers who use the walkways on a regular basis. Usually, people are feeling comfortable to walk when they go to clubs and bars in a group in these small cities especially after work. This paper again tries to focus the varieties of problems on walkways and to present policies that can improve the situation. Municipal master plan and transportation plan have been studied carefully to see the provisions of pedestrian planning options. Field surveys have been conducted both in form of questionnaire and observation during the end of 2009 and results show different patterns of pedestrian behavior as well as evidence that people get different experiences with problems while walking on the walkways in both surveyed towns. Considering the issues of sustainable mobility, this paper also tries to suggest policies to motivate more people to walk especially in the medium-sized cities of Portugal.

  6. Equity Portfolio Management Using Option Price Information

    DEFF Research Database (Denmark)

    Christoffersen, Peter; Pan, Xuhui (Nick)

    We survey the recent academic literature that uses option-implied information to construct equity portfolios. Studies show that equity managers can earn a positive alpha by using information in individual equity options, by using stocks' exposure to information in market index options, and by using...... stocks' exposure to crude oil option information. Option-implied information can also help construct better mean-variance portfolios and better estimates of market beta....

  7. Assessment of cleaner process options : a case study from petroleum refining

    Energy Technology Data Exchange (ETDEWEB)

    Weston, N. [Surrey Univ., Guildford (United Kingdom). Centre for Environmental Strategy; Chevron Ltd., Pembroke Point (United Kingdom); Clift, R.; Basson, L. [Surrey Univ., Guildford (United Kingdom). Centre for Environmental Strategy; Pouton, A.; White, N. [Chevron Ltd., Pembroke Point (United Kingdom)

    2008-06-15

    A case study was used to illustrate the challenge of evaluating clean technologies and making modifications to an alkylation unit at a refinery in the United Kingdom. The alkylation unit used hydrogen flouride as an alkylation catalyst and generated fluoridic wastes that required further treatment. The alkylation process is used to produce a high value petroleum blend used for transport fuels. Acidic catalysts are used to eliminate the need for high temperatures and pressures. The study identified possible alterations to enable partial recycling. Different system boundaries were identified. The study considered technological, social, environmental and economic changes associated with the implementation of the process. A life cycle inventory of various processes considered for the refinery was presented. Possible technological changes that could avoid, reduce, or enable partial recycling waste were presented. Losses to relief systems, defluorinators, potassium hydroxide (KOH) treaters, and neutralization systems were also considered. Results of the study showed that the decision-making process involved trade-offs between costs and benefits with considerable uncertainties. It was concluded that the financial scale of projects cannot be used as a guide to systematic sustainability assessment. 50 refs., 3 tabs., 6 figs.

  8. Classroom Learning Communities in Educational Leadership: A Comparison Study of Three Delivery Options

    Science.gov (United States)

    Ritter, Carol; Polnick, Barbara; Fink, Raymond, II; Oescher, Jeffery

    2010-01-01

    In this study the authors investigated the perceptions of educational leadership graduate students with regard to how well their face-to-face, online and hybrid classes built a sense of classroom community. Perceptions were measured using the Classroom Community Scale (CCS), which included three measures: total classroom community, connectedness,…

  9. Feasibility Study on: Reforestation of Degraded Grasslands in Indonesia as a Climate Change Mitigation Option

    Energy Technology Data Exchange (ETDEWEB)

    Dalfelt, A.; Naess, L.O.; Sutamihardja, R.T.M.; Gintings, N.

    1996-12-31

    The report deals with a cooperation project between Norway and Indonesia dealing with a feasibility study on sustainable reforestation of degraded grasslands in Indonesia. Poor forest management and uncontrolled land use changes contribute a significant share anthropogenic emissions of greenhouse gases, especially CO{sub 2}, and one of many ways to reduce the CO{sub 2} emission is to encourage reforestation and better forest management. The report contains a brief overview of the issue of Imperata (alang-alang) grasslands, an outline of the present status, a discussion of potential costs and benefits associated with reforestation, and suggestions of strategies which could be applied to reach the desired goals. Case studies are presented from three locations where field work has been undertaken. The case studies provide baseline data about the sites and the imperata grasslands, experiences from earlier efforts to rehabilitate the grasslands, the common attitude to reforestation among the local communities, a discussion of the feasibility of reforestation, and finally, recommendations for the future. 142 refs., 11 figs., 15 tabs.

  10. Study of Wireless Authentication Center with Mixed Encryption in WSN

    Directory of Open Access Journals (Sweden)

    Yiqin Lu

    2016-01-01

    Full Text Available WSN (wireless sensor network has been used in a wide range of applications nowadays. Sensor networks may often relay critical data; thus, security must be a high priority. However, due to their limited computational, energy, and storage resources, sensor nodes are vulnerable to attack. So how to protect sensor nodes from attacks without raising computational capability and energy consumption is a worthwhile issue. A WAC (wireless authentication center with mixed encryption named “MEWAC” is proposed. MEWAC is based on MCU (Microcontroller Unit and WiFi (Wireless Fidelity module and uses RSA, AES (Advanced Encryption Standard, and SHA-1 (Secure Hash Algorithm 1 to provide high performance authentication and data encryption services for sensor nodes. The experimental results show that MEWAC has the advantages of low cost, low power consumption, good performance, and stability; moreover, the authentication protocol improves the security of WSN and reduces the overhead in node authentication.

  11. Development of Carbon Sequestration Options by Studying Carbon Dioxide-Methane Exchange in Hydrates

    Science.gov (United States)

    Horvat, Kristine Nicole

    Gas hydrates form naturally at high pressures (>4 MPa) and low temperatures (climate change point of view, a 100 ppm increase in atmospheric carbon dioxide (CO2) levels over the past century is of urgent concern. A potential solution to both of these issues is to simultaneously exchange CH4 with CO 2 in natural hydrate reserves by forming more stable CO2 hydrates. This approach would minimize disturbances to the host sediment matrix of the seafloor while sequestering CO2. Understanding hydrate growth over time is imperative to prepare for large scale CH4 extraction coupled with CO2 sequestration. In this study, we performed macroscale experiments in a 200 mL high-pressure Jerguson cell that mimicked the pressure-temperature conditions of the seafloor. A total of 13 runs were performed under varying conditions. These included the formation of CH4 hydrates, followed by a CO2 gas injection and CO2 hydrate formation followed by a CH4 gas injection. Results demonstrated that once gas hydrates formed, they show "memory effect" in subsequent charges, irrespective of the two gases injected. This was borne out by the induction time data for hydrate formation that reduced from 96 hours for CH4 and 24 hours for CO2 to instant hydrate formation in both cases upon injection of a secondary gas. During the study of CH4-CO2 exchange where CH4 hydrates were first formed and CO2 gas was injected into the system, gas chromatographic (GC) analysis of the cell indicated a pure CH4 gas phase, i.e., all injected CO2 gas entered the hydrate phase and remained trapped in hydrate cages for several hours, though over time some CO2 did enter the gas phase. Alternatively, during the CH 4-CO2 exchange study where CO2 hydrates were first formed, the injected CH4 initially entered the hydrate phase, but quickly gaseous CO2 exchanged with CH4 in hydrates to form more stable CO2 hydrates. These results are consistent with the better thermodynamic stability of CO2 hydrates, and this appears to be a

  12. Miscellaneous: Uruguay energy supply options study assessing the market for natural gas - executive summary.

    Energy Technology Data Exchange (ETDEWEB)

    Conzelmann, G.; Veselka, T.; Decision and Information Sciences

    2008-03-04

    Uruguay is in the midst of making critical decisions affecting the design of its future energy supply system. Momentum for change is expected to come from several directions, including recent and foreseeable upgrades and modifications to energy conversion facilities, the importation of natural gas from Argentina, the possibility for a stronger interconnection of regional electricity systems, the country's membership in MERCOSUR, and the potential for energy sector reforms by the Government of Uruguay. The objective of this study is to analyze the effects of several fuel diversification strategies on Uruguay's energy supply system. The analysis pays special attention to fuel substitution trends due to potential imports of natural gas via a gas pipeline from Argentina and increasing electricity ties with neighboring countries. The Government of Uruguay has contracted with Argonne National Laboratory (ANL) to study several energy development scenarios with the support of several Uruguayan institutions. Specifically, ANL was asked to conduct a detailed energy supply and demand analysis, develop energy demand projections based on an analysis of past energy demand patterns with support from local institutions, evaluate the effects of potential natural gas imports and electricity exchanges, and determine the market penetration of natural gas under various scenarios.

  13. The Woodlands Metro Center energy study. Case studies of project planning and design for energy conservation

    Energy Technology Data Exchange (ETDEWEB)

    1980-03-01

    The Woodlands is a HUD Title VII New Town located near Houston, including 22,000 acres; the plan for the new town consists of 6 residential villages, a town center (Metro), and a Trade Center for larger-scale industrial use. Included within the program for each village are schools and commercial activities, as well as employment activities. The Woodlands is planned to be developed over a 26-year period (commenced in 1972) with an ultimate population of 150,000. Following a summary chapter, Chapter II presents background material on The Woodlands and results of the study are summarized. Chapter III describes the project team and its organizational structure. Chapter IV outlines and documents the methodology that was employed in developing, analyzing, and evaluating the case study. The next chapter describes and analyzes the conventional plan, documents the process by which energy-conserving methods were selected, and evaluates the application of these methods to the Metro Center Study area. Chapter VI discusses constraints to implementation and is followed by a final chapter that presents the general conclusions from the case study and suggests directions for further investigation.

  14. Option of the European Steppe Frontier in Modern Russian and Ukrainian Cossacks Studies

    Directory of Open Access Journals (Sweden)

    Maslak V. I.

    2014-01-01

    Full Text Available The purpose of the article is to research the specific using of the frontier paradigm in the study on Cossack history by contemporary Russian and Ukrainian historiography. There are examined views of Russian and Ukrainian historians on the following issues: the genesis of the views on the Cossack communities as a special ethno-social organisms at Europe’s Great Frontier, the characteristics of the inter-ethnic contact zone in the stretch of steppes from the Dnipro to the Terek, the views on the interaction between Cossack communities and the non-Christian Cossack formations on the other side of the Christian-Muslim frontier, the emergence of the research approach based on the conception of the balance of confrontational and non-confrontational contacts and mutual impacts.

  15. Policy Options for Private Forest Owners in Western Balkans: A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Mersudin AVDIBEGOVIĆ

    2010-06-01

    Full Text Available Private forest owners start to play an important role in Western Balkans’ forestry and they are essential to the successful implementation of environmental policies. Little is known about how forest policy can support private forest owners in these countries and therefore this study was conducted though a qualitative method, based on personal interviews with representatives of 54 stakeholders that include state forest authorities and administration, private forest owners associations, forest science and research and private sector in Bosnia Herzegovina, Croatia and Serbia. The results show significant homogeneity across the region towards creation of independent interest forest owners associations based on financial support. Regression analysis identified stakeholder attitudes as significant predictors of policy preferences and also identified owners of production forest as more supportive of such policies

  16. Options for preventing postlaminectomy adhesion:a comparative study in rabbit model

    Institute of Scientific and Technical Information of China (English)

    刘瑞军; 周跃

    2002-01-01

    Objective:To compare the various methods for prevention of peridural adhesion.Methods:Laminectomy was performed in lumbar1,3and 5segments in 30adult rabbits that were divided into5groups.A10mm×5mm dura was exposed,and then covered with autogenou puriffieds pearl fat(APPF)mixed with basic fibroblast growth factor(bFGF)in Group A,with APPE treated with insulin in GroupB,with APPF in Group C,with2%sodium hyaluronate(SHA)in Group D,and uncovered in GroupE.The slide sections for histological study were observed at2,4,6,8and 12weeks postoperatively,The speciment were observed with a computed imaging analysis system at 4and8weeks postoperatively.

  17. Evaluation of organics removal options. A case study from a zero liquid discharge power plant

    Energy Technology Data Exchange (ETDEWEB)

    Quagraine, Emmanuel K.; Hill, Keith Dean; Omorogbe, Fredrick [Shand Power Station, Estevan (Canada)

    2010-01-15

    Although the role of organics in power plant cycle chemistry still appears to be controversial, their adverse effects in the course of makeup water treatment are very familiar and include fouling of ion exchange resins. This paper describes the organic/bio-fouling experience in a boiler makeup water treatment train for a zero liquid discharge plant, which draws on treated sewage water and surface water for cooling and utilizes the cooling tower blowdown to make distillate water from an evaporator prior to final treatment with a mixed bed demineralizer. In a case study, which is the focus of this paper, the performance of the pilot plants of two recommended organic removal techniques (i.e. reverse osmosis and organic trap resin) were compared to the existing activated carbon bed for organic removal prior to the mixed beds. Parameters evaluated for these three techniques (before and after each unit) include bacteria plate counts, organic carbons, inorganic nutrients (e.g. NH{sub 3}-N, [NO{sub 3}{sup -}+ NO{sub 2}{sup -}]-N, P, Mn, and Fe), known parameters that could significantly impact on the performance of the mixed beds (i.e. SiO{sub 2}, Cl{sup -}, SO{sub 4}{sup 2-}, Na{sup +}), and various others like pH, conductivity, turbidity, HCO{sub 3}{sup -} etc. The effects of oxidizing (i.e. bleach) and non-oxidizing (glutaraldehyde) biocides on the performance of the activated carbon filter were also evaluated.

  18. Retrospective study on therapy options of brain metastases surgery versus stereotactic radiotherapy with the linear accelerator

    CERN Document Server

    Fortunati, M K S

    2001-01-01

    Background: in the therapy of brain metastases there has been a great progress in the last years. It was shown, that more aggressive therapies can not only extend the survival of the patients, but also improve quality of life. The major question of this study was, whether surgery or stereotactic radiotherapy with the linear accelerator show better results in behalf of the survival. Beside this major question many parameters regarding the patient or his primary cancer were examined. Methods: from the 1st of January 1995 until the 30th of June 2000 233 patients with one or more brain metastases have been treated in the Wagner Jauregg Landesnervenkrankenhaus Oberoesterreich (WJ LNKH OeO). The LINAC has been established on the 1st of July 1997. The patients have been distributed in three groups: 1. LINAC-group: 81 patients have been treated from the 1st of July 1997 until the 30th of June 2000 with the LINAC. 2. Surgery-group: 81 patients have been operated from the 1st of July 1997 until the 30th June 2000. 3 Co...

  19. Preliminary study of impact of fuel options on performance of Nuclear Thermal Propulsion (NTP) concepts

    Science.gov (United States)

    Ludewig, H.; Todosow, M.; Montanez, P.; Bezler, P.

    2002-01-01

    A study of the sensitivity to fuel type and composition on the performance of two Nuclear Thermal Rocket (NTR) concepts is presented. The performance measures are the specific impulse and the thrust/weight (T/W) ratio, and the concepts considered are based on the NERVA and ESCORT reactors. For the NERVA concept use of alternative fissile materials showed significant reductions in core mass which improves the values of T/W. However, launch safety considerations may be the dominant factor in selection of fissile material. The use of ternary carbide based fuels allows higher exhaust temperatures, but due to their higher density reduces T/W. The use of molybdenum based cermets, and cermets which use UN or UC2 fuel allow for significant reductions in the reactor mass, and thus an increase in T/W. However, the use of molybdenum reduces the exhaust temperature. Both these results for the NERVA and ESCORT based systems indicate the need to axially zone the core. The lower temperature but lighter material should be used in the cooler (<2500 K) parts of the core, and the heavier, higher temperature material should be used in the outlet end of the core. In addition, the thermal response, and implied stress is estimated for the NERVA concept. .

  20. Greenhouse gas emissions of waste management processes and options: A case study.

    Science.gov (United States)

    de la Barrera, Belen; Hooda, Peter S

    2016-07-01

    Increasing concern about climate change is prompting organisations to mitigate their greenhouse gas emissions. Waste management activities also contribute to greenhouse gas emissions. In the waste management sector, there has been an increasing diversion of waste sent to landfill, with much emphasis on recycling and reuse to prevent emissions. This study evaluates the carbon footprint of the different processes involved in waste management systems, considering the entire waste management stream. Waste management data from the Royal Borough of Kingston upon Thames, London (UK), was used to estimate the carbon footprint for its (Royal Borough of Kingston upon Thames) current source segregation system. Second, modelled full and partial co-mingling scenarios were used to estimate carbon emissions from these proposed waste management approaches. The greenhouse gas emissions from the entire waste management system at Royal Borough of Kingston upon Thames were 12,347 t CO2e for the source-segregated scenario, and 11,907 t CO2e for the partial co-mingled model. These emissions amount to 203.26 kg CO2e t(-1) and 196.02 kg CO2e t(-1) municipal solid waste for source-segregated and partial co-mingled, respectively. The change from a source segregation fleet to a partial co-mingling fleet reduced the emissions, at least partly owing to a change in the number and type of vehicles.

  1. Tropical Peat Swamp Management Options: A Case Study Using System Dynamic in Southern Aceh

    Directory of Open Access Journals (Sweden)

    Aswandi

    2015-12-01

    Full Text Available Tropical peat forest ecosystems have multiple benefits as regulating hydrological system, carbon storage, timber and non-timber products, and protecting the biodiversity. Lack of understanding of these functions, short-term economic benefits is more preferable despite reducing its ecological benefits. This study proposed a system dynamics model of tropical peat forest ecosystem in determining its optimum management for extractive utilizations (timber and non-timber forest products, environmental services, and biodiversity. A dynamics model was used to describe changes in peatland and forest cover, biomass accumulation and carbon storage, and total economic value of tropical peat forest ecosystem in Trumon and Singkil, Southern Aceh. The projection showed that peat forest ecosystem benefits would decline in the long term if degradations continue at the same rate over last decade. Efforts to change the primary peat forest to plantation would reduce the total economic value of ecosystem and biodiversity values at level -19.63% and -26.28% from current conditions. Carbon emissions were increased at 117.32 ton CO2 eq ha-1 year-1, higher than average of carbon losses from peatland oxidation. Preserving 50% of forest vegetation on moderate depth and protection very deep peatlands would reduce emission -6.96% to -35.06% and increase forest carbon storage at significant rate +15.06% to +63.32%, respectively. These mitigation schemes would improve the biodiversity and hydrological function. Forest rehabilitation with agroforestry practices will enhance carbon uptake, especially on degraded lands.

  2. Studies on prevalence, risk indicators and control options for tick infestation in ruminants

    Directory of Open Access Journals (Sweden)

    Nady M. Asmaa

    2014-03-01

    Full Text Available An epidemiological study was conducted at Benisuef district to determine the current situation and associated determinants of tick infestations in ruminants and to assess the efficacy of three different types of insecticides against tick infestation under field conditions. Total of (1082 animals of different species (540 cattle, 230 buffaloes, 108 of each sheep & goats and 96 camels were selected randomly and examined carefully for tick infestation. About (30.1% of total observed animals were found tick infested with highest rate in cattle (60.5% followed by goats (25.9%, buffaloes (17.8%, sheep (14.8% while no tick infestation recorded in camels. The most prevalent tick's species affecting ruminants was Boophilus annulatus (26.5% followed by Hyalomma anatolicum (6.1% then Rhipicephalus turanicus (3.4%. Regarding the associated risk factors, tick infestation was found statistically significant (P 3 years (78.8% followed by at age, ≤2 months (57.8% and during summer months were found highly significant (P < 0.01 in cattle ( 76.5% followed by goats and sheep (33.3% & 22.9% resp., comparing with results in winter. The preferred sites of ticks' attachment to infested animals were udders and external genitalia (70.7% of each then Neck & chest (63.0% of each, inner thighs (61.1%, perineum (41.7%, ears (14.6%, around eyes (11.7%. The obtained results revealed that poor husbandry practices of small holder farmers be a determinant making the animals more prone to tick infestation in this district. Improving the hygienic conditions associated with treatment of infested cattle with Ivermectin (0.2 mg/kg b.wt, S/C and spraying of Deltamethrin (1% for surrounding environment twice every 14 days are recommended for control of tick infestation under field condition.

  3. Study of paramagnetic and luminescence centers of microcline feldspar

    Energy Technology Data Exchange (ETDEWEB)

    Tatumi, S.H. [Faculdade de Tecnologia de Sao Paulo, Praca Cel. Fernando Prestes, 30, 01124-060, Sao Paulo, SP (Brazil)]. E-mail: tatumi@fatecsp.br; Kinoshita, A. [Universidade do Sagrado Coracao, Rua Irma Arminda, 10-50, 17011-160, Bauru, Sao Paulo (Brazil); FFCLR-USP, Dep. Fisica e Matematica, Av. Bandeirantes, 3900, 14040-901, Ribeirao Preto, SP, Brasil (Brazil); Fukumoto, M.E. [Faculdade de Tecnologia de Sao Paulo, Praca Cel. Fernando Prestes, 30, 01124-060, Sao Paulo, SP (Brazil); Courriol, L.C. [Faculdade de Tecnologia de Sao Paulo, Praca Cel. Fernando Prestes, 30, 01124-060, Sao Paulo, SP (Brazil); Kassab, L.R.P. [Faculdade de Tecnologia de Sao Paulo, Praca Cel. Fernando Prestes, 30, 01124-060, Sao Paulo, SP (Brazil); Baffa, O. [FFCLR-USP, Dep. Fisica e Matematica, Av. Bandeirantes, 3900, 14040-901, Ribeirao Preto, SP (Brazil); Munita, C.S. [CNEN-IPEN/SP, Divisao de Radioquimica, c.p.11049- cep.05422.970, Sao Paulo, SP (Brazil)

    2005-02-01

    Microcline feldspar crystal has been analyzed in order to determine the centers suitable for use in ESR and luminescence dating. ESR measurements at RT showed the Fe{sup 3+} line, and at 77K the Si-O{sup -}..X signal with g=2.0052, 2.0098 and 2.0128. TL glow peak at 157 and 300 deg. C in UV interval were observed and in the VIS range we noted peaks at 150, 280 and 340 deg. C. TL growth curve of the 340 deg. C peak could be fitted by a saturating exponential equation and can be used in TL dating. Emission curves showed band widths 1.95+/-0.09, 2.73+/-0.08 and 4.94+/-0.50eV. Transitions from {sup 4}T{sub 1}->{sup 6}A{sub 1} of Fe{sup 3+} can be associated with the 1.95eV band and the transition from {sup 4}A{sub 1} {sup 4}E(G)->{sup 6}A{sub 1}(S) with 2.73eV band.

  4. Beyond active learning: a case study of teaching practices in an occupation-centered curriculum.

    Science.gov (United States)

    Hooper, Barbara

    2006-01-01

    Although occupation-centered curricula are highly promoted, the teaching processes that convey such designs remain unclear. This case study elucidated occupation-centered teaching practices. Interview and observational data were collected over 8 weeks, and analysis involved coding transcriptions, data matrices, concept maps, journaling, and writing. Participants augmented active learning strategies with strategies that linked course topics to the subject of occupation. The use of linking strategies suggested that: (a) course content was treated as two-tiered; (b) neither content nor instructional processes were inherently occupation-centered; and (c) subject-centered education strengthens social learning theories. Although curricula may appear occupation-centered based on a curriculum description and course content, ultimately "linking opportunities" in the classroom constitute an essential feature that demarcates a program as occupation-centered.

  5. Data and spatial studies of the USGS Texas Water Science Center

    Science.gov (United States)

    Burley, Thomas E.

    2014-01-01

    Hydrologists, geographers, geophysicists, and geologists with the U.S. Geological Survey (USGS) Texas Water Science Center (TXWSC) work in the USGS Water Mission Area on a diverse range of projects built on a foundation of spatial data. The TXWSC has developed sophisticated data and spatial-studies-related capabilities that are an integral part of the projects undertaken by the Center.

  6. Consumer Travel Behaviors and Transport Carbon Emissions: A Comparative Study of Commercial Centers in Shenyang, China

    Directory of Open Access Journals (Sweden)

    Jing Li

    2016-09-01

    Full Text Available Current literature highlights the role of commercial centers in cities in generating shopping trips and transport carbon emissions. However, the influence of the characteristics of commercial centers on consumer travel behavior and transport carbon emissions is not well understood. This study addresses this knowledge gap by examining shopping trips to eight commercial centers in Shenyang, China, and the CO2 emissions of these trips. We found that the locations and types of commercial centers strongly influence CO2 emissions. CO2 emissions per trip to commercial centers in the suburbs of Shenyang were on average 6.94% and 26.92% higher than those to commercial centers in the urban core and the inner city, respectively. CO2 emissions induced by wholesale centers were nearly three times higher than the lowest CO2 emissions of commercial centers in the inner city. These empirical results enhance our understanding of shopping-related transport carbon emissions and highlight the importance of optimizing urban space structure, in particular, the layout of commercial centers.

  7. Interferon Beta-1a (AVONEX® as a Treatment Option for Untreated Patients with Multiple Sclerosis (AXIOM: A Prospective, Observational Study

    Directory of Open Access Journals (Sweden)

    Christoph Kleinschnitz

    2015-07-01

    Full Text Available The efficacy and safety of first-line disease-modifying therapies (DMT for relapsing-remitting multiple sclerosis (RRMS has been demonstrated in pivotal, randomized trials, but these studies do not reflect the routine care setting where treatment gaps or switches are common. The Avonex as Treatment Option for Untreated MS Patients (AXIOM trial assessed the efficacy of newly-initiated intramuscular interferon beta-1a (IM IFNb-1a after a treatment-free interval, with particular consideration of the previous course of disease and therapy. The AXIOM trial was an open, 12-month, observational, non-interventional study with a retrospective and a prospective part conducted in Germany. RRMS patients with a treatment-free interval of at least three months were included and treated with IFNb-1a for up to 12 months. Relapse rate, disability progression, injection-related parameters and quality of life observed during the prospective part were compared with retrospectively-collected data. Two hundred and thirty five RRMS patients participated in AXIOM. The mean relapse rate decreased from 1.1 in the three months before baseline to 0.2 per quarter during the twelve-month observational period; the Multiple Sclerosis Functional Composite score improved during twelve months of IM IFNb-1a treatment, while the Expanded Disability Status Scale score did not change over the course of this study. Compared to previous DMTs (IM IFNb-1a, subcutaneous IFNb-1a (SC IFNb-1a, SC IFNb-1b, glatiramer acetate, the patients experienced less injection site reactions and flu-like symptoms, with a stated improved quality of life. IM IFNb-1a was effective and well accepted in RRMS patients with no or discontinued previous therapy. These results from the routine care setting may inform optimization of DMT treatment in RRMS, but need confirmation in further studies.

  8. Osteoporosis: Therapeutic Options.

    Science.gov (United States)

    Ivanova, Stefka; Vasileva, Liliya; Ivanova, Stanislava; Peikova, Lily; Obreshkova, Danka

    2015-01-01

    The definition of osteoporosis was originally formulated at a conference of the World Health Organization (WHO) in 1993 as 'a systemic skeletal disease characterized by decreased bone mass and altered micro-architecture of bone tissue, leading to enhanced bone fragility and risk of fractures'. Osteoporosis is characterized by low bone mineral density (BMD) and loss of the structural and bio-mechanical properties that are required to maintain bone homeostasis. This review aims to address the currently available options in prevention and treatment of osteoporosis. Management of osteoporosis includes non-pharmacological treatment - diet rich of calcium and vitamin D, healthy lifestyle, proper exercise plan, and pharmacological therapy. Combination of non-pharmacological and pharmacological treatment options have to be considered for prevention of osteoporosis and minimization of the risk of fractures. Given the heterogeneity of osteoporosis syndrome and lack of significant number of comparative studies, the choice of a pharmacological agents should be individualized.

  9. Osteoporosis: Therapeutic Options

    Directory of Open Access Journals (Sweden)

    Ivanova Stefka

    2015-12-01

    Full Text Available The definition of osteoporosis was originally formulated at a conference of the World Health Organization (WHO in 1993 as ‘a systemic skeletal disease characterized by decreased bone mass and altered micro-architecture of bone tissue, leading to enhanced bone fragility and risk of fractures’. Osteoporosis is characterized by low bone mineral density (BMD and loss of the structural and bio-mechanical properties that are required to maintain bone homeostasis. This review aims to address the currently available options in prevention and treatment of osteoporosis. Management of osteoporosis includes non-pharmacological treatment - diet rich of calcium and vitamin D, healthy lifestyle, proper exercise plan, and pharmacological therapy. Combination of non-pharmacological and pharmacological treatment options have to be considered for prevention of osteoporosis and minimization of the risk of fractures. Given the heterogeneity of osteoporosis syndrome and lack of significant number of comparative studies, the choice of a pharmacological agents should be individualized.

  10. CONDITIONAL ASIAN OPTIONS

    OpenAIRE

    Runhuan Feng; Volkmer, Hans W.

    2015-01-01

    Conditional Asian options are recent market innovations, which offer cheaper and long-dated alternatives to regular Asian options. In contrast with payoffs from regular Asian options which are based on average asset prices, the payoffs from conditional Asian options are determined only by average prices above certain threshold. Due to the limited inclusion of prices, conditional Asian options further reduce the volatility in the payoffs than their regular counterparts and have been promoted i...

  11. Initial thin film penetration studies at the Colorado Center for Lunar Dust and Atmospheric Studies

    Science.gov (United States)

    Shu, A. J.; Collette, A.; Drake, K. J.; Gruen, E.; Horanyi, M.; Kempf, S.; Munsat, T.; Northway, P.; Robertson, S. H.; Srama, R.; Sternovsky, Z.; Thomas, E.; Colorado CenterLunar Dust; Atmospheric Studies

    2011-12-01

    Initial studies of damage caused by hypervelocity impacts of various micrometeorite materials into a range of targets are being performed at the Colorado Center for Lunar Dust and Atmospheric Studies (CCLDAS). Cratering studies are initially focused on polyvinylidene fluoride (PVDF) films in order to characterize the crater dependencies on impactor mass, size, and speed, and to better understand its capabilities as a dust detector. Additional cratering studies include optical glass, and geological samples as targets. These studies will lead to a better understanding of damage to spacecraft windows and instruments, and space weathering on airless bodies. In parallel, penetration studies will be conducted to determine how hole sizes in thin film materials depend on the properties of the film and the projectile. These thin film penetration studies will be critical to the design of dust detectors similar to that used on NASA's Stardust and New Horizons spacecraft, and in the design of solar sails. Thin film detectors can also be used to characterize beam profiles of laboratory dust accelerators. These studies are being performed at the 3MV hypervelocity dust accelerator at CCLDAS. The facility can accelerate dust particles up to 10's of km/s with user control over the velocity and mass ranges of particles reaching the target chamber. Complementary studies will be conducted at the Johnson Space Center Light Gas Gun using the same target and particle properties. These parallel studies will allow us to cover an extended range of acceleration parameters as well as better understand the similarities and differences between electrostatic accelerators and light gas guns.

  12. Environmental contaminant studies by the Patuxent Wildlife Research Center

    Science.gov (United States)

    Heinz, G.H.; Hill, E.F.; Stickel, W.H.; Stickel, L.F.; Kenaga, E.E.

    1979-01-01

    Evaluation of the effects of environmental contaminants on wildlife is geared to interpreting events in the field, especially population effects, and both field and laboratory studies are planned for this purpose; procedures are adapted to specific problems and therefore do not include strict protocols or routine testing. Field evaluations include measurements of cholinesterase inhibition in brain or blood, search for dead or disabled animals, study of nesting success of birds, and general ecological observations. Residue analyses are used in evaluating organochlorine chemicals; samples may include whole bodies for determining level of exposure, brains for mortality diagnosis, whole blood for certain special studies, and eggs to help in evaluation of possible reproductive effects. Bird counts, singing-male census counts, small mamrnal trapping, and cage-in-field tests have proven to be ineffective or misleading and are not considered suitable for field evaluations under most circumstances. Usefulness of simulated field trials is limited to very special situations. Experimental studies that help predict and interpret field effects include determinations of lethal diagnostic levels, comparative lethal dietary toxicity tests, tests of secondary poisoning measurement of residue loss rates, measurement of blood enzymes, tests of behavioral effects, and studies of reproductive effects.

  13. Emergency power supply for households. A study on wishes and options; Noodstroomvoorziening voor huishoudens. Een onderzoek naar wensen en mogelijkheden

    Energy Technology Data Exchange (ETDEWEB)

    Pouwels, W.

    2007-03-04

    The objective of this study is to list the options and desirability of emergency power supply for households. The study maps practical information in relation to emergency power supply and contributes to insight in the development of security of supply. Moreover, research has been conducted among consumers, the outcome of which contributes to the existing scientific knowledge in relation to the theory of planned behavior and risk perception. Moreover, the study provides insight in the consumers' purchase intentions with regard to emergency power supply and the coming about of this intention. The first part addresses the technical aspects of this project, i.e. the need for and the solutions regarding emergency power supply. In the second part, the human aspect in this project is addressed, with main focus on the theory of planned behavior and risk perception. [mk]. [Dutch] Het doel van het huidige onderzoek is het inventariseren van de mogelijkheden en wenselijkheid van noodstroomvoorziening voor huishoudens. In het onderzoek is praktische informatie met betrekking tot noodstroomvoorzieningen in kaart gebracht en een bijdrage geleverd aan het inzicht in de ontwikkeling van de leveringszekerheid. Tevens is er onderzoek gedaan onder consumenten waarvan de uitkomsten een bijdrage leveren aan de reeds aanwezige wetenschappelijke kennis met betrekking tot de theorie van gepland gedrag en risicoperceptie. Daarnaast geeft het onderzoek inzicht in de aanschafintentie voor een noodstroomvoorziening door consumenten en de totstandkoming van deze intentie. Het eerste deel gaat in op de technische aspecten van dit project, te weten de noodzaak en de oplossingen met betrekking tot noodstroomvoorzieningen. In het tweede deel wordt ingegaan op het menselijke aspect binnen dit project, met als speerpunt de theorie van gepland gedrag en risicoperceptie.

  14. The impact on family functioning of social media use by depressed adolescents: a qualitative analysis of the Family Options Study

    Directory of Open Access Journals (Sweden)

    Andrew James Lewis

    2015-09-01

    Full Text Available Background: Adolescent depression is a prevalent mental health problem, which can have a major impact on family cohesion. In such circumstances, excessive use of the Internet by adolescents may exacerbate family conflict and lack of cohesion. The current study aims to explore these patterns within an intervention study for depressed adolescents.Method: The current study draws upon data collected within the Family Options randomized controlled trial that examined family-based interventions for adolescent depression (12-18 years old in Melbourne (2012-2014. Inclusion in the trial required meeting diagnosis for a Major depressive disorder via the Structured Clinical Interview for DSM-IV Childhood Disorders (KID-SCID. The transcripts of sessions from 7 group treatments were examined using qualitative thematic analysis. The transcribed sessions consisted of 56 hours of recordings in total from 39 parents who took part in the interventions.Results: The thematic analysis explored parental perceptions of their adolescent’s use of social media and access to Internet content, focusing on the possible relationship between adolescent Internet use and the adolescent’s depressive disorder. Two overarching themes emerged: The sense of loss of parental control over the family environment, and parents’ perceived inability to protect their adolescent from material encountered on the Internet and social interactions via social media.Conclusions: The excessive use of social media often interacted with cyber-bullying and altered the adolescent’s understanding of friendship. Parents within the context of family based treatments felt that prolonged exposure to social media exposed their already vulnerable child to cyber-bullying. The thematic analysis uncovered a sense of parental despair and lack of control, which is consistent with their perception of social media and the internet as relentless and threatening to their parental authority and family cohesion.

  15. Bicycle-related maxillofacial injuries: a double-center study

    NARCIS (Netherlands)

    Boffano, P.; Roccia, F.; Gallesio, C.; Karagozoglu, K.H.; Forouzanfar, T.

    2013-01-01

    Objective Bicycle-related injuries account for an important proportion of road injuries all over the world. As only few reports have focused on the characteristics of maxillofacial fractures sustained in bicycle accidents, the purpose of this study was to present and compare epidemiological data abo

  16. Bicycle-related maxillofacial injuries : a double-center study

    NARCIS (Netherlands)

    Boffano, Paolo; Roccia, Fabio; Gallesio, Cesare; Karagozoglu, K. Hakki; Forouzanfar, Tymour

    2013-01-01

    Objective. Bicycle-related injuries account for an important proportion of road injuries all over the world. As only few reports have focused on the characteristics of maxillofacial fractures sustained in bicycle accidents, the purpose of this study was to present and compare epidemiological data ab

  17. Analysis of Options Contract, Option Pricing in Agricultural Products

    Directory of Open Access Journals (Sweden)

    H. Tamidy

    2016-03-01

    Full Text Available Introduction: Risk is an essential component in the production and sale of agricultural products. Due to the nature of agricultural products, the people who act in this area including farmers and businesspersons encounter unpredictable fluctuations of prices. On the other hand, the firms that process agricultural products also face fluctuation of price of agricultural inputs. Given that the Canola is considered as one of the inputs of product processing factories, control of unpredictable fluctuations of the price of this product would increase the possibility of correct decision making for farmers and managers of food processing industries. The best available tool for control and management of the price risk is the use of future markets and options. It is evident that the pricing is the main pillar in every trade. Therefore, offering a fair price for the options will be very important. In fact, options trading in the options market create cost insurance stopped. In this way, which can reduce the risks of deflation created in the future, if the person entitled to the benefits of the price increase occurs in the future. Unlike the futures, market where the seller had to deliver the product on time, in the options market, there is no such compulsion. In addition, this is one of the strengths of this option contract, because if there is not enough product for delivery to the futures market as result of chilling, in due course, the farmers suffer, but in the options market there will be a loss. In this study, the setup options of rape, as a product, as well as inputs has been paid for industry. Materials and Methods: In this section. The selection criteria of the disposal of asset base for valuation of European put options and call option is been introduced. That for obtain this purpose, some characteristics of the goods must considered: 1-Unpredictable fluctuations price of underlying asset 2 -large underlying asset cash market 3- The possibility

  18. Nuclear Monitoring Research at the Center for Seismic Studies

    Science.gov (United States)

    1991-05-13

    Pachelmsky aula -’ . - d approximately 100 km to the south-east of OBN (Belyaevsky,1974). I- ,r,:ssion is traced to t-,e south-ea, 0. approximately 700...contributes to its poor backazimuth estimation. These results, combipred with those described in the section on polarization characteris- tics , confirm...ARCESS, using polarization characteris- tics as predictors. The attributes studied in the section on polarization (with the exception of azimuth) are

  19. Assessments of the extent to which health-care providers involve patients in decision making: a systematic review of studies using the OPTION instrument

    NARCIS (Netherlands)

    Couet, N.; Desroches, S.; Robitaille, H.; Vaillancourt, H.; Leblanc, A.; Turcotte, S.; Elwyn, G.; Legare, F.

    2015-01-01

    BACKGROUND: We have no clear overview of the extent to which health-care providers involve patients in the decision-making process during consultations. The Observing Patient Involvement in Decision Making instrument (OPTION) was designed to assess this. OBJECTIVE: To systematically review studies t

  20. Highlighting High Performance: Adam Joseph Lewis Center for Environmental Studies, Oberlin College, Oberlin, Ohio

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-11-01

    Oberlin College’s Adam Joseph Lewis Center for Environmental Studies is a high-performance building featuring an expansive photovoltaic system and a closed-loop groundwater heat pump system. Designers incorporated energy-efficient components and materials

  1. A Study of Flood Evacuation Center Using GIS and Remote Sensing Technique

    Science.gov (United States)

    Mustaffa, A. A.; Rosli, M. F.; Abustan, M. S.; Adib, R.; Rosli, M. I.; Masiri, K.; Saifullizan, B.

    2016-07-01

    This research demonstrated the use of Remote Sensing technique and GIS to determine the suitability of an evacuation center. This study was conducted in Batu Pahat areas that always hit by a series of flood. The data of Digital Elevation Model (DEM) was obtained by ASTER database that has been used to delineate extract contour line and elevation. Landsat 8 image was used for classification purposes such as land use map. Remote Sensing incorporate with GIS techniques was used to determined the suitability location of the evacuation center from contour map of flood affected areas in Batu Pahat. GIS will calculate the elevation of the area and information about the country of the area, the road access and percentage of the affected area. The flood affected area map may provide the suitability of the flood evacuation center during the several levels of flood. The suitability of evacuation centers can be determined based on several criteria and the existing data of the evacuation center will be analysed. From the analysis among 16 evacuation center listed, there are only 8 evacuation center suitable for the usage during emergency situation. The suitability analysis was based on the location and the road access of the evacuation center toward the flood affected area. There are 10 new locations with suitable criteria of evacuation center proposed on the study area to facilitate the process of rescue and evacuating flood victims to much safer and suitable locations. The results of this study will help in decision making processes and indirectly will help organization such as fire-fighter and the Department of Social Welfare in their work. Thus, this study can contribute more towards the society.

  2. Farmers' Options to Address Water Scarcity in a Changing Climate: Case Studies from two Basins in Mediterranean Chile

    Science.gov (United States)

    Roco, Lisandro; Poblete, David; Meza, Francisco; Kerrigan, George

    2016-12-01

    Irrigated agriculture in Mediterranean areas faces tremendous challenges because of its exposure to hydroclimatic variability, increasing competition for water from different sectors, and the possibility of a climatic change. In this context, efficient management of water resources emerges as a critical issue. This requires the adoption of technological innovations, investment in infrastructure, adequate institutional arrangements, and informed decision makers. To understand farmers' perceptions and their implementation of climate change adaptation strategies with regards to water management, primary information was captured in the Limarí and Maule river basins in Chile. Farmers identified stressors for agriculture; climate change, droughts, and lack of water appeared as the most relevant stressors compared to others productive, economic, and institutional factors; revealing a rising relevance of climate related factors. While most producers perceived climate changes in recent years (92.9 %), a significant proportion (61.1 %) claim to have experienced drought, whereas only a fraction (31.9 %) have implemented a strategy to deal with this situation. Identified actions were classified in four groups: investments for water accumulation, modernization of irrigation systems, rationalization of water use, and partnership activities. Using a multinomial logit model these strategies were related to socioeconomic and productive characteristics. Results show that gender and farm size are relevant for investments, implementation and improvement of irrigation systems. For all the strategies described, access to weather information was a relevant element. The study provides empirical evidence of a recent increase in the importance assigned to climate factors by producers and adaptation options that can be supported by agricultural policy.

  3. Evaluation of call options

    Institute of Scientific and Technical Information of China (English)

    陈道平

    2002-01-01

    The European and American call options,for which the prices of their underlying asset follow compound Poisson process,are evaluated by a probability method.Formulas that can be used to evaluate the options are obtained,which include not only the elements of an option:the price of the call option,the exercise price and the expiration date,but also the riskless interest rate,nevertheless exclude the volatility of the underlying asset.In practice,the evaluated results obtained by these formulas can proved references of making strategic decision for an investor who buys the call option and a company who sells the call option.

  4. Study of the Cherokee Nuclear Station: projected impacts, monitoring plan, and mitigation options for Cherokee County, South Carolina

    Energy Technology Data Exchange (ETDEWEB)

    Peelle, E.; Schweitzer, M.; Scharre, P.; Pressman, B.

    1979-07-01

    This report inventories Cherokee County's capabilities and CNS project characteristics, projects expected impacts from the interaction of the two defines four options for Cherokee County decision makers, and presents a range of possible mitigation and monitoring plans for dealing with the problems identified. The four options and general implementation guidelines for each are presented after reviewing pertinent features of other mitigation and monitoring plans. The four options include (1) no action, (2) preventing impacts by preventing growth, (3) selective growth in designated areas as services can be supplied, and (4) maximum growth designed to attract as many in-movers as possible through a major program of capital investiments in public and private services. With the exception of the no action option, all plans deal with impacts according to some strategy determined by how the County wishes to manage growth. Solutions for impact problems depend on which growth strategy is selected and what additional resources are secured during the impact period. A monitoring program deals with the problems of data and projections uncertainty, while direct action is proposed to deal with the institutional problems of delay of the needed access road, timeing and location problems from the tax base mismatch, and lack of local planning capability.

  5. The Interaction between Real Options and Financial Hedging: An Empirical Study of Danish Non-Financial Companies

    DEFF Research Database (Denmark)

    Aabo, Tom

    The interaction between real options and financial hedging is analyzed empirically. A majority of Danish non-financial companies either (1) chooses at times not to hedge an exchange rate operating exposure financially due to the possibility of the company to react to changes in exchange rates...

  6. Equity Portfolio Management Using Option Price Information

    DEFF Research Database (Denmark)

    Christoffersen, Peter; Pan, Xuhui (Nick)

    We survey the recent academic literature that uses option-implied information to construct equity portfolios. Studies show that equity managers can earn a positive alpha by using information in individual equity options, by using stocks' exposure to information in market index options, and by usi...

  7. Quantitative and qualitative assessment of structural magnetic resonance imaging data in a two-center study

    Directory of Open Access Journals (Sweden)

    Chalavi Sima

    2012-08-01

    Full Text Available Abstract Background Multi-center magnetic resonance imaging (MRI studies present an opportunity to advance research by pooling data. However, brain measurements derived from MR-images are susceptible to differences in MR-sequence parameters. It is therefore necessary to determine whether there is an interaction between the sequence parameters and the effect of interest, and to minimise any such interaction by careful choice of acquisition parameters. As an exemplar of the issues involved in multi-center studies, we present data from a study in which we aimed to optimize a set of volumetric MRI-protocols to define a protocol giving data that are consistent and reproducible across two centers and over time. Methods Optimization was achieved based on data quality and quantitative measures, in our case using FreeSurfer and Voxel Based Morphometry approaches. Our approach consisted of a series of five comparisons. Firstly, a single-center dataset was collected, using a range of candidate pulse-sequences and parameters chosen on the basis of previous literature. Based on initial results, a number of minor changes were implemented to optimize the pulse-sequences, and a second single-center dataset was collected. FreeSurfer data quality measures were compared between datasets in order to determine the best performing sequence(s, which were taken forward to the next stage of testing. We subsequently acquired short-term and long-term two-center reproducibility data, and quantitative measures were again assessed to determine the protocol with the highest reproducibility across centers. Effects of a scanner software and hardware upgrade on the reproducibility of the protocols at one of the centers were also evaluated. Results Assessing the quality measures from the first two datasets allowed us to define artefact-free protocols, all with high image quality as assessed by FreeSurfer. Comparing the quantitative test and retest measures, we found high within-center

  8. The first study of patient safety culture in Iranian primary health centers.

    Science.gov (United States)

    Tabrizchi, Narges; Sedaghat, Mojtaba

    2012-01-01

    Although the error in health care has received attention recently, patient safety culture in health centers has been relatively neglected. To measure the patient safety culture in primary health centers. A cross-sectional study, utilizing the modified version of the Hospital Survey on Patient Safety Culture (HSOPSC) developed by the Agency for Healthcare Research and Quality (AHRQ) and a demographic questionnaire. Healthcare staffs from health centers were participated in the survey. The patient safety culture score including subscores on 11 dimensions and 39 items; patient safety grade and number of events reported. The overall positive response rate of patient safety culture was 57 ± 16.8 (CI (95)55%-59%). The dimensions that received higher positive response rate were "Teamwork across units of health center", "Teamwork within units", "Head of center support for patient safety". The lowest percentage of positive responses was "Non punitive response to error". There were no relationship between working years and patients safely culture score. Similarly, no relationship was found between professional, gender and total patients safely culture score. Statistical analysis showed discrepancies between Iranian health centers and the US hospitals in three dimensions. For improving patient safety culture in health centers, it is necessary to have enough staff and establish an environment to be open and fair with staff which helps report errors spontaneously and without any fear. The findings of this study could be used to measure changes in patient safety culture over the time.

  9. The First Study of Patient Safety Culture in Iranian Primary Health Centers

    Directory of Open Access Journals (Sweden)

    Mojtaba Sedaghat

    2012-07-01

    Full Text Available Although the error in health care has received attention recently, patient safety culture in health centers has been relatively neglected. To measure the patient safety culture in primary health centers. A cross-sectional study, utilizing the modified version of the Hospital Survey on Patient Safety Culture (HSOPSC developed by the Agency for Healthcare Research and Quality (AHRQ and a demographic questionnaire. Healthcare staffs from health centers were participated in the survey. The patient safety culture score including subscores on 11 dimensions and 39 items; patient safety grade and number of events reported. The overall positive response rate of patient safety culture was 57 ±16.8 (CI 9555%-59%. The dimensions that received higher positive response rate were "Teamwork across units of health center", "Teamwork within units", "Head of center support for patient safety". The lowest percentage of positive responses was "Non punitive response to error". There were no relationship between working years and patients safely culture score. Similarly, no relationship was found between professional, gender and total patients safely culture score. Statistical analysis showed discrepancies between Iranian health centers and the US hospitals in three dimensions. For improving patient safety culture in health centers, it is necessary to have enough staff and establish an environment to be open and fair with staff which helps report errors spontaneously and without any fear. The findings of this study could be used to measure changes in patient safety culture over the time.

  10. Case study feasibility analysis of renewable energy supply options for small to medium-sized tourist accommodations

    Energy Technology Data Exchange (ETDEWEB)

    Dalton, G.J.; Lockington, D.A.; Baldock, T.E. [School of Civil and Environmental Engineering, University of Queensland, 3rd Floor, Hawken Building, Brisbane, St Lucia, Qld 4072 (Australia)

    2009-04-15

    This paper outlines a feasibility analysis of renewable energy supply (RES) for small to medium-scale tourist operations (less than 100 beds) dependent on stand-alone supplies. The analysis utilised the power load data from three accommodation case studies that had RES/hybrids already installed. The accommodation sites, chosen from diverse locations within Australia, varied in both climatic and geographic characteristics. The assessment criteria for the analysis were net present cost (NPC), renewable factor (RF) and payback time. The specific operational characteristics of the tourism accommodation sector, such as 24-h operation, comfort provision and low tolerance for failure, necessitates a separate assessment of RES viability for this sector, rather than relying on similar assessments from other commercial and domestic sectors, which may not be representative. This study utilised RES assessment software, HOMER (National Renewable Energy Laboratory, US) in order to compare the present RES/hybrid configuration to diesel generator-only (genset-only), RES-only and optimised RES/hybrid configurations. Analysis of both actual data and modeling results demonstrated that RES can adequately and reliably meet the power demand for stand-alone small to medium-scale tourist accommodations. Optimisation, achieved by further addition of RES to the existing configurations, reduced NPC in the majority of cases, with the added benefit of increased RF. Furthermore, NPC for these optimised RES/hybrid configurations were comparable to the optimised genset-only configurations. Modeling of conversions to RES-only configurations demonstrated this option as uneconomical unless existing RF was already high. Results indicated that wind energy conversion systems (WECS), rather than photovoltaics, were the most economical RES for sampled hybrid systems. For example, the payback time of the WECS/hybrids was approximately 3-4 years compared to PV/hybrids at 6-7 years. Hydrogen fuel cells and

  11. Treatment Options Summary

    Science.gov (United States)

    ... and Cons Microsurgical Options - 3 Approaches - Pros and Cons Translabyrinthine Pros: Oldest approach - longest history. An option ... size tumor can be removed with this approach. Con: Results are permanent with complete hearing loss in ...

  12. A simulation study of the energy-efficient options for upgrading and retrofitting a medium-size municipal wastewater treatment plant.

    Science.gov (United States)

    Mucha, Zbigniew; Mikosz, Jerzy

    2016-10-01

    Many municipal wastewater treatment plants are retrofitted with membrane filtration that replaces secondary clarification. Such a solution saves space and improves overall treatment efficiency but at the cost of increased energy consumption and reduced potential for energy recovery from sewage sludge. Thus, the plant takes a step back from reaching energy self-sufficiency. In the presented case study, two alternative upgrade options were simulated for a medium-size municipal wastewater treatment plant in Poland: the first one assumed optimization of the existing bioreactor, and the other - installation of microfiltration membrane units inside the bioreactor. In both cases, anaerobic digestion of waste sludge with biogas utilization is planned. The results have shown that while under both upgrade options, the plant's capacity can be effectively increased by approximately 50%, their effects on the plant's energy balance will be very different. Although the installation of membrane modules accompanied by the construction of anaerobic digestion tanks improves the plant's energy balance, it will remain negative. The option of optimizing the existing biological treatment system produces a positive energy balance with more energy produced from biogas than consumed. Thus, the plant is able to approach energy self-sufficiency. It has been concluded that retrofitting the plants with membrane filtration is not always the best option from the energy balance point of view and it should be preceded with a detailed analysis on a case-by-case basis.

  13. Competitive service centers location in the cities with aim to reduce traffic (Case study: Health centers location in the city if Isfahan

    Directory of Open Access Journals (Sweden)

    Hamid Moradi

    2011-03-01

    Full Text Available Abstract   Distribution of goods and services in cities is of utmost importance. Selecting appropriate venues for different service centers in a city not only enables the citizens to access these services much more easily, but also reduces the traffic load caused by trips made to reach them. Unfortunately, the lack of a correct urban planning has led to inappropriate formation of many cities around the world in terms of the locations assumed for different service centers. Since the private sector has been given the responsibility to construct most of these centers, changing their current locations may be restricted due to legal obligations. Therefore, it seems necessary for the government to construct new service centers with high competitive facilities to attract customers and to compete with those built by the private sector. In this paper, the selection of appropriate locations to construct new service centers has been studied. Such locations have been selected in a way to fulfill goals such as rapid and easy accessibility for the customers and reduction of traffic drawbacks caused by the related trips. In this regard, a model for service centers with restricted capacity has been designed and a parallel simulated annealing algorithm has been proposed to solve it. Finally, the proposed algorithm has been utilized to locate the health centers around the city of Isfahan and its efficiency has been investigated. The findings highlight the accuracy and speed of the proposed algorithm in location of the health centers of Isfahan.

  14. TANK SPACE OPTIONS REPORT

    Energy Technology Data Exchange (ETDEWEB)

    WILLIS WL; AHRENDT MR

    2009-08-11

    Since this report was originally issued in 2001, several options proposed for increasing double-shell tank (DST) storage space were implemented or are in the process of implementation. Changes to the single-shell tank (SST) waste retrieval schedule, completion of DST space saving options, and the DST space saving options in progress have delayed the projected shortfall of DST storage space from the 2007-2011 to the 2018-2025 timeframe (ORP-11242, River Protection Project System Plan). This report reevaluates options from Rev. 0 and includes evaluations of new options for alleviating projected restrictions on SST waste retrieval beginning in 2018 because of the lack of DST storage space.

  15. Management options for recycling radioactive scrap metals

    Energy Technology Data Exchange (ETDEWEB)

    Dehmel, J.C.; MacKinney, J.; Bartlett, J.

    1997-02-01

    The feasibility and advantages of recycling radioactive scrap metals (RSM) have yet to be assessed, given the unique technical, regulatory, safety, and cost-benefit issues that have already been raised by a concerned recycling industry. As is known, this industry has been repeatedly involved with the accidental recycling of radioactive sources and, in some cases, with costly consequences. If recycling were deemed to be a viable option, it might have to be implemented with regulatory monitoring and controls. Its implementation may have to consider various and complex issues and address the requirements and concerns of distinctly different industries. There are three basic options for the recycling of such scraps. They are: (1) recycling through the existing network of metal-scrap dealers and brokers, (2) recycling directly and only with specific steelmills, or (3) recycling through regional processing centers. Under the first option, scrap dealers and brokers would receive material from RSM generators and determine at which steelmills such scraps would be recycled. For the second option, RSM generators would deal directly with selected steelmills under specific agreements. For the third option, generators would ship scraps only to regional centers for processing and shipment to participating steelmills. This paper addresses the potential advantages of each option, identifies the types of arrangements that would need to be secured among all parties, and attempts to assess the receptivity of the recycling industry to each option.

  16. Polyethylene Glycol Electrolyte Lavage Solution versus Colonic Hydrotherapy for Bowel Preparation before Colonoscopy: A Single Center, Randomized, and Controlled Study

    Directory of Open Access Journals (Sweden)

    Yan Cao

    2014-01-01

    Full Text Available This single center, randomized, and controlled study aimed to compare the effectiveness and safety of polyethylene glycol electrolyte lavage (PEG-EL solution and colonic hydrotherapy (CHT for bowel preparation before colonoscopy. A total of 196 eligible outpatients scheduled for diagnostic colonoscopy were randomly assigned to the PEG-EL (n=102 or CHT (n=94 groups. Primary outcome measures included colonic cleanliness and adverse effects. Secondary outcome measures were patient satisfaction and preference, colonoscopic findings, ileocecal arrival rate, examiner satisfaction, and cecal intubation time. The results show that PEG-EL group was associated with significantly better colonic cleanliness than CHT group, fewer adverse effects, and increased examiner satisfaction. However, the CHT group had higher patient satisfaction and higher diverticulosis detection rates. Moreover, the results showed the same ileocecal arrival rate and patient preference between the two groups (P>0.05. These findings indicate that PEG-EL is the preferred option in patients who followed the preparation instructions completely.

  17. Segmentation of age-related white matter changes in a clinical multi-center study

    DEFF Research Database (Denmark)

    Dyrby, Tim B.; Rostrup, E.; Baare, W.F.C.;

    2008-01-01

    Age-related white matter changes (WMC) are thought to be a marker of vascular pathology, and have been associated with motor and cognitive deficits. In the present study, an optimized artificial neural network was used as an automatic segmentation method to produce probabilistic maps of WMC......) pruning method in the training stage. Six optimized neural networks were produced to investigate the impact of different input information on WMC segmentation. The automatic segmentation method was applied to MR scans of 362 non-demented elderly subjects from 11 centers in the European multi-center study...... Leukoaraiosis And Disability (LADIS). Semi-manually delineated WMC were used for validating the segmentation produced by the neural networks. The neural network segmentation demonstrated high consistency between subjects and centers, making it a promising technique for large studies. For WMC volumes less than...

  18. Usability of patient-centered health IT: mixed-methods usability study of ePill.

    Science.gov (United States)

    Schmidt-Kraepelin, Manuel; Dehling, Tobias; Sunyaev, Ali

    2014-01-01

    To facilitate use of patient-centered health IT applications in everyday life, a high degree of usability is required. Based on the example of a patient-centered web application, we propose a usability study design enabling developers and researchers to assess usability of patient-centered health IT applications and derive implications for their improvement. Our study design integrates tasks that subjects have to process, an associated questionnaire based on Perceived Ease of Use, Perceived Usefulness, Attitude Toward Using, and Behavioral Intention to Use, a System Usability Scale questionnaire, and focus groups. Application of the usability study design demonstrates its feasibility and provides insights for assessment of usability in related projects in research and practice.

  19. A Qualitative Study of Information Technology Managers' Experiences and Perceptions Regarding Outsourced Data Centers

    Science.gov (United States)

    Reid, Eric Justin

    2015-01-01

    This qualitative study explored the perceptions and experiences of IT Managers in publicly traded companies within the San Antonio, Texas area about outsourced data centers. Narrative data was collected using open-ended questions and face-to-face interviews within semi-structured environments. The research questions guided the study: (1)…

  20. A Case Study: An ACT Stress Management Group in a University Counseling Center

    Science.gov (United States)

    Daltry, Rachel M.

    2015-01-01

    The aim of this study was to examine the effectiveness of an acceptance and commitment therapy (ACT) stress management group in a college counseling center setting. This study explored (a) the effectiveness of ACT in increasing participants' ability to tolerate distress, which directly affects their ability to function in a stressful college…

  1. A time-motion study of inpatient rounds using a family-centered rounds model

    NARCIS (Netherlands)

    Bhansali, P.; Birch, S.; Campbell, J.K.; Agrawal, D.; Hoffner, W.; Manicone, P.; Shah, K.; Krieger, E.; Ottolini, M.

    2013-01-01

    OBJECTIVE: Family-centered rounds (FCR) have become increasingly prevalent in pediatric hospital settings. The objective of our study was to describe time use and discrete events during pediatric inpatient rounds by using a FCR model. METHODS: We conducted a prospective observational study at Childr

  2. A Case Study of Spirituality in Senior Center Education: Qualitative Research in Adult Education

    Science.gov (United States)

    Demarse, Laura

    2016-01-01

    This article presents a case study on the role of spirituality in adult education at a suburban senior center located in the southeast region of the country. The purpose of the case study was to understand the deeply personal role of spirituality in adult education as seen through teaching seniors and examine the personal manifestation of…

  3. Spent fuel verification options for final repository safeguards in Finland. A study on verification methods, their feasibility and safety aspects

    Energy Technology Data Exchange (ETDEWEB)

    Hautamaeki, J.; Tiitta, A. [VTT Chemical Technology, Espoo (Finland)

    2000-12-01

    The verification possibilities of the spent fuel assemblies from the Olkiluoto and Loviisa NPPs and the fuel rods from the research reactor of VTT are contemplated in this report. The spent fuel assemblies have to be verified at the partial defect level before the final disposal into the geologic repository. The rods from the research reactor may be verified at the gross defect level. Developing a measurement system for partial defect verification is a complicated and time-consuming task. The Passive High Energy Gamma Emission Tomography and the Fork Detector combined with Gamma Spectrometry are the most potential measurement principles to be developed for this purpose. The whole verification process has to be planned to be as slick as possible. An early start in the planning of the verification and developing the measurement devices is important in order to enable a smooth integration of the verification measurements into the conditioning and disposal process. The IAEA and Euratom have not yet concluded the safeguards criteria for the final disposal. E.g. criteria connected to the selection of the best place to perform the verification. Measurements have not yet been concluded. Options for the verification places have been considered in this report. One option for a verification measurement place is the intermediate storage. The other option is the encapsulation plant. Crucial viewpoints are such as which one offers the best practical possibilities to perform the measurements effectively and which would be the better place in the safeguards point of view. Verification measurements may be needed both in the intermediate storages and in the encapsulation plant. In this report also the integrity of the fuel assemblies after wet intermediate storage period is assessed, because the assemblies have to stand the handling operations of the verification measurements. (orig.)

  4. IMPLEMENTATION OF DISTRIBUTION CENTERS AS LOGISTICS COMPETITIVE ADVANTAGE: STUDY ON OIL COMPANY DISTRIBUTOR IN SOUTHEAST BRAZIL

    Directory of Open Access Journals (Sweden)

    Henrique Albernaz

    2014-12-01

    Full Text Available This study aims to present how distribution centers implementation in organization is able to provide a competitive advantage over its competitors. The qualitative research was based on multiple case studies. Thus, these cases were focused on lubricants segment national distribution company. It was intended to introduce improvements recognizing distribution centers (DCs importance as competitive advantage. DC Macaé-RJ and Piracicaba-SP were chosen to represent this scenario. Therefore, as results it was found increased sales and operating leverage of results within the market in which it operates.

  5. Achalasia: Treatment Options Revisited

    Directory of Open Access Journals (Sweden)

    Willemijntje A Hoogerwerf

    2000-01-01

    Full Text Available The aim of all current forms of treatment of achalasia is to enable the patient to eat without disabling symptoms such as dysphagia, regurgitation, coughing or choking. Historically, this has been accomplished by mechanical disruption of the lower esophageal sphincter fibres, either by means of pneumatic dilation (PD or by open surgical myotomy. The addition of laparoscopic myotomy and botulinum toxin (BTX injection to the therapeutic armamentarium has triggered a recent series of reviews to determine the optimal therapeutic approach. Both PD and BTX have excellent short term (less than three months efficacy in the majority of patients. New data have been published that suggest that PD and BTX (with repeat injections can potentially obtain long term efficacy. PD is still considered the first-line treatment by most physicians; its main disadvantage is risk of perforation. BTX injection is evolving as an excellent, safe option for patients who are considered high risk for more invasive procedures. Laparoscopic myotomy with combined antireflux surgery is an increasingly attractive option in younger patients with achalasia, but long term follow-up studies are required to establish its efficacy and the potential for reflux-related sequelae.

  6. Experimental parametric study of servers cooling management in data centers buildings

    Science.gov (United States)

    Nada, S. A.; Elfeky, K. E.; Attia, Ali M. A.; Alshaer, W. G.

    2017-01-01

    A parametric study of air flow and cooling management of data centers servers is experimentally conducted for different design conditions. A physical scale model of data center accommodating one rack of four servers was designed and constructed for testing purposes. Front and rear rack and server's temperatures distributions and supply/return heat indices (SHI/RHI) are used to evaluate data center thermal performance. Experiments were conducted to parametrically study the effects of perforated tiles opening ratio, servers power load variation and rack power density. The results showed that (1) perforated tile of 25% opening ratio provides the best results among the other opening ratios, (2) optimum benefit of cold air in servers cooling is obtained at uniformly power loading of servers (3) increasing power density decrease air re-circulation but increase air bypass and servers temperature. The present results are compared with previous experimental and CFD results and fair agreement was found.

  7. Corporate culture assessments in integrative oncology: a qualitative case study of two integrative oncology centers.

    Science.gov (United States)

    Mittring, Nadine; Pérard, Marion; Witt, Claudia M

    2013-01-01

    The offer of "integrative oncology" is one option for clinics to provide safe and evidence-based complementary medicine treatments to cancer patients. As known from merger theories, corporate culture and integration models have a strong influence on the success of such integration. To identify relevant corporate culture aspects that might influence the success in two highly visible integrative oncology clinics, we interviewed physicians, nurses, practitioners, and managers. All interviews (11 in a German breast cancer clinic and 9 in an integrative medicine cancer service in the USA) were audio-recorded, transcribed and analyzed with content analysis. According to the theoretical framework of mergers, each clinic selected a different integration type ("best of both worlds" and "linking"). Nonetheless, each developed a similar corporate culture that has a strong focus on research and safe and evidence-based treatments, and fosters a holistic and patient-centered approach. Structured communication within the team and with other departments had high relevance. Research was highlighted as a way to open doors and to facilitate a more general acceptance within the hospital. Conventional physicians felt unburdened by the provision of integrative medicine service but also saw problems in the time required for scheduled treatments, which often resulted in long waiting lists.

  8. Radioisotope Stirling Generator Options for Pluto Fast Flyby Mission

    Energy Technology Data Exchange (ETDEWEB)

    Schock, Alfred

    2012-01-19

    The preceding paper described conceptual designs and analytical results for five Radioisotope Thermoelectric Generator (RTG) options for the Pluto Fast Flyby (PFF) mission, and the present paper describes three Radioisotope Stirling Generator (RSG) options for the same mission. The RSG options are based on essentially the same radioisotope heat source modules used in previously flown RTGs and on designs and analyses of a 75-watt free-piston Stirling engine produced by Mechanical Technology Incorporated (MTI) for NASA's Lewis Research Center. The integrated system design options presented were generated in a Fairchild Space study sponsored by the Department of Energy's Office of Special Applications, in support of ongoing PFF mission and spacecraft studies that the Jet Propulsion Laboratory (JPL) is conducting for the National Aeronautics and Space Administration (NASA). That study's NASA-directed goal is to reduce the spacecraft mass from its baseline value of 166 kg to ~110 kg, which implies a mass goal of less than 10 kg for a power source able to deliver 69 watts(e) at the end of the 9.2-year mission. In general, the Stirling options were found to be lighter than the thermoelectric options described in the preceding paper. But they are less mature, requiring more development, and entailing greater programmatic risk. The Stirling power system mass ranged from 7.3 kg (well below the 10-kg goal) for a non-redundant system to 11.3 kg for a redundant system able to maintain full power if one of its engines fails. In fact, the latter system could deliver as much as 115 watts(e) if desired by the mission planners. There are 2 copies in the file.

  9. Technology utilization in a non-urban region: Further impact and technique of the Technology Use Studies Center

    Science.gov (United States)

    1976-01-01

    Updated information is given pertaining to Technology Use Studies Center (TUSC) clients who are those that receive/use information as disseminated by the center. The client information is presented as a continuation of client data as set forth in the center's previous annual report.

  10. Connecting teens to caring adults in a school-based health center: a case study.

    Science.gov (United States)

    Blacksin, Beth A; Kelly, Patricia J

    2015-01-01

    The traditional medical care system is generally unable to provide the broad health and wellness services needed by many adolescents, especially those from low-income and racial/ethnic minority communities. Using a theoretical framework adapted from Bronfenbrenner's ecological model of multiple influencers, this case study examined how a school-based health center was able to provide a network of connections for adolescents to caring adults within the school and the local community. Contributors to this network were the creation of a student-centered community with access to adolescent-friendly services, providers acting as connectors, and care of the whole adolescent.

  11. A-centers in silicon studied with hybrid density functional theory

    KAUST Repository

    Wang, Hao

    2013-07-29

    Density functional theory employing hybrid functional is used to gain fundamental insight into the interaction of vacancies with oxygen interstitials to form defects known as A-centers in silicon. We calculate the formation energy of the defect with respect to the Fermi energy for all possible charge states. It is found that the neutral and doubly negatively charged A-centers dominate. The findings are analyzed in terms of the density of states and discussed in view of previous experimental and theoretical studies.

  12. Factorial and Discriminant Validity of the Center for Epidemiological Studies Depression (CES-D) Scale.

    Science.gov (United States)

    Orme, John G.; And Others

    1986-01-01

    Examined the factorial and discriminant validity of the Center for Epidemiological Studies Depression (CES-D) scale for 116 parents participating in family support programs. Factorial validity was adequate, and results indicated a moderate correlation between the CES-D and self-esteem and state anxiety. However, a high correlation was obtained…

  13. The Learner-Centered Instructional Design Model: A Modified Delphi Study

    Science.gov (United States)

    Melsom, Duane Allan

    2010-01-01

    The learner-centered instructional design model redefines the standard linear instructional design model to form a circular model where the learner's needs are the first item considered in the development of instruction. The purpose of this modified Delphi study was to have a panel of experts in the instructional design field review the…

  14. A Case Study Using Child-Centered Play Therapy Approach to Treat Enuresis and Encopresis.

    Science.gov (United States)

    Cuddy-Casey, Maria

    1997-01-01

    Demonstrates an alternative method (nondirective child-centered therapy) in treating enuresis and encopresis resulting from emotional disturbances. Examines various etiologies and approaches to treating these conditions. Provides a case study example. Claims that professionals must differentiate between primary and secondary occurrences of these…

  15. Pharmacy Automation in Navy Medicine: A Study of Naval Medical Center San Diego

    Science.gov (United States)

    2015-09-01

    medication, dispensing errors, Navy Medicine, Bureau of Medicine and Surgery , BUMED, Naval Medical Center San Diego, NMCSD 15. NUMBER OF PAGES 105...to pharmacist verification. ...............................................................7  Figure 3.  Robotic Delivery System Installed at Naval...processes tend to happen when there is a complication . Only the eight processes outline in Chapter III are specifically relevant to this study

  16. Highlighting High Performance Buildings: Adam Joseph Lewis Center for Environmental Studies

    Energy Technology Data Exchange (ETDEWEB)

    None

    2002-11-01

    Oberlin College's Adam Joseph Lewis Center for Environmental Studies is a high-performance building featuring an expansive photovoltaic system and a closed-loop groundwater heat pump system. Designers incorporated energy-efficient components and materials that are local, non-toxic, and durable.

  17. Technostress in Libraries and Media Centers: Case Studies and Coping Strategies.

    Science.gov (United States)

    Hickey, Kate D., Ed.

    1992-01-01

    Discusses technostress--i.e., stress brought on by changes in technology--in libraries and media centers. Case studies are presented that show stress in community college libraries caused by the rapid implementation of new technologies; coping strategies for librarians and media specialists are discussed; and strategies for managers are suggested.…

  18. Family-Centered Care in Juvenile Justice Institutions: A Mixed Methods Study Protocol

    Science.gov (United States)

    Mulder, Eva; Rigter, Henk; Breuk, René; van der Vaart, Wander; Vermeiren, Robert

    2016-01-01

    Background Treatment and rehabilitation interventions in juvenile justice institutions aim to prevent criminal reoffending by adolescents and to enhance their prospects of successful social reintegration. There is evidence that these goals are best achieved when the institution adopts a family-centered approach, involving the parents of the adolescents. The Academic Workplace Forensic Care for Youth has developed two programs for family-centered care for youth detained in groups for short-term and long-term stay, respectively. Objective The overall aim of our study is to evaluate the family-centered care program in the first two years after the first steps of its implementation in short-term stay groups of two juvenile justice institutions in the Netherlands. The current paper discusses our study design. Methods Based on a quantitative pilot study, we opted for a study with an explanatory sequential mixed methods design. This pilot is considered the first stage of our study. The second stage of our study includes concurrent quantitative and qualitative approaches. The quantitative part of our study is a pre-post quasi-experimental comparison of family-centered care with usual care in short-term stay groups. The qualitative part of our study involves in-depth interviews with adolescents, parents, and group workers to elaborate on the preceding quantitative pilot study and to help interpret the outcomes of the quasi-experimental quantitative part of the study. Results We believe that our study will result in the following findings. In the quantitative comparison of usual care with family-centered care, we assume that in the latter group, parents will be more involved with their child and with the institution, and that parents and adolescents will be more motivated to take part in therapy. In addition, we expect family-centered care to improve family interactions, to decrease parenting stress, and to reduce problem behavior among the adolescents. Finally, we assume

  19. Approximate option pricing

    Energy Technology Data Exchange (ETDEWEB)

    Chalasani, P.; Saias, I. [Los Alamos National Lab., NM (United States); Jha, S. [Carnegie Mellon Univ., Pittsburgh, PA (United States)

    1996-04-08

    As increasingly large volumes of sophisticated options (called derivative securities) are traded in world financial markets, determining a fair price for these options has become an important and difficult computational problem. Many valuation codes use the binomial pricing model, in which the stock price is driven by a random walk. In this model, the value of an n-period option on a stock is the expected time-discounted value of the future cash flow on an n-period stock price path. Path-dependent options are particularly difficult to value since the future cash flow depends on the entire stock price path rather than on just the final stock price. Currently such options are approximately priced by Monte carlo methods with error bounds that hold only with high probability and which are reduced by increasing the number of simulation runs. In this paper the authors show that pricing an arbitrary path-dependent option is {number_sign}-P hard. They show that certain types f path-dependent options can be valued exactly in polynomial time. Asian options are path-dependent options that are particularly hard to price, and for these they design deterministic polynomial-time approximate algorithms. They show that the value of a perpetual American put option (which can be computed in constant time) is in many cases a good approximation to the value of an otherwise identical n-period American put option. In contrast to Monte Carlo methods, the algorithms have guaranteed error bounds that are polynormally small (and in some cases exponentially small) in the maturity n. For the error analysis they derive large-deviation results for random walks that may be of independent interest.

  20. A longitudinal study of enterobiasis in three day care centers of Havana City.

    Science.gov (United States)

    Núñez, F A; Hernández, M; Finlay, C M

    1996-01-01

    Pinworm infection was prospectively studied during one year in 469 children attending three day care centers. Each child was examined at six months intervals using up to three perianal swabs with adhesive tape. Those found infected were treated with mebendazole. At the beginning of the study we found a prevalence of 28% that dropped to 13% and 12% in the following study periods. The reinfection rate was twice the incidence rate in both study periods. We also found a small percentage (10%) of the children reinfected in most or all study periods. There was a high correlation between reinfection and perianal itching. Our results add further knowledge to the epidemiology of intestinal parasites in day care centers.

  1. Specific schedule conditions for the formation of personnel of A or B category working in nuclear facilities. Option research center; Cahier des charges specifiques pour la formation du personnel de categorie A ou B travaillant dans les installations nucleaires. Option centre de recherche

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    This document describes the specific dispositions relative to the Research Center, for the formation to the conventional and radiation risks prevention of personnel of A or B category working in nuclear facilities. The application domain, the applicable documents, the liability, the specificity of the Research Center and of the retraining, the Passerelle formation, are presented. (A.L.B.)

  2. Informed Option Trading Strategies

    NARCIS (Netherlands)

    C.M. de Jong (Cyriel)

    2001-01-01

    textabstractWe use a sequential trade model to clarify two mechanisms following the introduction of an option that may lead to increased efficiency in the underlying. On the one hand, market makers learn from trades in the option market and set more accurate prices. On the other hand, the proportion

  3. [Mental health, vulnerability and general practice: a study of non-profit health centers in Grenoble].

    Science.gov (United States)

    Dubois-Fabing, Delphine; Pichon, Philippe; Arnevielhe, Alizée; Suscillon, Marie-Paule; Caron, Bruno; Saillard, Fabienne; François, Patrice

    2011-01-01

    Very little research has been conducted on the role of general practitioners (GPs) in mental health care among socioeconomically disadvantaged populations in France. The non-profit community health care centers in Grenoble provide populations living in sensitive urban zones with high quality primary health care that includes a medico-social and prevention dimension. The aim of this study was to measure the prevalence of mental health issues diagnosed by GPs in health care centers, to identify the factors associated with these issues and to describe treatment characteristics. This cross-sectional study focused on general practice consultations in the AGECSA Grenoble health care centers over the course of one week. At the end of each consultation, the GP collected information about the patient, including personal data, psychological disorders, vulnerability, and patient health management. Among the 451 patients included in the study, GPs found that 45.2% of patients were in vulnerable situations and 43% of patients suffered from a mental disorder, including 29% of cases of anxiety and 20% of cases of depression. 44% of patients suffered from a psychological disorder (mental disorder and/or psychological suffering). For these patients, 52.8% of the consultations lasted more than 20 minutes. Their treatment generally included a mental health care follow-up (in 76% of cases), including psychological support (59%) and treatment of functional somatic disorders (46%). The study shows the high prevalence of psychological disorders diagnosed in the patients treated by GPs working in health care centers in disadvantaged urban areas. Research shows that GPs play an important and specific role in mental health care and prevention. An analysis of the organizational methods used in health care centers is highly relevant.

  4. Mental health status and its predictors among call center employees: A cross-sectional study.

    Science.gov (United States)

    Oh, Hyunjin; Park, Heyeon; Boo, Sunjoo

    2017-03-15

    In this study, we assessed the mental health of Korean call center employees and investigated the potential predictors of their mental health status. A cross-sectional study using self-completing questionnaire was conducted for employees working for a credit card call center. A total of 306 call center employees completed the Depression Anxiety Stress Scale, the Emotion Labor Scale, and the Korean Occupational Stress Scale. The results showed that more than half of the participants reported high levels of depression, anxiety, and stress. A multiple regression analysis indicated that the total scores on the Depression Anxiety Stress Scale were predicted by perceived health, job satisfaction, job demands, organizational injustice, and emotional dissonance suggesting that, in the interest of improving the mental health of call center employees, their job demands and emotional dissonance should be reduced and the work environment be improved. Consideration should be given to providing routine assessments of mental health, including depression, anxiety, and stress, and the corresponding need for the development of an intervention program and other work-related policies that would protect employees from the risk of poor mental health outcomes.

  5. A COMPARISON OF SOME TRANSLATIONS OF GOOGLE AND THOSE OF TIM KUNCI CULTURAL STUDIES CENTER

    Directory of Open Access Journals (Sweden)

    Asril Marjohan Marjohan

    2015-02-01

    Full Text Available This study was aimed at describing Google translations by comparing them with those which were carried out by humans. The human translations used in this study were done by Tim Kunci Cultural Studies Center. This study used qualitative-descriptive method. The sample was purposively selected and consisted of 24 sentences from Chris Barker, Cultural Studies and their two translated versions. The evaluation was done by using Sical’s approach. The results showed that Google translations contained more errors than those made by Tim Kunci Cultural Studies Center. Google made errors that fell into the category of violations of linguistic and sociocultural rules or norms. This was caused by the design of Google Translate that was not based on linguistic and sociocultural analyses.  Meanwhile   Tim Kunci Cultural Studies Center made errors that indicated reasoning by guessing meanings from context, as what humans are doing in communication. Google translations needed revising in  the forms of translating words which had been left untranslated, retranslating words which had been wrongly translated because of not considering context, retranslating phrases which had been wrongly translated because of  not analyzing them into their constituents and propositions, retranslating words which had been wrongly translated because of not considering sociocultural norms. In doing the revisions the editor had to read the original text because the translations tended not to give clues to the original patterns of the sentences for their highly varied forms.   Meanwhile, the translations of Tim Kunci Cultural Studies Center needed minor editing to make them more effective. There was no need for an intensive reading of the original for their   more systematic characteristics.

  6. THE ANALYSIS OF THE DIABETIC FOOT OSTEOMYELITIS AT A TERTIARY CARE CENTER - A PROSPECTIVE STUDY

    OpenAIRE

    Mithun N; Pattanashetty; Reshmina; Sharath Babu; Harikrishna; Sreedhar Reddy; Ramakrishna J

    2015-01-01

    INTRODUCTION : India is considered as the diabetic capital of the world. Diabetic foot osteomyelitis is considered as one of the severe complications of diabetes mellitus. Diabetic foot osteomyelitis tends to complicate around one third of diabetic foot infections. In v iew of this we conducted a prospective study on the bacteriological analysis of diabetic foot osteomyelitis at a tertiary care center. MATERIALS AND METHODS : A prospective study was perform...

  7. Real Time Pricing as a Default or Optional Service for C&ICustomers: A Comparative Analysis of Eight Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Barbose, Galen; Goldman, Charles; Bharvirkar, Ranjit; Hopper,Nicole; Ting, Michael; Neenan, Bernie

    2005-08-01

    Demand response (DR) has been broadly recognized to be an integral component of well-functioning electricity markets, although currently underdeveloped in most regions. Among the various initiatives undertaken to remedy this deficiency, public utility commissions (PUC) and utilities have considered implementing dynamic pricing tariffs, such as real-time pricing (RTP), and other retail pricing mechanisms that communicate an incentive for electricity consumers to reduce their usage during periods of high generation supply costs or system reliability contingencies. Efforts to introduce DR into retail electricity markets confront a range of basic policy issues. First, a fundamental issue in any market context is how to organize the process for developing and implementing DR mechanisms in a manner that facilitates productive participation by affected stakeholder groups. Second, in regions with retail choice, policymakers and stakeholders face the threshold question of whether it is appropriate for utilities to offer a range of dynamic pricing tariffs and DR programs, or just ''plain vanilla'' default service. Although positions on this issue may be based primarily on principle, two empirical questions may have some bearing--namely, what level of price response can be expected through the competitive retail market, and whether establishing RTP as the default service is likely to result in an appreciable level of DR? Third, if utilities are to have a direct role in developing DR, what types of retail pricing mechanisms are most appropriate and likely to have the desired policy impact (e.g., RTP, other dynamic pricing options, DR programs, or some combination)? Given a decision to develop utility RTP tariffs, three basic implementation issues require attention. First, should it be a default or optional tariff, and for which customer classes? Second, what types of tariff design is most appropriate, given prevailing policy objectives, wholesale market

  8. Student-Centered Teaching Meets New Media: Concept and Case Study

    Directory of Open Access Journals (Sweden)

    Andreas Holzinger

    2002-10-01

    Full Text Available There exists empirical evidence proving that students who are given the freedom to explore areas based on their personal interests, and who are accompanied in their learning by a supportive, understanding facilitator, not only achieve superior academic results but also develop socially and grow personally. However, pure Student-Centered Teaching is more demanding in terms of communication, organization, as well as the provision of learning material. Thus, the basic idea underlying our paradigm is to combine Student-Centered Teaching with eLearning in order to exploit the advantages of the two approaches. We refer to this combined style as Student-Centered eLearning (SCeL. Strongly simplified, the computer takes over the task of providing information, while presence phases can be used for giving the content more meaning by means of transparent, open, respectful and empathic interactions within the group. Our case study indicates that Student-Centered eLearning has the potential of reducing the increased demands of Student-Centered Teaching in the long run, while fully retaining all its benefits, such as deeper learning processes, personal growth, social skills, and a higher degree of flexibility. Furthermore, the maturity for life-long learning is cultivated. In this paper we introduce our concept and derive first hypotheses on the conditions under which our paradigm appears most effective. While potential continuations of our studies are manifold, we intend to employ SCeL in the course of the new curriculum of the medical faculty of GrazUniversity where a Virtual Medical Campus (http://vmc.uni-graz.at is currently being developed.

  9. The BirthPlace collaborative practice model: results from the San Diego Birth Center Study.

    Science.gov (United States)

    Swartz; Jackson; Lang; Ecker; Ganiats; Dickinson; Nguyen

    1998-07-01

    Objective: The search for quality, cost-effective health care programs in the United States is now a major focus in the era of health care reform. New programs need to be evaluated as alternatives are developed in the health care system. The BirthPlace program provides comprehensive perinatal services with certified nurse-midwives and obstetricians working together in an integrated collaborative practice serving a primarily low-income population. Low-risk women are delivered by nurse-midwives in a freestanding birth center (The BirthPlace), which is one component of a larger integrated health network. All others are delivered by team obstetricians at the affiliated tertiary hospital. Wellness, preventive measures, early intervention, and family involvement are emphasized. The San Diego Birth Center Study is a 4-year research project funded by the U.S. Federal Agency for Health Care Policy and Research (#R01-HS07161) to evaluate this program. The National Birth Center Study (NEJM, 1989; 321(26): 1801-11) described the advantages and safety of freestanding birth centers. However, a prospective cohort study with a concurrent comparison group of comparable risk had not been conducted on a collaborative practice-freestanding birth center model to address questions of safety, cost, and patient satisfaction.Methods: The specific aims of this study are to compare this collaborative practice model to the traditional model of perinatal health care (physician providers and hospital delivery). A prospective cohort study comparing these two health care models was conducted with a final expected sample size of approximately 2,000 birth center and 1,350 traditional care subjects. Women were recruited from both the birth center and traditional care programs (private physicians offices and hospital based clinics) at the beginning of prenatal care and followed through the end of the perinatal period. Prenatal, intrapartum, postpartum and infant morbidity and mortality are being

  10. An optional focusing SELENE extension to conventional neutron guides: A case study for the ESS instrument BIFROST

    Science.gov (United States)

    Hansen, U. B.; Bertelsen, M.; Stahn, J.; Lefmann, K.

    2017-04-01

    The high brilliance at the European Spallation Source (ESS) will allow for performing experiments with much smaller samples than at present neutron facilities and in much more complex sample environments. However the higher flux also results in higher background from unwanted neutrons not originating from scattering of the sample. We here present a new design idea for beam delivery, where a 165 m ballistic guide system with good transport properties is followed by a 4-8 m SELENE guide system similar to Montel optics used for X-ray optics. We have investigated the system by detailed Monte-Carlo simulations using McStas. We show that under certain conditions, this set-up works surprisingly well, with a brilliance transfer of 20-60% for neutrons of wavelength 4 Å and above. We demonstrate that the guide system is able to focus the beam almost perfectly onto samples sizes in the range of 0.1-2 mm. We furthermore show that our SELENE system is insensitive to gravity and to realistic values of guide waviness. We argue that this guide system can be useful as an optional guide insert when small samples are used in the vicinity of bulky sample environment, e.g. for high-field or high-pressure experiments.

  11. Implementation of a real option in a sustainable supply chain: an empirical study of alkaline battery recycling

    Science.gov (United States)

    Cucchiella, Federica; D'Adamo, Idiano; Gastaldi, Massimo; Lenny Koh, S. C.

    2014-06-01

    Green supply chain management (GSCM) has emerged as a key approach for enterprises seeking to become environmentally sustainable. This paper aims to evaluate and describe the advantages of a GSCM approach by analysing practices and performance consequences in the battery recycling sector. It seeks to integrate works in supply chain management (SCM), environmental management, performance management and real option (RO) theory into one framework. In particular, life cycle assessment (LCA) is applied to evaluate the environmental impact of a battery recycling plant project, and life cycle costing (LCC) is applied to evaluate its economic impact. Firms, also understanding the relevance of GSCM, have often avoided applying the green principles because of the elevated costs that such management involved. Such costs could also seem superior to the potential advantages since standard performance measurement systems are internally and business focused; for these reasons, we consider all the possible value deriving also by uncertainty associated to a green project using the RO theory. This work is one of the few and pioneering efforts to investigate GSCM practices in the battery recycling sector.

  12. Developing Public Policy Options for Access to Drinking Water in Peripheral, Disaster and Polluted Rural Areas: A Case Study on Environment-Friendly and Conventional Technologies

    OpenAIRE

    Ruxandra Mălina Petrescu-Mag; Dacinia Crina Petrescu; Ovidiu Călin Safirescu; Mihaela Hetvary; Ioan Gheorghe Oroian; Dumitru Vâju

    2016-01-01

    Peripheral, disaster and polluted rural areas (PDP rural areas) are generally perceived as a “Cinderella” of water public policy measures, deepening the rural-urban cleavage in terms of opportunities for a decent life. The main goal of the study is to develop public policy options regarding the supply of safe drinking water in Romanian PDP rural areas. The main instrument to achieve it is an ex-ante policy analysis of three solutions: a conventional technology, based on chlorine, a green tech...

  13. Louisiana Speaks Transportation Option C Transit Corridors, UTM Zone 15N NAD 83, Louisiana Recovery Authority (2007), [louisiana_speaks_transportation_option_c_transit_corridors

    Data.gov (United States)

    Louisiana Geographic Information Center — This GIS shapefile data illustrates the regional, subregional, and local transit corridors included in the Louisiana Speaks Regional Plan community growth option of...

  14. Louisiana Speaks Transportation Option C Transit Stations, UTM Zone 15N NAD 83, Louisiana Recovery Authority (2007), [louisiana_speaks_transportation_option_c_transit_stations

    Data.gov (United States)

    Louisiana Geographic Information Center — This GIS shapefile data illustrates potential fixed-transit stations included in the Louisiana Speaks Regional Plan community growth option of compact development...

  15. Louisiana Speaks Transportation Option B Transit Corridors, UTM Zone 15N NAD 83, Louisiana Recovery Authority (2007), [louisiana_speaks_transportation_option_b_transit_corridors

    Data.gov (United States)

    Louisiana Geographic Information Center — This GIS shapefile data illustrates the regional, subregional, and local transit corridors included in the Louisiana Speaks Regional Plan community growth option of...

  16. Expensing options solves nothing.

    Science.gov (United States)

    Sahlman, William A

    2002-12-01

    The use of stock options for executive compensation has become a lightning rod for public anger, and it's easy to see why. Many top executives grew hugely rich on the back of the gains they made on their options, profits they've been able to keep even as the value they were supposed to create disappeared. The supposed scam works like this: Current accounting regulations let companies ignore the cost of option grants on their income statements, so they can award valuable option packages without affecting reported earnings. Not charging the cost of the grants supposedly leads to overstated earnings, which purportedly translate into unrealistically high share prices, permitting top executives to realize big gains when they exercise their options. If an accounting anomaly is the problem, then the solution seems obvious: Write off executive share options against the current year's revenues. The trouble is, Sahlman writes, expensing option grants won't give us a more accurate view of earnings, won't add any information not already included in the financial statements, and won't even lead to equal treatment of different forms of executive pay. Far worse, expensing evades the real issue, which is whether compensation (options and other-wise) does what it's supposed to do--namely, help a company recruit, retain, and provide the right people with appropriate performance incentives. Any performance-based compensation system has the potential to encourage cheating. Only ethical management, sensible governance, adequate internal control systems, and comprehensive disclosure will save the investor from disaster. If, Sahlman warns, we pass laws that require the expensing of options, thinking that's fixed the fundamental flaws in corporate America's accounting, we will have missed a golden opportunity to focus on the much more extensive defects in the present system.

  17. ACCOUNTING FOR OPTIONS AND ANALYSIS OF USE OF OPTION COMBINATION STRATEGIES

    Directory of Open Access Journals (Sweden)

    I. Derun

    2016-08-01

    Full Text Available The article deals with problems of accounting for options in Ukraine, namely: value expression of initial cost of options, their revaluation, accounting of premiums, financial assets and financial liabilities and variation margin. The paper offers ways of solution of these problems which based on harmonization with IAS 32, IAS 39, IFRS 7 and IFRS 9. The study considers option combination strategies (straddle, strangle, strap, strip and approaches of identification of possible financial results for investors which use these strategies. Examples of possible financial results are provided for buyers and sellers of options which use option combination strategies.

  18. Early Option Exercise

    DEFF Research Database (Denmark)

    Heje Pedersen, Lasse; Jensen, Mads Vestergaard

    A classic result by Merton (1973) is that, except just before expiration or dividend payments, one should never exercise a call option and never convert a convertible bond. We show theoretically that this result is overturned when investors face frictions. Early option exercise can be optimal when...... it reduces short-sale costs, transaction costs, or funding costs. We provide consistent empirical evidence, documenting billions of dollars of early exercise for options and convertible bonds using unique data on actual exercise decisions and frictions. Our model can explain as much as 98% of early exercises...

  19. Early Option Exercise

    DEFF Research Database (Denmark)

    Jensen, Mads Vestergaard; Heje Pedersen, Lasse

    2016-01-01

    A classic result by Merton (1973) is that, except just before expiration or dividend payments, one should never exercise a call option and never convert a convertible bond. We show theoretically that this result is overturned when investors face frictions. Early option exercise can be optimal when...... it reduces short-sale costs, transaction costs, or funding costs. We provide consistent empirical evidence, documenting billions of dollars of early exercise for options and convertible bonds using unique data on actual exercise decisions and frictions. Our model can explain as much as 98% of early exercises...

  20. The elderly in the shopping centers: the usability study of semipublic spaces as attractiveness generator.

    Science.gov (United States)

    Bittencourt, Maria Cristina; do Valle Pereira, Vera Lúcia Duarte; Pacheco, Waldemar

    2012-01-01

    This article aims to study the importance of the attributes of usability and attractiveness for the semi-public spaces of Shopping Centers considering the elderly users, the psycho-cognitive and bio-physiological changes resulting from the aging process, as well as their expectations of the built space. Through a qualitative study of theoretical review with a multidisciplinary focus in architecture, ergonomics, gerontology, environmental psychology and management, the conditions of the elderly users were identified, and also the attributes related to usability and attractiveness, collected in order to understand and organize their interrelationships, to suggest recommendations about the drafting of Shopping Centers, aiming to generate projects and environments that should promote the efficient and satisfactory use for elderly and may also create a competitive advantage for these enterprises.

  1. Numerical Algorithm for Delta of Asian Option

    Directory of Open Access Journals (Sweden)

    Boxiang Zhang

    2015-01-01

    Full Text Available We study the numerical solution of the Greeks of Asian options. In particular, we derive a close form solution of Δ of Asian geometric option and use this analytical form as a control to numerically calculate Δ of Asian arithmetic option, which is known to have no explicit close form solution. We implement our proposed numerical method and compare the standard error with other classical variance reduction methods. Our method provides an efficient solution to the hedging strategy with Asian options.

  2. Diverse Genetic Array of blaCTXM-15 in Escherichia coli: A Single-Center Study from India.

    Science.gov (United States)

    Maurya, Anand Prakash; Mishra, Shweta; Talukdar, Anupam Das; Dhar Chanda, Debadatta; Chakravarty, Atanu; Bhattacharjee, Amitabha

    2016-01-01

    CTX-M-15 is a chief contributor for expanded-spectrum cephalosporin and monobactam resistance in India, complicating treatment options. In this study, we have investigated genetic context of CTX-M-15 in Escherichia coli and their transmission dynamics in a tertiary referral hospital of India. A total of 198 isolates were collected, of which 66 were harboring blaCTXM-15. Among them, 14 isolates were carrying a single CTX-M-15 gene and 52 were harboring multiple extended-spectrum β-lactamase genes along with blaCTX-M-15. The resistance gene was flanked by tnpA, ISEcp1, IS26, and ORF477 in 10 different arrangements. The resistance determinant was horizontally transferable through F, W, I1, and P Inc types of plasmids. Restriction mapping of plasmids showed a variable band pattern even within the same Inc types. Minimum inhibitory concentration was found above the breakpoint level against expanded-spectrum cephalosporins and monobactam while susceptible against carbapenems. blaCTX-M-15 was highly stable and sustained in the cell after 115 serial passages. In pulse-field gel electrophoresis, eight pulsotypes of E. coli were found to be responsible for the spread of blaCTX-M-15 in the tertiary referral center. We conclude that the presence of CTX-M-15 in the heterogeneous group of E. coli is highly alarming in terms of infection control and it may require regular monitoring, so as to formulate appropriate antibiotic policy to stop the spread of this resistance determinant.

  3. Patient Satisfaction with Spanish Pain Centers: Observational Study with More than 3,000 Patients

    Directory of Open Access Journals (Sweden)

    Juan Antonio García García

    2016-01-01

    Full Text Available Chronic pain is a serious problem in Spain. This multicenter, epidemiological 3-month follow-up study investigates pain management efficacy in Spanish centers using patient satisfaction criteria. 3,414 eligible adult patients (65,6% female with moderate to severe chronic pain from 146 pain centers were included. Patient satisfaction was assessed based onto question 18 of Spanish healthcare barometer-CSI. Pain evolution (Brief Pain Inventory-Short Form (BPI-SF and visual analog scale (VAS, quality of life/EuroQol-5, and pain control expectations fulfillment were also assessed. Mean age was 61.3 years. 64.4% of participating centers employed multidisciplinary pain management approach. After 3 months, mean patient satisfaction was 7.8 (1–10 on the CIS barometer. Medical staff received the highest scores, whereas waiting for tests, appointment request to appointment date time, and waiting times at the center the lowest. Mean pain decreased from 7.4 to 4.0; BPI-SF intensity decreased from 6.5 to 3.8; pain control expectations were met in 78.7% of patients; EuroQoL-5D utility index increased from 0.37 to 0.62, p<0.001, and health status (VAS from 40.6 to 61.9, p<0.001. Chronic pain patients (90% are satisfied with Spanish centers care; 80% had their pain control expectations met. Quality of life improved remarkably: 71% felt moderately to significantly better. However, waiting times need improvement.

  4. Agricultural vulnerability in Bangladesh to climate change induced sea level rise and options for adaptation: a study of a coastal Upazila

    Directory of Open Access Journals (Sweden)

    Md. Anowarul Islam

    2015-06-01

    Full Text Available This paper examines the vulnerabilities of agriculture in coastal regions of Bangladesh to the different adverse effects of sea level rise induced hazards, and also identifies option for future agricultural adaptations. It reveals that due to sea level rise, agriculture of the study area has already experienced noticeable adverse impacts especially in terms of area of inundation, salinity intrusion and reduction in crop production. The study is conducted based on both primary and secondary data. A total 303 out of 1200 respondents from three coastal villages were randomly interviewed. Samples are drawn proportionately from three villages. Descriptive and inferential statistics and logistic regression have been done to analysis data. The study find that the agricultural land, production of crops, local crop varieties, income and employment facilities of the farmers is highly vulnerable to various SLR induced hazards. Selection of various adaptive options such as control of saline water intrusion into agricultural land, coastal afforestation, cultivation of saline tolerant crops, homestead and floating gardening, embankment cropping and increase of income through alternative livelihoods are emerging need for sustainable coastal agricultural development. Therefore, this paper argues that further development and implementation of such adaptive measures could help to minimize vulnerabilities of agriculture in the long run.

  5. Evaluating the Impact of the Department of Defense Regional Centers for Security Studies

    Science.gov (United States)

    2014-01-01

    220), Australia (177), Thailand (278), and the Philippines (278). APCSS has expanded the number of invitations sent to nations in the region that...Department of Defense Regional Centers for Security Studies countries like Thailand and the Philippines , one APCSS official said, admitting an...its faculty carve out time for research that is not specifically related to course development, they generally do such work on publications on their

  6. Feminist health care in a hostile environment: a case study of the Womancare Health Center.

    Science.gov (United States)

    Hyde, Cheryl A

    2008-01-01

    This article presents a case study of the Womancare Health Center in order to illustrate the development of and challenges to the feminist health movement in the United States. Specific attention is placed on the legislative, fiscal, and direct actions by the New Right against this organization. Analysis focuses on the means through which Womancare survived. The repercussions of constant intimidation and harassment for women's health programs and for health care policy overall are discussed.

  7. LORIS: A web-based data management system for multi-center studies.

    Directory of Open Access Journals (Sweden)

    Samir eDas

    2012-01-01

    Full Text Available LORIS (Longitudinal Online Research and Imaging System is a modular and extensible web-based data management system that integrates all aspects of a multi-center study: from heterogeneous data acquisition (imaging, clinical, behavior, genetics to storage, processing and ultimately dissemination. It provides a secure, user-friendly, and streamlined platform to automate the flow of clinical trials and complex multi-center studies. A subject-centric internal organization allows researchers to capture and subsequently extract all information, longitudinal or cross-sectional, from any subset of the study cohort. Extensive error-checking and quality control procedures, security, data management, data querying and administrative functions provide LORIS with a triple capability (i continuous project coordination and monitoring of data acquisition (ii data storage/cleaning/querying, (iii interface with arbitrary external data processing pipelines. LORIS is a complete solution that has been thoroughly tested through the full life cycle of a multi-center longitudinal project# and is now supporting numerous neurodevelopment and neurodegeneration research projects internationally.

  8. Application of the Study Model of \\\\\\"Knowledge Management Infrastructure in Organizations\\\\\\" in Information Centers: The case of the Regional Information Center for Science and Technology (RICeST

    Directory of Open Access Journals (Sweden)

    Abdolhossein Farajpahlou

    2012-02-01

    Full Text Available Information centers are duly obliged to move in line with their parent organizations’ goals and missions in creating knowledge. In the age of information and communication revolution, and in a knowledge-based economy, organizations that are involved in creation of knowledge have an important role in communication and diffusion of knowledge. In the mean time, libraries and information centers change from being mere depository sources to knowledge institutions. The current research aimed to study the present state of knowledge management infrastructures of the Regional Information Center for Science and Technology (RICeST as a national and regional information center. The statistic population of this study was consisted of 87 staff. Data was collected by means of questionnaires, observation and interviews. The results showed the required infrastructure for KM activities were almost there, among different aspects of which, budgeting had a better situation in the institution under study. In regards with establishment of knowledge management, RICeST was paying more attention to information and communication technology and knowledge network via applications such as the Internet and extranets. Another fact was that in the RICeST, emphasis was on learning and on human resources as the substantial sources in creation of knowledge. Among other aspects, “organizational culture” was in a lower state compared with other aspects in the RICeST.

  9. Study on mining investment decisions based on delay options and expansion options%基于延迟期权和扩张期权的矿业投资决策研究

    Institute of Scientific and Technical Information of China (English)

    张颖; 郑明贵; 木日根

    2012-01-01

    矿业项目投资回收期长,不确定因素多,传统评价方法在评价策略性选择权时完全不考虑投资过程中实际存在的不确定性,造成短视决策.文中首先介绍了实物期权的概念、主要类型及定价方法;其次建立了基于延迟期权和扩张期权的矿业投资决策模型;最后以江西省某钼矿投资项目为例进行应用.结果表明:所建立的模型比较全面地反映了矿业投资项目的总体价值,为矿业投资决策提供了一种较好的思路与方法.%Mining projects have long payback period and much uncertainty. For traditional evaluation method, the uncertainty in evaluating strategic options is riot taken into account, resulting in short-sighted decision -makings. First, the concept of real options, the main types and pricing methods are introduced in the paper; then, a mining investment decision-making model based on the delay options and the expansion options is established; finally, the model is interpreted with the case of a molybdenum mine in Jiangxi Province. The results indicate that the models reflect the overall value of the mining investment projects, and provide better ideas and methods for mining investment decisions.

  10. Pediatric lymphatic malformations: evolving understanding and therapeutic options.

    Science.gov (United States)

    Defnet, Ann M; Bagrodia, Naina; Hernandez, Sonia L; Gwilliam, Natalie; Kandel, Jessica J

    2016-05-01

    Multimodal treatment of lymphatic malformations continues to expand as new information about the biology and genetics of these lesions is discovered, along with knowledge gained from clinical practice. A patient-centered approach, ideally provided by a multidisciplinary medical and surgical team, should guide timing and modality of treatment. Current treatment options include observation, surgery, sclerotherapy, radiofrequency ablation, and laser therapy. New medical and surgical therapies are emerging, and include sildenafil, propranolol, sirolimus, and vascularized lymph node transfer. The primary focus of management is to support and optimize these patients' quality of life. Researchers continue to study lymphatic malformations with the goal of increasing therapeutic options and developing effective clinical pathways for these complicated lesions.

  11. The Optional VenaTech{sup Trade-Mark-Sign} Convertible{sup Trade-Mark-Sign} Vena Cava Filter: Experimental Study in Sheep

    Energy Technology Data Exchange (ETDEWEB)

    Le Blanche, Alain F., E-mail: le_blanche.alain@chu-amiens.fr [University of Picardie-Jules Verne (France); Ricco, Jean-Baptiste [University of Poitiers (France); Bonneau, Michel [Institut National de la Recherche Agronomique (I.N.R.A.) and Assistance Publique-Hopitaux de Paris (APHP), Centre of Research in Interventional Imaging - CRII (France); Reynaud, Philippe [Hopital Europeen Georges Pompidou (HEGP) APHP, Department of Respiratory Diseases (France)

    2012-10-15

    Purpose: Retrieval of optional caval filters may be impaired by filter tilting, migration, fracture, or embedding in the IVC wall. The goal of this experimental study was to evaluate a new optional filter, convertible by unlocking and removing the filter head. Methods: Forty-nine Pre-Alp sheep (average weight, 55 kg) were anesthetized. IVC was catheterized via the right femoral vein (n = 46) or via the internal jugular vein (n = 3) with a 12.9-F sheath. VenaTech{sup Trade-Mark-Sign} Convertible{sup Trade-Mark-Sign} IVC filters were inserted as either permanent filters (n = 14) or as filters to be converted. Conversion was immediately after deployment (n = 19) or delayed after 1, 3, or 6 months (n = 20). Filter delivery, deployment, and conversion with measurement of migration and tilting were evaluated by cavography. Incorporation of the filter's stabilizers and arms in the IVC wall was assessed by gross anatomy. Results: Delivery system insertion, filter release, and immediate conversion were successful in all cases. Delayed conversion was completed in all but one sheep, due to insufficient snare tension. Complimentary balloon-catheter inflation was required in 12 of 20 delayed conversions to achieve filter opening. In all 49 sheep, no thrombosis, migration, or significant tilting occurred. Within 4 weeks of conversion, the filter's stabilizers and arms were incorporated into the IVC wall. Upon removal, the filter head was free of intimal growth. Conclusions: The VenaTech{sup Trade-Mark-Sign} Convertible{sup Trade-Mark-Sign} optional IVC filter was successfully implanted in all sheep with no migration or tilting. Conversion at various dates by filter head removal was feasible in all but one case.

  12. Traditional preventive treatment options

    DEFF Research Database (Denmark)

    Longbottom, C; Ekstrand, K; Zero, D

    2009-01-01

    Preventive treatment options can be divided into primary, secondary and tertiary prevention techniques, which can involve patient- or professionally applied methods. These include: oral hygiene (instruction), pit and fissure sealants ('temporary' or 'permanent'), fluoride applications (patient...

  13. FEASIBILITY STUDY OF ESTABLISHING AN ARTIFICIAL INSEMINATION (AI CENTER FOR CARABAOS IN SAN ILDEFONSO, BULACAN, PHILIPPINES

    Directory of Open Access Journals (Sweden)

    F.Q. Arrienda II

    2014-10-01

    Full Text Available The productivity of the carabao subsector is influenced by several constraints such as social,technical, economic and policy factors. The need to enhance the local production of carabaos will helplocal farmers to increase their income. Thus, producing thorough breeds of carabaos and improving itgenetically is the best response to these constraints. This study was conducted to present the feasibilitystudy of establishing an Artificial Insemination (AI Center and its planned area of operation in Brgy.San Juan, Ildefonso, Bulacan. The market, production, organizational and financial viability of operatingthe business would also be evaluated. This particular study will provide insights in establishing an AICenter. Included in this study is the identification of anticipated problems that could affect the businessand recommendation of specific courses of action to counteract these possible problems. Primary datawere obtained through interviews with key informants from the Philippine. Carabao Center (PCC. Togain insights about the present status of an AI Center, interviews with the technicians of PCC and privatefarm were done to get additional information. Secondary data were acquired from various literatures andfrom San Ildefonso Municipal Office. The proposed area would be 1,500 square meters that would beallotted for the laboratory and bullpen. The AI Center will operate six days a week and will be openedfrom 8 AM until 5 PM. However, customers or farmers can call the technicians beyond the office hoursin case of emergency. The total initial investment of Php 3,825,417.39 is needed in establishing the AICenter. The whole amount will be sourced from the owner’s equity. Financial projection showed an IRRof 30% with a computed NPV of Php 2,415,597.00 and a payback period of 3.97 years. Based on all themarket, technical, organizational, financial factors, projections and data analysis, it is said that thisbusiness endeavor is viable and feasible.

  14. Psychiatric morbidity among inmates of center for destitutes: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Raghavendra B Nayak

    2015-01-01

    Full Text Available Context: One percent of the population in India is homeless (destitutes which include beggars, commercial sex workers, homeless mentally ill, elderly women with dependent children, street children, and persons with disability. Psychiatric disorders are generally seen to be common among homeless individuals. The data are limited regarding psychiatric morbidity and its prevalence in this populace in Indian context. Aim: The aim was to study the prevalence of psychiatric morbidity among the inmates of a center for destitutes. Settings and Design: Cross-sectional study. Materials and Methods: The study included all the residents (n = 50 of a center of destitutes. Psychiatric evaluation was done by qualified practicing psychiatrist. Brief Psychiatric Rating Scale and Global Assessment of Functioning instruments were used to assess the severity of psychiatric symptoms and general functioning of the individuals with mental disorders. Statistical Analysis Used: SPSS version 13 was used for statistical analysis. Results: All residents (n = 50 of center of destitutes were evaluated for psychiatric co-morbidity. 42 (84% inmates were suffering from psychiatric disorders. Most common psychiatric disorder among them was psychotic disorders in 19 (38%, followed by affective disorders, mainly depression in 16 (32%, somatoform disorders in 5 (10%, and anxiety disorders in 2 (4%. No significant gender differences were noted (P = 0.335. Substance abuse was present in 22 (44% of the inmates. A significant negative correlation between psychiatric symptoms and functioning of the subject was seen, (P < 0.001. Conclusion: Psychiatric disorders and in particular substance abuse, are common among the homeless people who stay in the center of destitutes. Psychiatric disorders are likely to be the cause significant functional impairment.

  15. Fluorosis varied treatment options

    OpenAIRE

    Sherwood I

    2010-01-01

    Fluorosis has been reported way back in 1901. The treatment options for fluorosis are varied depending upon individual cases. This article comes from Madurai in India where its surrounding towns are fluorosis-prone zones. The purpose of this article is to report various treatment options available for dental fluorosis; this is the first time that complete full mouth rehabilitation for dental fluorosis is being reported. This article also dwells on the need for the dentists to be aware of thei...

  16. Amplification options for patients with mixed hearing loss.

    NARCIS (Netherlands)

    Zwartenkot, J.W.; Snik, A.F.M.; Mylanus, E.A.M.; Mulder, J.J.S.

    2014-01-01

    OBJECTIVES: To compare amplification options for patients with mixed hearing loss. Devices tested include percutaneous and transcutaneous bone conductors (BCDs) and middle ear implants with their actuator directly coupled to the cochlea. SETTING: Tertiary academic medical center. METHOD AND PARTICIP

  17. Trap and recombination centers study in sprayed Cu₂ZnSnS₄ thin films

    Energy Technology Data Exchange (ETDEWEB)

    Courel, Maykel, E-mail: maykelcourel@gmail.com; Vigil-Galán, O.; Jiménez-Olarte, D. [Escuela Superior de Física y Matemáticas-Instituto Politécnico Nacional (IPN), C.P. 07738, México DF (Mexico); Espíndola-Rodríguez, M. [Escuela Superior de Física y Matemáticas-Instituto Politécnico Nacional (IPN), C.P. 07738, México DF (Mexico); Catalonia Institute for Energy Research (IREC), Jardins de les Dones de Negre 1, 08930 Sant Adrià de Besòs, Barcelona (Spain); Saucedo, E. [Catalonia Institute for Energy Research (IREC), Jardins de les Dones de Negre 1, 08930 Sant Adrià de Besòs, Barcelona (Spain)

    2014-10-07

    In this work, a study of trap and recombination center properties in polycrystalline Cu₂ZnSnS₄ thin films is carried out in order to understand the poor performance in Cu₂ZnSnS₄ thin film solar cells. Thermally stimulated current has been studied in Cu₂ZnSnS₄ deposited by pneumatic spray pyrolysis method using various heating rates, in order to gain information about trap centers and/or deep levels present within the band-gap of this material. A set of temperature-dependent current curves revealed three levels with activation energy of 126±10, 476±25, and 1100±100 meV. The possible nature of the three levels found is presented, in which the first one is likely to be related to Cu{sub Zn} antisites, while second and third to Sn vacancies and Sn{sub Cu} antisites, respectively. The values of frequency factor, capture cross section, and trap concentration have been determined for each center.

  18. Trap and recombination centers study in sprayed Cu2ZnSnS4 thin films

    Science.gov (United States)

    Courel, Maykel; Vigil-Galán, O.; Jiménez-Olarte, D.; Espíndola-Rodríguez, M.; Saucedo, E.

    2014-10-01

    In this work, a study of trap and recombination center properties in polycrystalline Cu2ZnSnS4 thin films is carried out in order to understand the poor performance in Cu2ZnSnS4 thin film solar cells. Thermally stimulated current has been studied in Cu2ZnSnS4 deposited by pneumatic spray pyrolysis method using various heating rates, in order to gain information about trap centers and/or deep levels present within the band-gap of this material. A set of temperature-dependent current curves revealed three levels with activation energy of 126 ± 10, 476 ± 25, and 1100 ± 100 meV. The possible nature of the three levels found is presented, in which the first one is likely to be related to CuZn antisites, while second and third to Sn vacancies and SnCu antisites, respectively. The values of frequency factor, capture cross section, and trap concentration have been determined for each center.

  19. Option-implied measures of equity risk

    DEFF Research Database (Denmark)

    Chang, Bo-Young; Christoffersen, Peter; Vainberg, Gregory;

    2012-01-01

    Equity risk measured by beta is of great interest to both academics and practitioners. Existing estimates of beta use historical returns. Many studies have found option-implied volatility to be a strong predictor of future realized volatility. We find that option-implied volatility and skewness a...... able to reflect sudden changes in the structure of the underlying company....

  20. Self-centering seismic retrofit scheme for reinforced concrete frame structures: SDOF system study

    Science.gov (United States)

    Zhang, Yunfeng; Hu, Xiaobin

    2010-06-01

    This paper presents the results of a parametric study of self-centering seismic retrofit schemes for reinforced concrete (RC) frame buildings. The self-centering retrofit system features flag-shaped hysteresis and minimal residual deformation. For comparison purpose, an alternate seismic retrofit scheme that uses a bilinear-hysteresis retrofit system such as buckling-restrained braces (BRB) is also considered in this paper. The parametric study was carried out in a single-degree-of-freedom (SDOF) system framework since a multi-story building structure may be idealized as an equivalent SDOF system and investigation of the performance of this equivalent SDOF system can provide insight into the seismic response of the multi-story building. A peak-oriented hysteresis model which can consider the strength and stiffness degradation is used to describe the hysteretic behavior of RC structures. The parametric study involves two key parameters — the strength ratio and elastic stiffness ratio between the seismic retrofit system and the original RC frame. An ensemble of 172 earthquake ground motion records scaled to the design basis earthquake in California with a probability of exceedance of 10% in 50 years was constructed for the simulation-based parametric study. The effectiveness of the two seismic retrofit schemes considered in this study is evaluated in terms of peak displacement ratio, peak acceleration ratio, energy dissipation demand ratio and residual displacement ratio between the SDOF systems with and without retrofit. It is found from this parametric study that RC structures retrofitted with the self-centering retrofit scheme (SCRS) can achieve a seismic performance level comparable to the bilinear-hysteresis retrofit scheme (BHRS) in terms of peak displacement and energy dissipation demand ratio while having negligible residual displacement after earthquake.

  1. Global Assessment of Hydrogen Technologies – Tasks 3 & 4 Report Economic, Energy, and Environmental Analysis of Hydrogen Production and Delivery Options in Select Alabama Markets: Preliminary Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Fouad, Fouad H.; Peters, Robert W.; Sisiopiku, Virginia P.; Sullivan Andrew J.; Gillette, Jerry; Elgowainy, Amgad; Mintz, Marianne

    2007-12-01

    This report documents a set of case studies developed to estimate the cost of producing, storing, delivering, and dispensing hydrogen for light-duty vehicles for several scenarios involving metropolitan areas in Alabama. While the majority of the scenarios focused on centralized hydrogen production and pipeline delivery, alternative delivery modes were also examined. Although Alabama was used as the case study for this analysis, the results provide insights into the unique requirements for deploying hydrogen infrastructure in smaller urban and rural environments that lie outside the DOE’s high priority hydrogen deployment regions. Hydrogen production costs were estimated for three technologies – steam-methane reforming (SMR), coal gasification, and thermochemical water-splitting using advanced nuclear reactors. In all cases examined, SMR has the lowest production cost for the demands associated with metropolitan areas in Alabama. Although other production options may be less costly for larger hydrogen markets, these were not examined within the context of the case studies.

  2. Pyroprocessing of Oxidized Sodium-Bonded Fast Reactor Fuel -- an Experimental Study of Treatment Options for Degraded EBR-II Fuel

    Energy Technology Data Exchange (ETDEWEB)

    S. D. Herrmann; L. A. Wurth; N. J. Gese

    2013-09-01

    An experimental study was conducted to assess pyrochemical treatment options for degraded EBR-II fuel. As oxidized material, the degraded fuel would need to be converted back to metal to enable electrorefining within an existing electrometallurgical treatment process. A lithium-based electrolytic reduction process was studied to assess the efficacy of converting oxide materials to metal with a particular focus on the impact of zirconium oxide and sodium oxide on this process. Bench-scale electrolytic reduction experiments were performed in LiCl-Li2O at 650 °C with combinations of manganese oxide (used as a surrogate for uranium oxide), zirconium oxide, and sodium oxide. The experimental study illustrated how zirconium oxide and sodium oxide present different challenges to a lithium-based electrolytic reduction system for conversion of select metal oxides to metal.

  3. Study on Multi-objective Location of Distribution Center Based on Covering

    Directory of Open Access Journals (Sweden)

    QU Hui

    2013-01-01

    Full Text Available Distribution center is an important part of modern logistics system. In the process of designing distribution center, running expense can be greatly reduced by selecting appropriate location of distribution center. In this paper, the covering method was used twice to choose the distribution center and minimize the total cost. At last, a case was given to test the model.

  4. 1993 study of long-billed curlews on the Yakima Training Center

    Energy Technology Data Exchange (ETDEWEB)

    Hand, K.D.; Cadwell, L.L.

    1994-04-01

    Pacific Northwest Laboratory conducted a study for the US Department of the Army on long-billed curlews (Numenius americanus) on the Yakima Training Center (YTC) in the spring and summer of 1993. Long-billed curlews are a Class IIIc federal candidate species and are listed as a ``species of special concern`` by the Washington Department of Wildlife. The objectives of this study were to (1) locate major nesting areas, (2) locate brood rearing areas, (3) evaluate habitat requirements, (4) determine diet, (5) evaluate response to troop activities, (6) estimate population size, (7) estimate recruitment rates, and (8) establish a relative abundance survey method.

  5. National Aeronautics and Space Administration Manned Spacecraft Center data base requirements study

    Science.gov (United States)

    1971-01-01

    A study was conducted to evaluate the types of data that the Manned Spacecraft Center (MSC) should automate in order to make available essential management and technical information to support MSC's various functions and missions. In addition, the software and hardware capabilities to best handle the storage and retrieval of this data were analyzed. Based on the results of this study, recommendations are presented for a unified data base that provides a cost effective solution to MSC's data automation requirements. The recommendations are projected through a time frame that includes the earth orbit space station.

  6. Evolution of the CMS ECAL Performance and R&D Studies for Calorimetry Options at High Luminosity LHC

    CERN Document Server

    Lucchini, Marco Toliman; Auffray, Etiennette

    During the past years the Large Hadron Collider (LHC) at CERN operated with a maximum center-of-mass energy of $\\sqrt{s} = 8$~TeV, a peak luminosity of around $7\\times 10^{33}$~cm$^{-2}$s$^{-1}$ and collected about $23$~fb$^{-1}$ of data which lead to the discovery of a Higgs Boson in July 2012. To further constrain the properties of the newly discovered Higgs boson, the decision to extend the LHC program has recently been made. In this framework, a major upgrade of the beam optics in the interaction region will take place around 2022 to achieve a leveled peak luminosity of $\\mathcal{L} = 5\\times10^{34}$~cm$^{-2}$s$^{-1}$. These will be the operating conditions during the High Luminosity LHC (HL-LHC) which is expected to deliver an integrated luminosity of 3000~fb$^{-1}$ by 2035. During HL-LHC phase the radiation levels will become much higher with respect to the nominal values for which the CMS detector was designed. Therefore it is of crucial importance to identify and quantify the effects ofradiation damag...

  7. Breast Reconstruction Options

    Science.gov (United States)

    ... Center Volunteer Learning Center Follow Us Twitter Facebook Instagram Cancer Information, Answers, and Hope. Available Every Minute ... 227.2345 Live Chat Follow Us Twitter Facebook Instagram help site map privacy accessibility terms of use ...

  8. A VLA H92alpha Study of the Arched Filament Complex Near the Galactic Center

    CERN Document Server

    Lang, C C; Lang, Cornelia C.

    2001-01-01

    The VLA has been used at 8.3 GHz in the DnC and CnB array configurations to carry out an H92alpha recombination line study (at 8.3 GHz) of the ionized gas in the Arched Filaments H II complex, which defines the western edge of the Galactic center Radio Arc. The H92alpha line properties of the ionized gas are consistent with photoionization from hot stars,and consistent with the physical properties of other Galactic center H II regions. The LTE electron temperatures vary only slightly across the entire extent of the source, and have an average value of 6200 K. The velocity field is very complex, with velocities ranging from +15 to - 70 km/s and the majority of velocities having negative values. Large velocity gradients (2-7 km/s/pc, with gradients in some regions >10 km/s/pc) occur along each of the filaments, with the velocities becoming increasingly negative with decreasing distance from the Galactic center. The magnitudes of the velocity gradient are consistent with the cloud residing on an inner, elongated...

  9. Fractal pattern growth simulation in electrodeposition and study of the shifting of center of mass

    Energy Technology Data Exchange (ETDEWEB)

    Shaikh, Yusuf H. [Shivaji Arts, Commerce and Science College, Kannad 431103 (India)], E-mail: yusufshaikh123@yahoo.com; Khan, A.R. [Dr. Rafiq Zakaria Centre for Higher Learning, Dr. Rafiq Zakaria marg, Rauza Bagh, Aurangabad 431001 (India); Pathan, J.M. [Dr. Rafiq Zakaria Campus, Dr. Rafiq Zakaria marg, Rauza Bagh, Aurangabad 431001 (India); Patil, Aruna [Viveakanand College, Aurangabad 431001 (India); Behere, S.H. [Departments of Physics, Dr. Babasaheb Ambedkar Marathwada University, Aurangabad 431004 (India)

    2009-12-15

    We presented simulation of fractal pattern in electrodeposition (Diffusion limited aggregation) using concept of off lattice walk. It is seen that the growth patterns are based on a parameter called 'bias'. This parameter 'bias' controls the growth of patterns similar to that of electric field in electrodeposition technique. In present study the fractal patterns are grown for different values of 'bias'. Dendritic patterns grown at lower value of 'bias' comprises open structure and show limited branching. As the bias is increased the growth tends to be dense and show more crowded branching. Box counting was implemented to calculate fractal dimension. The structural and textural complexities and are compared with the experimental observations. It was also noted that in the evolution of DLA patterns, the center of mass of the growth is shifted slightly. We tracked the position of the center of mass of simulated electro deposits under different electric field conditions. The center of mass exhibit random walk like patterns and it wanders around the origin or the starting point of the growth.

  10. Thermal annealing study of F center clusters in LiF single crystals

    Energy Technology Data Exchange (ETDEWEB)

    Izerrouken, M., E-mail: izerrouken@yahoo.co [Centre de Recherche Nucleaire de Draria (CRND), BP 43, Sebbala, Draria, Alger (Algeria); Guerbous, L. [Centre de Recherche Nucleaire d' Alger (CRNA), 2 Bd Frantz Fanon, BP 399, Alger gare (Algeria); Meftah, A. [LRPCSI, Universite 20 Aout 55 route d' El-Hadaik, BP 26, 21000 Skikda (Algeria)

    2010-01-21

    The present work is devoted to study the thermal annealing process of F center clusters (F{sub n}) induced in LiF single crystal under high-dose gamma-rays and high reactor neutrons fluence irradiations. With heating under argon atmosphere, the F-type center aggregates and gives rise to a new absorption band at 500 nm attributed to Li colloids. The optical density associated with F{sub 2} center observed in gamma-ray irradiated LiF decreases with increasing annealing temperature and exhibits two distinct annealing processes with activation energies E{sub 1}=0.9+-0.3 eV and E{sub 2}=1.6+-0.5 eV. Also, it is clear from the results that the F{sub 3}{sup +} and F{sub 2} emission bands positions are affected by the irradiated dose. Reactor neutrons irradiation induces large Li colloids. These colloids persist even after annealing at 450 deg. C.

  11. Pediatric Glaucoma: Pharmacotherapeutic Options.

    Science.gov (United States)

    Samant, Monica; Medsinge, Anagha; Nischal, Ken K

    2016-06-01

    Childhood glaucoma is a major therapeutic challenge for pediatric ophthalmologists and glaucoma specialists worldwide. Management depends on the etiology and age at presentation. A variety of drugs are available for the control of intraocular pressure in children; however, none of these drugs have been licensed by the regulatory agencies for use in children. Furthermore, evidence gained from randomized controlled trials in the pediatric population is sparse, and little is known regarding the use of newer anti-glaucoma preparations. This evidence-based review aims to discuss the available pharmacotherapeutic options for glaucoma in children. Topical adrenoceptor blockers, topical and systemic carbonic anhydrase inhibitors, prostaglandin (PG) analogs, adrenoceptor agonists, parasympathomimetics, and combined preparations are available for use in children, but usually as an off-label indication. Therefore, it is important to recognize that serious side effects have been reported, even with topical drops, and measures to reduce systemic absorption should be taken. Most drugs have been shown to have comparable ocular hypotensive effects, with the lowest occurrence of systemic side effects with PG analogs. Whereas a newly introduced prostaglandin analog, tafluprost, and some other preservative-free preparations have shown promising results in adult glaucoma patients, no pediatric reports are available as yet. Future studies may describe their role in treating pediatric glaucoma. This review also shares some suggested treatment pathways for primary congenital glaucoma (PCG), juvenile open angle glaucoma (JOAG), developmental glaucoma, aphakic/pseudophakic glaucoma, and uveitic glaucoma.

  12. Anatomical study of the radius and center of curvature of the distal femoral condyle

    KAUST Repository

    Kosel, Jürgen

    2010-01-01

    In this anatomical study, the anteroposterior curvature of the surface of 16 cadaveric distal femurs was examined in terms of radii and center point. Those two parameters attract high interest due to their significance for total knee arthroplasty. Basically, two different conclusions have been drawn in foregoing studies: (1) The curvature shows a constant radius and (2) the curvature shows a variable radius. The investigations were based on a new method combining three-dimensional laser-scanning and planar geometrical analyses. This method is aimed at providing high accuracy and high local resolution. The high-precision laser scanning enables the exact reproduction of the distal femurs - including their cartilage tissue - as a three-dimensional computer model. The surface curvature was investigated on intersection planes that were oriented perpendicularly to the surgical epicondylar line. Three planes were placed at the central part of each condyle. The intersection of either plane with the femur model was approximated with the help of a b-spline, yielding three b-splines on each condyle. The radii and center points of the circles, approximating the local curvature of the b-splines, were then evaluated. The results from all three b-splines were averaged in order to increase the reliability of the method. The results show the variation in the surface curvatures of the investigated samples of condyles. These variations are expressed in the pattern of the center points and the radii of the curvatures. The standard deviations of the radii for a 90 deg arc on the posterior condyle range from 0.6 mm up to 5.1 mm, with an average of 2.4 mm laterally and 2.2 mm medially. No correlation was found between the curvature of the lateral and medial condyles. Within the range of the investigated 16 samples, the conclusion can be drawn that the condyle surface curvature is not constant and different for all specimens when viewed along the surgical epicondylar axis. For the portion

  13. Assessment of LWR spent fuel disposal options. Volume 3. Study bases and system design considerations (Appendices). Technical report

    Energy Technology Data Exchange (ETDEWEB)

    1979-07-01

    Volume 3 (Appendices) provides a tabulation of the bases and assumptions used in the study as well as preconceptual design description and cost estimates of the facilities and transportation systems necessary to implement the various study cases.

  14. Traffic Light Options

    DEFF Research Database (Denmark)

    Jørgensen, Peter Løchte

    This paper introduces, prices, and analyzes traffic light options. The traffic light option is an innovative structured OTC derivative developed independently by several London-based investment banks to suit the needs of Danish life and pension (L&P) companies, which must comply with the traffic...... light solvency stress test system introduced by the Danish Financial Supervisory Authority (DFSA) in June 2001. This monitoring system requires L&P companies to submit regular reports documenting the sensitivity of the companies' base capital to certain pre-defined market shocks - the red and yellow...... light scenarios. These stress scenarios entail drops in interest rates as well as in stock prices, and traffic light options are thus designed to pay off and preserve sufficient capital when interest rates and stock prices fall simultaneously. Sweden's FSA implemented a traffic light system in January...

  15. Traffic Light Options

    DEFF Research Database (Denmark)

    Jørgensen, Peter Løchte

    2007-01-01

    This paper introduces, prices, and analyzes traffic light options. The traffic light option is an innovative structured OTC derivative developed independently by several London-based investment banks to suit the needs of Danish life and pension (L&P) companies, which must comply with the traffic...... light solvency stress test system introduced by the Danish Financial Supervisory Authority (DFSA) in June 2001. This monitoring system requires L&P companies to submit regular reports documenting the sensitivity of the companies' base capital to certain pre-defined market shocks - the red and yellow...... light scenarios. These stress scenarios entail drops in interest rates as well as in stock prices, and traffic light options are thus designed to pay off and preserve sufficient capital when interest rates and stock prices fall simultaneously. Sweden's FSA implemented a traffic light system in January...

  16. Photometric and Spectroscopic Study of Open Clusters in the Direction of the Galactic Center

    Science.gov (United States)

    Piatti, Andres E.

    1997-03-01

    We present results obtained from photometric and spectroscopic CCD observations of 16 previously little-studied objects, cataloged as galactic open cluster candidates. All observations were carried out at the Complejo Astronomico El Leoncito (CASLEO, Argentina) and at Las Campanas Observatory (Chile). A detailed analysis of the observed color-magnitude diagrams [V vs (B-V), V vs V-I)] and density histograms of the 16 objects--mostly located in the direction to the galactic center--demonstrate that they are genuine open clusters. We also present new photometric CCD VI Johnson-Cousins data of 10 template open clusters with well-known fundamental parameters. (SECTION: Dissertation Summaries)

  17. AVTA Federal Fleet PEV Readiness Data Logging and Characterization Study for NASA Glenn Research Center

    Energy Technology Data Exchange (ETDEWEB)

    Schey, Stephen [Idaho National Lab. (INL), Idaho Falls, ID (United States); Francfort, Jim [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-10-01

    The Advanced Vehicle Testing Activity’s study seeks to collect and evaluate data to validate the utilization of advanced plug-in electric vehicle (PEV) transportation. This report focuses on the NASA Glenn Research Center (GRC) fleet to identify daily operational characteristics of select vehicles and report findings on vehicle and mission characterizations to support the successful introduction of PEVs into the agencies’ fleets. Individual observations of these selected vehicles provide the basis for recommendations related to electric vehicle adoption and whether a battery electric vehicle or plug-in hybrid electric vehicle (collectively referred to as PEVs) can fulfill the mission requirements.

  18. Report on the feasibility study for improving electric motor service centers in Ghana

    Energy Technology Data Exchange (ETDEWEB)

    Hsu, J.S.; Jallouk, P.A.; Staunton, R.H.

    1999-12-10

    On March 3 and 4, 1998, a visit was made to Oak Ridge National Laboratory (ORNL) by two officials from Ghana: Mr. I.K. Mintah, Acting Executive Director, Technical Wing, Ministry of Mines and Energy (MOME) and Dr. A.K. Ofosu-Ahenkorah, Coordinator, Energy Efficiency and Conservation Program, MOME. As a result of this visit, Dr. John S. Hsu of ORNL was invited by MOME to visit the Republic of Ghana in order to study the feasibility of improving electric motor service centers in Ghana.

  19. A study of shame from sexual abuse within the context of a Norwegian incest center.

    Science.gov (United States)

    Pettersen, Kaare Torgny

    2013-01-01

    Working with those who have experienced sexual abuse is a complicated matter because such abuse not only involves the violation of the victim's body, but it often generates shame in those involved. This article is based on empirical data from 26 hours of videotaped focus group interviews with 19 adult men and women in a Norwegian incest center who spoke openly of the shame they experienced from sexual abuse as children, parents, and employees. Findings from this study show that shame from sexual abuse can be grouped into seven major categories: (a) family, (b) emotions, (c) body, (d) food, (e) self-image, (f) sex, and (g) therapy.

  20. Spin state transition in the active center of the hemoglobin molecule: DFT + DMFT study

    Science.gov (United States)

    Novoselov, D.; Korotin, Dm. M.; Anisimov, V. I.

    2016-05-01

    An ab initio study of electronic and spin configurations of the iron ion in the active center of the human hemoglobin molecule is presented. With a combination of the Density Functional Theory (DFT) method and the Dynamical Mean Field Theory (DMFT) approach, the spin state transition description in the iron ion during the oxidation process is significantly improved in comparison with previous attempts. It was found that the origin of the iron ion local moment behavior both for the high-spin and for the low-spin states in the hemoglobin molecule is caused by the presence of a mixture of several atomic states with comparable statistical probability.

  1. Validade da escala de depressão do Center for Epidemiological Studies entre idosos brasileiros Validity of the Center for Epidemiological Studies Depression Scale among Brazilian elderly

    Directory of Open Access Journals (Sweden)

    Samila Sather Tavares Batistoni

    2007-08-01

    Full Text Available OBJETIVO: Obter validade interna, de construto e de critério para a escala Center for Epidemiological Studies - Depression, em idosos. MÉTODOS: O instrumento foi aplicado a 903 idosos residentes em Juiz de Fora, Estado de Minas Gerais, entre os anos de 2002-2003. Os resultados foram comparados com a versão brasileira da Geriatric Depression Scale, aplicado a uma subamostra de 446 respondentes. A consistência interna das duas escalas foi aferida pelo coeficiente alfa de Cronbach, calculado para os itens em sua totalidade e para os itens de cada fator obtido para o instrumento avaliado. Para avaliar a validade de construto, seus 20 itens foram submetidos à análise fatorial exploratória a fim de conhecer o padrão de variação conjunta dos itens e a variância explicada por cada fator. RESULTADOS: O instrumento revelou índices satisfatórios de validade interna (alfa=0,860, sensibilidade (74,6% e especificidade (73,6%, para nota de corte >11. Entretanto, apontou freqüência relativamente alta de falsos positivos em comparação à Geriatric Depression Scale: de 33,8% vs. 15%. A análise fatorial exploratória do instrumento gerou estrutura fatorial com três fatores: afetos negativos, dificuldades de iniciar comportamentos e afetos positivos. CONCLUSÕES: O instrumento mostrou-se psicometricamente adequado para uso entre idosos. Entretanto, estudos adicionais de natureza longitudinal e transversal, desenvolvidos em diferentes contextos, poderão esclarecer os efeitos de variáveis somáticas e situacionais sobre os resultados desse instrumento em pessoas idosas.OBJECTIVE: To obtain internal construct and criteria validity for the Center of Epidemiological Studies - Depression scale in elderly people. METHODS: The instrument was applied to 903 elderly living in a city in southeastern Brazil, between 2002 and 2003. Results were compared with the Brazilian version of the CES-D applied to a sub-sample of 446 participants. Internal consistency

  2. An Analysis of Factors that Inhibit Business Use of User-Centered Design Principles: A Delphi Study

    Science.gov (United States)

    Hilton, Tod M.

    2010-01-01

    The use of user-centered design (UCD) principles has a positive impact on the use of web-based interactive systems in customer-centric organizations. User-centered design methodologies are not widely adopted in organizations due to intraorganizational factors. A qualitative study using a modified Delphi technique was used to identify the factors…

  3. Depleted uranium disposal options evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Hertzler, T.J.; Nishimoto, D.D.; Otis, M.D. [Science Applications International Corp., Idaho Falls, ID (United States). Waste Management Technology Div.

    1994-05-01

    The Department of Energy (DOE), Office of Environmental Restoration and Waste Management, has chartered a study to evaluate alternative management strategies for depleted uranium (DU) currently stored throughout the DOE complex. Historically, DU has been maintained as a strategic resource because of uses for DU metal and potential uses for further enrichment or for uranium oxide as breeder reactor blanket fuel. This study has focused on evaluating the disposal options for DU if it were considered a waste. This report is in no way declaring these DU reserves a ``waste,`` but is intended to provide baseline data for comparison with other management options for use of DU. To PICS considered in this report include: Retrievable disposal; permanent disposal; health hazards; radiation toxicity and chemical toxicity.

  4. Managing Nuclear Waste: Options Considered

    Energy Technology Data Exchange (ETDEWEB)

    DOE

    2002-05-02

    Starting in the 1950s, U.S. scientists began to research ways to manage highly radioactive materials accumulating at power plants and other sites nationwide. Long-term surface storage of these materials poses significant potential health, safety, and environmental risks. Scientists studied a broad range of options for managing spent nuclear fuel and high-level radioactive waste. The options included leaving it where it is, disposing of it in various ways, and making it safer through advanced technologies. International scientific consensus holds that these materials should eventually be disposed of deep underground in what is called a geologic repository. In a recent special report, the National Academy of Sciences summarized the various studies and emphasized that geologic disposal is ultimately necessary.

  5. Fluorosis varied treatment options

    Directory of Open Access Journals (Sweden)

    Sherwood I

    2010-01-01

    Full Text Available Fluorosis has been reported way back in 1901. The treatment options for fluorosis are varied depending upon individual cases. This article comes from Madurai in India where its surrounding towns are fluorosis-prone zones. The purpose of this article is to report various treatment options available for dental fluorosis; this is the first time that complete full mouth rehabilitation for dental fluorosis is being reported. This article also dwells on the need for the dentists to be aware of their local indigenous pathologies to treat it in a better manner.

  6. Triplet state in photosystem II reaction centers as studied by 130 GHz EPR

    Energy Technology Data Exchange (ETDEWEB)

    Pashenko, S.V.; Proskuryakov, I.I.; Germano, M.; Gorkom, H.J. van; Gast, P

    2003-11-01

    The triplet state in the reaction centers of photosystem II was studied by high-field/high-frequency (130 GHz) EPR in the temperature range 50-90 K. At 50 K, the zero-field splitting parameters of the EPR spectrum correspond well to those of a chlorophyll monomer, in agreement with earlier studies. In the high magnetic field of 4.6 T employed in this study, the g-anisotropy of the triplet state becomes apparent and leads to a shift of the canonical positions of the triplet EPR spectrum. Assuming that triplet g- and zero-field tensors are coaxial, the principal values of the triplet g-tensor are determined to be 2.00324, 2.00306 and 2.00231 with an error of {+-}0.00004. Lifting this assumption results in higher g-anisotropy. At higher temperatures, the shape of the spectra changes significantly. Triplet excitation hopping involving the accessory chlorophyll B{sub A} and P{sub A} or P{sub B} (equivalents of the special pair bacteriochlorophylls of the bacterial reaction centers) can partially explain those changes, but the most prominent features indicate that also the electron acceptor I{sub A} (a pheophytin molecule) must be involved.

  7. Validity of Center for Epidemiologic Studies Depression (CES-D scale in a sample of Iraq and Afghanistan Veterans

    Directory of Open Access Journals (Sweden)

    Ana R Quiñones

    2016-04-01

    Full Text Available Objectives: Optimal depression screening necessitates measurement tools that are valid across varied populations and in the presence of comorbidities. Methods: This study assessed the test properties of two versions of the Center for Epidemiologic Studies Depression scale against psychiatric diagnoses established by the Mini International Neuropsychiatric Interview among a clinical sample of US Veterans deployed during Operations Enduring Freedom, Iraqi Freedom, and New Dawn. Participants (N = 359 recruited from two Department of Veterans Affairs hospitals completed a clinical interview, structured diagnostic interview, and self-reported measures. Results: Based on diagnostic interview and the Diagnostic and Statistical Manual of Mental Disorders 4th Edition criteria, 29.5% of the sample met diagnostic criteria for major depressive disorder and 26.5% met diagnostic criteria for post-traumatic stress disorder. Both Center for Epidemiologic Studies Depression-20 and Center for Epidemiologic Studies Depression-10 scales performed well and almost identically against the Mini International Neuropsychiatric Interview-major depressive disorder in identifying Veterans with major depressive disorder (Center for Epidemiologic Studies Depression-20 area under the Receiver Operating Characteristic curve 91%; Center for Epidemiologic Studies Depression-10 area under the ROC curve 90%. Overall, higher cut points for the Center for Epidemiologic Studies Depression scales performed better in correctly identifying true positives and true negatives for major depressive disorder (Center for Epidemiologic Studies Depression-20 cut point 18+ sensitivity 92% specificity 72%; Center for Epidemiologic Studies Depression-10 cut point 10+ sensitivity 92% specificity 69%. Conclusions: The specificity of the Center for Epidemiologic Studies Depression scales was poor among Veterans with co-occurring post-traumatic stress disorder (13% and 16%. Veterans with post

  8. Structure and content of radiology reports, a quantitative and qualitative study in eight medical centers

    Energy Technology Data Exchange (ETDEWEB)

    Bosmans, Jan M.L. [Department of Radiology, Antwerp University Hospital (Belgium); Faculty of Medicine, Antwerp University (Belgium)], E-mail: jan.bosmans@uza.be; Weyler, Joost J. [Department of Epidemiology and Social Medicine, Antwerp University (Belgium); Parizel, Paul M. [Department of Radiology, Antwerp University Hospital (Belgium); Faculty of Medicine, Antwerp University (Belgium)

    2009-11-15

    Rationale and objectives: In order to determine how the quality of the radiology report can be improved, the variation in content, form and length of the report needs to be examined. The purpose of the present study was to investigate and compare the length and structure of radiology reports (reports of abdominal CT examinations) in eight hospitals in the Netherlands and Flanders, the Dutch speaking part of Belgium. Materials and methods: Eight hundred reports - 100 from each collaborating center - were collected. After exclusion of the reports that did not fulfill the criteria for a standard CT examination of the abdomen, 525 were retained for further study. The structure of each report was analyzed and the constituting parts (technical information, description of the findings, conclusion, advice, remark, note) were determined. The character and word count of the report and its constituting parts were measured and the results were grouped according to the country (Netherlands vs. Belgium/Flanders), the qualification of the radiologist (staff members vs. residents.) and the nature of the hospital (university medical centers vs. community hospitals). Results: Statistically significant differences were found between the Netherlands and Flanders, and between staff members and residents. The authors also found a wide variety in the lay-out and the overall content of the radiology report. Conclusion: While most of the differences we found are probably rooted in local tradition, a standard model for the radiology report in centers sharing the same language may be a means to avoid interpretation mistakes by referring physicians, and to promote better care.

  9. Implementing the Instructional Coach Role as a Professional Development Option: A Case Study of the Change Process

    Science.gov (United States)

    Kubek, Jessica

    2012-01-01

    The overall purpose of this study was to examine the attitudes and participation in professional development activities of key stakeholders as related to the change of position from an Instructional Support Teacher to an Instructional Coach. Specifically, this study aimed to provide a detailed and extensive review of the implementation process and…

  10. X-ray absorption spectroscopic studies of the dinuclear iron center in methane monooxygenase and the sulfure and chlorine centers in photographic materials

    Energy Technology Data Exchange (ETDEWEB)

    DeWitt, J.G.

    1992-12-01

    The dinuclear iron center of the hydroxylase component of soluble methane monooxygenase (MMO) from Methylococcus capsulatus and Methylosinus trichosporiwn has been studied by X-ray absorption spectroscopy. Analysis of the Fe K-edge EXAFS revealed that the first shell coordination of the Fe(HI)Fe(IH) oxidized state of the hydroxylase from M. capsulatus consists of approximately 6 N and 0 atoms at an average distance of 2.04 {Angstrom}. The Fe-Fe distance was determined to be 3.4 {Angstrom}. No evidence for the presence of a short oxo bridge in the iron center of the oxidized hydroxylase was found, suggesting that the active site of MMO is significantly different from the active sites of the dinuclear iron proteins hemery and ribonucleotide reductase. In addition, the results of the first shell fits suggest that there are more oxygen than nitrogen donor ligands.

  11. X-ray absorption spectroscopic studies of the dinuclear iron center in methane monooxygenase and the sulfure and chlorine centers in photographic materials

    Energy Technology Data Exchange (ETDEWEB)

    DeWitt, J.G.

    1992-12-01

    The dinuclear iron center of the hydroxylase component of soluble methane monooxygenase (MMO) from Methylococcus capsulatus and Methylosinus trichosporiwn has been studied by X-ray absorption spectroscopy. Analysis of the Fe K-edge EXAFS revealed that the first shell coordination of the Fe(HI)Fe(IH) oxidized state of the hydroxylase from M. capsulatus consists of approximately 6 N and 0 atoms at an average distance of 2.04 [Angstrom]. The Fe-Fe distance was determined to be 3.4 [Angstrom]. No evidence for the presence of a short oxo bridge in the iron center of the oxidized hydroxylase was found, suggesting that the active site of MMO is significantly different from the active sites of the dinuclear iron proteins hemery and ribonucleotide reductase. In addition, the results of the first shell fits suggest that there are more oxygen than nitrogen donor ligands.

  12. ICARUS-4 : a database of energy reduction options for the Netherlands, 1995-2020 : sector study for the non-ferrous metals industry

    NARCIS (Netherlands)

    Alsema, E.A.

    2006-01-01

    In this report we describe the energy consumption in 1995 and the energy saving options that exist within the non-ferro base metal industry (SBI/NACE 27.4-5) in the Netherlands. The data will be included in the ICARUS-4 database which gives an inventory of the technological options for energy saving

  13. Characterizing complexity in socio-technical systems: a case study of a SAMU Medical Regulation Center.

    Science.gov (United States)

    Righi, Angela Weber; Wachs, Priscila; Saurin, Tarcísio Abreu

    2012-01-01

    Complexity theory has been adopted by a number of studies as a benchmark to investigate the performance of socio-technical systems, especially those that are characterized by relevant cognitive work. However, there is little guidance on how to assess, systematically, the extent to which a system is complex. The main objective of this study is to carry out a systematic analysis of a SAMU (Mobile Emergency Medical Service) Medical Regulation Center in Brazil, based on the core characteristics of complex systems presented by previous studies. The assessment was based on direct observations and nine interviews: three of them with regulator of emergencies medical doctor, three with radio operators and three with telephone attendants. The results indicated that, to a great extent, the core characteristics of complexity are magnified) due to basic shortcomings in the design of the work system. Thus, some recommendations are put forward with a view to reducing unnecessary complexity that hinders the performance of the socio-technical system.

  14. Electron Spin Resonance and optical absorption spectroscopic studies of manganese centers in aluminium lead borate glasses

    Science.gov (United States)

    SivaRamaiah, G.; LakshmanaRao, J.

    2012-12-01

    Electron Spin Resonance (ESR) and optical absorption studies of 5Al2O3 + 75H3BO3 + (20-x)PbO + xMnSO4 (where x = 0.5, 1,1.5 and 2 mol% of MnSO4) glasses at room temperature have been studied. The ESR spectrum of all the glasses exhibits resonance signals with effective isotropic g values at ≈2.0, 3.3 and 4.3. The ESR resonance signal at isotropic g ≈ 2.0 has been attributed to Mn2+ centers in an octahedral symmetry. The ESR resonance signals at isotropic g ≈ 3.3 and 4.3 have been attributed to the rhombic symmetry of the Mn2+ ions. The zero-field splitting parameter (zfs) has been calculated from the intensities of the allowed hyperfine lines. The optical absorption spectrum exhibits an intense band in the visible region and it has been attributed to 5Eg → 5T2g transition of Mn3+centers in an octahedral environment. The optical band gap and the Urbach energies have been calculated from the ultraviolet absorption edges.

  15. Sex expression and floral diversity in Jatropha curcas: a population study in its center of origin

    Science.gov (United States)

    Adriano-Anaya, María de Lourdes; Pérez-Castillo, Edilma; Salvador-Figueroa, Miguel; Ruiz-González, Sonia; Vázquez-Ovando, Alfredo; Grajales-Conesa, Julieta

    2016-01-01

    Sex expression and floral morphology studies are central to understand breeding behavior and to define the productive potential of plant genotypes. In particular, the new bioenergy crop Jatropha curcas L. has been classified as a monoecious species. Nonetheless, there is no information about its reproductive diversity in the Mesoamerican region, which is considered its center of origin and diversification. Thus, we determined sex expression and floral morphology in J. curcas populations from southern Mexico and Guatemala. Our results showed that most of J. curcas specimens had typical inflorescences with separate sexes (monoecious); meanwhile, the rest were atypical (gynoecious, androecious, andromonoecious, androgynomonoecious). The most important variables to group these populations, based on a discriminant analysis, were: male flower diameter, female petal length and male nectary length. From southern Mexico “Guerrero” was the most diverse population, and “Centro” had the highest variability among the populations from Chiapas. A cluster analysis showed that the accessions from southern Mexico were grouped without showing any correlation with the geographical origin, while those accessions with atypical sexuality were grouped together. To answer the question of how informative are floral morphological traits compared to molecular markers, we perform a Mantel correlation test between the distance matrix generated in this study and the genetic distance matrix (AFLP) previously reported for the same accessions. We found significant correlation between data at the level of accessions. Our results contribute to design genetic improvement programs by using sexually and morphologically contrasting plants from the center of origin. PMID:27257548

  16. Building a Student-Centered Culture in Times of Natural Disaster: A Case Study

    Science.gov (United States)

    Hlinka, Karen Ramey

    2013-01-01

    Increased rates of student success and persistence have been positively linked to community colleges with student-centered cultures. A student-centered culture is one in which policies and practices promote a consistent message of concern and respect while expecting high standards of academic accomplishment. Developing a student-centered culture…

  17. R&D Characteristics and Organizational Structure: Case Studies of University-Industry Research Centers

    Science.gov (United States)

    Hart, Maureen McArthur

    2013-01-01

    Within the past few decades, university-industry research centers have been developed in large numbers and emphasized as a valuable policy tool for innovation. Yet little is known about the heterogeneity of organizational structure within these centers, which has implications regarding policy for and management of these centers. This dissertation…

  18. Our Energy Options.

    Science.gov (United States)

    Meyers, Paul A.; Witt, Frank C.

    Presented is an analysis of alternatives available to the United States in dealing with energy problems. Options explained and evaluated include coal, solar, hydroelectric, nuclear, geothermal, wind, biomass, and energy conservation. The booklet is part of Project APEC (America's Possible Energy Choices), a nationally validated Title IVc project…

  19. Idaho's Energy Options

    Energy Technology Data Exchange (ETDEWEB)

    Robert M. Neilson

    2006-03-01

    This report, developed by the Idaho National Laboratory, is provided as an introduction to and an update of the status of technologies for the generation and use of energy. Its purpose is to provide information useful for identifying and evaluating Idaho’s energy options, and for developing and implementing Idaho’s energy direction and policies.

  20. Renal denervation: Results of a single-center cohort study; Renale Denervation. Ergebnisse einer Single-Center Kohortenstudie

    Energy Technology Data Exchange (ETDEWEB)

    Luetkens, J.A.; Thomas, D.; Doerner, J.; Schild, H.H.; Naehle, C.P. [Bonn Univ. (Germany). Dept. of Radiology; Wilhelm, K. [Johanniter Hospital, Bonn (Germany). Dept. of Radiology; Duesing, R. [Hypertension Center, Bonn (Germany); Woitas, R.P.; Hundt, F. [Bonn Univ. (Germany). Dept. of Internal Medicine I

    2015-01-15

    To investigate the effect of renal denervation on office-based and 24-h ambulatory blood pressure measurements (ABPM) in a highly selective patient population with drug-resistant hypertension. Patients with drug resistant hypertension eligible for renal denervation were included in the study population. Office blood pressure and ABPM were assessed prior to and after renal denervation. To detect procedure related renal or renal artery damage, magnetic resonance imaging (MRI) and angiography (MRA) were performed pre-interventional, one day post-interventional, and one month after renal denervation. Mean follow-up time between renal denervation and blood pressure re-assessment was 9.5 ± 3.9 months. Between August 2011 and March 2013, 17 patients prospectively underwent renal denervation. Pre-interventional mean office blood pressure and ABPM were 177.3 ± 20.3/103.8 ± 20.4 mmHg and 155.2 ± 20.5/93.7 ± 14.5 mmHg, respectively. Post-interventional, office blood pressure was significantly reduced to 144.7 ± 14.9/89.5 ± 12.1 (p < 0.05). ABPM values remained unchanged (147.9 ± 20.3/90.3 ± 15.6, p > 0.05). The number of prescribed antihypertensive drugs was unchanged after renal denervation (4.7 ± 2.0 vs. 4.2 ± 1.2, p = 0.18). No renovascular complications were detected in follow-up MRI. After renal denervation, no significant decrease in ABPM was observed. These results may indicate a limited impact of renal denervation for drug resistant hypertension.

  1. Audit of a Scientific Data Center for Certification as a Trustworthy Digital Repository: A Case Study

    Science.gov (United States)

    Downs, R. R.; Chen, R. S.

    2011-12-01

    Services that preserve and enable future access to scientific data are necessary to ensure that the data that are being collected today will be available for use by future generations of scientists. Many data centers, archives, and other digital repositories are working to improve their ability to serve as long-term stewards of scientific data. Trust in sustainable data management and preservation capabilities of digital repositories can influence decisions to use these services to deposit or obtain scientific data. Building on the Open Archival Information System (OAIS) Reference Model developed by the Consultative Committee for Space Data Systems (CCSDS) and adopted by the International Organization for Standardization as ISO 14721:2003, new standards are being developed to improve long-term data management processes and documentation. The Draft Information Standard ISO/DIS 16363, "Space data and information transfer systems - Audit and certification of trustworthy digital repositories" offers the potential to evaluate digital repositories objectively in terms of their trustworthiness as long-term stewards of digital resources. In conjunction with this, the CCSDS and ISO are developing another draft standard for the auditing and certification process, ISO/DIS 16919, "Space data and information transfer systems - Requirements for bodies providing audit and certification of candidate trustworthy digital repositories". Six test audits were conducted of scientific data centers and archives in Europe and the United States to test the use of these draft standards and identify potential improvements for the standards and for the participating digital repositories. We present a case study of the test audit conducted on the NASA Socioeconomic Data and Applications Center (SEDAC) and describe the preparation, the audit process, recommendations received, and next steps to obtain certification as a trustworthy digital repository, after approval of the ISO/DIS standards.

  2. Treatment options for hyperemesis gravidarum.

    Science.gov (United States)

    Abramowitz, Amy; Miller, Emily S; Wisner, Katherine L

    2017-01-09

    Hyperemesis gravidarum (HG) is a severe and prolonged form of nausea and/or vomiting during pregnancy. HG affects 0.3-2% of pregnancies and is defined by dehydration, ketonuria, and more than 5% body weight loss. Initial pharmacologic treatment for HG includes a combination of doxylamine and pyridoxine. Additional interventions include ondansetron or dopamine antagonists such as metoclopramide or promethazine. The options are limited for women who are not adequately treated with these medications. We suggest that mirtazapine is a useful drug in this context and its efficacy has been described in case studies. Mirtazapine acts on noradrenergic, serotonergic, histaminergic, and muscarinic receptors to produce antidepressant, anxiolytic, antiemetic, sedative, and appetite-stimulating effects. Mirtazapine is not associated with an independent increased risk of birth defects. Further investigation of mirtazapine as a treatment for HG holds promise to expand treatment options for women suffering from HG.

  3. Pawnee Nation Energy Option Analyses

    Energy Technology Data Exchange (ETDEWEB)

    Matlock, M.; Kersey, K.; Riding In, C.

    2009-07-21

    market developments in the bio-energy industry, establish contacts with research institutions with which the tribe could potentially partner in grant-funded research initiatives. In addition, a substantial effort by the Kaw and Cherokee tribes is underway to pursue wind development at the Chilocco School Site in northern Oklahoma where Pawnee is a joint landowner. Pawnee Nation representatives should become actively involved in these development discussions and should explore the potential for joint investment in wind development at the Chilocco site. Financial incentives for project development are generally structured to provide tribes with access to conventional financing mechanisms. Grant funding for project construction is currently difficult to obtain. Substantial new opportunities for bio-fuel development may exist in the next few years with passage of the 2007 Farm Bill, and through opportunities made available through Oklahoma’s new Bio-energy Center. A review of potential alternatives to Pawnee Nation’s current electricity supply scenario revealed that a range of options could be viable. These include the following scenarios: business as usual, alternative supply, negotiate lower rates with City of Pawnee, focus on reducing energy usage, develop electric utility organization. Under any circumstances, Pawnee Nation should purse strategies to reduce energy usage, as this is the simplest means of reducing electric costs and environmental impacts. The research team also recommends that Pawnee Nation initiate some focused discussions with the City of Pawnee, with GRDA, and with IEC to discuss its wholesale supply purchase options. These discussions will better inform the Pawnee Energy Team of the specific pros and cons of its wholesale power supply options, and will assist the Team’s broader decision-making on utility-related issues. The ultimate path chosen by Pawnee Nation will depend on further consideration of priorities and potential barriers by Pawnee

  4. A pilot study of BRCA mutation carriers' knowledge about the clinical impact of prophylactic-oophorectomy and views on fertility consultation: a single-center pilot study.

    Science.gov (United States)

    Kim, J; Skrzynia, C; Mersereau, J E

    2015-02-01

    BRCA mutation carriers will experience early surgically induced menopause following prophylactic bilateral salpingo-oophorectomy (PBSO). This pilot study aimed to investigate their (1) knowledge about the clinical impact of PBSO; (2) views on fertility consultation (FC)/fertility preservation (FP) treatment; and (3) difficulties in conceiving compared to non-carriers. A cross-sectional, single institution web-survey was performed at a university-based IVF center. Women aged 18-50 years who were screened for BRCA gene mutations from 2005 to 2013 were recruited via mail. Forty-one BRCA-positive and 110 BRCA-negative women completed the survey (response rate: 50 %). The knowledge about the reproductive impact of PBSO was limited, with the majority of women in this highly educated sample only identifying the correct response 64 % of the time. Among BRCA mutation carriers, 24 (59 %) had positive views about FC/FP treatments. A larger proportion of women with no children at the time of BRCA testing, and those who were non-white tended to have positive views toward FP. Women with, versus without, BRCA mutations were more likely to have difficulty in conceiving (p = 0.08). This well-educated group had limited knowledge about the reproductive clinical impact of PBSO, or the benefit of a FP before PBSO. Most women with BRCA mutations were interested in FC/FP treatment if they had not completed childbearing at the time of screening. Targeted referrals for FC at the time of BRCA screening may help women improve knowledge and allow improved decision-making about reproductive options.

  5. Performance of Ultrasound in the Diagnosis of Gout in a Multi-Center Study

    DEFF Research Database (Denmark)

    Ogdie, Alexis; Taylor, William J; Neogi, Tuhina

    2017-01-01

    OBJECTIVES: To examine the performance of ultrasound for the diagnosis of gout using presence of monosodium urate (MSU) crystals as the gold standard. METHODS: We analyzed data from the Study for Updated Gout Classification Criteria (SUGAR), a large, multi-center observational cross-sectional study...... of consecutive subjects with at least one swollen joint who conceivably may have gout. All subjects underwent arthrocentesis; cases were subjects with MSU crystal confirmation. Rheumatologists or radiologists, blinded to the results of the MSU crystal analysis, performed ultrasound on one or more clinically...... with positive ultrasound results among subjects with gout. RESULTS: Ultrasound was performed in 824 subjects (416 cases and 408 controls). The sensitivity, specificity, PPV and NPV for the presence of any one of the features were 76.9%, 84.3%, 83.3% and 78.1% respectively. Sensitivity was higher among subjects...

  6. A valence bond study of three-center four-electron pi bonding: electronegativity vs electroneutrality.

    Science.gov (United States)

    DeBlase, Andrew; Licata, Megan; Galbraith, John Morrison

    2008-12-18

    Three-center four-electron (3c4e) pi bonding systems analogous to that of the ozone molecule have been studied using modern valence bond theory. Molecules studied herein consist of combinations of first row atoms C, N, and O with the addition of H atoms where appropriate in order to preserve the 3c4e pi system. Breathing orbital valence bond (BOVB) calculations were preformed at the B3LYP/6-31G**-optimized geometries in order to determine structural weights, pi charge distributions, resonance energies, and pi bond energies. It is found that the most weighted VB structure depends on atomic electronegativity and charge distribution, with electronegativity as the dominant factor. By nature, these systems are delocalized, and therefore, resonance energy is the main contributor to pi bond energies. Molecules with a single dominant VB structure have low resonance energies and therefore low pi bond energies.

  7. Center for Volcanic and Tectonic Studies: 1992--1993 annual report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-31

    The annual report of the Center for Volcanic Studies (CVTS) contains a series of papers, reprints and a Master of Science thesis that review the progress made by the CVTS between October 1, 1992 and February 1, 1994. During this period CVTS staff focused on several topics that have direct relevance to volcanic hazards related to the proposed high-level nuclear waste repository at Yucca Mountain, Nevada. These topics include: (1) polygenetic/polycyclic volcanism in Crater Flat, Nevada; (2) the role of the mantle during crustal extension; (3) the detailed geology of Crater Flat, Nevada; (4) Pliocene volcanoes in the Reveille Range, south-central Nevada; (5) estimating the probability of disruption of the proposed repository by volcanic eruptions. This topic is being studied by Dr. C.H. Ho at UNLV. The report contains copies of these individual papers as they were presented in various conference proceedings.

  8. Student-centered Role-based Case Study Model to Improve Learning in Decision Support Systems

    Directory of Open Access Journals (Sweden)

    Farrukh Nadeem

    2014-10-01

    Full Text Available One of the important learning objectives of our bachelor course on "Techniques in Decision Support Systems" is to develop understanding of core decision making process in real-life business situations. The conventional teaching methods are unable to explain complexities of real-life business. Although the classroom discussions can be effective to understand general factors, such as opportunity cost, return on investment, etc. affecting business decisions, the effects of factors like dynamic business environment, incomplete information, time pressure etc. can not be truly explained through such simple discussions. In this paper, we describe our experience of adopting student-centered, role-based, case study to deal with this situation. The interactive case-based study not only provided students with experiential learning, but also gave them liberty to test their thoughts. As a result, we observed improved students' learning as well as improved grades. In addition, this approach made classes more dynamic and interesting.

  9. Increasing access--a qualitative study of homelessness and palliative care in a major urban center.

    Science.gov (United States)

    Krakowsky, Yonah; Gofine, Mirriam; Brown, Pnina; Danziger, Jana; Knowles, Holly

    2013-05-01

    Rates of morbidity and mortality are significantly higher in homeless populations. Homeless people experience many barriers to receive adequate palliative care. This qualitative study examines how a major urban city's palliative care resources can be improved to increase access and better serve the homeless. Audiotaped interviews were preformed with 7 homeless care providers in Toronto, Canada, and their transcripts were analyzed using thematic analysis. The findings of the study suggest that in order to increase access and to serve the city's terminally ill homeless better, the following 4 areas must be addressed: (1) increasing positive interaction between the health care system and the homeless, (2) training staff to deal with the unique issues confronting the homeless, (3) providing patient-centered care, and (4) diversifying the methods of delivery.

  10. Study on load forecasting to data centers of high power density based on power usage effectiveness

    Science.gov (United States)

    Zhou, C. C.; Zhang, F.; Yuan, Z.; Zhou, L. M.; Wang, F. M.; Li, W.; Yang, J. H.

    2016-08-01

    There is usually considerable energy consumption in data centers. Load forecasting to data centers is in favor of formulating regional load density indexes and of great benefit to getting regional spatial load forecasting more accurately. The building structure and the other influential factors, i.e. equipment, geographic and climatic conditions, are considered for the data centers, and a method to forecast the load of the data centers based on power usage effectiveness is proposed. The cooling capacity of a data center and the index of the power usage effectiveness are used to forecast the power load of the data center in the method. The cooling capacity is obtained by calculating the heat load of the data center. The index is estimated using the group decision-making method of mixed language information. An example is given to prove the applicability and accuracy of this method.

  11. Employee health benefit redesign at the academic health center: a case study.

    Science.gov (United States)

    Marshall, Julie; Weaver, Deirdre C; Splaine, Kevin; Hefner, David S; Kirch, Darrell G; Paz, Harold L

    2013-03-01

    The rapidly escalating cost of health care, including the cost of providing health care benefits, is a significant concern for many employers. In this article, the authors examine a case study of an academic health center that undertook a complete redesign of its health benefit structure to control rising costs, encourage use of its own provider network, and support employee wellness. With the implementation in 2006 of a high-deductible health plan combined with health reimbursement arrangements and wellness incentives, the Penn State Hershey Medical Center (PSHMC) was able to realize significant cost savings and increase use of its own network while maintaining a high level of employee satisfaction. By contracting with a single third-party administrator for its self-insured plan, PSHMC reduced its administrative costs and simplified benefit choices for employees. In addition, indexing employee costs to salary ensured that this change was equitable for all employees, and the shift to a consumer-driven health plan led to greater employee awareness of health care costs. The new health benefit plan's strong focus on employee wellness and preventive health has led to significant increases in the use of preventive health services, including health risk assessments, cancer screenings, and flu shots. PSHMC's experience demonstrates the importance of clear and ongoing communication with employees throughout--before, during, and even after--the process of health benefit redesign.

  12. Identifying Elements of Patient-Centered Care in Underserved Populations: A Qualitative Study of Patient Perspectives

    Science.gov (United States)

    Raja, Sheela; Hasnain, Memoona; Vadakumchery, Tracy; Hamad, Judy; Shah, Raveena; Hoersch, Michelle

    2015-01-01

    Patient-centered care is an important goal in the delivery of healthcare. However, many patients do not engage in preventive medical care. In this pilot study, we conducted twenty in depth, semi-structured qualitative interviews at the University of Illinois at Chicago Health Sciences campus in a four month time frame. Many patients were underserved and underinsured, and we wanted to understand their experiences in the healthcare system. Using content analysis, several themes emerged from the interview data. Participants discussed the need for empathy and rapport with their providers. They identified provider behaviors that fostered a positive clinical relationship, including step-by step explanations of procedures, attention to body language and clinic atmosphere, and appropriate time management. Participants identified cost as the most common barrier to engaging in preventive care and discussed children and social support as motivating factors. A long-term relationship with a provider was an important motivator for preventive care, suggesting that the therapeutic alliance was essential to many patients. Conversely, many participants discussed a sense of dehumanization in the healthcare system, reporting that their life circumstances were overlooked, or that they were judged based on insurance status or ethnicity. We discuss implications for provider training and healthcare delivery, including the importance of patient-centered medical homes. PMID:25993110

  13. The proton therapy nozzles at Samsung Medical Center: A Monte Carlo simulation study using TOPAS

    Science.gov (United States)

    Chung, Kwangzoo; Kim, Jinsung; Kim, Dae-Hyun; Ahn, Sunghwan; Han, Youngyih

    2015-07-01

    To expedite the commissioning process of the proton therapy system at Samsung Medical Center (SMC), we have developed a Monte Carlo simulation model of the proton therapy nozzles by using TOol for PArticle Simulation (TOPAS). At SMC proton therapy center, we have two gantry rooms with different types of nozzles: a multi-purpose nozzle and a dedicated scanning nozzle. Each nozzle has been modeled in detail following the geometry information provided by the manufacturer, Sumitomo Heavy Industries, Ltd. For this purpose, the novel features of TOPAS, such as the time feature or the ridge filter class, have been used, and the appropriate physics models for proton nozzle simulation have been defined. Dosimetric properties, like percent depth dose curve, spreadout Bragg peak (SOBP), and beam spot size, have been simulated and verified against measured beam data. Beyond the Monte Carlo nozzle modeling, we have developed an interface between TOPAS and the treatment planning system (TPS), RayStation. An exported radiotherapy (RT) plan from the TPS is interpreted by using an interface and is then translated into the TOPAS input text. The developed Monte Carlo nozzle model can be used to estimate the non-beam performance, such as the neutron background, of the nozzles. Furthermore, the nozzle model can be used to study the mechanical optimization of the design of the nozzle.

  14. Identifying elements of patient-centered care in underserved populations: a qualitative study of patient perspectives.

    Directory of Open Access Journals (Sweden)

    Sheela Raja

    Full Text Available Patient-centered care is an important goal in the delivery of healthcare. However, many patients do not engage in preventive medical care. In this pilot study, we conducted twenty in depth, semi-structured qualitative interviews at the University of Illinois at Chicago Health Sciences campus in a four month time frame. Many patients were underserved and underinsured, and we wanted to understand their experiences in the healthcare system. Using content analysis, several themes emerged from the interview data. Participants discussed the need for empathy and rapport with their providers. They identified provider behaviors that fostered a positive clinical relationship, including step-by step explanations of procedures, attention to body language and clinic atmosphere, and appropriate time management. Participants identified cost as the most common barrier to engaging in preventive care and discussed children and social support as motivating factors. A long-term relationship with a provider was an important motivator for preventive care, suggesting that the therapeutic alliance was essential to many patients. Conversely, many participants discussed a sense of dehumanization in the healthcare system, reporting that their life circumstances were overlooked, or that they were judged based on insurance status or ethnicity. We discuss implications for provider training and healthcare delivery, including the importance of patient-centered medical homes.

  15. Study on magnetic field mapping within cylindrical center volume of general magnet

    Energy Technology Data Exchange (ETDEWEB)

    Huang, Li; Lee, Sang Jin [Uiduk University, Gyeongju (Korea, Republic of)

    2016-06-15

    For the magnetic field analysis or design, it is important to know the behavior of the magnetic field in an interesting space. Magnetic field mapping becomes a useful tool for the study of magnetic field. In this paper, a numerical way for mapping the magnetic field within the cylindrical center volume of magnet is presented, based on the solution of the Laplace's equation in the cylindrical coordinate system. The expression of the magnetic field can be obtained by the magnetic flux density, which measured in the mapped volume. According to the form of the expression, the measurement points are arranged with the parallel cylindrical line (PCL) method. As example, the magnetic flux density generated by an electron cyclotron resonance ion source (ECRIS) magnet and a quadrupole magnet were mapped using the PCL method, respectively. The mapping results show the PCL arrangement method is feasible and convenience to map the magnetic field within a cylindrical center volume generated by the general magnet.

  16. Epidemiological, Clinical and Paraclinical Study of Hydatid Cysts in Three Educational Medical Centers in 10 Years

    Directory of Open Access Journals (Sweden)

    Simindokht Shoaee

    2016-01-01

    Full Text Available Background: Echinococcosis or hydatidosis, caused by the larval stage of Echinococcus granulosus (E. granulosus, is an important public health problem in many areas of the world  and  Iran is a country of endemic situation for hydatidosis In the present study, we evaluated epidemiological, complications and clinical characteristics of hydatidosis at three University Medical Centers in Tehran over a 10-year period.Materials and Methods: This is a descriptive cross-sectional study performed in patients with hydatid cysts. Information about age, gender, number of cysts, organ involvement, morbidity and mortality and relapse were collected from medical records of hydatid patients. Paraclinic information such as CT Scan, MRI, ultrasound, complete blood count, pathological diagnosis and complication of disease were collected.Results: Overall, 81 patients, 35 (43.2% male and 46 (56.8% female, who were diagnosed as having hydatid cyst by clinical and radiological findings, with pathologic documentation were studied in three university medical center registries over a 10-year period (2003- 2012 in Tehran. Fourteen patients (17% of cases had complications resulting from this disease. Patients' age ranged from 5 to 86 years, and the peak prevalence of the disease was between 20 and 40 (34% of cases.Conclusion: Iran  is a country of endemic situation for hydatidosis. Prevalence rate of hydatidosis in Iran was reported to be 0.61-2 in 100000 populations. The highest  rate of infection and complications were in patients of 20-40 years age. Clinical examination revealed that abdominal pain was the most common complaint and was present in 51.7% of the cases. Other most common complain were cough, abdominal mass, dyspnea, icterus, chest pain, dyspepsia, back pain and seizure; and it was result of occupying effect of cysts in organs. This is similar with previous studies in Iran

  17. First metatarsophalangeal joint arthrodesis: current fixation options.

    Science.gov (United States)

    Moon, Jared L; McGlamry, Michael C

    2011-04-01

    This article reviews the current literature on first metatarsophalangeal joint arthrodesis rates using various forms of fixation, as well as reviewing biomechanical studies comparing the strengths of the different fixation options that are available.

  18. Recombinant tissue plasminogen activator as a novel treatment option for infective endocarditis: a retrospective clinical study in 32 children.

    Science.gov (United States)

    Levitas, Aviva; Krymko, Hanna; Richardson, Justin; Zalzstein, Eli; Ioffe, Viktoriya

    2016-01-01

    Infective endocarditis is a life-threatening infectious syndrome, with high morbidity and mortality. Current treatments for infective endocarditis include intravenous antibiotics, surgery, and involve a lengthy hospital stay. We hypothesised that adjunctive recombinant tissue plasminogen activator treatment for infective endocarditis may facilitate faster resolution of vegetations and clearance of positive blood cultures, and therefore decrease morbidity and mortality. This retrospective study included follow-up of patients, from 1997 through 2014, including clinical presentation, causative organism, length of treatment, morbidity, and mortality. We identified 32 patients, all of whom were diagnosed with endocarditis and were treated by recombinant tissue plasminogen activator. Among all, 27 patients (93%) had positive blood cultures, with the most frequent organisms being Staphylococcus epidermis (nine patients), Staphylococcus aureus (six patients), and Candida (nine patients). Upon treatment, in 31 patients (97%), resolution of vegetations and clearance of blood cultures occurred within hours to few days. Out of 32 patients, one patient (3%) died and three patients (9%) suffered embolic or haemorrhagic events, possibly related to the recombinant tissue plasminogen activator. None of the patients required surgical intervention to assist vegetation resolution. In conclusion, it appears that recombinant tissue plasminogen activator may become an adjunctive treatment for infective endocarditis and may decrease morbidity as compared with current guidelines. Prospective multi-centre studies are required to validate our findings.

  19. Assessment of cancer care in Indian elderly cancer patients: A single center study

    Science.gov (United States)

    Sarkar, Anindya; Shahi, UP

    2013-01-01

    Background and purpose: This prospective study aimed to assess the profiles of elderly cancer patient to optimize cancer care in Indian setup. The profiles have been compared with that of younger patients in terms of epidemiological, clinical data, co-morbidity, treatment, toxicity, clinical outcome, and survival pattern. Materials and Methods: The study comprised cancer patients attending radiotherapy outdoor (November 2005 to June 2006). There were 104 patients of age ≥60 years (elderly group) and 121 patients of 45-59 years (younger group). Results: Elderly group had median age 65 years (60-88 years) with M:F = 1:1. The younger group had median age 50 years (45-59 years) with M:F = 1:2. Elderly had higher proportion of gastrointestinal and genito-urinary tract malignancies. Younger group had higher proportion of breast, lymphoma, and brain tumor. 13% had co-morbidity, 50% received treatment, 27% were treated with radiotherapy with or without surgery, and two-third of these cases belong to elderly group. Majority tolerated treatment well. 10% had significant grade of toxicity. 57% of elderly patients did not accept and one-fourth of all cases did not complete the prescribed treatment. 88% cases were responders of which 70% showed complete response. There were no differences between two groups. At 12 months 35% of treated patients came for follow-up. At first 12 months, 60-70% were alive without disease. Conclusion: There were differences between two groups in terms of performance status, treatment acceptance, and treatment modality prescribed. Elderly patients deserve same opportunity as younger patients for treatment and survival options from the oncologist. PMID:24455630

  20. Assessment of cancer care in Indian elderly cancer patients: A single center study

    Directory of Open Access Journals (Sweden)

    Anindya Sarkar

    2013-01-01

    Full Text Available Background and purpose: This prospective study aimed to assess the profiles of elderly cancer patient to optimize cancer care in Indian setup. The profiles have been compared with that of younger patients in terms of epidemiological, clinical data, co-morbidity, treatment, toxicity, clinical outcome, and survival pattern. Materials and Methods: The study comprised cancer patients attending radiotherapy outdoor (November 2005 to June 2006. There were 104 patients of age ≥60 years (elderly group and 121 patients of 45-59 years (younger group. Results: Elderly group had median age 65 years (60-88 years with M:F = 1:1. The younger group had median age 50 years (45-59 years with M:F = 1:2. Elderly had higher proportion of gastrointestinal and genito-urinary tract malignancies. Younger group had higher proportion of breast, lymphoma, and brain tumor. 13% had co-morbidity, 50% received treatment, 27% were treated with radiotherapy with or without surgery, and two-third of these cases belong to elderly group. Majority tolerated treatment well. 10% had significant grade of toxicity. 57% of elderly patients did not accept and one-fourth of all cases did not complete the prescribed treatment. 88% cases were responders of which 70% showed complete response. There were no differences between two groups. At 12 months 35% of treated patients came for follow-up. At first 12 months, 60-70% were alive without disease. Conclusion: There were differences between two groups in terms of performance status, treatment acceptance, and treatment modality prescribed. Elderly patients deserve same opportunity as younger patients for treatment and survival options from the oncologist.

  1. Feasibility study in aspect of thermal integrity on the dry storage expansion options for CANDU spent fuel

    Energy Technology Data Exchange (ETDEWEB)

    Lee, K. H.; Yoon, J. H.; Choi, B. I.; Lee, H. Y.; Song, M. J. [Nuclear Environment Technology Institute, Taejon (Korea, Republic of); Cho, K. S. [Korea Advanced Institute of Science and Technology, Taejon (Korea, Republic of)

    2002-10-01

    In order to expand the capability of the CANDU spent fuel dry storage facilities of the at Wolsong, the alternative concepts based on MACSTOR are suggested to replace with existing concrete silo of Wolsong. For this, the feasibility of its design changes from original MACSTOR is examined in term of heat transfer and thermal hydraulic. In this study, the configuration of the module was conceptually changed from its original 2 rows to 3 and 4 rows for review. Under normal operation, the results of heat transfer and thermal hydraulic shows that storage module can feasibly accomodate four rows of storage cylinders within allowable range in terms of maximum allowable temperature of the fuel basket.

  2. Life cycle assessment of base-load heat sources for district heating system options

    Energy Technology Data Exchange (ETDEWEB)

    Ghafghazi, Saeed [University of British Columbia, Vancouver; Sowlati, T. [University of British Columbia, Vancouver; Sokhansanj, Shahabaddine [ORNL; Melin, Staffan [Delta Research Corporation

    2011-03-01

    Purpose There has been an increased interest in utilizing renewable energy sources in district heating systems. District heating systems are centralized systems that provide heat for residential and commercial buildings in a community. While various renewable and conventional energy sources can be used in such systems, many stakeholders are interested in choosing the feasible option with the least environmental impacts. This paper evaluates and compares environmental burdens of alternative energy source options for the base load of a district heating center in Vancouver, British Columbia (BC) using the life cycle assessment method. The considered energy sources include natural gas, wood pellet, sewer heat, and ground heat. Methods The life cycle stages considered in the LCA model cover all stages from fuel production, fuel transmission/transportation, construction, operation, and finally demolition of the district heating system. The impact categories were analyzed based on the IMPACT 2002+ method. Results and discussion On a life-cycle basis, the global warming effect of renewable energy options were at least 200 kgeqCO2 less than that of the natural gas option per MWh of heat produced by the base load system. It was concluded that less than 25% of the upstream global warming impact associated with the wood pellet energy source option was due to transportation activities and about 50% of that was resulted from wood pellet production processes. In comparison with other energy options, the wood pellets option has higher impacts on respiratory of inorganics, terrestrial ecotoxicity, acidification, and nutrification categories. Among renewable options, the global warming impact of heat pump options in the studied case in Vancouver, BC, were lower than the wood pellet option due to BC's low carbon electricity generation profile. Ozone layer depletion and mineral extraction were the highest for the heat pump options due to extensive construction required for these

  3. Community outreach and engagement strategies from the Wisconsin Study Center of the National Children's Study.

    Science.gov (United States)

    Riesch, Susan K; Ngui, Emmanuel M; Ehlert, Carey; Miller, M Katie; Cronk, Christine A; Leuthner, Steven; Strehlow, Mary; Hewitt, Jeanne B; Durkin, Maureen S

    2013-05-01

    The purpose of this methods article was to describe and evaluate outreach and engagement strategies designed to initially build county-wide awareness and support for the National Children's Study (NCS or the study) and subsequently to target the segment communities where recruitment for the study occurred. Selected principles from community outreach, social marketing, and health care system and personal referral formed the foundation for the strategies. The strategies included a celebration event, community advisory board, community needs assessment, building relationships with health care providers and systems, eliciting a network of study supporters, newsletters, appearances at local young family-oriented events (health fairs, parades), presentations to local community leaders, community forums, "branding" with assistance from a women-owned local marketing firm, and mailings including an oversized, second-touch postcard. Six months after study launch, approximately 4,600 study-eligible women were asked in a door-to-door survey if and how they became aware of the study. On average, 40% of eligible women reported being aware of the study. The most frequently cited strategy to cultivate their awareness was study-specific mailings. Awareness of the NCS increased by 7.5% among those receiving a second-touch postcard relative to controls (95% CIs [4.9, 10.7] z = 5.347, p strategies, in particular the oversized postcard as a second-touch effort, may be used effectively by researchers for participant recruitment and by public health nurses for delivery of important population-focused messages.

  4. Erectile Dysfunction in Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Outcomes from a Multi-Center Study and Risk Factor Analysis in a Single Center.

    Directory of Open Access Journals (Sweden)

    Yadong Zhang

    Full Text Available The aim of this study was to investigate the prevalence of erectile dysfunction (ED in patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS and explore the influence of UPOINT domains, National Institutes of Health-CP symptom index (NIH-CPSI and other factors on ED prevalence. This was a prospective study of consecutive patients with CP/CPPS seen at 11 tertiary hospitals during January-July 2014. ED was diagnosed as a score of<21 on the International Index of Erectile Function (IIEF-5. Patients from one center were evaluated by the UPOINT system and NIH-CPSI. Each patient was assessed using clinical examination, asocio-demographic questionnaire, the Patient Health Questionnaire (PHQ, the Pain Catastrophizing Scale (PCS, NIH-CPSI and IIEF-5.1406 patients from 11 centers (mean age, 32.18 years; range 18-60 years were enrolled. ED was found in 638/1406 patients (45.4%, and was categorized as mild in 291(45.6%, moderate in 297(46.6% and severe in50(7.7%. 192 patients from one center(mean age,31.3 years; range 18-57 years were further studied.IIEF-5 score correlated negatively with NIH-CPSI(r = 0.251, PHQ (r = 0.355 and PCS (r = 0.322scores (P<0.001.PHQ score correlated positively with NIH-CPSI (r = 0.586 and PCS(r = 0.662 scores (P<0.001.NIH-CPSI, PHQ, PCS and IIEF-5 scores did not differ significantly between class IIIA and IIIB CP/CPPS. Multivariate logistic regression showed that UPOINT psychological (P domain and NIH-CPSI symptom severity were independent risk factors for ED in CP/CPPS. It is concluded that psychological factors and symptom severity are independent risk factors for ED in CP/CPPS.

  5. A STUDY ON INFORMAL MARKET CLUSTER ACTIVITIES CONCENTRATING AROUND MENDI MARKET AREA: IS RELOCATION THE BEST OPTION?

    Directory of Open Access Journals (Sweden)

    Undiri Kima

    2015-02-01

    Full Text Available The market provides a means of survival for the local and urban communities. The local farmers, local artisans, and other informal sectors find the market as their source of income and food and a place of relaxation. They find the market as a place where they meet friends. The article seeks to understand and analyze how informal sectors cluster groups agglomerate in and around the Mendi Local Market (LM area of Papua New Guinea. This research has made particular reference to Street Vendors (SV who are operating their daily activities in and along the market corridor and exert their influences to the LM and the public. The study provides the scenario to understand the impact of the social relations of the informal street vendors and their daily associated influences on LM. This article seeks to trace and to understand how informal market clusters are operating and concentrating around the local market. The conclusion suggests that the relationships of the informal sector, street vendors, and local market should be promoted through an appropriate inclusive policy and regulatory environment.The market provides a means of survival for the local and urban communities. The local farmers, local artisans, and other informal sectors find the market as their source of income and food and a place of relaxation. They find the market as a place where they meet friends. The article seeks to understand and analyze how informal sectors cluster groups agglomerate in and around the Mendi Local Market (LM area of Papua New Guinea. This research has made particular reference to Street Vendors (SV who are operating their daily activities in and along the market corridor and exert their influences to the LM and the public. The study provides the scenario to understand the impact of the social relations of the informal street vendors and their daily associated influences on LM. This article seeks to trace and to understand how informal market clusters are operating

  6. Community-Based Tourism - Option for Forest-Dependent Communities in 1A IUCN Protected Areas? Cameroon Case Study

    Directory of Open Access Journals (Sweden)

    Burgin Shelley

    2014-01-01

    Full Text Available In developing countries, ‘exponential’ growth in IUCN protected lands has occurred in the last 25 years. Approximately 6% of protected areas are ‘Strict Nature Reserve[s]’ (1A with emphasis on conservation and strict restrictions on human access. Before Bakossi Forest Reserve (Cameroon had 1A protection, 95% of local families used the Reserve for their livelihood. They farmed cash crops, collected fire wood, timber, and food with incomes equivalent to US$35,000/annually/family. Post-protection, the Reserve’s local communities lacked support to develop alternative livelihoods, and 75% reported being intercepted illegally trespassing by Reserve guards. Without illegal activity economic impacts would have been substantially greater. Protection has also meant foregone national income from timber and coffee exports. We used Bakossi Forest Reserve as a case study to identify issues facing local communities excluded from the Reserve that traditionally provided their livelihood. We also investigated potential alternative family livelihoods based on critical evaluation of the literature. We identified ‘exceptional’ community-based tourism potential. We also found that Cameroon was the first African country to develop community-based forestry with the dual roles of conservation and poverty alleviation. Using this model, community-based tourism could be a cost-effectively initiative to deliver the same dual roles as community-based forestry.

  7. Management options of varicoceles

    Directory of Open Access Journals (Sweden)

    Peter Chan

    2011-01-01

    Full Text Available Varicocele is one of the most common causes of male infertility. Treatment options for varicoceles includes open varicocelectomy performed at various anatomical levels. Laparoscopic varicocelectomy has been established to be a safe and effective treatment for varicoceles. Robotic surgery has been introduced recently as an alternative surgical option for varicocelectomy. Microsurgical varicocelectomy has gained increasing popularity among experts in male reproductive medicine as the treatment of choice for varicocele because of its superior surgical outcomes. There is a growing volume of literature in the recent years on minimal invasive varicocele treatment with percutaneous retrograde and anterograde venous embolization/sclerotherapy. In this review, we will discuss the advantages and limitations associated with each treatment modality for varicoceles. Employment of these advanced techniques of varicocelectomy can provide a safe and effective approach aiming to eliminate varicocele, preserve testicular function and, in a substantial number of men, increase semen quality and the likelihood of pregnancy.

  8. Energy options?; Energie opties?

    Energy Technology Data Exchange (ETDEWEB)

    Van Sark, W. (ed.)

    2006-05-15

    March 2006 the so-called Options Document was published by the Energy research Centre of the Netherlands (ECN) and the Netherlands Environmental Assessment Agency (MNP). The document is an overview of technical options to reduce energy consumption and emission of greenhouse gases up to 2020. Next to a brief summary of the document a few reactions and comments on the contents of the document are given. [Dutch] Maart 2006 publiceerde het Energieonderzoek Centrum Nederland (ECN) en het Milieu- en Natuurplanbureau (MNP) het zogenaamde Optiedocument energie en emissies 2010-2020. Daarin wordt een overzicht gegeven van de technische mogelijkheden voor vermindering van het energieverbruik en de uitstoot van broeikasgassen en luchtverontreinigende stoffen tot 2020. Naast een korte samenvatting van het document worden enkele reacties gegeven op de inhoud.

  9. Novel preventive treatment options

    DEFF Research Database (Denmark)

    Longbottom, C; Ekstrand, K; Zero, D;

    2009-01-01

    A number of novel preventive treatment options which, as with traditional methods, can be differentiated into 3 categories of prevention (primary, secondary and tertiary), have been and are being currently investigated. Those reviewed are either commercially available or appear relatively close...... ozone therapy and probiotics; measures to increase enamel resistance to demineralization, including laser treatment of enamel, and a novel 'hybrid' technique for the treatment of primary molar caries which involves 'overlapping' of secondary and tertiary prevention--the Hall technique. Although many...... of these techniques show considerable promise and dentists should be aware of these developments and follow their progress, the evidence for each of these novel preventive treatment options is currently insufficient to make widespread recommendations. Changes in dental practice should be explored to see how oral...

  10. Is the Dark Triad Better Studied Using a Variable- or a Person-Centered Approach? An Exploratory Investigation

    Science.gov (United States)

    Kam, Chester Chun Seng; Zhou, Mingming

    2016-01-01

    Despite Allport’s early call to study personality as a coordinated system of traits within individual rather than separate traits, researchers often assume personality variables are largely distinct, independent characteristics. In the current research, we examined the usual assumption that Dark Triad traits (narcissism, psychopathy, and Machiavellianism) are best studied using a variable-centered (dimensional), rather than a person-centered (taxonic), approach. Results showed that a variable-centered approach is appropriate in understanding the Dark Triad, and yet individuals scoring high on one Dark Triad dimension also tend to score high on other dimensions. Based on these results, we concluded that it is appropriate to study individual differences in the Dark Triad (inferences based on persons) by capturing the common variance among the three traits using a variable-centered approach, rather than treating these traits as independent or uncoordinated characteristics. PMID:27580224

  11. Treatment Options for Narcolepsy

    OpenAIRE

    Barateau, Lucie; Lopez, Régis; Dauvilliers, Yves

    2016-01-01

    International audience; Narcolepsy type 1 and narcolepsy type 2 are central disorders of hypersomnolence. Narcolepsy type 1 is characterized by excessive daytime sleepiness and cataplexy and is associated with hypocretin-1 deficiency. On the other hand, in narcolepsy type 2, cerebrospinal fluid hypocretin-1 levels are normal and cataplexy absent. Despite major advances in our understanding of narcolepsy mechanisms, its current management is only symptomatic. Treatment options may vary from a ...

  12. Life Sciences Division and Center for Human Genome Studies. Annual report, 1991

    Energy Technology Data Exchange (ETDEWEB)

    Spitzmiller, D.; Bradbury, M.; Cram, S. [comps.

    1992-05-01

    This report summarizes the research and development activities of Los Alamos National Laboratories Life Sciences Division and biological aspects of the Center for Human Genome Studies for the calendar year 1991. Selected research highlights include: yeast artificial chromosome libraries from flow sorted human chromosomes 16 and 21; distances between the antigen binding sites of three murine antibody subclasses measured using neutron and x-ray scattering; NFCR 10th anniversary highlights; kinase-mediated differences found in the cell cycle regulation of normal and transformed cells; and detecting mutations that cause Gaucher`s disease by denaturing gradient gel electrophoresis. Project descriptions include: genomic structure and regulation, molecular structure, cytometry, cell growth and differentiation, radiation biology and carcinogenesis, and pulmonary biology.

  13. Gear noise, vibration, and diagnostic studies at NASA Lewis Research Center

    Science.gov (United States)

    Zakrajsek, J. J.; Oswald, F. B.; Townsend, D. P.; Coy, J. J.

    1990-01-01

    The NASA Lewis Research Center and the U.S. Army Aviation Systems Command are involved in a joint research program to advance the technology of rotorcraft transmissions. This program consists of analytical as well as experimental efforts to achieve the overall goals of reducing weight, noise, and vibration, while increasing life and reliability. Recent analytical activities are highlighted in the areas of gear noise, vibration, and diagnostics performed in-house and through NASA and U.S. Army sponsored grants and contracts. These activities include studies of gear tooth profiles to reduce transmission error and vibration as well as gear housing and rotordynamic modeling to reduce structural vibration and transmission and noise radiation, and basic research into current gear failure diagnostic methodologies. Results of these activities are presented along with an overview of near-term research plans in the gear noise, vibration, and diagnostics area.

  14. STUDY OF CLINICAL PROFILE, DISEASE COURSE AND OUTCOME OF PERIPARTUM CARDIOMYOPATHY : SINGLE CENTER STUDY

    Directory of Open Access Journals (Sweden)

    Ramanand Prasad

    2015-09-01

    Full Text Available OBJECTIVES: To study the clinical profile , course of disease and outcome of peripartum cardiomyopathy (PPCM. METHODS: A prospective study was conducted at Mahatma Gandhi Medical College and Hospital , Rajasthan , India from May 2012 to June 2014. 18 cases were included in the study. Data included age distribution , parity , symptoms and risk factors. Medical management and pregnancy outcome were documented. Serial echocardiography was done for a period of one year. RESULTS: In our study 8/18 (44% were primigravidae , 3/18 (16% had pre - eclam p sia and 4/18 (22% had co - existing hypertension , 7 (38.89% patients underwent Caesarean section and no complication happen during delivery in all . The differ ence in Echocardiography parameters observed between recovered and non - recovered patients was significant; Left Ventricular End diastolic dimension (5.0 cm vs 6.0 cm Left ventricular Ejection fraction (28% vs 22% and left ventricular fractional shortenin g (19% vs 12%. 14 out of 18 patients were followed up for a period of one year out of which 64% (9/14 patients recovered completely. There was no mortality and two patients waiting for cardiac transplant due to refractory symptoms. CONCLUSION: Majority w ere young primigravidae presenting postnatally. Pre - eclampsisa and hypertension were risk factors. ECHO parameters were reliable predictors of recovery

  15. Treatment Strategies in Primary Vitreoretinal Lymphoma A 17-Center European Collaborative Study

    NARCIS (Netherlands)

    Riemens, Anjo; Bromberg, Jacoline; Touitou, Valerie; Sobolewska, Bianka; Missotten, Tom; Baarsma, Seerp; Hoyng, Carel; Cordero-Coma, Miguel; Tomkins-Netzer, Oren; Rozalski, Anna; Tugal-Tutkun, Ilknur; Guex-Crosier, Yan; Los, Leonoor I.; Bollemeijer, Jan Geert; Nolan, Andrew; Pawade, Joya; Willermain, Francois; Bodaghi, Bahram; ten Dam-van Loon, Ninette; Dick, Andrew; Zierhut, Manfred; Lightman, Susan; Mackensen, Friederike; Moulin, Alexandre; Erckens, Roel; Wensing, Barbara; le Hoang, Phuc; Lokhorst, Henk; Rothova, Aniki

    2015-01-01

    IMPORTANCE The best treatment option for primary vitreoretinal lymphoma (PVRL) without signs of central nervous system lymphoma (CNSL) involvement determined on magnetic resonance imaging or in cerebrospinal fluid is unknown. OBJECTIVE To evaluate the outcomes of treatment regimens used for PVRL in

  16. Designing Excellence and Quality Model for Training Centers of Primary Health Care: A Delphi Method Study

    Directory of Open Access Journals (Sweden)

    Jafar-Sadegh TABRIZI

    2015-10-01

    Full Text Available Background: Excellence and quality models are comprehensive methods for improving the quality of healthcare. The aim of this study was to design excellence and quality model for training centers of primary health care using Delphi method. Methods: In this study, Delphi method was used. First, comprehensive information were collected using literature review. In extracted references, 39 models were identified from 34 countries and related sub-criteria and standards were extracted from 34 models (from primary 39 models. Then primary pattern including 8 criteria, 55 sub-criteria, and 236 standards was developed as a Delphi questionnaire and evaluated in four stages by 9 specialists of health care system in Tabriz and 50 specialists from all around the country.Results: Designed primary model (8 criteria, 55 sub-criteria, and 236 standards were concluded with 8 criteria, 45 sub-criteria, and 192 standards after 4 stages of evaluations by specialists. Major criteria of the model are leadership, strategic and operational planning, resource management, information analysis, human resources management, process management, costumer results, and functional results, where the top score was assigned as 1000 by specialists. Functional results had the maximum score of 195 whereas planning had the minimum score of 60. Furthermore the most and the least sub-criteria was for leadership with 10 sub-criteria and strategic planning with 3 sub-criteria, respectively. Conclusion: The model that introduced in this research has been designed following 34 reference models of the world. This model could provide a proper frame for managers of health system in improving quality. Keywords: Quality model, Excellence model, Training centers, Primary cares, Iran

  17. Information systems performance evaluation, introducing a two-level technique: Case study call centers

    Directory of Open Access Journals (Sweden)

    Hesham A. Baraka

    2015-03-01

    The objective of this paper was to introduce a new technique that can support decision makers in the call centers industry to evaluate, and analyze the performance of call centers. The technique presented is derived from the research done on measuring the success or failure of information systems. Two models are mainly adopted namely: the Delone and Mclean model first introduced in 1992 and the Design Reality Gap model introduced by Heeks in 2002. Two indices are defined to calculate the performance of the call center; the success index and the Gap Index. An evaluation tool has been developed to allow call centers managers to evaluate the performance of their call centers in a systematic analytical approach; the tool was applied on 4 call centers from different areas, simple applications such as food ordering, marketing, and sales, technical support systems, to more real time services such as the example of emergency control systems. Results showed the importance of using information systems models to evaluate complex systems as call centers. The models used allow identifying the dimensions for the call centers that are facing challenges, together with an identification of the individual indicators in these dimensions that are causing the poor performance of the call center.

  18. Vitrified waste option study report

    Energy Technology Data Exchange (ETDEWEB)

    Lopez, D.A.; Kimmitt, R.R.

    1998-02-01

    A {open_quotes}Settlement Agreement{close_quotes} between the Department of Energy and the State of Idaho mandates that all radioactive high-level waste (HLW) now stored at the Idaho Chemical Processing Plant (ICPP) will be treated so that it is ready to be moved out of Idaho for disposal by a target date of 2035. This report investigates vitrification treatment of all ICPP calcine, including the existing and future HLW calcine resulting from calcining liquid Sodium-Bearing Waste (SBW). Currently, the SBW is stored in the tank farm at the ICPP. Vitrification of these wastes is an acceptable treatment method for complying with the Settlement Agreement. This method involves vitrifying the calcined waste and casting the vitrified mass into stainless steel canisters that will be ready to be moved out of the Idaho for disposal by 2035. These canisters will be stored at the Idaho National Engineering and Environmental Laboratory (INEEL) until they are sent to a HLW national repository. The operating period for vitrification treatment will be from 2013 through 2032; all HLW will be treated and in storage by the end of 2032.

  19. Deliberating emission reduction options

    Energy Technology Data Exchange (ETDEWEB)

    Dowd, A.M.; Rodriguez, M.; Jeanneret, T. [Commonwealth Scientific and Industrial Research Organisation CSIRO, 37 Graham Rd, Highett VIC 3190 (Australia); De Best-Waldhober, M.; Straver, K.; Mastop, J.; Paukovic, M. [Energy research Centre of the Netherlands ECN, Policy Studies, Amsterdam (Netherlands)

    2012-06-15

    For more than 20 years there has been a concerted international effort toward addressing climate change. International conventions, such as the United Nations Foreign Convention on Climate Change (UNFCCC; ratified in 1994), have been established by committed nations seeking to address global climate change through the reduction of greenhouse gases emitted into the Earth's atmosphere (Global CCS Institute, 2011). Long recognised as the most crucial of the greenhouse gases to impact global warming, the majority of carbon dioxide's anthropogenic global emissions are directly related to fuel combustion of which both Australia and the Netherlands' energy production is significantly reliant. Both these nations will need to consider many opinions and make hard decisions if alternative energy options are to be implemented at the scale that is required to meet international emission targets. The decisions that are required not only need to consider the many options available but also their consequences. Along with politicians, policy developers and industry, the general public also need to be active participants in deciding which energy options, and their subsequent consequences, are acceptable for implementation at the national level. Access to balanced and factual information is essential in establishing informed opinions on the many policy options available. Past research has used several methods to measure public perceptions and opinions yet for complex issues, such as emission reduction, some of these methods have shown to be problematic. For example, semi structured interviews can provide data that is flexible and context rich yet is does also come with the limitations such as it seldom provides a practical assessment that can be utilised from researcher to researcher, across disciplines and public participation techniques. Surveys on the other hand usually address these limitations but surveys that do not encourage comparison of information or ask

  20. TABADO: "Evaluation of a smoking cessation program among Adolescents in Vocational Training Centers": Study protocol

    Directory of Open Access Journals (Sweden)

    Martinet Yves

    2009-11-01

    Full Text Available Abstract Background Most of the efforts to reduce teenagers' tobacco addiction have focused on smoking prevention and little on smoking cessation. A smoking cessation program (TABADO study, associating pharmacologic and cognitive-behavioural strategy, on a particularly vulnerable population (vocational trainees, was developed. This study aims to evaluate the efficacy of the program which was offered to all smokers in a population aged 15 to 20 years in Vocational Training Centers (VTC. This paper presents the TABADO study protocol. Methods The study is quasi-experimental, prospective, evaluative and comparative and takes place during the 2 years of vocational training. The final population will be composed of 2000 trainees entering a VTC in Lorraine, France, during the 2008-2009 period. The intervention group (1000 trainees benefited from the TABADO program while no specific intervention took place in the "control" group (1000 trainees other than the treatment and education services usually available. Our primary outcome will be the tobacco abstinence rate at 12 months. Discussion If the program proves effective, it will be a new tool in the action against smoking in populations that have been seldom targeted until now. In addition, the approach could be expanded to other young subjects from socially disadvantaged backgrounds in the context of a public health policy against smoking among adolescents. Trial registration Clinical trial identification number is NTC00973570.

  1. Locating of Rural Health Centers Equipped with Telehealth using GIS: A Case Study on Khorramabad City, Iran

    Directory of Open Access Journals (Sweden)

    Safdari Reza

    2016-10-01

    Full Text Available Residents of the rural and remote area always having limitations on accessing properly required service providers. In such condition, the establishment of rural health centers equipped with telehealth, and also the use of GIS for optimal site selection to the centers, would play an important role in facilitating the achievement of quality health services in desired time factor. This study intended to find the optimal sites for building the Rural Health Centers Equipped with remote health facilities in, Khorramabad City, using GIS. During the pilot study, we identified few effective locating criteria and sub-criteria for rural health centers equipped with telehealth, the priorities was also determined in that descriptive study. Further, we prepared a special layer for each criterion on the site selection, and by integrating such layers based on specified rules and patterns, about the spatial analysis , (like distance and density analysis were done. For such methods, we used Arc Map, Arc Catalog and Arc toolbox environments of Arc GIS (version 9.3. Finally, a map was prepared that indicated the possibility of appropriateness for establishing the centers in the study area. Considering a large number of areas, the research team selected the areas which were the appropriate location for build rural health centers which could be equipped with Telehealth.

  2. New methods for solving a vertex p-center problem with uncertain demand-weighted distance: A real case study

    Directory of Open Access Journals (Sweden)

    Javad Nematian

    2015-04-01

    Full Text Available Vertex and p-center problems are two well-known types of the center problem. In this paper, a p-center problem with uncertain demand-weighted distance will be introduced in which the demands are considered as fuzzy random variables (FRVs and the objective of the problem is to minimize the maximum distance between a node and its nearest facility. Then, by introducing new methods, the proposed problem is converted to deterministic integer programming (IP problems where these methods will be obtained through the implementation of the possibility theory and fuzzy random chance-constrained programming (FRCCP. Finally, the proposed methods are applied for locating bicycle stations in the city of Tabriz in Iran as a real case study. The computational results of our study show that these methods can be implemented for the center problem with uncertain frameworks.

  3. Determinants of adult vaccination at inner-city health centers: A descriptive study

    Directory of Open Access Journals (Sweden)

    Raymund Mahlon

    2006-01-01

    Full Text Available Abstract Background Pneumococcal polysaccharide vaccination rates among adults 65 years and older or less than 65 years with high risk medical conditions are still below Healthy People 2010 recommended levels of 90%. This study was designed to: 1 assess self-reported pneumococcal vaccination rates following health center level interventions to increase adult vaccination rates; and 2 determine factors associated with vaccination. Methods Tailored interventions to increase immunizations were implemented at two inner-city health centers. We surveyed 375 patients 50 years of age and older. Multivariate logistic regression examines the predictors of 1 self-reported pneumococcal vaccination and 2 combined self-reported influenza and pneumococcal vaccination. Both of these models were stratified by age group (50–64 years and 65 years and older. Results Pneumococcal vaccination rates were 45% by self-report, 55% by medical record review, 69% for patients 65 years old and older, 32% for patients 50–64 years; they did not differ by race. Receipt of the previous season's influenza vaccine was significantly related to pneumococcal vaccination among both younger and older patients. Receiving both the pneumococcal vaccine and the most recent influenza vaccine compared with receiving neither, among younger patients was related to unemployment, more frequent physician visits, and belief that those who do not receive the flu shot are more susceptible to the flu. For older patients, receipt of both vaccines was related to nonsmoking status, believing that friends/family think the patient should be vaccinated, seeing posters advertising flu shot clinics, and belief that those who do not receive the flu shot are more susceptible to the flu. Conclusion Our findings suggest that improving overall pneumococcal vaccination rates among eligible adults, has the potential to eliminate racial disparities. Interventions delivering vaccination messages specific to older

  4. Retrospective study of oral lesions in the population attended at the Dental Specialty Center

    Directory of Open Access Journals (Sweden)

    Maurício Roth Volkweis

    2010-04-01

    Full Text Available Objectives: To identify the most prevalent stomatologic lesions in the population attended at the Dental Specialty Center of the Hospital “Nossa Senhora da Conceição”, quantify the distribution by sex and age group, verify the relationship of smoking as a predisposing factor to oral cancer, determine the number of consultations at the service for each patient until discharge and quantify the number of procedures performed. Methods: The sample consisted of 435 medical records of patients who sought the Stomatology Service of the Dental Specialty Center of the Hospital Nossa Senhora da Conceição. Of these, 249 were women and 186 were men. Therefore, a retrospective study was conducted from the analysis of the clinical records of all patients attended from October 2006 to March 2008. The variables were categorized and analyzed by Pearson’s Chi-square test. Results: Of the 435 patients, who sought the Stomatology service, 249 were women and 186 were men, and no statistically significant association of sex with any group of diseases was observed. The most prevalent diseases were stomatitis with 122 cases. Eighteen patients had malignant diseases (4%, 15 of them being diagnosed with squamous cell carcinoma. Of the total number of patients attended, 20.7% were referred to other professionals, 79.3% had their problems solved exclusively at the service, and in 173 cases (39.7% biopsies were performed. Conclusion: The most prevalent lesion group was stomatitis, being 28% of the total, and the predominant groups were women and the age group over 60 years. There was a statistically significant relationship between smoking and mouth cancer.

  5. China Patient-centered Evaluative Assessment of Cardiac Events Prospective Study of Acute Myocardial Infarction:Study Design

    Institute of Scientific and Technical Information of China (English)

    Jing Li; Rachel P Dreyer; Xi Li; Xue Du; Nicholas S Downing; Li Li; Hai-Bo Zhang

    2016-01-01

    Background: Despite the rapid growth in the incidence of acute myocardial infarction (AMI) in China, there is limited information about patients' experiences after AMI hospitalization, especially on long-term adverse events and patient-reported outcomes (PROs).Methods: The China Patient-centered Evaluative Assessment of Cardiac Events (PEACE)-Prospective AMI Study will enroll 4000 consecutive AMI patients from 53 diverse hospitals across China and follow them longitudinally for 12 months to document their treatment, recovery, and outcomes.Details of patients' medical history, treatment, and in-hospital outcomes are abstracted from medical charts.Comprehensive baseline interviews are being conducted to characterize patient demographics, risk factors, presentation, and healthcare utilization.As part of these interviews, validated instruments are administered to measure PROs, including quality of life, symptoms, mood, cognition, and sexual activity.Follow-up interviews, measuring PROs, medication adherence, risk factor control, and collecting hospitalization events are conducted at 1, 6, and 12 months after discharge.Supporting documents for potential outcomes are collected for adjudication by clinicians at the National Coordinating Center.Blood and urine samples are also obtained at baseline, 1-and 12-month follow-up.In addition, we are conducting a survey of participating hospitals to characterize their organizational characteristics.Conclusion: The China PEACE-Prospective AMI study will be uniquely positioned to generate new information regarding patient's experiences and outcomes after AMI in China and serve as a foundation for quality improvement activities.

  6. 76 FR 62881 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated: Notice of Filing and...

    Science.gov (United States)

    2011-10-11

    ... other U.S. options exchanges and stock orders to other U.S. stock exchanges and trading centers (``away... options exchanges and/or stock exchanges and trading ] centers. If a TPH sends an order from the PULSe..., see, e.g., Securities Exchange Act Release Nos. 62286 (June 11, 2010), 75 FR 34799 (June 18, 2010)...

  7. THE REAL OPTIONS OF CAPITAL BUDGET

    Directory of Open Access Journals (Sweden)

    Antonio Lopo Martins

    2008-07-01

    Full Text Available The traditional techniques of capital budget, as the deducted cash flow and the net value present, do not incorporate existing flexibilities in an investment project, they tend to distort the value of certain investments, mainly those that are considered in scenes of uncertainty and risk. Therefore, this study intends to demonstrate that the Real Options Theory (TOR is a useful methodology to evaluate and to indicate the best option for project of expansion investment. To reach the considered objective the procedure method was used a case study, having as unit of case the Resort Praia Hotel do Litoral Norte of Salvador. This study was developed of the following form: first it identified the traditional net value present and later it was incorporated the volatileness of each analyzed uncertainty. Second, as the real options are analogous to the financial options, it was necessary to identify elements that composed the terminologies of the financial options with intention to get the value of the real option. For this model of options pricing of Black & Scholes jointly with a computational simulator was used (SLS to get the expanded net value present. As a result of this study it was possible to evidence that using the traditional tool of capital budget Net Value Present (VPL is negative, therefore the project of expansion of the Hotel would be rejected. While for the application of methodology TOR the project presents positive Expanded Present Value which would represent an excellent chance of investment. Key-word: Capital budget, Real options, Analysis of investments.

  8. Stock Option Compensation and Managerial Turnover

    OpenAIRE

    Raluca Georgiana NASTASESCU

    2009-01-01

    This study examines the association between managerial turnover and equity-based compensation. I investigate whether stock options act to bond executives to their firms and whether retention of managers is a motivation of companies in designing CEO incentive contracts. The results show that stock options do negatively influence the probability of a CEO leaving the company. The monetary cost of losing the value of equity-based compensation package keeps the manager with his company. I also fin...

  9. Tracking Models for Optioned Portfolio Selection

    Science.gov (United States)

    Liang, Jianfeng

    In this paper we study a target tracking problem for the portfolio selection involving options. In particular, the portfolio in question contains a stock index and some European style options on the index. A refined tracking-error-variance methodology is adopted to formulate this problem as a multi-stage optimization model. We derive the optimal solutions based on stochastic programming and optimality conditions. Attention is paid to the structure of the optimal payoff function, which is shown to possess rich properties.

  10. A Correlational Study on Attachment Style and GPA of Students at an Alternative Education Center

    Science.gov (United States)

    Burdick, Cindy L.

    2014-01-01

    Adolescents in America are dropping out of school in alarming rates. In the school year 2009-2010, 514,238 adolescents dropped out of high school. While alternative education centers have been created to meet the needs of these individuals, they are not always successful as evidenced by a graduation rate below 5% in several alternative centers in…

  11. Relation of people-centered public health and person-centered healthcare management: a case study to reduce burn-out.

    Science.gov (United States)

    Stoyanov, Drozdstoj S; Cloninger, C Robert

    2012-01-01

    Healthcare management is one practical tool for mediation and implementation of public health into clinical healthcare outcomes and is taken in our case study as an exemplar arena to demonstrate the vital importance of the person-centered approach. Healthcare personnel are frequently at risk for the 'burn-out' syndrome. However, modern measures of burn-out recognize burn-out only at a late stage when it is fully developed. There are no available methods to assess the risk for vulnerability to burnout in healthcare systems. Our aim was therefore to design a complex person-centered model for detection of high risk for burn-out at an early stage, that has been termed 'flame-out'. We accept the observation that decreased personal performance is one crucial expression of burn-out. Low personal performance and negative emotions are strongly related to low self-directedness as measured by the Temperament and Character Inventory (TCI). At the same time, burn-out is characterized by decreased interest and positive emotions from work. Decreased positive emotion is directly related to low self-transcendence as measured by the TCI. Burn-out is also frequently associated with feelings of social alienation or inadequacy of support, which is in turn related to low TCI Cooperativeness. However, high Persistence and Harm Avoidance are predisposing traits for burn-out in healthcare professionals who are often overly perfectionistic and compulsive, predisposing them to anxiety, depression, suicide and burn-out. Hence, people at risk for future burn-out are often highly conscientious over-achievers with intense mixtures of positive and negative emotions. The high demand for perfection comes from both intrinsic characteristics and from features of the social milieu in their psychological climate. Letting go of the unfulfillable desire to be perfect by increasing self-transcendence allows acceptance of the imperfection of the human condition, thereby preventing burn-out and other

  12. Improving Initiation and Tracking of Research Projects at an Academic Health Center: A Case Study.

    Science.gov (United States)

    Schmidt, Susanne; Goros, Martin; Parsons, Helen M; Saygin, Can; Wan, Hung-Da; Shireman, Paula K; Gelfond, Jonathan A L

    2016-09-20

    Research service cores at academic health centers are important in driving translational advancements. Specifically, biostatistics and research design units provide services and training in data analytics, biostatistics, and study design. However, the increasing demand and complexity of assigning appropriate personnel to time-sensitive projects strains existing resources, potentially decreasing productivity and increasing costs. Improving processes for project initiation, assigning appropriate personnel, and tracking time-sensitive projects can eliminate bottlenecks and utilize resources more efficiently. In this case study, we describe our application of lean six sigma principles to our biostatistics unit to establish a systematic continual process improvement cycle for intake, allocation, and tracking of research design and data analysis projects. The define, measure, analyze, improve, and control methodology was used to guide the process improvement. Our goal was to assess and improve the efficiency and effectiveness of operations by objectively measuring outcomes, automating processes, and reducing bottlenecks. As a result, we developed a web-based dashboard application to capture, track, categorize, streamline, and automate project flow. Our workflow system resulted in improved transparency, efficiency, and workload allocation. Using the dashboard application, we reduced the average study intake time from 18 to 6 days, a 66.7% reduction over 12 months (January to December 2015).

  13. Prevalence and Severity of Anemia in Pediatric Hemodialysis Patients; A Single Center Study

    Directory of Open Access Journals (Sweden)

    Alaleh Ghasari

    2007-04-01

    Full Text Available Objective: To determine the prevalence and severity of anemia in children and adolescents on chronic hemodialysis and to identify independent predictor for anemia in children on hemodialysis. Material & Methods: A cross sectional study was performed between September 2005 and January 2006. The study population consisted of 25 patients aged 7−20 years on chronic hemodialysis from pediatric hemodialysis centers in Isfahan, Iran. Findings: A total of 22 (82% patients had hemoglobin level of 200 pg/ml in 16 patients (66% and >400 pg/ml in 9 patients (37.5%. There was a reverse correlation between PTH level>200 pg/ml and hemoglobin level (r=-0.505, P=0.046. Conclusion: The prevalence of anemia in children on hemodialysis in Isfahan appears to be higher than that reported in the other studies in spite of extensive use of rHuEPO and iron supplementation. We found this to be especially true for patients new on hemodialysis (less than 6 months, low albumin and severe hyperparathyroidism.

  14. Metabolic syndrome and discrepancy between actual and self-identified good weight: Aerobics Center Longitudinal Study.

    Science.gov (United States)

    Wirth, Michael D; Blake, Christine E; Hébert, James R; Sui, Xuemei; Blair, Steven N

    2015-03-01

    This study examined whether the discrepancy between measured and self-identified good weight (weight discrepancy) predicts metabolic syndrome (MetSyn). This study included 6,413 participants enrolled in the Aerobics Center Longitudinal Study (mean follow-up: 4.8±3.8 years). Weight discrepancy was defined as measured weight minus self-identified good weight. MetSyn was defined using standard definitions. Hazard ratios (HRs) and 95% confidence intervals (95% CIs) for incident MetSyn, by weight discrepancy category, were estimated using Cox proportional hazards regression. The multivariable-adjusted HR for MetSyn was 3.48 (95% CI=2.48-4.86) for those who maintained higher weight discrepancy over time compared to individuals with lower weight discrepancy. Additional adjustment for body mass index did not change this interpretation (HR=3.44; 95% CI=2.46-4.82). Weight discrepancy may be a useful screening characteristic and target for future interventions to further reduce the risk of chronic weight-related disorders, included MetSyn.

  15. A clinicopathologic study of glomerular disease: A single-center, five-year retrospective study from Northwest India

    Directory of Open Access Journals (Sweden)

    Pankaj Beniwal

    2016-01-01

    Full Text Available Studies published from centers across India have reported different and contradicting patterns of glomerular disease. In this retrospective study, we report our experience from a Tertiary Care Center in Northwest India. A total of 702 renal biopsies performed between 2008 and 2013 were reviewed of which 80 were excluded from the study because of having insufficient records or if the biopsies were taken from an allograft. The study included 411 males (66.1 % and 211 females (33.9% with an age range of 12-70 years (mean 30.34 ± 7.04 years. Majority of the biopsies (93.9% showed some form of glomerulonephritis (GN, either primary (79.4% or secondary glomerular disease (SGD (14.5%. Minimal change disease (MCD was the most common type of primary GN (26.5% of primary GN, followed by membranous nephropathy (MN; 18.8% and focal and segmental glomerulosclerosis (FSGS; 13.2%. Lupus nephritis (LN was the most frequent SGD (52.2% of secondary GN. Amyloidosis was found in 41.1% and diabetic glomerulosclerosis in 4.4%. LN was also the second most common diagnosis in females after MCD, seen in 19.4% of females. MCD followed by membranoproliferative GN and diffuse proliferative GN were the most common entities in individuals <20 years of age. In the 20-39 years age group, MN was the most common pathology seen. MN was again the most common pathology seen in patients aged above 40 years followed by amyloidosis and FSGS. In this study, MCD was the most common primary GN observed overall from this part of India. MN was the most common GN in individuals above 20 years of age presenting with the nephrotic syndrome. The geographical and regional differences in the pattern of GNs point to the necessity of having a central biopsy registry.

  16. Clinical and experimental studies of multiple sclerosis in Russia: experience of the leading national research centers

    Directory of Open Access Journals (Sweden)

    Zavalishin IA

    2015-08-01

    Full Text Available Igor A Zavalishin,1 Alexey A Belogurov Jr,2–4 Yakov A Lomakin,2 Natalia A Ponomarenko,2 Sofia N Morozova,1 Zinaida A Suslina,1,† Michael A Piradov,1 Sergey N Illarioshkin,1 Alexander G Gabibov2–5 1Research Center of Neurology, 2Institute of Bioorganic Chemistry, Russian Academy of Sciences, Moscow, 3Institute of Fundamental Medicine and Biology, Kazan Federal University, Kazan, Republic of Tatarstan, 4Institute of Gene Biology, RAS, 5Chemistry Department, Moscow State University, Moscow, Russia †Dr Zinaida A Suslina passed away on June 22, 2014 Abstract: Mechanisms of axonal damage and adaptive capacity in multiple sclerosis (MS, including cortical reorganization, have been actively studied in recent years. The lack of regenerative capabilities and the irreversibility of neurodegeneration in MS are critical factors for the optimization of MS treatment. In this study, we present the results of clinical and basic studies in the field of MS by two leading Russian centers. Clinical and neuroimaging correlations show that spinal damage in MS is accompanied by functional reorganization of the cerebral cortex, which is determined not only by the efferent component but also by the afferent component. Comparative analysis of MS treatment with both interferon β1b (IFN-β1b and IFN-β1a at a dosage of 22 µg for 3 years through subcutaneous administration and glatiramer acetate showed equally high efficiency in reducing the number of exacerbations in relapsing-remitting MS and secondary-progressive MS. We demonstrate a reduced risk of disability in relapsing-remitting MS and secondary-progressive MS patients in all groups treated with IFN-β1 and glatiramer acetate. MS appears to be a disease that would greatly benefit from the development of personalized therapy; thus, adequate molecular predictors of myelin degradation are greatly needed. Therefore, novel ideas related to the viral hypothesis of the etiology of MS and new targets for

  17. Developing Public Policy Options for Access to Drinking Water in Peripheral, Disaster and Polluted Rural Areas: A Case Study on Environment-Friendly and Conventional Technologies

    Directory of Open Access Journals (Sweden)

    Ruxandra Mălina Petrescu-Mag

    2016-03-01

    Full Text Available Peripheral, disaster and polluted rural areas (PDP rural areas are generally perceived as a “Cinderella” of water public policy measures, deepening the rural-urban cleavage in terms of opportunities for a decent life. The main goal of the study is to develop public policy options regarding the supply of safe drinking water in Romanian PDP rural areas. The main instrument to achieve it is an ex-ante policy analysis of three solutions: a conventional technology, based on chlorine, a green technology using an advanced oxidation process with bio-filter (O3BioFilter, and “do nothing”. Environment protection, social equity, technical performance, economic efficiency and political feasibility were the criteria selected for analysis, within a focus-group. Several qualitative and quantitative methods were used: evaluation matrix, weighted cost-effectiveness and break-even point. The results of the first two indicate that the O3BioFilter has the best score, but not much higher than the conventional alternative (10% higher, revealing a possible path-dependency to familiar technologies. This analysis is not a ready-made solution valid in any case, nor a direct indication of “the best choice”, but a decision tool in the adoption and implementation of sustainable water public policies.

  18. Vascular complications following 1500 consecutive living and cadaveric donor renal transplantations: A single center study

    Directory of Open Access Journals (Sweden)

    Salehipour Mehdi

    2009-01-01

    Full Text Available The aim of this study was to document vascular complications that occurred fol-lowing cadaveric and living donor kidney transplants in order to assess the overall incidence of these complications at our center as well as to identify possible risk factors. In a retrospective cohort study, 1500 consecutive renal transplant recipients who received a living or cadaveric donor kidney between December 1988 and July 2006 were evaluated. The study was performed at the Nemazee Hospital, Shiraz, Iran. The assessment of the anatomy and number of renal arteries as well as the incidence of vascular complications was made by color doppler ultrasonography, angiography, and/or surgical exploration. Clinically apparent vascular complications were seen in 8.86% of all study patients (n = 133 with the most frequent being hemorrhage (n = 91; 6.1% followed by allo-graft renal artery stenosis (n = 26; 1.7%, renal artery thrombosis (n = 9; 0.6%, and renal vein thrombosis (n = 7; 0.5%. Vascular complications were more frequent in recipients of cadaveric organs than recipients of allografts from living donors (12.5% vs. 7.97%; P= 0.017. The occurrence of vascular complications was significantly more frequent among recipients of renal allografts with multiple arteries when compared with recipients of kidneys with single artery (12.3% vs. 8.2%; P= 0.033. The same was true to venous complications as well (25.4% vs. 8.2%; P< 0.001. Our study shows that vascular complications were more frequent in allografts with multiple renal blood vessels. Also, the complications were much less frequent in recipients of living donor transplants.

  19. Sage grouse on the Yakima Training Center: A summary of studies conducted during 1989 and 1990

    Energy Technology Data Exchange (ETDEWEB)

    Eberhardt, L.E. (Pacific Northwest Lab., Richland, WA (USA)); Hofmann, L.A. (Yakima Training Center, WA (USA). Coe-Truman Technologies)

    1991-03-01

    A two-year study, sponsored by the U.S. Department of the Army and conducted by Pacific Northwest Laboratory, was initiated in 1989 to study sage grouse on the Yakima Training Center (YTC). The specific objectives of this study were (1) to obtain detailed information on the distribution and relative density of sage grouse on the YTC, (2) to identify movement and habitat use patterns of sage grouse on the YTC, (3) to identify crucial habitat for sage grouse on the YTC, and (4) to provide management recommendations. Sage grouse were selected for study because they are a US Fish and Wildlife Service candidate species for the threatened and endangered list in Washington, and because the YTC probably contains the largest population of sage grouse left on federally owned lands in this state. The locations of 11 sage grouse leks, or breeding grounds, were determined on the YTC during extensive spring helicopter surveys. The maximum number of sage grouse observed during ground surveys of these leks varied from 2 to 55 birds. One lek, located near Range 19, was probably used by 40 to 50% of the YTC sage grouse population. Fifteen years of counts of males on leks indicate that the YTC sage grouse population was most numerous during the early to mid 1980s. Since the mid-1980s, sage grouse numbers appear to have declined on the YTC and in other locations in Washington. Forty-six sage grouse (17 females and 29 males) were captured and fitted with radio transmitters during 1989 and 1990. Movements by these sage grouse were both erratic and large when compared with other studies. We believe that many of the atypical movements were in response to military training activities. Sage grouse appeared to seek out areas on the YTC where human disturbance was low. Recommendations are made for improving the management of grouse habitat.

  20. A Polysomnography Study of Kleine-Levin Syndrome in a Single Center

    Institute of Scientific and Technical Information of China (English)

    Yan-Wen Luo; Huan Yu; Lu-Hua Yuan; Guo-Xing Zhu

    2016-01-01

    Background:Kleine-Levin syndrome (KLS) is a rare sleep disorder characterized by recurrent episodes of hypersomnia.Polysomnographic (PSG) researches of KLS have been reported only in few publications in the past decades.This study aimed to investigate the characteristics of PSG of KLS.Methods:This study,which was conducted from March 2010 to July 2014,included seven patients diagnosed with KLS in the Sleep and Wake Disorder Center of Huashan Hospital,Fudan University (Shanghai,China).PSG and multiple sleep latency tests (MSLT) were performed during their episodes and the results were evaluated.Results:Five of the seven patients were males.The mean age at KLS onset was 15.6 ± 3.6 years.The number of episodes ranged from 2 to 7.The duration of episodes lasted from 4 to 11 days.The sleep architecture and proportion were normal in most of the patients.The average value of mean sleep latency was 6.9 ± 4.1 min.No sleep-onset rapid eye movement (SOREM) was detected in three of the patients,whereas one patient experienced one period of SOREM,and such episodes occurred twice in other two patients.Conclusions:We found that sleep architecture and proportion were normal in most KLS patients.However,the results of PSG and MSLT had no specificity for KLS patients.

  1. User-Centered Design for Interactive Maps: A Case Study in Crime Analysis

    Directory of Open Access Journals (Sweden)

    Robert E. Roth

    2015-02-01

    Full Text Available In this paper, we address the topic of user-centered design (UCD for cartography, GIScience, and visual analytics. Interactive maps are ubiquitous in modern society, yet they often fail to “work” as they could or should. UCD describes the process of ensuring interface success—map-based or otherwise—by gathering input and feedback from target users throughout the design and development of the interface. We contribute to the expanding literature on UCD for interactive maps in two ways. First, we synthesize core concepts on UCD from cartography and related fields, as well as offer new ideas, in order to organize existing frameworks and recommendations regarding the UCD of interactive maps. Second, we report on a case study UCD process for GeoVISTA CrimeViz, an interactive and web-based mapping application supporting visual analytics of criminal activity in space and time. The GeoVISTA CrimeViz concept and interface were improved iteratively by working through a series of user→utility→usability loops in which target users provided input and feedback on needs and designs (user, prompting revisions to the conceptualization and functional requirements of the interface (utility, and ultimately leading to new mockups and prototypes of the interface (usability for additional evaluation by target users (user… and so on. Together, the background review and case study offer guidance for applying UCD to interactive mapping projects, and demonstrate the benefit of including target users throughout design and development.

  2. Implementing Cognitive Behavioral Therapy in the real world: A case study of two mental health centers

    Directory of Open Access Journals (Sweden)

    Burns Barbara J

    2008-02-01

    Full Text Available Abstract Background Behavioral health services for children and adolescents in the U.S. are lacking in accessibility, availability and quality. Evidence-based interventions for emotional and behavioral disorders can improve quality, yet few studies have systematically examined their implementation in routine care settings. Methods Using quantitative and qualitative data, we evaluated a multi-faceted implementation strategy to implement cognitive-behavioral therapy (CBT for depressed adolescents into two publicly-funded mental healthcare centers. Extent of implementation during the study's duration and variables influencing implementation were explored. Results Of the 35 clinicians eligible to participate, 25 (71% were randomized into intervention (n = 11 or usual care (n = 14. Nine intervention clinicians completed the CBT training. Sixteen adolescents were enrolled in CBT with six of the intervention clinicians; half of these received at least six CBT manually-based sessions. Multiple barriers to CBT adoption and sustained use were identified by clinicians in qualitative interviews. Conclusion Strategies to implement evidence-based interventions into routine clinical settings should include multi-method, pre-implementation assessments of the clinical environment and address multiple barriers to initial uptake as well as long-term sustainability.

  3. Retrospective Single Center Study of Granulocyte Monocyte Adsorption Apheresis Treatment in Inflammatory Bowel Disease.

    Science.gov (United States)

    Edfors, Kajsa; Ståhlberg, Dagny; Söderman, Charlotte

    2016-02-01

    Patients with active inflammatory bowel disease (IBD) have elevated and activated myeloid leukocytes, which infiltrate the intestinal mucosa. A significant proportion of IBD patients do not respond adequately to conventional treatment regimes. Studies have suggested that treatment with granulocyte monocyte apheresis (GMA) could be a safe and efficacious alternative for these patients. We evaluated the efficacy and safety of granulocyte/monocyte apheresis in patients with IBD in a retrospective cohort study, conducted from a single center in Stockholm. Clinical details from consecutive apheresis treated patients were retrospectively reviewed from 2004 to 2012. A total of 37 patients were included, 23 patients with ulcerative colitis (UC) and 14 with Crohn's disease (CD). Clinical response was seen in 11 patients (30%) and complete remission in 11 patients (30%). The remission rate was higher in UC patients compared to CD patients, 39% (N = 9) and 14% (N = 2) respectively. A total of 9 patients experienced adverse events. Most frequently reported was headache (N = 4). GMA seems to be a valuable adjuvant treatment regime in the care of patients with refractory IBD.

  4. Water exchange in plant tissue studied by proton NMR in the presence of paramagnetic centers.

    Science.gov (United States)

    Bacić, G; Ratković, S

    1984-04-01

    The proton NMR relaxation of water in maize roots in the presence of paramagnetic centers, Mn2+, Mn- EDTA2 -, and dextran-magnetite was measured. It was shown that the NMR method of Conlon and Outhred (1972, Biochem. Biophys. Acta. 288:354-361) can be applied to a heterogenous multicellular system, and the water exchange time between cortical cells and the extracellular space can be calculated. The water exchange is presumably controlled by the intracellular unstirred layers. The Mn- EDTA2 - complex is a suitable paramagnetic compound for complex tissue, while the application of dextran-magnetite is probably restricted to studies of water exchange in cell suspensions. The water free space of the root and viscosity of the cells cytoplasm was estimated with the use of Mn- EDTA2 -. The convenience of proton NMR for studying the multiphase uptake of paramagnetic ions by plant root as well as their transport to leaves is demonstrated. A simple and rapid NMR technique (spin-echo recovery) for continuous measurement of the uptake process is presented.

  5. Determinants of intelligence in childhood-onset epilepsy: a single-center study.

    Science.gov (United States)

    Park, Jungmee; Yum, Mi-Sun; Choi, Hae-won; Kim, Eun Hee; Kim, Hyo Won; Ko, Tae-Sung

    2013-10-01

    The purpose of this study was to quantify the intelligence of children with epilepsy and to determine the clinical factors associated with intellectual impairment. The medical records of patients diagnosed with childhood-onset epilepsy at a single tertiary medical center in Korea between 2006 and 2011 were retrospectively reviewed. The Korean Education Development Institute-Wechsler Intelligence Scale for Children or Korean Wechsler Intelligence Scale for adults was used to quantify the level of intelligence. Age at seizure onset, etiology, epilepsy duration, number of seizures in the last year, use of antiepileptic drugs, EEG/MRI findings, and epilepsy classification were recorded. The association between clinical factors and the intelligence was determined using logistic regression. Three hundred and twenty-two patients were included in the analysis. One hundred and seventy-six (54.7%) patients had low intelligence (intelligence quotient [IQ]intelligence in multivariate logistic regression (pintelligence in children with idiopathic epilepsy. The most important factors associated with low intelligence in childhood-onset epilepsy are the underlying etiology and, in cryptogenic and symptomatic epilepsy, seizure burden. The results of this study underscore the importance of seizure control to alleviate the harmful impact of epilepsy on cognition.

  6. Alemtuzumab in lung transplantation: an open-label, randomized, prospective single center study.

    Science.gov (United States)

    Jaksch, P; Ankersmit, J; Scheed, A; Kocher, A; Muraközy, G; Klepetko, W; Lang, G

    2014-08-01

    Induction therapy with alemtuzumab followed by lower maintenance immunosuppression (IS) has been associated with reduced morbidity and mortality in abdominal and heart transplantation (TX). In the current study, alemtuzumab, in combination with reduced levels of maintenance IS, was compared to thymoglobulin in combination with standard IS. Sixty consecutive patients who underwent lung transplantation (LUTX) at a single center were prospectively randomized in two groups: group A received alemtuzumab in conjunction with reduced doses of tacrolimus, steroids and mycophenolate mofetil. Group B received thymoglobulin in association with standard dose IS. Patient and graft survival, freedom from acute cellular rejection (ACR), lymphocytic bronchiolitis, bronchiolitis obliterans syndrome, kidney function, infectious complications and posttransplant lymphoproliferative disorder were analyzed. Alemtuzumab induction therapy resulted in complete the absence of ACR episodes ≥ A2 within the first year post-TX. The difference to thymoglobulin was significant (alemtuzumab 0 vs. ATG 0.33; p = 0.019). All other factors studied did not show any differences between the two groups. Alemtuzumab induction therapy after LUTX in combination with reduced maintenance IS significantly reduces higher-grade rejection rates. This novel therapeutic agent had no impact on survival, infections rates, kidney function and incidence of malignancies.

  7. Bariatric surgery outcomes: a single-center study in the United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Abusnana S

    2015-09-01

    Full Text Available Salah Abusnana,1 Sarah Abdi,1 Brigette Tagure,1 Murtada Elbagir,1 Almantas Maleckas2 1Rashid Center for Diabetes and Research, Ministry of Health, Ajman, United Arab Emirates; 2Kaunas University of Medicine, Kaunas, LithuaniaBackground: Bariatric surgery has become an attractive treatment for severe obesity over the last decade, due to its impacts on weight loss and remission of type 2 diabetes and metabolic syndrome. In the United Arab Emirates, a country where the rate of obesity is dramatically increasing bariatric surgery has gained popularity in recent years; however, published data on its outcomes in the Emirati population are lacking.Methods: We retrospectively reviewed the medical records of 95 patients who underwent bariatric surgery (ie, laparoscopic Roux-en-Y gastric bypass [RYGB] or laparoscopic sleeve gastrectomy at the Rashid Center for Diabetes and Research in Ajman, United Arab Emirates. Weight outcomes and metabolic marker data were abstracted at baseline and at 3, 6, and 12 months postoperatively.Results: Laparoscopic RYGB was the main procedure performed by our bariatric unit. All variables demonstrated postoperative improvement. An average excess weight loss of 68% was observed at 12 months. Fat mass was the body component that decreased the most, with an average reduction of 46%. Additionally, lipid profiles were significantly different (P<0.01 at 12 months, with triglyceride levels improving by 27% and low-density lipoprotein levels improving by 21%. Similarly, glycated hemoglobin (HbA1c levels decreased significantly (P<0.001 in patients with type 2 diabetes, with an average reduction of 73%.Conclusion: Our results show that a substantial short-term reduction in weight and significant improvements in metabolic markers followed bariatric surgery in severely obese Emirati patients. Our results are consistent with the outcomes of other internationally published studies. Additional studies are warranted to determine whether

  8. Prevalence estimates for primary brain tumors in China: a multi-center cross-sectional study

    Institute of Scientific and Technical Information of China (English)

    JIANG Tao; WU Nai-feng; CHEN Xiao-jun; XING Hou-xun; SU Tong-yong; WANG Zhong-cheng; TANG Gen-fu; LIN Yi; PENG Xiao-xia; ZHANG Xiao; ZHAI Xiu-wei; PENG Xiang; YANG Jin-qing; HUANG Hong-er

    2011-01-01

    Background Although the first leading cause of death in China was malignant neoplasms (mortality,374.1 per 100000 person-years),the full impact of primary brain tumors (PBT) on the healthcare system is not completely described because there are a few well documented reports about the epidemiologic features of brain tumors.This study aimed to report a comprehensive assessment on the prevalence of PBT.Methods A multicenter cross-sectional study on brain tumor (MCSBT) in China was initiated in five regional centers:Daqing (northeast),Puyang (north of China),Shiyan (center of China),Ma'anshan (center of China) and Shanghai (southeast).Prevalence rate was calculated by counting the number of people living with a PBT between October 1,2005 and September 30,2006 and dividing by the total population of the five communities at January 1,2006.Estimates of prevalence were expressed as percentages and grouped according to gender and to age in fifteen-year categories.Within these strata,the rates were estimated with 95% confidence intervals (C/) using the accurate calculation of CI for Poisson distribution.A chi-square test was used to compare the various frequencies with α<0.05.Age-standardized prevalence with the direct method was calculated with the ten-year age-specific prevalence and the age distribution of the Chinese population in 2010,obtained from Worldpopulation prospects:the 2008 revision.Results We estimated that the overall prevalence of PBT was 24.56 per 100 000 (95% CI,14.85 to 34.27),and the overall prevalence of PBT in female population (30.57 per 100 000 and its 95% CI ranged from 19.73 to 41.41 ) was higher than that in male population (18.84 per 100 000 and its 95% CI ranged from 10.33 to 27.35).However,the discrepancy between genders was not statistically significant because the 95% CI overlapped.Of 272 cases of newly diagnosed PBT,the proportion of histological subtypes by age groups,gender was statistically different (χ2=52.6510,P <0.0001).More than

  9. Mixed waste management options

    Energy Technology Data Exchange (ETDEWEB)

    Owens, C.B.; Kirner, N.P. [EG and G Idaho, Inc., Idaho Falls, ID (United States). Idaho National Engineering Lab.

    1991-12-31

    Disposal fees for mixed waste at proposed commercial disposal sites have been estimated to be $15,000 to $40,000 per cubit foot. If such high disposal fees are imposed, generators may be willing to apply extraordinary treatment or regulatory approaches to properly dispose of their mixed waste. This paper explores the feasibility of several waste management scenarios and attempts to answer the question: Can mixed waste be managed out of existence? Existing data on commercially generated mixed waste streams are used to identify the realm of mixed waste known to be generated. Each waste stream is evaluated from both a regulatory and technical perspective in order to convert the waste into a strictly low-level radioactive or a hazardous waste. Alternative regulatory approaches evaluated in this paper include a delisting petition, no migration petition, and a treatability variance. For each waste stream, potentially available treatment options are identified that could lead to these variances. Waste minimization methodology and storage for decay are also considered. Economic feasibility of each option is discussed broadly.

  10. Four years prospective study of the maxillofacial trauma at a tertiary center in Western Nepal

    Directory of Open Access Journals (Sweden)

    Rajib Khadka

    2014-01-01

    Full Text Available Purpose: This study was conducted to find the epidemiological characteristics of maxillofacial trauma in the Western region of Nepal. Materials and Methods: All the trauma patients attending the Department of Oral and Maxillofacial surgery in 4 years period at a tertiary center in Western Nepal were included in the study. The incidence, prevalence, age and sex distribution, etiologies and types as well as seasonal and daily variation of maxillofacial trauma were studied. Results: Maxillofacial trauma with male (71.55% predominance was seen. Road traffic accidents (RTA, 46.5% were the most common cause, and 41.65% of fracture cases due to RTA were under the influence of alcohol. Accidents were more common on the rural roads (38.9%, and majorities (43.3% were due to motorcycle accidents. They were more common on Friday (36.7% and in winter seasons (51.2%. The mandible fractures (65.85% were more common than midface fractures (53.58% and 19.44% of the fractures were combined fractures. Parasymphysis in mandible (32.16% and zygoma (39.09% in midface were the most common type of fracture. Conclusion: The increased incidence of maxillofacial trauma following RTA under the influence of alcohol noted in this study reveals the need for formulating preventive measures in the Western region of Nepal. Need to aware people to avoid drink and drive proper traffic management, prevention of carrying excessive passengers, especially on the rooftop of vehicles on the highway and disposal of out of date vehicles and timely maintenance of faulty roads is a must.

  11. STUDY REGARDING THE ORGANIZATION OF MANAGEMENT ACCOUNTING IN THE CONTEXT OF RESPONSIBILITY CENTERS

    Directory of Open Access Journals (Sweden)

    RĂCHISAN PAULA RAMONA

    2009-05-01

    Full Text Available The organization on responsibility centers has lately become a generalized practice inside small and medium economic enterprises. Thus it made necessary the adaptation of management accounting to the new requirements. Introducing effective management by o

  12. Obstetrician and Gynecologist Utilization of the Noninvasive Prenatal Testing Expanded Option.

    Science.gov (United States)

    Mayes, Sarah; Hashmi, Syed; Turrentine, Mark A; Darilek, Sandra; Friel, Lara A; Czerwinski, Jennifer

    2016-03-01

    Objective Noninvasive prenatal testing (NIPT) enables the detection of common fetal aneuploidies such as trisomy 21, trisomy 18, trisomy 13, and sex chromosome abnormalities via analysis of cell-free fetal DNA circulating in maternal serum. In October 2013, the option to screen for additional trisomies and select microdeletion syndromes became clinically available. The complex testing methods, oftentimes unclear clinical utility of results, and lack of professional guidelines renders it challenging for clinicians to keep abreast of evolving prenatal screening options. We undertook a survey to assess physicians' awareness of, utilization of, and attitudes toward the expanded NIPT option. Study Design Obstetricians attending hospital service meetings in the Houston Texas Medical Center completed an anonymous survey regarding the utilization patterns of expanded NIPT. Results Overall, 85 obstetricians were surveyed. While all respondents indicated awareness of NIPT in its traditional form, 75% (64/85) were aware of the expanded testing option, and 14% (12/85) reported having ordered the expanded NIPT option. A total of 91% (77/85) expressed that practitioners need more information regarding the screening. Conclusion Based on these findings and the fluid landscape of prenatal screening, education, and reeducation of health care professionals is imperative to ensure responsible patient counseling, informed consent, and appropriate posttest management.

  13. A Study to Determine the Feasibility of Establishing a Wellness Center at Martin Army Community Hospital

    Science.gov (United States)

    1987-11-06

    MTF) establish a Wellness/Health Promotion Center to provide the services needed to support the wellness concepto (Department of the Army, 1984). 2...Directive 1010.10 (Health Promotion). 6. It is recommended that a marketing plan be developed for the wellness center. The plan should include articles for...1981). Wellness programs attract new markets for hospitals. Hospitals, 55(22), 115-116, 119. Manring, S.L. (1985). Evaluating corporate wellness and

  14. Idaho Nuclear Technology and Engineering Center (INTEC) (formerly ICPP) ash reutilization study

    Energy Technology Data Exchange (ETDEWEB)

    Langenwalter, T.; Pettet, M.; Ochoa, R.; Jensen, S.

    1998-05-01

    Since 1984, the coal-fired plant at the Idaho Nuclear Technology and Engineering Center (INTEC, formerly Idaho Chemical Processing Plant) has been generating fly ash at a rate of approximately 1,000 tons per year. This ash is hydrated and placed in an ash bury pit near the coal-fired plant. The existing ash bury pit will be full in less than 1 year at its present rate of use. A conceptual design to build a new ash bury pit was completed, and the new pit is estimated to cost $1.7 million. This report evaluates ash reutilization alternatives that propose to eliminate this waste stream and save the $1.7 million required to build a new pit. The alternatives include using ash for landfill day cover, concrete admixture, flowable fill, soil stabilization, waste remediation, and carbon recovery technology. Both physical and chemical testing, under the guidance of the American Society for Testing and Materials, have been performed on ash from the existing pit and from different steps within the facility`s processes. The test results have been evaluated, compared to commercial ash, and are discussed as they relate to reutilization alternatives. This study recommends that the ash be used in flowable fill concrete for Deactivation and Demolition work at the Idaho National Engineering and Environmental Laboratory.

  15. The Stability Study of Globe Transportation Center of Beijing Capital International Airport

    Institute of Scientific and Technical Information of China (English)

    MA Jun; ZHOU Dai; ZHU Zhong-yi; LIU Jie

    2006-01-01

    The stability of long span steel arch structure of globe transportation center (GTC) in the Beijing Capital International Airport was studied. Different objective models such as single arch model, composite arch model and global structural model were introduced to analyze the structural stability by means of the finite element technique.The eigen buckling factor of the steel arch structure was analyzed. The geometrical nonlinearity, elastic-plastic nonlinearity and initial imperfection were taken into account in the investigation of the structural buckling, and the nonlinearity reduction factors for the steel arch structure were discussed. The effects of geometrical nonlinearity and initial imperfection on the structural buckling are light while the effect of material nonlinearity is quite remarkable. For a single steel arch, the dominant buckling mode occurs in out-of-plane of arch structure. The out-of-plane buckling factor of the composite steel arch is greater than that of the single steel arch while the in-plane buckling factor of the former is somewhat less than that of the latter. Moreover, the webs near the steel arch feet have the lowest local buckling level and the local buckling is more serious than the global buckling for the global structure.

  16. Ecological baseline study of the Yakima Firing Center proposed land acquisition: A status report

    Energy Technology Data Exchange (ETDEWEB)

    Rogers, L.E.; Beedlow, P.A.; Eberhardt, L.E.; Dauble, D.D.; Fitzner, R.E.

    1989-01-01

    This report provides baseline environmental information for the property identified for possible expansion of the Yakima Firing Center. Results from this work provide general descriptions of the animals and major plant communities present. A vegetation map derived from a combination of on-site surveillance and remotely sensed imagery is provided as part of this report. Twenty-seven wildlife species of special interest (protected, sensitive, furbearer, game animal, etc.), and waterfowl, were observed on the proposed expansion area. Bird censuses revealed 13 raptorial species (including four of special interest: bald eagle, golden eagle, osprey, and prairie falcon); five upland game bird species (sage grouse, California quail, chukar, gray partridge, and ring-necked pheasant); common loons (a species proposed for state listing as threatened); and five other species of special interest (sage thrasher, loggerhead shrike, mourning dove, sage sparrow, and long-billed curlew). Estimates of waterfowl abundance are included for the Priest Rapids Pool of the Columbia River. Six small mammal species were captured during this study; one, the sagebrush vole, is a species of special interest. Two large animal species, mule deer and elk, were noted on the site. Five species of furbearing animals were observed (coyote, beaver, raccoon, mink, and striped skunk). Four species of reptiles and one amphibian were noted. Fisheries surveys were conducted to document the presence of gamefish, and sensitive-classified fish and aquatic invertebrates. Rainbow trout were the only fish collected within the boundaries of the proposed northern expansion area. 22 refs., 10 figs., 4 tabs.

  17. A Detailed Observational Study of Molecular Loops 1 and 2 in the Galactic Center

    CERN Document Server

    Torii, Kazufumi; Fujishita, Motosuji; Kawase, Tokuichi; Yamamoto, Hiroaki; Kawamura, Akiko; Mizuno, Norikazu; Onishi, Toshikazu; Mizuno, Akira; Machida, Mami; Takahashi, Kunio; Nozawa, Satoshi; Matsumoto, Ryoji; Fukui, Yasuo

    2009-01-01

    Fukui et al. (2006) discovered two molecular loops in the Galactic center that are likely created by the magnetic flotation due to the Parker instability. Following the discovery, we present here a detailed study of the two loops based on NANTEN 12CO(J=1-0) and 13CO(J=1-0) datasets. The two loops are located in (l, b) ~ (357, 1) deg. at a velocity range of -20 - -180 km/s with a projected total length of ~ 600 pc and heights of ~250 - 300 pc from the Galactic disk at a distance of 8.5 kpc. They show bright foot points in the 12CO emission in the edges of the loops at b ~ 0.8 - 1.0 deg.. These foot points are characterized by velocity dispersions of 50 - 100 km/s. The loops also show large-scale velocity gradients of ~30 - 50 km/s per ~100 pc. The loops also have counterparts of the HI gas and IRAS emissions. The HI gas with weaker intensity fills the inner part of the loops where there is no significant 12CO and 13CO emission. We estimate total mass and kinetic energy of the loops are ~1.5 - 2.5 x 10^6 Msun a...

  18. A protein dynamics study of photosystem II: the effects of protein conformation on reaction center function.

    Science.gov (United States)

    Vasil'ev, Sergej; Bruce, Doug

    2006-05-01

    Molecular dynamics simulations have been performed to study photosystem II structure and function. Structural information obtained from simulations was combined with ab initio computations of chromophore excited states. In contrast to calculations based on the x-ray structure, the molecular-dynamics-based calculations accurately predicted the experimental absorbance spectrum. In addition, our calculations correctly assigned the energy levels of reaction-center (RC) chromophores, as well as the lowest-energy antenna chlorophyll. The primary and secondary quinone electron acceptors, Q(A) and Q(B), exhibited independent changes in position over the duration of the simulation. Q(B) fluctuated between two binding sites similar to the proximal and distal sites previously observed in light- and dark-adapted RC from purple bacteria. Kinetic models were used to characterize the relative influence of chromophore geometry, site energies, and electron transport rates on RC efficiency. The fluctuating energy levels of antenna chromophores had a larger impact on quantum yield than did their relative positions. Variations in electron transport rates had the most significant effect and were sufficient to explain the experimentally observed multi-component decay of excitation in photosystem II. The implications of our results are discussed in the context of competing evolutionary selection pressures for RC structure and function.

  19. Participatory ergonomics intervention in a sterile processing center: a case study.

    Science.gov (United States)

    Boynton, Teresa; Darragh, Amy Rowntree

    2008-01-01

    The following case study describes an ergonomics intervention program, designed and implemented by an occupational therapist (OT), which included principles of participatory ergonomics, had full support of management and administration, and addressed the work, worker, and environment. The ergonomics program took place in the Sterile Processing Center (SPC) of a 398 bed, mid-western hospital. The SPC was responsible for the collection, sterilization, and reassembling of hospital surgical equipment. The 30 employees of the SPC were vulnerable to injury, having experienced 19 in only two years (of the 19 injuries, 9 were WMSD or ergonomics-related injuries). Over a two and a half year period, the OT and SPC manager conducted ergonomic evaluations, implemented employee training, designed a new SPC department, and modified work processes and equipment. In the year following the training and changes, the SPC staff experienced no injuries. Because of it's success, the program is continuing on a quarterly basis to ensure new problems are addressed quickly, new processes or equipment are evaluated, and new staff are properly trained.

  20. Study of 1 MW PV array at the Kennedy Space Center

    Science.gov (United States)

    Dhere, Neelkanth G.; Schneller, Eric; Martin, Wayne R.; Dhere, Ramesh G.

    2016-09-01

    FP and L has deployed a 1 MW c-Si in a fenced compound at the Kennedy Space Center. Two 500 kW inverters located in an elevated and air-conditioned enclosure convert direct current (DC) to alternating current (AC). The generated power, DC and AC voltages and currents are measured and recorded. Charts of variation of PV parameters are generated for analyses. The generated power is also tabulated and reported on periodic basis. Infrared and visual images of the array, sections of the array, and of individual modules from the front and back are recorded periodically. Any interruption of power generation are recorded. The dust and corrosion on screws and frame were observed in a few modules. The temperature of active area of module is higher than that of metallic support and frame probably because of conduction of the heat by the heavy metallic structure. The 1-MW PV array is operating normally without signs of excessive degradation except for collection of dust towards the bottom of a few modules. Since these modules were not washed periodically and any cleaning was by rain. Thus the collection of dust towards the bottom of modules can be understood and does not pose a serious problem. Corrosion on screws and frame were observed in a few modules. This study if continued over a long time, will serve to follow the behavior of this reasonable size PV Plant.

  1. Origins of Massive Field Stars in the Galactic Center: a Spectroscopic Study

    CERN Document Server

    Dong, Hui; Morris, Mark R; Wang, Q Daniel; Cotera, Angela

    2014-01-01

    Outside of the known star clusters in the Galactic Center, a large number of evolved massive stars have been detected; but their origins remain uncertain. We present a spectroscopic study of eight such stars, based on new Gemini GNIRS and NIFS near-infrared observations. This work has led to the discovery of a new O If+ star. We compare the reddening-corrected J-K vs K diagram for our stars with the massive ones in the Arches cluster and use stellar evolutionary tracks to constrain their ages and masses. The radial velocities of both the stars and their nearby H II regions are also reported. All of the stars are blueshifted relative to the Arches cluster by > 50 km/s. We find that our source P35 has a velocity consistent with that of the surrounding molecular gas. The velocity gradient of nearby ionized gas along the Gemini GNIRS long slit, relative to P35 and the adjacent -30-0 km/s molecular cloud, can best be explained by a pressure-driven flow model. Thus, P35 most likely formed in situ. Three more of our...

  2. HIV infection in dialysis centers in Italy: a nationwide multicenter study.

    Science.gov (United States)

    Barbiano di Belgiojoso, G; Trezzi, M; Scorza, D; Barone, M T; Landriani, N; Genderini, A; Bertoli, S

    1998-01-01

    The prevalence of HIV infection in dialysis populations varies according to different countries and geographic areas. We performed a nationwide epidemiological study by means of a questionnaire in the period from January 1990 to December 1995. Questions were about whether and which HIV tests were performed and which preventive measures were adopted. A separate survey evaluated the data the HIV-positive patients. Only 62% of the centers responded to the questionnaire, corresponding to 21,500 dialysis patients in 1990 and 27,000 in 1995. The prevalence of HIV-positive subjects was 0,13% for 1995. A total of 48 patients with HIV infection were identified: risk factors were drug abuse in 16 cases, homosexuality in 9, heterosexual contact in 8, transfusion in 7, renal transplant in 3 and unknown cause in 5. Forty-five patients were on hemodialysis, and 3 were receiving peritoneal dialysis. At follow-up, 19 patients died: infection and malnutrition were the most frequent causes of death. The death rate of patients who were already HIV positive when dialysis was started (group 1, 29 cases) was 19.36 deaths/1,000 patient/month. The correlations, performed only for group 1, showed a significantly worse prognosis for patients with CD4 HIV infection in the dialysis population is low, and the outcome of HIV-positive patients in dialysis was found to be better than earlier literature reports. The use of chronic dialysis for HIV patients with uremia should not be discouraged.

  3. Survival of living donor renal transplant recipients in Sri Lanka: a single-center study.

    Science.gov (United States)

    Galabada, Dinith Prasanna; Nazar, Abdul L M; Ariyaratne, Prasad

    2014-11-01

    Chronic kidney disease is one of the main public health concerns in Sri Lanka. In comparison with dialysis, successful kidney transplantation improves both patient survival and quality of life, relieves the burden of dialysis in patients suffering from end-stage renal disease and decreases the cost of healthcare to the society and government. The objective of this retrospective cohort study was to evaluate graft and patient survival rates in patients who were transplanted from living donors at the Nephrology Unit of the National Hospital of Sri Lanka from January 2005 to January 2011. Data were collected using an interviewer-administered questionnaire and through a review of past medical records. The Kaplan-Meier method was used to determine the survival rate, the log rank test was used to compare survival curves and the Cox proportional hazard model was used for multivariate analysis. Mean follow-up was 26.44±16.6 months. The five-year death-censored graft survival of kidney transplant recipients from living donors in our center was 93.5% and the five-year patient survival was 82.2%, which is comparable with other transplant programs around the world. The number of acute rejection episodes was an independent risk factor for graft survival. Delayed graft function, younger recipient age and unknown cause of end-stage renal disease were found to be risk factors for graft failure but after adjusting for confounding factors, and the difference was not apparent.

  4. Survival of living donor renal transplant recipients in Sri Lanka: A single-center study

    Directory of Open Access Journals (Sweden)

    Dinith Prasanna Galabada

    2014-01-01

    Full Text Available Chronic kidney disease is one of the main public health concerns in Sri Lanka. In comparison with dialysis, successful kidney transplantation improves both patient survival and quality of life, relieves the burden of dialysis in patients suffering from end-stage renal disease and decreases the cost of healthcare to the society and government. The objective of this retrospective cohort study was to evaluate graft and patient survival rates in patients who were transplanted from living donors at the Nephrology Unit of the National Hospital of Sri Lanka from January 2005 to January 2011. Data were collected using an interviewer-administered questionnaire and through a review of past medical records. The Kaplan-Meier method was used to determine the survival rate, the log rank test was used to compare survival curves and the Cox proportional hazard model was used for multivariate analysis. Mean follow-up was 26.44 ± 16.6 months. The five-year death-censored graft survival of kidney transplant recipients from living donors in our center was 93.5% and the five-year patient survival was 82.2%, which is comparable with other transplant programs around the world. The number of acute rejection episodes was an independent risk factor for graft survival. Delayed graft function, younger recipient age and unknown cause of end-stage renal disease were found to be risk factors for graft failure but after adjusting for confounding factors, and the difference was not apparent.

  5. Disease course and therapeutic approach in dermatomyositis: A four-center retrospective study of 100 patients.

    Science.gov (United States)

    Johnson, Nicholas E; Arnold, W David; Hebert, Donald; Gwathmey, Kelly; Dimachkie, Mazen M; Barohn, Richard J; McVey, April L; Pasnoor, Mamatha; Amato, Anthony A; McDermott, Michael P; Kissel, John; Heatwole, Chad R

    2015-08-01

    Dermatomyositis is a life-altering inflammatory disorder of skin and muscle. Details regarding the natural course of this disorder, the effects of specific therapies on its progression, and the optimal therapeutic dosage and duration of prednisone are limited. We performed a retrospective medical record review of dermatomyositis patients at four medical centers. All patients were over the age of 21 and had a clinical diagnosis of dermatomyositis with pathological confirmation. We reviewed average muscle strength, corticosteroid use, creatine kinase levels, and supplemental immunosuppressant use during the 36-month period following each patient's initial assessment. One hundred patients participated with an average age of 50.1 years. Average muscle strength improved and prednisone requirements lessened six months after initial assessment. There was no difference in the mean change in muscle strength or cumulative corticosteroid use over 36 months among those initially treated with methotrexate, mycophenolate mofetil, pulse IVIG, or azathioprine. There was a 5% mortality rate in dermatomyositis patients due to infections. Treated dermatomyositis patients demonstrate the most significant improvement in strength during the first six-to-twelve months following their initial clinical assessment. Additional prospective studies are needed to determine the relative benefit of select immunosuppressant agents in preserving strength and reducing corticosteroid use in dermatomyositis.

  6. Satisfaction of oncologic patients hospitalized in centers with and without service of palliative cares: multicentric study

    Directory of Open Access Journals (Sweden)

    Fernando Campaña Castillo

    2013-09-01

    Full Text Available The aim of this study is to determine the satisfaction regarding care of patients suffering advanced stage cancer admitted in Hospital Sant Jaume de Calella, Sant Rafael de Barcelona and San Lorenzo de Viladecans, subject to the presence or absence of Palliative Care Unit during 2012. An observational, descriptive and transversal study will be conducted.The assessed population are patients admitted to these centers that meet the requirements for inclusion and exclusion.In the Hospital Sant Jaume de Calella, which provides Palliative Care service, patients will be check into the Internal Medicine unit and the Medium-Stay unit. In the other two hospitals, there isn’t any Palliative Care Service and patients will be admitted in the Internal Medicine units of both hospitals. Data will be collected during one year with a sample of 200 patients and non-probably sampling case row.The main variables to consider are the presence or absence of palliative service, satisfaction of care and quality of life of patients to be studied. The secondaries are sex, age, pap score, reason for admission, cancer diagnosis and origin. For the collection of the data we used the questionnaire EORTC IN-PASAT32 modified by the research team and the EORTC QLQ C-15 PAL.The analysis of the quantitative variables will be done through centralization and dispersal parameters. Categorical variables satisfaction of care and quality of life will be analysed using frequencies and joined together by the Chi square. The statistical program SPSS v 16.0 will be used.

  7. Cost-effectiveness analysis of darbepoetin after switch from epoetin-beta in patients on hemodialysis: an Italian single-center retrospective study

    Directory of Open Access Journals (Sweden)

    Mario Eandi

    2006-03-01

    Full Text Available Darbepoetin (DARB, a human erythropoietin with improved pharmacological parameters (longer half life and a dose-response relationship independent from the route of administration is a new treatment option for chronic nephropathy-induced anemia that in many Italian dialysis centers is substituting older erythropoietins, mainly due to greater ease of use. At current prices and at the theoretical and recommended 200:1 dose conversion factor, DARB pharmaceutical cost ranges from –9% to +17% of EPO cost. In this monocentric study, real drug consumption and related actual costs of a pre-switch semester with EPO were analysed and compared to the first two post-switch semesters with DARB therapy. Furthermore, erythropoetic response was recorded and related to drug exposition levels, in order to establish a real life EPO:DARB dose conversion factor. In this experience, the conversion factor was estimated in at least 250-280:1, depending on the method adopted for the estimation. The initial dose, chosen on the basis of the recommended conversion factor, induced an excessive erythropoietic response, which was generally followed by a dose reduction and successive titration to target desired Hb levels, generating the spiraliform dose-response curve associated with delayed feed-back mechanisms. The pharmacoeconomical analysis, conducted in the perspective of the public health service, indicated that the choice of substituting DARB for EPO in the treatment of chronic kidney failure-associated anemia is univocally convenient, the former being less costly and more effective.

  8. Innovation in patient-centered care: lessons from a qualitative study of innovative health care organizations in Washington State

    Directory of Open Access Journals (Sweden)

    Reed Peter

    2012-12-01

    Full Text Available Abstract Background Growing interest in the promise of patient-centered care has led to numerous health care innovations, including the patient-centered medical home, shared decision-making, and payment reforms. How best to vet and adopt innovations is an open question. Washington State has been a leader in health care reform and is a rich laboratory for patient-centered innovations. We sought to understand the process of patient-centered care innovation undertaken by innovative health care organizations – from strategic planning to goal selection to implementation to maintenance. Methods We conducted key-informant interviews with executives at five health plans, five provider organizations, and ten primary care clinics in Washington State. At least two readers of each interview transcript identified themes inductively; final themes were determined by consensus. Results Innovation in patient-centered care was a strategic objective chosen by nearly every organization in this study. However, other goals were paramount: cost containment, quality improvement, and organization survival. Organizations commonly perceived effective chronic disease management and integrated health information technology as key elements for successful patient-centered care innovation. Inertia, resource deficits, fee-for-service payment, and regulatory limits on scope of practice were cited as barriers to innovation, while organization leadership, human capital, and adaptive culture facilitated innovation. Conclusions Patient-centered care innovations reflected organizational perspectives: health plans emphasized cost-effectiveness while providers emphasized health care delivery processes. Health plans and providers shared many objectives, yet the two rarely collaborated to achieve them. The process of innovation is heavily dependent on organizational culture and leadership. Policymakers can improve the pace and quality of patient-centered innovation by setting targets

  9. Climate change adaptation options in rainfed upland cropping systems in the wet tropics: A case study of smallholder farms in North-West Cambodia.

    Science.gov (United States)

    Touch, Van; Martin, Robert John; Scott, Jeannette Fiona; Cowie, Annette; Liu, De Li

    2016-11-01

    While climate change is confirmed to have serious impacts on agricultural production in many regions worldwide, researchers have proposed various measures that farmers can apply to cope with and adapt to those changes. However, it is often the case that not every adaptation measure would be practical and adoptable in a specific region. Farmers may have their own ways of managing and adapting to climate change that need to be taken into account when considering interventions. This study aimed to engage with farmers to: (1) better understand small-holder knowledge, attitudes and practices in relation to perceived or expected climate change; and (2) document cropping practices, climate change perceptions, constraints to crop production, and coping and adaptation options with existing climate variability and expected climate change. This study was conducted in 2015 in Sala Krau village near Pailin (12°52'N, 102°45'E) and Samlout (12°39'N, 102°36'E) of North-West Cambodia. The methods used were a combination of focus group discussions and one-on-one interviews where 132 farming households were randomly selected. We found that farmers were conscious of changes in climate over recent years, and had a good understanding of likely future changes. While farmers are aware of some practices that can be modified to minimize risk and cope with anticipated changes, they are reluctant to apply them. Furthermore; there are no government agricultural extension services provided at the village level and farmers have relied on each other and other actors in the value chain network for information to support their decision-making. There is a lack of knowledge of the principles of conservation agriculture that urgently require agricultural extension services in the region to build farmer ability to better cope and adapt to climate change.

  10. Lightcurves of Jovian Trojan Asteroids from the Center for Solar System Studies: L4 Greek Camp and Spies

    Science.gov (United States)

    Stephens, Robert D.; Coley, Daniel R.; Warner, Brian D.; French, Linda, M.

    2016-10-01

    Jovian Trojan asteroids larger than ~ 30 km were studied from the Center for Solar System Studies (CS3, MPC U81). Lightcurves for 30 Trojan asteroids in the L4 (Greek) cloud were between May and June 2016. These were mostly from the L4 "Greek" cloud, but several were L5 "Trojan" cloud lightcurves not previously published.

  11. Longitudinal Invariance of the Center for Epidemiologic Studies-Depression Scale among Girls and Boys in Middle School

    Science.gov (United States)

    Motl, Robert W.; Dishman, Rod K.; Birnbaum, Amanda S.; Lytle, Leslie A.

    2005-01-01

    This study tested the longitudinal factorial invariance of a theoretically consistent, higher-order model for Center for Epidemiologic Studies-Depression (CES-D) scores among adolescent girls and boys in middle school. Data were collected from 2,416 adolescents who completed a survey containing the CES-D in the fall of 1998, spring of 1999, and…

  12. An excellent navigation system and experience in craniomaxillofacial navigation surgery: a double-center study.

    Science.gov (United States)

    Dai, Jiewen; Wu, Jinyang; Wang, Xudong; Yang, Xudong; Wu, Yunong; Xu, Bing; Shi, Jun; Yu, Hongbo; Cai, Min; Zhang, Wenbin; Zhang, Lei; Sun, Hao; Shen, Guofang; Zhang, Shilei

    2016-06-16

    Numerous problems regarding craniomaxillofacial navigation surgery are not well understood. In this study, we performed a double-center clinical study to quantitatively evaluate the characteristics of our navigation system and experience in craniomaxillofacial navigation surgery. Fifty-six patients with craniomaxillofacial disease were included and randomly divided into experimental (using our AccuNavi-A system) and control (using Strker system) groups to compare the surgical effects. The results revealed that the average pre-operative planning time was 32.32 mins vs 29.74 mins between the experimental and control group, respectively (p > 0.05). The average operative time was 295.61 mins vs 233.56 mins (p > 0.05). The point registration orientation accuracy was 0.83 mm vs 0.92 mm. The maximal average preoperative navigation orientation accuracy was 1.03 mm vs 1.17 mm. The maximal average persistent navigation orientation accuracy was 1.15 mm vs 0.09 mm. The maximal average navigation orientation accuracy after registration recovery was 1.15 mm vs 1.39 mm between the experimental and control group. All patients healed, and their function and profile improved. These findings demonstrate that although surgeons should consider the patients' time and monetary costs, our qualified navigation surgery system and experience could offer an accurate guide during a variety of craniomaxillofacial surgeries.

  13. Tumors of the liver; a ten year study in Children Medical Center

    Directory of Open Access Journals (Sweden)

    Farahmand F

    2007-06-01

    Full Text Available Background: The aim of this study was to review the frequency, histopathology and outcome in children with tumors of the liver. Methods: Included in this retrospective/descriptive study were 30 children treated for liver tumors from 1375-1384 (ca. 1996-2005, at Children’s Hospital Medical Center, Tehran, Iran. We included the clinical, radiologic, and pathologic data of our patients, focusing on the frequency, etiology and outcome. Results: Patient ages ranged from three months to 12 years (median 3.8 years, with 18 males (60% and 12 females (40%. Of these, 17 patients had hepatoblastoma (55.66%, including 13 males and four females, with an age range of six months to five years. Four cases (13.33% had neuroblastoma. Hepatocellular carcinoma (HCC was found in three cases (10%, all of whom were carriers of hepatitis B. Two cases (6.66% were diagnosed with mesenchymal hamartoma, two cases (6.66% with hemangioendothelioma and two cases (6.66% with rhabdomyosarcoma and leiomyosarcoma of the biliary tract. Abdominal swelling and hepatomegaly were seen in all of patients. Jaundice was observed in two cases. Serum alpha-fetoprotein levels greater than 500 ng/ml were seen in 17 cases (56.66%. All patients were receiving specific treatment. The three-year survival rate was 65% for hepatoblastoma and 2% for HCC Conclusion: With the introduction of specific treatment, the survival rate for children with tumors of the liver has significantly increased. Further improvement can be achieved using diagnostic biopsy for hepatoblastoma, although it may result in complications, and preoperative chemotherapy followed by complete surgical excision (per International Society of Pediatric Oncology guidelines, yielding an outstanding survival rate of 80%.

  14. Exploring options for integrated nutrient management in semi-arid tropics using farmer field schools: a case study in Mbeere District, eastern Kenya

    NARCIS (Netherlands)

    Onduru, D.D.; Preez, Du C.C.; Muchena, F.N.; Gachimbi, L.N.; Jager, de A.

    2008-01-01

    The farmer field school (FFS) approach was used in semi-arid eastern Kenya in the period 2002–2003 to explore technology options for addressing declining soil fertility and to institute learning processes on integrated nutrient management (INM).
    The farmer field school (FFS) approach was used in

  15. ICARUS-4 : a database of energy reduction options for the Netherlands, 1995-2020 : Sector study for the Metals Products and Electrotechnical Industry

    NARCIS (Netherlands)

    Alsema, E.A.

    2006-01-01

    In this report we describe the energy consumption in 1995 and the energy saving options that exist within the metal products and electrotechnical industry (SBI/NACE 28-32, 34-35) in the Netherlands. The data will be included in the ICARUS-4 database which gives an inventory of the technological opti

  16. A Consistent Pricing Model for Index Options and Volatility Derivatives

    DEFF Research Database (Denmark)

    Cont, Rama; Kokholm, Thomas

    options on the underlying asset. The model has the convenient feature of decoupling the vanilla skews from spot/volatility correlations and allowing for different conditional correlations in large and small spot/volatility moves. We show that our model can simultaneously fit prices of European options......We propose and study a flexible modeling framework for the joint dynamics of an index and a set of forward variance swap rates written on this index, allowing options on forward variance swaps and options on the underlying index to be priced consistently. Our model reproduces various empirically...... on S&P 500 across strikes and maturities as well as options on the VIX volatility index. The calibration of the model is done in two steps, first by matching VIX option prices and then by matching prices of options on the underlying....

  17. Prevalence and severity of anemia in pediatric hemodialysis patients, a single center study

    Directory of Open Access Journals (Sweden)

    Afshin Azhir

    2006-12-01

    Full Text Available BACKGROUNDS: This study was conducted to determine the prevalence and severity of anemia in children and adolescents on chronic hemodialysis, and to identify independent predictors of anemia in children on hemodialysis. METHODS: This cross-sectional study was performed between September 2005 and January 2006. The study population consisted of 25 patients aged 7−20 years on chronic hemodialysis from pediatric hemodialysis centers in Isfahan. RESULTS: A total of 22 (88% patients had hemoglobin levels of <11 g/dL (anemic and 12 patients (48% had hemoglobin levels of <8 g/dL (severe anemia. The mean age of these patients was 15.5 ± 3.7 years. Mean time on chronic dialysis was 20.44 ± 15.25 months. Anemia was more common and more severe among children who were on dialysis for less than 6 months. There was an inverse relationship between the severity of anemia and duration of hemodialysis (P = 0.019, r = – 0.465. Nearly all patients were treated with erythropoietin, Children with more severe anemia received slightly higher dose of erythropoietin (P = 0.09, r = 0.202. There was a significant difference between serum albumin values in anemic patients and patients without anemia (P = 0.023. There was a correlation between serum albumin and hemoglobin level (r = 0.511, P = 0.01. Intact PTH levels were >200 pg/ml in 16 patients (66% and >400 pg/ml in 9 patients (37. 5%. There was a reverse correlation between intact PTH level >200 pg/ml and hemoglobin level (r = -0.505, P = 0.046. CONCLUSIONS: The prevalence of anemia in hemodialysis children in Isfahan appears to be higher than that reported in the other studies in spite of extensive use of rHuEPO and iron supplementation. We found this to be especially true for patients new on hemodialysis (less than 6 months and in those with low albumin and severe hyperparathyroidism. KEY WORDS: Hemodialysis, anemia, children.

  18. Prevalence of overweight preschool children in public day care centers: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Viviane Gabriela Nascimento

    Full Text Available CONTEXT AND OBJECTIVE: Brazil is undergoing a period of epidemiological transition associated with demographic and nutritional changes. The prevalence of obesity is also increasing in children and is causing numerous health problems that are becoming public health issues. The aim here was to evaluate the prevalence of overweight among children of two and three years of age. DESIGN AND SETTING: Cross-sectional study in municipal day care centers in Taubaté, state of São Paulo, Brazil. METHODS: Weight and height measurements were made on 447 preschool children forming a probabilistic randomized sample. Their body mass index (BMI was calculated. Their nutritional status was classified using the World Health Organization reference cutoff points (2006. Their mean weight, height and BMI were compared according to their age and sex. RESULTS: The mean values for the final sample (n = 447 were as follows: mean age: 38.6 months (± 3.5 and Z scores for: weight/height (W/H: 0.50 (± 1.22; height/age: -0.03 (± 1.07; weight/age (W/A: 0.51 (± 1.23; and BMI: 0.51(± 1.23. The prevalence of overweight children (BMI > 1 z was 28.86%, while the prevalence of underweight children (BMI < -2 z was 0.89%. There were no differences in mean BMI among the two and three-year age groups (P = 0.66. CONCLUSION: A high prevalence of overweight was observed in the sample of two and three-year-old children, with practically no malnutrition, thus showing that a significant nutritional transition may already be occurring, even in medium-sized cities of developing countries.

  19. Radionuclide Emission Estimation for the Center for Advanced Energy Studies (CAES)

    Energy Technology Data Exchange (ETDEWEB)

    Bradley J Schrader

    2010-02-01

    An Radiological Safety Analysis Computer Program (RSAC)-7 model dose assessment was performed to evaluate maximum Center for Advanced Energy Studies (CAES) boundary effective dose equivalent (EDE, in mrem/yr) for potential individual releases of radionuclides from the facility. The CAES is a public/private partnership between the State of Idaho and its academic research institutions, the federal government through the U.S. Department of Energy (DOE), and the Idaho National Laboratory (INL) managed by the Battelle Energy Alliance (BEA). CAES serves to advance energy security for our nation by expanding educational opportunities at Idaho universities in energy-related areas, creating new capabilities within its member institutions, and delivering technological innovations leading to technology-based economic development for the intermountain region. CAES has developed a strategic plan (INL/EXT-07-12950) based on the balanced scorecard approach. At the present time it is unknown exactly what processes will be used in the facility in support of this strategic plan. What is known is that the Idaho State University (ISU) Radioactive Materials License (Nuclear Regulatory Commission [NRC] license 11-27380-01) is the basis for handling radioactive material in the facility. The material in this license is shared between the ISU campus and the CAES facility. There currently are no agreements in place to limit the amount of radioactive material at the CAES facility or what is done to the material in the facility. The scope of this analysis is a summary look at the basis dose for each radionuclide included under the license at a distance of 100, 500, and 1,000 m. Inhalation, ingestion and ground surface dose was evaluated using the NRC design basis guidelines. The results can be used to determine a sum of the fractions approach to facility safety. This sum of the fractions allows a facility threshold value (TV) to be established and potential activities to be evaluated against

  20. A multi-center study to define sarcopenia in patients with end-stage liver disease.

    Science.gov (United States)

    Carey, Elizabeth J; Lai, Jennifer C; Wang, Connie W; Dasarathy, Srinivasan; Lobach, Iryna; Montano-Loza, Aldo J; Dunn, Michael A

    2017-02-27

    Sarcopenia is associated with increased waitlist mortality, but a standard definition is lacking. In this retrospective study, we sought to determine the optimal definition of sarcopenia in end-stage liver disease (ESLD) patients awaiting LT. Included were 396 patients newly listed for LT in 2012 at five North American transplant centers. All CT scans were read by two individuals with inter-observer correlation of 98%. Using image analysis software, the total cross-sectional area (cm(2) ) of abdominal skeletal muscle at L3 was measured. The skeletal muscle index (SMI), which normalizes muscle area to patient height, was then calculated. The primary outcome was waitlist mortality, defined as death on the waitlist or removal from the waitlist for reasons of clinical deterioration. Sex-specific potential cut-off values to define sarcopenia were determined with a grid search guided by log-rank test statistics. Optimal search method identified potential cutoffs to detect survival differences between groups. The overall median SMI was 47.6 cm(2) /m(2) : 50.0 in men and 42.0 in women. At a median of 8.8 months follow-up, mortality was 25% in men and 36% in women. Patients who died had lower SMI than those who survived (45.6 vs 48.5 cm(2) /m(2) , p<0.001) and SMI was associated with waitlist mortality (HR 0.95, p<0.001). Optimal search method yielded SMI cut-offs of 50 cm(2) /m(2) for men and 39 cm(2) /m(2) for women; these cutoff values best combined statistical significance with a sufficient number of events to detect survival differences between groups. In conclusion, we recommend that an SMI < 50 cm(2) /m(2) for men and < 39 cm(2) /m(2) for women be used to define sarcopenia in patients with ESLD awaiting LT. This article is protected by copyright. All rights reserved.

  1. Controversial reversal of nuclear option

    OpenAIRE

    2002-01-01

    Nuclear option is in a unique position to restore its original role of the main source of energy with an increased attention paid to the security of electricity supply as well as regulatory changes affecting fossil fuels, particularly with due introduction of climate change prevention measures. Recent developments indicate the advantages of nuclear option over other possible options in terms of sustainable development. However, a large number of controversial issues on nuclear energy make its...

  2. A Study to Increase the Quality of Financial and Operational Performances of Call Centers using Speech Technology

    Directory of Open Access Journals (Sweden)

    R. Manoharan

    2015-04-01

    Full Text Available Everyone knows technology and automation are not the solutions to every business problem. But when used for the right reasons-and deployed and maintained wisely-speech based contact center applications can be good for the customers as well as business, if the money and time spent to implement and maintain contact center business. Speech based application is an experimental conversational speech system. Experience with redesigning the system based on user feedback indicates the importance of adhering to conversational conventions when designing speech interfaces, particularly in the face of speech recognition errors. Study results also suggest that speech-only interfaces should be designed from scratch rather than directly translated from their graphical counterparts. This paper examines a set of challenging issues facing speech interface designers and describes approaches to address some of these challenges. Let us highlight some of the specific constrains involved in this process of using speech technology in the main stream of business in general and of a Call Center specific and being resolved through the Industrial process. So the real challenge is “Developing a new Business Process Model for an Industry application, for a Call Center specific. And that paves the way to design and analyze the “Financial and Operational performance of call centers through the business process model using speech technology”.

  3. The Study on the in Advance of Default Options with a Jump-Diffusion%带跳扩散的可提前到期的违约期权研究

    Institute of Scientific and Technical Information of China (English)

    方开娟; 傅毅; 张寄洲

    2011-01-01

    In this paper, by the method of partial differential equation, we study the pricing problems of the stock option when the subsidiary corporation defaults. With the jump-diffusion assumption, the acceleration of maturity of the option will be considered.The stock option of the time-interval has been analyzed by the structured form method.The mathematical model of the the stock option and the expression of the solution are obtained.%用偏微分方程的方法,研究子公司是否违约,对母公司的股票期权的定价 的影响问题.在跳扩散的前提假设下,利用结构化方法,考虑当子公司违约时,母公司股票期权的可提前到期性,分时段进行分析,并给出了母公司期权定价的数学模型和解的表达式.

  4. A Study on the Progress toward Implementation of Learning-Centered Approaches at a Large Urban Community College

    Science.gov (United States)

    Walters, Carmen Hawkins

    2009-01-01

    Faculty facing challenges of teaching students in a post-Katrina environment used learning-centered approaches to restore educational opportunities to its populations of hurricane-displaced students, the growing population of Hispanic students, and the business community. The study sought to determine if the faculty members had made progress…

  5. [Science cultures in the global perspective. Thoughts on content design and operation of the Leopoldina Study Center].

    Science.gov (United States)

    Labisch, Alfons

    2014-01-01

    The Leopoldina Center for the Study of the History of Science and Science Academies is a place to openly discuss the cooperation between science and society across all of the disciplines represented at the Leopoldina and beyond. This dialogue shall, by all means, also include researchers who are not members of the Leopoldina and people from outside of the academia who are interested in the topic. Like the Leopoldina, its Study Center builds bridges: between various academic disciplines, across generations and in local, national, and international communities. All interested members of the Leopoldina--not just members from the humanities, the social sciences or the behavioral sciences, but also scientists from the areas of the natural sciences, technology, the life sciences and physicians--are kindly invited to incorporate their research interests, with regard to the history and theory of their respective academic disciplines, in the research portfolio of the Leopoldina Study Center. In so doing, the Leopoldina Center for the Study of the History of Science and Science Academies should and will become a source of energy for permanent reflection and innovation when contemplating the issues of science and society.

  6. Teachers' Link to Electronic Resources in the Library Media Center: A Local Study of Awareness, Knowledge, and Influence

    Science.gov (United States)

    Williams, Teresa D.; Grimble, Bonnie J.; Irwin, Marilyn

    2004-01-01

    High school students often use online databases and the Internet in the school library media center (SLMC) to complete teachers' assignments. This case study used a survey to assess teachers' awareness of electronic resources, and to determine whether their directions influence student use of these resources in the SLMC. Participants were teachers…

  7. Tolerability of Shortened Infliximab Infusion Times in Patients With Inflammatory Bowel Diseases : A Single-Center Cohort Study

    NARCIS (Netherlands)

    Breynaert, Christine; Ferrante, Marc; Fidder, Herma; Van Steen, Kristel; Noman, Maja; Ballet, Vera; Vermeire, Severine; Rutgeerts, Paul; Van Assche, Gert

    2011-01-01

    OBJECTIVES: Scheduled maintenance therapy with infliximab decreases the risk of infusion reactions. Many centers have accelerated infusion times to 1 h in selected patients who tolerate 5 mg/kg infliximab infusions. The aim of this study was to compare the tolerability of 1-h and 2-h infliximab infu

  8. Predicting sickness impact profile at six months after stroke: further results from the European multi-center CERISE study

    NARCIS (Netherlands)

    Stummer, C.A.; Verheyden, G.; Putman, K.; Jenni, W.; Schupp, W.; Wit, L. De

    2015-01-01

    PURPOSE: To develop prognostic models and equations for predicting participation at six months after stroke. METHODS: This European prospective cohort study recruited 532 consecutive patients from four rehabilitation centers. Participation was assessed at six months after stroke with the Sickness Im

  9. The Mental and Physical Health Difficulties of Children Held within a British Immigration Detention Center: A Pilot Study

    Science.gov (United States)

    Lorek, Ann; Ehntholt, Kimberly; Nesbitt, Anne; Wey, Emmanuel; Githinji, Chipo; Rossor, Eve; Wickramasinghe, Rush

    2009-01-01

    Objective: The present study aimed to assess the mental and physical health of children held within a British immigration detention center. Method: A total of 24 detained children (aged 3 months to 17 years) were assessed with their parents or carer after being referred by a registered legal charity. Thirteen were seen by a pediatrician alone, 4…

  10. A Phenomenological Study: Community Mental Health Centers Leaders Influence on Clinician Effectiveness

    Science.gov (United States)

    Williams, Beth B.

    2011-01-01

    Some clinical leaders of community mental health centers are not aware of successful methods for supporting and empowering staff to be more effective, specifically when the staff is experiencing change because of new health information technology. Clinical leaders in community mental health face similar management issues as do other business,…

  11. Lattice study on QCD-like theory with exact center symmetry

    CERN Document Server

    Iritani, Takumi; Misumi, Tatsuhiro

    2015-01-01

    We investigate QCD-like theory with exact center symmetry, with emphasis on the finite-temperature phase transition concerning center and chiral symmetries. On the lattice, we formulate center symmetric $SU(3)$ gauge theory with three fundamental Wilson quarks by twisting quark boundary conditions in a compact direction ($Z_3$-QCD model). We calculate the expectation value of Polyakov loop and the chiral condensate as a function of temperature on 16^3 x 4 and 20^3 x 4 lattices along the line of constant physics realizing $m_{PS}/m_{V}=0.70$. We find out the first-order center phase transition, where the hysteresis of the magnitude of Polyakov loop exists depending on thermalization processes. We show that chiral condensate decreases around the critical temperature in a similar way to that of the standard three-flavor QCD, as it has the hysteresis in the same range as that of Polyakov loop. We also show that the flavor symmetry breaking due to the twisted boundary condition gets qualitatively manifest in the h...

  12. 75 FR 78212 - Proposed Information Collection; Comment Request; Center for Economic Studies Research Proposal...

    Science.gov (United States)

    2010-12-15

    ... Proposal Process Persons wishing to conduct research at a Research Data Center must submit a research proposal using the CES Web site ( http://www.ces.census.gov ). Detailed guidelines describe the research proposal submission process. There are two distinct steps to submit a research proposal. The first step...

  13. The Northwest Indiana Center for Data and Analysis: A Case Study of Academic Library Community Engagement

    Science.gov (United States)

    Sandberg, Scott; Morris, Cele; Sutherland, Timothy

    2013-01-01

    This paper details community engagement activity of an academic library coordinated within a broader university strategic plan. The Anderson Library at Indiana University Northwest (IU-Northwest) supports a service called the Northwest Indiana Center for Data and Analysis. Created in 1996 with funding made available from the Indiana University…

  14. A Study in User Centered Design and Evaluation of Mental Tasks for BCI

    NARCIS (Netherlands)

    Plass-Oude Bos, Danny; Poel, Mannes; Nijholt, Anton; Lee, Kuo-Tien; Tsai, Wen-Hsiang; Liao, Hong-Yuan Mark; Chen, Tsuhan; Hsieh, Jun-Wei; Tseng, Chien-Cheng

    2011-01-01

    Current brain-computer interfacing (BCI) research focuses on detection performance, speed, and bit rates. However, this is only a small part of what is important to the user. From human-computer interaction (HCI) research, we can apply the paradigms of user-centered design and evaluation, to improve

  15. User-Centered Design and Usability Testing of a Web Site: An Illustrative Case Study.

    Science.gov (United States)

    Corry, Michael D.; Frick, Theodore W.; Hansen, Lisa

    1997-01-01

    Presents an overview of user-centered design and usability testing. Describes a Web site evaluation project at a university, the iterative process of rapid prototyping and usability testing, and how the findings helped to improve the design. Discusses recommendations for university Web site design and reflects on problems faced in usability…

  16. Usability Testing, User-Centered Design, and LibGuides Subject Guides: A Case Study

    Science.gov (United States)

    Sonsteby, Alec; DeJonghe, Jennifer

    2013-01-01

    Usability testing has become a routine way for many libraries to ensure that their Web presence is user-friendly and accessible. At the same time, popular subject guide creation systems, such as LibGuides, decentralize Web content creation and put authorship into the hands of librarians who may not be trained in user-centered design principles. At…

  17. Fighting Obsolescence in the Nuclear Power Industry. Motor Control Centers-solutions and Case Study

    Energy Technology Data Exchange (ETDEWEB)

    Portillo, J.; Torralba Piqueras, A.

    2014-07-01

    Motor Control Centers (MCCs) are vital to the operation and control of nuclear power plants. A significant and growing problem within the global nuclear industry is the aging of MCC components. Obsolescence of various components within the MCCs such as molded case circuit breakers, starters, relays, heaters, transformers, etc., are impacting the reliability of MCCs to perform their intended safety function. (Author)

  18. Variability in prostate and seminal vesicle delineations defined on magnetic resonance images, a multi-observer, -center and -sequence study

    DEFF Research Database (Denmark)

    Nyholm, Tufve; Jonsson, Joakim; Söderström, Karin;

    2013-01-01

    was to investigate the intra- and inter-physician delineation variability for prostate and seminal vesicles, and to investigate the influence of different MR sequence settings used clinically at the five centers participating in the study. METHODS: MR series from five centers, each providing five patients, were used....... Two physicians from each center delineated the prostate and the seminal vesicles on each of the 25 image sets. The variability between the delineations was analyzed with respect to overall, intra- and inter-physician variability, and dependence between variability and origin of the MR images, i.......e. the MR sequence used to acquire the data. RESULTS: The intra-physician variability in different directions was between 1.3 - 1.9 mm and 3 -- 4 mm for the prostate and seminal vesicles respectively (1 std). The inter-physician variability for different directions were between 0.7 -- 1.7 mm...

  19. 基于实物期权法的石油开采项目评价方法研究%Study on real options project evaluation method of oil extraction

    Institute of Scientific and Technical Information of China (English)

    鞠耀绩; 孙曼

    2011-01-01

    Oil exploitation project has typical characteristics of real options, many foreign scholars in the field of real option applications and other aspects of the study, the domestic situation of the specific conditions for the oil law, application of real options is also rare.This article describes the basic theory of Real Options and features, and Blaek-Scholes pricing model using a case study, and compared with the traditional net present value analysis, the net present value method underestimated the value of the project, while the real options law fully considered the flexibility of the project value under uncertainty, thus further ensuring the scientific nature of oil production decisions.%石油开采项目具有典型的实物期权特征,国外许多学者对实物期权方法在油田等方面的应用进行了研究,国内针对油田具体实际情况进行实物期权法的应用研究还很少.本文介绍了实物期权法的基本理论和特点,并采用Blaek-Scholes定价模型进行了案例分析,且与传统的净现值法对比分析,得出净现值法低估了项目的价值,而实物期权法则充分考虑了项目不确定条件下的灵活性价值,因而进一步保证了石油开采决策的科学性.

  20. Introducing the Tehran Heart Center's Premature Coronary Atherosclerosis Cohort: THC-PAC Study

    Directory of Open Access Journals (Sweden)

    SeyedHesameddin Abbasi

    2015-10-01

    Full Text Available Background: Data on premature coronary artery disease (CAD are scarce. The Tehran Heart Center's Premature Coronary Atherosclerosis Cohort Study (THC-PAC is the first study of its kind in the Middle East to assess major adverse cardiac events (MACE in young CAD patients.Methods: The cohort consists of CAD patients, males ≤ 45 years old and females ≤ 55 years old. The participants are residents of Tehran or its suburbs and underwent coronary angiography between June 2004 and July 2011. A 10-year follow-up, via either clinical visits or telephone calls at least once a year, was commenced in August 2012. The end point is considered MACE, encompassing death, myocardial infarction, stroke, new coronary involvement, percutaneous coronary intervention, and coronary artery bypass grafting.Results: The cohort comprises 1232 eligible patients (613 [49.8%] males at a mean age of 45.1 years (SD = 5.8. High frequencies of conventional risk factors, including hyperlipidemia (884 [71.8%], hypertension (575 [46.7%], positive family history (539 [43.8%], cigarette smoking (479 [38.8%], and diabetes mellitus (390 [31.7%], were seen in the participants. The mean body mass index (BMI of the enrolled patients was high (29.2 ± 4.8 kg/m2, and 532 (43.3% and 440 (35.8% of them were overweight and obese, respectively. The females’ BMI was higher (30.4 ± 5.3 vs. 28.0 ± 3.9 kg/m2; P < 0.001 and they had a greater mean abdominal circumference (99.9 ± 13.5 vs. 98.1 ± 9.3 cm; P = 0.035. Between August 2012 and August 2013, follow-up was successful in 1173 (95.2% patients (median follow-up duration = 55.3 months, 95%CI: 53.5-57.0 months.Conclusion: Our younger patients with CAD had a high frequency of risk factors compared to the same-age general population and all-age CAD patients, which may predispose them to higher incidence of recurrent MACE.

  1. Transplant Nurses' Work Environment: A Cross-Sectional Multi-Center Study.

    Science.gov (United States)

    Kugler, Christiane; Akca, Selda; Einhorn, Ina; Rebafka, Anne; Russell, Cynthia L

    2016-09-01

    BACKGROUND Numerically, nurses represent the largest healthcare profession, thus setting norms for the quality and safety of direct patient care. Evidence of a global shortage of nurses in all clinical practice settings across different healthcare systems and countries has been documented. The aims of the present study were: (1) to assess work environments in a sample of German transplant nurses, and (2) to compare their statements with a US-based sample. MATERIAL AND METHODS In a cross-sectional study, 181 transplant nurses from 16 German transplant centers provided information on their work environments. The translated version of the Job Design (JD) and Job Satisfaction (JS) survey showed satisfactory internal consistency for the JD (0.78) and JS (0.93) subscales. German nurses' work environments were compared with 331 transplant nurses from the US. RESULTS The majority of transplant nurses were female (81.8%), 55.4% were age 21-40 years, and 78.1% were employed full-time. German (versus US) transplant nurses reported their job design to be best for 'skill varieties' (p≤0.0002), and worst for 'autonomy' (p≤0.01). Job satisfaction was best with 'opportunities for autonomy and growth' (p≤0.0001), and 'pay and benefits' (p≤0.0001) was lowest. A higher professional degree (OR 1.57; p≤0.03; 95% CI 1.19-2.86), and longer time in transplant (OR 1.24; p≤0.001; 95% CI 1.11-1.38) showed a positive impact on German transplant nurses' perceptions of 'job satisfaction'. Nurses with time-dependent working contracts perceived more stress negatively affecting job satisfaction (OR 1.13; p≤0.009; 95% CI 1.02-12.82). CONCLUSIONS German specialty nurses working in the field of solid organ transplantation rate their work environments with respect to job design and job satisfaction as satisfactory. Institutions' investment into satisfactory nurse work environments and specializing nurses might increase the quality of care, thus improving patient outcomes.

  2. Personality traits affect teaching performance of attending physicians: results of a multi-center observational study.

    Directory of Open Access Journals (Sweden)

    Renée A Scheepers

    Full Text Available BACKGROUND: Worldwide, attending physicians train residents to become competent providers of patient care. To assess adequate training, attending physicians are increasingly evaluated on their teaching performance. Research suggests that personality traits affect teaching performance, consistent with studied effects of personality traits on job performance and academic performance in medicine. However, up till date, research in clinical teaching practice did not use quantitative methods and did not account for specialty differences. We empirically studied the relationship of attending physicians' personality traits with their teaching performance across surgical and non-surgical specialties. METHOD: We conducted a survey across surgical and non-surgical specialties in eighteen medical centers in the Netherlands. Residents evaluated attending physicians' overall teaching performance, as well as the specific domains learning climate, professional attitude, communication, evaluation, and feedback, using the validated 21-item System for Evaluation of Teaching Qualities (SETQ. Attending physicians self-evaluated their personality traits on a 5-point scale using the validated 10-item Big Five Inventory (BFI, yielding the Five Factor model: extraversion, conscientiousness, neuroticism, agreeableness and openness. RESULTS: Overall, 622 (77% attending physicians and 549 (68% residents participated. Extraversion positively related to overall teaching performance (regression coefficient, B: 0.05, 95% CI: 0.01 to 0.10, P = 0.02. Openness was negatively associated with scores on feedback for surgical specialties only (B: -0.10, 95% CI: -0.15 to -0.05, P<0.001 and conscientiousness was positively related to evaluation of residents for non-surgical specialties only (B: 0.13, 95% CI: 0.03 to 0.22, p = 0.01. CONCLUSIONS: Extraverted attending physicians were consistently evaluated as better supervisors. Surgical attending physicians who display high levels of

  3. New Methods with Capped Options for Pricing American Options

    Directory of Open Access Journals (Sweden)

    Dongya Deng

    2014-01-01

    Full Text Available We propose two new methods: improved binomial methods and improved least square MonteCarlo methods (LSM, for pricing American options. These two methods are developed using the nice capped options which have closed-form formulas. Numerical examples are provided to verify that these two new methods are pretty efficient.

  4. Studies of the potential for electric power conservation into a large data processing center; Estudos das potencialidades de conservacao de energia eletrica em um centro de processamento de dados de grande porte

    Energy Technology Data Exchange (ETDEWEB)

    Cassula, A.M.; Freire Junior, J.C. [Universidade Estadual Paulista (FEG/UNESP), Guaratingueta, SP (Brazil). Fac. de Engenharia. Dept. de Engenharia Eletrica], Emails: agnelo@feg.unesp.br, Jose-Celso.Freire@feg.unesp.br; Consorte, M.F. [Instituto Tecnologico de Aeronautica (ITA/CTA), Sao Jose dos Campos, SP (Brazil)], Email: mconsorte@gmail.com

    2009-07-01

    The present work aims to find the potentialities for energy conservation in a large Data Processing Center, through an analysis of the operation and control of the cooling air from the server room. An important aspect is that the DPC must necessarily work within the limits of temperature and therefore the demand control should be scheduled taking into account this restriction. Other aggravating factor is that the DPC in question is responsible for providing services for all of Latin America, operating twenty-four hours seven days a week. The study aims to examine possible improvements by applying the concept of energy efficiency, which is based on reducing the cost of electric power without affecting the reliability and quality of the final services. A case study will be presented containing simulations of the operation of the proposed demand control, where it will be possible to select the best option for the demand to be contracted with the energy provider.

  5. Treatment Options for Narcolepsy.

    Science.gov (United States)

    Barateau, Lucie; Lopez, Régis; Dauvilliers, Yves

    2016-05-01

    Narcolepsy type 1 and narcolepsy type 2 are central disorders of hypersomnolence. Narcolepsy type 1 is characterized by excessive daytime sleepiness and cataplexy and is associated with hypocretin-1 deficiency. On the other hand, in narcolepsy type 2, cerebrospinal fluid hypocretin-1 levels are normal and cataplexy absent. Despite major advances in our understanding of narcolepsy mechanisms, its current management is only symptomatic. Treatment options may vary from a single drug that targets several symptoms, or multiple medications that each treats a specific symptom. In recent years, narcolepsy treatment has changed with the widespread use of modafinil/armodafinil for daytime sleepiness, antidepressants (selective serotonin and dual serotonin and noradrenalin reuptake inhibitors) for cataplexy, and sodium oxybate for both symptoms. Other psychostimulants can also be used, such as methylphenidate, pitolisant and rarely amphetamines, as third-line therapy. Importantly, clinically relevant subjective and objective measures of daytime sleepiness are required to monitor the treatment efficacy and to provide guidance on whether the treatment goals are met. Associated symptoms and comorbid conditions, such as hypnagogic/hypnopompic hallucinations, sleep paralysis, disturbed nighttime sleep, unpleasant dreams, REM- and non REM-related parasomnias, depressive symptoms, overweight/obesity, and obstructive sleep apnea, should also be taken into account and managed, if required. In the near future, the efficacy of new wake-promoting drugs, anticataplectic agents, hypocretin replacement therapy and immunotherapy at the early stages of the disease should also be evaluated.

  6. Cross-sectoral assessment of mitigation options

    DEFF Research Database (Denmark)

    Halsnæs, K.

    1997-01-01

    The paper addresses the relationship between national economic and social development objectives and climate change mitigation, with national studies for Tanzania and Zimbabwe as the starting point. The main activities driving GHG emissions in these countries are evaluated in order to identify key...... options and polity areas where there may be synergistic effects between climate change mitigation and national development objectives, The country study for Tanzania has identified forestry and land use activities and the agricultural sectors as some of the main drivers in the future growth of greenhouse...... gas emissions, Forestry, land use and agriculture are at the same time key economic and social development areas, This means that options leading to improved performance of these activities can reduce future greenhouse gas emissions and imply increasing welfare, A potential for win-win options has...

  7. Louisiana Speaks Transportation Option B Transit Stations, UTM Zone 15N NAD 83, Louisiana Recovery Authority (2007), [louisiana_speaks_transportation_option_b_transit_stations

    Data.gov (United States)

    Louisiana Geographic Information Center — This GIS shapefile data illustrates potential fixed-transit stations included in the Louisiana Speaks Regional Plan community growth option of compact and dispersed...

  8. Cholangiocarcinoma Secondary to Primary Sclerosing Cholangitis in Explanted Livers: A Single-Center Study in the South of Iran

    Directory of Open Access Journals (Sweden)

    Geramizadeh

    2015-12-01

    Full Text Available Background Primary sclerosing cholangitis (PSC is a chronic disease, characterized by chronic inflammation and fibrosis of bile duct epithelial cells. This is a significant contributory factor to the development of malignancy, most commonly cholangiocarcinoma (CCA, which is the second most common malignant liver tumor. Objectives For the first time in Iran, we intend to describe our experience with cases of PSC, with and without CCA, in explanted livers, and compare our results with those found in other areas of the world. Patients and Methods The study population comprised 181 individuals with a diagnosis of PSC who had undergone liver transplantation in the main liver transplant center of Iran, the largest center of hepatobiliary surgery in the south of that country, over a 3-year period between 2012 and 2014. All explanted livers, with and without CCA, were evaluated. Results Of the 181 patients, 16 were found to have CCA, two of whom had been diagnosed after pathologic study of the explanted livers. Therefore it appeared that 8.8% of the patients with PSC in our center had developed CCA before liver transplantation. Conclusions A comparison of our results with those obtained from other centers in both Western and Asian countries (which reported CCA in 3.6% - 36.5% of patients with PSC, shows that the incidence of CCA in the patients we studied is intermediate.

  9. Option generation in decision making: Ideation beyond memory retrieval

    Directory of Open Access Journals (Sweden)

    Fabio eDel Missier

    2015-01-01

    Full Text Available According to prescriptive decision theories, the generation of options for choice is a central aspect of decision making. A too narrow representation of the problem may indeed limit the opportunity to evaluate promising options. However, despite the theoretical and applied significance of this topic, the cognitive processes underlying option generation are still unclear. In particular, while a cued recall account of option generation emphasizes the role of memory and executive control, other theoretical proposals stress the importance of ideation processes based on various search and thinking processes. Unfortunately, relevant behavioral evidence on the cognitive processes underlying option generation is scattered and inconclusive. In order to reach a better understanding, we carried out an individual-differences study employing a wide array of cognitive predictors, including measures of episodic memory, semantic memory, cognitive control, and ideation fluency. The criterion tasks consisted of three different poorly-structured decision-making scenarios, and the participants were asked to generate options to solve these problems. The main criterion variable of the study was the number of valid options generated, but also the diversity and the quality of generated options were examined. The results showed that option generation fluency and diversity in the context of ill-structured decision making are supported by ideation ability even after taking into account the effects of individual differences in several other aspects of cognitive functioning. Thus, ideation processes, possibly supported by search and thinking processes, seem to contribute to option generation beyond basic associative memory retrieval. The findings of the study also indicate that generating more options may have multifaceted consequences for choice, increasing the quality of the best option generated but decreasing the mean quality of the options in the generated set.

  10. ORGANIZATIONAL DEVELOPMENT OPTIONS TOWARDS SUSTAINABILITY

    Directory of Open Access Journals (Sweden)

    Patricia Ingrid, Keller

    2012-01-01

    Full Text Available The implementation of business strategies that build value throughout the supply chain of goods and services and simultaneously contribute to sustainability is one of the most difficult to address in practice. So for the present study we researched the possible strategies, identifying those options to successfully integrate the dimensions of sustainability into organizational development from a systems perspective and its possibilities and limitations. The characteristic activities of the five possible choices - risk management, image building and reputation, productivity and efficiency, innovation and market development - can be implemented in pure form, in combination or sequentially. In this way you can build competitive advantages in the context of sustainability, which allows the company to achieve greater chance of success, not only in the short term but also medium and long term.

  11. Regional transport sector mitigation options

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Peter [EECG Consultants, Gaborone (Botswana)

    1998-10-01

    The rationale for conducting climate change mitigation studies in the transport sector is on the premise that: The transport sector is the second largest consumer of fossil fuels in the region; The regional transport sector is an area with high opportunity for infrastructural development under UNFCCC financial mechanism; The regional transport sector is crucial in the SADC region for trade and coupled with the Trade Protocol will play a major role in development hence the need to make it efficient in terms of energy demand and provision of services; The sector offers many mitigation options but with a challenge to evaluate their energy saving and GHG saving potential and yet there is need to quantify possible emission reduction for possible future emission trading. This is also a sector with potential to qualify for financing through Clean Development Mechanism (CDM) recently stipulated in the Kyoto Protocol. (au)

  12. A Study of Factors Influencing Low Deliveries at Maternity Facility Centers in Kohgilouyeh and Boyerahmad Province in 2007

    Directory of Open Access Journals (Sweden)

    A Karimi

    2007-10-01

    Full Text Available Introduction & Objective: The Ministry of Health and Medical Education of Iran established maternity facilities in order to provide a safe delivery and reduce deliveries at home in rural areas. However, a few of deliveries in Kohgilouyeh and Boyerahmad province took place in these centers. Therefore, the aim of this study was to determine the delivery status and factors influencing the pregnant women’s tendency to choose the place of delivery. Materials & Methods: This descriptive study was carried out on 747 participants in the rural areas that were covered by maternity facilities in the first three months of 1384. Data were collected by a self-structured questionnaire whose validity and reliability had been determined previously. Data of age, education level, parietal status, antenatal cares, decision-maker for the place of delivery, geographical access to maternity facility centers and the cause of avoidance of referring to the centers were determined asking the women. Data were analyzed by SPSS software and using X2 statistical test. Results: The results showed that overall 31% (230 cases of deliveries took place at home and 51% (384 cases at hospital, but only 18% (133 cases of deliveries took place at maternity facility centers. There was a significant difference in antenatal education by midwives between women who delivered at home and those that delivered at maternity facility centers, showing that more educated women have managed to deliver at the maternity facility centers (p < 0.001. 58% of mothers had selected their delivery place by themselves, but in others the delivery place was selected by their mothers, mothers-in-law, their husbands, etc. Almost 79% (181cases of mothers who delivered at home announced that geographical access (long distance to the maternity facility was major problem. In addition, there was a significant association between literacy, living place and the number of previous pregnancies with selection of

  13. Multi-Attribute Selection of Coal Center Location: A Case Study in Thailand

    Science.gov (United States)

    Kuakunrittiwong, T.; Ratanakuakangwan, S.

    2016-11-01

    Under Power Development Plan 2015, Thailand has to diversify its heavily gas-fired electricity generation. The main owner of electricity transmission grids is responsible to implement several coal-fired power plants with clean coal technology. To environmentally handle and economically transport unprecedented quantities of sub-bituminous and bituminous coal, a coal center is required. The location of such facility is an important strategic decision and a paramount to the success of the energy plan. As site selection involves many criteria, Fuzzy Analytical Hierarchy Process or Fuzzy-AHP is applied to select the most suitable location among three candidates. Having analyzed relevant criteria and the potential alternatives, the result reveals that engineering and socioeconomic are important criteria and Map Ta Phut is the most suitable site for the coal center.

  14. A Proposed Experiment to Study Relaxation Formation of a Spherical Tokamak with a Plasma Center Column

    CERN Document Server

    Hsu, S C

    2006-01-01

    A spherical tokamak (ST) with a plasma center column (PCC) can be formed via driven magnetic relaxation of a screw pinch plasma. An ST-PCC could in principle eliminate many problems associated with a material center column, a key weakness of the ST reactor concept. This work summarizes the design space for an ST-PCC in terms of flux amplification, aspect ratio, and elongation, based on the zero-beta Taylor-relaxed analysis of Tang & Boozer [Phys. Plasmas 13, 042514 (2006)]. The paper will discuss (1) equilibrium and stability properties of the ST-PCC, (2) issues for an engineering design, and (3) key differences between the proposed ST-PCC and the ongoing Proto-Sphera effort in Italy.

  15. Proposed Experiment to Study Relaxation Formation of a Spherical Tokamak with a Plasma Center Column

    Science.gov (United States)

    Hsu, S. C.; Tang, X. Z.

    2007-06-01

    A spherical tokamak (ST) with a plasma center column (PCC) can be formed via driven magnetic relaxation of a screw pinch plasma. An ST-PCC could in principle eliminate many problems associated with a material center column, a key weakness of the ST reactor concept. This work summarizes the design space for an ST-PCC in terms of flux amplification, aspect ratio, and elongation, based on the zero-β Taylor-relaxed analysis of Tang & Boozer [Phys. Plasmas 13, 042514 (2006)]. The paper will discuss (1) equilibrium and stability properties of the ST-PCC, (2) issues for an engineering design, and (3) key differences between the proposed ST-PCC and the ongoing Proto-Sphera effort in Italy.

  16. Bounds for Asian basket options

    Science.gov (United States)

    Deelstra, Griselda; Diallo, Ibrahima; Vanmaele, Michèle

    2008-09-01

    In this paper we propose pricing bounds for European-style discrete arithmetic Asian basket options in a Black and Scholes framework. We start from methods used for basket options and Asian options. First, we use the general approach for deriving upper and lower bounds for stop-loss premia of sums of non-independent random variables as in Kaas et al. [Upper and lower bounds for sums of random variables, Insurance Math. Econom. 27 (2000) 151-168] or Dhaene et al. [The concept of comonotonicity in actuarial science and finance: theory, Insurance Math. Econom. 31(1) (2002) 3-33]. We generalize the methods in Deelstra et al. [Pricing of arithmetic basket options by conditioning, Insurance Math. Econom. 34 (2004) 55-57] and Vanmaele et al. [Bounds for the price of discrete sampled arithmetic Asian options, J. Comput. Appl. Math. 185(1) (2006) 51-90]. Afterwards we show how to derive an analytical closed-form expression for a lower bound in the non-comonotonic case. Finally, we derive upper bounds for Asian basket options by applying techniques as in Thompson [Fast narrow bounds on the value of Asian options, Working Paper, University of Cambridge, 1999] and Lord [Partially exact and bounded approximations for arithmetic Asian options, J. Comput. Finance 10 (2) (2006) 1-52]. Numerical results are included and on the basis of our numerical tests, we explain which method we recommend depending on moneyness and time-to-maturity.

  17. Two-color Three-pulse Photon Echo Studies on the Photosynthetic Bacterial Reaction Center

    OpenAIRE

    Lee, Hohjai

    2009-01-01

    Photosynthesis begins with absorbing the sun light by the light harvesting complexes. The solar energy is then funneled into the reaction center (RC) via the energy transfer between the light harvesting complexes at ultrafast rates (~1/100fs ) with extremely high quantum efficiency (~100 %). Most of the complexes are composed of pigments and protein matrices that tightly bind them. The pigments are responsible for absorbing and transferring the energy. The roles of the protein environment of ...

  18. Study of Construction of Personalized Service Oriented Government Virtual Information Service Center

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    In this paper, we proposed the idea of personalized information service for enterprises and customers through government visual information service center (GVISC). It discusses an extensible, reusable, reconstructive and integrated framework of GVISC with new techniques, such as XML, agent, data mining and information portal. They include the design and analysis of the logical structure, the design of the data layer, and the description of the function application. We show an example of personalized informa...

  19. Two-Center Gaussian Potential Well for Studying Light Nucleus in Cluster Structure

    Directory of Open Access Journals (Sweden)

    Nafiseh Roshanbakht

    2017-01-01

    Full Text Available The clustering phenomena are very important to determine structure of light nuclei and deformation of spherical shape is inevitable. Hence, we calculated the energy levels of two-center Gaussian potential well including spin-orbit coupling by solving the Schrödinger equation in the cylindrical coordinates. This model can predict the spin and parity of the light nuclei that have two identical cluster structures.

  20. A Study of Civilian Registered Nurse Recruitment at Madigan Army Medical Center, Tacoma, Washington.

    Science.gov (United States)

    1982-06-01

    127 H. A MARKETING MIX FOR CIVILIAN REGISTERED NURSE *RECRUITMENT AT MADIGAN ARMY MEDICAL CENTER ... ... 131 SELECTED BIBLIOGRAPHY...employement should be promoted to this market. RN Recruitment Marketing Mix for Madigan The major finding in the market analysis of civilian RN...should be targeted; all gain their impetus from MAMC nursing management. A sumimary of the marketing mix is tabulated at Appendix H. This brief listing of

  1. Implied Volatility of Interest Rate Options: An Empirical Investigation of the Market Model

    DEFF Research Database (Denmark)

    Christiansen, Charlotte; Hansen, Charlotte Strunk

    2002-01-01

    We analyze the empirical properties of the volatility implied in options on the 13-week US Treasury bill rate. These options have not been studied previously. It is shown that a European style put option on the interest rate is equivalent to a call option on a zero-coupon bond. We apply the LIBOR...

  2. China collaborative study on dialysis: a multi-centers cohort study on cardiovascular diseases in patients on maintenance dialysis

    Directory of Open Access Journals (Sweden)

    Hou Fanfan

    2012-08-01

    Full Text Available Abstract Background Cardiovascular disease (CVD is the main cause of death in patients on chronic dialysis. The question whether dialysis modality impacts cardiovascular risk remains to be addressed. China Collaborative Study on Dialysis, a multi-centers cohort study, was performed to evaluate cardiovascular morbidity during maintenance hemodialysis (HD and peritoneal dialysis (PD. Method The cohort consisted of chronic dialysis patients from the database of 9 of the largest dialysis facilities around China. The inclusion period was between January 1, 2005, and December 1, 2010. Cardiovascular morbidity was defined as the presence of clinically diagnosed ischemic heart disease, heart failure, peripheral vascular disease, and/or stroke. The patients who had cardiovascular morbidity before initiation of dialysis were excluded. Data collection was based on review of medical record. Result A total of 2,388 adult patients (1,775 on HD and 613 on PD were enrolled. Cardiovascular morbidity affected 57% patients and was comparable between HD and PD patients. However, clinically diagnosed ischemic heart disease and stroke was more prevalent in PD than HD patients. When the patients were stratified by age or dialysis vintage, the cardiovascular morbidity was significantly higher in PD than HD among those aged 50 years or older, or those receiving dialysis over 36 months. Multivariate analysis revealed that the risk factors for cardiovascular morbidity had different pattern in PD and HD patients. Hyperglycemia was the strongest risk factor for cardiovascular morbidity in PD, but not in HD patients. Hypertriglyceridemia and hypoalbuminemia were independently associated with CVD only in PD patients. Conclusions Cardiovascular morbidity during chronic dialysis was more prevalent in PD than HD patients among those with old age and long-term dialysis. Metabolic disturbance-related risk factors were independently associated with CVD only in PD patients

  3. Essay on Option Pricing, Hedging and Calibration

    DEFF Research Database (Denmark)

    da Silva Ribeiro, André Manuel

    Quantitative finance is concerned about applying mathematics to financial markets.This thesis is a collection of essays that study different problems in this field: How efficient are option price approximations to calibrate a stochastic volatilitymodel? (Chapter 2) How different is the discretely...... sampled realized variance from the continuouslysampled realized variance? (Chapter 3) How can we do static hedging for a payoff with two assets? (Chapter 4) Can we apply fast Fourier Transform methods to efficiently use interest rateMarkov-functional models? Can we extend them to accommodate othertypes...... variance. We investigated the impact of their assumptions and we present an adjustment for their formula. Our adjustment provides a better approximation to price discretely sampled realized variance options under different market scenarios Static Hedging for Two-Asset Options In this paper we derive...

  4. Hepatocellular carcinoma in Egypt:A single center study over a decade

    Institute of Scientific and Technical Information of China (English)

    Abdel-Rahman El-Zayadi; Hanaa M Badran; Eman MF Barakat; Mohy El-Deen Attia; Sherine Shawky; Mostafa K Mohamed; Osaima Selim; Ahmed Saeid

    2005-01-01

    AIM: To identify the trend, possible risk factors and any pattern change of hepatocellular carcinoma (HCC) in Egyptover a decade.METHODS: All HCC patients attending Cairo Liver Center between January 1993 and December 2002, were enrolledin the study. Diagnosis of HCC was based on histopath ological examination and/or detection of hepatic focal lesions by two imaging techniques plus α-fetoprotein level above 200 ng/mL. The duration of the study was divided into two periods of 5 years each; period Ⅰ (1993-1997) and period Ⅱ (1998-2002). Trend, demographic features of patients (age, gender, and residence), risk factors (HBsAg,HCV-Ab, schistosomiasis and others) and pattern of the focal lesions were compared between the two periods.Logistic regression model was fitted to calculate the adjusted odds ratios for the potential risk factors. The population attributable risk percentage was calculated to estimate the proportion of HCC attributed to hepatitis B and C viral infections.RESULTS: Over a decade, 1 328 HCC patients out of 22 450 chronic liver disease (CLD) patients were diagnosed with an overall proportion of 5.9%. The annual proportion of HCC showed a significant rising trend from 4.0% in 1993 to 7.2% in 2002 (P = 0.000). A significant increase in male proportion from 82.5% to 87.6% (P = 0.009); M/F from 5:1 to 7:1 and a slight increase of the predominant age group (40-59 years) from 62.6% to 66.8% (P = 0.387)in periods Ⅰ and Ⅱ respectively, reflecting a shift to younger age group. In the bivariate analysis, HCC was significantly higher in rural residents, patients with history of schistosomiasis and/or blood transfusion. Yet, after adjustment, these variables did not have a significant risk for development of HCC. There was a significant decline of HBsAg from 38.6% to 20.5% (P = 0.000), and a slight increase of HCV-Ab from 85.6% to 87.9% in periods Ⅰ and Ⅱ respectively. HBV conferred a higher risk to develop HCC more than HCV in period Ⅰ (OR 1.9 vs

  5. A multi-center study of hemodynamic characteristics exhibited by children with unexplained syncope

    Institute of Scientific and Technical Information of China (English)

    CHEN Li; TANG Chao-shu; DU Jun-bao; YANG Yuan-yuan; WANG Cheng; WANG Hong-wei; TIAN Hong; ZHANG Qing-you; CHEN Jian-jun; WANG Yu-li; KANG Yi-long

    2006-01-01

    Background Syncope is common in children and adolescents, with 15% estimated to have had at least one syncopal episode by age 18. In recent years, an increasing number of children, especially girls at their school age,have developed unexplained syncope. The mechanism of an unexplained syncope exhibited by children is incompletely studied; the association between different hemodynamic patterns and clinical features is also not clear. The aim of the study was to investigate the hemodynamic patterns of children with unexplained syncope and to examine the clinical relevance.Methods Two hundred and eight children [87 boys, 121 girls, aged 3-19 years, mean (11.66±2.72) years]were selectively recruited from May 2000 to April 2006 when they presented syncope as their main complaint at the Multi-center Network for Childhood Syncope in Beijing, Hunan Province, Hubei Province, and Shanghai of China. All of the patients underwent head-up tilt tests; data were analyzed using SPSS version 10.0 for Windows.Continuous variables were expressed as the mean±standard deviation. Dichotomous variables were compared through a χ2 test. A value of P<0.05 (two sided) was regarded as statistically significant.Results The age distribution of children with syncope was approximately normal. Head-up tilt tests was positive in 155 children, and the incidence of positive response of the baseline head-up tilt test for diagnosing unexplained syncope was 50.48%. The sensitivity value and diagnostic value of sublingual nitroglycerin head-up tilt test were both 74.52%. The hemodynamic pattern was normal in 53 children. The 155 children, who were positive in head-up tilt tests, showed signs of postural orthostatic tachycardia syndrome (60, 28.8%), the vasoinhibitory pattern (72, 34.6%), the cardioinhibitory pattern (5, 2.4%), and the mixed pattern (18, 8.7%). The gender distribution between the two age groups (age < 12 years vs age ≥ 12 years) was not different (P>0.05).The distribution of

  6. The Swiss Multiple Sclerosis Cohort-Study (SMSC): A Prospective Swiss Wide Investigation of Key Phases in Disease Evolution and New Treatment Options.

    Science.gov (United States)

    Disanto, Giulio; Benkert, Pascal; Lorscheider, Johannes; Mueller, Stefanie; Vehoff, Jochen; Zecca, Chiara; Ramseier, Simon; Achtnichts, Lutz; Findling, Oliver; Nedeltchev, Krassen; Radue, Ernst-Wilhelm; Sprenger, Till; Stippich, Christoph; Derfuss, Tobias; Louvion, Jean-François; Kamm, Christian P; Mattle, Heinrich P; Lotter, Christoph; Du Pasquier, Renaud; Schluep, Myriam; Pot, Caroline; Lalive, Patrice H; Yaldizli, Özgür; Gobbi, Claudio; Kappos, Ludwig; Kuhle, Jens

    2016-01-01

    The mechanisms leading to disability and the long-term efficacy and safety of disease modifying drugs (DMDs) in multiple sclerosis (MS) are unclear. We aimed at building a prospective cohort of MS patients with standardized collection of demographic, clinical, MRI data and body fluids that can be used to develop prognostic indicators and biomarkers of disease evolution and therapeutic response. The Swiss MS Cohort (SMSC) is a prospective observational study performed across seven Swiss MS centers including patients with MS, clinically isolated syndrome (CIS), radiologically isolated syndrome or neuromyelitis optica. Neurological and radiological assessments and biological samples are collected every 6-12 months. We recruited 872 patients (clinically isolated syndrome [CIS] 5.5%, relapsing-remitting MS [RRMS] 85.8%, primary progressive MS [PPMS] 3.5%, secondary progressive MS [SPMS] 5.2%) between June 2012 and July 2015. We performed 2,286 visits (median follow-up 398 days) and collected 2,274 serum, plasma and blood samples, 152 cerebrospinal fluid samples and 1,276 brain MRI scans. 158 relapses occurred and expanded disability status scale (EDSS) scores increased in PPMS, SPMS and RRMS patients experiencing relapses. Most RRMS patients were treated with fingolimod (33.4%), natalizumab (24.5%) or injectable DMDs (13.6%). The SMSC will provide relevant information regarding DMDs efficacy and safety and will serve as a comprehensive infrastructure available for nested research projects.

  7. Nonsurgical Treatment Options for Basal Cell Carcinoma

    Directory of Open Access Journals (Sweden)

    Mary H. Lien

    2011-01-01

    Full Text Available Basal cell carcinoma (BCC remains the most common form of nonmelanoma skin cancer (NMSC in Caucasians, with perhaps as many as 2 million new cases expected to occur in the United States in 2010. Many treatment options, including surgical interventions and nonsurgical alternatives, have been utilized to treat BCC. In this paper, two non-surgical options, imiquimod therapy and photodynamic therapy (PDT, will be discussed. Both modalities have demonstrated acceptable disease control rates, cosmetically superior outcomes, and short-term cost-effectiveness. Further studies evaluating long-term cure rates and long-term cost effectiveness of imiquimod therapy and PDT are needed.

  8. Disc degeneration: current surgical options

    Directory of Open Access Journals (Sweden)

    C Schizas

    2010-10-01

    Full Text Available Chronic low back pain attributed to lumbar disc degeneration poses a serious challenge to physicians. Surgery may be indicated in selected cases following failure of appropriate conservative treatment. For decades, the only surgical option has been spinal fusion, but its results have been inconsistent. Some prospective trials show superiority over usual conservative measures while others fail to demonstrate its advantages. In an effort to improve results of fusion and to decrease the incidence of adjacent segment degeneration, total disc replacement techniques have been introduced and studied extensively. Short-term results have shown superiority over some fusion techniques. Mid-term results however tend to show that this approach yields results equivalent to those of spinal fusion. Nucleus replacement has gained some popularity initially, but evidence on its efficacy is scarce. Dynamic stabilisation, a technique involving less rigid implants than in spinal fusion and performed without the need for bone grafting, represents another surgical option. Evidence again is lacking on its superiority over other surgical strategies and conservative measures. Insertion of interspinous devices posteriorly, aiming at redistributing loads and relieving pain, has been used as an adjunct to disc removal surgery for disc herniation. To date however, there is no clear evidence on their efficacy. Minimally invasive intradiscal thermocoagulation techniques have also been tried, but evidence of their effectiveness is questioned. Surgery using novel biological solutions may be the future of discogenic pain treatment. Collaboration between clinicians and basic scientists in this multidisciplinary field will undoubtedly shape the future of treating symptomatic disc degeneration.

  9. [Pica: a descriptive study of patients in a speciality medical center].

    Science.gov (United States)

    Haoui, R; Gautie, L; Puisset, F

    2003-01-01

    According to the DSM IV, pica is a trouble of alimentary behavior, which is characterized by the ingestion of non-nutriment substances during at least on the month. The main objective of this study conducted at the Clermont-de-l'Oise Interdepartmental Medical Center is to evaluate pica's prevalence for hospitalized patients. Secondary objectives are to describe clinical characteristics, complications and outcome upon the different therapeutic approaches. The patients hospitalized in the Adult and/or Pediatric Department of Psychiatry, which fulfilled the 4 criteria of the DSM IV, were considered eligible for the study. In order to better evaluate the severity of behavioral troubles evoked by item D of DSM IV definition, we elaborated specific severity and preoccupation scales. The severity scale reflects the complications due to the ingestion of the non-nutriment substances, the encountered risks in the case of persistence of these troubles as well as the patient's management. The preoccupation scale reflects the medical team's involvement towards the patient in order to prevent life-threatening complications. The two scales are graded from 0 to 5 according to the severity or to the degree of preoccupation, respectively. Only patients with scores 3 were considered as fulfilling the severity criteria. Among the 943 hospitalized patients at a selected time period, 23 adult patients have been considered eligible. According to these data, prevalence of pica was estimated at 2.44%. This value may seem an underestimation when compared to the values reported in the medical literature, which range from 9 to 25%. Additionally, among the 108 hospitalized infant patients, none fulfilled DSM IV criteria, which is surprising, as pica is relatively common in childhood. These results may be explained by the use of the more restrictive criteria of the DSM IV and also by the difficulties encountered in considering pica as an independent medical condition. Indeed, pica is often a

  10. Treatment Outcome of Tuberculosis Patients at Enfraz Health Center, Northwest Ethiopia: A Five-Year Retrospective Study

    Directory of Open Access Journals (Sweden)

    Mengistu Endris

    2014-01-01

    Full Text Available Objectives. The aim of this study was to assess treatment outcome and associated risk factors among TB patients registered for anti-TB treatment at Enfraz health center, northwest Ethiopia. Methods. A five-year retrospective data (2007–2011 of tuberculosis patients (n=417 registered for anti-TB treatment at Enfraz health center, northwest Ethiopia, were reviewed. Tuberculosis outcomes were following the WHO guidelines. Data were entered and analyzed using SPSS version 20. Results. Among 417 study participants, 95 (22.8%, 141 (33.8%, and 181 (43.4% were smear-positive, smear-negative, and extrapulmonary tuberculosis patients, respectively. Of the 417 study participants, 206 (49.4% were tested for HIV. The TB-HIV coinfection was 24/206 (11.7%. Seventeen study participants (4.2% were transferred to other health facilities. Among the 400 study participants, 379 (94.8% had successful treatment outcome (302 treatment completed and 77 cured. The overall death, default, and failure rates were 3.4%, 0.5%, and 1.2%, respectively. There was no significant association between sex, age, residence, type of TB, HIV status, and successful TB treatment outcome. Conclusion. Treatment outcome of patients who attended their anti-TB treatment at Enfraz health center was successful. Therefore, this treatment success rate should be maintained and strengthened to achieve the millennium development goal.

  11. Methane : its role in climate change and options for control

    OpenAIRE

    2012-01-01

    This study on CH4, (its role in climate change and options for control), aimed at a scenario analysis to assess future climate change under reduced methane emissions. At the same time improving the quality of CH4 emission inventories and estimating the costs of emission reductions between 2010 and 2100. In this thesis 28 major options to control or mitigate methane emissions from different sources were identified. The effectiveness and costs of these options were assessed. This resulted in a ...

  12. THE EFFECTS OF CHANGING MARGIN LEVELS ON FUTURES OPTIONS PRICE

    Institute of Scientific and Technical Information of China (English)

    Yanling GU; Juan LI

    2006-01-01

    The paper studies the effects of changing margin levels on the price of futures options and how to organize a market maker's position. Black model (1976) becomes a special case of this paper.The paper prices futures options by duplicating them and adopting the theory of Backward Stochastic Differential Equations (BSDEs for short). Furthermore, the price of a futures option is the unique solution to a nonlinear BSDE.

  13. Chronic lymphoproliferative diseases: survival in cohort study of 310 patients (single-center study results and literature data

    Directory of Open Access Journals (Sweden)

    V. P. Pop

    2014-01-01

    Full Text Available Introduction. Chronic lymphoproliferative disease (CLPD are common hematologic malignancies, accompanied by highly variable clinical course, different prognosis and understudied survival as one of the main criteria for long-term treatment efficacy, especially outside of clinical trials.Materials and methods. Patients with CLPD (n = 310 treated in hematology center of Burdenko Main Military Clinical Hospital from June 2003 to September 2014 are included in the study. The diagnosis of specific nosology verified in accordance with national and international recommendations. Analysis of study outcomes was based on overall survival (OS using the Kaplan–Meier method.Results and discussion. Most patients (mainly with non-Hodgkin»s lymphoma (NHL – 75 %, or multiple myeloma (MM – 80.6 % had advanced disease (III–IV, and 20.3 % admitted to the hospital in poor general condition (ECOG somatic status – 3–4. A significant proportion of patients (38.3 % with NHL and Hodgkin lymphoma (HL had a large tumor masses. Median of OS in patients with CLPD was 81.1 months. 5-year survival of total patients from time of diagnosis was 62 %, 10-year survival rate – 37 %. Patients with MM have shortest median of OS – 39 months, while patients with chronic lymphocytic leukemia (CLL have the longest – 117.8 months. Median OS for NHL patients was 68.1 months, for HL patients – 99.3 months. When comparing survival for two time intervals (2003–2009 and 2009–2014, a tendency to increasethe survival rate for certain groups of patients with CLPD was revealed, that could be due to target therapy and new therapeutic approaches.Conclusion. New drug efficacy for certain diseases has led to renewed interest in the results of CLPD therapy. In our study, most CLPD patients have long-term OS, but the subsequent therapy lines influence on OS requires further study. These results will contribute to new developments in the organization and planning of

  14. Chronic lymphoproliferative diseases: survival in cohort study of 310 patients (single-center study results and literature data

    Directory of Open Access Journals (Sweden)

    V. P. Pop

    2015-01-01

    Full Text Available Introduction. Chronic lymphoproliferative disease (CLPD are common hematologic malignancies, accompanied by highly variable clinical course, different prognosis and understudied survival as one of the main criteria for long-term treatment efficacy, especially outside of clinical trials.Materials and methods. Patients with CLPD (n = 310 treated in hematology center of Burdenko Main Military Clinical Hospital from June 2003 to September 2014 are included in the study. The diagnosis of specific nosology verified in accordance with national and international recommendations. Analysis of study outcomes was based on overall survival (OS using the Kaplan–Meier method.Results and discussion. Most patients (mainly with non-Hodgkin»s lymphoma (NHL – 75 %, or multiple myeloma (MM – 80.6 % had advanced disease (III–IV, and 20.3 % admitted to the hospital in poor general condition (ECOG somatic status – 3–4. A significant proportion of patients (38.3 % with NHL and Hodgkin lymphoma (HL had a large tumor masses. Median of OS in patients with CLPD was 81.1 months. 5-year survival of total patients from time of diagnosis was 62 %, 10-year survival rate – 37 %. Patients with MM have shortest median of OS – 39 months, while patients with chronic lymphocytic leukemia (CLL have the longest – 117.8 months. Median OS for NHL patients was 68.1 months, for HL patients – 99.3 months. When comparing survival for two time intervals (2003–2009 and 2009–2014, a tendency to increasethe survival rate for certain groups of patients with CLPD was revealed, that could be due to target therapy and new therapeutic approaches.Conclusion. New drug efficacy for certain diseases has led to renewed interest in the results of CLPD therapy. In our study, most CLPD patients have long-term OS, but the subsequent therapy lines influence on OS requires further study. These results will contribute to new developments in the organization and planning of

  15. IDENTIFICATION OF EXAMPLES OF GOOD PRACTICE IN ABSORPTION OF STRUCTURAL FUNDS, CASE STUDY PROJECT "CHRISTIAN DAY CENTER"

    Directory of Open Access Journals (Sweden)

    CEAUSESCU IONUT

    2016-08-01

    Full Text Available The main purpose of this study is to capture the practical point of view, the main issues in examples of best practices in the application for funding for the project "Christian Day Center- Support for young people and adults with disabilities" project benefited the City Council Târgu Jiu, is a project which was realized in the Regional Operational Programme, Priority Axis 3 DMI 3.2 - "Rehabilitation / modernization / development and equipping of social services", the total value of the project was 3,373,722.72 lei, of which non-repayable funding over was worth 2,592,251.08 lei. Through its general objective, the project "Day Center Christian - Support for young people and adults with disabilities" aims to contribute to improving the quality of infrastructure for social services by ensuring equal access of citizens of Tg-Jiu such services. Christian Day Center- support for young people and adults with physical disabilities, musculoskeletal, neuro, somatic and visual has already proposed to the idea of the project, to be a center which will ensure the social inclusion of these vulnerable and contribute to increasing the quality of life, improve communication and information on the rights and benefits of social services to improve the management and organization of the system of providing social services and facilitating the participation of all stakeholders in the development of social services.

  16. Building America Case Study: Lancaster County Career and Technology Center Green Home 3, Mt Joy, Pennsylvania

    Energy Technology Data Exchange (ETDEWEB)

    2014-12-01

    Transitioning from standard light frame to a thermal mass wall system in a high performance home will require a higher level of design integration with the mechanical systems. The much higher mass in the ICF wall influences heat transfer through the wall and affects how the heating and cooling system responds to changing outdoor conditions. This is even more important for efficient, low-load homes with efficient heat pump systems in colder climates where the heating and cooling peak loads are significantly different from standard construction.This report analyzes a range of design features and component performance estimates in an effort to select practical, cost-effective solutions for high performance homes in a cold climate. Of primary interest is the influence of the ICF walls on developing an effective air sealing strategy and selecting an appropriate heating and cooling equipment type and capacity. The domestic water heating system is analyzed for costs and savings to investigate options for higher efficiency electric water heating. A method to ensure mechanical ventilation air flows is examined. The final solution package includes high-R mass walls, very low infiltration rates, multi-stage heat pump heating, solar thermal domestic hot water system, and energy recovery ventilation. This solution package can be used for homes to exceed 2012 International Energy Conservation Code requirements throughout all climate zones and achieves the DOE Challenge Home certification.

  17. The Risk Premia Embedded in Index Options

    DEFF Research Database (Denmark)

    Andersen, Torben Gustav; Fusari, Nicola; Todorov, Viktor

    We study the dynamic relation between market risks and risk premia using time series of index option surfaces. We find that priced left tail risk cannot be spanned by market volatility (and its components) and introduce a new tail factor. This tail factor has no incremental predictive power for f...

  18. PRICING AND HEDGING OPTION UNDER PORTFOLIO CONSTRAINED

    Institute of Scientific and Technical Information of China (English)

    魏刚; 陈世平

    2001-01-01

    The authors employ convex analysis and stochastic control approach to study the question of hedging contingent claims with portfolio constrained to take values in a given closed, convex subset of RK, and extend the results of Gianmario Tessitore and Jerzy Zabczyk[6] on pricing options in multiasset and multinominal model.

  19. The impacts of low-cost treatment options upon scale formation potential in remote communities reliant on hard groundwaters. A case study: Northern Territory, Australia.

    Science.gov (United States)

    Kinsela, Andrew S; Jones, Adele M; Collins, Richard N; Waite, T David

    2012-02-01

    The majority of small, remote communities within the Northern Territory (NT) in Central Australia are reliant on groundwater as their primary supply of domestic, potable water. Saturation indices for a variety of relevant minerals were calculated using available thermodynamic speciation codes on collected groundwater data across the NT. These saturation indices were used to assess the theoretical formation of problematic mineral-scale, which manifests itself by forming stubborn coatings on domestic appliances and fixtures. The results of this research show that 63% of the measured sites within the NT have the potential to form calcium carbonate (CaCO(3)) scale, increasing to 91% in arid, central regions. The data also suggests that all groundwaters are over-saturated with respect to amorphous calcium-bridged ferric-silica polymers, based on the crystalline mineral index (Ca(3)Fe(2)Si(3)O(12)), although the quantitative impact of this scale is limited by low iron concentrations. An assessment of possible low-cost/low-technology management options was made, including; lowering the temperature of hot-water systems, diluting groundwater with rainwater and modifying the pH of the source water. Source water pH modification (generally a reduction to pH 7.0) was shown to clearly alleviate potential carbonate-based scale formation, over and above the other two options, albeit at a greater technical and capital expense. Although low-cost/low-technology treatment options are unlikely to remove severe scale-related issues, their place in small, remote communities with minor scale problems should be investigated further, owing to the social, technical and capital barriers involved with installing advanced treatment plants (e.g. reverse osmosis) in such locations.

  20. New treatment options for fibromyalgia: critical appraisal of duloxetine

    Directory of Open Access Journals (Sweden)

    Nurcan Üçeyler

    2008-06-01

    Full Text Available Nurcan Üçeyler1, Martin Offenbächer2, Frank Petzke3, Winfried Häuser4, Claudia Sommer11Department of Neurology, University of Würzburg, Germany; 2GRP – Generation Research Program, Human Science Center, University of Munich, Germany; 3Department of Anesthesiology, University of Cologne, Germany; 4Center of Pain Therapy, Klinikum Saarbrücken gGmbH, Winterberg 1, Saarbrücken, GermanyAbstract: Fibromyalgia syndrome (FMS is a chronic condition characterized by widespread pain, tender points, fatigue, and sleep disturbance. FMS leads to high disability levels, poor quality of life, and extensive use of medical care. Effective pharmacological treatment options are rare, and treatment effects are often of limited duration. Duloxetine is a new selective serotonin and norepinephrine reuptake inhibitor that is licensed for the treatment of pain in diabetic neuropathy. So far two randomized, placebo-controlled trials have investigated the short-term safety and efficacy of duloxetine 60 mg/day and 120 mg/day in patients suffering from FMS over a period of 12 weeks. Both dosages were superior to placebo in pain relief, and improvement in quality of life and depressive symptoms. The analgesic effect was largely independent of the antidepressant action of duloxetine. The higher dose of 120 mg/day further reduced the tender point count and elevated the tender point pain thresholds. Only mild to moderate adverse effects were reported. Duloxetine 60 mg/day and 120 mg/day has proven to be beneficial in the treatment of FMS symptoms. As true for other antidepressants further studies are needed to assess the long-term efficacy and safety of duloxetine as an additional pharmacological treatment option in FMS.Keywords: fibromyalgia syndrome, duloxetine, antidepressant, review, SNRI

  1. A theoretical study of electronic excited states of photosynthetic reaction center in Rhodopseudomonas viridis

    Institute of Scientific and Technical Information of China (English)

    REN; Yanliang; CHENG; Lin; WAN; Jian; LI; Yongjian; LIU; Junjun; YANG; Guangfu; ZHANG; Lihua; YANG; Song

    2006-01-01

    The electronic singlet vertical excited states of photosynthetic reaction center (PSRC) in Rhodopseudomonas (Rps.) viridis were investigated by ZINDO and INDO/S methods. The effects of the interactions of pigment-pigment and pigment-protein on the electronic excitations were examined. The calculation results showed that the interactions of pigment-pigment and pigment-protein play an important role in reasonably assigning the experimental absorption and circular dichroism (CD) spectra of PSRC in Rps. virids. By comparing the theoretically computed excited states with the experimental absorption and CD spectra, satisfactory assignments of the experimental spectroscopic peaks were achieved.

  2. Spreading a patient-centered medical home redesign: a case study.

    Science.gov (United States)

    Hsu, Clarissa; Coleman, Katie; Ross, Tyler R; Johnson, Eric; Fishman, Paul A; Larson, Eric B; Liss, David; Trescott, Claire; Reid, Robert J

    2012-01-01

    Health care leaders and policymakers are turning to the patient-centered medical home (PCMH) model to contain costs, improve the quality of care, and create a more positive primary care work environment. We describe how Group Health, an integrated delivery system, developed and implemented a PCMH intervention that included standardized structural and practice level changes. This intervention was spread to a diverse set of 26 primary care practices in 14 months using Lean Management principles. Group Health's experience provides valuable insights that can be used to improve the design and implementation of future PCMH models.

  3. Idaho Nuclear Technology and Engineering Center Newly Generated Liquid Waste Demonstration Project Feasibility Study

    Energy Technology Data Exchange (ETDEWEB)

    Herbst, A.K.

    2000-02-01

    A research, development, and demonstration project for the grouting of newly generated liquid waste (NGLW) at the Idaho Nuclear Technology and Engineering Center is considered feasible. NGLW is expected from process equipment waste, decontamination waste, analytical laboratory waste, fuel storage basin waste water, and high-level liquid waste evaporator condensate. The potential grouted waste would be classed as mixed low-level waste, stabilized and immobilized to meet RCRA LDR disposal in a grouting process in the CPP-604 facility, and then transported to the state.

  4. Phonon-magnon interactions in body centered cubic iron: A combined molecular and spin dynamics study

    Energy Technology Data Exchange (ETDEWEB)

    Perera, Dilina, E-mail: dilinanp@physast.uga.edu; Landau, David P. [Center for Simulational Physics, The University of Georgia, Georgia 30602 (United States); Nicholson, Don M.; Malcolm Stocks, G.; Eisenbach, Markus; Yin, Junqi [Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831 (United States); Brown, Gregory [Florida State University, Tallahassee, Florida 32306 (United States)

    2014-05-07

    Combining an atomistic many-body potential with a classical spin Hamiltonian parameterized by first principles calculations, molecular-spin dynamics computer simulations were performed to investigate phonon-magnon interactions in body centered cubic iron. Results obtained for spin-spin and density-density dynamic structure factors show that noticeable softening and damping of magnon modes occur due to the presence of lattice vibrations. Furthermore, as a result of the phonon-magnon coupling, additional longitudinal spin wave excitations are observed, with the same frequencies as the longitudinal phonon modes.

  5. Advancing LGBT Health at an Academic Medical Center: A Case Study.

    Science.gov (United States)

    Yehia, Baligh R; Calder, Daniel; Flesch, Judd D; Hirsh, Rebecca L; Higginbotham, Eve; Tkacs, Nancy; Crawford, Beverley; Fishman, Neil

    2015-12-01

    Academic health centers are strategically positioned to impact the health of lesbian, gay, bisexual and transgender (LGBT) populations by advancing science, educating future generations of providers, and delivering integrated care that addresses the unique health needs of the LGBT community. This report describes the early experiences of the Penn Medicine Program for LGBT Health, highlighting the favorable environment that led to its creation, the mission and structure of the Program, strategic planning process used to set priorities and establish collaborations, and the reception and early successes of the Program.

  6. A Study to Determine the Needs for Standards in Army Day Care Centers.

    Science.gov (United States)

    1960-01-01

    child care centers was formalized. At this time Friedrich Froebel , in his book the Education of Man brought out the importance of the early training of...children. According to Froebel , It is highly pernicious to consider the stages of human development - infant, child, boy or girl, youth or maiden, man...being) is seen but vaguely in the idea and word, and scarcely at all considered in life and for life. (46:99) Ia Froebel is known as the "father of the

  7. Simulation studies of crystal-photodetector assemblies for the Turkish accelerator center particle factory electromagnetic calorimeter

    Energy Technology Data Exchange (ETDEWEB)

    Kocak, F., E-mail: fkocak@uludag.edu.tr

    2015-07-01

    The Turkish Accelerator Center Particle Factory detector will be constructed for the detection of the produced particles from the collision of a 1 GeV electron beam against a 3.6 GeV positron beam. PbWO{sub 4} and CsI(Tl) crystals are considered for the construction of the electromagnetic calorimeter part of the detector. The generated optical photons in these crystals are detected by avalanche or PIN photodiodes. Geant4 simulation code has been used to estimate the energy resolution of the calorimeter for these crystal–photodiode assemblies.

  8. Making real options really work.

    Science.gov (United States)

    van Putten, Alexander B; MacMillan, Ian C

    2004-12-01

    As a way to value growth opportunities, real options have had a difficult time catching on with managers. Many CFOs believe the method ensures the overvaluation of risky projects. This concern is legitimate, but abandoning real options as a valuation model isn't the solution. Companies that rely solely on discounted cash flow (DCF) analysis underestimate the value of their projects and may fail to invest enough in uncertain but highly promising opportunities. CFOs need not--and should not--choose one approach over the other. Far from being a replacement for DCF analysis, real options are an essential complement, and a project's total value should encompass both. DCF captures a base estimate of value; real options take into account the potential for big gains. This is not to say that there aren't problems with real options. As currently applied, they focus almost exclusively on the risks associated with revenues, ignoring the risks associated with a project's costs. It's also true that option valuations almost always ignore assets that an initial investment in a subsequently abandoned project will often leave the company. In this article, the authors present a simple formula for combining DCF and option valuations that addresses these two problems. Using an integrated approach, managers will, in the long run, select better projects than their more timid competitors while keeping risk under control. Thus, they will outperform their rivals in both the product and the capital markets.

  9. Short-course treatment with ceftriaxone for leptospirosis: a retrospective study in a single center in Eastern France.

    Science.gov (United States)

    Faucher, Jean-François; Chirouze, Catherine; Hoen, Bruno; Leroy, Joël; Hustache-Mathieu, Laurent; Estavoyer, Jean-Marie

    2015-03-01

    Short-course (less than 7 days) antibiotic treatments have been rarely assessed in the management of leptospirosis. We analyzed the charts of patients hospitalized with confirmed and probable leptospirosis in a teaching hospital between 1994 and 2012. Of 89 patients with confirmed or probable leptospirosis, 21 patients (11 confirmed, 10 probable - 14 uncomplicated and 7 severe forms) admitted between 2001 and 2012 received ceftriaxone (1-2 g daily) for less than 7 days. Apyrexia was obtained within 2 days of treatment in all patients and no relapse was observed. These data support the hypothesis that short-course treatments of 3-6 days with ceftriaxone (1-2 g per day) may be an option in the treatment of uncomplicated and severe forms of leptospirosis responding quickly to therapy. This hypothesis deserves being confirmed in further clinical studies.

  10. A Consistent Pricing Model for Index Options and Volatility Derivatives

    DEFF Research Database (Denmark)

    Kokholm, Thomas

    on the underlying asset. The model has the convenient feature of decoupling the vanilla skews from spot/volatility correlations and allowing for different conditional correlations in large and small spot/volatility moves. We show that our model can simultaneously fit prices of European options on S&P 500 across......We propose and study a flexible modeling framework for the joint dynamics of an index and a set of forward variance swap rates written on this index, allowing options on forward variance swaps and options on the underlying index to be priced consistently. Our model reproduces various empirically...... strikes and maturities as well as options on the VIX volatility index. The calibration of the model is done in two steps, first by matching VIX option prices and then by matching prices of options on the underlying....

  11. Excel Center

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Citigroup,one of the World top 500 companies,has now settled in Excel Center,Financial Street. The opening ceremony of Excel Center and the entry ceremony of Citigroup in the center were held on March 31.Government leaders of Xicheng District,the Excel CEO and the heads of Asia-Pacific Region leaders of Citibank all participated in the ceremony.

  12. Building research administration applications for the academic health center: a case study.

    Science.gov (United States)

    Guard, J Roger; Brueggemann, Ralph F; Highsmith, Robert F; Marine, Stephen A; Riep, Josette R; Schick, Leslie C

    2005-11-01

    The academic health center information environment is saturated with information of varying quality and overwhelming quantity. The most significant challenge is transforming data and information into knowledge. The University of Cincinnati Medical Center's (UCMC) focus is to develop an information architecture comprising data structures, Web services, and user interfaces that enable individuals to manage the information overload so that they can create new knowledge. UCMC has accomplished much of what is reported in this article with the help of a four-year Integrated Advanced Information Management Systems (IAIMS) operation grant awarded by the National Library of Medicine in 2003. In the UCMC vision for knowledge management, individuals have reliable, secure access to information that is filtered, organized, and highly relevant for specific tasks and personal needs. Current applications and tool sets will evolve to become the next generation knowledge management applications or smart digital services. When smart digital services are implemented, silo applications will disappear. A major focus of UCMC's IAIMS grant is research administration. Testing and building out existing and new research administration applications and digital services is underway. The authors review UCMC's progress and results in developing a software architecture, tools, and services for research administration. Included are sections on the evolution to full integration, the impact of the work at UCMC to date, lessons learned during this research and development process, and future plans and needs.

  13. A computer simulation study of oxygen defect centers in BaFBr and BaFCl

    Energy Technology Data Exchange (ETDEWEB)

    Islam, M.S.; Baetzold, R.C. (Eastman Kodak Company, Rochester, NY (United States). Corporate Research Labs.)

    1992-01-01

    Atomistic simulation techniques are used to examine several oxygen trapped-hole centers resulting from X-irradiation of BaFBr and BaFCl crystals. The calculations employ recently derived interatomic potentials for the oxide ion-host anion interactions. Particular attention is focussed on the sites occupied by the oxide impurity and the energetics of ionization. Our results show the defect model involving O{sup -} substitutional at a Br{sup -}/Cl{sup -} site to be a favorable trapped-hole center, in accord with the assignment proposed from electron paramagnetic resonance measurements. The defect simulations find a large energy barrier to oxide interstitial formation from the oxide precursor at a substitutional site, which suggests that conversion from O{sub x}{sup -} to O{sub int}{sup -} is highly unlikely as has been demonstrated in EPR experiments. Ion displacements following lattice relaxation about the defect are also examined. The position of O{sup -} substituted for Br{sup -} in BaFBr is computed to be displaced from the regular lattice site by 0.53 A, along the c axis towards the Ba{sup 2+} ion plane, in agreement with models derived later from ENDOR experiments, while O{sup -} substituted for F{sup -} remains on the lattice site in agreement with experiment. (author).

  14. The Proton Therapy Nozzles at Samsung Medical Center: A Monte Carlo Simulation Study using TOPAS

    CERN Document Server

    Chung, Kwangzoo; Kim, Dae-Hyun; Ahn, Sunghwan; Han, Youngyih

    2015-01-01

    To expedite the commissioning process of the proton therapy system at Samsung Medical Center (SMC), we have developed a Monte Carlo simulation model of the proton therapy nozzles using TOPAS. At SMC proton therapy center, we have two gantry rooms with different types of nozzles; a multi-purpose nozzle and a dedicated scanning nozzle. Each nozzle has been modeled in detail following the geometry information provided by the manufacturer, Sumitomo Heavy Industries, Ltd. For this purpose, novel features of TOPAS, such as the time feature or the ridge filter class, have been used. And the appropriate physics models for proton nozzle simulation were defined. Dosimetric properties, like percent depth dose curve, spread-out Bragg peak (SOBP), beam spot size, have been simulated and verified against measured beam data. Beyond the Monte Carlo nozzle modeling, we have developed an interface between TOPAS and the treatment planning system (TPS), RayStation. An exported RT plan data from the TPS has been interpreted by th...

  15. Family-centered rounds and medical student performance on the NBME pediatrics subject (shelf) examination: a retrospective cohort study

    OpenAIRE

    Kimbrough, Tiffany N.; Heh, Victor; Wijesooriya, N. Romesh; Ryan, Michael S.

    2016-01-01

    Objective: To determine the association between family-centered rounds (FCR) and medical student knowledge acquisition as assessed by the National Board of Medical Examiners (NBME) pediatric subject (shelf) exam.Methods: A retrospective cohort study was conducted of third-year medical students who graduated from Virginia Commonwealth University School of Medicine between 2009 and 2014. This timeframe represented the transition from ‘traditional’ rounds to FCR on the pediatric inpatient unit. ...

  16. The design of maternal centered life-style modification program for weight gain management during pregnancy — a study protocol

    OpenAIRE

    Farajzadegan, Ziba; Pozveh, Zahra Amini

    2013-01-01

    Background: Abnormal weight gain during pregnancy increases the adverse health outcomes during the pregnancy, delivery, and the postpartum period. Most of the pregnant women develop weight gain more than the recommended limits; therefore, interventions to manage such disproportionate weight gain are needed. In this paper, the design of the maternal centered life-style intervention study is described, which focuses on controlling weight gaining during pregnancy for all body mass index (BMI) gr...

  17. A Qualitative Study of Bottlenecks and Causes of Fractions for Dedicated Incomes of Health Centers and Solutions for their Reduction

    Science.gov (United States)

    Tabrizi, Jafar Sadegh; Alidoost, Saeide; Abdolahi, Hossein Mashhadi

    2016-01-01

    Background: Primary health care is one of effective approaches for improving public health. Providing optimal cares requires supplication of various resources such as financial resources. “Fractions of incomes” in health centers is one of the remarkable problems for the domain of financial resources management in Iran. This study was aimed to identify bottlenecks and causes of fractions for incomes in health centers and solutions for their reduction. Methods: The current study was conducted in a qualitative phenomenology method in East Azerbaijan province of Iran in 2014. Data collection method was focus group discussion and semi-structured interview. Purposive sampling was used for selecting participants. Focus group discussions and interviews were conducted based on pre-prepared guidance and continued till data saturation. Validity of guidance was approved by qualitative studies experts. Data were analyzed using content analysis method. Results: Based on the opinions of participants, two and six themes were respectively extracted for bottlenecks of fractions and causes and solutions for their reduction. Themes for bottlenecks of fractions included cash (monetary) and non-cash (non-monetary) fractions and themes for causes and solutions included causes and solutions for fractions per capita, insurance deductions, fractions related to sending documents, registration fractions, discounts fractions, and incomplete deposit of cash incomes. Conclusion: All cash and non-cash incomes of health centers are subject to fractions. The causes of fractions are related to the whole process of converting services to incomes and insurance requirements. Identified solutions and interventions also focus on these areas.

  18. Statistical Machines for Trauma Hospital Outcomes Research: Application to the PRospective, Observational, Multi-Center Major Trauma Transfusion (PROMMTT Study.

    Directory of Open Access Journals (Sweden)

    Sara E Moore

    Full Text Available Improving the treatment of trauma, a leading cause of death worldwide, is of great clinical and public health interest. This analysis introduces flexible statistical methods for estimating center-level effects on individual outcomes in the context of highly variable patient populations, such as those of the PRospective, Observational, Multi-center Major Trauma Transfusion study. Ten US level I trauma centers enrolled a total of 1,245 trauma patients who survived at least 30 minutes after admission and received at least one unit of red blood cells. Outcomes included death, multiple organ failure, substantial bleeding, and transfusion of blood products. The centers involved were classified as either large or small-volume based on the number of massive transfusion patients enrolled during the study period. We focused on estimation of parameters inspired by causal inference, specifically estimated impacts on patient outcomes related to the volume of the trauma hospital that treated them. We defined this association as the change in mean outcomes of interest that would be observed if, contrary to fact, subjects from large-volume sites were treated at small-volume sites (the effect of treatment among the treated. We estimated this parameter using three different methods, some of which use data-adaptive machine learning tools to derive the outcome models, minimizing residual confounding by reducing model misspecification. Differences between unadjusted and adjusted estimators sometimes differed dramatically, demonstrating the need to account for differences in patient characteristics in clinic comparisons. In addition, the estimators based on robust adjustment methods showed potential impacts of hospital volume. For instance, we estimated a survival benefit for patients who were treated at large-volume sites, which was not apparent in simpler, unadjusted comparisons. By removing arbitrary modeling decisions from the estimation process and concentrating

  19. Essential Tremor (ET): Surgical Options

    Science.gov (United States)

    ... t respond to propranolol, primidone, or other common ET medications and whose tremor has become debilitating, there ... treatments were first introduced. Current surgical options for ET include Deep Brain Stimulation (DBS) , Focused Ultrasound , and ...

  20. Treatment Option Overview (Kaposi Sarcoma)

    Science.gov (United States)

    ... Treatment Childhood Vascular Tumors Treatment Research Kaposi Sarcoma Treatment (PDQ®)–Patient Version General Information About Kaposi Sarcoma ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) and treatment ...

  1. Treatment Option Overview (Bladder Cancer)

    Science.gov (United States)

    ... Cancer Treatment Bladder Cancer Screening Research Bladder Cancer Treatment (PDQ®)–Patient Version General Information About Bladder Cancer ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) depends on ...

  2. Treatment Options for Actinic Keratosis

    Science.gov (United States)

    ... Skin Cancer Skin Cancer Screening Research Skin Cancer Treatment (PDQ®)–Patient Version General Information About Skin Cancer ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) depends mostly ...

  3. Treatment Options for Urethral Cancer

    Science.gov (United States)

    ... Treatment Health Professional Urethral Cancer Treatment Urethral Cancer Treatment (PDQ®)–Patient Version General Information About Urethral Cancer ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) and treatment ...

  4. Treatment Options by Stage (Melanoma)

    Science.gov (United States)

    ... of Skin Cancer Skin Cancer Screening Research Melanoma Treatment (PDQ®)–Patient Version General Information About Melanoma Go ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) and treatment ...

  5. Treatment Options for Pituitary Tumors

    Science.gov (United States)

    ... Treatment Health Professional Pituitary Tumors Treatment Pituitary Tumors Treatment (PDQ®)–Patient Version General Information About Pituitary Tumors ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) depends on ...

  6. Treatment Option Overview (Laryngeal Cancer)

    Science.gov (United States)

    ... Cavity and Oropharyngeal Cancer Screening Research Laryngeal Cancer Treatment (PDQ®)–Patient Version General Information About Laryngeal Cancer ... Certain factors affect prognosis (chance of recovery) and treatment options. Prognosis (chance of recovery ) depends on the ...

  7. Treatment Option Overview (Colon Cancer)

    Science.gov (United States)

    ... Colorectal Cancer Colorectal Cancer Screening Research Colon Cancer Treatment (PDQ®)–Patient Version General Information About Colon Cancer ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery ) and treatment ...

  8. Treatment Option Overview (Cervical Cancer)

    Science.gov (United States)

    ... Cancer Prevention Cervical Cancer Screening Research Cervical Cancer Treatment (PDQ®)–Patient Version General Information About Cervical Cancer ... Certain factors affect prognosis (chance of recovery) and treatment options. The prognosis (chance of recovery) depends on ...

  9. Language Discordance and Patient- Centered Care in Occupational Therapy: A Case Study.

    Science.gov (United States)

    Martinez, Jenny; Leland, Natalie

    2015-04-01

    The accumulative burden of a growing non-English speaking minority population and health disparities in the United States demonstrate the urgency of examining occupational therapy practices and defining care that is timely, effective, safe, and patient-centered. In this context, we investigate an occupational therapy episode of care from the perspectives of patient, caregiver, and primary occupational therapy care provider. Treatment sessions were observed and one-on-one semistructured interviews were conducted with the participants. Several themes describing areas of concern in communication and care delivery emerged, including expectations for care, the therapy relationship, professional identity, and pragmatic constraints. The use of untrained interpreters compromised treatment effectiveness and safety. This case highlights potential areas of concern in therapy when working with a diverse patient population. Abundant opportunities exist for occupational therapy to situate itself as an equitable, responsive, valuable, and essential service.

  10. Determinants Associated with Pregnancy Complications in Pregnant Women; (Case Study in Abepura, Jayapura City Health Center 2015

    Directory of Open Access Journals (Sweden)

    Rodinda Sihombing

    2016-03-01

    Full Text Available According to the World Health Organization (WHO in 2014, about 800 mothers die worldwide each day from complications related to pregnancy or childbirth. Each year approximately 20,000 women in Indonesia die from causes related to pregnancy and labor. The purpose of this study was to determine the incidence of pregnancy complications determinant in Abepura, Jayapura City Health Center in 2015. This study was an observational study design with "cross-sectional study", which is one type of the analytic study design. The sample in this study is the third trimester pregnant women who visited antenatal at health centers Abepura totaling 155 people using accidental sampling technique. All data in this study were collected through interviews using questionnaires. Analysis of the data in this study include univariate, bivariate (chi square and multivariate (logistic regression. Chi-square test results demonstrated an association iron tablet intake (p = 0.022; RP = 2, maternal age (p = 0.018; RP = 2.6, parity (p = 0.03; RP = 1.9, a history of pregnancy complications (p = 0.0001; RP = 2.9, and a history of birth complications (p = 0.002; RP = 2.6 and the incidence of pregnancy complications. While the history of infectious disease has no relationship with the incidence of pregnancy complications (p = 0.214; RP = 1.4. Multivariate analysis showed that maternal age and previous pregnancy complications are dominant factors on the incidence of pregnancy complications.

  11. Study on the Key Success Factors of the Operation of a Regional Military Logistic Food Material Center

    Directory of Open Access Journals (Sweden)

    Fu-Jin Wang

    2010-01-01

    Full Text Available Problem statement: In order to establish an integrated supply system of the military food material, the study was to discuss the key success factors of operation of the military regional food material logistic center in Taiwan. Approach: The Delphi method, questionnaires and telephone interviews were used to collect and integrate the opinions of experts and scholars. Simultaneously, the Analytic Hierarchy Process (AHP was applied to confirm the evaluative factors of each level, i.e., one goal (to construct key success factors of the operation of a regional military logistic food material center for the first level, two analytical aspects (the external and internal environments for the second level, six evaluative facets (the safety design, strategic management, administrative effect, policy, service and internal and external integration for the third level and 19 evaluative criteria for the fourth level. Results: The 350 questionnaires from the second phase which were sent out to four kinds of respondents, 319 valid ones were returned. Conclusion: After AHP analysis, the results of this study could suggest an evaluation table for the key success factors of operation of the military regional food material logistic center in Taiwan.

  12. Common pathways toward informing policy and environmental strategies to promote health: a study of CDC's Prevention Research Centers.

    Science.gov (United States)

    Neri, Elizabeth M; Stringer, Kate J; Spadaro, Antonia J; Ballman, Marie R; Grunbaum, Jo Anne

    2015-03-01

    This study examined the roles academic researchers can play to inform policy and environmental strategies that promote health and prevent disease. Prevention Research Centers (PRCs) engage in academic-community partnerships to conduct applied public health research. Interviews were used to collect data on the roles played by 32 PRCs to inform policy and environmental strategies that were implemented between September 2009 and September 2010. Descriptive statistics were calculated in SAS 9.2. A difference in roles played was observed depending on whether strategies were policy or environmental. Of the policy initiatives, the most common roles were education, research, and partnership. In contrast, the most prevalent roles the PRCs played in environmental approaches were research and providing health promotion resources. Academic research centers play various roles to help inform policy and environmental strategies.

  13. Option Derivatives in Electricity Hedging

    Directory of Open Access Journals (Sweden)

    P. Pavlátka

    2010-01-01

    Full Text Available Despite the high volatility of electricity prices, there is still little demand for electricity power options, and the liquidity on the power exchanges of these power derivatives is quite low. One of the reasons is the uncertainty about how to evaluate these electricity options and about finding the right fair value of this product. Hedging of electricity is associated mainly with products such as futures and forwards. However, due to new trends in electricity trading and hedging, it is also useful to think more about options and the principles for working with them in hedging various portfolio positions and counterparties. We can quite often encounter a situation when we need to have a perfect hedge for our customer’s (end user consuming electricity portfolio, or we have to evaluate the volumetric risk (inability of a customer to predict consumption, which is very similar to selling options. Now comes the moment to compare the effects of using options or futures to hedge these open positions. From a practical viewpoint, the Black-Scholes prices appear to be the best available and the simplest method for evaluating option premiums, but there are some limitations that we have to consider.

  14. The KIzSS network, a sentinel surveillance system for infectious diseases in day care centers: study protocol

    Directory of Open Access Journals (Sweden)

    Enserink Remko

    2012-10-01

    Full Text Available Abstract Background Day care-associated infectious diseases are widely recognized as a public health problem but rarely studied. Insights into their dynamics and their association with the day care setting are important for effective decision making in management of infectious disease control. This paper describes the purpose, design and potential of our national multi-center, day care-based sentinel surveillance network for infectious diseases (the KIzSS network. The aim of the KIzSS network is to acquire a long-term insight into the syndromic and microbiological aspects of day care-related infectious diseases and associated disease burden and to model these aspects with day care setting characteristics. Methods/design The KIzSS network applies a prospective cohort design, following day care centers rather than individual children or staff members over time. Data on infectious disease symptoms and related morbidity (children and staff, medical consumption, absenteeism and circulating enteric pathogens (children are collected on a daily, weekly or monthly basis. Every two years, a survey is performed to assess the characteristics of participating day care centers. Discussion The KIzSS network offers a unique potential to study infectious disease dynamics in the day care setting over a sustained period of time. The created (biodatabases will help us to assess day care-related disease burden of infectious diseases among attending children and staff and their relation with the day care setting. This will support the much needed development of evidence-based and pragmatic guidelines for infectious disease control in day care centers.

  15. Could Education Contribute to Reduce Prevalence of HIV among Injecting Drug Users? A Case Study of IDUs from the Rehabilitation Center for Drugs Users

    Science.gov (United States)

    Rajbhandari, Mani Man Singh

    2008-01-01

    This study primarily focuses on Injecting Drug Users (IDUs) from the Narconon Nepal for drugs rehabilitation and prevention center. The study attempt to explore the changing behavior of IDUs from the education received from the rehabilitation center which contributes to reduce the prevalence of HIV among IDUs. The data were collected through semi…

  16. Studies on retrospective analysis of leading primary cancers and improvement of cancer treatment method in Korea cancer center hospital

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jong In; Lee, Kang Hyun; Choi, Soo Yong; Kim, Ki Wha; Kang, Sung Mok

    2000-12-01

    a. Retrospective studies included cancers of the stomach, breast, bladder, salivary gland, thyroid, esophagus, endometrium and ovary. (1) Study cancers were analyzed about clinical characteristics, prognostic factors influenced on survival time, survival rate, etc. (2) Among 5,305 study patients, 1,405(26.5%) were identified with death, 3,485(65.7%) were alive and 415(7.8%) were not identified. b. Prospective studies included 10 subjects such as bladder cancer, retinoblastoma, malignant patients, gastric cancer, uterine cervix cancer and ovary cancer. We are continuing registering eligible study patients. c. Results for 11 papers were published at the journal. d. We established follow-up system in order to identify the survival for study subjects through National Statistical Office, Government Provincial Office and Cancer Registration System at Korea Cancer Center Hospital. e. At present, we are establishing computerized registration system about case report form for study cancers.

  17. Sustainable Technology Research and Demonstration Center for Earth Structures

    Directory of Open Access Journals (Sweden)

    Judy Ueda

    2012-10-01

    Full Text Available This is a discussion paper that the authors presented at the International Workshop on Rammed Earth Materials and Sustainable Structures and Hakka Tulou Forum 2011: Structures of Sustainability, 28–31 October 2011, Xiamen University, China. A Sustainable Technology Research and Demonstration Center for Earth Structures is proposed to study, preserve, advance, promote, and implement rammed earth structures. The Center concept including the objectives, scope of activities and benefits of the proposed center are outlined. The Center for Alternative Technology in Wales, UK has been examined as a good base model along with a few successful environmental sustainability initiatives in China. The funding options to establish the proposed center have been discussed. The breadth of activities ultimately depends on funding capability. It is believed that the proposed center development will require significant government support at the initial stage but once corporate sponsorships are in place, the proposed center will potentially become self-supporting. The strategies, for the establishment of the proposed center are also addressed.

  18. Safety of timber: An analysis of quality control options

    NARCIS (Netherlands)

    Kovryga, A.; Stapel, P.; Van de Kuilen, J.W.G.

    2014-01-01

    The quality assurance of timber properties is important for the safety of timber structures. In the current study, the quality control options of timber are analysed under the prism of the different growth regions. Therefore, these options - machine and output control - are simulated in accordance w

  19. Greenhouse Gas Mitigation Options Database(GMOD)and Tool

    Science.gov (United States)

    Greenhouse Gas Mitigation Options Database (GMOD) is a decision support database and tool that provides cost and performance information for GHG mitigation options for the power, cement, refinery, landfill and pulp and paper sectors. The GMOD includes approximately 450 studies fo...

  20. 三峡电站厂房钢衬蜗壳不同埋设方式抗震分析%Anti-seismic Study on Different Embedment Options for Steel-lined Spiral Case in the Three Gorges Hydropower Plant

    Institute of Scientific and Technical Information of China (English)

    陈玲玲; 戴湘和; 彭定

    2012-01-01

    混流式水轮机发电机组钢衬蜗壳有不同埋设方式,三峡水轮发电机组钢衬蜗壳是目前世界上混流式水轮机最大的蜗壳,左岸电站全部为保压方案.针对右岸水电站厂房钢衬蜗壳2种埋设方案,建立三维有限元模型,研究蜗壳保压方案和垫层方案的固有振动特性和地震响应,采用振型叠加反应谱法计算地震动力响应,分析不同蜗壳埋设方案对结构的自振特性及地震响应的影响.分析结果表明:就抗地震作用而言,2种方案都是可取的,垫层方案略优于保压方案.%There are various embedment options for the steel-lined spiral case of Francis turbine unit. Only constant-pressure option was adopted in the steel-lined spiral case in the left bank hydropower plant of Three Gorges Project. To study the earthquake resistance of two embedment options for spiral case in the right bank hydropower plant, this paper presents a 3D finite element model to study the natural frequencies and seismic responses of steel-lined spiral case embedded under constant-pressure and embedded with supporting lining layer. Dynamic response of earthquake is calculated by the superposition of vibration modes. The analysis results indicate that different embedment options have little impact on structural natural frequency and seismic response. Both embedment options are feasible in earthquake resistance design, with the latter slightly better than the former.