WorldWideScience

Sample records for cleveland

  1. 33 CFR 165.906 - Lakeside Yacht Club in Cleveland Harbor, Cleveland, OH-regulated navigation areas.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Lakeside Yacht Club in Cleveland... Guard District § 165.906 Lakeside Yacht Club in Cleveland Harbor, Cleveland, OH—regulated navigation... portion of the vessel extending above the waterline. All of these areas are inside the “Lakeside Yacht...

  2. 77 FR 31067 - Cleveland Commercial Railroad Company, LLC-Continuance in Control Exemption-Cleveland Harbor Belt...

    Science.gov (United States)

    2012-05-24

    ... becoming a Class III rail carrier. CCR has established CHB as a limited liability company and has the... Commercial Railroad Company, LLC--Continuance in Control Exemption--Cleveland Harbor Belt Railroad Cleveland Commercial Railroad Company, LLC (CCR), a Class III rail carrier, has filed a verified notice of exemption...

  3. Segregation Levels in Cleveland Public Schools and the Cleveland Voucher Program. School Choice Issues in the State

    Science.gov (United States)

    Forster, Greg

    2006-01-01

    Examining the widespread claims that private schools have high segregation levels and vouchers will lead to greater segregation, this study finds that both assertions are empirically unsupportable. Private schools participating in Cleveland's voucher program are much less segregated than Cleveland's public schools. This means that students using…

  4. Cleveland Clinic Next Generation Neuroimaging

    Energy Technology Data Exchange (ETDEWEB)

    Lowe, Mark

    2009-09-30

    This was an award to purchase equipment for state-of-the-art MRI radiofrequency coils. There was no personnel effort or construction as a part of this project. This report details the final status of the approved budget items for this project. All approved budget items were successfully delivered and installed. The equipment provided to Cleveland Clinic under this project will allow Cleveland Clinic researchers to build imaging equipment with improved capability to investigate brain disorders.

  5. 78 FR 42733 - Safety Zone; Cleveland Dragon Boat Festival and Head of the Cuyahoga, Cuyahoga River, Cleveland, OH

    Science.gov (United States)

    2013-07-17

    ...-AA00 Safety Zone; Cleveland Dragon Boat Festival and Head of the Cuyahoga, Cuyahoga River, Cleveland... intended to restrict vessels from a portion of the Cuyahoga River during the Dragon Boat Festival and Head... over a decade and the Dragon Boat Festival for the last 7 years. In response to past years' events, the...

  6. Setting Up an ePathology Service at Cleveland Clinic Abu Dhabi: Joint Collaboration With Cleveland Clinic, United States.

    Science.gov (United States)

    Nahal, Ayoub; Batac, Crystal Mildred O; Slaw, Renee J; Bauer, Thomas W

    2018-04-24

    - The production of whole slide images is the most advanced form of digital pathology, in which a high-resolution digital scanner is used to rapidly scan glass microscope slides and produce a computer-generated whole slide image that can be saved, stored in a network-attached storage device, and accessed through slide management software within the hospital domain and remotely by authorized users. Digital transformation of glass slides has revolutionized the practice of anatomic pathology by facilitating and expediting consultative services, improving clinical workflow, and becoming an indispensable tool in education and research. - To highlight the institutional need of Cleveland Clinic Abu Dhabi (Abu Dhabi, United Arab Emirates) and the cultural background for obtaining the United Arab Emirates' first comprehensive digital pathology program; to describe a multiphase road map for achieving full implementation of this platform; and to describe the system's clinical applications and its future potential growth. - At Cleveland Clinic Abu Dhabi, we prioritized our efforts to initiate digital consultations (eConsultations) and digital immunohistochemistry services (eIHC) with Cleveland Clinic Laboratories (Cleveland, Ohio). After this, we established an internal archiving system together with a subspecialty-based, organ-specific digital library of pathologic diseases. - We describe the strategic adoption and implementation of digital pathology into the clinical workflow of the pathology and laboratory medicine institute of Cleveland Clinic Abu Dhabi, and we highlight its impact on clinical operations, educational activities, and patient care.

  7. 76 FR 66250 - Television Broadcasting Services; Cleveland, OH

    Science.gov (United States)

    2011-10-26

    ...] Television Broadcasting Services; Cleveland, OH AGENCY: Federal Communications Commission. ACTION: Proposed rule. SUMMARY: The Commission has before it a petition for rulemaking filed by Community Television of Ohio License, LLC (``Community Television''), the licensee of station WJW (TV), channel 8, Cleveland...

  8. Building an engaged workforce at Cleveland Clinic

    Directory of Open Access Journals (Sweden)

    Patrnchak JM

    2013-05-01

    Full Text Available Joseph M PatrnchakCleveland Clinic, Cleveland, OH, USAAbstract: Employee engagement is widely recognized as a critical factor in organizational performance. This article examines an ongoing cultural development initiative at Cleveland Clinic designed to significantly increase employee engagement. Key components of this initiative include the introduction of serving leadership, new caregiver wellness and recognition programs, “Cleveland Clinic Experience” training focused on the institution’s core mission, and changes in the institutional vocabulary. Since 2008, the results include a dramatic improvement in engagement, as measured by the Gallup Q12 survey, with parallel improvements in patient satisfaction, as measured by the clinic's scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS survey. In addition to a discussion of the key components of the clinic’s engagement initiative, the article provides a partial review of the literature focused on employee engagement as well as a summary of “lessons learned” that may serve as a guide for others facing the challenge of increasing employee engagement in large, mature health care institutions.Keywords: health care, employee engagement, culture change, hospital performance, patient satisfaction

  9. Cleveland Clinic television series enhances branding in active market.

    Science.gov (United States)

    Rees, T

    2001-01-01

    "Medical Miracles" premiered April 26. It is an information-packed series of programs showcasing The Cleveland Clinic's advanced medical practices. The Cleveland Clinic teamed with local NBC-affiliate, WKYC to develop half-hour shows on topics including neuro-sciences, orthopedics, eye, heart, pediatrics and cancer. As of this writing, three of the half-hour shows already have aired. They will resume in September, October and November, following a summer break. The collaboration is a healthy prospect all the way around. For Cleveland Clinic, it provides highly credible visibility in a competitive marketplace. And, according to WKYC president and general manager, Brooke Spectorsky, " Medical news and information is a high priority among our viewers."

  10. EnviroAtlas - Cleveland, OH - Block Groups

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset is the base layer for the Cleveland, OH EnviroAtlas community. The block groups are from the US Census Bureau and are included/excluded...

  11. Physician leadership development at Cleveland Clinic: a brief review.

    Science.gov (United States)

    Christensen, Terri; Stoller, James K

    2016-06-01

    We aim to describe the rationale for and spectrum of leadership development programs, highlighting experience at a large healthcare institution (Cleveland Clinic, Cleveland, Ohio, USA). Developing leaders is a universal priority to sustain organizational success. In health care, significant challenges of ensuring quality and access and making care affordable are widely shared internationally and demand effective physician leadership. Yet, leadership competencies differ from clinical and scientific competencies and features of selecting and training physicians-who have been called "heroic lone healers" -often conspire against physicians being effective leaders or followers. Thus, developing leadership competencies in physicians is critical.Leadership development programs have been signature features of successful organizations and various Australian organizations offer such training (e.g. The Australian Leadership Foundation and the University of South Australia), but relatively few health care organizations have adopted the practice of offering such training, both in Australia and elsewhere. As a United States example of one such integrated program, the Cleveland Clinic, a large, closed-staff physician-led group practice in Cleveland, Ohio has offered physician leadership training for over 15 years. This paper describes the rationale, structure, and some of the observed impacts associated with this program. © The Royal Australian and New Zealand College of Psychiatrists 2016.

  12. EnviroAtlas - Cleveland, OH - Meter-Scale Urban Land Cover (MULC) Data (2011 and 2013)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Cleveland, OH EnviroAtlas Meter-scale Urban Land Cover (MULC) dataset comprises 2,737 km2 around the city of Cleveland and portions of surrounding counties. The...

  13. Developing a leadership pipeline: the Cleveland Clinic experience.

    Science.gov (United States)

    Hess, Caryl A; Barss, Christina; Stoller, James K

    2014-11-01

    The complexity of health care requires excellent leadership to address the challenges of access, quality, and cost of care. Because competencies to lead differ from clinical or research skills, there is a compelling need to develop leaders and create a talent pipeline, perhaps especially in physician-led organizations like Cleveland Clinic. In this context, we previously reported on a cohort-based physician leadership development course called Leading in Health Care and, in the current report, detail an expanded health care leadership development programme called the Cleveland Clinic Academy (CCA). CCA consists of a broad suite of offerings, including cohort-based learning and 'a la carte' half- or full-day courses addressing specific competencies to manage and to lead. Academy attendance is optional and is available to all physicians, nurses, and administrators with the requisite experience. Course selection is guided by competency matrices which map leadership competencies to specific courses. As of December 2012, a total of 285 course sessions have been offered to 6,050 attendees with uniformly high ratings of course quality and impact. During the past 10 years, Cleveland Clinic's leadership and management curriculum has successfully created a pipeline of health care leaders to fill executive positions, search committees, board openings, and various other organizational leadership positions. Health care leadership can be taught and learned.

  14. EnviroAtlas - Cleveland, OH - Ecosystem Services by Block Group

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset presents environmental benefits of the urban forest in 1,442 block groups in Cleveland, Ohio. Carbon attributes, temperature reduction,...

  15. Cleveland's Multicultural Librarian: Eleanor (Edwards) Ledbetter, 1870-1954

    Science.gov (United States)

    Jones, Plummer Alston, Jr.

    2013-01-01

    Eleanor (Edwards) Ledbetter, who served immigrant populations in Cleveland throughout most of the Progressive Era and the Great Depression, was one of the first librarians to advocate for multiculturalism (then called cultural pluralism) as opposed to Americanism. In providing multicultural and multilingual library services for immigrants,…

  16. EnviroAtlas - Cleveland, OH - BenMAP Results by Block Group

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset demonstrates the effect of changes in pollution concentration on local populations in 1,442 block groups in Cleveland, Ohio. The US EPA's...

  17. 77 FR 25128 - Amended Land Management Plans for the Angeles, Cleveland, Los Padres, and San Bernardino National...

    Science.gov (United States)

    2012-04-27

    ..., Los Padres, and San Bernardino National Forests, California AGENCY: Forest Service, USDA. ACTION... amendment of the Land Management Plans for the Angeles, Cleveland, Los Padres, and San Bernardino National... Angeles, Cleveland, Los Padres, and San Bernardino National Forests, collectively, ``four forests...

  18. 77 FR 68073 - Prevailing Rate Systems; Redefinition of the St. Louis, MO; Southern Missouri; Cleveland, OH; and...

    Science.gov (United States)

    2012-11-15

    ... 3206-AM70 Prevailing Rate Systems; Redefinition of the St. Louis, MO; Southern Missouri; Cleveland, OH... Cleveland wage area. These changes are based on recent consensus recommendations of the Federal Prevailing... proposing the changes described below. The Federal Prevailing Rate Advisory Committee (FPRAC), the national...

  19. HIV Pathogenesis: Abstracts from the March 2017 Cleveland Immunopathogenesis Consortium Meeting

    Directory of Open Access Journals (Sweden)

    Michael M. Lederman

    2017-06-01

    Full Text Available The Cleveland Immunopathogenesis Consortium (CLIC was launched in March 2004 by a small group of investigators (Ron Bosch, Jason Brenchley,  Steven Deeks, Danny Douek, Zvi Grossman, Robert Kalayjian, Clifford Harding, Michael Lederman, Leonid Margolis, Miguel Quinones, Benigno Rodriguez, Rafick Sekaly, Scott Sieg, and Guido Silvestri who were increasingly persuaded that immune activation was an important driver of HIV pathogenesis. We met around a chalk board and scribbled our models of pathogenesis, designed some experiments then went back home to do them. We met again soon to review our new and unpublished findings that refined and shaped these models. The data presentations were short, informal and heavy on discussion. The model worked well, the consortium was productive and the meetings catalyzed numerous collaborations and scores of high impact papers. The CLIC (less formally, the Bad Boys of Cleveland [1] has been meeting regularly since then. Consortium membership has expanded to include other investigators (some are listed in the presentations below. Whether the goal is to prevent the morbid complications of HIV infection, to understand the determinants of HIV persistence or the factors that protect from acquisition of infection, a more clear understanding of HIV immunopathogenesis is central. Here in this issue of Pathogens and Immunity is a brief summary of the most recent CLIC//BBC meeting held in Cleveland in March 2017.

  20. Developing a leadership pipeline: the Cleveland Clinic experience

    OpenAIRE

    Hess, Caryl A.; Barss, Christina; Stoller, James K.

    2014-01-01

    The complexity of health care requires excellent leadership to address the challenges of access, quality, and cost of care. Because competencies to lead differ from clinical or research skills, there is a compelling need to develop leaders and create a talent pipeline, perhaps especially in physician-led organizations like Cleveland Clinic. In this context, we previously reported on a cohort-based physician leadership development course called Leading in Health Care and, in the current report...

  1. 76 FR 8281 - Amendment to Class B Airspace; Cleveland, OH

    Science.gov (United States)

    2011-02-14

    ... comments received and the FAA's responses are contained in the ``Discussion of Comments'' section below... further west to remain clear should they decide not to contact the Cleveland Terminal Radar Approach... MSL, the FAA believes impacts to local area or cross-country glider flight operation at 67D will be...

  2. REGISTRO DE CÁNCER COLORRECTAL HEREDITARIO: UNA EXPERIENCIA DE “CLEVELAND CLINIC FOUNDATION”

    Directory of Open Access Journals (Sweden)

    Church J, MBCHB

    2017-07-01

    RESUMEN: Se describe el enfoque de “Cleveland Clinic” para el cáncer colorrectal hereditario. Esto es multidisciplinario, involucrando varias especialidades y así como servicios de asesoramiento genético y de salud mental dentro del registro.

  3. Western dwarf mistletoe infects understory Jeffrey pine seedlings on Cleveland National Forest, California

    Science.gov (United States)

    Robert F. Scharpf; Detlev Vogler

    1986-01-01

    Many young, understory Jeffrey pines (Pinus jeffreyi Grev. & Balf.) were found to be infected by western dwarf mistletoe (Arceuthobium campylopodum Engelm.) on Laguna Mountain, Cleveland National Forest, in southern California. Under heavily infected overstory, about three-fourths of the young pines (about 15 years old on the...

  4. Advantageous GOES IR results for ash mapping at high latitudes: Cleveland eruptions 2001

    Science.gov (United States)

    Gu, Yingxin; Rose, William I.; Schneider, D.J.; Bluth, G.J.S.; Watson, I.M.

    2005-01-01

    The February 2001 eruption of Cleveland Volcano, Alaska allowed for comparisons of volcanic ash detection using two-band thermal infrared (10-12 ??m) remote sensing from MODIS, AVHRR, and GOES 10. Results show that high latitude GOES volcanic cloud sensing the range of about 50 to 65??N is significantly enhanced. For the Cleveland volcanic clouds the MODIS and AVHRR data have zenith angles 6-65 degrees and the GOES has zenith angles that are around 70 degrees. The enhancements are explained by distortion in the satellite view of the cloud's lateral extent because the satellite zenith angles result in a "side-looking" aspect and longer path lengths through the volcanic cloud. The shape of the cloud with respect to the GOES look angle also influences the results. The MODIS and AVHRR data give consistent retrievals of the ash cloud evolution over time and are good corrections for the GOES data. Copyright 2005 by the American Geophysical Union.

  5. Cleveland, Toledo utilities merge to aid N-projects

    International Nuclear Information System (INIS)

    Utroska, D.

    1985-01-01

    A decision by the Cleveland Electric Illuminating Co. and Toledo Edison to merge was spurred by the need to strengthen their access to capital markets in order to complete several nuclear power plants now under construction and to possibly mitigate the impact of large rate increases on Ohio ratepayers. The two utilities will continue as local companies. If they obtain approval from the Securities and Exchange, the Ohio Public Utilities, and the Nuclear Regulatory Commissions for the $8 million affiliation, the new holding company will be among the 20 largest electric utilities in terms of the market value of its common stock. Some industry observers see this as a harbinger of more utility mergers. 1 figure

  6. 75 FR 49528 - Thomson Reuters Legal, Legal Editorial Operations Cleveland Office Including Workers Whose...

    Science.gov (United States)

    2010-08-13

    ... Philippines and India. The amended notice applicable to TA-W-73,370 is hereby issued as follows: ``All workers..., Legal Editorial Operations Cleveland Office Including Workers Whose Unemployment Insurance (UI) Wages... Certification Regarding Eligibility To Apply for Worker Adjustment Assistance In accordance with Section 223 of...

  7. Green Residential Demolitions: Case Study of Vacant Land Reuse in Storm Water Management in Cleveland

    Science.gov (United States)

    The demolition process impacts how vacant land might be reused for storm water management. For five residential demolition sites (Cleveland, Ohio), an enhanced green demolition process was observed in 2012, and soil physical and hydrologic characteristics were measured predemolit...

  8. From Hypothermia to Cephalosomatic Anastomoses: The Legacy of Robert White (1926-2010) at Case Western Reserve University of Cleveland.

    Science.gov (United States)

    Manjila, Sunil; Alambyan, Vilakshan; Singh, Gagandeep; Satish, Priyanka; Geertman, Robert T

    2018-05-01

    Dr. Robert J. White (1926-2010) was an eminent neurosurgeon and bioethicist, renowned for his classic work in hypothermia and pioneering mammalian head transplant experiments. He founded the Division of Neurosurgery at the Cleveland Metropolitan General Hospital (currently MetroHealth Medical Center, a level 1 trauma county hospital) and became the youngest full professor at the Case Western Reserve University in Cleveland, Ohio. With over 500 research articles to his credit, he founded the Brain Research Laboratory at what was then the Cleveland Metropolitan General Hospital, which was also home to future leaders in neurosurgery, neurosciences, and allied specialties. He transferred a healthy monkey head onto a surgically beheaded monkey body under deep hypothermic conditions drawing both laurels and criticisms alike. Despite a largely controversial neurosurgical research career, his original contributions to deep hypothermia have found profound clinical applications in modern trauma and vascular neurosurgery. The new fusogens and myelorrhaphy methods being tried in Europe hold promise for a future of reanastomosing 2 homologous or heterologous tracts in the neuraxis. Copyright © 2018 Elsevier Inc. All rights reserved.

  9. 75 FR 47632 - Thomson Reuters Legal, Legal Editorial Operations, Cleveland Office, Including Workers Whose...

    Science.gov (United States)

    2010-08-06

    ... Philippines and India. The amended notice applicable to TA-W-73,370 is hereby issued as follows: All workers..., Legal Editorial Operations, Cleveland Office, Including Workers Whose Unemployment Insurance (UI) Wages... To Apply for Worker Adjustment Assistance In accordance with Section 223 of the Trade Act of 1974, as...

  10. Passive Sampling to Capture the Spatial Variability of Coarse Particles by Composition in Cleveland, OH

    Science.gov (United States)

    Passive samplers deployed at 25 sites for three week-long intervals were used to characterize spatial variability in the mass and composition of coarse particulate matter (PM10-2.5) in Cleveland, OH in summer 2008. The size and composition of individual particles deter...

  11. Calculating the Weather: Deductive Reasoning and Disciplinary "Telos" in Cleveland Abbe's Rhetorical Transformation of Meteorology

    Science.gov (United States)

    Majdik, Zoltan P.; Platt, Carrie Anne; Meister, Mark

    2011-01-01

    This paper explores the rhetorical basis of a major paradigm change in meteorology, from a focus on inductive observation to deductive, mathematical reasoning. Analysis of Cleveland Abbe's "The Physical Basis of Long-Range Weather Forecasts" demonstrates how in his advocacy for a new paradigm, Abbe navigates the tension between piety to tradition…

  12. 75 FR 14459 - Notice of Intent to Repatriate Cultural Items: Western Reserve Historical Society, Cleveland, OH

    Science.gov (United States)

    2010-03-25

    ... Reserve Historical Society, Cleveland, OH, that meet the definitions of ``sacred objects'' and ``objects... consultation that the objects are considered to be both sacred and objects of cultural patrimony. Officials of... American religious leaders for the practice of traditional Native American religions by their present-day...

  13. Quality of life after ileal pouch-anal anastomosis: an evaluation of diet and other factors using the Cleveland Global Quality of Life instrument.

    LENUS (Irish Health Repository)

    Coffey, J C

    2012-02-03

    PURPOSE: Although functional results after ileal pouch-anal anastomosis are excellent, imperfections of function do occur. In this setting, quality-of-life assessment is an invaluable tool in determining overall therapeutic efficacy. We evaluated the impact of dietary restrictions, preoperative diagnosis (ulcerative colitis vs. familial adenomatous polyposis), and pregnancy (after pouch insertion) on quality of life. METHODS: After ethical approval, 64 patients were reviewed (mean age, 31 (range, 15-54) years). Long-term quality of life in patients after ileal pouch-anal anastomosis was assessed using the Cleveland Global Quality of Life instrument or Fazio score. The Cleveland Global Quality of Life score is a novel quality-of-life instrument specifically designed for patients with ileal pouches. Stool frequency and continence were recorded to establish the functional status of this group. RESULTS: Sixty-one patients (95.3 percent) complained of some form of dietary restriction and adopted a fixed dietary regimen. All such patients felt that a breach of this regimen would impinge significantly on their quality of life. Late eating and alcohol were associated with diarrhea, whereas smoking was not. Constipation was infrequently reported. The mean Cleveland Global Quality of Life score of patients with ulcerative colitis (0.81 +\\/- 0.13) was greater than that of patients with ulcerative colitis and a background of pouchitis (0.78 +\\/- 0.16; P = 0.042). Whereas postoperative stool frequency in patients with familial adenomatous polyposis was always higher than the preoperative level (4 vs. 2 movements per day; P = 0.04), the Cleveland Global Quality of Life score of this group was lower than that of ulcerative colitis patients (0.77 vs. 0.81; P = 0.047). The Cleveland Global Quality of Life score of females who had had pregnancies after pouch formation was 0.70, significantly lower (P = 0.039) than that of ulcerative colitis patients, although pouch function was

  14. Compilation of the FY 1997 Navy General Fund Financial Statements at the Defense Finance and Accounting Service Cleveland Center

    National Research Council Canada - National Science Library

    1998-01-01

    Audit Report on tile Compilation of the FY 1997 Navy General Fund Financial Statements at the Defense Finance and Accounting Service Cleveland Center Our objective was to determine whether the DFAS...

  15. 78 FR 58270 - Cleveland National Forest, California, SDG&E Master Special Use Permit and Permit To Construct...

    Science.gov (United States)

    2013-09-23

    ... DEPARTMENT OF AGRICULTURE Forest Service Cleveland National Forest, California, SDG&E Master... Environmental Impact Statement (EIR/EIS), for the San Diego Gas & Electric Company (SDG&E) Master Special Use... authorize SDG&E to upgrade and/or relocate certain electric powerlines on National Forest System lands...

  16. Cycle Training Using Implanted Neural Prostheses: Team Cleveland.

    Science.gov (United States)

    McDaniel, John; Lombardo, Lisa M; Foglyano, Kevin M; Marasco, Paul D; J Triolo, Ronald

    2017-12-05

    Recently our laboratory team focused on training five individuals with complete spinal cord injuries for an overground FES bike race in the 2016 Cybathlon held in Zurich Switzerland. A unique advantage team Cleveland had over other teams was the use of implanted pulse generators that provide more selective activation of muscles compared to standard surface stimulation. The advancements in muscle strength and endurance and ultimately cycling power our pilots made during this training period helped propel our competing pilot to win gold at the Cybathlon and allowed our pilots to ride their bikes outside within their communities. Such positive outcomes has encouraged us to further explore more widespread use of FES overground cycling as a rehabilitative tool for those with spinal cord injuries. This review will describes our approach to this race including information on the pilots, stimulation strategy, bike details and training program.

  17. Cycle Training Using Implanted Neural Prostheses: Team Cleveland

    Directory of Open Access Journals (Sweden)

    John McDaniel

    2017-12-01

    Full Text Available Recently our laboratory team focused on training five individuals with complete spinal cord injuries for an overground FES bike race in the 2016 Cybathlon held in Zurich Switzerland. A unique advantage team Cleveland had over other teams was the use of implanted pulse generators that provide more selective activation of muscles compared to standard surface stimulation. The advancements in muscle strength and endurance and ultimately cycling power our pilots made during this training period helped propel our competing pilot to win gold at the Cybathlon and allowed our pilots to ride their bikes outside within their communities. Such positive outcomes has encouraged us to further explore more widespread use of FES overground cycling as a rehabilitative tool for those with spinal cord injuries. This review will describes our approach to this race including information on the pilots, stimulation strategy, bike details and training program.

  18. Late Pliensbachian-early Toarcian paleoenvironmental changes in the Cleveland Basin: new clues from high-resolution trace element analysis

    DEFF Research Database (Denmark)

    Thibault, Nicolas Rudolph; Ruhl, Micha; Ullmann, Clemens Vinzenz

    on the behaviour of elements associated with organic matter and the sulphur cycle such as Ni, Cu, Zn and As. Cu is well-correlated to the TOC whereas As shows an enrichment in the interval of black shale deposition after the CIE and two distinct correlation lines with sulphur, one before and during the event...... Europe after the CIE. Detrital elements (Al, Si, Ti, Zr) are used as proxies for sea-level change and match well previous sequence stratigraphic interpretations in the Cleveland Basin. Black shale deposition and anoxia were favored by a major transgression and appear to be paced by 3rd to 4th order sea...... elements across the late Pliensbachian to middle Toarcian of the Cleveland Basin. The Pl/To boundary CIE is associated with low Total Organic Carbon (TOCZn and Ni, which together suggest that water-mass restriction and anoxia occurred...

  19. From IDs to Ice Cream to "I, Claudius": Security Is in the Cards at Cleveland Hill Union Free School District.

    Science.gov (United States)

    Passmore, Cheryl

    2002-01-01

    Describes the use of plastic identity badges with photographs and barcodes issued to all administrators, teachers, staff members, and students in grades 6-12 at the Cleveland Hill Union Free School District in Cheektowaga, New York. (PKP)

  20. Detecting hidden volcanic explosions from Mt. Cleveland Volcano, Alaska with infrasound and ground-couples airwaves

    Science.gov (United States)

    De Angelis, Slivio; Fee, David; Haney, Matthew; Schneider, David

    2012-01-01

    In Alaska, where many active volcanoes exist without ground-based instrumentation, the use of techniques suitable for distant monitoring is pivotal. In this study we report regional-scale seismic and infrasound observations of volcanic activity at Mt. Cleveland between December 2011 and August 2012. During this period, twenty explosions were detected by infrasound sensors as far away as 1827 km from the active vent, and ground-coupled acoustic waves were recorded at seismic stations across the Aleutian Arc. Several events resulting from the explosive disruption of small lava domes within the summit crater were confirmed by analysis of satellite remote sensing data. However, many explosions eluded initial, automated, analyses of satellite data due to poor weather conditions. Infrasound and seismic monitoring provided effective means for detecting these hidden events. We present results from the implementation of automatic infrasound and seismo-acoustic eruption detection algorithms, and review the challenges of real-time volcano monitoring operations in remote regions. We also model acoustic propagation in the Northern Pacific, showing how tropospheric ducting effects allow infrasound to travel long distances across the Aleutian Arc. The successful results of our investigation provide motivation for expanded efforts in infrasound monitoring across the Aleutians and contributes to our knowledge of the number and style of vulcanian eruptions at Mt. Cleveland.

  1. A guide for developing an ADP security plan for Navy Finance Center, Cleveland, Ohio

    OpenAIRE

    Barber, Daniel E.; Hodnett, Elwood Thomas, Jr.

    1982-01-01

    Approved for public release; distribution is unlimited This paper is intended to be used as a guide by personnel at the Navy Finance Center (NFC) Cleveland, Ohio in developing an Automatic Data Processing (ADP) Security Plan. An effort has been made to combine the requirements for an ADP security plan established by OPNAVINST5239.1A with pertinent information from other selected readings. The importance of the devotion of personnel, time and funds to ADP security planning has been emphas...

  2. 75 FR 18451 - Safety and Security Zones; Tall Ships Challenge 2010, Great Lakes; Cleveland, OH; Bay City, MI...

    Science.gov (United States)

    2010-04-12

    ...-AA87 Safety and Security Zones; Tall Ships Challenge 2010, Great Lakes; Cleveland, OH; Bay City, MI.... SUMMARY: The Coast Guard proposes to establish temporary safety and security zones around each Tall Ship visiting the Great Lakes during the Tall Ships Challenge 2010 race series. These safety and security zones...

  3. Changing Subjects: The Gallery at Cleveland House and the Highland Clearances

    Directory of Open Access Journals (Sweden)

    Anne Nellis Richter

    2016-04-01

    Full Text Available In 1812, a porter named William Cantrill published a small volume of etchings dedicated to his employer, the Marchioness of Stafford. Cantrill characterized his reproductions of a select group of small Netherlandish pictures from the art gallery at the Marchioness’s London residence, Cleveland House, as “first attempts from an untutored hand”, calling attention to his status as a servant and untrained artist. In this article, I examine this idiosyncratic volume in light of the reception of small subject pictures in the early nineteenth century, and also within the context of the Marchioness of Stafford’s involvement in the Highland Clearances. At a moment when the Marchioness and her husband were under scrutiny for the heavy-handed tactics used against their Scottish tenants, this book used the category of genre painting to smooth over the gaps between landowner and tenant that the Clearances had made evident.

  4. Perspectives on the use of green infrastructure for stormwater management in Cleveland and Milwaukee.

    Science.gov (United States)

    Keeley, Melissa; Koburger, Althea; Dolowitz, David P; Medearis, Dale; Nickel, Darla; Shuster, William

    2013-06-01

    Green infrastructure is a general term referring to the management of landscapes in ways that generate human and ecosystem benefits. Many municipalities have begun to utilize green infrastructure in efforts to meet stormwater management goals. This study examines challenges to integrating gray and green infrastructure for stormwater management, informed by interviews with practitioners in Cleveland, OH and Milwaukee WI. Green infrastructure in these cities is utilized under conditions of extreme fiscal austerity and its use presents opportunities to connect stormwater management with urban revitalization and economic recovery while planning for the effects of negative- or zero-population growth. In this context, specific challenges in capturing the multiple benefits of green infrastructure exist because the projects required to meet federally mandated stormwater management targets and the needs of urban redevelopment frequently differ in scale and location.

  5. Cleveland Dam East Abutment : seepage control project

    Energy Technology Data Exchange (ETDEWEB)

    Huber, F.; Siu, D. [Greater Vancouver Regional District, Burnaby, BC (Canada); Ahlfield, S.; Singh, N. [Klohn Crippen Consultants Ltd., Vancouver, BC (Canada)

    2004-09-01

    North Vancouver's 91 meter high Cleveland Dam was built in the 1950s in a deep bedrock canyon to provide a reservoir for potable water to 18 municipalities. Flow in the concrete gravity dam is controlled by a gated spillway, 2 mid-level outlets and intakes and 2 low-level outlets. This paper describes the seepage control measures that were taken at the time of construction as well as the additional measures that were taken post construction to control piezometric levels, seepage and piping and slope instability in the East Abutment. At the time of construction, a till blanket was used to cover the upstream reservoir slope for 200 meters upstream of the dam. A single line grout curtain was used through the overburden from ground surface to bedrock for a distance of 166 meters from the dam to the East Abutment. Since construction, the safety of the dam has been compromised through changes in piezometric pressure, seepage and soil loss. Klohn Crippen Consultants designed a unique seepage control measure to address the instability risk. The project involved excavating 300,000 cubic meters of soil to form a stable slope and construction bench. A vertical wall was constructed to block seepage. The existing seepage control blanket was also extended by 260 meters. The social, environmental and technical issues that were encountered during the rehabilitation project are also discussed. The blanket extension construction has met design requirements and the abutment materials that are most susceptible to internal erosion have been covered by non-erodible blanket materials such as plastic and roller-compacted concrete (RCC). The project was completed on schedule and within budget and has greatly improved the long-term stability of the dam and public safety. 2 refs., 8 figs.

  6. Cleveland Clinic Lerner College of Medicine: an innovative approach to medical education and the training of physician investigators.

    Science.gov (United States)

    Fishleder, Andrew J; Henson, Lindsey C; Hull, Alan L

    2007-04-01

    Cleveland Clinic Lerner College of Medicine (CCLCM) is an innovative, five-year medical education track within Case Western Reserve University School of Medicine (Case) with a focused mission to attract and educate a limited number of highly qualified persons who seek to become physician investigators. CCLCM curriculum governance, faculty appointments and promotions, and admissions committees are integrated with respective Case committees. The CCLCM curriculum is based on faculty-defined professional attributes that graduates are expected to develop. These attributes were used to create curricular and assessment principles that guided the development of an integrated basic science, clinical science, and research curriculum, conducted in an active learning environment. An organ-system approach is used to solidify an understanding of basic science discipline threads in the context of relevant clinical problems presented in PBL and case-based discussion formats. Clinical skills are introduced in the first year as part of the two-year longitudinal experience with a family practice or internal medicine physician. The research program provides all students with opportunities to learn and experience basic and translational research and clinical research before selecting a research topic for their 12- to 15-month master-level thesis project. All Case students participate in required and elective clinical curriculum after the second year, but CCLCM students return to the Cleveland Clinic on selected Friday afternoons for program-specific research and professionalism-learning activities. A unique portfolio-based assessment system is used to assess student achievements in nine competency areas, seven of which reflect the Accreditation Council for Graduate Medical Education competencies.

  7. Proceedings of the Special Demonstration Workshop for Integrating Blind Children with Sighted Children into Ongoing Physical Education and Recreation Programs (Cleveland, Ohio, October 9-10, 1969).

    Science.gov (United States)

    Boninger, Walter B., Ed.

    A special education workshop (Cleveland, Ohio, October 9-10, 1969) for integrating blind children with sighted children into ongoing physical education and recreation programs is described. Physical education and blind children from the viewpoint of opthalmology, social and psychological aspects of blindness as they relate to participation in…

  8. Healy Clean Coal Project: Healy coal firing at TRW Cleveland Test Facility

    Energy Technology Data Exchange (ETDEWEB)

    Koyama, T.; Petrill, E.; Sheppard, D.

    1991-08-01

    A test burn of two Alaskan coals was conducted at TRW's Cleveland test facility in support of the Healy Clean Coal Project, as part of Clean Coal Technology III Program in which a new power plant will be constructed using a TRW Coal Combustion System. This system features ash slagging technology combined with NO{sub x} and SO{sub x} control. The tests, funded by the Alaska Industrial Development and Export Authority (AIDEA) and TRW, were conducted to verify that the candidate Healy station coals could be successfully fired in the TRW coal combustor, to provide data required for scale-up to the utility project size requirements, and to produce sufficient flash-calcined material (FCM) for spray dryer tests to be conducted by Joy/NIRO. The tests demonstrated that both coals are viable candidates for the project, provided the data required for scale-up, and produced the FCM material. This report describes the modifications to the test facility which were required for the test burn, the tests run, and the results of the tests.

  9. Human Fitting Studies of Cleveland Clinic Continuous-Flow Total Artificial Heart

    Science.gov (United States)

    Karimov, Jamshid H.; Steffen, Robert J.; Byram, Nicole; Sunagawa, Gengo; Horvath, David; Cruz, Vincent; Golding, Leonard A.R.; Fukamachi, Kiyotaka; Moazami, Nader

    2015-01-01

    Implantation of mechanical circulatory support devices is challenging, especially in patients with a small chest cavity. We evaluated how well the Cleveland Clinic continuous-flow total artificial heart (CFTAH) fit the anatomy of patients about to receive a heart transplant. A mock pump model of the CFTAH was rapid-prototyped using biocompatible materials. The model was brought to the operative table, and the direction, length, and angulation of the inflow/outflow ports and outflow conduits were evaluated after the recipient's ventricles had been resected. Thoracic cavity measurements were based on preoperative computed tomographic data. The CFTAH fit well in all five patients (height, 170 ± 9 cm; weight, 75 ± 24 kg). Body surface area was 1.9 ± 0.3 m2 (range, 1.6-2.1 m2). The required inflow and outflow port orientation of both the left and right housings appeared consistent with the current version of the CFTAH implanted in calves. The left outflow conduit remained straight, but the right outflow direction necessitated a 73 ± 22 degree angulation to prevent potential kinking when crossing over the connected left outflow. These data support the fact that our design achieves the proper anatomical relationship of the CFTAH to a patient's native vessels. PMID:25806613

  10. Education at the Dittrick Museum of Medical History, Case Western Reserve University, Cleveland, Ohio, USA.

    Science.gov (United States)

    Edmonson, James M

    2009-01-01

    The Dittrick Museum of Medical History pursues an educational mission as being part of a major research university. While the Dittrick dates to 1899 as a historical committee of the Cleveland Medical Library Association, it first affiliated with Case Western Reserve University in 1966, and became a department of the College of Arts and Sciences of CWRU in 1998. The Dittrick maintains a museum exhibition gallery that is open to the public free of charge, and museum staff provide guided tours on appointment. Much of the teaching and instruction at the Dittrick is conducted by university professors; their classes meet in the museum and use museum resources in the form of artifacts, images, archives, and rare books. Class projects using Dittrick collections may take the form of research papers, exhibitions, and online presentations. Dittrick staff assist in these classes and are available to help researchers use museum resources.

  11. Childhood lead exposure and uptake in teeth in the Cleveland area during the era of leaded gasoline

    International Nuclear Information System (INIS)

    Robbins, Norman; Zhang, Zhong-Fa; Sun, Jiayang; Ketterer, Michael E.; Lalumandier, James A.; Shulze, Richard A.

    2010-01-01

    Childhood uptake of lead from exposure to atmospheric leaded gasoline in the United States has been studied using mainly blood lead levels. Since reliable blood lead techniques were used only after the peak use of leaded gasoline, the prior exposure history is unclear. The well-documented decline in blood lead levels after the mid-1970s could represent the continuation of a historic steady decline in exposure from many sources. Alternatively, the post-1970s decline might represent the declining phase of a unimodal rise and fall corresponding closely to usage of leaded gasoline. To assess these possibilities, lead concentration and 207Pb/206Pb isotope ratios were measured in the enamel of permanent molar teeth formed between 1936 and 1993 in mainly African-American donors who grew up in the Cleveland area. Tooth enamel preserves the lead concentration and isotope ratio that prevails during tooth formation. Historical trends in enamel lead concentration were significantly correlated with surrogates of atmospheric lead exposure: lead in sediments of two dated Lake Erie cores, and lead consumed in gasoline. About two-thirds of the total lead uptake into enamel in this period was attributable to leaded gasoline, and the remainder to other sources (e.g. paint). Enamel 207Pb/206Pb isotope ratios were similar to those of one lake sediment. Multivariate analysis revealed significant correlation in neighborhoods with higher levels of traffic, and including lake sediment data, accounted for 53% of the variation in enamel lead levels. Enamel lead concentration was highly correlated with reported African-American childhood blood levels. The extrapolated peak level of 48 μg/dL (range 40 to 63) is associated with clinical and behavioral impairments, which may have implications for adults who were children during the peak gasoline lead exposure. In sum, leaded gasoline emission was the predominant source of lead exposure of African-American Cleveland children during the latter

  12. Healy Clean Coal Project: Healy coal firing at TRW Cleveland Test Facility. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Koyama, T.; Petrill, E.; Sheppard, D.

    1991-08-01

    A test burn of two Alaskan coals was conducted at TRW`s Cleveland test facility in support of the Healy Clean Coal Project, as part of Clean Coal Technology III Program in which a new power plant will be constructed using a TRW Coal Combustion System. This system features ash slagging technology combined with NO{sub x} and SO{sub x} control. The tests, funded by the Alaska Industrial Development and Export Authority (AIDEA) and TRW, were conducted to verify that the candidate Healy station coals could be successfully fired in the TRW coal combustor, to provide data required for scale-up to the utility project size requirements, and to produce sufficient flash-calcined material (FCM) for spray dryer tests to be conducted by Joy/NIRO. The tests demonstrated that both coals are viable candidates for the project, provided the data required for scale-up, and produced the FCM material. This report describes the modifications to the test facility which were required for the test burn, the tests run, and the results of the tests.

  13. The portfolio approach to competency-based assessment at the Cleveland Clinic Lerner College of Medicine.

    Science.gov (United States)

    Dannefer, Elaine F; Henson, Lindsey C

    2007-05-01

    Despite the rapid expansion of interest in competency-based assessment, few descriptions of assessment systems specifically designed for a competency-based curriculum have been reported. The purpose of this article is to describe the design of a portfolio approach to a comprehensive, competency-based assessment system that is fully integrated with the curriculum to foster an educational environment focused on learning. The educational design goal of the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University was to create an integrated educational program-curriculum and instructional methods, student assessment processes, and learning environment-to prepare medical students for success in careers as physician investigators. The first class in the five-year program matriculated in 2004. To graduate, a student must demonstrate mastery of nine competencies: research, medical knowledge, communication, professionalism, clinical skills, clinical reasoning, health care systems, personal development, and reflective practice. The portfolio provides a tool for collecting and managing multiple types of assessment evidence from multiple contexts and sources within the curriculum to document competence and promote reflective practice skills. This article describes how the portfolio was developed to provide both formative and summative assessment of student achievement in relation to the program's nine competencies.

  14. Intensity-modulated radiotherapy for pituitary adenomas: The preliminary report of Cleveland Clinic experience

    International Nuclear Information System (INIS)

    Mackley, Heath B.; Reddy, Chandana A. M.S.; Lee, S.-Y.; Harnisch, Gayle A.; Mayberg, Marc R.; Hamrahian, Amir H.; Suh, John H.

    2007-01-01

    Purpose: Intensity-modulated radiotherapy (IMRT) is being increasingly used for the treatment of pituitary adenomas. However, there have been few published data on the short- and long-term outcomes of this treatment. This is the initial report of Cleveland Clinic's experience. Methods and Materials: Between February 1998 and December 2003, 34 patients with pituitary adenomas were treated with IMRT. A retrospective chart review was conducted for data analysis. Results: With a median follow-up of 42.5 months, the treatment has proven to be well tolerated, with performance status remaining stable in 90% of patients. Radiographic local control was 89%, and among patients with secretory tumors, 100% had a biochemical response. Only 1 patient required salvage surgery for progressive disease, giving a clinical progression free survival of 97%. The only patient who received more than 46 Gy experienced optic neuropathy 8 months after radiation. Smaller tumor volume significantly correlated with subjective improvements in nonvisual neurologic complaints (p = 0.03), and larger tumor volume significantly correlated with subjective worsening of visual symptoms (p = 0.05). New hormonal supplementation was required for 40% of patients. Younger patients were significantly more likely to require hormonal supplementation (p 0.03). Conclusions: Intensity-modulated radiation therapy is a safe and effective treatment for pituitary adenomas over the short term. Longer follow-up is necessary to determine if IMRT confers any advantage with respect to either tumor control or toxicity over conventional radiation modalities

  15. New data towards the development of a comprehensive taphonomic framework for the Late Jurassic Cleveland-Lloyd Dinosaur Quarry, Central Utah

    Directory of Open Access Journals (Sweden)

    Joseph E. Peterson

    2017-06-01

    Full Text Available The Cleveland-Lloyd Dinosaur Quarry (CLDQ is the densest deposit of Jurassic theropod dinosaurs discovered to date. Unlike typical Jurassic bone deposits, it is dominated by the presence of Allosaurus fragilis. Since excavation began in the 1920s, numerous hypotheses have been put forward to explain the taphonomy of CLDQ, including a predator trap, a drought assemblage, and a poison spring. In an effort to reconcile the various interpretations of the quarry and reach a consensus on the depositional history of CLDQ, new data is required to develop a robust taphonomic framework congruent with all available data. Here we present two new data sets that aid in the development of such a robust taphonomic framework for CLDQ. First, x-ray fluorescence of CLDQ sediments indicate elevated barite and sulfide minerals relative to other sediments from the Morrison Formation in the region, suggesting an ephemeral environment dominated by periods of hypereutrophic conditions during bone accumulation. Second, the degree of abrasion and hydraulic equivalency of small bone fragments dispersed throughout the matrix were analyzed from CLDQ. Results of these analyses suggest that bone fragments are autochthonous or parautochthonous and are derived from bones deposited in the assemblage rather than transported. The variability in abrasion exhibited by the fragments is most parsimoniously explained by local periodic re-working and re-deposition during seasonal fluctuations throughout the duration of the quarry assemblage. Collectively, these data support previous interpretations that the CLDQ represents an attritional assemblage in a poorly-drained overbank deposit where vertebrate remains were introduced post-mortem to an ephemeral pond during flood conditions. Furthermore, while the elevated heavy metals detected at the Cleveland-Lloyd Dinosaur Quarry are not likely the primary driver for the accumulation of carcasses, they are likely the result of multiple sources

  16. Safety evaluation report: related to the operation of Perry Nuclear Power Plant, Units 1 and 2, Docket Nos. 50-440 and 50-441, Cleveland Electric Illuminating Company

    International Nuclear Information System (INIS)

    1982-08-01

    Supplement No. 1 to the Safety Evaluation Report on the application filed by the Cleveland Electric Illuminating Company on behalf of itself and as agent for the Duquesne Light Company, the Ohio Edison Company, the Pennsylvania Power Company, and the Toledo Edison Company (the Central Area Power Coordination Group, CAPCO), as applicants and owners, for a license to operate the Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 441). The facility is located near Lake Erie in Lake County, Ohio. This supplement has been prepared by the Office of Nuclear Reactor Regulation of the US Nuclear Regulatory Commission and reports the status of certain items that had not been resolved at the time of publication of the Safety Evaluation Report

  17. Developing leadership competencies among medical trainees: five-year experience at the Cleveland Clinic with a chief residents' training course.

    Science.gov (United States)

    Farver, Carol F; Smalling, Susan; Stoller, James K

    2016-10-01

    Challenges in healthcare demand great leadership. In response, leadership training programs have been developed within academic medical centers, business schools, and healthcare organizations; however, we are unaware of any well-developed programs for physicians-in-training. To address this gap, we developed a two-day leadership development course for chief residents (CRs) at the Cleveland Clinic, framed around the concept of emotional intelligence. This paper describes our five-year experience with the CRs leadership program. Since inception, 105 CRs took the course; 81 (77%) completed before-and-after evaluations. Participants indicated that they had relatively little prior knowledge of the concepts that were presented and that the workshop greatly enhanced their familiarity with leadership competencies. Qualitative analysis of open-ended responses indicated that attendees valued the training, especially in conflict resolution and teamwork, and indicated specific action plans for applying these skills. Furthermore, the workshop spurred some participants to express plans to learn more about leadership competencies. This study extends prior experience in offering an emotional intelligence-based leadership workshop for CRs. Though the program is novel, further research is needed to more fully understand the impact of leadership training for CRs and for the institutions and patients they serve. © The Royal Australian and New Zealand College of Psychiatrists 2016.

  18. Cleveland Clinic intelligent mouthguard: a new technology to accurately measure head impact in athletes and soldiers

    Science.gov (United States)

    Bartsch, Adam; Samorezov, Sergey

    2013-05-01

    Nearly 2 million Traumatic Brain Injuries (TBI) occur in the U.S. each year, with societal costs approaching $60 billion. Including mild TBI and concussion, TBI's are prevalent in soldiers returning from Iraq and Afghanistan as well as in domestic athletes. Long-term risks of single and cumulative head impact dosage may present in the form of post traumatic stress disorder (PTSD), depression, suicide, Chronic Traumatic Encephalopathy (CTE), dementia, Alzheimer's and Parkinson's diseases. Quantifying head impact dosage and understanding associated risk factors for the development of long-term sequelae is critical toward developing guidelines for TBI exposure and post-exposure management. The current knowledge gap between head impact exposure and clinical outcomes limits the understanding of underlying TBI mechanisms, including effective treatment protocols and prevention methods for soldiers and athletes. In order to begin addressing this knowledge gap, Cleveland Clinic is developing the "Intelligent Mouthguard" head impact dosimeter. Current testing indicates the Intelligent Mouthguard can quantify linear acceleration with 3% error and angular acceleration with 17% error during impacts ranging from 10g to 174g and 850rad/s2 to 10000rad/s2, respectively. Correlation was high (R2 > 0.99, R2 = 0.98, respectively). Near-term development will be geared towards quantifying head impact dosages in vitro, longitudinally in athletes and to test new sensors for possible improved accuracy and reduced bias. Long-term, the IMG may be useful to soldiers to be paired with neurocognitive clinical data quantifying resultant TBI functional deficits.

  19. Cleveland Clinic's summer research program in reproductive medicine: an inside look at the class of 2014.

    Science.gov (United States)

    Durairajanayagam, Damayanthi; Kashou, Anthony H; Tatagari, Sindhuja; Vitale, Joseph; Cirenza, Caroline; Agarwal, Ashok

    2015-01-01

    The American Center for Reproductive Medicine's summer internship course in reproductive medicine and research at Cleveland Clinic is a rigorous, results-oriented annual program that began in 2008 to train both local and international students in the fundamentals of scientific research and writing. The foremost goal of the program is to encourage premedical and medical students to aspire toward a career as a physician-scientist. The internship provides participants with an opportunity to engage in original bench research and scientific writing while developing theoretical knowledge and soft skills. This study describes selected survey responses from interns who participated in the 2014 internship program. The objective of these surveys was to elicit the interns' perspective on the internship program, its strengths and weaknesses, and to obtain insight into potential areas for improvement. Questionnaires were structured around the five fundamental aspects of the program: 1) theoretical knowledge, 2) bench research, 3) scientific writing, 4) mentorship, and 5) soft skills. In addition, an exit survey gathered information on factors that attracted the interns to the program, communication with mentors, and overall impression of the research program. The opportunity to experience hands-on bench research and scientific writing, personalized mentorship, and the reputation of the institution were appreciated and ranked highly among the interns. Nearly 90% of the interns responded that the program was beneficial and well worth the time and effort invested by both interns and faculty. The outcomes portrayed in this study will be useful in the implementation of new programs or refinement of existing medical research training programs.

  20. Field data collection, analysis, and adaptive management of green infrastructure in the urban water cycle in Cleveland and Columbus, OH

    Science.gov (United States)

    Darner, R.; Shuster, W.

    2016-12-01

    Expansion of the urban environment can alter the landscape and creates challenges for how cities deal with energy and water. Large volumes of stormwater in areas that have combined septic and stormwater systems present on challenge. Managing the water as near to the source as possible by creates an environment that allows more infiltration and evapotranspiration. Stormwater control measures (SCM) associated with this type of development, often called green infrastructure, include rain gardens, pervious or porous pavements, bioswales, green or blue roofs, and others. In this presentation, we examine the hydrology of green infrastructure in urban sewersheds in Cleveland and Columbus, OH. We present the need for data throughout the water cycle and challenges to collecting field data at a small scale (single rain garden instrumented to measure inflows, outflow, weather, soil moisture, and groundwater levels) and at a macro scale (a project including low-cost rain gardens, highly engineered rain gardens, groundwater wells, weather stations, soil moisture, and combined sewer flow monitoring). Results will include quantifying the effectiveness of SCMs in intercepting stormwater for different precipitation event sizes. Small scale deployment analysis will demonstrate the role of active adaptive management in the ongoing optimization over multiple years of data collection.

  1. Cleveland Clinic's summer research program in reproductive medicine: an inside look at the class of 2014

    Directory of Open Access Journals (Sweden)

    Damayanthi Durairajanayagam

    2015-11-01

    Full Text Available Background: The American Center for Reproductive Medicine's summer internship course in reproductive medicine and research at Cleveland Clinic is a rigorous, results-oriented annual program that began in 2008 to train both local and international students in the fundamentals of scientific research and writing. The foremost goal of the program is to encourage premedical and medical students to aspire toward a career as a physician–scientist. The internship provides participants with an opportunity to engage in original bench research and scientific writing while developing theoretical knowledge and soft skills. This study describes selected survey responses from interns who participated in the 2014 internship program. The objective of these surveys was to elicit the interns' perspective on the internship program, its strengths and weaknesses, and to obtain insight into potential areas for improvement. Methods: Questionnaires were structured around the five fundamental aspects of the program: 1 theoretical knowledge, 2 bench research, 3 scientific writing, 4 mentorship, and 5 soft skills. In addition, an exit survey gathered information on factors that attracted the interns to the program, communication with mentors, and overall impression of the research program. Results: The opportunity to experience hands-on bench research and scientific writing, personalized mentorship, and the reputation of the institution were appreciated and ranked highly among the interns. Nearly 90% of the interns responded that the program was beneficial and well worth the time and effort invested by both interns and faculty. Conclusion: The outcomes portrayed in this study will be useful in the implementation of new programs or refinement of existing medical research training programs.

  2. Final Environmental Statement related to the operation of Perry Nuclear Power Plant, Units 1 and 2 Docket Nos. 50-440 and 50-441, Cleveland Electric Illuminating Company

    International Nuclear Information System (INIS)

    1982-08-01

    The information in this Final Environmental Statement is the second assessment of the environmental impact associated with the construction and operation of the Perry Nuclear Power Plant, Units 1 and 2, located on Lake Erie in Lake County, about 11 km (7 mi) northeast of Painesville, Ohio. The first assessment was the Final Environmental Statement related to the construction of the plant issued in April 1974, prior to issuance of the construction permits (CPRR-148 and CPPR-149). Plant construction for Unit 1 is currently about 83% complete, and Unit 2 about 43% complete. Fuel loading for Units 1 and 2 currently estimated by the licensee (Cleveland Electric Illuminating Company) for November 1983, with Unit 2 fuel load scheduled for May 1987. The present assessment is the result of the NRC staff review of the activities associated with the proposed operation of the plant

  3. Concentrations of trace elements and compounds in the airborne suspended particulate matter in Cleveland, Ohio, from August 1971 to August 1972 and their dependence on wind direction: Complete data listing and concentration roses

    Science.gov (United States)

    King, R. B.; Neustadter, H. E.

    1976-01-01

    Concentrations of 75 chemical constituents in the airborne particulate matter were measured in Cleveland, Ohio during 1971 and 1972. Daily values, maxima, geometric means and their standard deviations covering a 1-year period (45 to 50 sampling days) at each of 16 sites are presented on microfiche for 60 elements, and for a lesser number of days for 10 polycyclic aromatic hydrocarbon compounds (PAH), the aliphatic hydrocarbon compounds (AH) as a group and carbon. In addition, concentration roses showing directional properties are presented for 39 elements, 10 PAH and the AH as a group. The elements (except carbon) are shown both in terms of concentration and percentage of the suspended particulate matter.

  4. Feasibility Study of Economics and Performance of Solar Photovoltaics at the Kolthoff Landfill in Cleveland, Ohio. A Study Prepared in Partnership with the Environmental Protection Agency for the RE-Powering America's Land Initiative: Siting Renewable Energy on Potentially Contaminated Land and Mine Sites

    Energy Technology Data Exchange (ETDEWEB)

    Salasovich, J.; Geiger, J.; Mosey, G.; Healey, V.

    2013-06-01

    The U.S. Environmental Protection Agency (EPA), Region 5, in accordance with the RE-Powering America's Land initiative, selected the Kolthoff Landfill site in Cleveland, Ohio, for a feasibility study of renewable energy production. The National Renewable Energy Laboratory (NREL) provided technical assistance for this project. The purpose of this report is to assess the site for a possible photovoltaic (PV) system installation and estimate the cost, performance, and site impacts of different PV options. In addition, the report recommends financing options that could assist in the implementation of a PV system at the site.

  5. Formerly utilized MED/AEC sites remedial action program. Radiological survey of the former Horizons, Inc., metal handling facility, Cleveland, Ohio. Final report

    International Nuclear Information System (INIS)

    Leggett, R.W.; Cottrell, W.D.; Shinpaugh, W.H.; Doane, R.W.; Haywood, F.F.; Johnson, W.M.

    1979-02-01

    The results of a radiological survey of the former Horizons, Inc., metal handling facility in Cleveland, Ohio, are presented in this report. During the 1940's and early 1950's, two of the three buildings on this site (Buildings B and C) were used for the production of granular thorium metal. The survey included measurements related to the following: fixed and transferable alpha and beta-gamma contamination levels on the surfaces in Buildings B and C and on the roofs of these buildings; external gamma radiation levels at 1 m above the floors and grounds on and near the property; radionuclide concentrations in soil, water, and other materials collected from surfaces and drains inside Buildings B and C, from beneath the floor in Building C, and from outdoor locations on and near the site; and thoron ( 220 Rn) daughter concentrations in the air in Buildings B and C. Elevated concentrations of 232 Th, 228 Ra, 228 Th, and 230 Th were found in some samples. Alpha and beta-gamma contamination levels exceeded applicable guideline limits in some areas of Buildings B and C. External gamma radiation levels, approximately 10 times the average background level, were measured at isolated points in and near Building B. Thorium B ( 212 Pb) concentrations in air in Building B were near the Radioactivity Concentration Guide (RCG) level. Most of the elevated radiation levels were found indoors in areas presently used for storage. Outdoors on and near the site, significant radiation levels were found only near the east wall of Building B

  6. Escherichia coli Concentrations in the Mill Creek Watershed, Cleveland, Ohio, 2001-2004

    Science.gov (United States)

    Brady, Amie M.G.

    2007-01-01

    Mill Creek in Cleveland, Ohio, receives discharges from combined-sewer overflows (CSOs) and other sanitary-sewage inputs. These discharges affect the water quality of the creek and that of its receiving stream, the Cuyahoga River. In an effort to mitigate this problem, the Northeast Ohio Regional Sewer District implemented a project to eliminate or control (by reducing the number of overflows) all of the CSOs in the Mill Creek watershed. This study focused on monitoring the microbiological water quality of the creek before and during sewage-collection system modifications. Routine samples were collected semimonthly from August 2001 through September 2004 at a site near a U.S. Geological Survey stream gage near the mouth of Mill Creek. In addition, event samples were collected September 19 and 22, 2003, when rainfall accumulations were 0.5 inches (in.) or greater. Concentrations of Escherichia coli (E. coli) were determined and instantaneous discharges were calculated. Streamflow and water-quality characteristics were measured at the time of sampling, and precipitation data measured at a nearby precipitation gage were obtained from the National Oceanic and Atmospheric Administration. Concentrations of E. coli were greater than Ohio's single-sample maximum for primary-contact recreation (298 colony-forming units per 100 milliliters (CFU/100 mL)) in 84 percent of the routine samples collected. In all but one routine sample E. coli concentrations in samples collected when instantaneous streamflows were greater than 20 cubic feet per second (ft3/s) were greater than Ohio's single-sample maximum. When precipitation occurred in the 24-hour period before routine sample collection, concentrations were greater than the maximum in 89 percent of the samples as compared to 73 percent when rainfall was absent during the 24 hours prior to routine sample collection. Before modifications to the sewage-collection system in the watershed began, E. coli concentrations in Mill Creek

  7. Profile of teriparatide in the management of postmenopausal osteoporosis

    Directory of Open Access Journals (Sweden)

    Andrea Sikon

    2010-03-01

    Full Text Available Andrea Sikon1, Pelin Batur21Cleveland Clinic Lerner COM, Cleveland Clinic, Cleveland, OH, USA; 2Cleveland Clinic Lerner COM, Cleveland Clinic Independence, Independence, OH, USAAbstract: One out of every 2 women within postmenopause are at risk of fracture due to osteoporosis. Fortunately, a growing arsenal of therapies is becoming available to treat this disease and prevent fracture. A new class of anabolic agents has emerged within the last decade that brought with it a new concept in osteoporosis therapy: building new stronger bone rather than simply inhibiting bone turnover. Evidence is accumulating to understand how to best utilize these new agents, and which patients benefit most. This article will review the effectiveness, risks, timing and clinical uses of teriparatide in postmenopausal osteoporosis.Keywords: osteoporosis, menopause, teriparatide

  8. Tendinopathy of the long head of the biceps tendon: histopathologic analysis of the extra-articular biceps tendon and tenosynovium

    OpenAIRE

    Shishani, Yousef; Streit,Jonathan; Rodgers,Mark; Gobezie,Reuben

    2015-01-01

    Jonathan J Streit,1 Yousef Shishani,1 Mark Rodgers,2 Reuben Gobezie1 1The Cleveland Shoulder Institute, 2Department of Pathology, University Hospitals of Cleveland, Cleveland, OH, USA Background: Bicipital tendinitis is a common cause of anterior shoulder pain, but there is no evidence that acute inflammation of the extra-articular long head of the biceps (LHB) tendon is the root cause of this condition. We evaluated the histologic findings of the extra-articular portion of the LHB tendon an...

  9. Investigation of the I-40 Jet-Propulsion Engine in the Cleveland Altitude Wind Tunnel. V - Operational Characteristics. 5; Operational Characteristics

    Science.gov (United States)

    Golladay, Richard L.; Gendler, Stanley L.

    1947-01-01

    An investigation has been conducted in the Cleveland altitude wind tunnel to determine the operational characteristics of the I-40 jet-propulsion engine over a range of pressure altitudes from 10,000 to 50,000 feet and ram-pressure ratios from 1.00 to 1.76. Engine operational data were obtained with the engine in the standard configuration and with various modifications of the fuel system, the electrical system, and the combustion chambers. The effects of altitude and airspeed on operating speed range, starting, windmilli.ng, acceleration, speed regulation, cooling, and vibration of the standard and modified engines were determined, and damage to parts was noted. Maximum engine speed was obtainable at all altitudes and airspeeds wi th each fuel-control system investigated. The minimum idling speed was raised by increases in altitude and airspeed. The lowest minimum stable speeds were obtained with the standard configuration using 40-gallon nozzles with individual metering plugs. The engine was started normally at altitudes as high as 20,000 feet with all of the fuel systems and ignition combinations except one. Ignition at 70,000 feet was difficult and, although successful ignition occurred, acceleration was slow and usually characterized by excessive tail-pipe temperature. During windmilling investigations of the engine equipped with the standard fuel system, the engine could not be started at ram-pressure ratios of 1.1 to 1.7 at altitudes of 10,000, 20,000 and 30,000 feet. When equipped with the production barometric and Monarch 40-gallon nozzles, the engine accelerated in 12 seconds from an engine speed of 6000 rpm to 11,000 rpm at 20,000 feet and an average tail-pipe temperature of 11000 F. At the same altitude and temperature, all the engine configurations had approximately the same rate of acceleration. The Woodward governor produced the safest accelerations, inasmuch as it could be adjusted to automatically prevent acceleration blow out. The engine speed was

  10. Pediatric Palliative Care: A Personal Story

    Medline Plus

    Full Text Available ... views 11:08 Mia Tatun - Albany Medical Center Children's Hospital - Journeys Palliative Care Story - Duration: 3:32. ... 4:01 Mitochondrial Disease Patient Story - Cleveland Clinic Children's Hospital - Duration: 4:17. Cleveland Clinic 82,065 ...

  11. Slovene poetry in the U.S.A.: the case of Ivan Zorman

    Directory of Open Access Journals (Sweden)

    Igor Maver

    1999-12-01

    Full Text Available Ivan Zorman was both a musician and a poet, born in 1889 in Šmarje near Grosuplje and died in 1957 in Cleveland (Ohio. In 1893 his family emigrated to the United States of America, first to Ely, Calumet, Cleveland and then to some other American towns. After a brief return to Slovenia in 1898/9, where Zorman attended elementary school in Velesovo near Kranj, they finally settled down in 1904 in Cleveland. In 1907 Zorman took up the study of modern languages (English, French and Italian, history and music at Western Reserve University and graduated only in music in 1912. For a number of years, during 1908 and 1956, he was chief organist and choir leader (like his father at the parish church of Sv. Lovrenc in Newburgh near Cleveland. During 1920 and 1925 he was professional director of the "Zorman Philharmonic". Not only was he known as a musician, he was very much present in the public life of the Slovene community living in Cleveland, as the enthusiastic teacher of Slovene literature in the Slovene school of the "Slovenski narodni dom", as a poet, translator and public speaker.

  12. Starting a Health Professions Education Graduate Program

    Science.gov (United States)

    Hansman, Catherine A.

    2018-01-01

    This chapter is a case story of the evolution of the Master of Education in Health Professions Education (MEHPE), a collaborative graduate program developed by the Adult Learning and Development program at Cleveland State University and the Cleveland Clinic.

  13. Effects of Source-Apportioned Coarse Particulate Matter (PM) on Allergic Responses in Mice

    Science.gov (United States)

    The Cleveland Multiple Air Pollutant Study (CMAPS) is one of the first comprehensive studies conducted to evaluate particulate matter (PM) over local and regional scales. Cleveland and the nearby Ohio River Valley impart significant regional sources of air pollution including coa...

  14. 78 FR 25293 - Notice of Intent To Change HUD-Wide the Operating Model of the Office of Multifamily Housing

    Science.gov (United States)

    2013-04-30

    ..., Indianapolis IN, Minneapolis MN, Cleveland OH, Milwaukee WI, Little Rock AK, New Orleans LA, Albuquerque NM... workforce. Important progress has been made to date, including improving productivity, reducing loan cycle..., Cleveland OH, Milwaukee WI, Little Rock AK, New Orleans LA, Albuquerque NM, Oklahoma City OK, Houston TX...

  15. 78 FR 51170 - Proposed Collection; Comment Request

    Science.gov (United States)

    2013-08-20

    ... DEPARTMENT OF DEFENSE Office of the Secretary [Docket ID: DoD-2013-OS-0176] Proposed Collection; Comment Request AGENCY: Defense Finance and Accounting Service (DFAS), DoD. ACTION: Notice. In compliance..., please write to the Defense Finance and Accounting Services-Cleveland, 1240 East 9th Street, Cleveland...

  16. 78 FR 43182 - Proposed Collection; Comment Request

    Science.gov (United States)

    2013-07-19

    ... DEPARTMENT OF DEFENSE Office of the Secretary [Docket ID: DoD-2013-OS-0162] Proposed Collection; Comment Request AGENCY: Defense Finance and Accounting Service (DFAS), DoD. ACTION: Notice. In compliance... to the Defense Finance and Accounting Services-Cleveland, 1240 East 9th Street, Cleveland, OH 44199...

  17. The Mobi-C cervical disc for one-level and two-level cervical disc replacement: a review of the literature

    Directory of Open Access Journals (Sweden)

    Alvin MD

    2014-11-01

    Full Text Available Matthew D Alvin,1,2 Thomas E Mroz1,3,41Cleveland Clinic Center for Spine Health, Cleveland Clinic, Cleveland, OH, USA; 2Case Western Reserve University School of Medicine, Cleveland, OH, USA; 3Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA; 4Department of Neurological Surgery, Cleveland Clinic, Cleveland, OH, USABackground: Cervical disc arthroplasty (CDA is a novel motion-preserving procedure that is an alternative to fusion. The Mobi-C disc prosthesis, one of many Food and Drug Administration (FDA-approved devices for CDA, is the only FDA-approved prosthesis for two-level CDA. Hence, it may allow for improved outcomes compared with multilevel fusion procedures.Purpose: To critically assess the available literature on CDA with the Mobi-C prosthesis, with a focus on two-level CDA.Methods: All clinical articles involving the Mobi-C disc prosthesis for CDA through September 1, 2014 were identified on Medline. Any paper that presented Mobi-C CDA clinical results was included. Study design, sample size, length of follow-up, use of statistical analysis, quality of life outcome scores, conflict of interest, and complications were recorded.Results: Fifteen studies were included that investigated Mobi-C CDA, only one of which was a level Ib randomized control trial. All studies included showed non-inferiority of one-level Mobi-C CDA to one-level anterior cervical discectomy and fusion (ACDF. Only one study analyzed outcomes of one-level versus two-level Mobi-C CDA, and only one study analyzed two-level Mobi-C CDA versus two-level ACDF. In comparison with other cervical disc prostheses, the Mobi-C prosthesis is associated with higher rates of heterotopic ossification (HO. Studies with conflicts of interest reported lower rates of HO. Adjacent segment degeneration or disease, along with other complications, were not assessed in most studies.Conclusion: One-level Mobi-C CDA is non-inferior, but not superior, to one-level ACDF for patients

  18. 32 CFR 113.6 - Procedures.

    Science.gov (United States)

    2010-07-01

    ... submit with its request a true copy of the terms of the debt (English translation) and shall certify that...) Defense Finance and Accounting Service, Cleveland Center, Code L, P.O. Box 998002, Cleveland, OH 44199... member, the commander at the level designated by the Service concerned shall consider the definition of...

  19. 75 FR 53013 - Culturally Significant Objects Imported for Exhibition Determinations: “Treasures of Heaven...

    Science.gov (United States)

    2010-08-30

    ..., Relics, and Devotion in Medieval Europe,'' imported from abroad for temporary exhibition within the... objects at The Cleveland Museum of Art, Cleveland, OH, from on or about October 17, 2010, until on or about January 17, 2011; The Walters Art Museum, Baltimore, MD, from on or about February 13, 2011, until...

  20. A marketing matrix for health care organizations.

    Science.gov (United States)

    Weaver, F J; Gombeski, W R; Fay, G W; Eversman, J J; Cowan-Gascoigne, C

    1986-06-01

    Irrespective of the formal marketing structure successful marketing for health care organizations requires the input on many people. Detailed here is the Marketing Matrix used at the Cleveland Clinic Foundation in Cleveland, Ohio. This Matrix is both a philosophy and a tool for clarifying and focusing the organization's marketing activities.

  1. 78 FR 22362 - Culturally Significant Objects Imported for Exhibition Determinations: “40 Part Motet”

    Science.gov (United States)

    2013-04-15

    ...,'' imported from abroad for temporary exhibition within the United States, are of cultural significance. The... that the exhibition or display of the exhibit objects at The Cleveland Museum of Art, Cleveland, OH, from on or about May 4, 2013, until on or about June 9, 2013; The Metropolitan Museum of Art, New York...

  2. 77 FR 42790 - Culturally Significant Objects Imported for Exhibition Determinations: “The Last Days of Pompeii...

    Science.gov (United States)

    2012-07-20

    ..., Apocalypse, Resurrection,'' imported from abroad for temporary exhibition within the United States, are of... Museum, Malibu, California, from on or about September 12, 2012, until on or about January 7, 2013, the Cleveland Museum of Art, Cleveland, Ohio, from on or about February 24, 2013, until on or about May 19, 2013...

  3. 77 FR 54647 - Culturally Significant Objects Imported for Exhibition Determinations: “Sicily: Art and Invention...

    Science.gov (United States)

    2012-09-05

    ... exhibition ``Sicily: Art and Invention Between Greece and Rome,'' imported from abroad for temporary... exhibit objects at The J. Paul Getty Museum in Los Angeles, California from on or about April 3, 2013, until on or about August 19, 2013; and then at the Cleveland Museum of Art in Cleveland, Ohio from...

  4. 29 CFR 1610.4 - Public reference facilities and current index.

    Science.gov (United States)

    2010-07-01

    ... after November 1, 1996 may also be accessed through the Internet at EEOC's World Wide Web site at http... by 5 U.S.C. 552(a)(2). The Commission in its discretion may, however, include precedential materials.... Cleveland Field Office (Philadelphia District), 1240 E. 9th Street, Suite 3001, Cleveland, OH 44199. Dallas...

  5. Logo and Equity: A Natural Partnership.

    Science.gov (United States)

    Yoder, Sharon Burrowes; And Others

    In the fall of 1987, Cleveland State University in conjunction with Cleveland area schools and Logo Computer Systems, Inc., embarked on a series of workshops designed to train teachers in group learning techniques and Logo programming for use in computer training for junior high school girls or minorities. The first serious exposure to computing…

  6. Using business intelligence to improve performance.

    Science.gov (United States)

    Wadsworth, Tom; Graves, Brian; Glass, Steve; Harrison, A Marc; Donovan, Chris; Proctor, Andrew

    2009-10-01

    Cleveland Clinic's enterprise performance management program offers proof that comparisons of actual performance against strategic objectives can enable healthcare organization to achieve rapid organizational change. Here are four lessons Cleveland Clinic learned from this initiative: Align performance metrics with strategic initiatives. Structure dashboards for the CEO. Link performance to annual reviews. Customize dashboard views to the specific user.

  7. The artificial organ museum in Cleveland (1979-1999) moved to Houston, Texas, and named in 2002 as the ICMT Museum for Artificial Organs.

    Science.gov (United States)

    Nosé, Yukihiko

    2003-09-01

    The artificial organ museum established in Cleveland, Ohio, in 1979 organized by the International Center for Artificial Organs and Transplantation (ICAOT), was moved to Houston, Texas, in 1999. The museum with expanded and renewed artificial organ exhibits was officially opened on the 8th and 9th of November, 2002, at the Cullen Pavilion of the original Memorial Hermann Hospital. This building is the oldest in the Texas Medical Center, which was built in 1922. The ICMT (International Center for Medical Technologies) Museum for Artificial Organs (Museum) was completed after phase I, II, and III expansions of the exhibit booths, which were made over the last two years. Approximately 250 historically important and currently widely used artificial organs are exhibited in the Museum. The official opening of the Museum was coordinated with the "Symposium on Artificial Organs: Past, Present, and Future" during two days in November. There were approximately 225 participants at these events, and approximately 40 pioneers and clinical experts in the development and practice of various types of artificial organs contributed. During these programs, a proposal to maintain human resources in addition to artificial organ hardware and software was made in addition to the Museum. This new organization would be called the International Academy of Artificial Organ Pioneers (Academy). All contributors to the symposium were invited to be members of the Academy. The attendants of the symposium accepted this proposal unanimously. An additional 40 individuals, who were recognized as contributors to artificial organ technologies, were later added to the original Academy members. Later, the effective utilization of the Museum and Academy was encompassed in the International Faculty for Health and Medical Technologies (Faculty), a new addition to the activities of the ICMT. Dr. Michael DeBakey was elected as Dean of the Faculty. This is considered a "university without walls," a "university

  8. Changing patterns of inpatient respiratory care services over a decade at the Cleveland Clinic: challenges posed and proposed responses.

    Science.gov (United States)

    Orens, Douglas K; Kester, Lucy; Konrad, Dale J; Stoller, James K

    2005-08-01

    Changing characteristics of hospitalized patients over the last decade have created challenges for all health-care providers in delivering optimal care. In the specific case of respiratory care, trends that hospitalized patients have generally become sicker over time and that average lengths of stay have generally become shorter have posed the challenge of meeting demands for more services delivered with greater immediacy. We undertook the current analysis to assess how the delivery of respiratory care services at a tertiary-care academic medical center, the Cleveland Clinic Foundation Hospital, has evolved over the decade 1991 to 2001. In this observational study, we examined concurrent departmental trends and speculated that the capability to increase clinical activity with maintained or improved clinical outcomes, preserved costs, and a lower turnover rate among respiratory therapists reflects features of the professional environment within our Section of Respiratory Therapy. This analysis compares patterns of respiratory care service delivery in two 5-year intervals: from 1991 to 1996 and from 1996 to 2001. Data were collected using a respiratory care information-management system and an inpatient hospital information system, which track the volume and actual cost of services provided. These analyses accounted for the actual time-based cost of the services, including labor (with benefits), necessary equipment and supplies, medications, and equipment maintenance and depreciation. Hospital case-mix index values were determined according to guidelines from the Centers for Medicare and Medicaid Services, as the weighted average of resource allocation scores assigned to diagnosis-related-group categories of hospitalized patients. From 1991 to 2001, there were important expansions in the scope of respiratory care practice by our Section of Respiratory Care, while the volume of respiratory care services delivered per year increased 1.96-fold (from 339,600 to 665

  9. New Research Methods Developed for Studying Diabetic Foot Ulceration

    Science.gov (United States)

    1998-01-01

    Dr. Brian Davis, one of the Cleveland Clinic Foundation's researchers, has been investigating the risk factors related to diabetic foot ulceration, a problem that accounts for 20 percent of all hospital admissions for diabetic patients. He had developed a sensor pad to measure the friction and pressure forces under a person's foot when walking. As part of NASA Lewis Research Center's Space Act Agreement with the Cleveland Clinic Foundation, Dr. Davis requested Lewis' assistance in visualizing the data from the sensor pad. As a result, Lewis' Interactive Data Display System (IDDS) was installed at the Cleveland Clinic. This computer graphics program is normally used to visualize the flow of air through aircraft turbine engines, producing color two- and three-dimensional images.

  10. Circulation, mixing, and transport in nearshore Lake Erie in the vicinity of Villa Angela Beach and Euclid Creek, Cleveland, Ohio, September 11-12, 2012

    Science.gov (United States)

    Jackson, P. Ryan

    2013-01-01

    Villa Angela Beach, on the Lake Erie lakeshore near Cleveland, Ohio, is adjacent to the mouth of Euclid Creek, a small, flashy stream draining approximately 23 square miles and susceptible to periodic contamination from combined sewer overflows (CSOs) (97 and 163 CSO events in 2010 and 2011, respectively). Concerns over high concentrations of Escherichia coli (E. coli) in water samples taken along this beach and frequent beach closures led to the collection of synoptic data in the nearshore area in an attempt to gain insights into mixing processes, circulation, and the potential for transport of bacteria and other CSO-related pollutants from various sources in Euclid Creek and along the lakefront. An integrated synoptic survey was completed by the U.S. Geological Survey on September 11–12, 2012, during low-flow conditions on Euclid Creek, which followed rain-induced high flows in the creek on September 8–9, 2012. Data-collection methods included deployment of an autonomous underwater vehicle and use of a manned boat equipped with an acoustic Doppler current profiler. Spatial distributions of water-quality measures and nearshore currents indicated that the mixing zone encompassing the mouth of Euclid Creek and Villa Angela Beach is dynamic and highly variable in extent, but can exhibit a large zone of recirculation that can, at times, be decoupled from local wind forcing. Observed circulation patterns during September 2012 indicated that pollutants from CSOs in Euclid Creek and water discharged from three shoreline CSO points within 2,000 feet of the beach could be trapped along Villa Angela Beach by interaction of nearshore currents and shoreline structures. In spite of observed coastal downwelling, denser water from Euclid Creek is shown to mix to the surface via offshore turbulent structures that span the full depth of flow. While the southwesterly longshore currents driving the recirculation pattern along the beach front were observed during the 2011–12

  11. Cleveland Clinic Rehabilitation Research Program

    Science.gov (United States)

    2015-12-01

    Study 1: The penicillin-induced seizure animal model has been generated by acute focal intracortical injection of penicillin in the motor cortex of rats ... motor cortex of rats . The effects of transcranial magnetic stimulation (TMS) on penicillin-induced seizure have been investigated using behavioral...electroencephalographic (EEG) recording. Study 2: The motor cortex (M1) and the corticospinal tracts (CST) will be directly modulated using brain stimulation

  12. Robot-assisted laparoscopic myomectomy: current status

    OpenAIRE

    Arian,Sara; Munoz,Jessian; Kim,Suejin; Falcone,Tommaso

    2017-01-01

    Sara E Arian, Jessian L Munoz, Suejin Kim, Tommaso Falcone Department of Obstetrics, Gynecology, and Women’s Health Institute, Cleveland Clinic, Cleveland, OH, USA Abstract: Robotic-assisted surgery has seen a rapid development and integration in the field of gynecology. Since the approval of the use of robot for gynecological surgery and considering its several advantages over conventional laparoscopy, it has been widely incorporated especially in the field of reproductive surgery....

  13. Air pollution and emergency department visits for asthma among Ohi Medicaid recipients, 1991-1996

    International Nuclear Information System (INIS)

    Jaffe, Dena H.; Singer, Mendel E.; Rimm, Alfred

    2003-01-01

    We examined the effects of nitrogen dioxide (NO 2 ), ozone (O 3 ) particulate matter of 10 ), and sulfur dioxide (SO 2 ) on asthmatics ages 5-34 years enrolled in Medicaid i Cincinnati, Cleveland, and Columbus, OH (N=5416). Our study period was fo the summer months, June-August, from July 1, 1991 to June 30, 1996. W preformed Poisson regression analyses for the number of daily emergency department (ED) visits for asthma in each city and on the aggregate dat controlling for time trends and minimum temperature. We found a 12% increase likelihood of an asthma ED visit per 50 μg/m 3 increase in PM 10 i Cleveland [95% confidence interval (CI)=0-27%] and a 35% increase per 5 μg/m 3 increase in SO 2 in Cincinnati (95% CI=9-21%). When data wer analyzed for all three cities combined, the risk of an ED visit increased fo all pollutant increases and specifically by 12% (95% CI=1-23%) per 5 μg/m 3 increase in SO 2 . Attributable risk estimates show a five time greater impact on Cleveland over Cincinnati or Columbus. Between 1991 an 1996, air pollutants in Cincinnati, Cleveland, and Columbus increased E visits for asthmatics enrolled in Medicaid

  14. Noise Measurements of the VAIIPR Fan

    Science.gov (United States)

    Mendoza, Jeff; Weir, Don

    2012-01-01

    This final report has been prepared by Honeywell Aerospace, Phoenix, Arizona, a unit of Honeywell International, Inc., documenting work performed during the period September 2004 through November 2005 for the National Aeronautics and Space Administration (NASA) Glenn Research Center, Cleveland, Ohio, under the Revolutionary Aero-Space Engine Research (RASER) Program, Contract No. NAS3- 01136, Task Order 6, Noise Measurements of the VAIIPR Fan. The NASA Task Manager was Dr. Joe Grady, NASA Glenn Research Center, Mail Code 60-6, Cleveland, Ohio 44135. The NASA Contract Officer was Mr. Albert Spence, NASA Glenn Research Center, Mail Code 60-6, Cleveland, Ohio 44135. This report focuses on the evaluation of internal fan noise as generated from various inflow disturbances based on measurements made from a circumferential array of sensors located near the fan and sensors upstream of a serpentine inlet.

  15. FirstMile US Fall 2005 Conference

    Science.gov (United States)

    2005-12-01

    Moore, Virginia Tech 5. Broadband Delivery means Living Longer and Living Better a. The First Mile in Healthcare, Michael Ackerman, National Library of...deal with it and interact with it." The Internet will be delivered by a wide variety of means and go to places where people may not have access to...Fall 2005 Conference Proceedings First Regional Commnunity Network - OneCleveland Steven Brand, OneCleveland 4U -ýýeý L ECommunity Computing -Thin

  16. The role and importance of economic evaluation of traditional herbal medicine use for chronic non-communicable diseases

    OpenAIRE

    Hughes GD; Aboyade OM; Hill JD; Rasu RS

    2015-01-01

    Gail D Hughes,1 Oluwaseyi M Aboyade,1 John D Hill,2 Rafia S Rasu3 1South African Herbal Science and Medicine Institute, University of the Western Cape, Western Cape, South Africa; 2Department of Pharmacy, Cleveland Clinic, Cleveland, OH, 3School of Pharmacy, University of Kansas, Lawrence, KS, USA Background: Non-communicable diseases (NCD) constitute major public health problems globally, with an impact on morbidity and mortality ranking high and second to HIV/AIDS. Existing studies conduct...

  17. Patients first! Engaging the hearts and minds of nurses with a patient-centered practice model.

    Science.gov (United States)

    Small, Deborah C; Small, Robert M

    2011-05-31

    Like every healthcare system today, the Cleveland Clinic health system is a combination of medical hospitals, institutes, and services in which the implementation of uniform care methodologies faces significant barriers. The guiding principle of the Cleveland Clinic, 'Patients First,' focuses on the principle of patient- and family-centered care (PFCC) but deliberately lacks details due to the wide scope of care delivered by the organization. The Stanley Shalom Zielony Institute of Nursing Excellence (the Nursing Institute) at the Cleveland Clinic was charged with standardizing nursing practice across a system with 11,000 registered nurses and 800 advanced practice nurses. The challenge involved providing firm direction on delivering PFCC that was appropriate for all clinical disciplines and could be implemented quickly across existing practices and technologies. Successful implementation required full engagement in the concept of PFCC by what the Institute for Healthcare Improvement has termed the 'hearts and minds' of nurses. To achieve these ends, development of a systemwide nursing practice model was initiated. In this article the authors identify the essence of PFCC, consider barriers to PFCC, review their process of developing PFCC, and describe how the Cleveland Clinic health system has implemented a PFCC nursing practice model. In doing so the authors explore how the concept of 'Passion for Nursing' was used to stimulate nurse engagement in PFCC.

  18. 2014 volcanic activity in Alaska: Summary of events and response of the Alaska Volcano Observatory

    Science.gov (United States)

    Cameron, Cheryl E.; Dixon, James P.; Neal, Christina A.; Waythomas, Christopher F.; Schaefer, Janet R.; McGimsey, Robert G.

    2017-09-07

    The Alaska Volcano Observatory (AVO) responded to eruptions, possible eruptions, volcanic unrest or suspected unrest, and seismic events at 18 volcanic centers in Alaska during 2014. The most notable volcanic activity consisted of intermittent ash eruptions from long-active Cleveland and Shishaldin Volcanoes in the Aleutian Islands, and two eruptive episodes at Pavlof Volcano on the Alaska Peninsula. Semisopochnoi and Akutan volcanoes had seismic swarms, both likely the result of magmatic intrusion. The AVO also installed seismometers and infrasound instruments at Mount Cleveland during 2014.

  19. DCS Hydraulics Submission for Cleveland County, OK

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — Recent developments in digital terrain and geospatial database management technology make it possible to protect this investment for existing and future projects to...

  20. Taxonomic Evaluation of Cleveland Harbor Lake Areas

    Science.gov (United States)

    2014-01-01

    collected using a standard (8.2-L) stainless steel ponar grab (229 x 229 mm) in basic accordance with USEPA (2001). The grab sampler was dropped from...through stacked 1.0- and 0.5-mm stainless steel sieves to separate coarse and fine material. Sample material retained in both sieves was thoroughly... 416 . Berry, E. 1943. The Amnicolidae of Michigan: Distribution, ecology, and taxonomy. Misc. Publ. Mus. Zool. U. Mich. 57:1-68. Dillon, R. T., Jr

  1. 32 CFR 245.12 - Amplifying instructions.

    Science.gov (United States)

    2010-07-01

    ... flights, agricultural and forest fire flights, border patrol flights, and other essential civil air... Defense Sector (NEADS) Boston, Chicago, Cleveland, Minneapolis, New York, Indianapolis, Kansas City...

  2. L'Amerique de l'abbe Prevost: aspects documentaires de "Cleveland" (The America of Abbe Prevost: Documentary Aspects of "Cleveland")

    Science.gov (United States)

    Stewart, Philip

    1976-01-01

    Expands upon Paul Verniere's (1973) article by extending the question of sources to include not only the maps that Prevost probably consulted, but also the various books which might have inspired the novelist. (Text is in French.) (Author/DB)

  3. Development of High Temperature Solid Lubricant Coatings

    National Research Council Canada - National Science Library

    Bhattacharya, Rabi

    1999-01-01

    ... environment. To test this approach, UES and Cleveland State University have conducted experiments to form cesium oxythiotungstate, a high temperature lubricant, on Inconel 718 surface from composite coatings...

  4. Defense Finance and Accounting Service Work on the Navy General Fund 1996 Financial Statements

    National Research Council Canada - National Science Library

    1998-01-01

    ... for the Marine Corps, and on the Defense Finance and Accounting Service Cleveland Center, which consolidated the financial information for Navy and Marine Corps and compiled the financial statements...

  5. Defense Finance and Accounting Service Work on the Navy Defense Business Operations Fund FY 1995 Financial Statements

    National Research Council Canada - National Science Library

    lane, F

    1996-01-01

    The primary audit objective was to determine whether the DFAS Cleveland Center consistently and accurately compiled financial data from field activities and other sources for the FY 1995 Consolidated...

  6. Compilation of the FY 1999 Department of the Navy Working Capital Fund Financial Statements

    National Research Council Canada - National Science Library

    2000-01-01

    ...) Cleveland Center consistently and accurately compiled and consolidated financial data received from Navy field organizations and other sources to prepare the FY 1999 Navy Working Capital Fund financial statements...

  7. Compact Wireless BioMetric Monitoring and Real Time Processing System, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — ZIN Technologies in collaboration with the Cleveland Clinic Foundation will use their combined experience and research and development expertise to develop a new...

  8. 78 FR 57633 - Ocean Transportation Intermediary License Reissuances

    Science.gov (United States)

    2013-09-19

    ...: International Transport Services, Inc. Address: 19987 Commerce Parkway, Cleveland, OH 44130. Date Reissued...: July 4, 2013. License No.: 024023N. Name: OES Logistics, Inc. Address: 10900 E. 183rd Street, 130...

  9. African Heath Sciences Vol 7 No 2.p65

    African Journals Online (AJOL)

    FOMCS2

    2007-06-02

    Jun 2, 2007 ... Case Western Reserve University, Cleveland, Ohio. Abstract ... bed tertiary care, referral hospital located in Kampala, ... tion among patients admitted to the medical emergency ..... and the Fogarty International Center- Ellison.

  10. Colored Contact Lens Dangers

    Medline Plus

    Full Text Available ... MD, professor of ophthalmology at Case Western Reserve University in Cleveland. "This is far from the truth." Real People, Real Problems with Colored Contact Lenses Julian: Teenager Blinded In ...

  11. Financial Management: Accounting for Reimbursable Work Orders at Defense Finance and Accounting Service Charleston

    National Research Council Canada - National Science Library

    2003-01-01

    .... DFAS Charleston account managers who are responsible for managing reimbursable work orders for Navy, and DFAS Cleveland accountants who rely on the data could also benefit from the information in the report...

  12. A randomized trial of individual versus group-format exercise and self-management in individuals with Parkinson’s disease and comorbid depression

    Directory of Open Access Journals (Sweden)

    Sajatovic M

    2017-05-01

    Full Text Available Martha Sajatovic,1,2 Angela L Ridgel,3 Ellen M Walter,1,4 Curtis M Tatsuoka,1,2 Kari Colón-Zimmermann,2 Riane K Ramsey,2 Elisabeth Welter,2 Steven A Gunzler,1,4 Christina M Whitney,1,4 Benjamin L Walter1,4 1Department of Neurology, Case Western Reserve University School of Medicine, 2Neurological and Behavioral Outcomes Center, University Hospitals Cleveland Medical Center, Cleveland, 3Department of Exercise Physiology, Kent State University, Kent, 4Movement Disorders Center, University Hospitals Cleveland Medical Center, Cleveland, OH, USA Background: Depression is common in people with Parkinson’s disease (PD, and exercise is known to improve depression and PD. However, lack of motivation and low self-efficacy can make exercise difficult for people with PD and comorbid depression (PD-Dep. A combined group exercise and chronic disease self-management (CDSM program may improve the likelihood that individuals will engage in exercise and will show a reduction in depression symptoms. The purpose of this study was to compare changes in depression in PD-Dep between individual versus group exercise plus CDSM and to examine participant adherence and perception of the interventions.Methods: Participants (N=30 were randomized to either Enhanced EXerCisE thErapy for PD (EXCEED; group CDSM and exercise or self-guided CDSM plus exercise. Outcomes were change in depression assessed with the Montgomery–Asberg Depression Rating Scale (MADRS, cognition, apathy, anxiety, sleep, quality of life, motor function, self-efficacy, and patient satisfaction.Results: Both groups showed significant improvement in MADRS (P<0.001 with no significant group difference. Individuals in EXCEED group enjoyed the group dynamics but noted difficulty with the fixed-time sessions.Conclusion: Both group CDSM plus exercise and self-guided CDSM plus exercise can improve depression in PD-Dep. These findings suggest that development of a remotely delivered group-based CDSM format

  13. Social equity, mobility, and access.

    Science.gov (United States)

    2014-03-01

    This report discusses how transportation policies can aggravate or alleviate social equity problems. Current transit systems : (Detroit, Atlanta, Cleveland, Denver, and St. Louis) were studied with respect to their strategies and relative success in ...

  14. Defense Finance and Accounting Service Work on the Navy Defense Business Operations Fund FY 1995 Financial Statements

    National Research Council Canada - National Science Library

    lane, F

    1996-01-01

    ... Financial Statements of the Navy Defense Business Operations Fund. We also planned to determine whether FY 1995 ending balances reported by DFAS Cleveland Center are usable as beginning balances for FY 1996 financial statements...

  15. The prevalence and clinical characteristics associated with Diagnostic and Statistical Manual Version-5-defined anxious distress specifier in adults with major depressive disorder

    DEFF Research Database (Denmark)

    McIntyre, Roger S.; Woldeyohannes, Hanna O; Soczynska, Joanna K

    2016-01-01

    OBJECTIVES: The aim of the study was to evaluate the prevalence of and illness characteristics in adults with major depressive disorder (MDD) with anxious distress specifier (ADS) enrolled in the International Mood Disorders Collaborative Project, which is a collaborative research platform...... at the Mood Disorders Psychopharmacology Unit, University of Toronto, Canada and the Cleveland Clinic, Cleveland, Ohio, USA. METHODS: Data from participants who met criteria for a current major depressive episode as part of MDD (n = 830) were included in this post hoc analysis. Diagnostic and Statistical......, employment, marital status). Greater severity of illness was observed in adults with ADS as evidenced by a higher number of hospitalizations, higher rates of suicidal ideation, greater depressive symptom severity, greater workplace impairment, decreased quality of life, and greater self-reported cognitive...

  16. Basemap Framework Submission for CLEVELAND COUNTY, AR, USA

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — Basemap datasets comprise six of the seven FGDC themes of geospatial data that are used by most GIS applications (Note: the seventh framework theme, orthographic...

  17. EnviroAtlas - Cleveland, OH - Near Road Tree Buffer

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset addresses the tree buffer along heavily traveled roads. The roads are interstates, arterials, and collectors within the EnviroAtlas...

  18. Plaadid / Berk Vaher

    Index Scriptorium Estoniae

    Vaher, Berk, 1975-

    2003-01-01

    Uutest plaatidest James Last "The Gentleman Of Music", Koufax "Social Life", Pixie Twins "Valgus ja varjud", Cleveland Watkiss "Victory's Happy Songbook", Hannah "Ballaadid", "Red Hot + Riot", Foo Fighters "One By One", Pearl Jam "Riot Act"

  19. 77 FR 49484 - Notice of Delays in Processing of Special Permits Applications

    Science.gov (United States)

    2012-08-16

    ... the requirements of 49 U.S.C. 5117(c), PHMSA is publishing the following list of special permit..., UT. Party to Special Permits Application 15537-P Austin Powder 4 10-31-2012 Company, Cleveland, OH...

  20. 77 FR 36605 - Office of Hazardous Materials Safety Notice of Delays in Processing of Special Permits Applications

    Science.gov (United States)

    2012-06-19

    ... than 180 days. SUMMARY: In accordance with the requirements of 49 U.S.C. 5117(c), PHMSA is publishing...-31-2012 Battery of the Southern Tier, Inc., Corning, NY. 15537-P Austin Powder Company, Cleveland, OH...

  1. Colored Contact Lens Dangers

    Medline Plus

    Full Text Available ... Cleveland. "This is far from the truth." Real People, Real Problems with Colored Contact Lenses Julian: Teenager ... about the members of the eye-care team . Consumer warning about the improper use of colored contact ...

  2. 75 FR 54421 - Sixth Meeting: RTCA Special Committee 223: Airport Surface Wireless Communications

    Science.gov (United States)

    2010-09-07

    ..., 2010 from 0900 a.m.- 1600 p.m. ADDRESSES: The meeting will be held at EUROCONTROL, Rue de la Fusee 96... Applications (FAA) NASA Cleveland Test Bed Test Results (ITT) Channel Model Considerations for AeroMACS (Uni...

  3. Colored Contact Lens Dangers

    Medline Plus

    Full Text Available ... Cleveland. "This is far from the truth." Real People, Real Problems with Colored Contact Lenses Julian: Teenager ... the lenses. Never share contact lenses with another person. Get follow up exams with your eye care ...

  4. consumers' understanding and use of textile eco-labels dur

    African Journals Online (AJOL)

    user

    textile industry to introduce greener technology textiles (Momberg ... E mail: daleen.vandermerwe@nwu.ac.za. — Ms N le Roux ..... African market, as such products are relatively unavailable and ...... Beauty 2(1&2):117-138. CLEVELAND, M.

  5. EVALUATION OF DNA INTEGRITY USING TUNEL AND COMET ASSAY IN HUMAN SEMEN: IMMEDIATE- VERSUS DELAYED-FREEZING

    Science.gov (United States)

    EVALUATION OF DNA INTEGRITY USING TUNEL AND COMET ASSAY IN HUMAN SEMEN: IMMEDIATE- VERSUS DELAYED-FREEZING K. Young,* L. Xun,* S. Rothmann,? S. Perreault, ? W. Robbins**University of California, Los Angeles, Los Angeles, California; ?Fertility Solutions Inc., Cleveland, ...

  6. Managing aneurysmal subarachnoid hemorrhage: It takes a team.

    Science.gov (United States)

    de Oliveira Manoel, Airton Leonardo; Turkel-Parrella, David; Duggal, Abhijit; Murphy, Amanda; McCredie, Victoria; Marotta, Thomas R

    2015-03-01

    Patients with aneurysmal subarachnoid hemorrhage are at high risk of complications, including rebleeding, delayed cerebral ischemia, cerebral infarction, and death. This review presents a practical approach for managing this condition and its complications. Copyright © 2015 Cleveland Clinic.

  7. 77 FR 42363 - Notice of Delays in Processing of Special Permits Applications

    Science.gov (United States)

    2012-07-18

    ... publishing the following list of special permit applications that have been in process for 180 days or more... Austin Powder 4 10-31-2012 Company, Cleveland, OH. 13548-P Interstate Battery 4 08-31-2012 System of The...

  8. Safety Evaluation Report related to the operation of Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 50-441). Supplement No. 7

    International Nuclear Information System (INIS)

    1985-11-01

    Supplement No. 7 to the Safety Evaluation Report (NUREG-0887) on the application filed by the Cleveland Electric Illuminating Company on behalf of itself and as agent for the Duquesne Light Company, the Ohio Edison Company, the Pennsylvania Power Company, and the Toledo Edison Company (the Central Area Power Coordination Group or CAPCO), as applicants and owners, for a license to operate the Perry Nuclear Power Plant, Units 1 and 2 (Docket No. 50-440 and 50-441) has been prepared by the Office of Nuclear Reactor Regulation of the US Nuclear Regulatory Commission. The facility is located in Lake County, Ohio, approximately 35 miles northeast of Cleveland, Ohio. This supplement reports the status of certain issues that had not been resolved at the time of publication of the Safety Evaluation Report and Supplement Nos. 1 through 6 to that report

  9. Safety Evaluation Report related to the operation of Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 50-441). Supplement No. 6

    International Nuclear Information System (INIS)

    1985-04-01

    Supplement No. 6 to the Safety Evaluation Report (NUREG-0887) on the application filed by the Cleveland Electric Illuminating Company on behalf of itself and as agent for the Duquesne Light Company, the Ohio Edison Company, the Pennsylvania Power Company, and the Toledo Edison Company (the Central Area Power Coordination Group or CAPCO), as applicants and owners, for a license to operate the Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-540 and 50-441), has been prepared by the Office of the Nuclear Reactor Regulation of the US Nuclear Regulatory Commission. The facility is located in Lake County, Ohio, approximately 35 miles northeast of Cleveland, Ohio. This supplement reports the status of certain issues that had not been resolved at the time of publication of the Safety Evaluation Report and Supplement Nos. 1 through 5 to that report

  10. Safety Evaluation Report related to the operation of Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 50-441). Supplement No. 8

    International Nuclear Information System (INIS)

    1986-01-01

    Supplement No. 8 to the Safety Evaluation Report (NUREG-0887) on the application filed by the Cleveland Electric Illuminating Company on behalf of itself and as agent for the Duquesne Light Company, the Ohio Edison Company, the Pennsylvania Power Company, and the Toledo Edison Company (the Central Area Power Coordination Group or CAPCO), as applicants and owners, for a license to operate the Perry Nuclear Power Plant, Units and 1 and 2 (Docket Nos. 50-440 and 50-441), has been prepared by the Office of Nuclear Reactor Regulation of the US Nuclear Regulatory Commission. The facility is located in Lake County, Ohio, approximately 35 miles northeast of Cleveland, Ohio. This supplement reports the status of certain issues that has not been resolved at the time of publication of the Safety Evaluation Report and Supplement Nos. 1 through 7 to that report

  11. Safety Evaluation Report related to the operation of Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 50-441). Supplement No. 5

    International Nuclear Information System (INIS)

    1985-02-01

    Supplement No. 5 to the Safety Evaluation Report (NUREG-0887) on the application filed by the Cleveland Electric Illuminating Company on behalf of itself and as agent for the Duquesne Light Company, the Ohio Edison Company, The Pennsylvania Power Company, and the Toledo Edison Company (the Central Area Power Coordination Group or CAPCO), as applicants and owners, for a license to operate the Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 50-441), has been prepared by the Office of Nuclear Reactor Regulation of the US Nuclear Regulatory Commission. The facility is located in Lake County, Ohio, approximately 35 miles northeast of Cleveland, Ohio. This supplement reports the status of certain issues that had not been resolved at the time of publication of the Safety Evaluation Report and Supplement Nos. 1 through 4 to that report

  12. Research Article Special Issue

    African Journals Online (AJOL)

    pc

    2017-10-17

    Oct 17, 2017 ... Health risk due to RF radiation exposure from base station tower (BST) ... Thus, this preliminary study aims to measure, evaluate and ..... [7] Ulcek J L, Cleveland R F Jr. Evaluating compliance with FCC guidelines for human.

  13. 76 FR 33360 - National Register of Historic Places; Notification of Pending Nominations and Related Actions

    Science.gov (United States)

    2011-06-08

    ..., (African American Resources in Wichita, Kansas MPS) 1301 Cleveland, Wichita, 11000395 McClinton Market, (African American Resources in Wichita, Kansas MPS) 1205 E 12th., Wichita, 11000396 LOUISIANA Calcasieu... Restricted, Kansas City, 11000399 Miller County Union Electric Administration Building--Lakeside (Boundary...

  14. Transfer of cysto-urethroscopy skills from a virtual-reality simulator to the operating room : a randomized controlled trial

    NARCIS (Netherlands)

    Schout, Barbara M. A.; Ananias, Hildo J. K.; Bemelmans, Bart L. H.; d'Ancona, Frank C. H.; Muijtjens, Arno M. M.; Dolmans, Valerie E. M. G.; Scherpbier, Albert J. J. A.; Hendrikx, Ad J. M.

    OBJECTIVE To assess whether real-time cysto-urethroscopy (CUS) performance improves by simulator-based training (criterion or predictive validity), addressing the research question 'Does practical skills training on the URO Mentor (UM, Simbionix USA Corp., Cleveland, OH, USA) virtual-reality

  15. 75 FR 43557 - Wire Products Company, Inc., Including Workers Whose Unemployment Insurance (UI) Wages Are Paid...

    Science.gov (United States)

    2010-07-26

    ... Products, Inc., Cleveland, OH; Amended Certification Regarding Eligibility To Apply for Worker Adjustment... Hanger Products, Inc. Based on these findings, the Department is amending this certification to include... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-72,711] Wire Products Company...

  16. Implantation of In Vitro Tissue Engineered Muscle Repair Constructs and Bladder Acellular Matrices Partially Restore In Vivo Skeletal Muscle Function in a Rat Model of Volumetric Muscle Loss Injury

    Science.gov (United States)

    2014-01-01

    onto a custom designed seeding chamber made of silicon ( McMaster Carr, Cleveland, OH). Scaffolds and silicon seeding chambers were then individually...TRAUMATIZED SKELETAL MUSCLE 707 observations in an effort to reduce the variability within this group. Ultimately, the coefficient of variation (CV

  17. 78 FR 20095 - Proposed Collection; Comment Request

    Science.gov (United States)

    2013-04-03

    ...; Comment Request AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice. SUMMARY: In... of the proposal and associated collection instruments, please write to Defense Finance and Accounting... by the Directorate of Annuity Pay, Defense Finance and Accounting Service--Cleveland (DFAS-CL/JFBDA...

  18. Acquisition of flexible cystoscopy skills on a virtual reality simulator by experts and novices

    NARCIS (Netherlands)

    Schout, Barbara M. A.; Muijtjens, Arno M. M.; Hendrikx, Ad J. M.; Ananias, Hildo J. K.; Dolmans, Valerie E. M. G.; Scherpbier, Albert J. J. A.; Bemelmans, Bart L. H.

    OBJECTIVE To assess the construct validity of the URO MentorTM (Simbionix Corp., Cleveland, OH, USA) virtual reality training model for several variables of skills training in cysto-urethroscopy, addressing two research questions: (i) Does training on the URO Mentor significantly improve novices'

  19. EVALUATION OF STACHYBOTRYS CHARTARUM IN THE HOUSE OF AN INFANT WITH PULMONARY HEMORRHAGE: QUANTITATIVE ASSESSMENT BEFORE, DURING, AND AFTER REMEDIATION

    Science.gov (United States)

    Stachybotrys chartarum is an indoor mold that has been associated with pulmonary hemorrhage (PH) cases in the Cleveland, Ohio area. This study applied two new quantitative measurements to air samples from a home where an infant developed PH. Quantitative polymerase chain reacti...

  20. Safety evaluation report related to the operation of Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 50-441). Supplement No. 10

    International Nuclear Information System (INIS)

    1986-09-01

    Supplement No. 10 to the Safety Evaluation Report (NUREG-0887) on the application filed by the Cleveland Electric Illuminating Company on behalf of itself and as agent for the Duquesne Light Company, the Ohio Edison Company, the Pennsylvania Power Company, and the Toledo Edison Company (the Central Area Power Coordination Group or CAPCO), as applicants and owners for a license to operate the Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 50-441), has been prepared by the Office of Nuclear Reactor Regulation of the US Nuclear Regulatory Commission. The facility is located in Lake County, Ohio, approximately 35 miles northeast of Cleveland, Ohio. This supplement reports the status of certain issues and action items that had not been resolved or completed at the time of publication of the Safety Evaluation Report and Supplements Nos. 1 through 9 to that report

  1. Clinical Characteristics and Associated Systemic Diseases in Patients With Esophageal "Absent Contractility"-A Clinical Algorithm.

    Science.gov (United States)

    Laique, Sobia; Singh, Tavankit; Dornblaser, David; Gadre, Abhishek; Rangan, Vikram; Fass, Ronnie; Kirby, Donald; Chatterjee, Soumya; Gabbard, Scott

    2018-01-19

    This study was carried out to assess the clinical characteristics and associated systemic diseases seen in patients diagnosed with absent contractility as per the Chicago Classification version 3.0, allowing us to propose a diagnostic algorithm for their etiologic testing. The Chicago Classification version 3.0 has redefined major and minor esophageal motility disorders using high-resolution esophageal manometry. There is a dearth of publications based on research on absent contractility, which historically has been associated with myopathic processes such as systemic sclerosis (SSc). We conducted a retrospective, multicenter study. Data of patients diagnosed with absent contractility were pooled from Cleveland Clinic, Cleveland, OH (January 2006 to July 2016) and Metrohealth Medical Center, Cleveland, OH (July 2014 to July 2016) and included: age, gender, associated medical conditions, surgical history, medications, and specific antibody testing. A total of 207 patients, including 57 male individuals and 150 female individuals, with mean age of 56.1 and 60.0 years, respectively, were included. Disease distribution was as follows: SSc (diffuse or limited cutaneous) 132, overlap syndromes 7, systemic lupus erythematosus17, Sjögren syndrome 4, polymyositis 3, and dermatomyositis 3. Various other etiologies including gastroesophageal reflux disease, postradiation esophagitis, neuromuscular disorders, and surgical complications were seen in the remaining cohort. Most practitioners use the term "absent contractility" interchangeably with "scleroderma esophagus"; however, only 63% of patients with absent contractility had SSc. Overall, 20% had another systemic autoimmune rheumatologic disease and 16% had a nonrheumatologic etiology for absent contractility. Therefore, alternate diagnosis must be sought in these patients. We propose an algorithm for their etiologic evaluation.

  2. Recreational cannabis use: pleasures and pitfalls.

    Science.gov (United States)

    Rella, Joseph G

    2015-11-01

    Cannabis is widely used for a variety of reasons, and its changing legal status may foster more new users. Although the acute clinical effects of cannabis are generally benign, clinicians should be aware of health complications and testing limitations. Copyright © 2015 Cleveland Clinic.

  3. Assessing Friction Stress on a Liquid Lubricant by Stable Isotope Analysis

    Science.gov (United States)

    2014-07-17

    military use (aviation) and demonstrated readily identifiable peaks via standard temperature gas chromatography (GC) analysis. Hercolube-A (Herc-A) was...Atmospheric Chemistry. 2004;47:191-208. [18] Handbook of Chemistry and Physics. Cleveland, OH: CRC Press; 2008. 12 [19] van de Voort FR, Sedman J

  4. The Vertical Structure of Urban Soils - Portland

    Science.gov (United States)

    We compared observed to reference pedons for two cities (Detroit MI; Cleveland OH), where it was clearly illustrated that urban soils had fewer soil horizons than their non-urban references. The ordering of observed urban soil horizons was distinct from both the theoretical (A-B-...

  5. QUANTITATIVE PCR ANALYSIS OF FUNGI IN DUST FROM HOMES OF INFANTS WHO DEVELOPED IDIOPATHIC PULMONARY HEMORRHAGING

    Science.gov (United States)

    Fungal concentrations were measured in the dust of six homes in Cleveland, OH, where a child developed pulmonary hemorrhage (pulmonary hemorrhage homes, i.e. PHH), and 26 reference homes (RH) with no known fungal contamination. QPCR assays for 82 species (or assay groups) were u...

  6. EnviroAtlas - Cleveland, OH - Land Cover by Block Group

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset describes the percentage of each block group that is classified as impervious, forest, green space, and wetlands. In this community, forest...

  7. EnviroAtlas - Cleveland, OH - Near Road Block Group Summary

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset addresses the tree buffer along heavily traveled roads. The roads are interstates, arterials, and collectors within the EnviroAtlas...

  8. A Preliminary Study of Classroom Motivators and De-Motivators from a Motivation-Hygiene Perspective

    Science.gov (United States)

    Katt, James A.; Condly, Steven J.

    2009-01-01

    This study seeks to begin answering two simple questions: "What motivates our students?" and its corollary, "What prevents our students from being motivated?" The motivation-hygiene theory (F. Herzberg, "Work and the nature of man," World Publishing, Cleveland, OH, 1966), a well-tested theory from organizational…

  9. The Halogen Demand of Commercial Beverage Powders, Drinks and Their Constituents

    Science.gov (United States)

    1982-02-01

    Monticello, N.Y. Made in U.S.A. 54 Nat. Grapefruit Flavor N-Cased #2699. Synfleur, Scientific Laboratories Co., Fragrance and Flavor Materials, A...Francisco. 56 Imitation Lemon Extract (Artificially Flavored). Durkee Famous Foods, SCM Corp., Cleveland, OH 44115, U.S.A. Contains: Alcohol 80%, Water

  10. Operational use of prescribed fire in southern California chaparral

    Science.gov (United States)

    Ron Dougherty; Philip J. Riggan

    1982-01-01

    The use of prescribed fire in the chaparral could reduce the incidence and impacts of severe wildfires and enhance watershed re-sources. This paper describes the operational planning needed for a successful prescribed fire and discusses the recent experience with this technique on the Cleveland National Forest.

  11. The Effect of Spray Initial Conditions on Heat Release and Emissions in LDI CFD Calculations (Preprint)

    Science.gov (United States)

    2008-06-01

    Shih, T.-H., Povinelli , L. A., Liu, N.-S and Chen, K.-H., (2000), “Generalized Wall Function for...J. Marek, T. D. Smith, N.-S. Liu, and L. A. Povinelli (NASA, Glenn Research Center, Cleveland, OH, “A Study of Hydrogen/Air Combustor Using NCC

  12. Book Review: Stones of Contention: A History of Africa's Diamonds ...

    African Journals Online (AJOL)

    or Register. DOWNLOAD FULL TEXT Open Access DOWNLOAD FULL TEXT Subscription or Fee Access. Book Review: Stones of Contention: A History of Africa's Diamonds. H Smith. Abstract. Stones of Contention: A History of Africa's Diamonds. Author: Todd Cleveland. Ohio University Press: Athens OH, 2014. 225pp ...

  13. A Collaborative, Ongoing University Strategic Planning Framework: Process, Landmines, and Lessons

    Science.gov (United States)

    Hill, Susan E. Kogler; Thomas, Edward G.; Keller, Lawrence F.

    2009-01-01

    This article examines the strategic planning process at Cleveland State University, a large metropolitan state university in Ohio. A faculty-administrative team used a communicative planning approach to develop a collaborative, ongoing, bottom-up, transparent strategic planning process. This team then spearheaded the process through plan…

  14. 78 FR 56866 - Proposed Collection; Comment Request

    Science.gov (United States)

    2013-09-16

    ...; Comment Request AGENCY: Defense Finance and Accounting Service (DFAS), DoD. ACTION: Notice. SUMMARY: In... instruments, please write to the Defense Finance and Accounting Services-Cleveland, 1240 East 9th Street..., Defense Finance and Accounting Service, in order to establish a representative payee to receive survivor...

  15. 75 FR 21247 - Proposed Collection; Comment Request

    Science.gov (United States)

    2010-04-23

    ...; Comment Request AGENCY: Defense Finance and Accounting Service, DoD. ACTION: Notice. SUMMARY: In compliance with section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Defense Finance and... collection instruments, please write to the Defense Finance and Accounting Service--Cleveland, Retired and...

  16. 78 FR 53429 - Proposed Information Collection; Comment Request

    Science.gov (United States)

    2013-08-29

    ... Request AGENCY: Defense Finance and Accounting Service (DFAS), Office of the Secretary, DoD. ACTION... Defense Finance and Accounting Service announces a proposed public information collection and seeks public... Finance and Accounting Service--Cleveland, in order to pay the annuity to the correct person on behalf of...

  17. Soil solution interactions may limit Pb remediation using P amendments in an urban soil

    Science.gov (United States)

    Lead (Pb) contaminated soils are a potential exposure hazard to the public. Amending soils with phosphorus (P) may reduce Pb soil hazards. Soil from Cleveland, OH containing 726 ± 14 mg Pb kg-1 was amended in a laboratory study with bone meal and triple super phospha...

  18. Colored Contact Lens Dangers

    Medline Plus

    Full Text Available ... like a suction cup." Halloween is a popular time for people to use colored contact lenses to enhance their costumes. From ... MD, professor of ophthalmology at Case Western Reserve University in Cleveland. "This is far ... Use Facts About Colored Contacts and Halloween Safety Colored ...

  19. ACHP | Working Together to Build a More Inclusive Preservation Program

    Science.gov (United States)

    experience in the architecture field, and received her Bachelor of Architecture from Cornell University. She buildings range in styles of neo-classical architecture to modern Brutalist. The project also highlights the transformation of Cleveland's downtown from a singularly business-centric to a multi-use live/work/play

  20. Safety Evaluation Report related to the operation of Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 50-441). Supplement No. 9

    International Nuclear Information System (INIS)

    1986-03-01

    Supplement No. 9 to the Safety Evaluation Report (NUREG-0887) on the application filed by the Cleveland Electric Illuminating Company on behalf of itself and as agent for the Duquesne Light Company, the Ohio Edison Company, the Pennsylvania Power Company, and the Toledo Edison Company (the Central Area Power Coordination Group or CAPCO) for a license to operate the Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 50-441), has been prepared by the Office of Nuclear Reactor Regulation of the US Nuclear Regulatory Commission. The facility is located in Lake County, Ohio, approximately 35 miles northeast of Cleveland, Ohio. This supplement reports the staff's evaluation findings pertaining to the earthquake event that occurred in the vicinity of the Perry Nuclear Power Plant site on January 31, 1986, and is limited to that evaluation. Future supplemental reports will continue reporting on the status of new or unresolved issues since Supplement No. 8 was issued in January 1986

  1. Minority Engineering Program Pipeline: A Proposal to Increase Minority Student Enrollment and Retention in Engineering

    Science.gov (United States)

    Charity, Pamela C.; Klein, Paul B.; Wadhwa, Bhushan

    1995-01-01

    The Cleveland State University Minority Engineering Program Pipeline consist of programs which foster engineering career awareness, academic enrichment, and professional development for historically underrepresented minority studies. The programs involved are the Access to Careers in Engineering (ACE) Program for high school pre-engineering students: the LINK Program for undergraduate students pursuing degree which include engineering; and the PEP (Pre-calculus Enrichment Program) and EPIC (Enrichment Program in Calculus) mathematics programs for undergraduate academic enrichment. The pipeline is such that high school graduates from the ACE Program who enroll at Cleveland State University in pursuit of engineering degrees are admitted to the LINK Program for undergraduate level support. LINK Program students are among the minority participants who receive mathematics enrichment through the PEP and EPIC Programs for successful completion of their engineering required math courses. THese programs are interdependent and share the goal of preparing minority students for engineering careers by enabling them to achieve academically and obtain college degree and career related experience.

  2. CALDERON COKEMAKING PROCESS/DEMONSTRATION PROJECT

    International Nuclear Information System (INIS)

    Albert Calderon

    1999-01-01

    This project deals with the demonstration of a coking process using proprietary technology of Calderon, with the following objectives geared to facilitate commercialization: (1) making coke of such quality as to be suitable for use in hard-driving, large blast furnaces; (2) providing proof that such process is continuous and environmentally closed to prevent emissions; (3) demonstrating that high-coking-pressure (non-traditional) coal blends which cannot be safely charged into conventional by-product coke ovens can be used in the Calderon process; and (4) demonstrating that coke can be produced economically, at a level competitive with coke imports. The activities of the past quarter were focused on the following: Consolidation of the team of stakeholders; Move the site for the commercial demonstration to LTV Steel, Cleveland, Ohio; Permitting for new site; Site specific engineering; Cost update of the project as it relates to the Cleveland location; FETC update; DCAA audit; and Updated endorsement of Calderon process by Ohio EPA and U.S. EPA, Region 5

  3. Hispanic American Volunteering.

    Science.gov (United States)

    Lopez, Josue; Safrit, R. Dale

    2001-01-01

    Hispanic Americans in Cleveland, Ohio were interviewed about volunteerism. Six themes were identified: (1) influence of family and friends; (2) importance of volunteering to benefit youth; (3) importance of church and religious beliefs; (4) volunteering as a requirement; (5) connections between volunteerism and the community; and (6) personal…

  4. Somatostatin and dopamine receptors as molecular targets for the medical treatment of Cushing’s disease

    NARCIS (Netherlands)

    C. de Bruin (Christiaan)

    2009-01-01

    textabstractHarvey Williams Cushing (1869-1939) was born as the 10th child of a well-educated, puritanical medical family in Cleveland (figure 1). He attended Yale University, graduated cum laude from Harvard Medical School and was trained as a general surgeon at Johns Hopkins under the famous

  5. 32 CFR 78.5 - Procedures.

    Science.gov (United States)

    2010-07-01

    ..., social security number, the fixed amount to be withheld monthly from retired pay, the State designated to...) Defense Finance and Accounting Service, Attn: DFAS/PRR/CL, 1240 East Ninth Street, Cleveland, OH 44199... Accounting Service, 1931 Jefferson Davis Highway, Arlington, VA 22240. To be effective, the letter must be...

  6. Comments on Hypersonic Boundary-Layer Transition

    Science.gov (United States)

    1990-09-01

    mechanism by which boundary-layer disturbance growth is generally initiated and establishes the initial distur- banca amplitude at the onset of disturbance...Patankar, S. V., and Spalding, P. B., Heat and Mass Transfer in Boundary Lavers, CRC Press , Cleveland, Ohio, 1968. 87. Neumann, R. D., and Patterson, .J. 1

  7. Music Therapy for the Visually Impaired.

    Science.gov (United States)

    Steele, Anita Louise; Crawford, Celeste

    1982-01-01

    The development and implementation of a music therapy program to achieve behavioral change in visually impaired children and adolescents are described. Goals targeted by the music therapist at the Cleveland Society for the Blind include altering unusual body movements, poor posture, and other mannerisms often associated with blindness. (SEW)

  8. Market segmentation using perceived constraints

    Science.gov (United States)

    Jinhee Jun; Gerard Kyle; Andrew Mowen

    2008-01-01

    We examined the practical utility of segmenting potential visitors to Cleveland Metroparks using their constraint profiles. Our analysis identified three segments based on their scores on the dimensions of constraints: Other priorities--visitors who scored the highest on 'other priorities' dimension; Highly Constrained--visitors who scored relatively high on...

  9. What Is the Problem to Which the Answer was Public Law 83-280: How is it Working Out and What Should We Do Next?

    Science.gov (United States)

    2013-09-01

    Springs, California, approximately 70 miles from San Diego, sandwiched between the Cleveland National Forest and the Anza-Borrego Desert State Park. The...Rincon Hotel and Casino, a 7-Eleven minimart, a Shell gas station, and a Subway restaurant. The Rincon Indian Reservation is also home to Indian Health

  10. Matching Schools With Students

    Science.gov (United States)

    Grimes, Paul

    1977-01-01

    The Greater Cleveland External Degree Center is a nonprofit counseling organization and one of the most successful operations in the relatively new field called "educational brokering". Three brokerage services are described and a number of other large brokers listed. These educational brokers are middlemen in the field of adult…

  11. 5 CFR Appendix A to Part 582 - List of Agents Designated To Accept Legal Process

    Science.gov (United States)

    2010-01-01

    ... this chapter. I. Departments Department of Defense. Defense Finance and Accounting Service, Cleveland.... Commander, U.S. Army Finance and Accounting Office, Japan, ATTN: APAJ-RM-FA-E-CP, Unit 45005, APO AP 96343-0087, DSN 233-3362. Army Civilian Employees in Korea. Commander, 175th Finance and Accounting Office...

  12. 78 FR 43180 - Proposed Collection; Comment Request

    Science.gov (United States)

    2013-07-19

    ... DEPARTMENT OF DEFENSE Office of the Secretary [Docket ID: DoD-2013-OS-0161] Proposed Collection; Comment Request AGENCY: Defense Finance and Accounting Service (DFAS), DoD. ACTION: Notice. In compliance... instruments, please write to the Defense Finance and Accounting Services-Cleveland, 1240 East 9th Street, NP...

  13. Death Education and Attitudes toward Euthanasia and Terminal Illness.

    Science.gov (United States)

    Nagi, Mostafa H.; Lazerine, Neil G.

    1982-01-01

    Analyzed attitudes of 614 Protestant and Catholic Cleveland clergy toward terminal illness and euthanasia. Clergy responses revealed that, although eager to prolong life, terminally ill patients feared prolonged illness more than death. The controversial nature of euthanasia became more apparent with clergy who had more training in death…

  14. Evaluation of the Sensititre MycoTB plate for susceptibility testing of the Mycobacterium tuberculosis complex against first- and second-line agents.

    Science.gov (United States)

    Hall, Leslie; Jude, Kurt P; Clark, Shirley L; Dionne, Kim; Merson, Ryan; Boyer, Ana; Parrish, Nicole M; Wengenack, Nancy L

    2012-11-01

    The Sensititre MycoTB plate (TREK Diagnostic Systems, Cleveland, OH) uses a microtiter plate MIC format for susceptibility testing of Mycobacterium tuberculosis complex isolates against first- and second-line antituberculosis agents. Categorical agreement versus the agar proportion method for 122 M. tuberculosis complex isolates was 94% to 100%.

  15. Developing an electronic system to manage and track emergency medications.

    Science.gov (United States)

    Hamm, Mark W; Calabrese, Samuel V; Knoer, Scott J; Duty, Ashley M

    2018-03-01

    The development of a Web-based program to track and manage emergency medications with radio frequency identification (RFID) is described. At the Cleveland Clinic, medication kit restocking records and dispense locations were historically documented using a paper record-keeping system. The Cleveland Clinic investigated options to replace the paper-based tracking logs with a Web-based program that could track the real-time location and inventory of emergency medication kits. Vendor collaboration with a board of pharmacy (BOP) compliance inspector and pharmacy personnel resulted in the creation of a dual barcoding system using medication and pocket labels. The Web-based program was integrated with a Cleveland Clinic-developed asset tracking system using active RFID tags to give the real-time location of the medication kit. The Web-based program and the asset tracking system allowed identification of kits nearing expiration or containing recalled medications. Conversion from a paper-based system to a Web-based program began in October 2013. After 119 days, data were evaluated to assess the success of the conversion. Pharmacists spent an average of 27 minutes per day approving medication kits during the postimplementation period versus 102 minutes daily using the paper-based system, representing a 74% decrease in pharmacist time spent on this task. Prospective reports are generated monthly to allow the manager to assess the expected workload and adjust staffing for the next month. Implementation of a BOP-approved Web-based system for managing and tracking emergency medications with RFID integration decreased pharmacist review time, minimized compliance risk, and increased access to real-time data. Copyright © 2018 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  16. Spirituality and well being among elders: differences between elders with heart failure and those without heart failure

    Directory of Open Access Journals (Sweden)

    Mary T Quinn Griffin

    2008-01-01

    Full Text Available Mary T Quinn Griffin1, Yi-Hui Lee2, Ali Salman1, Yaewon Seo1, Patricia A Marin3, Randall C Starling3, Joyce J Fitzpatrick11Frances Payne Bolton School of Nursing Case Western Reserve University Cleveland, OH; 2College of Nursing and Health Wright State University Dayton, OH; 3Cleveland Clinic, Cleveland, OhioAbstract: Heart failure is a chronic debilitating disease that affects all aspects of a person’s life, including physical, mental and spiritual dimensions. The associations among these dimensions, and the relationship to overall health status, have not been clearly identified. The purpose of this quantitative, descriptive study was to explore differences between spirituality, depressive symptoms, and quality of life among elders with and without heart failure. A total of 44 elders with heart failure and 40 non-heart failure elders completed several questionnaires including: The Daily Spiritual Experiences Scale (DSES, Spirituality Index of Well-Being (SIWB, Center for Epidemiologic Studies Depression Scale (CES-D, and SF-12™ Health Survey. There were significant differences in the groups on gender and ethnicity; thus these variables were controlled in the analyses related to the dependent variables. After controlling for gender and ethnicity, there were significant differences in the physical component of quality of life and spiritual well-being. The heart failure patients had significantly lower physical quality of life but more spiritual well-being than the non-heart failure patients. There were no significant differences in daily spiritual experiences, mental component of quality of life, and depressive symptoms between the two groups.Keywords: spiritual experience, spiritual well-being, heart failure, depressive symptoms, quality of life, elders

  17. Fulltext PDF

    Indian Academy of Sciences (India)

    7. George Gamow and John M Cleveland, Physics: Foundations & Frontiers, Prentice Hall, New Jersey, 1960. ... B Rochot, 'Gassendi (Gassend), Pierre', Dictionary of Scientific Biography, C C Gillespie, ..... Kepler in the 17th century. ... a drum with full force no sound will be created there, for the moon is without atmosphere.

  18. Do the Math: Course Redesign's Impact on Learning and Scheduling

    Science.gov (United States)

    Squires, John; Faulkner, Jerry; Hite, Carl

    2009-01-01

    The math department at Cleveland State Community College embarked upon course redesign in 2008. As a result of this project, student engagement, learning, and success rates have increased dramatically. By including both developmental and college level math courses in the redesign, the department has been able to implement innovative scheduling and…

  19. CONSULT-I Reading. Ohio Project. Final Report.

    Science.gov (United States)

    Newman, Anabel; And Others

    A study examined the effectiveness of the 1991-1992 implementation of the CONSULT-I(R) program (which uses artificial intelligence with statistical pattern recognition in constructing a diagnosis and recommending treatment of reading difficulties) at five cities in Ohio (Akron, Cincinnati, Cleveland, Columbus, and Toledo). A total of 30 teachers…

  20. Which test for CAD should be used in patients with left bundle branch block?

    Science.gov (United States)

    Xu, Bo; Cremer, Paul; Jaber, Wael; Moir, Stuart; Harb, Serge C; Rodriguez, L Leonardo

    2018-03-01

    Exercise stress electrocardiography is unreliable as a test for obstructive coronary artery disease (CAD) if the patient has left bundle branch block. The authors provide an algorithm for using alternative tests: exercise stress echocardiography, dobutamine echocardiography, computed tomographic (CT) angiography, and nuclear myocardial perfusion imaging. Copyright © 2018 Cleveland Clinic.

  1. Removal (and attempted removal) of material from a Hooded Vulture ...

    African Journals Online (AJOL)

    Relatively little is documented about nest material theft in vultures. We used camera traps to monitor Hooded Vulture Necrosyrtes monachus nests for a year. We report camera trap photographs of a starling Lamprotornis sp. removing what appeared to be dung from an inactive Hooded Vulture nest on Cleveland Game ...

  2. 78 FR 12799 - Notice of Intent To Grant Exclusive License

    Science.gov (United States)

    2013-02-25

    ... the invention described and claimed in U.S. Patent Application Serial No. US 13/ 534,804, Alpha-Stream... industries. The patent rights in these inventions as applicable have been assigned to the United States of... Rd, Cleveland OH 44135. Phone (216) 433-5754. Facsimile (216) 433-6790. FOR FURTHER INFORMATION...

  3. Family Literacy Project. Learning Centers for Parents and Children. A Resource Guide.

    Science.gov (United States)

    Crocker, M. Judith, Ed.; And Others

    This guide is intended to help adult education programs establish family literacy programs and create Family Learning Centers in Cleveland Public Schools. The information should assist program coordinators in developing educational components that offer activities to raise the self-esteem of the parents and provide them with the knowledge and…

  4. Rebels with a Cause.

    Science.gov (United States)

    Rosenberg, Steve; McKeon, Loren Marie

    1998-01-01

    Describes the activities and benefits of Positive Peer Groups (PPG), a Cleveland-based diocese program involving 40 schools. Designed for students with behavioral or academic problems, it focuses on school service projects that teach students to develop and implement valuable social skills. Describes the positive social and academic effects PPG…

  5. Digestion in the capybara (Hydrochoerus hydrochaeris)

    African Journals Online (AJOL)

    capybaras. ^In Handbook Series in Nutrition and Food; Section. G. Diets, Culture Media and Food Supplements. (ed. M. Rechcigl), Vol. I, 167 - 177. CRC Press: Cleveland, USA. GONZALEZ-JIMENEZ, Lg77b. El Capybara una fuente indegena de carne de la Am6rica Tropical. Revista Muidial de Zootecnia. 21,24.

  6. Reproductive health and the environment: Counseling patients about risks.

    Science.gov (United States)

    Haruty, Bella; Friedman, Julie; Hopp, Stephanie; Daniels, Ryane; Pregler, Janet

    2016-05-01

    Endocrine-disrupting chemicals (EDCs) are associated with reproductive complications such as infertility, pregnancy complications, poor birth outcomes, and child developmental abnormalities, although not all chemicals of concern are EDCs. Pregnant patients and women of childbearing age need reasonable advice about environmental contaminants and reproductive health. Copyright © 2016 Cleveland Clinic.

  7. The SDF-1-CXCR4 Axis Functions Through p38-MAPK Signaling to Drive Breast Cancer Progression and Metastasis

    Science.gov (United States)

    2009-09-01

    2002). Rubin JB, Kung AL, Klein RS, Chan JA, Sun Y, Schmidt K, Kieran MW, Luster AD, Segal RA.A small-molecule antagonist of CXCR4 inhibits... Melanie H. Howell, Michelle Lacey, Betty Y. Shih, Carol Carter-Wientjes, Thomas E. Cleveland, John A. McLachlan, Thomas E. Wiese, Barbara S. Beckman

  8. Association of Research Self-Efficacy with Medical Student Career Interests, Specialization, and Scholarship: A Case Study

    Science.gov (United States)

    Bierer, S. Beth; Prayson, Richard A.; Dannefer, Elaine F.

    2015-01-01

    This study used variables proposed in social cognitive career theory (SCCT) to focus the evaluation of a research curriculum at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University (CCLCM). Eight cohorts of CCLCM medical students completed a web-based version of the six-scale Clinical Research Appraisal…

  9. 76 FR 20076 - Qualification of Drivers; Exemption Applications; Vision

    Science.gov (United States)

    2011-04-11

    ... in favor of granting a Federal vision exemption to James H. Corby, Thomas E. Moore, and John F... 23 exemption applications, FMCSA exempts, Jody L. Baker, Gary W. Balcom, Jimmie L. Blue, Ronald Cook, James H. Corby, Bobby D. Cox, Wesley M. Creamer, Gerald S. Dennis, Cleveland E. Edwards, Thomas...

  10. Project Termination Report. Title IV-C Classroom Management Project. ESEA Title IV-C, August 29, 1981 - September 30, 1982.

    Science.gov (United States)

    Halasa, Ofelia; Theus, Frank

    This report provides a summary description of the Title IV-C Classroom Management Project conducted in the Cleveland (Ohio) Public Schools. The purpose of this project was to develop and pilot test a resource handbook designed to improve elementary and secondary school teachers' ability to organize and manage their classrooms. The development of…

  11. 32 CFR 716.10 - Procedures.

    Science.gov (United States)

    2010-07-01

    ... receipt, the disbursing officer will furnish the Navy Finance Center, Cleveland, Ohio 44199, with the decedent's basic monthly pay [plus any special (see § 716.1), incentive, and proficiency pay] in the event... there. The CACP officer shall also send a copy of his message to the Navy Finance Center with the...

  12. Fight For Equality

    Science.gov (United States)

    Mink, Patsy T.

    1973-01-01

    In this presentation to the annual conventions of the NAWDAC and the ACPA (Cleveland 1973) the author, a Congresswoman from Hawaii, deplores the practice of some counselors of directing women students into traditional women's courses. She urges college counselors and personnel workers to join in the struggle to achieve equal educational and…

  13. Colored Contact Lens Dangers

    Medline Plus

    Full Text Available ... Thomas Steinemann, MD, professor of ophthalmology at Case Western Reserve University in Cleveland. "This is far from ... technologies aiming to fix failing eye parts with human-made versions. U.S. News Highlights the Value of Ophthalmologists APR 20, ... EyeSmart Resources for Professionals Link your website to EyeSmart Embed ...

  14. Evaluating Quality of "Medical Tourism" For Heart Surgery: Measures That Matter.

    Science.gov (United States)

    Schlosser, Michael; Lee, Felix

    2017-02-01

    There are some success stories. Lowe's pioneering flat-rate deal with the Cleveland Clinic for heart surgery has shown both cost savings and quality improvement. Other large employers, notably Walmart and PepsiCo, have followed suit, signing contracts with self-described, single-hospital "centers of excellence" for a handful of elective procedures.

  15. Tendinopathy of the long head of the biceps tendon: histopathologic analysis of the extra-articular biceps tendon and tenosynovium

    Directory of Open Access Journals (Sweden)

    Streit JJ

    2015-03-01

    Full Text Available Jonathan J Streit,1 Yousef Shishani,1 Mark Rodgers,2 Reuben Gobezie1 1The Cleveland Shoulder Institute, 2Department of Pathology, University Hospitals of Cleveland, Cleveland, OH, USA Background: Bicipital tendinitis is a common cause of anterior shoulder pain, but there is no evidence that acute inflammation of the extra-articular long head of the biceps (LHB tendon is the root cause of this condition. We evaluated the histologic findings of the extra-articular portion of the LHB tendon and synovial sheath in order to compare those findings to known histologic changes seen in other tendinopathies. Methods: Twenty-six consecutive patients (mean age 45.4±13.7 years underwent an open subpectoral biceps tenodesis for anterior shoulder pain localized to the bicipital groove. Excised tendons were sent for histologic analysis. Specimens were graded using a semiquantitative scoring system to evaluate tenocyte morphology, the presence of ground substance, collagen bundle characteristics, and vascular changes. Results: Chronic inflammation was noted in only two of 26 specimens, and no specimen demonstrated acute inflammation. Tenocyte enlargement and proliferation, characterized by increased roundness and size of the cell and nucleus with proteoglycan matrix expansion and myxoid degenerative changes, was found in all 26 specimens. Abundant ground substance, collagen bundle changes, and increased vascularization were visualized in all samples. Conclusion: Anterior shoulder pain attributed to the biceps tendon does not appear to be due to an inflammatory process in most cases. The histologic findings of the extra-articular portion of the LHB tendon and synovial sheath are similar to the pathologic findings in de Quervain tenosynovitis at the wrist, and may be due to a chronic degenerative process similar to this and other tendinopathies of the body. Keywords: biceps tendinitis, biceps tendinopathy, tenosynovium, anterior shoulder pain, long head biceps

  16. Recent findings within the microbiota–gut–brain–endocrine metabolic interactome

    Directory of Open Access Journals (Sweden)

    Obrenovich M

    2017-02-01

    Full Text Available Mark Obrenovich,1–4 Thriveen Sankar Chittoor Mana,5 Herleen Rai,2 Dorjee Shola,4,6 Christopher Sass,2,3 Benjamin McCloskey,4 Bruce S Levison7 1Pathology and Laboratory Medicine Service, 2Research Service, Cleveland Veterans Affairs Medical Center, 3Department of Chemistry, Cleveland State University, 4Gilgamesh Foundation, 5Division of Infectious Diseases and HIV Medicine, Case Western Reserve University, Cleveland, OH, 6Gene Targeting Resource Center, The Rockefeller University, New York, NY, 7Department of Pediatrics, University of Toledo, Toledo, OH, USA Purpose of review: We have established that many metabolic biomes exist within the complex mammalian gut. Substantial metabolism occurs within these biomes and is called co-metabolism of the host and resident microorganisms. This gut–brain–endocrine metabolic interaction emphasizes how bacteria can affect the brain and the hormonal axes in the process of co-metabolism. This review highlights new findings in this regard. Recent findings: In this review, we explore how the gut microbiota affect the development and regulation of the hypothalamic–pituitary–adrenal axis and neurochemistry from mental health and behavioral health to memory, depression, mood, anxiety, obesity, and the development of the blood–brain barrier. Summary: This review describes the implications of the findings for clinical practice or research. Interaction of small molecules within these biomes is now described collectively as a “metabolic interactome”. Metabolites of the gut–brain–endocrine axis and our overall gut health constantly shape the host phenotype in ways previously unimagined, and this niche represents potential targets for treatment and drug design, since the interaction or biochemical interplay results in net metabolite production and/or end products to exercise either positive or negative effects on human health. Keywords: neurotransmitters, gut brain axis, metabolomics, microbiota

  17. 50 CFR 100.26 - Subsistence taking of wildlife.

    Science.gov (United States)

    2010-10-01

    ... a motor-driven boat when the boat's progress from the motor's power has not ceased; (5) Using a... or tagged for scientific studies, you must, within a reasonable time, notify the ADF&G or the agency... Unit 1B—that portion on the Cleveland Peninsula south of the divide between Yes Bay and Santa Anna...

  18. Taking Your Talents to Business Communications: Analyzing Effective Communication through LeBron James's Career Moves

    Science.gov (United States)

    Manisaligil, Alperen; Bilimoria, Diana

    2016-01-01

    We describe an in-class activity that helps students improve their skills in media selection and use to reinforce effective communication. The activity builds on media richness and channel expansion theories through an examination of the media selection and use of NBA athlete LeBron James and Cleveland Cavaliers majority owner Dan Gilbert during…

  19. Elementary Law-Related Education Program: 1981-82 Evaluation Report.

    Science.gov (United States)

    Chambers, Barbara A.

    The Cleveland School District developed the Elementary Law-Related Education Program (ELRE) for students in grades three to six. The plan was designed to educate students in citizenship, the law, and the courts. It was implemented in the 1981-82 school year. The aims of the project were to develop student knowledge and attitude evaluation…

  20. Colored Contact Lens Dangers

    Medline Plus

    Full Text Available ... MD, professor of ophthalmology at Case Western Reserve University in Cleveland. "This is far from the truth." ... use of colored contact lenses , from the U.S. Food and Drug Administration (FDA). Are the colored lenses you are considering buying approved by the ... Service For Advertisers For Media Ophthalmology Job Center © American ...

  1. Journalism and Urban School Reform: Versions of Democratic Decision Making in Two American Cities

    Science.gov (United States)

    Shipps, Dorothy; Fowlkes, Elizabeth; Peltzman, Alissa

    2006-01-01

    School reform involves the public: its expectation of participation and its support for a reform agenda. In theory, the press influences both. To explore this link, we compare education coverage in four press outlets, two each in Chicago and Cleveland. Articles and editors are interrogated for (1) style of journalism and (2) assumptions about the…

  2. Untitled

    Indian Academy of Sciences (India)

    F-G martix method has been carried out by Sundaram and Clevelandº which helped to check the assignments of the Raman and infra-red bands. In the present investigation, the Urey-Bradley force constants of ketenc and ketene-d, have been evaluated. SYMMETRY, F-MATRIX AND G-MATRIX. Ketene is a planar molecule ...

  3. Identifying Areas of Primary Care Shortage in Urban Ohio

    Directory of Open Access Journals (Sweden)

    Hsin-Chung Liao

    Full Text Available ABSTRACT: This study considers both spatial and a-spatial variables in examining accessibility to primary healthcare in the three largest urban areas of Ohio (Cleveland, Columbus, and Cincinnati. Spatial access emphasizes the importance of geographic barriers between individuals and primary care physicians, while a-spatial variables include non-geographic barriers or facilitators such as age, sex, race, income, social class, education, living conditions and language skills. Population and socioeconomic data were obtained from the 2000 Census, and primary care physician data for 2008 was provided by the Ohio Medical Board. We first implemented a two-step method based on a floating catchment area using Geographic Information Systems to measure spatial accessibility in terms of 30-minute travel times. We then used principal component analysis to group various socio-demographic variables into three groups: (1 socioeconomic disadvantages, (2 living conditions, and (3 healthcare needs. Finally, spatial and a-spatial variables were integrated to identify areas with poor access to primary care in Cleveland, Columbus, and Cincinnati. KEYWORDS: Geographic information systems, healthcare access, spatial accessibility, primary care shortage areas

  4. Prospective Clinical Study of Precision Oncology in Solid Tumors.

    Science.gov (United States)

    Sohal, Davendra P S; Rini, Brian I; Khorana, Alok A; Dreicer, Robert; Abraham, Jame; Procop, Gary W; Saunthararajah, Yogen; Pennell, Nathan A; Stevenson, James P; Pelley, Robert; Estfan, Bassam; Shepard, Dale; Funchain, Pauline; Elson, Paul; Adelstein, David J; Bolwell, Brian J

    2015-11-09

    Systematic studies evaluating clinical benefit of tumor genomic profiling are lacking. We conducted a prospective study in 250 patients with select solid tumors at the Cleveland Clinic. Eligibility required histopathologic diagnosis, age of 18 years or older, Eastern Cooperative Oncology Group performance status 0-2, and written informed consent. Tumors were sequenced using FoundationOne (Cambridge, MA). Results were reviewed at the Cleveland Clinic Genomics Tumor Board. Outcomes included feasibility and clinical impact. Colorectal (25%), breast (18%), lung (13%), and pancreatobiliary (13%) cancers were the most common diagnoses. Median time from consent to result was 25 days (range = 3-140). Of 223 evaluable samples, 49% (n = 109) of patients were recommended a specific therapy, but only 11% (n = 24) received such therapy: 12 on clinical trials, nine off-label, three on-label. Lack of clinical trial access (n = 49) and clinical deterioration (n = 29) were the most common reasons for nonrecommendation/nonreceipt of genomics-driven therapy. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  5. Correlation of microdosimetric measurements with relative biological effectiveness from clinical experience for two neutron therapy beams

    International Nuclear Information System (INIS)

    Stinchcomb, T.G.; Kuchnir, F.T.; Myrianthopoulos, L.C.; Horton, J.L. Jr.; Roberts, W.K.

    1986-01-01

    Microdosimetric measurements were made for the neutron therapy beams at the University of Chicago and at the Cleveland Clinic with the same geometry and phantom material using the same tissue-equivalent spherical proportional counter and standard techniques. The energy deposition spectra (dose distributions in lineal energy) are compared for these beams and for their scattered components (direct beam blocked). The model of dual radiation action (DRA) of Kellerer and Rossi is employed to interpret these data in terms of biological effectiveness over this limited range of radiation qualities. The site-diameter parameter of the DRA theory is determined for the Cleveland beam by setting the biological effectiveness (relative to 60 Co gamma radiation) equal to the relative biological effectiveness value deduced from radiobiology experiments and clinical experience. The resulting value of this site-diameter parameter is then used to predict the biological effectiveness of the Chicago beam. The prediction agrees with the value deduced from radiobiology and clinical experience. The biological effectiveness of the scattered components of both beams is also estimated using the model

  6. Metastatic clear cell carcinoma of the kidney: therapeutic role of bevacizumab

    Directory of Open Access Journals (Sweden)

    Ronald M Bukowski

    2010-03-01

    Full Text Available Ronald M BukowskiCleveland Clinic Taussig Cancer Center, CCF Lerner College of Medicine of CWRU Cleveland, OH, USAAbstract: The biology and pathogenesis of clear cell carcinoma of the kidney has been extensively investgated, and the role of von Hipple-Landau gene inactivation and tumor associated angiogenesis is now recognized. Development of vascular endothelial growth factor inhibitors and phase 3 clinical trials utilizing this class of agents has produced a new treatment paradigm for patients with metastatic renal cell carcinoma (RCC. One of the active regimens identified is the combination of bevacizumab and interferon-α. Recently published reports provided evidence of the clinical and biologic activity of this therapy. The current manuscript reviews the background and rationale for the activity of bevacizumab in RCC, and results from recent clinical trials with this agent alone or in combination with targeted agents or cytokines. The role of this therapy in contrast to other targeted agents is reviewed, and the potential utility as well as questions raised by recent studies are discussed.Keywords: metastatic renal cell carcinoma, bevacizumab, interferon-α

  7. EnviroAtlas - Cleveland, OH - Estimated Intersection Density of Walkable Roads

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset estimates the intersection density of walkable roads within a 750 meter radius of any given 10 meter pixel in the community. Intersections...

  8. EnviroAtlas - Cleveland, OH - Historic Places by Census Block Group

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset portrays the total number of historic places located within each Census Block Group (CBG). The historic places data were compiled from the...

  9. 2016 NOAA NGS Ortho-rectified Color Mosaic of Cleveland, Ohio

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains ortho-rectified mosaic tiles, created as a product from the NOAA Integrated Ocean and Coastal Mapping (IOCM) initiative. The source imagery...

  10. EnviroAtlas - Cleveland, OH - 15m Riparian Buffer Forest Cover

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset describes the percentage of a 15-m riparian buffer that is forested. In this community, forest is defined as Trees & Forest and Woody...

  11. EnviroAtlas - Cleveland, OH - 51m Riparian Buffer Vegetated Cover

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset describes the percentage of a 51-m riparian buffer that is vegetated. In this community, vegetated cover is defined as Trees & Forest,...

  12. EnviroAtlas - Cleveland, OH - 51m Riparian Buffer Vegetated Cover

    Science.gov (United States)

    This EnviroAtlas dataset describes the percentage of a 51-m riparian buffer that is vegetated. In this community, vegetated cover is defined as Trees & Forest, Grass & Herbaceous, Woody Wetlands, and Emergent Wetlands. There is a potential for decreased water quality in areas where the riparian buffer is less vegetated. The displayed line represents the center of the analyzed riparian buffer. The water bodies analyzed include hydrologically connected streams, rivers, connectors, reservoirs, lakes/ponds, ice masses, washes, locks, and rapids within the EnviroAtlas community area. This dataset was produced by the US EPA to support research and online mapping activities related to EnviroAtlas. EnviroAtlas (https://www.epa.gov/enviroatlas ) allows the user to interact with a web-based, easy-to-use, mapping application to view and analyze multiple ecosystem services for the contiguous United States. The dataset is available as downloadable data (https://edg.epa.gov/data/Public/ORD/EnviroAtlas) or as an EnviroAtlas map service. Additional descriptive information about each attribute in this dataset can be found in its associated EnviroAtlas Fact Sheet (https://www.epa.gov/enviroatlas/enviroatlas-fact-sheets)

  13. EnviroAtlas - Cleveland, OH - 51m Riparian Buffer Forest Cover

    Science.gov (United States)

    This EnviroAtlas dataset describes the percentage of a 51-m riparian buffer that is forested. In this community, forest is defined as Trees & Forest and Woody Wetlands. There is a potential for decreased water quality in areas where the riparian buffer is less forested. The displayed line represents the center of the analyzed riparian buffer. The water bodies analyzed include hydrologically connected streams, rivers, connectors, reservoirs, lakes/ponds, ice masses, washes, locks, and rapids within the EnviroAtlas community area. This dataset was produced by the US EPA to support research and online mapping activities related to EnviroAtlas. EnviroAtlas (https://www.epa.gov/enviroatlas ) allows the user to interact with a web-based, easy-to-use, mapping application to view and analyze multiple ecosystem services for the contiguous United States. The dataset is available as downloadable data (https://edg.epa.gov/data/Public/ORD/EnviroAtlas) or as an EnviroAtlas map service. Additional descriptive information about each attribute in this dataset can be found in its associated EnviroAtlas Fact Sheet (https://www.epa.gov/enviroatlas/enviroatlas-fact-sheets)

  14. EnviroAtlas - Cleveland, OH - Greenspace Around Schools by Block Group

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas data set shows the number of schools in each block group in the EnviroAtlas community boundary as well as the number of schools where less than 25%...

  15. AFOSR/ONR (Air Force Office of Scientific Research/Office of Naval Research) Contractors’ Meeting - Combustion Rocket Propulsion Diagnostics of Reacting Flow Held in Ann Arbor, Michigan on June 19-23, 1989

    Science.gov (United States)

    1989-06-19

    since S and dm/dt can be determined from the combined light scattering aid velocity measure- ments. This product, kfC H ], is termed the specific surface...Patterson AFB OH 45433-6563 Cleveland OH 44135-3127 (513)255-7431 AV785-7431 Dr Bruce Masson Dr. James McDonald AFWL/ARDF Code 6110 Kirtland AFB NM

  16. 36 CFR 242.26 - Subsistence taking of wildlife.

    Science.gov (United States)

    2010-07-01

    ...-driven boat when the boat's progress from the motor's power has not ceased; (5) Using a motorized vehicle... collars. If you take an animal that has been marked or tagged for scientific studies, you must, within a... Unit 1B—that portion on the Cleveland Peninsula south of the divide between Yes Bay and Santa Anna...

  17. 49 CFR Appendix F to Subchapter B... - Commercial Zones

    Science.gov (United States)

    2010-10-01

    ..., N. Mex. 18 Ravenswood, W. Va. 19 Lake Charles, La. 20 Syracuse, N.Y. 21 Baltimore, Md. 22 Cleveland... in respect of a shipment which has had a prior, or will have a subsequent movement by water carrier... Boulevard to its junction with St. Charles Rock Road, thence westerly along St. Charles Rock Road to its...

  18. Bibliographic Index to the Plague (1965-1970)

    Science.gov (United States)

    1975-11-18

    Entomology Review Acta Pathol. et ’Microbiol. Scmad. Acta Pathologica and Microbiologica Scandinavica (Copenhagen) Acta Trop. Acta Tronica ( Basil ) Amer...Basel - New York) Pediatrics Pediatrics (Springfield) Pest Control Pest Control (Cleveland) Pesticides Pesticides Pharmn. :tg. Pharmaceutical Journal...Institutions from Inst. 1964-68 and Pros. for Their 1964-1968 and the Prospects for Their Fut. Act. Future Activities . (Theses of Reports to the

  19. Institute for Computational Mechanics in Propulsion (ICOMP). 10

    Science.gov (United States)

    Keith, Theo G., Jr. (Editor); Balog, Karen (Editor); Povinelli, Louis A. (Editor)

    1996-01-01

    The Institute for Computational Mechanics in Propulsion (ICOMP) is operated by the Ohio Aerospace Institute (OAI) and funded under a cooperative agreement by the NASA Lewis Research Center in Cleveland, Ohio. The purpose of ICOMP is to develop techniques to improve problem-solving capabilities in all aspects of computational mechanics related to propulsion. This report describes the activities at ICOUP during 1995.

  20. Renal denervation: What happened, and why?

    Science.gov (United States)

    Shishehbor, Mehdi H; Hammad, Tarek A; Thomas, George

    2017-09-01

    Despite promising results in initial trials, renal denervation failed to achieve its efficacy end points as a treatment for resistant hypertension in the SYMPLICITY HTN-3 trial, the largest trial of this treatment to date (N Engl J Med 2014; 370:1393-1401). Is renal denervation dead, or will future trials and newer technology revive it? Copyright © 2017 Cleveland Clinic.

  1. Aircraft Piston Engine Exhaust Emission Symposium

    Science.gov (United States)

    1976-01-01

    A 2-day symposium on the reduction of exhaust emissions from aircraft piston engines was held on September 14 and 15, 1976, at the Lewis Research Center in Cleveland, Ohio. Papers were presented by both government organizations and the general aviation industry on the status of government contracts, emission measurement problems, data reduction procedures, flight testing, and emission reduction techniques.

  2. A Vision in Aeronautics: The K-12 Wind Tunnel Project

    Science.gov (United States)

    1997-01-01

    A Vision in Aeronautics, a project within the NASA Lewis Research Center's Information Infrastructure Technologies and Applications (IITA) K-12 Program, employs small-scale, subsonic wind tunnels to inspire students to explore the world of aeronautics and computers. Recently, two educational K-12 wind tunnels were built in the Cleveland area. During the 1995-1996 school year, preliminary testing occurred in both tunnels.

  3. Update on quetiapine in the treatment of bipolar disorder: results from the BOLDER studies

    Directory of Open Access Journals (Sweden)

    Prashant Gajwani

    2007-01-01

    Full Text Available Prashant Gajwani1, David J Muzina2, David E Kemp3, Keming Gao1, Joseph R Calabrese11Case Western Reserve University (CWRU School of Medicine, 2Cleveland Clinic Lerner College of Medicine of CWRU, 3Case Western Reserve University, Cleveland OH, USAAbstract: The essential features of bipolar affective disorder involve the cyclical occurrence of high (manic or hypomanic episodes and low mood states. Depressive episodes in both bipolar I and II disorder are more numerous and last for longer duration than either manic or hypomanic episodes. In addition depressive episodes are associated with higher morbidity and mortality. While multiple agents, including all 5 atypical antipsychotics, have demonstrated efficacy and earned US FDA indication for manic phase of bipolar illness, the acute treatment of bipolar depression is less well-studied. The first treatment approved by the US FDA for acute bipolar depression was the combination of the atypical antipsychotic olanzapine and the antidepressant fluoxetine. Recently, quetiapine monotherapy has demonstrated efficacy in the treatment of depressive episodes associated with both bipolar I and II disorder and has earned US FDA indication for the same.Keywords: bipolar disorder, quetiapine, BOLDER studies

  4. New and emerging treatments for the prevention of recurrent diverticulitis

    Directory of Open Access Journals (Sweden)

    Stocchi L

    2011-09-01

    Full Text Available Sean T Martin, Luca StocchiDepartment of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USAAbstract: Sigmoid diverticulitis is a common benign condition which carries significant morbidity and socioeconomic burden. This article describes the management of sigmoid diverticulitis with a focus on indications for surgical intervention. The mainstay of management of uncomplicated diverticulitis is broad-spectrum antibiotic therapy. The old surgical dictum that two episodes of sigmoid diverticulitis warranted surgical intervention has been challenged by recently published data. Surgery for diverticulitis thus needs to be tailored to suit individual presentation; patients presenting with recurrent diverticulitis, severe symptoms or debilitating disease impacting patient's quality of life mandate surgical intervention. Complicated diverticular disease typically prompts intervention to resect a diseased, strictured sigmoid colon, fistulizing disease, or a life-threatening colonic perforation. Laterally, minimally invasive surgery has been utilized in the management of this disease and recent data suggests that localized colonic perforation may be managed by laparoscopic peritoneal lavage, without resection. This review focuses discussion on available evidence for contemporary surgical and nonoperative management of diverticulitis.Keywords: sigmoid diverticulitis, colon, laparoscopic peritoneal lavage, surgical intervention

  5. Diagnosis and treatment of irritable bowel syndrome with predominant constipation in the primary-care setting: focus on linaclotide

    Directory of Open Access Journals (Sweden)

    Chandar AK

    2017-10-01

    Full Text Available Apoorva Krishna Chandar1,2 1Department of Gastroenterology and Liver Disease, Case Western Reserve University, 2Digestive Health Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, USA Abstract: Irritable bowel syndrome (IBS is a complex functional gastrointestinal disorder that is exceedingly common in clinical practice. IBS with predominant constipation (IBS-C is a subtype of IBS that accounts for more than a third of the IBS diagnosed. Diagnosis of IBS requires a careful personalized approach, a comprehensive clinical history, limited but relevant investigations, and continued follow-up. Major IBS societies and guidelines recommend offering a positive diagnosis of IBS based on presenting symptomatology. Abdominal pain that may or may not be relieved by defecation is the cardinal symptom of IBS; distension and bloating are other common symptoms. Careful attention should be paid to alarm symptoms before a diagnosis of IBS is made. Pharmacotherapy with linaclotide is recommended for moderate–severe IBS-C, based on high-quality evidence from randomized controlled trials. Diarrhea is the major side effect of linaclotide, and limited cost-effectiveness data currently exist. Keywords: irritable bowel syndrome, irritable bowel syndrome with predominant constipation, primary care, Rome IV, linaclotide, systematic review 

  6. Deairing Techniques for Double-Ended Centrifugal Total Artificial Heart Implantation.

    Science.gov (United States)

    Karimov, Jamshid H; Horvath, David J; Byram, Nicole; Sunagawa, Gengo; Grady, Patrick; Sinkewich, Martin; Moazami, Nader; Sale, Shiva; Golding, Leonard A R; Fukamachi, Kiyotaka

    2017-06-01

    The unique device architecture of the Cleveland Clinic continuous-flow total artificial heart (CFTAH) requires dedicated and specific air-removal techniques during device implantation in vivo. These procedures comprise special surgical techniques and intraoperative manipulations, as well as engineering design changes and optimizations to the device itself. The current study evaluated the optimal air-removal techniques during the Cleveland Clinic double-ended centrifugal CFTAH in vivo implants (n = 17). Techniques and pump design iterations consisted of developing a priming method for the device and the use of built-in deairing ports in the early cases (n = 5). In the remaining cases (n = 12), deairing ports were not used. Dedicated air-removal ports were not considered an essential design requirement, and such ports may represent an additional risk for pump thrombosis. Careful passive deairing was found to be an effective measure with a centrifugal pump of this design. In this report, the techniques and design changes that were made during this CFTAH development program to enable effective residual air removal and prevention of air embolism during in vivo device implantation are explained. © 2016 International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.

  7. Comprehensive Study of Acute Effects and Recovery After Concussion

    Science.gov (United States)

    2017-10-01

    Prevent Mouthguard sensor system (Cleveland Clinic) demonstrated an ability to collect true positive head impacts, verified using video evidence...comparison of HIT System data to Prevent mouthguard data with comprehensive video analysis of all collected head impacts. • Interim anlaysis of HIM...presentation in both athlete and civilian mTBI patients and (2) test hypotheses regarding sex differences in mTBI phenotypes. The project will 33 be

  8. Fall risk and anticoagulation for atrial fibrillation in the elderly: A delicate balance.

    Science.gov (United States)

    Hagerty, Tracy; Rich, Michael W

    2017-01-01

    Guidelines for managing atrial fibrillation recommend systemic anticoagulation for almost all patients age 65 and older, but in practice up to 50% of older patients do not receive maintenance anticoagulation therapy. The most common reason physicians cite for withholding anticoagulation in older patients with atrial fibrillation is a perception of a high risk of falling and associated bleeding, especially intracranial hemorrhage. Copyright © 2017 Cleveland Clinic.

  9. Insurgent Uprising: An Unconventional Warfare Wargame

    Science.gov (United States)

    2017-12-01

    Cleveland, Charles T. Connett, and Will Irwin. “Unconventional Warfare in the Gray Zone.” Joint Forces Quarterly 80, no. 1 (2016). Work, Robert O...CODE 13. ABSTRACT (maximum 200 words) Today, and in the future, unconventional solutions will present U.S. policymakers with options for dealing...training objectives and will complement existing training exercises. 14. SUBJECT TERMS unconventional warfare, foreign internal defense, direct

  10. Institute for Computational Mechanics in Propulsion (ICOMP)

    Science.gov (United States)

    Keith, Theo G., Jr. (Editor); Balog, Karen (Editor); Povinelli, Louis A. (Editor)

    2001-01-01

    The Institute for Computational Mechanics in Propulsion (ICOMP) was formed to develop techniques to improve problem-solving capabilities in all aspects of computational mechanics related to propulsion. ICOMP is operated by the Ohio Aerospace Institute (OAI) and funded via numerous cooperative agreements by the NASA Glenn Research Center in Cleveland, Ohio. This report describes the activities at ICOMP during 1999, the Institute's fourteenth year of operation.

  11. Post-explant visualization of thrombi in outflow grafts and their junction to a continuous-flow total artificial heart using a high-definition miniaturized camera.

    Science.gov (United States)

    Karimov, Jamshid H; Horvath, David; Sunagawa, Gengo; Byram, Nicole; Moazami, Nader; Golding, Leonard A R; Fukamachi, Kiyotaka

    2015-12-01

    Post-explant evaluation of the continuous-flow total artificial heart in preclinical studies can be extremely challenging because of the device's unique architecture. Determining the exact location of tissue regeneration, neointima formation, and thrombus is particularly important. In this report, we describe our first successful experience with visualizing the Cleveland Clinic continuous-flow total artificial heart using a custom-made high-definition miniature camera.

  12. Elm diseases

    Science.gov (United States)

    John W. Peacock

    1989-01-01

    Dutch elm disease was found in Cleveland, Ohio, in 1930, and is now in most of the contiguous 48 states. The disease is caused by a fungus that has killed millions of wild and planted elms. Losses have been the greatest in the eastern United States. The fungus attacks all elms, but our native species, American, slippery, and rock elm have little or no resistance to the...

  13. EnviroAtlas - Cleveland, OH - Estimated Percent Tree Cover Along Walkable Roads

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset estimates tree cover along walkable roads. The road width is estimated for each road and percent tree cover is calculated in a 8.5 meter...

  14. EnviroAtlas - Cleveland, OH - Estimated Percent Green Space Along Walkable Roads

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset estimates green space along walkable roads. Green space within 25 meters of the road centerline is included and the percentage is based on...

  15. 2016 NOAA NGS Ortho-rectified Near-Infrared Mosaic of Cleveland, Ohio

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains ortho-rectified mosaic tiles, created as a product from the NOAA Integrated Ocean and Coastal Mapping (IOCM) initiative. The source imagery...

  16. 75 FR 20528 - Proposed Amendment to Class B Airspace; Cleveland, OH

    Science.gov (United States)

    2010-04-20

    ..., SE., West Building Ground Floor, Room W12-140, Washington, DC 20590-0001; telephone: (202) 366-9826... and AIM, Federal Aviation Administration, 800 Independence Avenue, SW., Washington, DC 20591... extension to the southwest described from the 20-mile arc of the CLE Runway 24L ILS/DME antenna (I-HPI) to...

  17. Forging Industry Leadtimes: An Analysis of Causes for and Solutions to Long Leadtimes for Aerospace Forgings

    Science.gov (United States)

    1986-09-01

    Pamplet . Forging Industry Association, Cleveland-MT, uncatea. 20. Forging Industry Association, and American Society for Metals. Forging Handbook, edited... Pamplet . The Harris-Thomas Drop Forge Compnyayto--n R, undated. 43. Theeck, Michael F., TECH MOD Program Mana.er. Personal interview. Industrial Base... Brochure . Worcester MA, 3, . 125 "’ VITA Captain Stephen F. O’Neill was born on 19 June 1957 in Pittsfield, Massachusetts. He graduated from high school

  18. Targeting Histone Abnormality in Triple Negative Breast Cancer

    Science.gov (United States)

    2015-08-01

    κB pathway in triple negative breast cancer . 8th International Nitric Oxide Conference & 6th International Nitrite/ Nitrate Conference, Cleveland, OH...1 AWARD NUMBER: W81XWH-14-1-0237 TITLE: Targeting Histone Abnormality in Triple-Negative Breast Cancer PRINCIPAL INVESTIGATOR: Yi...TITLE AND SUBTITLE 5a. CONTRACT NUMBER Targeting Histone Abnormality in Triple-Negative Breast Cancer 5b. GRANT NUMBER W81XWH-14-1-0237 5c

  19. Oceanography: 1998 Paris Meeting Abstracts: Coastal and Marginal Seas. Volume 11, Number 2.

    Science.gov (United States)

    1998-01-01

    8217internal wave band’ (Garrett and Munk, 1972). The canonicity of this description holds especially for the spectral shape of the internal wave band...for the formation of the main nepheloid structures, especially the Surface Nepheloid Layer (SNL), about 100 m thick and linked to the thermocline...Millan (1), Joan Cleveland (2) - (1) Centra de investigacion Cientifica y Educacion , Superior de Ensenada, Apdo. MSP-45: Spatial Patterns of Plankter

  20. Bell palsy: Clinical examination and management.

    Science.gov (United States)

    Patel, Donika K; Levin, Kerry H

    2015-07-01

    Bell palsy is a common neurologic disorder characterized by acute facial mononeuropathy of unclear cause presenting with unilateral facial weakness. Careful examination and a detailed history are important in making an accurate diagnosis. Early recognition is essential, as treatment with corticosteroids within 72 hours of onset has been shown to hasten recovery. Fortunately, most patients recover spontaneously within 3 weeks, even if untreated. Copyright © 2015 Cleveland Clinic.

  1. Orphan drugs in development for urea cycle disorders: current perspectives

    OpenAIRE

    Häberle, Johannes; McCandless,Shawn

    2014-01-01

    Johannes Häberle,1 Shawn E McCandless2 1Division of Metabolism and Children's Research Center, University Children's Hospital Zurich, Zurich, Switzerland; 2Center for Human Genetics, University Hospitals Case Medical Center, and Department of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, OH, USA Abstract: The urea cycle disorders are caused by deficiency of one of the six hepatic enzymes or two transporters involved in detoxification of am...

  2. Effectiveness of Acupressure Treatment for Pain Management and Fatigue Relief in Gulf War Veterans

    Science.gov (United States)

    2016-10-01

    only one site – Cleveland Clinic Foundation. No cost extension of a 12-months of period has been submitted. Study Advertisements The online ads...other documentation. Effectiveness of Acupressure Treatment for Pain Management and Fatigue Relief in Gulf War Veterans REPORT DOCUMENTATION PAGE...2016 4. TITLE AND SUBTITLE Effectiveness of Acupressure Treatment for Pain Management and Fatigue Relief in Gulf War Veterans 5a. CONTRACT NUMBER 5b

  3. GERD: Diagnosing and treating the burn.

    Science.gov (United States)

    Alzubaidi, Mohammed; Gabbard, Scott

    2015-10-01

    Gastroesophageal reflux disease (GERD) is chronic, very common, and frequently encountered in internal medicine and subspecialty clinics. It is often diagnosed on clinical grounds, but specialized testing such as endoscopy and pH monitoring may be necessary in certain patients. Although proton pump inhibitors (PPIs) are the mainstay of treatment, clinicians should be aware of their short-term and long-term side effects. Copyright © 2015 Cleveland Clinic.

  4. Role of Ca ++ Influx via Epidermal TRP Ion Channels

    Science.gov (United States)

    2016-10-01

    the North Carolina Biotechnology Center (NCBC), and by the Harrington Discovery Institute of University Hospitals in Cleveland OH. 7   The...widely read forum on Pain Medicine in the US and in English-speaking countries. http://www.painmedicinenews.com/Science-Technology/Article/08-16/Study...University, Durham NC USA. 2Dept of Medicine , Duke University, Durham NC USA. 3Dept of Chemistry, Duke University, Durham NC USA. 4Dept of Neurobiology

  5. A tale of two rain gardens: Barriers and bridges to adaptive ...

    Science.gov (United States)

    Green infrastructure installations such as rain gardens and bioswales are increasingly regarded as viable tools to mitigate stormwater runoff at the parcel level. The use of adaptive management to implement and monitor green infrastructure projects as experimental attempts to manage stormwater has not been adequately explored as a way to optimize green infrastructure performance or increase social and political acceptance. Efforts to improve stormwater management through green infrastructure suffer from the complexity of overlapping jurisdictional boundaries, as well as interacting social and political forces that dictate the flow, consumption, conservation and disposal of urban wastewater flows. Within this urban milieu, adaptive management—rigorous experimentation applied as policy—can inform new wastewater management techniques such as the implementation of green infrastructure projects. In this article, we present a narrative of scientists and practitioners working together to apply an adaptive management approach to green infrastructure implementation for stormwater management in Cleveland, Ohio. In Cleveland, contextual legal requirements and environmental factors created an opportunity for government researchers, stormwater managers and community organizers to engage in the development of two distinct sets of rain gardens, each borne of unique social, economic and environmental processes. In this article we analyze social and political barriers to app

  6. Real-Time, Interactive Echocardiography Over High-Speed Networks: Feasibility and Functional Requirements

    Science.gov (United States)

    Bobinsky, Eric A.

    1998-01-01

    Real-time, Interactive Echocardiography Over High Speed Networks: Feasibility and Functional Requirements is an experiment in advanced telemedicine being conducted jointly by the NASA Lewis Research Center, the NASA Ames Research Center, and the Cleveland Clinic Foundation. In this project, a patient undergoes an echocardiographic examination in Cleveland while being diagnosed remotely by a cardiologist in California viewing a real-time display of echocardiographic video images transmitted over the broadband NASA Research and Education Network (NREN). The remote cardiologist interactively guides the sonographer administering the procedure through a two-way voice link between the two sites. Echocardiography is a noninvasive medical technique that applies ultrasound imaging to the heart, providing a "motion picture" of the heart in action. Normally, echocardiographic examinations are performed by a sonographer and cardiologist who are located in the same medical facility as the patient. The goal of telemedicine is to allow medical specialists to examine patients located elsewhere, typically in remote or medically underserved geographic areas. For example, a small, rural clinic might have access to an echocardiograph machine but not a cardiologist. By connecting this clinic to a major metropolitan medical facility through a communications network, a minimally trained technician would be able to carry out the procedure under the supervision and guidance of a qualified cardiologist.

  7. Anorectal function and outcomes after transanal minimally invasive surgery for rectal tumors

    Directory of Open Access Journals (Sweden)

    Feza Y Karakayali

    2015-01-01

    Full Text Available Background: Transanal endoscopic microsurgery is a minimally invasive technique that allows full-thickness resection and suture closure of the defect for large rectal adenomas, selected low-risk rectal cancers, or small cancers in patients who have a high risk for major surgery. Our aim, in the given prospective study was to report our initial clinical experience with TAMIS, and to evaluate its effects on postoperative anorectal functions. Materials and Methods: In 10 patients treated with TAMIS for benign and malignant rectal tumors, preoperative and postoperative anorectal function was evaluated with anorectal manometry and Cleveland Clinic Incontinence Score. Results: The mean distance of the tumors from the anal verge was 5.6 cm, and mean tumor diameter was 2.6 cm. All resection margins were tumor free. There was no difference in preoperative and 3-week postoperative anorectalmanometry findings; only mean minimum rectal sensory volume was lower at 3 weeks after surgery. The Cleveland Clinic Incontinence Score was normal in all patients except one which resolved by 6 weeks after surgery.The mean postoperative follow-up was 28 weeks without any recurrences. Conclusion: Transanal minimally invasive surgery is a safe and effective procedure for treatment of rectal tumors and can be performed without impairing anorectal functions.

  8. Healing leadership: the serving leader's impact on patient outcomes in a clinical environment

    Directory of Open Access Journals (Sweden)

    Andenoro A

    2012-05-01

    Full Text Available Chris Nagel1, Anthony C Andenoro21Medical Operations – Continuous Improvement, Cleveland Clinic, Cleveland, OH; 2Department of Organizational Leadership, Gonzaga University, Spokane, WA, USAAbstract: The future of health care is a topic that has significant importance to patients and caregivers alike for generations to come. As the health care industry becomes more complex, leadership and the examination of how to most effectively apply it to meet efficiency standards and optimize the patient experience will become paramount. Through this paper the authors provide the foundation for meeting this need through an innovative and socially adept framework that identifies the critical character attributes of a serving leader and the powerful impact that serving leaders can have on patient outcomes in the health care setting. This framework is grounded in a leadership theoretical foundation and contextually examined through qualitative methods. As the business of health care becomes more complex and more competitive, finding ways to improve processes and create healing environments conducive to improved patient outcomes will differentiate average health care and excellent health care in the future. This paper provides the impetus for successfully addressing these needs through the development of serving leaders, and three specific characteristics: emotional care, presence, and awareness.Keywords: servant leadership, health care, patient outcomes

  9. Potential role of gabapentin and extended- release gabapentin in the management of menopausal hot flashes

    Directory of Open Access Journals (Sweden)

    Yadav M

    2013-08-01

    Full Text Available Manisha Yadav, Judith Volkar Center for Specialized Women’s Health, Cleveland Clinic Foundation, Cleveland, Ohio, USA Abstract: About 80% of postmenopausal women experience vasomotor symptoms, such as hot flashes and night sweats – symptoms that are associated with sleep disruption and can lead to fatigue and mood changes. Moreover, hot flashes can be embarrassing for women, causing difficulties at work and in their social lives. Many therapies have been advocated for relief of vasomotor symptoms, but only hormone therapy has been US Food and Drug Administration approved. However, after the Women's Health Initiative Study suggested that there was a correlation between hormone therapy and increased risk for breast cancer and cardiovascular events, many women stopped taking hormone therapy, and many do not want to initiate it. Hormone therapy is also contraindicated in certain women, such as those with a history of hormone-stimulated cancer like breast and uterine cancer. Gabapentin (Neurontin has shown efficacy in relieving vasomotor symptoms and is used as off-label for this indication. A new extended-release formulation of gabapentin has also shown efficacy in treating hot flashes and improving sleep quality with possibly fewer side effects than regular gabapentin. Keywords: Hot flushes, vasomotor symptoms, postmenopausal, hormone-sensitive cancer, non-hormonal therapy, gastric-retentive, Breeze

  10. Development and Employment of Fixed-Wing Gunships 1962-1972

    Science.gov (United States)

    1982-01-01

    Carl Berger. Mr. Eugene P. Sagstetter, Mary F. Loughlin, and Vanessa D. Allen edited, proofread, and purged the manuscript of the typographical...General Coun.el. USAF Dr. Forrest C. Pogue Lt. General Charles G. Cleveland Smithsonian Institution USAF Commander. Air University. ATC Dr. Edward L...GiUNSHIP I (AC-47) Major Interdiction Areas (Southeast Asia) A NORTH VIETNAM Bar 1 LAOS Steel Tiger THAILAND ’ * Tiger Hound *~ ~T39 VAN DEVELOPMENT OF FIXED

  11. Stoma care is our affair for the senior citizens everywhere

    Directory of Open Access Journals (Sweden)

    M. Coyle

    1983-09-01

    Full Text Available The first reported colostomy was in 1776 and it was a caecostomy, or opening into the caecum. This was the first attempt to surgically help the problem of an imperforate anus. The first stomatherapist was a patient in the Cleveland Clinic, Ohio, U.S.A. Now there are 22 countries in the world with qualified stomatherapists. Stomatherapy was founded in South Africa in 1958 and in England in 1967.

  12. America’s Airman: David Deptula and the Airpower Moment

    Science.gov (United States)

    2011-06-01

    home and making me feel welcome. Additionally, I would like to thank Dr. John Terino for access to his personal airpower library and cinema , wealth...structural engineering at Cleveland State, but rejoined the Air Force in the midst of the Korean War, staying on for a full career and retiring as a...projection critical. With the exception of forces assigned to the Korean Peninsula, all American forces in the Pacific theater were postured to

  13. Senior Officer Talent Management: Fostering Institutional Adaptability

    Science.gov (United States)

    2014-02-01

    Generation Y : “The Millennials —Ready or Not, Here They Come.” Information Paper, Cleveland, OH: NAS Recruitment Communications, 2006. Ginsburgh, Robert...marital status, colleges attended, blood type and religion . It tracks their health and fitness levels, months deployed, and awards or decorations. It...instead upon brute-force boundary conditions (such as “we can- not advance a leader without career gate x, y , or z”) that put the actual solution (in

  14. The Surviving Sepsis Campaign: Where have we been and where are we going?

    Science.gov (United States)

    Dellinger, R Phillip

    2015-04-01

    The Surviving Sepsis Campaign develops and promotes evidence-based guidelines and performance-improvement practices aimed at reducing deaths from sepsis worldwide. The most recent guidelines, published in 2013, provide detailed management strategies for acute care, fluid resuscitation, and vasopressor use. In addition, the campaign has developed simple, short protocols for what to do within 3 and 6 hours of recognition of sepsis. These protocols are associated with reduced mortality rates. Copyright © 2015 Cleveland Clinic.

  15. High-pressure portable pneumatic drive unit.

    Science.gov (United States)

    Hete, B F; Savage, M; Batur, C; Smith, W A; Golding, L A; Nosé, Y

    1989-12-01

    The left ventricular assist device (LVAD) of the Cleveland Clinic Foundation (CCF) is a single-chamber assist pump, driven by a high-pressure pneumatic cylinder. A low-cost, portable driver that will allow cardiac care patients, with a high-pressure pneumatic ventricle assist, more freedom of movement has been developed. The compact and light-weight configuration can provide periods of 2 h of freedom from a fixed position driver and does not use exotic technology.

  16. Enzyme immunoassay for rabies antibody in hybridoma culture fluids and its application to differentiation of street and laboratory strains of rabies virus.

    OpenAIRE

    Smith, J S; Sumner, J W; Roumillat, L F

    1984-01-01

    A rapid and sensitive enzyme immunoassay is described for detecting rabies antibody in hybridoma culture fluids. Glass fiber filter disks were used to immobilize gamma-irradiated mouse neuroblastoma cells infected with street or laboratory strains of rabies virus. Bound rabies-specific antibody was detected by reaction with horseradish peroxidase-labeled goat anti-mouse immunoglobulin G. The assay was performed in a 96-well filtration device developed by Cleveland et al. (J. Clin. Microbiol. ...

  17. "ONE PERCENT INSPIRATION AND 99 PERCENT TRACING PAPER”: THE PAN-ELECTRIC SCANDAL AND THE MAKING OF A CIRCUIT COURT JUDGE, APRIL-NOVEMBER 1886

    OpenAIRE

    Harvey Gresham Hudspeth

    2005-01-01

    The Pan-Electric scandal of 1886 grew out of a plot by prominent Southern Democrats to seize control of the fledgling telephone industry by filing suit in federal court to invalidate patents held by Alexander Graham Bell and Bell Telephone. The suit led to President Grover Cleveland's appointment of Tennessee senator Howell Edmunds Jackson to the Sixth Circuit federal court and a ruling by Jackson that led to the final court victory for Bell.

  18. Polymorphism of myofibrillar proteins of rabbit skeletal-muscle fibres. An electrophoretic study of single fibres.

    OpenAIRE

    Salviati, G; Betto, R; Danieli Betto, D

    1982-01-01

    Rabbit predominantly fast-twitch-fibre and predominantly slow-twitch-fibre skeletal muscles of the hind limbs, the psoas, the diaphragm and the masseter muscles were fibre-typed by one-dimensional polyacrylamide-gel electrophoresis of the myofibrillar proteins of chemically skinned single fibres. Investigation of the distribution of fast-twitch-fibre and slow-twitch-fibre isoforms of myosin light chains and the type of myosin heavy chains, based on peptide 'maps' published in Cleveland. Fisch...

  19. The Internet and Community Networks: Case Studies of Five U.S. Cities

    OpenAIRE

    Horrigan, John B.

    2001-01-01

    This paper looks at five U.S. cities (Austin, Cleveland, Nashville, Portland, and Washington, DC) and explores strategies being employed by community activists and local governments to create and sustain community networking projects. In some cities, community networking initiatives are relatively mature, while in others they are in early or intermediate stages. The paper looks at several factors that help explain the evolution of community networks in cities: 1) Local government support; 2) ...

  20. Ballast Water Treatment, U.S. Great Lakes Bulk Carrier Engineering and Cost Study. Volume 1: Present Conditions

    Science.gov (United States)

    2013-11-01

    There are two U.S. cement plants (Charlevoix and Alpena ) that supply all U.S. ports on the lakes. Ballast Water Treatment, U.S. Great Lakes...Marquette, MI Brevort, MI Buffington, IN Alpena , MI Bay City, MI Cleveland, OH Ashtabula, OH Duluth, MN Munising, MI Charlevoix, MI Burns Harbor, IN...Manitowoc Pathfinder Calumet Alpena Total shown: 40,699,415 mt Total, all U.S. Vsls: 42,508,108 mt % ballast moved by top 5 vsls

  1. The Effects of Certain Background Noises on the Performance of a Voice Recognition System.

    Science.gov (United States)

    1980-09-01

    Principles in Experimental Design. New York: McGraw-Hill, 1962. Woodworth, R.S. and H. Schlosberg, Experimental Psychology, (Revised edition), New...collection iheet APPENDIX II EXPERIMENTAL PROTOCOL AND SUBJECTS’ INSTRICTJONS THIS IS AN EXPERIMENT DESIGNED TO EVALUJATE SOME ," lE RECOGNITION EQUIPMENT. I...37. CDR Paul Chatelier OUSD R&E Room 3D129 Pentagon Washington, D.C. 20301 38. Ralph Cleveland NFMSO Code 9333 Mechanicsburg, PA 17055 39. Clay Coler

  2. Learning to Fly: The Wright Brothers' Adventure. A Guide for Educators and Students with Activities in Aeronautics

    Science.gov (United States)

    Storm, R.; Benson, T.; Galica, C.; McCredie, P.

    2003-01-01

    This guide was produced by the NASA Glenn Research Center Office of Educational Programs in Cleveland, OH, and the NASA Aerospace Educational Coordinating Committee. It includes activity modules for students, including the history of the Wright Brothers and their family in Dayton, Ohio and flight experimentation in Kitty Hawk, North Carolina. Student activities such as building models of the Wright Brothers glider and writing press releases of the initial flight are included.

  3. Clinical utility, safety, and efficacy of pregabalin in the treatment of fibromyalgia

    OpenAIRE

    Bhusal, Santosh; Diomampo, Sherilyn; Magrey, Marina N

    2016-01-01

    Santosh Bhusal,1 Sherilyn Diomampo,1 Marina N Magrey2 1Division of Rheumatology, Metrohealth Medical Center, 2Case Western Reserve University School of Medicine at Metrohealth Medical Center, Cleveland OH, USA Abstract: Fibromyalgia is a chronic debilitating medical syndrome with limited therapeutic options. Pregabalin, an anticonvulsant and α-2-Δ subunit receptor ligand, is one of the anchor drugs approved by the US Food and Drug Administration for the treatment of fibro...

  4. Influências temporais nas características e fatores de risco de pacientes submetidos a revascularização miocárdica The influence of time on the characteristics and risk factors for patients submitted to myocardial revascularization

    Directory of Open Access Journals (Sweden)

    Flávia H. Feier

    2006-10-01

    Full Text Available OBJETIVO: Comparar perfil clínico e cirúrgico entre dois grupos de pacientes submetidos a Cirurgia de Revascularização Miocárdica (CRM no Instituto de Cardiologia do Rio Grande do Sul, com intervalo de 10 anos; observar sua influência na mortalidade hospitalar e verificar previsibilidade deste resultado mediante escore de risco. MÉTODOS: Estudo de coorte retrospectivo, envolvendo 307 pacientes submetidos a CRM isolada em período semestral de 1991/92 (grupo INICIAL, n=153 ou 2001/02 (grupo ATUAL, n=154. Foram analisados características demográficas, doenças cardíacas, co-morbidades e eventos operatórios, visando à comparação entre grupos e definição do escore de risco de morte hospitalar (conforme Cleveland Clinic. RESULTADOS: O grupo ATUAL tinha idade mais avançada, condição cardíaca mais grave (classe funcional, prevalência de insuficiência cardíaca e número de vasos com lesão severa e maior prevalência de co-morbidades. Os pacientes iniciais mostraram maior prevalência na indicação cirúrgica de urgência. Não ocorreu diferença no escore médio de risco calculado para ambos os grupos (2,8 + 3,1 no INICIAL e 2,2 + 2,5 no ATUAL ou na mortalidade hospitalar (respectivamente 3,3% e 1,9%, valores comparáveis com os comunicados pela Cleveland Clinic (para escore de risco 3, mortalidade prevista de 2,0 %, com limite de confiança 95% de 0-4,3% e mortalidade real em estudo de confirmação de 3,4%. CONCLUSÃO: Pacientes atualmente submetidos a CRM são mais idosos e em pior condição clínica (cardíaca e sistêmica que os operados há 10 anos, mas a pontuação no escore de risco e a mortalidade hospitalar foram discretamente aumentadas no grupo inicial. Para isto, pode ter contribuído maior prevalência de cirurgias de urgência. Um escore de risco pode ser utilizado para identificar pacientes que requerem maiores cuidados e predizer o resultado cirúrgico.OBJECTIVE: To compare clinical and surgical and clinical

  5. Identifying patients and clinical scenarios for use of long-acting injectable antipsychotics – expert consensus survey part 1

    Directory of Open Access Journals (Sweden)

    Sajatovic M

    2018-06-01

    Full Text Available Martha Sajatovic,1,2 Ruth Ross,3 Susan N Legacy,4 Christoph U Correll,5,6 John M Kane,5,6 Faith DiBiasi,7 Heather Fitzgerald,8 Matthew Byerly9 1Department of Psychiatry, University Hospitals Cleveland Medical Center, Cleveland, OH, USA; 2Departments of Psychiatry and Neurology, Case Western Reserve University School of Medicine, Cleveland, OH, USA; 3Ross Editorial, Port Townsend, WA, USA; 4US Medical Affairs Neuroscience, Otsuka Pharmaceutical Development & Commercialization, Inc., Princeton, NJ, USA; 5Psychiatry, The Zucker Hillside Hospital, Glen Oaks, NY, USA; 6Psychiatry, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Glen Oaks, NY, USA; 7Scientific Communications, Otsuka Pharmaceutical Development & Commercialization, Inc., Rockville, MD, USA; 8Medical Affairs, Lundbeck LLC, Deerfield, IL, USA; 9Cell Biology and Neuroscience, Center for Mental Health Research and Recovery, Montana State University, Bozeman, MT, USA Objective: To assess expert consensus on barriers and facilitators for long-acting injectable antipsychotic (LAI use and provide clinical recommendations on issues where clinical evidence is lacking, including identifying appropriate clinical situations for LAI use. Methods: A 50-question survey comprising 916 response options was distributed to 42 research experts and high prescribers with extensive LAI experience. Respondents rated options on relative appropriateness/importance using a 9-point scale. Consensus was determined using chi-square test of score distributions. Mean (standard deviation ratings were calculated. Responses to 29 questions (577 options relating to appropriate patients and clinical scenarios for LAI use are reported. Results: Recommendations aligned with research on risk factors for nonadherence and poor outcomes for patients with schizophrenia/schizoaffective or bipolar disorder. Findings suggested, contrary to general practice patterns, that LAI use may be appropriate earlier in

  6. Payroll Expenses Reported by the Defense Finance and Accounting Service Cleveland Center

    National Research Council Canada - National Science Library

    1998-01-01

    .... To meet that requirement, a consolidation was done of the financial information received from offices providing accounting support to the Defense organizations and prepares the financial statement...

  7. EnviroAtlas - Cleveland, OH - Potential Window Views of Water by Block Group

    Data.gov (United States)

    U.S. Environmental Protection Agency — This EnviroAtlas dataset describes the block group population and the percentage of the block group population that has potential views of water bodies. A potential...

  8. 77 FR 57116 - Cleveland J. Enmon, Jr., M.D.; Decision and Order

    Science.gov (United States)

    2012-09-17

    ... at least nineteen patients with no or insufficient medical history, with no relevant physical.... FINDINGS OF FACT A. Dr. Enmon's Registration History The Agency first issued a certificate of registration... normal doctor's office. [Tr. 334]. There, Dr. Enmon met with BWC's office manager, a woman who, according...

  9. Year 2000 Reporting for Defense Finance and Accounting Service Cleveland Center Systems

    National Research Council Canada - National Science Library

    Lane, F

    1998-01-01

    .... For this report, we evaluated whether DFAS: entered all required data elements into the Defense Integration Support Tools for each system, and verified that information in the Defense Integration Support Tools database was consistent...

  10. Developing a Beta-Lapachone Prodrug for Therapy Against NQ01-Overexpressing Breast Cancers

    Science.gov (United States)

    2006-03-01

    Affairs Medical Center, Cleveland, Ohio; 8Departa- mento de Qui¤mica Orga¤ nica, Facultad de Ciencias Exactas y Naturales , Universidad de Buenos Aires...W81XWH-05-1-0248 8 Marin A, Lopez de Cerain A, Hamilton E, Lewis AD, Martinez-Penuela JM et al. (1997) DT-diaphorase and cytochrome B5 reductase...costs of publication of this article were defrayed in part by the payment of page charges.This article must therefore be hereby marked advertisement

  11. Archaeological Survey and Testing at Hunter Army Airfield, Savannah, Georgia

    Science.gov (United States)

    1984-01-01

    Director of Grants and Research at UTC, throughout this project. Judy Fry and Mary Lee Cleveland of the UTC Word Processing Center Center were...feature contained only two enamelled tinware pan -,, of ealate 19th or 20th century origin, pressed tightly down into a 30 cm deep hole. 94...114) was 50 cm in diameter, 32 cm deep, and filled with bones from at least two fowls, probably chickens . Wire nail fragments suggest a deposition after

  12. Media templates: patterns of association and the (re)construction of meaning over time

    OpenAIRE

    Kitzinger, Jenny

    2000-01-01

    This article introduces, and attempts to define, the concept of 'media templates'. Drawing on focus groups discussions, content analysis and interviews with media personnel I demonstrate how template events help to shape news narratives and guide thinking not only about the past, but also of the present and the future. The argument is illustrated by examining the position of 'the Cleveland scandal' (and the subsequent 'Orkney crisis') in discussions of child sexual abuse. The discussion explo...

  13. Hyperbolic and Plasmonic Properties of Silicon/Ag Aligned Nanowire Arrays

    Science.gov (United States)

    2013-06-17

    Cleveland, J. D. Caldwell, E. Foos, J. Niinistö, and M. Ritala, “Spoof-like plasmonic behavior of plasma enhanced atomic layer deposition grown Ag thin...M. Leskela, “ Plasma -enhanced atomic layer deposition of silver thin films,” Chem. Mater. 23(11), 2901–2907 (2011). 52. O. J. Glembocki, S. M. Prokes...all principal components of the dielectric permittivity tensor are positive, the iso-frequency surface is “closed” and forms a spheroid or ellipsoid

  14. Minutes of the Fiber Optics Standardization Planning Meeting Held at Dayton, Ohio on 1-3 August 1983.

    Science.gov (United States)

    1983-12-12

    produced. Cable was made in continuous 2 km lengths. The final cable was connectorized by Hughes with 6 terminal connectors. Figure 2. This is a...Bill Schumacher Ish Aggarwal Bill Jackman This task group is charged with rewrite of DOD-C-85045 cable spec as one of the detailed specs under the EIA...Pat Isaacs B.F. Goodrich 6100 Oaktree Blvd. 216-447-7642 Cleveland, OH 44131 Terry Jarnigan Hughes Aircraft 17150 VON Karman 714-660-5769 Irvine, CA

  15. "ONE PERCENT INSPIRATION AND 99 PERCENT TRACING PAPER”: THE PAN-ELECTRIC SCANDAL AND THE MAKING OF A CIRCUIT COURT JUDGE, APRIL-NOVEMBER 1886

    Directory of Open Access Journals (Sweden)

    Harvey Gresham Hudspeth

    2005-01-01

    Full Text Available The Pan-Electric scandal of 1886 grew out of a plot by prominent Southern Democrats to seize control of the fledgling telephone industry by filing suit in federal court to invalidate patents held by Alexander Graham Bell and Bell Telephone. The suit led to President Grover Cleveland's appointment of Tennessee senator Howell Edmunds Jackson to the Sixth Circuit federal court and a ruling by Jackson that led to the final court victory for Bell.

  16. Novel Designs for the Audio Mixing Interface Based on Data Visualisation First Principles

    OpenAIRE

    Dewey, Christopher; Wakefield, Jonathan P.

    2016-01-01

    Given the shortcomings of current audio mixing interfaces (AMIs) this study focuses on the development of alternative AMIs based on data visualisation first principles. The elementary perceptual tasks defined by Cleveland informed the design process. Two design ideas were considered for pan: using the elementary perceptual tasks ‘scale’ to display pan on either a single or multiple horizontal lines. Four design ideas were considered for level:\\ud using ‘length’, ‘area’, ‘saturation’ or ‘scala...

  17. Study of Liquid Breakup Process in Solid Rocket Motor Nozzle

    Science.gov (United States)

    2016-02-16

    Laboratory, Edwards, CA Abstract In a solid rocket motor (SRM), when the aluminum based propellant combusts, the fuel is oxidized into alumina (Al2O3...34Chemical Erosion of Refractory-Metal Nozzle Inserts in Solid - Propellant Rocket Motors," J. Propulsion and Power, Vol. 25, no.1,, 2009. [4] E. Y. Wong...34 Solid Rocket Nozzle Design Summary," in 4th AIAA Propulsion Joint Specialist Conference, Cleveland, OH, 1968. [5] Nayfeh, A. H.; Saric, W. S

  18. Anatomy of the bovine ascending aorta and brachiocephalic artery found unfavorable for total artificial heart implant.

    Science.gov (United States)

    Karimov, Jamshid H; Sunagawa, Gengo; Such, Kimberly A; Sale, Shiva; Golding, Leonard A R; Moazami, Nader; Fukamachi, Kiyotaka

    2015-12-01

    The biocompatibility assessment of the Cleveland Clinic continuous-flow total artificial heart is an important part of the device developmental program. Surgical and postoperative management are key factors in achieving optimal outcomes. However, the presence of vascular anatomical abnormalities in experimental animal models is often unpredictable and may worsen the expected outcomes. We report a technical impediment encountered during total artificial heart implantation complicated by unfavorable bovine anatomy of the ascending aorta and brachiocephalic arterial trunk.

  19. Sacral nerve stimulation can be an effective treatment for low anterior resection syndrome.

    Science.gov (United States)

    Eftaiha, S M; Balachandran, B; Marecik, S J; Mellgren, A; Nordenstam, J; Melich, G; Prasad, L M; Park, J J

    2017-10-01

    Sacral nerve stimulation has become a preferred method for the treatment of faecal incontinence in patients who fail conservative (non-operative) therapy. In previous small studies, sacral nerve stimulation has demonstrated improvement of faecal incontinence and quality of life in a majority of patients with low anterior resection syndrome. We evaluated the efficacy of sacral nerve stimulation in the treatment of low anterior resection syndrome using a recently developed and validated low anterior resection syndrome instrument to quantify symptoms. A retrospective review of consecutive patients undergoing sacral nerve stimulation for the treatment of low anterior resection syndrome was performed. Procedures took place in the Division of Colon and Rectal Surgery at two academic tertiary medical centres. Pre- and post-treatment Cleveland Clinic Incontinence Scores and Low Anterior Resection Syndrome scores were assessed. Twelve patients (50% men) suffering from low anterior resection syndrome with a mean age of 67.8 (±10.8) years underwent sacral nerve test stimulation. Ten patients (83%) proceeded to permanent implantation. Median time from anterior resection to stimulator implant was 16 (range 5-108) months. At a median follow-up of 19.5 (range 4-42) months, there were significant improvements in Cleveland Clinic Incontinence Scores and Low Anterior Resection Syndrome scores (P syndrome and may therefore be a viable treatment option. Colorectal Disease © 2017 The Association of Coloproctology of Great Britain and Ireland.

  20. Lightweight Aggregate Made from Dredged Material in Green Roof Construction for Stormwater Management

    Directory of Open Access Journals (Sweden)

    Rui Liu

    2016-07-01

    Full Text Available More than 1.15 million cubic meters (1.5 million cubic yards of sediment require annual removal from harbors and ports along Ohio’s Lake Erie coast. Disposing of these materials into landfills depletes land resources, while open water placement of these materials deteriorates water quality. There are more than 14,000 acres of revitalizing brownfields in Cleveland, U.S., many containing up to 90% impervious surface, which does not allow “infiltration” based stormwater practices required by contemporary site-based stormwater regulation. This study investigates the potential of sintering the dredged material from the Harbor of Cleveland in Lake Erie to produce lightweight aggregate (LWA, and apply the LWA to green roof construction. Chemical and thermal analyses revealed the sintered material can serve for LWA production when preheated at 550 °C and sintered at a higher temperature. Through dewatering, drying, sieving, pellet making, preheating, and sintering with varying temperatures (900–1100 °C, LWAs with porous microstructures are produced with specific gravities ranging from 1.46 to 1.74, and water absorption capacities ranging from 11% to 23%. The water absorption capacity of the aggregate decreases as sintering temperature increases. The LWA was incorporated into the growing media of a green roof plot, which has higher water retention capacity than the conventional green roof system.

  1. Farmers' Market Use Patterns Among Supplemental Nutrition Assistance Program Recipients With High Access to Farmers' Markets.

    Science.gov (United States)

    Freedman, Darcy A; Flocke, Susan; Shon, En-Jung; Matlack, Kristen; Trapl, Erika; Ohri-Vachaspati, Punam; Osborne, Amanda; Borawski, Elaine

    2017-05-01

    Evaluate farmers' market (FM) use patterns among Supplemental Nutrition Assistance Program (SNAP) recipients. Cross-sectional survey administered June to August, 2015. Cleveland and East Cleveland, OH. A total of 304 SNAP recipients with children. Participants lived within 1 mile of 1 of 17 FMs. Most were African American (82.6%) and female (88.1%), and had received SNAP for ≥5 years (65.8%). Patterns of FM shopping, awareness of FM near home and of healthy food incentive program, use of SNAP to buy fruits and vegetables and to buy other foods at FMs, receipt of healthy food incentive program. Two-stage cluster analysis to identify segments with similar FM use patterns. Bivariate statistics including chi-square and ANOVA to evaluate main outcomes, with significance at P ≤ .05. A total of 42% reported FM use in the past year. Current FM shoppers (n = 129) were segmented into 4 clusters: single market, public market, multiple market, and high frequency. Clusters differed significantly in awareness of FM near home and the incentive program, use of SNAP to buy fruit and vegetables at FMs, and receipt of incentive. Findings highlight distinct types of FM use and had implications for tailoring outreach to maximize first time and repeat use of FMs among SNAP recipients. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  2. Patterns in thermal emissions from the volcanoes of the Aleutian Islands

    Science.gov (United States)

    Blackett, M.; Webley, P. W.; Dehn, J.

    2012-12-01

    Using AVHRR data 1993-2011 and the Alaska Volcano Observatory's Okmok II Algorithm, the thermal emissions from all volcanoes in the Aleutian Islands were converted from temperature to power emission and examined for periodicity. The emissions were also summed to quantify the total energy released throughout the period. It was found that in the period April 1997 - January 2004 (37% of the period) the power emission from the volcanoes of the island arc declined sharply to constitute just 5.7% of the total power output for the period (138,311 MW), and this was attributable to just three volcanoes: Veniaminof (1.0%), Cleveland (1.5%) and Shishaldin (3.2%). This period of apparent reduced activity contrasts with the periods both before and after and is unrelated to the number of sensors in orbit at the time. What is also evident from the data set is that in terms of overall power emission over this period, the majority of emitted energy is largely attributable to those volcanoes which erupt with regularity (again, Veniaminof [29.7%], Cleveland [17%] and Shishaldin [11.4%]), as opposed to from the relatively few, large scale events (i.e. Reboubt [5.4%], Okmok [8.3%], Augustine [9.7%]; Pavlov [13.9%] being an exception). Sum power emission from volcanoes in the Aleutian Islands (1993-2011)

  3. Historical and Critical Review on Biophysical Economics

    Science.gov (United States)

    Adigüzel, Yekbun

    2016-07-01

    Biophysical economics is initiated with the long history of the relation of economics with ecological basis and biophysical perspectives of the physiocrats. It inherently has social, economic, biological, environmental, natural, physical, and scientific grounds. Biological entities in economy like the resources, consumers, populations, and parts of production systems, etc. could all be dealt by biophysical economics. Considering this wide scope, current work is a “biophysical economics at a glance” rather than a comprehensive review of the full range of topics that may just be adequately covered in a book-length work. However, the sense of its wide range of applications is aimed to be provided to the reader in this work. Here, modern approaches and biophysical growth theory are presented after the long history and an overview of the concepts in biophysical economics. Examples of the recent studies are provided at the end with discussions. This review is also related to the work by Cleveland, “Biophysical Economics: From Physiocracy to Ecological Economics and Industrial Ecology” [C. J. Cleveland, in Advances in Bioeconomics and Sustainability: Essay in Honor of Nicholas Gerogescu-Roegen, eds. J. Gowdy and K. Mayumi (Edward Elgar Publishing, Cheltenham, England, 1999), pp. 125-154.]. Relevant parts include critics and comments on the presented concepts in a parallelized fashion with the Cleveland’s work.

  4. Process improvement in cardiac surgery: development and implementation of a reoperation for bleeding checklist.

    Science.gov (United States)

    Loor, Gabriel; Vivacqua, Alessandro; Sabik, Joseph F; Li, Liang; Hixson, Eric D; Blackstone, Eugene H; Koch, Colleen G

    2013-11-01

    High-performing health care organizations differentiate themselves by focusing on continuous process improvement initiatives aimed at enhancing patient outcomes. Reoperation for bleeding is an event associated with considerable morbidity risk. Hence, our primary objective was to develop and implement a formal operative checklist to reduce technical reasons for postoperative bleeding. From January 1, 2011, through June 30, 2012, 5812 cardiac surgical procedures were performed at Cleveland Clinic (Cleveland, OH). A multidisciplinary team developed a simple, easy-to-perform hemostasis checklist based on the most common sites of bleeding. An extensive educational in-service was performed before limited, then universal, checklist implementation. Geometric charts were used to track the number of cases between consecutive reoperations for bleeding. We compared these before (phase 0) and after the first limited implementation phase (phase 1) and the universal implementation phase (phase 2) of the checklist. The average number of cases between consecutive reoperations for bleeding increased from 32 in phase 0 to 53 in both phase 1 (P = .002) and phase 2 (P = .01). A substantial reduction in reoperation for bleeding cases followed implementation of a formalized hemostasis checklist. Our findings underscore the important influence of memory aids that focus attention on surgical techniques to improve patient outcomes in a complex, operative work environment. Copyright © 2013 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

  5. MATE (Mentale Aspecten van Team Effectiviteit) (MATE (Mental Aspects of Team Effectiveness))

    Science.gov (United States)

    2008-05-01

    0 Auteur (s) drs. J.P. van Meer drs. MI. 1 ’ IIart0 drs. 1. van der 16. Rubricering rapport Ongerubriceerd Vastgesteld door Ikol drs. L.A. de Vos...team Auteur (s) Teamntraining drs. J.P. van Meer drs. M.H.E. I Hart Programmanummer Projectnummer drs. 1. van der Beijl V406 015.34095 Rubricering...Murphy & Cleveland (1995) geven inzicht in de tearngedragingen die meetbaar zijn en de theorie over Shared Mental Models (Espevik et al, 2006) laat zien

  6. Analysis of the Treatment of a Biological Weapon Spread through a Transportation Network

    Science.gov (United States)

    2014-03-27

    public. Most of the skepticism stems from religion, rare complications, and parent concerns over a refuted study suggesting vaccines can cause autism. In...CHI 40 CHICAGO, IL MDW 22 CHICAGO, IL ORD 44 CINCINNATI, OH CVG 52 CLEVELAND, OH CLE 59 CODY, WY COD 2 COLLEGE STATION, TX CLL 1 COLORADO...CDC 1 COLLEGE STATION, TX CLL 1 COLUMBIA, MO COU 1 CORDOVA, AK CDV 1 DAYTONA BEACH, FL DAB 1 DUBUQUE, IA DBQ 1 DURANGO, CO DRO 1 DUTCH HARBOR

  7. Memorial—John A. Washington II, M.D.▿

    OpenAIRE

    2010-01-01

    John A. Washington II, M.D., former Head of Clinical Microbiology at the Mayo Clinic from 1972 to 1986 and Chairman of the Department of Microbiology at the Cleveland Clinic from 1986 to 1992, died on 5 September 2010 at the age of 74. John was an internationally recognized, widely respected leader in the disciplines of clinical microbiology and infectious diseases, authoring more than 450 scientific articles, books, and book chapters and training scores of pathology residents and clinical mi...

  8. Tuberculosis case finding in first-degree relative contacts not living with index tuberculosis cases in Kampala, Uganda

    OpenAIRE

    Chheng P; Nsereko M; Malone LL; Okware B; Zalwango S; Joloba M; Boom WH; Mupere E; Stein CM

    2015-01-01

    Phalkun Chheng,1,2 Mary Nsereko,2 LaShaunda L Malone,2 Brenda Okware,2 Sarah Zalwango,2 Moses Joloba,2,3 W Henry Boom,2 Ezekiel Mupere,1,2,4 Catherine M Stein1,2 On behalf of the Tuberculosis Research Unit 1Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, USA; 2Uganda-Case Western Reserve University Research Collaboration, 3Department of Medical Microbiology, College of Health Sciences, Makerere University, Kampala, Uganda; 4Department of Pediatric...

  9. Information management for clinicians.

    Science.gov (United States)

    Mehta, Neil B; Martin, Stephen A; Maypole, Jack; Andrews, Rebecca

    2016-08-01

    Clinicians are bombarded with information daily by social media, mainstream television news, e-mail, and print and online reports. They usually do not have much control over these information streams and thus are passive recipients, which means they get more noise than signal. Accessing, absorbing, organizing, storing, and retrieving useful medical information can improve patient care. The authors outline how to create a personalized stream of relevant information that can be scanned regularly and saved so that it is readily accessible. Copyright © 2016 Cleveland Clinic.

  10. Knock-Limited Power Outputs from a CFR Engine Using Internal Coolants. 3; Four Alkyl Amines, Three Alkanolamines, Six Amides, and Eight Heterocyclic Compounds

    Science.gov (United States)

    Imming, Harry S.; Bellman, Donald R.

    1947-01-01

    An investigation of the antiknock effectiveness of various additive-water solutions when used as internal coolants has been conducted at the NACA Cleveland laboratory. Nine compounds have been previously run in a CFR engine and the results are presented. In an effort to find a good anti-knock-coolant additive with more desirable physical properties than those of the nine compounds previously investigated, water solutions of four alkyl amines, three alkanolamines, six amides, and eight heterocyclic compounds were investigated and the results are presented.

  11. High Power Alternator Test Unit (ATU) Electrical System Test

    Science.gov (United States)

    Birchenough, Arthur; Hervol, David

    2007-01-01

    The Alternator Test Unit (ATU) in the Lunar Power System Facility (LPSF) located at the NASA Glenn Research Center (GRC) in Cleveland, OH was used to simulate the operating conditions and evaluate the performance of the ATU and it s interaction with various LPSF components in accordance with the JIMO AC Power System Requirements. The testing was carried out at the breadboard development level. Results of these tests will be used for the development and validation of analytical models for performance and lifetime prediction.

  12. Proposed solar neutrino experiment using 81Br(nu,e-)81Kr

    International Nuclear Information System (INIS)

    Hurst, G.S.; Chen, C.H.; Kramer, S.D.; Allman, S.L.

    1984-12-01

    It has now been shown that it is feasible to measure the 7 Be neutrino source in the sun by using the reaction 81 Br(nu,e - ) 81 Kr in a radiochemical experiment. Such an experiment would be quite similar to the Davis, Cleveland, and Rowley method for measuring the 8 B neutrino using 37 Cl(nu,e - ) 37 Ar except that the resonance ionization spectroscopy (RIS) method (instead of decay counting) would be employed to count the 2 x 10 5 -yr 81 Kr atoms

  13. Epigenetic Regulation of microRNA Expression: Targeting the Triple-Negative Breast Cancer Phenotype

    Science.gov (United States)

    2011-10-01

    tumorigenesis and promote hormone independence, Breast Cancer Res. Treat. 121 (2010) 293–300. [30] V.A. Salvo, S.M. Boue , J.P. Fonseca, S. Elliott, C...31] M.C. Zimmermann, S.L. Tilghman, S.M. Boue , V.A. Salvo, S. Elliott, K.Y. Williams, E.V. Skripnikova, H. Ashe, F. Payton-Stewart, L. Vanhoy-Rhodes...Payton-Stewart, N.W. Schoene, Y.S. Kim,M.E. Burow, T.E. Cleveland, S.M. Boue , T.T.Wang,Molecular effects of soy phytoalexin glyceollins in human

  14. Addressing Professionalism, Social, and Communication Competencies in Surgical Residency Via Integrated Humanities Workshops: A Pilot Curriculum.

    Science.gov (United States)

    Colvin, Jennifer; French, Judith; Siperstein, Allan; Capizzani, Tony R; Krishnamurthy, Vikram D

    We aimed to conduct professionalism and social competencies (PSC) training by integrating humanities into structured workshops, and to assess reception of this curriculum by first-year surgical residents. An IRB-approved, pilot curriculum consisting of 4 interactive workshops for surgical interns was developed. The workshops were scheduled quarterly, often in small group format, and supplemental readings were assigned. Humanities media utilized to illustrate PSC included survival scenarios, reflective writing, television portrayals, and social media. Emphasis was placed on recognizing personal values and experiences that influence judgment and decision-making, using social media responsibly, identifying and overcoming communication barriers related to generational changes in training (especially technology and work-life balance), and tackling stereotypes of surgeons. Anonymous and voluntary pre- and postcurriculum surveys were administered. Univariate analysis of responses was performed with JMP Pro v12 using Fisher's exact, χ 2 , and Students' t-tests for categorical and continuous variables. The study took place at the Cleveland Clinic in Cleveland, OH, within the general surgery program. Surgical interns at the Cleveland Clinic were included in the study. A total of 16 surgical interns completed the curriculum. Sixteen surgical interns participated in the curriculum: 69% were domestic medical school graduates (DG) and 31% were international medical school graduates (IMG). Overall, the majority (81%) of residents had received PSC courses during medical school: 100% of DG compared to 40% of IMG (p = 0.02). Before beginning the curriculum, 86% responded that additional PSC training would be useful during residency, which increased to 94% upon completion (p = 0.58). Mean number of responses supporting the usefulness of PSC training increased from 1.5 ± 0.2 before the curriculum to 1.75 ± 0.2 upon completion (p = 0.4). When describing public and medical student

  15. Initiating/maintaining long-acting injectable antipsychotics in schizophrenia/schizoaffective or bipolar disorder – expert consensus survey part 2

    Directory of Open Access Journals (Sweden)

    Sajatovic M

    2018-06-01

    Full Text Available Martha Sajatovic,1,2 Ruth Ross,3 Susan N Legacy,4 Matthew Byerly,5 John M Kane,6,7 Faith DiBiasi,8 Heather Fitzgerald,9 Christoph U Correll6,7 1Department of Psychiatry, University Hospitals Cleveland Medical Center, Cleveland, OH, USA; 2Departments of Psychiatry and Neurology, Case Western Reserve University School of Medicine, Cleveland, OH, USA; 3Ross Editorial, Port Townsend, WA, USA; 4US Medical Affairs Neuroscience, Otsuka Pharmaceutical Development & Commercialization, Inc., Princeton, NJ, USA; 5Cell Biology and Neuroscience, Center for Mental Health Research and Recovery, Montana State University, Bozeman, MT, USA; 6Psychiatry, The Zucker Hillside Hospital, Glen Oaks, NY, USA; 7Psychiatry, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Glen Oaks, NY, USA; 8Scientific Communications, Otsuka Pharmaceutical Development & Commercialization, Inc., Rockville, MD, USA; 9Medical Affairs, Lundbeck LLC, Deerfield, IL, USA Objective: The aim of this study was to provide recommendations on initiating and maintaining long-acting injectable antipsychotics (LAIs in individuals with schizophrenia/schizoaffective or bipolar disorder. Methods: A 50-question survey comprising 916 response options was completed by 34 expert researchers and high prescribers with extensive LAI experience, rating relative appropriateness/importance on a 9-point scale. Consensus was determined using chi-square test of score distributions. Results of 21 questions comprising 339 response options regarding LAI initiation, maintenance treatment, adequate trial definition, identifying treatment nonresponse, and switching are reported. Results: Experts agreed that the most important LAI selection factor was patient response/tolerability to previous antipsychotics. An adequate therapeutic LAI trial was defined as the time to steady state ± 1–2 injection cycles. Experts suggested that oral efficacy and tolerability should be established before switching to an

  16. 76 FR 56638 - Safety Zone; Head of the Cuyahoga, Cuyahoga River, Cleveland, OH

    Science.gov (United States)

    2011-09-14

    ... likely combination of large numbers of recreational vessels, congested waterways, and alcohol use..., 81.40'50'' W (Marathon Bend) to a line drawn perpendicular to each river bank at 41.29'56'' N, 81.42... standards are technical standards (e.g., specifications of materials, performance, design, or operation...

  17. Dynamics of a split torque helicopter transmission. M.S. Thesis - Cleveland State Univ.

    Science.gov (United States)

    Krantz, Timothy L.

    1994-01-01

    Split torque designs, proposed as alternatives to traditional planetary designs for helicopter main rotor transmissions, can save weight and be more reliable than traditional designs. This report presents the results of an analytical study of the system dynamics and performance of a split torque gearbox that uses a balance beam mechanism for load sharing. The Lagrange method was applied to develop a system of equations of motion. The mathematical model includes time-varying gear mesh stiffness, friction, and manufacturing errors. Cornell's method for calculating the stiffness of spur gear teeth was extended and applied to helical gears. The phenomenon of sidebands spaced at shaft frequencies about gear mesh fundamental frequencies was simulated by modeling total composite gear errors as sinusoid functions. Although the gearbox has symmetric geometry, the loads and motions of the two power paths differ. Friction must be considered to properly evaluate the balance beam mechanism. For the design studied, the balance beam is not an effective device for load sharing unless the coefficient of friction is less than 0.003. The complete system stiffness as represented by the stiffness matrix used in this analysis must be considered to precisely determine the optimal tooth indexing position.

  18. 33 CFR 165.903 - Safety Zones: Cuyahoga River and Old River, Cleveland, OH.

    Science.gov (United States)

    2010-07-01

    ... at Fado's Restaurant. (2) One hundred (100) feet downriver to one hundred (100) feet upriver from 41..., 81 degrees 42′27.6″ W, which is the north point of the pier at Shooter's Restaurant on the Cuyahoga... gross tons (GT) or greater may moor in these zones when conducting cargo transfer operations. (3...

  19. Abnormal General Ledger Account Balances for Other Defense Organizations Reported by DFAS Cleveland

    National Research Council Canada - National Science Library

    2001-01-01

    ... and other Government agencies to prepare annual audited financial statements. This report is the second in a series of reports supporting our audit of the FY 2000 financial statements for "Other Defense Organizations-General Funds...

  20. Pruning dwarf mistletoe brooms reduces stress on Jeffrey pines, Cleveland National Forest, California

    Science.gov (United States)

    Robert F. Scharpf; Richard S. Smith; Detlev Vogler

    1987-01-01

    Western dwarf mistletoe (Arceuthobium campylopodum) is a damaging parasite of Jeffrey pines (Pinus jeffreyi) in southern California. Infected branches that develop into brooms are believed to reduce tlee vigor and increase mortality. Brooms were pruned from Jeffrey pines with varying levels of dwarf mistletoe infection and live...

  1. Initial Results from Radiometer and Polarized Radar-Based Icing Algorithms Compared to In-Situ Data

    Science.gov (United States)

    Serke, David; Reehorst, Andrew L.; King, Michael

    2015-01-01

    In early 2015, a field campaign was conducted at the NASA Glenn Research Center in Cleveland, Ohio, USA. The purpose of the campaign is to test several prototype algorithms meant to detect the location and severity of in-flight icing (or icing aloft, as opposed to ground icing) within the terminal airspace. Terminal airspace for this project is currently defined as within 25 kilometers horizontal distance of the terminal, which in this instance is Hopkins International Airport in Cleveland. Two new and improved algorithms that utilize ground-based remote sensing instrumentation have been developed and were operated during the field campaign. The first is the 'NASA Icing Remote Sensing System', or NIRSS. The second algorithm is the 'Radar Icing Algorithm', or RadIA. In addition to these algorithms, which were derived from ground-based remote sensors, in-situ icing measurements of the profiles of super-cooled liquid water (SLW) collected with vibrating wire sondes attached to weather balloons produced a comprehensive database for comparison. Key fields from the SLW-sondes include air temperature, humidity and liquid water content, cataloged by time and 3-D location. This work gives an overview of the NIRSS and RadIA products and results are compared to in-situ SLW-sonde data from one icing case study. The location and quantity of super-cooled liquid as measured by the in-situ probes provide a measure of the utility of these prototype hazard-sensing algorithms.

  2. Effects of Age and Gender on Hand Motion Tasks

    Directory of Open Access Journals (Sweden)

    Wing Lok Au

    2015-01-01

    Full Text Available Objective. Wearable and wireless motion sensor devices have facilitated the automated computation of speed, amplitude, and rhythm of hand motion tasks. The aim of this study is to determine if there are any biological influences on these kinematic parameters. Methods. 80 healthy subjects performed hand motion tasks twice for each hand, with movements measured using a wireless motion sensor device (Kinesia, Cleveland Medical Devices Inc., Cleveland, OH. Multivariate analyses were performed with age, gender, and height added into the model. Results. Older subjects performed poorer in finger tapping (FT speed (r=0.593, p<0.001, hand-grasp (HG speed (r=0.517, p<0.001, and pronation-supination (PS speed (r=0.485, p<0.001. Men performed better in FT rhythm p<0.02, HG speed p<0.02, HG amplitude p<0.02, and HG rhythm p<0.05. Taller subjects performed better in the speed and amplitude components of FT p<0.02 and HG tasks p<0.02. After multivariate analyses, only age and gender emerged as significant independent factors influencing the speed but not the amplitude and rhythm components of hand motion tasks. Gender exerted an independent influence only on HG speed, with better performance in men p<0.05. Conclusions. Age, gender, and height are not independent factors influencing the amplitude and rhythm components of hand motion tasks. The speed component is affected by age and gender differences.

  3. Challenges for heart disease stem cell therapy

    Directory of Open Access Journals (Sweden)

    Hoover-Plow J

    2012-02-01

    Full Text Available Jane Hoover-Plow, Yanqing GongDepartments of Cardiovascular Medicine and Molecular Cardiology, Joseph J Jacobs Center for Thrombosis and Vascular Biology, Cleveland Clinic Lerner Research Institute, Cleveland, OH, USAAbstract: Cardiovascular diseases (CVDs are the leading cause of death worldwide. The use of stem cells to improve recovery of the injured heart after myocardial infarction (MI is an important emerging therapeutic strategy. However, recent reviews of clinical trials of stem cell therapy for MI and ischemic heart disease recovery report that less than half of the trials found only small improvements in cardiac function. In clinical trials, bone marrow, peripheral blood, or umbilical cord blood cells were used as the source of stem cells delivered by intracoronary infusion. Some trials administered only a stem cell mobilizing agent that recruits endogenous sources of stem cells. Important challenges to improve the effectiveness of stem cell therapy for CVD include: (1 improved identification, recruitment, and expansion of autologous stem cells; (2 identification of mobilizing and homing agents that increase recruitment; and (3 development of strategies to improve stem cell survival and engraftment of both endogenous and exogenous sources of stem cells. This review is an overview of stem cell therapy for CVD and discusses the challenges these three areas present for maximum optimization of the efficacy of stem cell therapy for heart disease, and new strategies in progress.Keywords: mobilization, expansion, homing, survival, engraftment

  4. Feature extraction through parallel Probabilistic Principal Component Analysis for heart disease diagnosis

    Science.gov (United States)

    Shah, Syed Muhammad Saqlain; Batool, Safeera; Khan, Imran; Ashraf, Muhammad Usman; Abbas, Syed Hussnain; Hussain, Syed Adnan

    2017-09-01

    Automatic diagnosis of human diseases are mostly achieved through decision support systems. The performance of these systems is mainly dependent on the selection of the most relevant features. This becomes harder when the dataset contains missing values for the different features. Probabilistic Principal Component Analysis (PPCA) has reputation to deal with the problem of missing values of attributes. This research presents a methodology which uses the results of medical tests as input, extracts a reduced dimensional feature subset and provides diagnosis of heart disease. The proposed methodology extracts high impact features in new projection by using Probabilistic Principal Component Analysis (PPCA). PPCA extracts projection vectors which contribute in highest covariance and these projection vectors are used to reduce feature dimension. The selection of projection vectors is done through Parallel Analysis (PA). The feature subset with the reduced dimension is provided to radial basis function (RBF) kernel based Support Vector Machines (SVM). The RBF based SVM serves the purpose of classification into two categories i.e., Heart Patient (HP) and Normal Subject (NS). The proposed methodology is evaluated through accuracy, specificity and sensitivity over the three datasets of UCI i.e., Cleveland, Switzerland and Hungarian. The statistical results achieved through the proposed technique are presented in comparison to the existing research showing its impact. The proposed technique achieved an accuracy of 82.18%, 85.82% and 91.30% for Cleveland, Hungarian and Switzerland dataset respectively.

  5. Reliability of TMS metrics in patients with chronic incomplete spinal cord injury.

    Science.gov (United States)

    Potter-Baker, K A; Janini, D P; Frost, F S; Chabra, P; Varnerin, N; Cunningham, D A; Sankarasubramanian, V; Plow, E B

    2016-11-01

    Test-retest reliability analysis in individuals with chronic incomplete spinal cord injury (iSCI). The purpose of this study was to examine the reliability of neurophysiological metrics acquired with transcranial magnetic stimulation (TMS) in individuals with chronic incomplete tetraplegia. Cleveland Clinic Foundation, Cleveland, Ohio, USA. TMS metrics of corticospinal excitability, output, inhibition and motor map distribution were collected in muscles with a higher MRC grade and muscles with a lower MRC grade on the more affected side of the body. Metrics denoting upper limb function were also collected. All metrics were collected at two sessions separated by a minimum of two weeks. Reliability between sessions was determined using Spearman's correlation coefficients and concordance correlation coefficients (CCCs). We found that TMS metrics that were acquired in higher MRC grade muscles were approximately two times more reliable than those collected in lower MRC grade muscles. TMS metrics of motor map output, however, demonstrated poor reliability regardless of muscle choice (P=0.34; CCC=0.51). Correlation analysis indicated that patients with more baseline impairment and/or those in a more chronic phase of iSCI demonstrated greater variability of metrics. In iSCI, reliability of TMS metrics varies depending on the muscle grade of the tested muscle. Variability is also influenced by factors such as baseline motor function and time post SCI. Future studies that use TMS metrics in longitudinal study designs to understand functional recovery should be cautious as choice of muscle and clinical characteristics can influence reliability.

  6. Revisions to the PETROS 4 Shell Response Code.

    Science.gov (United States)

    1984-02-01

    change in the corresponding curvature tensor 𔃿’. DD(JLA) ftA cl &y()j * -. ,:"DD2(J,LA) DEL See ZETA 146,156 DELBAR 71 See ZETA 409 DELNOR See EQUIL2...Cleveland, OH 44135 1 AFML (LLN, Dr. Nicholas) 1 Bell Helicopter Textron Wright-Patterson AFB, OH 45433 ATTN: Mr. Nile Fischer P.O. Box 482 I ASD/ENFTV, Mr...2406A 1 Texas A&M University 1000 Western Avenue Dept Aerospace Eng West Lynn, MA 01905 ATTN: Dr. W. Haisler College Station, TX 77843 I Kaman Tempo

  7. Virtual reality training versus blended learning of laparoscopic cholecystectomy

    DEFF Research Database (Denmark)

    Nickel, Felix; Brzoska, Julia Anja; Gondan, Matthias

    2015-01-01

    Objective: This study compared virtual reality (VR) training with low cost blended learning (BL) in a structured training program. Background: Training of laparoscopic skills outside the operating room is mandatory to reduce operative times and risks. Methods: Laparoscopy-naïve medical students...... were randomized in two groups stratified for gender. The BL group (n = 42) used E-learning for laparoscopic cholecystectomy (LC) and practiced basic skills with box trainers. The VR group (n = 42) trained basic skills and LC on the LAP Mentor II (Simbionix, Cleveland, USA). Each group trained 3×4 hours...

  8. Cost competitiveness of a solar cell array power source for ATS-6 educational TV terminal

    Science.gov (United States)

    Masters, R. M.

    1975-01-01

    A cost comparison is made between a terrestrial solar cell array power system and a variety of other power sources for the ATS-6 Satellite Instructional Television Experiment (SITE) TV terminals in India. The solar array system was sized for a typical Indian location, Lahore. Based on present capital and fuel costs, the solar cell array power system is a close competitor to the least expensive alternate power system. A feasibility demonstration of a terrestrial solar cell array system powering an ATS-6 receiver terminal at Cleveland, Ohio is described.

  9. Non-Equilibrium Plasma Applications for Water Purification Supporting Human Spaceflight and Terrestrial Point-of-Use

    Science.gov (United States)

    Blankson, Isaiah M.; Foster, John E.; Adamovsky, Grigory

    2016-01-01

    2016 NASA Glenn Technology Day Panel Presentation on May 24, 2016. The panel description is: Environmental Impact: NASA Glenn Water Capabilities Both global water scarcity and water treatment concerns are two of the most predominant environmental issues of our time. Glenn researchers share insights on a snow sensing technique, hyper spectral imaging of Lake Erie algal blooms, and a discussion on non-equilibrium plasma applications for water purification supporting human spaceflight and terrestrial point-of-use. The panel moderator will be Bryan Stubbs, Executive Director of the Cleveland Water Alliance.

  10. Nuclear Regulatory Commission issuances

    International Nuclear Information System (INIS)

    1996-03-01

    This document is the March 1996 listing of NRC issuances. Included are: (1) NRC orders granting Cleveland Electric Illuminating Company's petition for review of the ASLB order LBP-95-17, (2) NRC orders relating to the potential disqualification of two commissioners in the matter of the decommissioning of Yankee Nuclear Power Station, (3) ASLB orders pertaining to the Oncology Services Corporation, (4) ASLB orders pertaining to the Radiation Oncology Center, (5) ASLB orders pertaining to the Yankee Nuclear Power Station, and (6) Director's decision pertaining to the Yankee Nuclear Power Station

  11. Energy study of rail passenger transportation. Volume 2. Description of operating systems. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Henderson, C.; Ellis, H. T.; Wilhelm, J. P.

    1979-08-01

    The rail passenger systems of the US are described in terms of selected physical, operating, and economic characteristics, and relates services rendered to energy usage and costs. Rail passenger transportation exists in 4 distinct forms: intercity railroads, suburban railroads, heavy-rail transit, and light-rail transit. Each form varies in technical equipment, design of facilities, operating practices, size of systems. Specific data for the national rail passenger network and the Boston, Chicago, Cleveland, New York, Philadelphia, Pittsburgh, and San Francisco regions and the Washington Metropolitan area transit authority are presented.

  12. WORKSHOP: Thermal field theory

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1989-04-15

    The early history of the Universe is a crucial testing ground for theories of elementary particles. Speculative ideas about the constituents of matter and their interactions are reinforced if they are consistent with what we suppose happened near the beginning of time and discarded if they are not. The cosmological consequences of these theories are usually deduced using a general statistical approach called thermal field theory. Thus, 75 physicists from thirteen countries met in Cleveland, Ohio, last October for the first 'Workshop on Thermal Field Theories and their Applications'.

  13. Moderate hypothermia technique for chronic implantation of a total artificial heart in calves.

    Science.gov (United States)

    Karimov, Jamshid H; Grady, Patrick; Sinkewich, Martin; Sunagawa, Gengo; Dessoffy, Raymond; Byram, Nicole; Moazami, Nader; Fukamachi, Kiyotaka

    2017-06-01

    The benefit of whole-body hypothermia in preventing ischemic injury during cardiac surgical operations is well documented. However, application of hypothermia during in vivo total artificial heart implantation has not become widespread because of limited understanding of the proper techniques and restrictions implied by constitutional and physiological characteristics specific to each animal model. Similarly, the literature on hypothermic set-up in total artificial heart implantation has also been limited. Herein we present our experience using hypothermia in bovine models implanted with the Cleveland Clinic continuous-flow total artificial heart.

  14. A performance improvement program applied to the Perry Nuclear Power Plant instrumentation and control section

    International Nuclear Information System (INIS)

    Anderson, G.R.

    1987-01-01

    The management at Cleveland Electric Illuminating Company sought to avoid problems typically encountered in the start-up of new nuclear generating units. In response to early indications that such problems may have been developing at their Perry Nuclear Power Plant, several performance improvement initiatives were undertaken. One of these initiatives was a performance improvement evaluation (PIE) for the instrumentation and control (IandC) section at Perry. The IandC PIE, which used a method designed to be adaptable to other disciplines as well, had important results that are applicable to other nuclear power plants

  15. The IMB proton decay detector

    International Nuclear Information System (INIS)

    Svoboda, R.C.; Gajewski, W.; Kropp, W.R.; Reines, F.; Schultz, J.; Smith, D.W.; Sobel, H.; Wuest, C.; Bionta, R.M.; Cortez, B.G.; Errede, S.; Foster, G.W.; Greenberg, J.; Park, H.S.; Shumard, E.; Sinclair, D.; Stone, J.L.; Sulak, L.R.; Velde, J.C. van der; Goldhaber, M.; Blewitt, G.; Lehmann, E.; LoSecco, J.M.; Bratton, C.B.; Learned, J.; Svoboda, R.; Jones, T.W.; Ramana Murthy, P.V.

    1983-01-01

    A description is given of the Irvine-Michigan-Brookhaven proton decay detector which is nearing completion in a salt mine in Cleveland, Ohio, U.S.A. The detector is a water Cerenkov one with a fiducial volume of 4,000 tons and a threshold of 24 MeV. Initial results indicate that the detector is working according to specification and has a high potential for deep underground cosmic ray applications. I will give a brief account of the IMB detector construction and operation and also its present status and possible cosmic ray applications. (orig.)

  16. 2015 Volcanic activity in Alaska—Summary of events and response of the Alaska Volcano Observatory

    Science.gov (United States)

    Dixon, James P.; Cameron, Cheryl E.; Iezzi, Alexandra M.; Wallace, Kristi

    2017-09-28

    The Alaska Volcano Observatory (AVO) responded to eruptions, volcanic unrest or suspected unrest, and seismic events at 14 volcanic centers in Alaska during 2015. The most notable volcanic activity consisted of continuing intermittent ash eruptions from Cleveland and Shishaldin volcanoes in the Aleutian Islands. Two eruptive episodes, at Veniaminof and Pavlof, on the Alaska Peninsula ended in 2015. During 2015, AVO re-established the seismograph network at Aniakchak, installed six new broadband seismometers throughout the Aleutian Islands, and added a Multiple component Gas Analyzer System (MultiGAS) station on Augustine.

  17. Natalizumab for the treatment of relapsing multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Richard A Rudick

    2008-06-01

    Full Text Available Richard A Rudick1, Michael A Panzara21Cleveland Clinic Foundation, Cleveland, OH, USA; 2Biogen Idec, Inc., Cambridge, MA, USAAbstract: Natalizumab is an α4-integrin antagonist approved as monotherapy for patients with relapsing multiple sclerosis (MS, based on demonstrated efficacy in the pivotal AFFIRM study (N = 942. Natalizumab monotherapy reduced risk of disability progression by 42%–54% and annualized relapse rate by 68% during a period of 2 years. Natalizumab was also associated with significant reductions in number of T2-hyperintense, gadolinium-enhancing, and T1-hypointense lesions and in volume of T2-hyperintense lesions (all p < 0.001 on magnetic resonance imaging. Furthermore, natalizumab-treated patients in AFFIRM experienced significant improvements from baseline in the physical and mental components of the Short Form-36 (p ≤ 0.01 and a 35% reduction in risk of clinically significant vision loss (p = 0.008 vs placebo. Natalizumab was well tolerated in phase 3 studies. Common adverse events were generally mild and included headache, fatigue, urinary tract infections, and arthralgia. Serious adverse events were similar between treatment groups. The incidence of serious hypersensitivity reactions associated with natalizumab was <1%. Progressive multifocal leukoencephalopathy was a rare complication of treatment, observed in 2 patients with MS who received natalizumab plus interferon β-1a. The robust clinical benefits of natalizumab, including benefits on patient-reported quality of life, make it an important addition to disease-modifying therapies available to patients with relapsing MS.Keywords: multiple sclerosis, natalizumab, α4-integrin antagonist

  18. Topical application of ST266 reduces UV-induced skin damage

    Directory of Open Access Journals (Sweden)

    Guan L

    2017-11-01

    Full Text Available Linna Guan,1 Amanda Suggs,1 Emily Galan,1 Minh Lam,1 Elma D Baron1,2 1Department of Dermatology, Case Western Reserve University, 2Cleveland Veterans Affairs Medical Center, Cleveland, OH, USA Abstract: Ultraviolet radiation (UVR has a significant impact on human skin and is the major environmental factor for skin cancer formation. It is also believed that 80% of the signs of skin aging are attributed to UVR. UVR induces inflammatory changes in the skin via the increase in oxidative stress, DNA damage vascular permeability, and fluctuation in a myriad of cytokines. Acutely, UVR causes skin inflammation and DNA damage, which manifest as sunburn (erythema. ST266 is the secretome of proprietary amnion-derived cells that have been shown to reduce inflammation and accelerate healing of various wounds by promoting migration of keratinocytes and fibroblasts in preclinical animal studies. We hypothesized that ST266 has anti-inflammatory effects that can be used to reduce ultraviolet (UV erythema and markers of inflammation. In this study, we examined the in vivo effects of ST266 on post UV-irradiated skin by measuring erythema, level of cyclobutane pyrimidine dimer (CPD, and expression level of xeroderma pigmentosum, complementation group A (XPA. We demonstrated that ST266 has the potential to reduce the acute effects of UV-induced skin damage when applied immediately after the initial exposure. In addition, ST266 is shown to reduce erythema, increase XPA DNA repair protein, and decrease damaged DNA. Keywords: ST266, photoaging, erythema, CPD, XPA, UV-induced DNA damage

  19. Liposomal bupivacaine: a review of a new bupivacaine formulation

    Directory of Open Access Journals (Sweden)

    Chahar P

    2012-08-01

    Full Text Available Praveen Chahar, Kenneth C Cummings IIIAnesthesiology Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USAAbstract: Many attempts have been made to increase the duration of local anesthetic action. One avenue of investigation has focused on encapsulating local anesthetics within carrier molecules to increase their residence time at the site of action. This article aims to review the literature surrounding the recently approved formulation of bupivacaine, which consists of bupivacaine loaded in multivesicular liposomes. This preparation increases the duration of local anesthetic action by slow release from the liposome and delays the peak plasma concentration when compared to plain bupivacaine administration. Liposomal bupivacaine has been approved by the US Food and Drug Administration for local infiltration for pain relief after bunionectomy and hemorrhoidectomy. Studies have shown it to be an effective tool for postoperative pain relief with opioid sparing effects and it has also been found to have an acceptable adverse effect profile. Its kinetics are favorable even in patients with moderate hepatic impairment, and it has been found not to delay wound healing after orthopedic surgery. More studies are needed to establish its safety and efficacy for use via intrathecal, epidural, or perineural routes. In conclusion, liposomal bupivacaine is effective for treating postoperative pain when used via local infiltration when compared to placebo with a prolonged duration of action, predictable kinetics, and an acceptable side effect profile. However, more adequately powered trials are needed to establish its superiority over plain bupivacaine.Keywords: liposomal bupivacaine, postoperative pain, pharmacokinetics, pharmacodynamics, efficacy, safety

  20. Assessment and monitoring of patients receiving chemotherapy for multiple myeloma: strategies to improve outcomes

    Directory of Open Access Journals (Sweden)

    Faiman B

    2016-05-01

    Full Text Available Beth Faiman, Jason Valent Department of Hematologic Oncology and Blood Disorders, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH, USA Abstract: Improved understanding as to the biology of multiple myeloma (MM and the bone marrow microenvironment has led to the development of new drugs to treat MM. This explosion of new and highly effective drugs has led to dramatic advances in the management of MM and underscores the need for supportive care. Impressive and deep response rates to chemotherapy, monoclonal antibodies, and small molecule drugs provide hope of a cure or prolonged remission for the majority of individuals. For most patients, long-term, continuous therapy is often required to suppress the malignant plasma cell clone, thus requiring clinicians to become more astute in assessment, monitoring, and intervention of side effects as well as monitoring response to therapy. Appropriate diagnosis and monitoring strategies are essential to ensure that patients receive the appropriate chemotherapy and supportive therapy at relapse, and that side effects are appropriately managed to allow for continued therapy and adherence to the regimen. Multiple drugs with complex regimens are currently available with varying side effect profiles. Knowledge of the drugs used to treat MM and the common adverse events will allow for preventative strategies to mitigate adverse events and prompt intervention. The purpose of this paper is to review updates in the diagnosis and management of MM, and to provide strategies for assessment and monitoring of patients receiving chemotherapy for MM. Keywords: multiple myeloma, treatment, symptoms, assessment, monitoring, symptom management, targeted therapies

  1. Fractional-order Viscoelasticity (FOV): Constitutive Development Using the Fractional Calculus: First Annual Report

    Science.gov (United States)

    Freed, Alan; Diethelm, Kai; Luchko, Yury

    2002-01-01

    This is the first annual report to the U.S. Army Medical Research and Material Command for the three year project "Advanced Soft Tissue Modeling for Telemedicine and Surgical Simulation" supported by grant No. DAMD17-01-1-0673 to The Cleveland Clinic Foundation, to which the NASA Glenn Research Center is a subcontractor through Space Act Agreement SAA 3-445. The objective of this report is to extend popular one-dimensional (1D) fractional-order viscoelastic (FOV) materials models into their three-dimensional (3D) equivalents for finitely deforming continua, and to provide numerical algorithms for their solution.

  2. Managing a palliative oncology program: the role of a business plan.

    Science.gov (United States)

    Walsh, D; Gombeski, W R; Goldstein, P; Hayes, D; Armour, M

    1994-02-01

    Today's health-care environment demands that palliative-care programs operate in a businesslike manner. This report summarizes the business plan and the process followed to develop the Palliative Care Program at the Cleveland Clinic Foundation (CCF). The benefits generated from this effort and the lessons learned that may be helpful to other program managers are described. By disciplining itself to focus on financial, marketing, and operational issues, the Palliative Care Program is in a better position to advance its clinical services within the organization and in its market area, and can thereby serve its patients more effectively.

  3. Colorectal transport during defecation in subjects with supraconal spinal cord injury

    DEFF Research Database (Denmark)

    Rasmussen, Mikkel Mylius; Krogh, Klaus; Clemmensen, Dorte

    2013-01-01

    Hospital, Denmark. Methods: Colorectal contents were marked by oral intake of 111In-coated resin pellets. Movement of stools at defecation was assessed by comparing scintigrams performed before and just after defecation. Results from 15 subjects with SCI (14 males, median age¼47 years (range: 22–74 years...... at defecation was associated with the St Mark’s fecal incontinence score (P¼0.02) but not with the Cleveland constipation score (P¼0.17), the neurogenic bowel dysfunction score (P¼0.12) or GITT (P¼0.99). Conclusion: Supraconal SCI results in significantly reduced emptying of stools at defecation...

  4. Arthritis in the buff

    International Nuclear Information System (INIS)

    Rothschild, B.; Williams, E.M.; Poteat, G.B.; Woods, R.

    1987-01-01

    Understanding the significance of radiologic perturbations in articular diseases is facilitated by correlation with its representation in intact macerated skeletons (from the collections of the Cleveland Museum of Natural History). Classic skeletal involvement is illustrated grossly and radiographically for the following conditions: rheumatoid arthritis calcium pyrophosphate deposition disease, osteoarthritis, ankylosing spondylitis, reactive (Reiter syndrome, psoriatic arthritis) diffuse idiopathic skeletal hyperostosis, and infectious arthritis. Distribution and lesion character is reviewed. Visualization of the gross bone lesion ''in the buff'' provides clear explanation of its radiologic appearance and facilitates the transition from x-ray image to the pathophysiology proposed in the interpretation

  5. Reconstrucción de lesiones osteocondrales con fibra de carbono

    OpenAIRE

    Carranza Bencano, A.; Armas-Padrón, J. R.; Lozano, Mª A.

    1998-01-01

    Objetivo: Estudiar a largo plazo la evolución histológica de defectos osteocondrales de la rótula de conejos tratados con fibra de carbono. Material y Método: 18 conejos de raza gigante español, variedad parda, de ambos sexos, con un peso aproximado de 1.5 a 2 Kg y 18 discos Cleveland de fibra de carbono de 8 mm de diámetro (Medicarb®, fabricado por Leyland Medical International). Creación de un defecto de 6 mm. de diámetro en la superficie articular de la rótula, hasta alcanzar el teji...

  6. Retail health care: gaining advantage by dropping below the radar screen.

    Science.gov (United States)

    2002-09-01

    There are many examples throughout the country of providers that are getting into retail medicine themselves, and of companies that are helping providers do this. Carolinas Healthcare System, e-Cleveland Clinic and the aforementioned partners of Health Ventures are examples. Orlikoff believes that retail medicine is a key piece in building an infrastructure that is relevant to the future for healthcare providers, and as he often says, "The riches are in the niches." "It's an exciting time for providers," Firestone says, "but they've got to risk doing things very differently, driven by their patients, the consumer."

  7. General aviation internal combustion engine research programs at NASA-Lewis Research Center

    Science.gov (United States)

    Willis, E. A.

    1978-01-01

    An update is presented of non-turbine general aviation engine programs underway at the NASA-Lewis Research Center in Cleveland, Ohio. The program encompasses conventional, lightweight diesel and rotary engines. Its three major thrusts are: (a) reduced SFC's; (b) improved fuels tolerance; and (c) reducing emissions. Current and planned future programs in such areas as lean operation, improved fuel management, advanced cooling techniques and advanced engine concepts, are described. These are expected to lay the technology base, by the mid to late 1980's, for engines whose life cycle fuel costs are 30 to 50% lower than today's conventional engines.

  8. Periodic Inspections of Cleveland Harbor East Breakwater, Ohio, and Burns Harbor North Breakwater, Indiana

    Science.gov (United States)

    2015-05-01

    design crest elevation of the West Breakwater was +12 ft low water datum ( lwd ) with a crest width of 32 ft. Since initial construction, a concrete...large, individually placed armor stone at a design elevation of +10.3 ft lwd and a crest width of 10.0 ft (Figure 3). More details of early...that time, lwd on the Great Lakes (el 568.60 ft) was referenced to International Great Lakes Datum 1955 (IGLD55), which was mean water line (mwl) at

  9. Cleveland Harbor, Cuyahoga County, Ohio Confined Disposal Facility Project (Site 10B-15 Year)

    Science.gov (United States)

    1994-01-01

    continued placement of fill at BKL, please contact this office. Sincerely, Peter A. S Manager, Airports District OfficeS I I I I I 1 -1111 -𔃻 .1 i...Department of Housing and Urban Development 200 North High Street - 7th Floor Columbus, Ohio 43215 Mr. Peter A. Serini (Prev. Proj. Man. Coord...a ~ j~ :-c1 - ;ja. 400. a m 0v Cac 2’ A &W... ak; 0gS @ -2 x ~ = C.; . a.~ ~ at Zec 0 a ~ 3*~~a o.,’ ±0 a . . 2 02.k:..’Qa 1e ._._ a I c O

  10. Outcomes following surgical repair using layered closure of unrepaired 4th degree perineal tear in rural western Uganda.

    Science.gov (United States)

    Goh, Judith T W; Tan, Stephanie B M; Natukunda, Harriet; Singasi, Isaac; Krause, Hannah G

    2016-11-01

    In many rural low-income countries, perineal tears at time of vaginal birth are not repaired at time of delivery. The aims of this study are to describe the surgical technique for management of the unrepaired 4th degree tear, performed without flaps, and short-term follow up on anal incontinence symptoms using a validated questionnaire. Women presenting to fistula camps in western Uganda with unrepaired 4th degree tears were interviewed using the Cleveland Clinic Continence Score. Interviews were undertaken pre-operatively, at 4-6 weeks post-operatively and 12 months following surgery. Repair of the 4th degree tear was performed in layers, with an overlapping anal sphincter repair and reconstruction of the perineal body, without flaps. All women were examined prior to discharge. 68 women completed pre-operative Cleveland Clinic Continence Scores. Prior to surgery, 59 % of women complained of daily incontinence to solid stools. Over 70 % of women complained of restriction to lifestyle due to the unrepaired 4th degree tear. About 50 % of the women are rejected by their husbands because of the condition. Only 1 woman had wound breakdown on Day 2. At 4 to 6 weeks follow-up, 61 women were contacted and all reported perfect continence. This study highlights the hidden problem of unrepaired 4th degree tears in rural areas of low-income countries where most deliveries are undertaken in the village without professional health care workers. These tears have significant impact on quality of life and anal incontinence. Short-term outcomes following surgical repair using a layered closure are promising.

  11. Development of venetoclax for therapy of lymphoid malignancies

    Directory of Open Access Journals (Sweden)

    Zhu H

    2017-03-01

    Full Text Available Huayuan Zhu,1,2 Alexandru Almasan1 1Department of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA; 2Department of Hematology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, People’s Republic of China Abstract: B-cell lymphoma-2 (BCL-2 family dysfunction and impairment of apoptosis are common in most B-cell lymphoid malignancies. Venetoclax (Venclexta™, formerly ABT-199, GDC-0199 is a highly selective BCL-2 inhibitor, which mimics its BCL-2 homology 3-domain to induce apoptosis. It was approved for treatment of previously treated chronic lymphocytic leukemia (CLL patients with 17p deletion early in 2016. It has also been in clinical trials for other B-cell lymphoid malignancies. Unlike the other recently approved targeted agents idelalisib and ibrutinib, so far there has been no relapse reported in some patients. Also, unlike the other targeted agents, it is effective against tumor cells that reside in the blood marrow. Despite its promising outcome in CLL, preclinical data have already uncovered mechanistic insights underlying venetoclax resistance, such as upregulation of MCL-1 or BCL-xL expression and protective signaling from the microenvironment. In this review, we describe the role of the BCL-2 family in the pathogenesis of B-cell lymphoid malignancies, the development of venetoclax, and its current clinical outcome in CLL and other B-cell malignancies. We also discuss the resistance mechanisms that develop following venetoclax therapy, potential strategies to overcome them, and how this knowledge can be translated into clinical applications. Keywords: BCL-2, BCL-xL, chronic lymphocytic leukemia, MCL-1, venetoclax

  12. Transcranial direct current stimulation (tDCS) Paired with massed practice training to promote adaptive plasticity and motor recovery in chronic incomplete tetraplegia: a pilot study.

    Science.gov (United States)

    Potter-Baker, Kelsey A; Janini, Daniel P; Lin, Yin-Liang; Sankarasubramanian, Vishwanath; Cunningham, David A; Varnerin, Nicole M; Chabra, Patrick; Kilgore, Kevin L; Richmond, Mary Ann; Frost, Frederick S; Plow, Ela B

    2017-08-07

    Objective Our goal was to determine if pairing transcranial direct current stimulation (tDCS) with rehabilitation for two weeks could augment adaptive plasticity offered by these residual pathways to elicit longer-lasting improvements in motor function in incomplete spinal cord injury (iSCI). Design Longitudinal, randomized, controlled, double-blinded cohort study. Setting Cleveland Clinic Foundation, Cleveland, Ohio, USA. Participants Eight male subjects with chronic incomplete motor tetraplegia. Interventions Massed practice (MP) training with or without tDCS for 2 hrs, 5 times a week. Outcome Measures We assessed neurophysiologic and functional outcomes before, after and three months following intervention. Neurophysiologic measures were collected with transcranial magnetic stimulation (TMS). TMS measures included excitability, representational volume, area and distribution of a weaker and stronger muscle motor map. Functional assessments included a manual muscle test (MMT), upper extremity motor score (UEMS), action research arm test (ARAT) and nine hole peg test (NHPT). Results We observed that subjects receiving training paired with tDCS had more increased strength of weak proximal (15% vs 10%), wrist (22% vs 10%) and hand (39% vs. 16%) muscles immediately and three months after intervention compared to the sham group. Our observed changes in muscle strength were related to decreases in strong muscle map volume (r=0.851), reduced weak muscle excitability (r=0.808), a more focused weak muscle motor map (r=0.675) and movement of weak muscle motor map (r=0.935). Conclusion Overall, our results encourage the establishment of larger clinical trials to confirm the potential benefit of pairing tDCS with training to improve the effectiveness of rehabilitation interventions for individuals with SCI. Trial Registration NCT01539109.

  13. Nuclear Regulatory Commission issuances, Volume 44, No. 4

    International Nuclear Information System (INIS)

    1996-10-01

    This report includes the issuances received in October 1996. Issuances are from the Commission, the Atomic Safety and Licensing Boards, and the Directors' Decisions. 15 issuances were received and are abstracted individually in the database: Louisiana Energy Services, U.S. Enrichment Corporation, Yankee Atomic Electric Company, General Public Utilities Nuclear Corporation, James L. Shelton, Juan Guzman, Northern States Power Company, TESTCO Inc., Washington Public Power Supply System, all nuclear plants, Cleveland Electric Illuminating Company, Duke Power Company, Florida Power Corporation, and Northeast Nuclear Energy Company (2 issuances). No issuances were received from the the Administrative Law Judges or the Decisions on Petitions for Rulemaking

  14. An Overview of the Antenna Measurement Facilities at the NASA Glenn Research Center

    Science.gov (United States)

    Lambert, Kevin M.; Anzic, Godfrey; Zakrajsek, Robert J.; Zaman, Afroz J.

    2002-10-01

    For the past twenty years, the NASA Glenn Research Center (formerly Lewis Research Center) in Cleveland, Ohio, has developed and maintained facilities for the evaluation of antennas. This effort has been in support of the work being done at the center in the research and development of space communication systems. The wide variety of antennas that have been considered for these systems resulted in a need for several types of antenna ranges at the Glenn Research Center. Four ranges, which are part of the Microwave Systems Laboratory, are the responsibility of the staff of the Applied RF Technology Branch. A general description of these ranges is provided in this paper.

  15. Use of long-acting reversible contraceptives to reduce the rate of teen pregnancy.

    Science.gov (United States)

    Rome, Ellen

    2015-11-01

    Long-acting reversible contraceptives (LARCs) are safe for use in adolescents and do not rely on compliance or adherence for effectiveness. Continuation rates are higher and pregnancy rates are lower for adolescent users of LARCs compared with short-acting methods such as oral contraceptives. Similarly, repeat pregnancy rates are lower when LARCs are used compared with other forms of contraception. Myths and misconceptions about LARCs and other contraceptives remain a barrier to their use. Health care providers are in a unique position to provide confidential care to adolescents, and should provide education to them about the various contraceptive options, especially LARCs. Copyright © 2015 Cleveland Clinic.

  16. Results of the Workshop on Two-Phase Flow, Fluid Stability and Dynamics: Issues in Power, Propulsion, and Advanced Life Support Systems

    Science.gov (United States)

    McQuillen, John; Rame, Enrique; Kassemi, Mohammad; Singh, Bhim; Motil, Brian

    2003-01-01

    The Two-phase Flow, Fluid Stability and Dynamics Workshop was held on May 15, 2003 in Cleveland, Ohio to define a coherent scientific research plan and roadmap that addresses the multiphase fluid problems associated with NASA s technology development program. The workshop participants, from academia, industry and government, prioritized various multiphase issues and generated a research plan and roadmap to resolve them. This report presents a prioritization of the various multiphase flow and fluid stability phenomena related primarily to power, propulsion, fluid and thermal management and advanced life support; and a plan to address these issues in a logical and timely fashion using analysis, ground-based and space-flight experiments.

  17. Proceedings of the Second NASA Aviation Safety Program Weather Accident Prevention Review

    Science.gov (United States)

    Martzaklis, K. Gus (Compiler)

    2003-01-01

    The Second NASA Aviation Safety Program (AvSP) Weather Accident Prevention (WxAP) Annual Project Review held June 5-7, 2001, in Cleveland, Ohio, presented the NASA technical plans and accomplishments to the aviation community. NASA-developed technologies presented included an Aviation Weather Information System with associated digital communications links, electronic atmospheric reporting technologies, forward-looking turbulence warning systems, and turbulence mitigation procedures. The meeting provided feedback and insight from the aviation community of diverse backgrounds and assisted NASA in steering its plans in the direction needed to meet the national safety goal of 80-percent reduction of aircraft accidents by 2007. The proceedings of the review are enclosed.

  18. Nuclear Regulatory Commission issuances, Volume 44, No. 4

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-10-01

    This report includes the issuances received in October 1996. Issuances are from the Commission, the Atomic Safety and Licensing Boards, and the Directors` Decisions. 15 issuances were received and are abstracted individually in the database: Louisiana Energy Services, U.S. Enrichment Corporation, Yankee Atomic Electric Company, General Public Utilities Nuclear Corporation, James L. Shelton, Juan Guzman, Northern States Power Company, TESTCO Inc., Washington Public Power Supply System, all nuclear plants, Cleveland Electric Illuminating Company, Duke Power Company, Florida Power Corporation, and Northeast Nuclear Energy Company (2 issuances). No issuances were received from the the Administrative Law Judges or the Decisions on Petitions for Rulemaking.

  19. Plant maintenance and advanced reactors, 2006

    Energy Technology Data Exchange (ETDEWEB)

    Agnihotri, Newal (ed.)

    2006-09-15

    The focus of the September-October issue is on plant maintenance and advanced reactors. Major articles/reports in this issue include: Advanced plants to meet rising expectations, by John Cleveland, International Atomic Energy Agency, Vienna; A flexible and economic small reactor, by Mario D. Carelli and Bojan Petrovic, Westinghouse Electric Company; A simple and passively safe reactor, by Yury N. Kuznetsov, Research and Development Institute of Power Engineering (NIKIET), Russia; Gas-cooled reactors, by Jeffrey S. Merrifield, U.S. Nuclear Regulatory Commission; ISI project managment in the PRC, by Chen Chanbing, RINPO, China; and, Fort Calhoun refurbishment, by Sudesh Cambhir, Omaha Public Power District.

  20. EnviroAtlas - Cleveland, OH - Domestic Water Use per Day by U.S. Census Block Group

    Data.gov (United States)

    U.S. Environmental Protection Agency — As included in this EnviroAtlas dataset, the community-level domestic water use is calculated using locally available water use data per capita in gallons of water...

  1. 78 FR 30863 - Foreign-Trade Zone 40-Cleveland, Ohio; Application for Reorganization and Expansion Under...

    Science.gov (United States)

    2013-05-23

    ... Beaver Meadow Parkway, Glenwillow; Site 5 (17 acres)--Collinwood Industrial Park, South Waterloo Road and... be so exempted. The application would have no impact on FTZ 40's previously authorized subzones. In...

  2. Ignition! Fueling the Education Explosion: Proceedings of Conference 1 (Cleveland, Ohio, May 5-6, 1983).

    Science.gov (United States)

    Gardner, Mary, Ed.; Reed-Mundell, Charlene, Ed.

    These proceedings contain four presentations and other materials from a conference to provide public schools with information about change so they can take a leadership role in educating for the future. The opening address (Richard Berendzen) discusses changes affecting education and changes in education. "Megatrends: Implications for Education…

  3. Research and Technology 1997

    Science.gov (United States)

    1998-01-01

    NASA Lewis Research Center is responsible for developing and transferring critical technologies that address national priorities in aeropropulsion and space applications in partnership with U.S. industries, universities, and Government institutions. As NASA s designated Lead Center for Aeropropulsion, our role is to develop, verify, and transfer aeropropulsion technologies to U.S. industry. As NASA s designated Center of Excellence in Turbomachinery, our role is to develop new and innovative turbomachinery technology to improve the reliability, performance, efficiency and affordability, capacity, and environmental compatibility of future aerospace vehicles. We also maintain a science and technology development role in aeropropulsion, communications, space power and onboard propulsion, and microgravity fluid physics and combustion. We are committed to enabling non-aerospace U.S. industries to benefit directly from the technologies developed through our programs to maximize the benefit to the Nation and the return on each taxpayer s investment. In addition, we are aggressively pursuing continuous improvement in our management and business practices and striving for diversity in our workforce as together we push the edge of technology in space and aeronautics. The Lewis Research Center is a unique facility located in an important geographical area, the southwest corner of Cleveland, Ohio. Situated on 350 acres of land adjacent to the Cleveland Hopkins International Airport, Lewis comprises more than 140 buildings that include 24 major facilities and over 500 specialized research and test facilities. Additional facilities are located at Plum Brook Station, which is about 50 miles west of Cleveland. Over 3700 people staff Lewis, including civil service employees and support service contractors. Over half of them are scientists and engineers, who plan, conduct or oversee, and report on our research tasks and projects. They are assisted by technical specialists, skilled

  4. Detection and Modeling of a Meteotsunami in Lake Erie During a High Wind Event on May 27, 2012

    Science.gov (United States)

    Anderson, E. J.; Schwab, D. J.; Lombardy, K. A.; LaPlante, R. E.

    2012-12-01

    On May 27, 2012, a mesoscale convective system moved southeast across the central basin of Lake Erie (the shallowest of the Great Lakes) causing an increase in surface wind speed from 3 to 15 m/s over a few minutes. Although no significant pressure change was observed during this period (+1 mbar), the storm resulted in 3 reported edge waves on the southern shore (5 minutes apart), with wave heights up to 7 feet (2.13 m). Witnesses along the coast reported that the water receded before the waves hit, the only warning of the impending danger. After impact on the southern shore, several individuals were stranded in the water near Cleveland, Ohio. Fortunately, there were no fatalities or serious injury as a result of the edge waves. The storm event yielded two separate but similar squall line events that impacted the southern shore of Lake Erie several hours apart. The first event had little impact on nearshore conditions, however, the second event (moving south-eastward at 21.1 m/s or 41 knots), resulted in 7 ft waves near Cleveland as reported above. The thunderstorms generated three closely packed outflow boundaries that intersected the southern shore of Lake Erie between 1700 and 1730 UTC. The outflow boundaries were followed by a stronger outflow at 1800 UTC. Radial velocities on the WSR-88D in Cleveland, Ohio indicated the winds were stronger in the second outflow boundary. The radar indicated winds between 20.6 and 24.7 m/s (40 and 48 knots) within 240 meters (800 feet) above ground level. In order to better understand the storm event and the cause of the waves that impacted the southern shore, a three-dimensional hydrodynamic model of Lake Erie has been developed using the Finite Volume Coastal Ocean Model (FVCOM). The model is being developed as part of the Great Lakes Coastal Forecasting (GLCFS), a set of experimental real-time pre-operational hydrodynamic models run at the NOAA Great Lakes Research Laboratory that forecast currents, waves, temperature, and

  5. Insights into an Award-Winning Summer Internship Program: The First Six Years

    Directory of Open Access Journals (Sweden)

    Anthony Kashou

    2016-04-01

    Full Text Available Since its inception in 2008, the American Center for Reproductive Medicine’s summer internship program in reproductive research and writing has trained 114 students from 23 states within the United States and 10 countries worldwide. Its fundamental goal is to inspire pre-medical and medical students to embrace a career as a physician-scientist. During this intensive course, established scientists and clinicians train interns in the essential principles and fundamental concepts of bench research and scientific writing. Over the first six years (2008∼2013, interns have collectively published 98 research articles and performed 12 bench research projects on current and emerging topics in reproductive medicine. Interns have also developed and honed valuable soft skills including time management, communication and presentation skills, as well as life values, which all enhance personal and professional satisfaction. Program graduates are able to recognize the value of medical research and its potential to impact patient care and gain insight into their own career pathway. Between 2011 and 2014, the internship program was thrice awarded a Scholarship in Teaching Award by Case Western Reserve School of Medicine for its innovative teaching approach and positive impact on medical education and student careers. This report highlights the demographics, logistics, implementation, feedback, and results of the first six years of the American Center for Reproductive Medicine’s summer internship program at Cleveland Clinic (Cleveland, OH, USA. This may be helpful to other research and academic institutions considering implementing a similar program. In addition, it creates awareness among potential physician-scientists of what the world of research has to offer in both scientific writing and bench research. Finally, it may stimulate further discussion regarding narrowing the gap between physicians and scientists and refinement of the current program.

  6. Insights into an Award-Winning Summer Internship Program: The First Six Years.

    Science.gov (United States)

    Kashou, Anthony; Durairajanayagam, Damayanthi; Agarwal, Ashok

    2016-04-01

    Since its inception in 2008, the American Center for Reproductive Medicine's summer internship program in reproductive research and writing has trained 114 students from 23 states within the United States and 10 countries worldwide. Its fundamental goal is to inspire pre-medical and medical students to embrace a career as a physician-scientist. During this intensive course, established scientists and clinicians train interns in the essential principles and fundamental concepts of bench research and scientific writing. Over the first six years (2008~2013), interns have collectively published 98 research articles and performed 12 bench research projects on current and emerging topics in reproductive medicine. Interns have also developed and honed valuable soft skills including time management, communication and presentation skills, as well as life values, which all enhance personal and professional satisfaction. Program graduates are able to recognize the value of medical research and its potential to impact patient care and gain insight into their own career pathway. Between 2011 and 2014, the internship program was thrice awarded a Scholarship in Teaching Award by Case Western Reserve School of Medicine for its innovative teaching approach and positive impact on medical education and student careers. This report highlights the demographics, logistics, implementation, feedback, and results of the first six years of the American Center for Reproductive Medicine's summer internship program at Cleveland Clinic (Cleveland, OH, USA). This may be helpful to other research and academic institutions considering implementing a similar program. In addition, it creates awareness among potential physician-scientists of what the world of research has to offer in both scientific writing and bench research. Finally, it may stimulate further discussion regarding narrowing the gap between physicians and scientists and refinement of the current program.

  7. A nomogram to predict the probability of passing the American Board of Internal Medicine examination

    Directory of Open Access Journals (Sweden)

    Andrei Brateanu

    2012-10-01

    Full Text Available Background : Although the American Board of Internal Medicine (ABIM certification is valued as a reflection of physicians’ experience, education, and expertise, limited methods exist to predict performance in the examination. Purpose : The objective of this study was to develop and validate a predictive tool based on variables common to all residency programs, regarding the probability of an internal medicine graduate passing the ABIM certification examination. Methods : The development cohort was obtained from the files of the Cleveland Clinic internal medicine residents who began training between 2004 and 2008. A multivariable logistic regression model was built to predict the ABIM passing rate. The model was represented as a nomogram, which was internally validated with bootstrap resamples. The external validation was done retrospectively on a cohort of residents who graduated from two other independent internal medicine residency programs between 2007 and 2011. Results : Of the 194 Cleveland Clinic graduates used for the nomogram development, 175 (90.2% successfully passed the ABIM certification examination. The final nomogram included four predictors: In-Training Examination (ITE scores in postgraduate year (PGY 1, 2, and 3, and the number of months of overnight calls in the last 6 months of residency. The nomogram achieved a concordance index (CI of 0.98 after correcting for over-fitting bias and allowed for the determination of an estimated probability of passing the ABIM exam. Of the 126 graduates from two other residency programs used for external validation, 116 (92.1% passed the ABIM examination. The nomogram CI in the external validation cohort was 0.94, suggesting outstanding discrimination. Conclusions : A simple user-friendly predictive tool, based on readily available data, was developed to predict the probability of passing the ABIM exam for internal medicine residents. This may guide program directors’ decision

  8. Evaluation and management of pediatric hypertensive crises: hypertensive urgency and hypertensive emergencies

    Directory of Open Access Journals (Sweden)

    Patel NH

    2012-11-01

    Full Text Available Nirali H Patel,1 Sarah K Romero,2 David C Kaelber31Division of Emergency Medicine, Akron Children's Hospital, Akron, OH, USA; 2Division of Emergency Medicine, Rainbow Babies and Children's Hospital, Cleveland, OH, USA; 3Departments of Information Services, Internal Medicine, Pediatrics, and Epidemiology and Biostatistics, The Center for Clinical Informatics Research and Education, The MetroHealth System and School of Medicine, Case Western Reserve University, Cleveland OH, USAAbstract: Hypertension (HTN in the pediatric population is estimated to have a world-wide prevalence of 2%-5%. As with adults, pediatric patients with HTN can present with hypertensive crises include hypertensive urgency and hypertensive emergencies. However, pediatric blood pressure problems have a greater chance of being from secondary causes of HTN, as opposed to primary HTN, than in adults. Thorough evaluation of a child with a hypertensive emergency includes accurate blood pressure readings, complete and focused symptom history, and appropriate past medical, surgical, and family history. Physical exam should include height, weight, four-limb blood pressures, a general overall examination and especially detailed cardiovascular and neurological examinations, including fundoscopic examination. Initial work-up should typically include electrocardiography, chest X-ray, serum chemistries, complete blood count, and urinalysis. Initial management of hypertensive emergencies generally includes the use of intravenous or oral antihypertensive medications, as well as appropriate, typically outpatient, follow-up. Emergency department goals for hypertensive crises are to (1 safely lower blood pressure, and (2 treat/minimize acute end organ damage, while (3 identifying underlying etiology. Intravenous antihypertensive medications are the treatment modality of choice for hypertensive emergencies with the goal of reducing systolic blood pressure by 25% of the original value over an 8

  9. Development of a pharmacy resident rotation to expand decentralized clinical pharmacy services.

    Science.gov (United States)

    Hill, John D; Williams, Jonathan P; Barnes, Julie F; Greenlee, Katie M; Cardiology, Bcps-Aq; Leonard, Mandy C

    2017-07-15

    The development of a pharmacy resident rotation to expand decentralized clinical pharmacy services is described. In an effort to align with the initiatives proposed within the ASHP Practice Advancement Initiative, the department of pharmacy at Cleveland Clinic, a 1,400-bed academic, tertiary acute care medical center in Cleveland, Ohio, established a goal to provide decentralized clinical pharmacy services for 100% of patient care units within the hospital. Patient care units that previously had no decentralized pharmacy services were evaluated to identify opportunities for expansion. Metrics analyzed included number of medication orders verified per hour, number of pharmacy dosing consultations, and number of patient discharge counseling sessions. A pilot study was conducted to assess the feasibility of this service and potential resident learning opportunities. A learning experience description was drafted, and feedback was solicited regarding the development of educational components utilized throughout the rotation. Pharmacists who were providing services to similar patient populations were identified to serve as preceptors. Staff pharmacists were deployed to previously uncovered patient care units, with pharmacy residents providing decentralized services on previously covered areas. A rotating preceptor schedule was developed based on geographic proximity and clinical expertise. An initial postimplementation assessment of this resident-driven service revealed that pharmacy residents provided a comparable level of pharmacy services to that of staff pharmacists. Feedback collected from nurses, physicians, and pharmacy staff also supported residents' ability to operate sufficiently in this role to optimize patient care. A learning experience developed for pharmacy residents in a large medical center enabled the expansion of decentralized clinical services without requiring additional pharmacist full-time equivalents. Copyright © 2017 by the American Society of

  10. A web implementation: the good and the not-so-good.

    Science.gov (United States)

    Bergsneider, C; Piraino, D; Fuerst, M

    2001-06-01

    E-commerce, e-mail, e-greeting, e-this, and e-that everywhere you turn there is a new "e" word for an internet or Web application. We, at the Cleveland Clinic Foundation, have been "e-nlightened" and will discuss in this report the implementation of a web-based radiology information system (RIS) in our radiology division or "e-radiology" division. The application, IDXRad Version 10.0 from IDX Corp, Burlington, VT, is in use at the Cleveland Clinic Foundation and has both intranet (for use in Radiology) and internet (referring physician viewing) modules. We will concentrate on the features of using a web browser for the application's front-end, including easy prototyping for screen review, easier mock-ups of demonstrations by vendors and developers, and easier training as more people become web-addicted. Project communication can be facilitated with an internal project web page, and use of the web browser can accommodate quicker turnaround of software upgrades as the software code is centrally located. Compared with other technologies, including client/server, there is a smaller roll out cost when using a standard web browser. However, the new technology requires a change and changes are never implemented without challenges. A seasoned technologist using a legacy system can enter data quicker using function keys than using a graphical user interface and pointing and clicking through a series of pop-up windows. Also, effective use of a web browser depends on intuitive design for it to be easily implemented and accepted by the user. Some software packages will not work on both of the popular web browsers and then are tailored to specific release levels. As computer-based patient records become a standard, patient confidentiality must be enforced. The technical design and application security features that support the web-based software package will be discussed. Also web technologies have their own implementation issues.

  11. Cross-National Applicability of a Parsimonious Measure of Acculturation to Global Consumer Culture.

    Science.gov (United States)

    Gupta, Nitin

    2016-04-01

    Durvasula and Lysonski's paper presented a shorter version of the Acculturation to Global Consumer Culture Scale (hereafter AGCC), which was developed by Cleveland and Laroche to address scarcity of measurements that determined how individuals acquired and became a part of the emerging global consumer culture. The following critique discusses a few concerns and three major shortcomings of the paper, including skewed sample frame and incorrect choice of countries for assessing cross-national applicability of the scale, not discussing the differences in the means of the seven distinct dimensions of AGCC across the four nations studied by the authors, and absence of any critical review of existing consumer acculturation scales vis-à-vis AGCC. © The Author(s) 2016.

  12. Determination of the static spring constant of electrically-driven quartz tuning forks with two freely oscillating prongs

    International Nuclear Information System (INIS)

    González, Laura; Oria, Roger; Botaya, Luis; Puig-Vidal, Manel; Otero, Jorge

    2015-01-01

    Quartz tuning forks have become popular in nanotechnology applications, especially as sensors for scanning probe microscopy. The sensor’s spring constant and the oscillation amplitude are required parameters to evaluate the tip-sample forces; however, there is certain controversy within the research community as to how to arrive at a value for the static spring constant of the device when working in shear mode. Here, we present two different methods based on finite element simulations, to determine the value of the spring constant of the sensors: the amplitude and Cleveland methods. The results obtained using these methods are compared to those using the geometrical method, and show that the latter overestimates the spring constant of the device. (paper)

  13. US Department of Energy first annual clean coal technology conference

    International Nuclear Information System (INIS)

    1992-11-01

    The first public review of the US DOE/Industry co-funded program to demonstrate the commercial readiness of Clean Coal Technologies (CCT) was held at Cleveland, Ohio Sept. 22--24, 1992. The objectives were to provide electric utilities, independent power producers, and potential foreign users information on the DOE-supported CCT projects including status, results, and technology performance potential; to further understanding of the institutional, financial, and technical considerations in applying CCTs to Clean Air Act compliance strategies; to discuss to export market, financial and institutional assistance, and the roles of government and industry in pursuing exports of CCTs; and to facilitate meetings between domestic and international attendees to maximize export opportunities

  14. Application of Autonomous Spacecraft Power Control Technology to Terrestrial Microgrids

    Science.gov (United States)

    Dever, Timothy P.; Trase, Larry M.; Soeder, James F.

    2014-01-01

    This paper describes the potential of the power campus located at the NASA Glenn Research Center (GRC) in Cleveland, Ohio for microgrid development. First, the benefits provided by microgrids to the terrestrial power grid are described, and an overview of Technology Needs for microgrid development is presented. Next, GRC's work on development of autonomous control for manned deep space vehicles, which are essentially islanded microgrids, is covered, and contribution of each of these developments to the microgrid Technology Needs is detailed. Finally, a description is provided of GRC's existing physical assets which can be applied to microgrid technology development, and a phased plan for development of a microgrid test facility is presented.

  15. Radioactivity in surface and coastal waters of the British Isles, 1982

    International Nuclear Information System (INIS)

    Hunt, G.J.

    1984-01-01

    The subject is covered in sections, entitled: introduction: discharges of [liquid, solid] radioactive waste; methods of analysis and of presentation and interpretation of results; British Nuclear Fuels plc (BNFL) Sellafield, Cumbria (the fish and shellfish consumption pathway; external exposure; porphyra/ laverbread pathway; other surveys); Springfields, Lancashire; Capenhurst, Cheshire; Chapelcross, Dumfriesshire); United Kingdom Atomic Energy Authority (Atomic Energy Establishment, Winfrith, Dorset; Dounreay Nuclear Power Development Establish-ment, Caithness); nuclear power stations operated by the electricity boards (Berkeley, Gloucestershire and Oldbury, Avon; Bradwell, Essex; Dungeness, Kent; Hartlepool, Cleveland; Heysham, Lancashire; Hinkley Point, Somerset; Hunterston, Ayrshire; Sizewell, Suffolk; Trawsfynydd, Gwynedd; Wylfa, Gwynedd; naval establishments; Amersham International plc; Channel Islands monitoring; summary and conclusions. (U.K.)

  16. Chronologie de la vie et des œuvres de Constance Fenimore Woolson Chronology of Constance Fenimore Woolson’s Life and Work

    Directory of Open Access Journals (Sweden)

    Jeannine Hayat

    2007-01-01

    Full Text Available Français1840Constance Fenimore Woolson est née à Claremont, New Hampshire (5 mars. Elle était le sixième enfant de Charles Jarvis et de Hannah Cooper Pomeroy Woolson. Elle était, par sa mère, une petite-nièce de James Fenimore Cooper.Automne 1840Les Woolson déménagent à Cleveland, Ohio, après le décès de trois de leurs filles, atteintes de la scarlatine. Enfant et jeune fille, Constance voyage en Ohio, dans le Wisconsin et en Nouvelle Angleterre.Eté 1855Elle découvre l’île de Mackinac dans l...

  17. Hétérogenéité quantitative et qualitative de la matière organique dans les argiles du Kimmeridgien du val de Pickering (Yorkshire, UK). Cadre sédimentologique et stratigraphique Quantitative and Qualitative Heterogeneity of the Organic Matter Within the Kimmeridge Clay of the Vale of Pickering (Yorkshire, Uk). Sedimentological and Stratigraphical Framework

    OpenAIRE

    Penn I. E.; Herbin J. P.; Muller C.; Geyssant J. R.; Melieres F.

    2006-01-01

    Les argiles du Kimméridgien contribuent à l'alimentation de nombreux gisements en mer du Nord. L'étude de quatre puits localisés sur une coupe Est-Ouest dans le Val de Pickering (Bassin de Cleveland) permet d'illustrer dans cette formation l'hétérogénéité de distribution verticale et latérale de la matière organique en terme de quantité et de qualité. La coupe étudiée (35 km de long, 200 m de haut) représente environ 6,5 millions d'années d'histoire géologique. Les analyses minéralogiques mon...

  18. Thermal and Structural Analysis of Micro-Fabricated Involute Regenerators

    Science.gov (United States)

    Qiu, Songgang; Augenblick, Jack E.

    2005-02-01

    Long-life, high-efficiency power generators based on free-piston Stirling engines are an energy conversion solution for future space power generation and commercial applications. As part of the efforts to further improve Stirling engine efficiency and reliability, a micro-fabricated, involute regenerator structure is proposed by a Cleveland State University-led regenerator research team. This paper reports on thermal and structural analyses of the involute regenerator to demonstrate the feasibility of the proposed regenerator. The results indicate that the involute regenerator has extremely high axial stiffness to sustain reasonable axial compression forces with negligible lateral deformation. The relatively low radial stiffness may impose some challenges to the appropriate installation of the in-volute regenerators.

  19. Employees' perceptions of justice in performance appraisals.

    Science.gov (United States)

    Vasset, Frøydis; Marnburg, Einar; Furunes, Trude

    2010-05-01

    Of all the tasks undertaken by human resource managers, performance appraisals (PAs) are one of the most unpopular among employees (Meyer 1991, Murphy and Cleveland 1995, Holbrook 2002, Jackman and Strober 2003). As PA guides and plans show (Fletcher 2004, CatalystOne 2010), PAs can be implemented in similar ways in organisations throughout Europe and developed countries elsewhere. But, if employees perceive PA processes as unfair, they may reject the usefulness and validity of the information they receive and so may not be motivated to change behaviour. This article concerns perceptions of organisational justice and explains the results of a study of perceived fairness in PAs among nurses and auxiliary nurses in Norway's municipal health service.

  20. Diagnosis Penyakit Jantung Menggunakan Adaptive Neuro-Fuzzy Inference System (ANFIS

    Directory of Open Access Journals (Sweden)

    Khadijah Fahmi Hayati Holle

    2016-09-01

    Full Text Available The number of uncertain risk factor in heart disease makes experts difficult to diagnose its disease. Computer technology in the health field is mostly used. In this paper, we implement a system to diagnose heart disease. The used method is Adaptive neuro-fuzzy inference system which combine the advantage of fuzzy and neural network. The used data is UCI Cleveland data that have 13 attributes as inputs. Output system diagnosis compared with observational data for evaluation. System performance tested by calculating accuracy. Tests were also conducted on the variation of the learning rate, iteration, minimum error, and the use of membership functions. Accuracy obtained from test is 65,657% where using membership function Beta.

  1. FDTD-ANT User Manual

    Science.gov (United States)

    Zimmerman, Martin L.

    1995-01-01

    This manual explains the theory and operation of the finite-difference time domain code FDTD-ANT developed by Analex Corporation at the NASA Lewis Research Center in Cleveland, Ohio. This code can be used for solving electromagnetic problems that are electrically small or medium (on the order of 1 to 50 cubic wavelengths). Calculated parameters include transmission line impedance, relative effective permittivity, antenna input impedance, and far-field patterns in both the time and frequency domains. The maximum problem size may be adjusted according to the computer used. This code has been run on the DEC VAX and 486 PC's and on workstations such as the Sun Sparc and the IBM RS/6000.

  2. 78 FR 16785 - Approval and Promulgation of Air Quality Implementation Plans; Ohio; Cleveland-Akron-Lorain and...

    Science.gov (United States)

    2013-03-19

    ... (2) the state can document that growth and control strategy assumptions for non-motor vehicle sources..., attainment, or maintenance year inventories, and (2) The state can document that growth and control strategy... conclusions of the SIP. Ohio has documented that growth and control strategy assumptions continue to be valid...

  3. 76 FR 5840 - The Basic Aluminum Castings Co., Cleveland, OH; Notice of Revised Determination on Reconsideration

    Science.gov (United States)

    2011-02-02

    ... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-73,091] The Basic Aluminum... of America, Region 2B, requested administrative reconsideration of the negative determination... threatened with total or partial separation from employment on date of certification through two years from...

  4. Surface Modeling, Grid Generation, and Related Issues in Computational Fluid Dynamic (CFD) Solutions

    Science.gov (United States)

    Choo, Yung K. (Compiler)

    1995-01-01

    The NASA Steering Committee for Surface Modeling and Grid Generation (SMAGG) sponsored a workshop on surface modeling, grid generation, and related issues in Computational Fluid Dynamics (CFD) solutions at Lewis Research Center, Cleveland, Ohio, May 9-11, 1995. The workshop provided a forum to identify industry needs, strengths, and weaknesses of the five grid technologies (patched structured, overset structured, Cartesian, unstructured, and hybrid), and to exchange thoughts about where each technology will be in 2 to 5 years. The workshop also provided opportunities for engineers and scientists to present new methods, approaches, and applications in SMAGG for CFD. This Conference Publication (CP) consists of papers on industry overview, NASA overview, five grid technologies, new methods/ approaches/applications, and software systems.

  5. Advanced materials for space nuclear power systems

    International Nuclear Information System (INIS)

    Titran, R.H.; Grobstein, T.L.

    1991-01-01

    Research on monolithic refractory metal alloys and on metal matrix composites is being conducted at the NASA Lewis Research Center, Cleveland, Ohio, in support of advanced space power systems. The overall philosophy of the research is to develop and characterize new high-temperature power conversion and radiator materials and to provide spacecraft designers with material selection options and design information. Research on three candidate materials (carbide strengthened niobium alloy PWC-11 for fuel cladding, graphite fiber reinforced copper matrix composites (Gr/Cu) for heat rejection fins, and tungsten fiber reinforced niobium matrix composites (W/NB) for fuel containment and structural supports) considered for space power system applications is discussed. Each of these types of materials offers unique advantages for space power applications

  6. Overview 2004 of NASA Stirling-Convertor CFD-Model Development and Regenerator R&D Efforts

    Science.gov (United States)

    Tew, Roy C.; Dyson, Rodger W.; Wilson, Scott D.; Demko, Rikako

    2005-01-01

    This paper reports on accomplishments in 2004 in development of Stirling-convertor CFD model at NASA GRC and via a NASA grant, a Stirling regenerator-research effort being conducted via a NASA grant (a follow-on effort to an earlier DOE contract), and a regenerator-microfabrication contract for development of a "next-generation Stirling regenerator." Cleveland State University is the lead organization for all three grant/contractual efforts, with the University of Minnesota and Gedeor Associates as subcontractors. Also, the Stirling Technology Co. and Sunpower, Inc. are both involved in all three efforts, either as funded or unfunded participants. International Mezzo Technologies of Baton Rouge, LA is the regenerator fabricator for the regenerator-microfabrication contract. Results of the efforts in these three areas are summarized.

  7. The prevalence and illness characteristics of DSM-5-defined "mixed feature specifier" in adults with major depressive disorder and bipolar disorder: Results from the International Mood Disorders Collaborative Project.

    Science.gov (United States)

    McIntyre, Roger S; Soczynska, Joanna K; Cha, Danielle S; Woldeyohannes, Hanna O; Dale, Roman S; Alsuwaidan, Mohammad T; Gallaugher, Laura Ashley; Mansur, Rodrigo B; Muzina, David J; Carvalho, Andre; Kennedy, Sidney H

    2015-02-01

    A substantial proportion of individuals with mood disorders present with sub-syndromal hypo/manic features. The objective of this analysis was to evaluate the prevalence and illness characteristics of the Diagnostic and Statistical Manual Version-5 (DSM-5) - defined mixed features specifier (MFS) in adults with major depressive disorder (MDD) and bipolar disorder (BD). Data from participants who met criteria for a current mood episode as part of MDD (n=506) or BD (BD-I: n=216, BD-II: n=130) were included in this post-hoc analysis. All participants were enrolled in the International Mood Disorders Collaborative Project (IMDCP): a collaborative research platform at the Mood Disorders Psychopharmacology Unit, University of Toronto and the Cleveland Clinic, Cleveland, Ohio. Mixed features specifier was operationalized as a score ≥ 1 on 3 or more select items on the Young Mania Rating Scale (YMRS) or ≥ 1 on 3 select items of the Montgomery Åsberg Depression Rating Scale (MADRS) or Hamilton Depression Rating Scale (HAMD-17) during an index major depressive episode (MDE) or hypo/manic episode, respectively. A total of 26.0% (n=149), 34.0% (n=65), and 33.8% (n=49) of individuals met criteria for MFS during an index MDE as part of MDD, BD-I and BD-II, respectively. Mixed features specifier during a hypo/manic episode was identified in 20.4% (n=52) and 5.1% (n=8) in BD-I and BD-II participants, respectively. Individuals with MDE-MFS as part of BD or MDD exhibited a more severe depressive phenotype (p=0.0002 and pdefined MFS is common during an MDE as part of MDD and BD. The presence of MFS identifies a subgroup of individuals with greater illness complexity and possibly a higher rate of cardiovascular comorbidity. The results herein underscore the common occurrence of MFS in adults with either BD or MDD. Moreover, the results of our analysis indicate that adults with mood disorders and MFS have distinct clinical characteristics and comorbidity patterns. Copyright

  8. SU-G-JeP2-14: MRI-Based HDR Prostate Brachytherapy: A Phantom Study for Interstitial Catheter Reconstruction with 0.35T MRI Images

    International Nuclear Information System (INIS)

    Park, S; Kamrava, M; Yang, Y

    2016-01-01

    Purpose: To evaluate the accuracy of interstitial catheter reconstruction with 0.35T MRI images for MRI-based HDR prostate brachytherapy. Methods: Recently, a real-time MRI-guided radiotherapy system combining a 0.35T MRI system and three cobalt 60 heads (MRIdian System, ViewRay, Cleveland, OH, USA) was installed in our department. A TrueFISP sequence for MRI acquisition at lower field on Viewray was chosen due to its fast speed and high signal-to-noise efficiency. Interstitial FlexiGuide needles were implanted into a tissue equivalent ultrasound prostate phantom (CIRS, Norfolk, Virginia, USA). After an initial 15s pilot MRI to confirm the location of the phantom, planning MRI was acquired with a 172s TrueFISP sequence. The pulse sequence parameters included: flip angle = 60 degree, echo time (TE) =1.45 ms, repetition time (TR) = 3.37 ms, slice thickness = 1.5 mm, field of view (FOV) =500 × 450mm. For a reference image, a CT scan was followed. The CT and MR scans were then fused with the MIM Maestro (MIM software Inc., Cleveland, OH, USA) and sent to the Oncentra Brachy planning system (Elekta, Veenendaal, Netherlands). Automatic catheter reconstruction using CT and MR image intensities followed by manual reconstruction was used to digitize catheters. The accuracy of catheter reconstruction was evaluated from the catheter tip location. Results: The average difference between the catheter tip locations reconstructed from the CT and MR in the transverse, anteroposterior, and craniocaudal directions was −0.1 ± 0.1 mm (left), 0.2 ± 0.2 mm (anterior), and −2.3 ± 0.5 mm (cranio). The average distance in 3D was 2.3 mm ± 0.5 mm. Conclusion: This feasibility study proved that interstitial catheters can be reconstructed with 0.35T MRI images. For more accurate catheter reconstruction which can affect final dose distribution, a systematic shift should be applied to the MR based catheter reconstruction in HDR prostate brachytherapy.

  9. Surgical Treatment of Anal Stenosis with Diamond Flap Anoplasty Performed in a Calibrated Fashion.

    Science.gov (United States)

    Gülen, Merter; Leventoğlu, Sezai; Ege, Bahadir; Menteş, B Bülent

    2016-03-01

    Regarding anoplasty for anal stenosis, it is not clear to what extent the final anal caliber should be targeted. The aim of this study was to investigate the results of diamond-flap anoplasty performed in a calibrated manner for the treatment of severe anal stenosis due to a previous hemorrhoidectomy. Prospectively prepared standard forms were evaluated retrospectively. Anoplasty with unilateral or bilateral diamond flaps was performed for moderate or severe anal stenosis, targeting a final anal caliber of 25 to 26 mm. The demographic characteristics, causes of anal stenosis, number of previous surgeries, anal stenosis staging (Milsom and Mazier), anal calibers (millimeter), the Cleveland Clinic Incontinence Score, and the modified obstructed defecation syndrome Longo score were recorded on pre-prepared standard forms, as well as postoperative complications and the time of return to work. From January 2011 to July 2013, 18 patients (12 males, 67%) with a median age of 39 years (range, 27-70) were treated. All of the patients had a history of previous hemorrhoidectomy. The number of previous corrective interventions was 2.1 ± 1.8 (range, 0-4), and 2 patients had a history of failed anoplasty. Five patients (28%) had moderate anal stenosis and 13 (72%) had severe anal stenosis. Preoperative, intraoperative, and 12-month postoperative anal calibration values were 9 ± 3 mm (range, 5-15), 25 ± 0.75 mm (range, 24-26), and 25 ± 1 mm (range, 23-27) (p < 0.0001, for immediate postoperative and 12-month postoperative anal calibers compared with the intraoperative). Preoperative and 12-month postoperative Cleveland Clinic Incontinence Scores were 0.83 ± 1.15 (range, 0-4) and 0.39 ± 0.70 (range, 0-2) (p = 1.0). The clinical success rate was 88.9%. No severe postoperative complications were observed. This study was limited because it was a single-armed, retrospective analysis of prospectively designed data. Diamond-flap anoplasty performed in a standardized and calibrated

  10. Profile of obinutuzumab for the treatment of patients with previously untreated chronic lymphocytic leukemia

    Directory of Open Access Journals (Sweden)

    Hill BT

    2015-08-01

    Full Text Available Brian T Hill, Matt Kalaycio Department of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA Abstract: Chronic lymphocytic leukemia (CLL is a hematologic malignancy derived from a clonal population of mature B-lymphocytes characterized by relatively low CD20 antigen expression. Although the disease often takes an indolent course, the majority of patients will eventually require therapy. Standard treatment for medically fit patients includes purine analogs and/or alkylating agents in addition to the type I anti-CD20 monoclonal antibody, rituximab. This therapy is inherently myelosuppressive and can result in significant morbidity and even mortality in patients with impaired performance status due to age and/or medical comorbidities. Historically, treatment options for the elderly or frail patient population were limited to monotherapy with the oral alkylating agent, chlorambucil, rituximab, or another type I anti-CD20 monoclonal antibody ofatumumab. Recently, a newer-generation anti-CD20 monoclonal antibody, obinutuzumab, was developed for patients with CLL. Obinutuzumab is a humanized type II monoclonal antibody that appears to have more direct antibody-dependent cell-mediated cytotoxicity (ADCC and possibly more direct cytotoxicity in vitro than previously available type I antibodies. A large Phase III prospective randomized clinical trial for older patients with impaired renal function and/or significant medical comorbidities demonstrated that when compared to conventionally-dosed rituximab and chlorambucil, the combination of chlorambucil and obinutuzumab administered at a dose and schedule involving early loading doses improved response rates and progression-free survival without significantly increasing toxicity. Results of this pivotal trial led to the FDA (US Food and Drug Administration approval of obinutuzumab in combination with chlorambucil for frontline treatment of CLL. Obinutuzumab

  11. NASA-OAI HPCCP K-12 Program

    Science.gov (United States)

    1994-01-01

    The NASA-OAI High Performance Communication and Computing K- 12 School Partnership program has been completed. Cleveland School of the Arts, Empire Computech Center, Grafton Local Schools and the Bug O Nay Ge Shig School have all received network equipment and connections. Each school is working toward integrating computer and communications technology into their classroom curriculum. Cleveland School of the Arts students are creating computer software. Empire Computech Center is a magnet school for technology education at the elementary school level. Grafton Local schools is located in a rural community and is using communications technology to bring to their students some of the same benefits students from suburban and urban areas receive. The Bug O Nay Ge Shig School is located on an Indian Reservation in Cass Lake, MN. The students at this school are using the computer to help them with geological studies. A grant has been issued to the friends of the Nashville Library. Nashville is a small township in Holmes County, Ohio. A community organization has been formed to turn their library into a state of the art Media Center. Their goal is to have a place where rural students can learn about different career options and how to go about pursuing those careers. Taylor High School in Cincinnati, Ohio was added to the schools involved in the Wind Tunnel Project. A mini grant has been awarded to Taylor High School for computer equipment. The computer equipment is utilized in the school's geometry class to computationally design objects which will be tested for their aerodynamic properties in the Barberton Wind Tunnel. The students who create the models can view the test in the wind tunnel via desk top conferencing. Two teachers received stipends for helping with the Regional Summer Computer Workshop. Both teachers were brought in to teach a session within the workshop. They were selected to teach the session based on their expertise in particular software applications.

  12. Using MODIS data for understanding changes in seagrass meadow health: a case study in the Great Barrier Reef (Australia).

    Science.gov (United States)

    Petus, Caroline; Collier, Catherine; Devlin, Michelle; Rasheed, Michael; McKenna, Skye

    2014-07-01

    Stretching more than 2000 km along the Queensland coast, the Great Barrier Reef Marine Park (GBR) shelters over 43,000 square km of seagrass meadows. Despite the status of marine protected area and World Heritage listing of the GBR, local seagrass meadows are under stress from reduced water quality levels; with reduction in the amount of light available for seagrass photosynthesis defined as the primary cause of seagrass loss throughout the GBR. Methods have been developed to map GBR plume water types by using MODIS quasi-true colour (hereafter true colour) images reclassified in function of their dominant colour. These data can be used as an interpretative tool for understanding changes in seagrass meadow health (as defined in this study by the seagrass area and abundance) at different spatial and temporal scales. We tested this method in Cleveland Bay, in the northern GBR, where substantial loss in seagrass area and biomass was detected by annual monitoring from 2007 to 2011. A strong correlation was found between bay-wide seagrass meadow area and biomass and exposure to turbid Primary (sediment-dominated) water type. There was also a strong correlation between the changes of biomass and area of individual meadows and exposure of seagrass ecosystems to Primary water type over the 5-year period. Seagrass meadows were also grouped according to the dominant species within each meadow, irrespective of location within Cleveland Bay. These consolidated community types did not correlate well with the exposure to Primary water type, and this is likely to be due to local environmental conditions with the individual meadows that comprise these groupings. This study proved that remote sensing data provide the synoptic window and repetitivity required to investigate changes in water quality conditions over time. Remote sensing data provide an opportunity to investigate the risk of marine-coastal ecosystems to light limitation due to increased water turbidity when in situ

  13. Formerly utilized MED/AEC sites remedial action program. Radiological survey of the Harshaw Chemical Company, Cleveland, Ohio

    International Nuclear Information System (INIS)

    Wynveen, R.A.; Smith, W.H.; Sholeen, C.M.; Justus, A.L.; Flynn, K.F.

    1984-04-01

    During the MED/AEC era, the Harshaw Chemical Company processed large quantities of normal uranium to produce both oxide and fluoride compounds. This work was done under contract to MED and its successor, AEC. Records indicated that at the time the AEC contract was terminated, the facility was decontaminated by Harshaw and released from AEC control in 1960. However, a search of AEC records indicated that documentation was insufficient to determine whether the decontamination work was adequate by current guidelines. Hence, a radiological assessment of the site ws initiated in 1976. The entire grounds and all buildings were surveyed using surface survey instruments to detect surface contamination and radiation detectors to determine general radiation levels. Extensive surface contamination was found throughout the site. While the major contamination was found in Plant C, significant levels of contamination also were found in 16 other buildings and at 32 exterior locations. The contaminating material seemed to be normal uranium exclusively. Air samples were taken at numerous indoor locations throughout the site, but no elevated levels of radon were detected. This was as expected since normal uranium has been separated from radium and hence radon levels are very low. Several soil samples were taken from around the site. Analyses of these samples indicated extensive soil contamination, as well as suspected contamination of the river bed in the vicinity of the plant outfall. Scheduled subsurface investigation of the site, as well as of the river bed and sewer system, have not been conducted. Levels of contamination at this site are significantly above guidelines for release of the site for unrestricted use. 57 figures, 7 tables

  14. "Young Rebels Flee Psychology": Individual Intelligence, Race and Foster Children in Cleveland, Ohio between the World Wars

    Science.gov (United States)

    Ryan, Patrick J.

    2011-01-01

    This study examines foster child case records to understand how intelligence testing was used by guidance counsellors and social workers to negotiate welfare resources with poor youths in the early twentieth century. Psychological testing justified racial hierarchy in a scientific language suited for a rational professional bureaucracy. Yet, it…

  15. Multi-dimensional modeling of a thermal energy storage canister. M.S. Thesis - Cleveland State Univ., Dec. 1990

    Science.gov (United States)

    Kerslake, Thomas W.

    1991-01-01

    The Solar Dynamic Power Module being developed for Space Station Freedom uses a eutectic mixture of LiF-CaF2 phase change material (PCM) contained in toroidal canisters for thermal energy storage. Presented are the results from heat transfer analyses of a PCM containment canister. One and two dimensional finite difference computer models are developed to analyze heat transfer in the canister walls, PCM, void, and heat engine working fluid coolant. The modes of heat transfer considered include conduction in canister walls and solid PCM, conduction and pseudo-free convection in liquid PCM, conduction and radiation across PCM vapor filled void regions, and forced convection in the heat engine working fluid. Void shape, location, growth or shrinkage (due to density difference between the solid and liquid PCM phases) are prescribed based on engineering judgment. The PCM phase change process is analyzed using the enthalpy method. The discussion of the results focuses on how canister thermal performance is affected by free convection in the liquid PCM and void heat transfer. Characterizing these effects is important for interpreting the relationship between ground-based canister performance (in 1-g) and expected on-orbit performance (in micro-g). Void regions accentuate canister hot spots and temperature gradients due to their large thermal resistance. Free convection reduces the extent of PCM superheating and lowers canister temperatures during a portion of the PCM thermal charge period. Surprisingly small differences in canister thermal performance result from operation on the ground and operation on-orbit. This lack of a strong gravity dependency is attributed to the large contribution of container walls in overall canister energy redistribution by conduction.

  16. Proceedings of ARO Workshop Biostructures as Composite Materials, Held in Cleveland, Ohio on October 23-25, 1989

    Science.gov (United States)

    1990-03-01

    R. E. Clark, W. M. Swanson, J. L. Kardos, R. W. Hagen, and R. A. Beauchamp, 5 "Durability of Prosthetic Heart Valves ". Annals of Thoracic Surgery, 26...Structure and Function of Cornea ................... 20 R. Farrell, Johns Hopkins University 4. Deformation and Fracture Behavior of Bone...Function Relationships in the Aortic Valve ........ 68 M. Thubrikar, University of Virginia I 8. Impact Resistance of Invertebrate Mineralized Ti6. --s

  17. 78 FR 21515 - Prevailing Rate Systems; Redefinition of the St. Louis, MO; Southern Missouri; Cleveland, OH; and...

    Science.gov (United States)

    2013-04-11

    ... have a significant economic impact on a substantial number of small entities because they will affect... Beaver Butler Washington Westmoreland Area of Application. Survey area plus: Ohio: Belmont Harrison...

  18. Intelligence and Schooling. Fueling the Education Explosion: Proceedings of Conference 2 (Cleveland, Ohio, November 17-18, 1983).

    Science.gov (United States)

    Gardner, Mary, Ed.; Reed-Mundell, Charlene, Ed.

    These proceedings contain presentations from a conference whose major topics were real-world intelligence, artificial intelligence, and linkage between the education and corporate sectors. "People, Perspectives...Potential and Possibilities" (Elyse S. Fleming), which was the conference's closing speech, briefly summarizes the information…

  19. Safety Evaluation Report related to the operation of Perry Nuclear Power Plant, Units 1 and 2, (Docket Nos. 50-440 and 50-441)

    International Nuclear Information System (INIS)

    1984-02-01

    Supplement No. 4 to the Safety Evaluation Report on the application filed by the Cleveland Electric Illuminating Company on behalf of itself and as agent for the Duquesne Light Company, the Ohio Edison Company, the Pennsylvania Power Company, and the Toledo Edison Company (the Central Area Power Coordination Group or CAPCO), as applicants and owners, for a license to operate the Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 50-441), has been prepared by the Office of Nuclear Reactor Regulation of the US Nuclear Regulatory Commission. The facility is located in Lake County, Ohio. This supplement reports the status of certain issues that had not been resolved at the time of publication of the Safety Evaluation Report and Supplement Nos. 1, 2 and 3 to that report

  20. Safety evaluation report related to the operation of Perry Nuclear Power Plant, Units 1 and 2: Docket Nos. 50-440 and 50-441

    International Nuclear Information System (INIS)

    1983-01-01

    Supplement No. 2 to the Safety Evaluation Report on the application filed by the Cleveland Electric Illuminating Company on behalf of itself and as agent for the Duquesne Light Company, the Ohio Edison Company, the Pennsylvania Power Company, and the Toledo Edison Company (the Central Area Power Coordination Group (CAPCO)), as applicants and owners, for a license to operate the Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440 and 50-441), has been prepared by the Office of Nuclear Reactor Regulation of the US Nuclear Regulatory Commission. The facility is located in Lake County, Ohio. This supplement reports the status of certain issues that had not been resolved at the time of publication of the Safety Evaluation Report and Supplement No. 1 to that report

  1. Primary ovarian insufficiency: an update

    Directory of Open Access Journals (Sweden)

    Cox L

    2014-02-01

    Full Text Available Leticia Cox, James H LiuUH Case Medical Center, MacDonald Women's Hospital, Department of Obstetrics and Gynecology, Case Western Reserve University School of Medicine, Department of Reproductive Biology, Cleveland, OH, USAAbstract: Primary ovarian insufficiency is a condition that represents impaired ovarian function on a continuum with intermittent ovulation. This condition commonly leads to premature menopause, defined as cessation of ovulation prior to the age of 40 years. Because there are potential immediate and long-term consequences of hypoestrogenism, a timely diagnosis is invaluable. This comprehensive review will discuss identifiable causes for primary ovarian insufficiency, including genetic disorders and metabolic abnormalities, as well as review current strategies for diagnosis, evaluation, and management of women with this condition.Keywords: premature ovarian failure, premature menopause, ovarian dysfunction

  2. Ballistic materials in MR imaging

    International Nuclear Information System (INIS)

    Smith, A.S.; Hurst, G.C.; Duerk, J.L.; Diaz, P.J.

    1990-01-01

    This paper reports on the most common ballistic materials available in the urban setting studied for deflection force, rotation, heating, and imaging artifact at 1.5 T to determine potential efficacy and safety for imaging patients with ballistic injuries. Twenty-eight missiles were tested, covering the range of bullet types and materials suggested by the Cleveland Police Department. Deflection force was measured by the New method. Rotation was studied by evaluating bullets in a 10% (W/W) ballistic gelating after 30 minutes with the long axis of the bullet placed parallel and perpendicular to the z axis. Heating was measured with alcohol thermometers imaged for 1 hour alternately with FESUM and spin-echo sequences (RF absorption w/Kg and 0.033 w/Kg). Image artifact evaluation of routine sequences was performed

  3. Aeronautical Mobile Airport Communications System (AeroMACS)

    Science.gov (United States)

    Budinger, James M.; Hall, Edward

    2011-01-01

    To help increase the capacity and efficiency of the nation s airports, a secure wideband wireless communications system is proposed for use on the airport surface. This paper provides an overview of the research and development process for the Aeronautical Mobile Airport Communications System (AeroMACS). AeroMACS is based on a specific commercial profile of the Institute of Electrical and Electronics Engineers (IEEE) 802.16 standard known as Wireless Worldwide Interoperability for Microwave Access or WiMAX (WiMax Forum). The paper includes background on the need for global interoperability in air/ground data communications, describes potential AeroMACS applications, addresses allocated frequency spectrum constraints, summarizes the international standardization process, and provides findings and recommendations from the world s first AeroMACS prototype implemented in Cleveland, Ohio, USA.

  4. Implementation of a virtual link between power system testbeds at Marshall Spaceflight Center and Lewis Research Center

    Science.gov (United States)

    Doreswamy, Rajiv

    1990-01-01

    The Marshall Space Flight Center (MSFC) owns and operates a space station module power management and distribution (SSM-PMAD) testbed. This system, managed by expert systems, is used to analyze and develop power system automation techniques for Space Station Freedom. The Lewis Research Center (LeRC), Cleveland, Ohio, has developed and implemented a space station electrical power system (EPS) testbed. This system and its power management controller are representative of the overall Space Station Freedom power system. A virtual link is being implemented between the testbeds at MSFC and LeRC. This link would enable configuration of SSM-PMAD as a load center for the EPS testbed at LeRC. This connection will add to the versatility of both systems, and provide an environment of enhanced realism for operation of both testbeds.

  5. Multi-objective decision-making under uncertainty: Fuzzy logic methods

    Science.gov (United States)

    Hardy, Terry L.

    1995-01-01

    Fuzzy logic allows for quantitative representation of vague or fuzzy objectives, and therefore is well-suited for multi-objective decision-making. This paper presents methods employing fuzzy logic concepts to assist in the decision-making process. In addition, this paper describes software developed at NASA Lewis Research Center for assisting in the decision-making process. Two diverse examples are used to illustrate the use of fuzzy logic in choosing an alternative among many options and objectives. One example is the selection of a lunar lander ascent propulsion system, and the other example is the selection of an aeration system for improving the water quality of the Cuyahoga River in Cleveland, Ohio. The fuzzy logic techniques provided here are powerful tools which complement existing approaches, and therefore should be considered in future decision-making activities.

  6. DE-EE0006714 Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Wagner, Lorry [Lake Erie Energy Development Corporation; Karpinski, David [Lake Erie Energy Development Corporation; Nagusky, Beth [Lake Erie Energy Development Corporation

    2018-04-09

    Project Icebreaker, a 20 Megawatt offshore wind project 8 miles north of Cleveland, OH in Lake Erie, has been under development by the Lake Erie Energy Development Corporation since 2009. Significant development efforts were completed prior to the award of DE-EE0006714 (December 2014). This report describes the status of the work performed under award DE-EE0006714. The work was organized into several categories or tasks. The report presents the status of that work in each of eleven (11) main tasks: 1) State and Federal Permits; 2) Mono Bucket Foundation Engineering; 3) Construction and Installation Engineering; 4) Cable Route Survey; 5) Electrical System Design; 6) Power Off-take; 7) Project Costs and Risk Management; 8) Operations and Maintenance Planning; 9) Domestic Supply Chain Development; 10) Instrumentation Planning; and 11) Department of Energy Review.

  7. Safety evaluation report related to the operation of Perry Nuclear Power Plant, Units 1 and 2. Docket Nos. 50-440 and 50-441

    International Nuclear Information System (INIS)

    1983-04-01

    Supplement No. 3 to the Safety Evaluation Report on the application filed by the Cleveland Electric Illuminating Company on behalf of itself and as agent for the Duquesne Light Company, the Ohio Edison Company, the Pennsylvania Power Company, and the Toledo Edison Company (the Central Area Power Coordination Group or CAPCO), as applicants and owners, for a license to operate the Perry Nuclear Power Plant, Units 1 and 2 (Docket Nos. 50-440/441), has been prepared by the Office of Nuclear Reactor Regulation of the US Nuclear Regulatory Commission. The facility is located in Lake County, Ohio. This supplement reports the status of certain issues that had not been resolved at the time of publication of the Safety Evaluation Report and Supplement Nos. 1 and 2 to that report

  8. Photosynthesis and water relations of mature and resprout chaparral vegetation

    International Nuclear Information System (INIS)

    Hastings, S.J.; Oechel, W.C.

    1982-01-01

    Photosynthesis, leaf conductance, and water potential were measured in the field over time, on mature (ca. 34 years) and resprouts of Arctostaphylos glandulosa Eastw., Quercus dumosa nutt., and Adenostoma fasciculatum H and A. The experimental site is within the US Forest Service's Laguna-Morena Demonstration area of the Cleveland National Forest in southern California. It is characterized as a mixed chaparral community located on an east-facing slope at ca. 1400-meter elevation. Plots of the mature vegetation were marked off (250 meters wide, 675 meters long) and the aboveground biomass removed by either handclearing or controlled burning. Measurements were typically made from sunrise to sunset. A null balance porometer, Sholander pressure bomb, and carbon-14 dioxide were utilized to measure leaf conductance, water potential, and carbon dioxide uptake, respectively

  9. The construction of a PWR power station reactor building liner

    International Nuclear Information System (INIS)

    Skirving, N.; Goulding, J.S.; Gibson, J.A.

    1991-01-01

    Cleveland Bridge and Engineering Co Ltd (CBE) are constructing the Reactor Building Liner Plate containment of the Sizewell 'B' Power Station for Nuclear Electric Ltd. This has entailed extensive offsite prefabrication of components and their subsequent erection at Sizewell. It has been necessary to engineer temporary supporting mechanisms to enable manufacture and erection to proceed, yet also to withstand wet concrete forces during the progressive construction. The Reactor Building Liner Plate is a safety related system and as such, in addition to strict compliance with the ASME code, the Quality Assurance (QA) requirements of BS 5882 are applicable. A dedicated Project Team was established by CBE to control and direct the work. Equally important as satisfying the rigorous Q.A. requirements has been the need to meet programme and budget. This paper details CBE execution of the Project. (author)

  10. Study of short haul high-density V/STOL transportation systems, volume 1

    Science.gov (United States)

    Solomon, H. L.

    1972-01-01

    The relative advantages of STOL aircraft concepts were examined by simulating the operations of a short haul high-density intercity STOL system set in two arenas, the California corridor and the Chicago-Detroit-Cleveland triangle, during the 1980 time period. The study was constrained to the use of three aircraft concepts designated as the deflected slipstream turboprop, externally blown flap, and augmentor wing turbofan configurations. The projected demographic, economic, travel demand, and travel characteristics of the representative arenas were identified. The STOL airline operating scenarios were then formulated and through the use of the aerospace modal split simulation program, the traveler modal choices involving alternative STOL concepts were estimated in the context of the total transportation environment for 1980. System combinations that presented the best potential for economic return and traveler acceptance were then identified for each STOL concept.

  11. Small Engine Technology (SET) Task 24 Business and Regional Aircraft System Studies

    Science.gov (United States)

    Lieber, Lysbeth

    2003-01-01

    This final report has been prepared by Honeywell Engines & Systems, Phoenix, Arizona, a unit of Honeywell International Inc., documenting work performed during the period June 1999 through December 1999 for the National Aeronautics and Space Administration (NASA) Glenn Research Center, Cleveland, Ohio, under the Small Engine Technology (SET) Program, Contract No. NAS3-27483, Task Order 24, Business and Regional Aircraft System Studies. The work performed under SET Task 24 consisted of evaluating the noise reduction benefits compared to the baseline noise levels of representative 1992 technology aircraft, obtained by applying different combinations of noise reduction technologies to five business and regional aircraft configurations. This report focuses on the selection of the aircraft configurations and noise reduction technologies, the prediction of noise levels for those aircraft, and the comparison of the noise levels with those of the baseline aircraft.

  12. An outcome study of an inpatient treatment program for pathological gamblers.

    Science.gov (United States)

    Russo, A M; Taber, J I; McCormick, R A; Ramirez, L F

    1984-08-01

    In 1972 the Brecksville Unit of the Cleveland Veterans Administration Medical Center began the first inpatient treatment program for pathological gambling in the United States. The 30-day, highly structured gambling treatment program aims for abstinence from gambling, reduction of the urge to gamble, and restoration of a maximum level of social functioning. The authors report the results of a preliminary outcome study of 60 former patients who completed a survey form rating various aspects of their lives one year postdischarge. Fifty-five percent of the respondents reported complete abstinence from gambling since discharge. Chi-square analyses demonstrated significant relationships between abstinence from gambling and improved interpersonal relationships, better financial status, decreased depression, and participation in professional aftercare and Gamblers Anonymous. The authors believe that their initial results support the contention that pathological gambling is a treatable disorder.

  13. The effects of gender violence/ harassment prevention programming in middle schools: a randomized experimental evaluation.

    Science.gov (United States)

    Taylor, Bruce; Stein, Nan; Burden, Frances

    2010-01-01

    In this experiment, 123 sixth and seventh grade classrooms from Cleveland area schools were randomly assigned to one of two five-session curricula addressing gender violence/ sexual harassment (GV/SH) or to a no-treatment control. Three-student surveys were administered. Students in the law and justice curricula, compared to the control group, had significantly improved outcomes in awareness of their abusive behaviors, attitudes toward GV/SH and personal space, and knowledge. Students in the interaction curricula experienced lower rates of victimization, increased awareness of abusive behaviors, and improved attitudes toward personal space. Neither curricula affected perpetration or victimization of sexual harassment. While the intervention appeared to reduce peer violence victimization and perpetration, a conflicting finding emerged-the intervention may have increased dating violence perpetration (or at least the reporting of it) but not dating violence victimization.

  14. Accuracy of the Thermo Fisher Scientific (Sensititre™) dry-form broth microdilution MIC product when testing ceftaroline.

    Science.gov (United States)

    Jones, Ronald N; Holliday, Nicole M; Critchley, Ian A

    2015-04-01

    Ceftaroline, the active metabolite of the ceftaroline fosamil pro-drug, was the first advanced-spectrum cephalosporin with potent activity against methicillin-resistant Staphylococcus aureus to be approved by the US Food and Drug Administration for acute bacterial skin and skin structure infections. After 4 years of clinical use, few ceftaroline commercial susceptibility testing devices other than agar diffusion methods (disks and stable gradient) are available. Here, we validate a broth microdilution product (Sensititre™; Thermo Fisher Scientific, Cleveland, OH, USA) that achieved 99.2% essential agreement (manual and automated reading) and 95.3-100.0% categorical agreement, with high reproducibility (98.0-100.0%). Sensititre™ MIC values for ceftaroline, however, were slightly skewed toward an elevated value (0.5 × log2 dilution step), greatest when testing for streptococci and Enterobacteriaceae. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Irvine-Michigan-Brookhaven (I.M.B.) nucleon decay search status report

    International Nuclear Information System (INIS)

    Bratton, C.B.; Gajewski, W.; Kropp, W.R.

    1981-01-01

    The Irvine-Michigan-Brookhaven collaboration is currently constructing a 8700 tonne water Cerenkov detector to measure, or establish a lower limit to, the nucleon lifetime. The detector, which should be complete by the middle of October, is located at a depth of 1670 m.w.e. in the Morton Salt Mine near Cleveland, Ohio. Activities during the past year have been dominated by the construction of the laboratory and of the phototube, electronic and software systems. In house tests of the phototubes and data acquisition chain have demonstrated their reliability, the feasibility of on-line rejection of cosmic ray muons, and have yielded information relevant to off-line methods of event reconstruction. This report will concentrate on these activities and point out where actual experience or measurement has confirmed or modified features of the proposed detector as described previously in several articles

  16. Wheels With Sense

    Science.gov (United States)

    Cambridge, Dwayne; Clauss, Douglas; Hewson, Fraser; Brown, Robert; Hisrich, Robert; Taylor, Cyrus

    2002-10-01

    We describe a student intrapreneurial project in the Physics Entrepreneurship Program at Case Western Reserve University. At the request of a major fortune 100 company, a study has been made of the technical and marketing issues for a new business of selling sensors on commercial vehicle wheels for monitoring pressure, temperature, rotations, and vibrations, as well as providing identification. The nature of the physics involved in the choice of the appropriate device such as capacitive or piezoresistive sensors is discussed, along with the possibility of MEMS (micro-electro-mechanical systems) technology and RFID (radiofrequency identification) readout on wheels. Five options (status quo, in-house development, external business acquisition, a large business national partnership, and a small-business Cleveland consortium partnership) were studied from both technological and business perspectives to commercialize the technology. The decision making process for making a choice is explained.

  17. Correlation of finite element free vibration predictions using random vibration test data. M.S. Thesis - Cleveland State Univ.

    Science.gov (United States)

    Chambers, Jeffrey A.

    1994-01-01

    Finite element analysis is regularly used during the engineering cycle of mechanical systems to predict the response to static, thermal, and dynamic loads. The finite element model (FEM) used to represent the system is often correlated with physical test results to determine the validity of analytical results provided. Results from dynamic testing provide one means for performing this correlation. One of the most common methods of measuring accuracy is by classical modal testing, whereby vibratory mode shapes are compared to mode shapes provided by finite element analysis. The degree of correlation between the test and analytical mode shapes can be shown mathematically using the cross orthogonality check. A great deal of time and effort can be exhausted in generating the set of test acquired mode shapes needed for the cross orthogonality check. In most situations response data from vibration tests are digitally processed to generate the mode shapes from a combination of modal parameters, forcing functions, and recorded response data. An alternate method is proposed in which the same correlation of analytical and test acquired mode shapes can be achieved without conducting the modal survey. Instead a procedure is detailed in which a minimum of test information, specifically the acceleration response data from a random vibration test, is used to generate a set of equivalent local accelerations to be applied to the reduced analytical model at discrete points corresponding to the test measurement locations. The static solution of the analytical model then produces a set of deformations that once normalized can be used to represent the test acquired mode shapes in the cross orthogonality relation. The method proposed has been shown to provide accurate results for both a simple analytical model as well as a complex space flight structure.

  18. 75 FR 33506 - Safety and Security Zones; Tall Ships Challenge 2010, Great Lakes, Cleveland, OH, Bay City, MI...

    Science.gov (United States)

    2010-06-14

    ... ``small entities'' comprises small businesses and not-for-profit organizations that are independently... Entities Under section 213(a) of the Small Business Regulatory Enforcement Fairness Act of 1996 (Pub. L... BALTIMORE II, S/V ROALD AMUNDSEN, S/V RED WITCH, S/V ROTALISTE, S/V ROSEWAY, S/V UNICORN, S/V WELCOME, and S...

  19. Education, Technology, and Media: A Peak into My Summer Internship at NASA Glenn Research Center in Cleveland, Ohio

    Science.gov (United States)

    Moon, James

    2004-01-01

    My name is James Moon and I am a senor at Tennessee State University where my major is Aeronautical and Industrial Technology with a concentration in industrial electronics. I am currently serving my internship in the Engineering and Technical Services Directorate at the Glenn Research Center (GRC). The Engineering and Technical Service Directorate provides the services and infrastructure for the Glenn Research Center to take research concepts to reality. They provide a full range of integrated services including engineering, advanced prototyping and testing, facility management, and information technology for NASA, industry, and academia. Engineering and Technical Services contains the core knowledge in Information Technology (IT). This includes data systems and analysis, inter and intranet based systems design and data security. Including the design and development of embedded real-time sohare applications for flight and supporting ground systems, Engineering and Technical Services provide a wide range of IT services and products specific to the Glenn Research Center research and engineering community.

  20. A tale of two rain gardens: Barriers and bridges to adaptive management of urban stormwater in Cleveland, Ohio

    Science.gov (United States)

    Green infrastructure installations such as rain gardens and bioswales are increasingly regarded as viable tools to mitigate stormwater runoff at the parcel level. The use of adaptive management to implement and monitor green infrastructure projects as experimental attempts to man...

  1. High Technology and Education. Proceedings of Fueling the Education Explosion Conference 4 (Cleveland, Ohio, September 20-21, 1984).

    Science.gov (United States)

    Gardner, Mary, Ed.; Reed-Mundell, Charlene, Ed.

    This document provides nine papers presented at a 2-day conference where representatives of the National Aeronautics and Space Administration (NASA) described the future of space exploration and discussed the implications of that future for educators. The proceedings begins with an introduction by Ralph Winrich, NASA Aerospace Education…

  2. Validación prospectiva de siete sistemas locales e internacionales de evaluación del riesgo en cirugía cardíaca

    Directory of Open Access Journals (Sweden)

    Raúl A. Borracci

    2006-01-01

    Full Text Available Objetivos El presente trabajo se llevó a cabo con el propósito de evaluar el desempeño de siete scores de riesgo de mortalidad en cirugía cardíaca de uso corriente en nuestro medio. Material y métodos Se analizaron prospectivamente 502 pacientes sometidos a cirugía cardíaca entre 2004 y 2005.Se identificaron las variables preoperatorias para el cálculo de siete scores de riesgo de mortalidad, cuatro internacionales, Parsonnet, Ontario, EuroSCORE y Cleveland, y tres locales, CONAREC, Español y Favaloro. Para determinar la discriminación, la precisión y la calibración de cada score , se calculó el riesgo esperado promedio de cada uno, la bondad de ajuste de Hosmer y Lemeshow, el coeficiente Q , las áreas ROC, el índice de Shannon y tres métodos gráficos. Resultados La comparación de las áreas ROC para todo tipo de cirugía cardíaca mostró que el EuroSCORE tuvo la mejor área (78,7%, junto con el score del Español (78,6%. Aunque estos modelos tuvieron el valor predictivo más alto, no se encontraron diferencias estadísticas al compararlos con el resto de los modelos. Para la cirugía coronaria, el EuroSCORE nuevamente mostró la mejor predicción (76,3%, y luego el de Cleveland (76,0%, a pesar de que tampoco se hallaron diferencias estadísticas con el resto de los scores . Para todo tipo de cirugía, el Ontario tuvo el mejor índice de Shannon global (0,913, pero el peor índice de fallecidos (0,074, lo cual indica que otorgó riesgos esperados más bajos a los sobrevivientes, pero también riesgos bajos a los que murieron. Por su parte, el EuroSCORE se ubicó en segundo lugar para el índice global (0,905 y el de fallecidos (0,106. Para la cirugía coronaria, el Español tuvo el índice global más alto (0,945, pero también el índice de fallecidos más bajo (0,050, lo que señala una buena precisión en el primer caso y una mala precisión cuando sólo se consideran los fallecidos. En el EuroSCORE, los índices de

  3. Student Outreach With Renewable Energy Technology

    Science.gov (United States)

    Clark, Eric B. (Technical Monitor); Buffinger, D.; Fuller, C.; Kalu, A.

    2003-01-01

    The Student Outreach with Renewable Energy Technology (SORET) program is a joint grant that involves a collaboration between three HBCU's (Central State University, Savannah State University, and Wilberforce University) and NASA John H. Glenn Research Center at Lewis Field. The overall goal of the grant is to increase the interest of minority students in the technical disciplines, to encourage participating minority students to continue their undergraduate study in these disciplines, and to promote graduate school to these students. As a part of SORET, Central State University has developed an undergraduate research associates program over the past two years. As part of this program, students are required to take special laboratory courses offered at Wilberforce University that involve the application of renewable energy systems. The course requires the students to design, construct, and install a renewable energy project. In addition to the applied renewable energy course, Central State University provided four undergraduate research associates the opportunity to participate in summer internships at Texas Southern University (Renewable Energy Environmental Protection Program) and the Cleveland African-American Museum (Renewable Energy Summer Camp for High School Students) an activity co sponsored by NASA and the Cleveland African-American Museum. Savannah State University held a high school summer program with a theme of the Direct Impact of Science on Our Every Day Lives. The purpose of the institute was to whet the interest of students in science, mathematics, engineering, and technology (SMET) by demonstrating the effectiveness of science to address real world problems. The 2001 institute involved the design and installation of a PV water pumping system at the Center for Advanced Water Technology and Energy Systems at Savannah State. Both high school students and undergraduates contributed to this project. Wilberforce University has used NASA support to provide

  4. A six-year retrospective analysis of cut-out risk predictors in cephalomedullary nailing for pertrochanteric fractures: Can the tip-apex distance (TAD) still be considered the best parameter?

    Science.gov (United States)

    Caruso, G; Bonomo, M; Valpiani, G; Salvatori, G; Gildone, A; Lorusso, V; Massari, L

    2017-08-01

    Intramedullary fixation is considered the most stable treatment for pertrochanteric fractures of the proximal femur and cut-out is one of the most frequent mechanical complications. In order to determine the role of clinical variables and radiological parameters in predicting the risk of this complication, we analysed the data pertaining to a group of patients recruited over the course of six years. A total of 571 patients were included in this study, which analysed the incidence of cut-out in relation to several clinical variables: age; gender; the AO Foundation and Orthopaedic Trauma Association classification system (AO/OTA); type of nail; cervical-diaphyseal angle; surgical wait times; anti-osteoporotic medication; complete post-operative weight bearing; and radiological parameters (namely the lag-screw position with respect to the femoral head, the Cleveland system, the tip-apex distance (TAD), and the calcar-referenced tip-apex distance (CalTAD)). The incidence of cut-out across the sample was 5.6%, with a higher incidence in female patients. A significantly higher risk of this complication was correlated with lag-screw tip positioning in the upper part of the femoral head in the anteroposterior radiological view, posterior in the latero-lateral radiological view, and in the Cleveland peripheral zones. The tip-apex distance and the calcar-referenced tip-apex distance were found to be highly significant predictors of the risk of cut-out at cut-offs of 30.7 mm and 37.3 mm, respectively, but the former appeared more reliable than the latter in predicting the occurrence of this complication. The tip-apex distance remains the most accurate predictor of cut-out, which is significantly greater above a cut-off of 30.7 mm. Cite this article: G. Caruso, M. Bonomo, G. Valpiani, G. Salvatori, A. Gildone, V. Lorusso, L. Massari. A six-year retrospective analysis of cut-out risk predictors in cephalomedullary nailing for pertrochanteric fractures: Can the tip-apex distance

  5. Detemir as a once-daily basal insulin in type 2 diabetes

    Directory of Open Access Journals (Sweden)

    Nelson SE

    2011-08-01

    Full Text Available Scott E NelsonCleveland Family Medicine, Cleveland, Mississippi, USABackground: Insulin detemir, a long-acting basal insulin analog, is labeled for once-daily or twice-daily dosing in patients with type 1 (T1DM or type 2 (T2DM diabetes mellitus. Protocols for some earlier clinical studies of detemir evaluated twice-daily dosing, which may have generated the misperception that detemir should be prescribed twice daily for most patients. This review examines pharmacokinetic and pharmacodynamic (PK/PD, observational, and controlled studies that have evaluated once-daily and twice-daily detemir in patients with T2DM to determine the efficacy and safety of once-daily dosing.Methods: PubMed was searched using the keywords “detemir,” “once daily,” “twice daily,” and “type 2 diabetes” with the limits of clinical trial, human, and English.Results: Detemir has a relatively flat time–action profile and duration of action of up to 24 hours for patients with T2DM. Once-daily dosing is the most commonly used detemir regimen reported in observational studies, and controlled clinical studies indicate that once-daily dosing controls glycosylated hemoglobin when detemir is administered alone or in combination with a prandial insulin or oral antidiabetes drugs. In comparative clinical trials, detemir had a similar time–action profile and duration of action to another long-acting insulin analog, glargine, with less within-subject variability. Once-daily detemir was associated with no weight gain or less weight gain than comparator regimens. For patients who had not achieved glycemic control with a basal dose of once-daily detemir, adding a prandial insulin provided better glycemic control, less postprandial hypoglycemia, and a lower total daily dose of detemir than twice-daily detemir. Involvement of a multidisciplinary team and the use of a holistic approach for the treatment of T2DM patients are recommended to achieve and maintain the best

  6. A technology-enabled adherence enhancement system for people with bipolar disorder: results from a feasibility and patient acceptance analysis

    Directory of Open Access Journals (Sweden)

    Sajatovic M

    2015-06-01

    Full Text Available Martha Sajatovic,1 Michael S Davis,2 Kristin A Cassidy,3 Joseph Nestor,2 Johnny Sams,3 Edna Fuentes-Casiano3 1Department of Psychiatry and Neurological and Behavioral Outcomes Center, Case Western Reserve University School of Medicine and University Hospitals Case Medical Center, Cleveland, OH, USA; 2MedicaSafe, New York, NY, USA; 3Department of Psychiatry, Case Western Reserve University School of Medicine, University Hospitals Case Medical Center, Cleveland, OH, USA Objective: As poor medication adherence is common in bipolar disorder (BD, technology-assisted approaches may help to monitor and enhance adherence. This study evaluated preliminary feasibility, patient satisfaction and effects on adherence, BD knowledge, and BD symptoms associated with the use of a multicomponent technology-assisted adherence enhancement system. Methods: This prospective study tested the system in five BD patients over a 15-day period. System components included: 1 an automated pill cap with remote monitoring sensor; 2 a multimedia adherence enhancement program; and 3 a treatment incentive program. This study evaluated system usability, patient satisfaction and effects on adherence (Morisky scale, knowledge (treatment knowledge test [TKT], and symptoms (internal state scale [ISS]. Results: Mean age of the sample was 62 years, 4/5 (80% Caucasian, and 4/5 (80% single/divorced or widowed. Most participants (4/5, 80% were on a single BD medication. Participants had BD for an average of 21 years. Challenges included attaching the pill sensor to standard pharmacy bottles for individuals using very large pill containers or those with multiday pill boxes. Three of five (60% individuals completed the full 15-day period. Usability scores were high overall. Mean Morisky scores improved. Means on all four subscales of the ISS were all in the direction of improvement. On the TKT, there was a 40% increase in mean scores. Conclusion: A multicomponent technology-assisted BD

  7. Functional Magnetic Stimulation of Inspiratory and Expiratory Muscles in Subjects With Tetraplegia.

    Science.gov (United States)

    Zhang, Xiaoming; Plow, Ela; Ranganthan, Vinoth; Huang, Honglian; Schmitt, Melissa; Nemunaitis, Gregory; Kelly, Clay; Frost, Frederick; Lin, Vernon

    2016-07-01

    Respiratory complications are major causes of morbidity and mortality in persons with a spinal cord injury, partly because of respiratory muscle paralysis. Earlier investigation has demonstrated that functional magnetic stimulation (FMS) can be used as a noninvasive technology for activating expiratory muscles, thus producing useful expiratory functions (simulated cough) in subjects with spinal cord injury. To evaluate the effectiveness of FMS for conditioning inspiratory and expiratory muscles in persons with tetraplegia. A prospective before and after trial. FMS Laboratory, Louis Stokes Cleveland VA Medical Center, Cleveland, OH. Six persons with tetraplegia. Each subject participated in a 6-week FMS protocol for conditioning the inspiratory and expiratory muscles. A magnetic stimulator was used with the center of a magnetic coil placed at the C7-T1 and T9-T10 spinous processes, respectively. Pulmonary function tests were performed before, during, and after the protocol. Respiratory variables included maximal inspiratory pressure (MIP), inspiratory reserve volume (IRV), peak inspiratory flow (PIF), maximal expiratory pressure (MEP), expiratory reserve volume (ERV), and peak expiratory flow (PEF). After 6 weeks of conditioning, the main outcome measurements (mean ± standard error) were as follows: MIP, 89.6 ± 7.3 cm H2O; IRV, 1.90 ± 0.34 L; PIF, 302.4 ± 36.3 L/min; MEP, 67.4 ± 11.1 cm H2O; ERV, 0.40 ± 0.06 L; and PEF, 372.4 ± 31.9 L/min. These values corresponded to 117%, 107%, 136%, 109%, 130%, and 124% of pre-FMS conditioning values, respectively. Significant improvements were observed in MIP (P = .022), PIF (P = .0001), and PEF (P = .0006), respectively. When FMS was discontinued for 4 weeks, these values showed decreases from their values at the end of the conditioning protocol, which suggests that continual FMS may be necessary to maintain improved respiratory functions. FMS conditioning of the inspiratory and expiratory muscles improved

  8. Hemicrania continua: clinical review, diagnosis and management

    Directory of Open Access Journals (Sweden)

    Prakash S

    2017-06-01

    Full Text Available Sanjay Prakash,1 Payal Patel2 1Department of Neurology, Smt. B. K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth University, Vadodara, Gujarat, India; 2Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH, USA Abstract: Hemicrania continua (HC is an indomethacin-responsive primary headache disorder which is currently classified under the heading of trigeminal autonomic cephalalgias (TACs. It is a highly misdiagnosed and underreported primary headache. The pooled mean delay of diagnosis of HC is 8.0 ± 7.2 years. It is not rare. We noted more than 1000 cases in the literature. It represents 1.7% of total headache patients attending headache or neurology clinic. Just like other TACs, it is characterized by strictly unilateral pain in the trigeminal distribution, cranial autonomic features in the same area and agitation during exacerbations/attacks. It is different from other TACs in one aspect. While all other TACs are episodic, HC patients have continuous headaches with superimposed severe exacerbations. The central feature of HC is continuous background headache. However, the patients may be worried only for superimposed exacerbations. Focusing only on exacerbations and ignoring continuous background headache are the most important factors for the misdiagnosis of HC. A large number of patients may have migrainous features during exacerbation phase. Up to 70% patients may fulfill the diagnostic criteria for migraine during exacerbations. Besides migraine, its exacerbations can mimic a large number of other primary and secondary headaches. The other specific feature of HC is a remarkable response to indomethacin. However, a large number of patients develop side effects because of the long-term use of indomethacin. A few other medications may also be effective in a subset of patients with HC. Various surgical interventions have been suggested for patients who are intolerant to indomethacin. Several aspects of HC

  9. The artificial somato-autonomic reflex arch does not improve bowel function in subjects with spinal cord injury

    DEFF Research Database (Denmark)

    Rasmussen, Mikkel Mylius; Krogh, Klaus; Clemmensen, Dorte

    2015-01-01

    Study design: Prospective cohort study. Objective: Although introduced for neurogenic bladder dysfunction, it has been suggested that the artificial somato-autonomic reflex arch alleviates neurogenic bowel dysfunction (NBD). We aimed at evaluating the effects of the reflex arch on NBD. Setting......: Denmark. Methods: Ten subjects with supraconal spinal cord injury (SCI) (nine males, median age 46 years) had an anastomosis created between the ventral part of the fifth lumbar or first sacral nerve root and the ventral part of the second sacral nerve root. Standardized assessment of segmental colorectal...... sphincter pressures and rectal capacity did not change, and no change was seen in NBD score (median 13.5 (baseline) vs 12.5 (follow-up), P=0.51), St Marks fecal incontinence score (4.5 vs 5.0, P=0.36) and Cleveland constipation score (6.0 vs 8.0, P=0.75). Conclusions: The artificial somato-autonomic reflex...

  10. Social media in vascular surgery.

    Science.gov (United States)

    Indes, Jeffrey E; Gates, Lindsay; Mitchell, Erica L; Muhs, Bart E

    2013-04-01

    There has been a tremendous growth in the use of social media to expand the visibility of various specialties in medicine. The purpose of this paper is to describe the latest updates on some current applications of social media in the practice of vascular surgery as well as existing limitations of use. This investigation demonstrates that the use of social networking sites appears to have a positive impact on vascular practice, as is evident through the incorporation of this technology at the Cleveland Clinic and by the Society for Vascular Surgery into their approach to patient care and physician communication. Overall, integration of social networking technology has current and future potential to be used to promote goals, patient awareness, recruitment for clinical trials, and professionalism within the specialty of vascular surgery. Copyright © 2013 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

  11. Big Creek Flood Control Project, Cleveland, Ohio. Phase II. General Design Memorandum. Appendix A. Soils, Geology, and Construction Materials.

    Science.gov (United States)

    1979-02-01

    maximum thickness of about 4 feet of shale excavation will be required. The upper 1 foot of shale is weathered and easily rippable . A44. From Station...weathered and easily rippable . AS0. From Station 75+60M to 83+50M, maximum excavation in shale is about 3 feet. Most of the excavation in this section will be

  12. Career Opportunities for the Future. Fueling the Education Explosion: Proceedings of Conference 3 (Cleveland, Ohio, March 29-30, 1984).

    Science.gov (United States)

    Gardner, Mary, Ed.; Reed-Mundell, Charlene, Ed.

    These proceedings contain 12 presentations from a conference which focused on forecasts of jobs in the 1990s and into the 21st century. The keynote address (Marvin Cetron) shows the need for reform in the American education system with illustrations drawn from the economic and employment situations in foreign countries. He makes predictions of…

  13. CMS penalizes 758 hospitals for safety incidents

    Directory of Open Access Journals (Sweden)

    Robbins RA

    2015-12-01

    Full Text Available No abstract available. Article truncated after 150 words. The Centers for Medicare and Medicaid Services (CMS is penalizing 758 hospitals with higher rates of patient safety incidents, and more than half of those were also fined last year, as reported by Kaiser Health News (1. Among the hospitals being financially punished are some well-known institutions, including Yale New Haven Hospital, Medstar Washington Hospital Center in DC, Grady Memorial Hospital, Northwestern Memorial Hospital in Chicago, Indiana University Health, Brigham and Womens Hospital, Tufts Medical Center, University of North Carolina Hospital, the Cleveland Clinic, Hospital of the University of Pennsylvania, Parkland Health and Hospital, and the University of Virginia Medical Center (Complete List of Hospitals Penalized 2016. In the Southwest the list includes Banner University Medical Center in Tucson, Ronald Reagan UCLA Medical Center, Stanford Health Care, Denver Health Medical Center and the University of New Mexico Medical Center (for list of Southwest hospitals see Appendix 1. In total, CMS ...

  14. In-Space Internet-Based Communications for Space Science Platforms Using Commercial Satellite Networks

    Science.gov (United States)

    Kerczewski, Robert J.; Bhasin, Kul B.; Fabian, Theodore P.; Griner, James H.; Kachmar, Brian A.; Richard, Alan M.

    1999-01-01

    The continuing technological advances in satellite communications and global networking have resulted in commercial systems that now can potentially provide capabilities for communications with space-based science platforms. This reduces the need for expensive government owned communications infrastructures to support space science missions while simultaneously making available better service to the end users. An interactive, high data rate Internet type connection through commercial space communications networks would enable authorized researchers anywhere to control space-based experiments in near real time and obtain experimental results immediately. A space based communications network architecture consisting of satellite constellations connecting orbiting space science platforms to ground users can be developed to provide this service. The unresolved technical issues presented by this scenario are the subject of research at NASA's Glenn Research Center in Cleveland, Ohio. Assessment of network architectures, identification of required new or improved technologies, and investigation of data communications protocols are being performed through testbed and satellite experiments and laboratory simulations.

  15. Performance Gains of Propellant Management Devices for Liquid Hydrogen Depots

    Science.gov (United States)

    Hartwig, Jason W.; McQuillen, John B.; Chato, David J.

    2013-01-01

    This paper presents background, experimental design, and preliminary experimental results for the liquid hydrogen bubble point tests conducted at the Cryogenic Components Cell 7 facility at the NASA Glenn Research Center in Cleveland, Ohio. The purpose of the test series was to investigate the parameters that affect liquid acquisition device (LAD) performance in a liquid hydrogen (LH2) propellant tank, to mitigate risk in the final design of the LAD for the Cryogenic Propellant Storage and Transfer Technology Demonstration Mission, and to provide insight into optimal LAD operation for future LH2 depots. Preliminary test results show an increase in performance and screen retention over the low reference LH2 bubble point value for a 325 2300 screen in three separate ways, thus improving fundamental LH2 LAD performance. By using a finer mesh screen, operating at a colder liquid temperature, and pressurizing with a noncondensible pressurant gas, a significant increase in margin is achieved in bubble point pressure for LH2 screen channel LADs.

  16. Astronomy in the Digital Universe

    Science.gov (United States)

    Haisch, Bernard M.; Lindblom, J.; Terzian, Y.

    2006-12-01

    The Digital Universe is an Internet project whose mission is to provide free, accurate, unbiased information covering all aspects of human knowledge, and to inspire humans to learn, make use of, and expand this knowledge. It is planned to be a decades long effort, inspired by the Encyclopedia Galactica concept popularized by Carl Sagan, and is being developed by the non-profit Digital Universe Foundation. A worldwide network of experts is responsible for selecting content featured within the Digital Universe. The first publicly available content is the Encyclopedia of Earth, a Boston University project headed by Prof. Cutler Cleveland, which will be part of the Earth Portal. The second major content area will be an analogous Encyclopedia of the Cosmos to be part of the Cosmos Portal. It is anticipated that this will evolve into a major resource for astronomy education. Authors and topic editors are now being recruited for the Encyclopedia of the Cosmos.

  17. Characterizing customers at medical center farmers’ markets1

    Science.gov (United States)

    Kraschnewski, Jennifer L.; George, Daniel R.; Rovniak, Liza S.; Monroe, Diana L.; Fiordalis, Elizabeth; Bates, Erica

    2014-01-01

    Approximately 100 farmers’ markets operate on medical center campuses. Although these venues can uniquely serve community health needs, little is known about customer characteristics and outreach efforts. Intercept survey of markets and market customers between August 2010-October 2011 at three medical centers in different geographic regions of the US: Duke University Medical Center, Cleveland Clinic, and Penn State Hershey Medical Center were conducted. Markets reported serving 180–2000 customers per week and conducting preventive medicine education sessions and community health programs. Customers (n=585) across markets were similar in sociodemographic characteristics – most were middle-aged, white, and female, who were employees of their respective medical center. Health behaviors of customers were similar to national data. The surveyed medical center farmers’ markets currently serve mostly employees; however, markets have significant potential for community outreach efforts in preventive medicine. If farmers’ markets can broaden their reach to more diverse populations, they may play an important role in contributing to community health. PMID:24421001

  18. Characterizing customers at medical center farmers' markets.

    Science.gov (United States)

    Kraschnewski, Jennifer L; George, Daniel R; Rovniak, Liza S; Monroe, Diana L; Fiordalis, Elizabeth; Bates, Erica

    2014-08-01

    Approximately 100 farmers' markets operate on medical center campuses. Although these venues can uniquely serve community health needs, little is known about customer characteristics and outreach efforts. Intercept survey of markets and market customers between August 2010 and October 2011 at three medical centers in different geographic regions of the US (Duke University Medical Center, Cleveland Clinic, and Penn State Hershey Medical Center) were conducted. Markets reported serving 180-2,000 customers per week and conducting preventive medicine education sessions and community health programs. Customers (n = 585) across markets were similar in sociodemographic characteristics--most were middle-aged, white, and female, who were employees of their respective medical center. Health behaviors of customers were similar to national data. The surveyed medical center farmers' markets currently serve mostly employees; however, markets have significant potential for community outreach efforts in preventive medicine. If farmers' markets can broaden their reach to more diverse populations, they may play an important role in contributing to community health.

  19. Cine club

    CERN Multimedia

    Ciné club

    2015-01-01

    Thursday 5 February 2015 at 20:00 CERN Council Chamber Stranger Than Paradise     Directed by Jim Jarmusch - USA, 1984, 89 minutes A self-styled New York hipster is paid a surprise visit by his younger cousin from Budapest. From initial hostility and indifference a small degree of affection grows between the two. Along with a friend, they eventually end up visiting their aunt in the wastelands of Cleveland and then proceed to Florida where they lose all their money gambling before unwittingly gaining a fortune. Original version English; French subtitles   Thursday 12 February 2015 at 20:00 CERN Council Chamber Down by Law     Directed by Jim Jarmusch - USA, 1986, 107 minutes DJ Zack and pimp Jack end up in prison for being too laid-back to avoid being framed for crimes they didn't commit. They end up sharing a cell with eccentric Italian optimist Roberto, whose limited command of the English language is both entertaining and infuri...

  20. CFD Modeling of Free-Piston Stirling Engines

    Science.gov (United States)

    Ibrahim, Mounir B.; Zhang, Zhi-Guo; Tew, Roy C., Jr.; Gedeon, David; Simon, Terrence W.

    2001-01-01

    NASA Glenn Research Center (GRC) is funding Cleveland State University (CSU) to develop a reliable Computational Fluid Dynamics (CFD) code that can predict engine performance with the goal of significant improvements in accuracy when compared to one-dimensional (1-D) design code predictions. The funding also includes conducting code validation experiments at both the University of Minnesota (UMN) and CSU. In this paper a brief description of the work-in-progress is provided in the two areas (CFD and Experiments). Also, previous test results are compared with computational data obtained using (1) a 2-D CFD code obtained from Dr. Georg Scheuerer and further developed at CSU and (2) a multidimensional commercial code CFD-ACE+. The test data and computational results are for (1) a gas spring and (2) a single piston/cylinder with attached annular heat exchanger. The comparisons among the codes are discussed. The paper also discusses plans for conducting code validation experiments at CSU and UMN.

  1. Air Breathing Propulsion Controls and Diagnostics Research at NASA Glenn Under NASA Aeronautics Research Mission Programs

    Science.gov (United States)

    Garg, Sanjay

    2015-01-01

    The Intelligent Control and Autonomy Branch (ICA) at NASA (National Aeronautics and Space Administration) Glenn Research Center (GRC) in Cleveland, Ohio, is leading and participating in various projects in partnership with other organizations within GRC and across NASA, the U.S. aerospace industry, and academia to develop advanced controls and health management technologies that will help meet the goals of the NASA Aeronautics Research Mission Directorate (ARMD) Programs. These efforts are primarily under the various projects under the Advanced Air Vehicles Program (AAVP), Airspace Operations and Safety Program (AOSP) and Transformative Aeronautics Concepts Program (TAC). The ICA Branch is focused on advancing the state-of-the-art of aero-engine control and diagnostics technologies to help improve aviation safety, increase efficiency, and enable operation with reduced emissions. This paper describes the various ICA research efforts under the NASA Aeronautics Research Mission Programs with a summary of motivation, background, technical approach, and recent accomplishments for each of the research tasks.

  2. Sporadic Creutzfeldt-Jakob disease in a native Puerto Rican patient.

    Science.gov (United States)

    Del Pilar-Morales, Esteban A; Cali, Ignazio; Chapas, Javier; Bertrán-Pasarell, Jorge; Puoti, Gianfranco; Gambetti, Pierluigi; Nobo, Ulises

    2015-03-01

    The diagnosis of Creutzfeldt-Jakob disease (CJD) is often a challenge for most physicians given its extremely low incidence and different clinico-pathological presentations. We report the case of a 56-year old patient native to Puerto Rico suspected of sporadic Creutzfeldt-Jakob disease (sCD). The symptoms at onset were notorious for bilateral cortical blindness followed by rapidly progressive cognitive decline, visual deficit, increased levels of CSF 14-3-3 and tau along with positive brain MRI and EEG, are highly indicative of CJD. The definite diagnosis was confirmed by the National Prion Disease Pathology Surveillance Center (NPDPSC), in Cleveland, Ohio, USA. Lack of genetic mutations in the prion protein (PrP) gene, widespread histopathological changes and the accumulation of scrapie PrP (PrPSc) in the brain confirmed the diagnosis of sCJD. The patient, admitted to our institution in 2011, represents the first detailed report of sCJD in a native Puerto Rican patient living in Puerto Rico.

  3. Assessment of the Free-piston Stirling Convertor as a Long Life Power Convertor for Space

    Science.gov (United States)

    Schreiber, Jeffrey G.

    2001-01-01

    There is currently a renewed interest in the use of free-piston Stirling power convertors for space power applications. More specifically, the Stirling convertor is being developed to be part of the Stirling Radioisotope Power System to supply electric power to spacecraft for NASA deep space science missions. The current development effort involves the Department of Energy, Germantown, MD, the NASA Glenn Research Center, Cleveland, OH, and the Stirling Technology Company, Kennewick, WA. The Stirling convertor will absorb heat supplied from the decay of plutonium dioxide contained in the General Purpose Heat Source modules and convert it into electricity to power the spacecraft. For many years the "potentials" of the free-piston Stirling convertor have been publicized by it's developers. Among these "potentials" were long life and high reliability. This paper will present an overview of the critical areas that enable long life of the free-piston Stirling power convertor, and present some of the techniques that have been used when long life has been achieved.

  4. Food Melt in Consumer Food Environments in Low-income Urban Neighborhoods.

    Science.gov (United States)

    Trapl, Erika S; Pike, Stephanie N; Borawski, Elaine; Flocke, Susan A; Freedman, Darcy A; Walsh, Colleen C; Schneider, Christine; Yoder, Laura

    2017-11-01

    We systematically evaluated changes in availability, price, and quality of perishable food items from the beginning to the end of the month in lowincome, urban neighborhoods. The sample included grocery stores or supermarkets in Cleveland, Ohio, within neighborhoods with >30% of population receiving food assistance. We collected data for 2 sequential months during the first and fourth weeks of each month. Two coders evaluated stores, collecting measures of availability, price, and quality for 50 items. We examined difference in number and proportion of items available at the beginning of the month (BOM) to items remaining available at the end of the month (EOM), as well as quality and price of those items. Across 48 stores, availability at EOM was lower than BOM; as store size increased, reduction in availability (ie, food melt) was significantly (p Food melt differentially affects individuals in neighborhoods without grocery stores. Findings reveal composition of food environments is dynamic rather than static, influencing food-purchasing choices among lowincome consumers.

  5. The Michelson Era in American Science, 1870--1930

    International Nuclear Information System (INIS)

    Goldberg, S.; Stuewer, R.H.

    1988-01-01

    The articles in this volume relate, in one way or another, to a single experiment: the Michelson-Morley ether-drift experiment of 1887. About one-half of the articles in the collection are based on papers delivered at a two-day symposium ''The Michelson Era in American Science: 1870--1930,'' held a Case Western Reserve University in Cleveland, Ohio, 28--29 October 1987, commemorating the centennial of the experiment. The Michelson-Morley experiment was designed to detect the motion of the earth through the luminiferous ether. At the time, physicists did not question the existence of the ether. The experiment, like many physical probes of nature, was simple in conception, yet uncompromisingly demanding of the art of contemporary craftsmanship. The state of the mechanical arts and its relationship to the pursuit of physical science in late nineteenth- century America is well documented in Section I, which also addresses the more general question of the link between state-of-the-art shop practice and engineering theory

  6. Impact of a new condensed toluene mechanism on air quality model predictions in the US

    Directory of Open Access Journals (Sweden)

    G. Sarwar

    2011-03-01

    Full Text Available A new condensed toluene mechanism is incorporated into the Community Multiscale Air Quality Modeling system. Model simulations are performed using the CB05 chemical mechanism containing the existing (base and the new toluene mechanism for the western and eastern US for a summer month. With current estimates of tropospheric emission burden, the new toluene mechanism increases monthly mean daily maximum 8-h ozone by 1.0–3.0 ppbv in Los Angeles, Portland, Seattle, Chicago, Cleveland, northeastern US, and Detroit compared to that with the base toluene chemistry. It reduces model mean bias for ozone at elevated observed ozone concentrations. While the new mechanism increases predicted ozone, it does not enhance ozone production efficiency. A sensitivity study suggests that it can further enhance ozone if elevated toluene emissions are present. While it increases in-cloud secondary organic aerosol substantially, its impact on total fine particle mass concentration is small.

  7. The Measurement and Prediction of Combustible Properties of Dimethylacetamide (DMAc)

    Energy Technology Data Exchange (ETDEWEB)

    Ha, Dong-Myeong [Semyung University, Jecheon (Korea, Republic of)

    2015-10-15

    The usage of the correct combustion characteristic of the treated substance for the safety of the process is critical. For the safe handling of dimethylacetamide (DMAc) being used in various ways in the chemical industry, the flash point and the autoignition temperature (AIT) of DMAc was experimented. And, the lower explosion limit of DMAc was calculated by using the lower flash point obtained in the experiment. The flash points of DMAc by using the Setaflash and Pensky-Martens closed-cup testers measured 61 .deg. C and 65 .deg. C, respectively. The flash points of DMAc by using the Tag and Cleveland automatic open cup testers are measured 68 .deg. C and 71 .deg. C. The AIT of DMAc by ASTM 659E tester was measured as 347 .deg. C. The lower explosion limit by the measured flash point 61 .deg. C was calculated as 1.52 vol%. It was possible to predict lower explosion limit by using the experimental flash point or flash point in the literature.

  8. Heaven on Earth: Swedenborgian Correspondences in the Plan of Chicago

    Directory of Open Access Journals (Sweden)

    Kristen Schaffer

    2016-09-01

    Full Text Available Daniel Hudson Burnham, the Chicago architect and city planner, is recognized for his work on the development of American tall office building; for the construction of World’s Columbian Exposition of 1893; and for his city plans for Washington, D.C., Cleveland, San Francisco, and Chicago. He is also remembered for the quote “Make no little plans.” What is not recalled is his Swedenborgian faith nor how it influenced his work. Emanuel Swedenborg was a Swedish scientist and engineer who, beginning in the mid 1730s, underwent a spiritual awakening. The focus of his work changed to the mystical aspects of human experience. He believed that all Christian churches were dead and in need of revitalization and the key to revitalization was to be found in a new interpretation of scripture. His followers founded the Church of the New Jerusalem, sometimes referred to as the New Church or the Swedenborgian Church.

  9. Small Scale SOFC Demonstration Using Bio-Based and Fossil Fuels

    Energy Technology Data Exchange (ETDEWEB)

    Petrik, Michael [Technology Management Inc., Cleveland, OH (United States); Ruhl, Robert [Technology Management Inc., Cleveland, OH (United States)

    2012-05-01

    Technology Management, Inc. (TMI) of Cleveland, Ohio, has completed the project entitled Small Scale SOFC Demonstration using Bio-based and Fossil Fuels. Under this program, two 1-kW systems were engineered as technology demonstrators of an advanced technology that can operate on either traditional hydrocarbon fuels or renewable biofuels. The systems were demonstrated at Patterson's Fruit Farm of Chesterland, OH and were open to the public during the first quarter of 2012. As a result of the demonstration, TMI received quantitative feedback on operation of the systems as well as qualitative assessments from customers. Based on the test results, TMI believes that > 30% net electrical efficiency at 1 kW on both traditional and renewable fuels with a reasonable entry price is obtainable. The demonstration and analysis provide the confidence that a 1 kW entry-level system offers a viable value proposition, but additional modifications are warranted to reduce sound and increase reliability before full commercial acceptance.

  10. Early experience with mesh excision for adverse outcomes after transvaginal mesh placement using prolapse kits.

    Science.gov (United States)

    Ridgeway, Beri; Walters, Mark D; Paraiso, Marie Fidela R; Barber, Matthew D; McAchran, Sarah E; Goldman, Howard B; Jelovsek, J Eric

    2008-12-01

    The purpose of this study was to determine the complications, treatments, and outcomes in patients choosing to undergo removal of mesh previously placed with a mesh procedural kit. This was a retrospective review of all patients who underwent surgical removal of transvaginal mesh for mesh-related complications during a 3-year period at Cleveland Clinic. At last follow-up, patients reported degree of pain, level of improvement, sexual activity, and continued symptoms. Nineteen patients underwent removal of mesh during the study period. Indications for removal included chronic pain (6/19), dyspareunia (6/19), recurrent pelvic organ prolapse (8/19), mesh erosion (12/19), and vesicovaginal fistula (3/19), with most patients (16/19) citing more than 1 reason. There were few complications related to the mesh removal. Most patients reported significant relief of symptoms. Mesh removal can be technically difficult but appears to be safe with few complications and high relief of symptoms, although some symptoms can persist.

  11. Controlling hazardous energy sources (lockout/tagout)

    Science.gov (United States)

    Dominguez, Manuel B.

    1991-10-01

    The minimum requirements as established by the Occupational Safety and Health Administration (OSHA) standard 29 CFR 1910.147 are discussed for preventing the unexpected operation of equipment or release of energy which could cause injury to personnel, damage to equipment, harm to the environment, or loss or compromise of test data. Safety requirements both for government and contractor personnel are explained for potentially hazardous energy sources during work operations at LeRC (Cleveland and Plum Brook Stations). Basic rules are presented to ensure protection against harmful exposures, and baseline implementation requirements are discussed from which detailed lockout/tagout procedures can be developed for individual equipment items. Examples of energy sources covered by this document include electrical, pneumatic, mechanical, chemical, cryogenic, thermal, spring tension/compression suspended or moving loads, and other potentially hazardous sources. Activities covered by this standard include, but are not limited to, construction, maintenance, installation, calibration, inspection, cleaning, or repair.

  12. Evaluation of Land Use Regression Models for Nitrogen Dioxide and Benzene in Four US Cities

    Directory of Open Access Journals (Sweden)

    Shaibal Mukerjee

    2012-01-01

    Full Text Available Spatial analysis studies have included the application of land use regression models (LURs for health and air quality assessments. Recent LUR studies have collected nitrogen dioxide (NO2 and volatile organic compounds (VOCs using passive samplers at urban air monitoring networks in El Paso and Dallas, TX, Detroit, MI, and Cleveland, OH to assess spatial variability and source influences. LURs were successfully developed to estimate pollutant concentrations throughout the study areas. Comparisons of development and predictive capabilities of LURs from these four cities are presented to address this issue of uniform application of LURs across study areas. Traffic and other urban variables were important predictors in the LURs although city-specific influences (such as border crossings were also important. In addition, transferability of variables or LURs from one city to another may be problematic due to intercity differences and data availability or comparability. Thus, developing common predictors in future LURs may be difficult.

  13. Overview of municipal sludge fluid bed incineration in North America--from green to greener--the Lakeview, the Duffin Creek and the Southerly experiences.

    Science.gov (United States)

    Dangtran, K; Takmaz, L; Pham, H; Bergel, J Y; Welp, J; Burrowes, P

    2011-01-01

    Thermal processes used in sludge disposal have become more attractive as process improvements have been introduced, such as power generation and efficient heat recovery. More and more utilities and agencies are reevaluating their sludge management practices to ensure that they are providing sustainable management solutions for their clients. The thermal process design approach to the disposal of sludge is not only designed to achieve stricter emission limits but also is more energy efficient compared to its predecessors. Increasing numbers of new plants are being built every year with more energy efficient heat recovery features such as air preheating and cogeneration with steam and electricity production. This paper presents an overview of fluid bed incineration in North America and its evolution over the last decades. Case studies of the last three newest and largest plants in North America are presented, including the Lakeview Plant, Duffin Creek Plant, both in Ontario, Canada and the Southerly Plant in Cleveland, Ohio, USA.

  14. Thrombotic Depositions on Right Impeller of Double-Ended Centrifugal Total Artificial Heart In Vivo.

    Science.gov (United States)

    Karimov, Jamshid H; Horvath, David J; Okano, Shinji; Goodin, Mark; Sunagawa, Gengo; Byram, Nicole; Moazami, Nader; Golding, Leonard A R; Fukamachi, Kiyotaka

    2017-05-01

    The development of total artificial heart devices is a complex undertaking that includes chronic biocompatibility assessment of the device. It is considered particularly important to assess whether device design and features can be compatible long term in a biological environment. As part of the development program for the Cleveland Clinic continuous-flow total artificial heart (CFTAH), we evaluated the device for signs of thrombosis and biological material deposition in four animals that had achieved the intended 14-, 30-, or 90-day durations in each respective experiment. Explanted CFTAHs were analyzed for possible clot buildup at "susceptible" areas inside the pump, particularly the right pump impeller. Depositions of various consistency and shapes were observed. We here report our findings, along with macroscopic and microscopic analysis post explant, and provide computational fluid dynamics data with its potential implications for thrombus formation. © 2016 International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.

  15. Novel technique for airless connection of artificial heart to vascular conduits.

    Science.gov (United States)

    Karimov, Jamshid H; Gao, Shengqiang; Dessoffy, Raymond; Sunagawa, Gengo; Sinkewich, Martin; Grady, Patrick; Sale, Shiva; Moazami, Nader; Fukamachi, Kiyotaka

    2017-12-01

    Successful implantation of a total artificial heart relies on multiple standardized procedures, primarily the resection of the native heart, and exacting preparation of the atrial and vascular conduits for pump implant and activation. Achieving secure pump connections to inflow/outflow conduits is critical to a successful outcome. During the connection process, however, air may be introduced into the circulation, traveling to the brain and multiple organs. Such air emboli block blood flow to these areas and are detrimental to long-term survival. A correctly managed pump-to-conduit connection prevents air from collecting in the pump and conduits. To further optimize pump-connection techniques, we have developed a novel connecting sleeve that enables airless connection of the Cleveland Clinic continuous-flow total artificial heart (CFTAH) to the conduits. In this brief report, we describe the connecting sleeve design and our initial results from two acute in vivo implantations using a scaled-down version of the CFTAH.

  16. Using Decision Trees in Data Mining for Predicting Factors Influencing of Heart Disease

    Directory of Open Access Journals (Sweden)

    Moloud Abdar

    2015-12-01

    Full Text Available Statistics from the World Health Organization (WHO shows that heart disease is one of the leading causes of mortality all over the world. Because of the importance of heart disease, in recent years, many studies have been conducted on this disease using data mining. The main objective of this study is to find a better decision tree algorithm and then use the algorithm for extracting rules in predicting heart disease. Cleveland data, including 303 records are used for this study. These data include 13 features and we have categorized them into five classes. In this paper, C5.0 algorithm with a accuracy value of 85.33% has a better performance compared to the rest of the algorithms used in this study. Considering the rules created by this algorithm, the attributes of Trestbps, Restecg, Thalach, Slope, Oldpeak, and CP were extracted as the most influential causes in predicting heart disease.

  17. Summary of 2017 NASA Workshop on Assessment of Advanced Battery Technologies for Aerospace Applications

    Science.gov (United States)

    Misra, Ajay

    2018-01-01

    A workshop on assessment of battery technologies for future aerospace applications was held in Cleveland, OH on August 16-17. The focus of the workshop, hosted by NASA GRC, was to assess (1) the battery needs for future aerospace missions, (2) the state of battery technology and projected technology advances, and (3) the need for additional investments for future aerospace missions. The workshop had 109 attendees that included internationally recognized technology leaders from academia and national laboratories, high level executives from government and industry, small businesses, and startup companies. A significant portion of the workshop was focused on batteries for electrified aircraft. The presentation will summarize the finding on the state of battery technologies for electrified aircraft and will include assessment of current state of battery technology, gaps in battery technology for application in electrified aircraft, and recommended technology development options for meeting near-term and long-term needs of electrified aircraft.

  18. Cleveland Harbor, Ohio Draft Reformulation Phase I General Design Memorandum and Draft Supplement to the Final Environmental Impact Statement. Revision.

    Science.gov (United States)

    1984-02-01

    for Applied Mechanics, Kysusha University, Vol. 17, No. 59, pp. 235-248. Mitsuyasu, Hisashi , and Kimura , Hisao, 1965. "Wind Wave in Decay Area," Coastal... Hisashi , 1968. "On the Growth of the Spectrum of Wind Gener- ation Waves (I)," Reports of Research Institute for Applied Mechanics, Kysusha University...Vol. 16, No. 55, pp. 459-482. Mitsuyasu, Hisashi , 1969. "On the Growth of the Spectrum of Wind-Gener- ated Waves (II)," Reports of Research Institute

  19. Cleveland-Akron Metropolitan and Three Rivers Watershed Area. Wastewater Management Survey Scope Study. Appendix V. Land Treatment. Phase I Report.

    Science.gov (United States)

    1973-08-01

    Service provided the foundation for this I inventory of potential land treatment areas. The analysis and inventory of these data resulted in the...degree required for bedrock derived ground water. Chemical analysis was available from only one well water sample in the buried river valley aquifer...as lignin, waxes, tannins , cutins and fats are more resistant to decomposition. I I I ’I I I 168 I I I NUTRIENT UPTAKE Interactions between organic

  20. High-school Student Teams in a National NASA Microgravity Science Competition

    Science.gov (United States)

    DeLombard, Richard; Hodanbosi, Carol; Stocker, Dennis

    2003-01-01

    The Dropping In a Microgravity Environment or DIME competition for high-school-aged student teams has completed the first year for nationwide eligibility after two regional pilot years. With the expanded geographic participation and increased complexity of experiments, new lessons were learned by the DIME staff. A team participating in DIME will research the field of microgravity, develop a hypothesis, and prepare a proposal for an experiment to be conducted in a NASA microgravity drop tower. A team of NASA scientists and engineers will select the top proposals and then the selected teams will design and build their experiment apparatus. When completed, team representatives will visit NASA Glenn in Cleveland, Ohio to operate their experiment in the 2.2 Second Drop Tower and participate in workshops and center tours. NASA participates in a wide variety of educational activities including competitive events. There are competitive events sponsored by NASA (e.g. NASA Student Involvement Program) and student teams mentored by NASA centers (e.g. For Inspiration and Recognition of Science and Technology Robotics Competition). This participation by NASA in these public forums serves to bring the excitement of aerospace science to students and educators.Researchers from academic institutions, NASA, and industry utilize the 2.2 Second Drop Tower at NASA Glenn Research Center in Cleveland, Ohio for microgravity research. The researcher may be able to complete the suite of experiments in the drop tower but many experiments are precursor experiments for spaceflight experiments. The short turnaround time for an experiment's operations (45 minutes) and ready access to experiment carriers makes the facility amenable for use in a student program. The pilot year for DIME was conducted during the 2000-2001 school year with invitations sent out to Ohio- based schools and organizations. A second pilot year was conducted during the 2001-2002 school year for teams in the six-state region

  1. Evaluation of a responsible beverage service and enforcement program: Effects on bar patron intoxication and potential impaired driving by young adults.

    Science.gov (United States)

    Fell, James C; Fisher, Deborah A; Yao, Jie; McKnight, A Scott

    2017-08-18

    Studies of alcohol-related harm (violence, injury, illness) suggest that the most significant risk factors are the amount of alcohol consumed and whether obviously intoxicated patrons continue to be served. This study's objective was to investigate the effects of a responsible beverage service (RBS)/enhanced alcohol enforcement intervention on bars, bar patrons, and impaired driving. Two communities-Monroe County, New York, and Cleveland, Ohio-participated in a demonstration program and evaluation. The intervention applied RBS training, targeted enforcement, and corrective actions by law enforcement to a random sample of 10 identified problem bars in each community compared to 10 matched nonintervention problem bars. Data were collected over 3 waves on bar serving practices, bar patron intoxication, drinking and driving, and other alcohol-related harm from intervention and control bars and treatment and comparison communities. In Monroe County, New York, of the 14 outcome measures analyzed, 7 measures showed statistically significant differences from pre- to postintervention. Six of those measures indicated changes in the desired or positive direction and 2 measures were in the undesired or negative direction. Of note in the positive direction, the percentage of intervention bar patrons who were intoxicated decreased from 44 to 27% and the average blood alcohol concentration of patrons decreased from 0.097 to 0.059 g/dL pre- to postintervention. In Cleveland, Ohio, 6 of the 14 measures showed statistically significant changes pre- to postintervention with 6 in the positive direction and 4 in the negative direction. Of note, the percentage of pseudo-intoxicated patrons denied service in intervention bars increased from 6 to 29%. Of the 14 outcome measures that were analyzed in each community, most indicated positive changes associated with the intervention, but others showed negative associations. About half of the measures showed no significance, the sample sizes

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

    Directory of Open Access Journals (Sweden)

    Figueiro MG

    2014-09-01

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

  3. The role and importance of economic evaluation of traditional herbal medicine use for chronic non-communicable diseases

    Directory of Open Access Journals (Sweden)

    Hughes GD

    2015-07-01

    Full Text Available Gail D Hughes,1 Oluwaseyi M Aboyade,1 John D Hill,2 Rafia S Rasu3 1South African Herbal Science and Medicine Institute, University of the Western Cape, Western Cape, South Africa; 2Department of Pharmacy, Cleveland Clinic, Cleveland, OH, 3School of Pharmacy, University of Kansas, Lawrence, KS, USA Background: Non-communicable diseases (NCD constitute major public health problems globally, with an impact on morbidity and mortality ranking high and second to HIV/AIDS. Existing studies conducted in South Africa have demonstrated that people living with NCD rely on traditional herbal medicine (THM primarily or in combination with conventional drugs. The primary research focus has been on the clinical and experimental aspects of THM use for NCD, with limited data on the economic impact of health care delivery. Therefore, the purpose of this study will be to determine the cost and utilization of resources on THM in South Africa for NCD. Materials and methods: Study describes the methods toward incorporating cost estimations and economic evaluation illustrated with the Prospective Urban and rural Epidemiological (PURE study in South Africa. The South African PURE cohort is investigating the geographic and socioeconomic influence of THM spending and utilization, variations in spending based on perceived health status, marital status, and whether spending patterns have any impact on hospitalizations and disability. Data collection and evaluation plan: Since the individual costs of THM are not regulated nor do they have a standardized price value, information obtained through this study can be utilized to assess differences and determine underlying factors contributing to spending. This insight into THM spending patterns can aid in the development and implementation of guidelines or standardized legislation governing THM use and distribution. An economic evaluation and cost estimation model has been proposed, while the data collection is still ongoing

  4. Analysis of Magnetic Resonance Image Signal Fluctuations Acquired During MR-Guided Radiotherapy.

    Science.gov (United States)

    Breto, Adrian L; Padgett, Kyle R; Ford, John C; Kwon, Deukwoo; Chang, Channing; Fuss, Martin; Stoyanova, Radka; Mellon, Eric A

    2018-03-28

    Magnetic resonance-guided radiotherapy (MRgRT) is a new and evolving treatment modality that allows unprecedented visualization of the tumor and surrounding anatomy. MRgRT includes daily 3D magnetic resonance imaging (MRI) for setup and rapidly repeated near real-time MRI scans during treatment for target tracking. One of the more exciting potential benefits of MRgRT is the ability to analyze serial MRIs to monitor treatment response or predict outcomes. A typical radiation treatment (RT) over the span of 10-15 minutes on the MRIdian system (ViewRay, Cleveland, OH) yields thousands of "cine" images, each acquired in 250 ms. This unique data allows for a glimpse in image intensity changes during RT delivery. In this report, we analyze cine images from a single fraction RT of a glioblastoma patient on the ViewRay platform in order to characterize the dynamic signal changes occurring during RT therapy. The individual frames in the cines were saved into DICOM format and read into an MIM image analysis platform (MIM Software, Cleveland, OH) as a time series. The three possible states of the three Cobalt-60 radiation sources-OFF, READY, and ON-were also recorded. An in-house Java plugin for MIM was created in order to perform principal component analysis (PCA) on each of the datasets. The analysis resulted in first PC, related to monotonous signal increase over the course of the treatment fraction. We found several distortion patterns in the data that we postulate result from the perturbation of the magnetic field due to the moving metal parts in the platform while treatment was being administered. The largest variations were detected when all Cobalt-60 sources were OFF. During this phase of the treatment, the gantry and multi-leaf collimators (MLCs) are moving. Conversely, when all Cobalt-60 sources were in the ON position, the image signal fluctuations were minimal, relating to very little mechanical motion. At this phase, the gantry, the MLCs, and sources are fixed

  5. Nanotetrac targets integrin αvβ3 on tumor cells to disorder cell defense pathways and block angiogenesis

    Directory of Open Access Journals (Sweden)

    Davis PJ

    2014-09-01

    Full Text Available Paul J Davis,1,2 Hung-Yun Lin,2,3 Thangirala Sudha,2 Murat Yalcin,2,4 Heng-Yuan Tang,2 Aleck Hercbergs,5 John T Leith,6 Mary K Luidens,1 Osnat Ashur-Fabian,7,8 Sandra Incerpi,9 Shaker A Mousa2 1Department of Medicine, Albany Medical College, Albany, NY, USA; 2Pharmaceutical Research Institute, Albany College of Pharmacy and Health Sciences, Albany, NY, USA; 3PhD Program for Cancer Biology and Drug Discovery, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan; 4Department of Physiology, Veterinary Medicine Faculty, Uludag University, Gorukle, Bursa, Turkey; 5Radiation Oncology, Cleveland Clinic, Cleveland, OH, USA; 6Rhode Island Nuclear Science Center, Narragansett, RI, USA; 7Translational Hemato-oncology Laboratory, Hematology Institute and Blood Bank, Meir Medical Center, Kfar-Saba, Israel; 8Department of Human Molecular Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; 9Department of Sciences, University of Roma Tre, Rome, Italy Abstract: The extracellular domain of integrin αvβ3 contains a receptor for thyroid hormone and hormone analogs. The integrin is amply expressed by tumor cells and dividing blood vessel cells. The proangiogenic properties of thyroid hormone and the capacity of the hormone to promote cancer cell proliferation are functions regulated nongenomically by the hormone receptor on αvβ3. An L-thyroxine (T4 analog, tetraiodothyroacetic acid (tetrac, blocks binding of T4 and 3,5,3'-triiodo-L-thyronine (T3 by αvβ3 and inhibits angiogenic activity of thyroid hormone. Covalently bound to a 200 nm nanoparticle that limits its activity to the cell exterior, tetrac reformulated as Nanotetrac has additional effects mediated by αvβ3 beyond the inhibition of binding of T4 and T3 to the integrin. These actions of Nanotetrac include disruption of transcription of cell survival pathway genes, promotion of apoptosis by multiple mechanisms, and interruption

  6. Novel needle guide reduces time to perform ultrasound-guided femoral nerve catheter placement: A randomised controlled trial.

    Science.gov (United States)

    Turan, Alparslan; Babazade, Rovnat; Elsharkawy, Hesham; Esa, Wael Ali Sakr; Maheshwari, Kamal; Farag, Ehab; Zimmerman, Nicole M; Soliman, Loran Mounir; Sessler, Daniel I

    2017-03-01

    Ultrasound-guided nerve blocks have become the standard when performing regional nerve blocks in anaesthesia. Infiniti Plus (CIVCO Medical Solutions, Kalona, Iowa, USA) is a needle guide that has been recently developed to help clinicians in performing ultrasound-guided nerve blocks. We tested the hypothesis that femoral nerve catheter placement carried out with the Infiniti Plus needle guide will be quicker to perform than without the Infiniti Plus. Secondary aims were to assess whether the Infiniti Plus needle guide decreased the number of block attempts and also whether it improved needle visibility. A randomised, controlled trial. Cleveland Clinic, Cleveland, Ohio, USA. We enrolled adult patients having elective total knee arthroplasty with a femoral nerve block and femoral nerve catheter. Patients, who were pregnant or those who had preexisting neuropathy involving the surgical limb, coagulopathy, infection at the block site or allergy to local anaesthetics were excluded. Patients were randomised into two groups to receive the ultrasound-guided femoral nerve catheter placement with or without the Infiniti Plus needle guide. The time taken to place the femoral nerve catheter, the number of attempts, the success rate and needle visibility were recorded. We used an overall α of 0.05 for both the primary and secondary analyses; the secondary analyses were Bonferroni corrected to control for multiple comparisons. The median (interquartile range Q1 to Q3) time to perform the femoral nerve catheter placement was 118 (100 to 150) s with Infiniti Plus and 177 (130 to 236) s without Infiniti Plus. Infiniti Plus significantly reduced the time spent performing femoral nerve catheterisation, with estimated ratio of means [(95% confidence interval), P value] of 0.67 [(0.60 to 0.75), P Infiniti Plus compared with no Infiniti Plus. However, Infiniti Plus had no effect on the odds of a successful femoral nerve catheter placement, number of attempts or percentage of perfect

  7. Prevalence of comorbid retinal disease in patients with glaucoma at an academic medical center

    Directory of Open Access Journals (Sweden)

    Griffith JF

    2015-07-01

    Full Text Available Joseph F Griffith,1 Jeffrey L Goldberg2 1Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH, 2Shiley Eye Center, University of California San Diego, La Jolla, CA, USA Background: Patients with various retinal diseases and patients who have undergone retinal procedures and surgeries have an increased risk of developing ocular hypertension and glaucoma. Little is known about the epidemiology of comorbid retinal diseases in glaucoma patients. This study evaluated the prevalence of retinal comorbidities in a population of patients with five types of glaucoma.Methods: A longitudinal, retrospective study was conducted using International Classification of Disease (ICD-9 billing records from 2003 to 2010 at an academic medical center. Patients were classified as having primary open-angle glaucoma (POAG, low tension open-angle glaucoma (NTG, pigmentary open-angle glaucoma, chronic-angle closure glaucoma (CACG, or pseudoexfoliation glaucoma (PXG if they had at least three clinic visits with the same ICD-9 code. Patients were classified as having a retinal comorbidity if they had two visits with the same code. Variables were analyzed with the independent t-test, χ2 test, analysis of variance, or Fisher’s exact test.Results: A total of 5,154 patients had glaucoma, and 14.8% of these had a retinal comorbidity. The prevalence of comorbid retinal disease was higher in patients with POAG (15.7% than in those with NTG (10.7%, PXG (10.1%, or pigmentary open-angle glaucoma (3.7%; P<0.05. Two hundred and two patients had diabetic retinopathy, with POAG patients (4.5% having a higher prevalence than those with CACG (1.4% or PXG (0.6%; P<0.001. There were 297 patients who had macular degeneration and both POAG (2.0% and PXG patients (2.9% had a higher prevalence of nonexudative macular degeneration than those with CACG (0%; P<0.01. Patients with comorbid retinal disease had a higher prevalence of blindness and low vision than those without comorbid

  8. Wastewater Management Alternatives for the Cleveland - Akron, Three Rivers Watershed Area. Technical Appendix - Phase II. System Design and Estimate of Cost.

    Science.gov (United States)

    1973-02-01

    8217"•’ 1 1 . i 3 * 1 i 1 1 » K ) 20 J< > 4C 1 * 0 00 100 DRY TONS/DAY Figur« No. 22 A75...HH i " i - j ! . |.. •.\\::\\::\\: ’• ¥•• . t Ü • 1 • — • ii !:- . i . ... j .....,, , HrM j+ji •h • 4i. C O N S T R * r

  9. 33 CFR 165.T09-0073 - Safety and Security Zones; Tall Ships Challenge 2010; Great Lakes; Cleveland, OH; Bay City, MI...

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Safety and Security Zones; Tall... GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY REGULATED NAVIGATION AREAS... Guard District § 165.T09-0073 Safety and Security Zones; Tall Ships Challenge 2010; Great Lakes...

  10. To remediate or not: A case study of Co-60 contamination at the Southerly Waste Water Treatment Plant, Cleveland, Ohio, USA

    International Nuclear Information System (INIS)

    Karam, P.A.

    1999-01-01

    The SWWTP was identified as being contaminated with 60 Co (t 1/2 =5.27 a) in early 1991. The cobalt was apparently disposed of into the sanitary sewer system by a licensee of the Nuclear Regulatory Commission during the mid- to late 1970s. It is not known if this material was disposed of illegally or as a part of licensed activities. It appears as though the contamination resulted from a single, large discharge of 60 Co from a licensed facility. However, this facility also reported periodic, permitted discharges into the sanitary sewer system while licensed by the NRC. The radioactive material was relatively immobile and heterogeneously deposited around the site at the SWWTP. In the case of the SWWTP, the regulators exercised restraint in requiring only a partial remediation of this site at a much lower cost than full remediation would have necessitated. However, given the very small risk posed by this site, it is likely that even this remediation was excessive and likely generated more risk than was abated. The most cost-effective risk reduction measure to have taken at this site would have been institutional controls, which would have generated almost exactly the same degree of risk reduction at about 1-2% of the cost of partial remediation

  11. To remediate or not: A case study of Co-60 contamination at the Southerly Waste Water Treatment Plant, Cleveland, Ohio, USA

    Energy Technology Data Exchange (ETDEWEB)

    Karam, P.A. [Rochester Univ., NY (United States)

    1999-12-01

    The SWWTP was identified as being contaminated with {sup 60}Co (t{sub 1/2}=5.27 a) in early 1991. The cobalt was apparently disposed of into the sanitary sewer system by a licensee of the Nuclear Regulatory Commission during the mid- to late 1970s. It is not known if this material was disposed of illegally or as a part of licensed activities. It appears as though the contamination resulted from a single, large discharge of {sup 60}Co from a licensed facility. However, this facility also reported periodic, permitted discharges into the sanitary sewer system while licensed by the NRC. The radioactive material was relatively immobile and heterogeneously deposited around the site at the SWWTP. In the case of the SWWTP, the regulators exercised restraint in requiring only a partial remediation of this site at a much lower cost than full remediation would have necessitated. However, given the very small risk posed by this site, it is likely that even this remediation was excessive and likely generated more risk than was abated. The most cost-effective risk reduction measure to have taken at this site would have been institutional controls, which would have generated almost exactly the same degree of risk reduction at about 1-2% of the cost of partial remediation.

  12. Summary of U.S. Geological Survey studies conducted in cooperation with the Citizen Potawatomi Nation, central Oklahoma, 2011–14

    Science.gov (United States)

    Andrews, William J.; Becker, Carol J.; Ryter, Derek W.; Smith, S. Jerrod

    2016-01-19

    The U.S. Geological Survey conducted hydrologic studies and published three U.S. Geological Survey scientific investigations reports in cooperation with the Citizen Potawatomi Nation from 2011 to 2014 to characterize the quality and quantity of water resources. The study areas of those reports consisted of approximately 960 square miles in parts of three counties in central Oklahoma. This study area has multiple abundant sources of water, being underlain by three principal aquifers (alluvial/terrace, Central Oklahoma, and Vamoosa-Ada), being bordered by two major rivers (North Canadian and Canadian), and having several smaller drainages including the Little River in the central part of the study area and Salt Creek in the southeastern part of the study area. The Central Oklahoma aquifer (also referred to as the “Garber-Wellington aquifer”) underlies approximately 3,000 square miles in central Oklahoma in parts of Cleveland, Logan, Lincoln, Oklahoma, and Pottawatomie Counties and much of the study area. Water from these aquifers is used for municipal, industrial, commercial, agricultural, and domestic supplies.

  13. Study: Long nursing shifts linked to burnout, job dissatisfaction, negative patient assessments.

    Science.gov (United States)

    2013-02-01

    While nurses often choose to work 12-hour shifts, there is new evidence that too many of these longer shifts can lead to burnout and job dissatisfaction. Further, a new study suggests that patients are less satisfied with their care when nurses are working longer shifts, and patient outcomes may suffer as well. Experts recommend education around this issue for both staff nurses and nurse managers, and they urge administrators to devise sensible scheduling solutions. A three-year study, involving 23,000 registered nurses from four states, showed that nurses working shifts of 10 hours or longer were up to two and a half times more likely to experience burnout and dissatisfaction with their jobs than nurses working shorter shifts. Also, the study showed that seven out of 10 patient outcomes were adversely impacted by the longest nursing shifts. The Cleveland Clinic's 'parent shift' gives nurses the option of working shifts of six hours or less in exchange for less pay and no benefits. Administrators use these nurses to help their units manage busy hours or patient surges.

  14. Clinical management of behavioral characteristics of Prader–Willi syndrome

    Directory of Open Access Journals (Sweden)

    Alan Y Ho

    2010-04-01

    Full Text Available Alan Y Ho, Anastasia DimitropoulosDepartment of Psychology, Case Western Reserve University, Cleveland, OH, USAAbstract: Prader–Willi syndrome (PWS is a complex neurodevelopmental disorder caused by an abnormality on the long arm of chromosome 15 (q11–q13 that results in a host of phenotypic characteristics, dominated primarily by hyperphagia and insatiable appetite. Characteristic behavioral disturbances in PWS include excessive interest in food, skin picking, difficulty with a change in routine, temper tantrums, obsessive and compulsive behaviors, and mood fluctuations. Individuals with PWS typically have intellectual disabilities (borderline to mild/moderate mental retardation and exhibit a higher overall behavior disturbance compared to individuals with similar intellectual disability. Due to its multisystem disorder, family members, caregivers, physicians, dieticians, and speech-language pathologists all play an important role in the management and treatment of symptoms in an individual with PWS. This article reviews current research on behavior and cognition in PWS and discusses management guidelines for this disorder.Keywords: Prader–Willi syndrome; neurodevelopment, hyperphagia, disability

  15. Suppression of Transient Events by Levitation (STABLE): Results From the USML-2 Mission. Experiment 38

    Science.gov (United States)

    Nurre, Gerald S.; Edberg, Donald L.

    1998-01-01

    Microgravity science payloads can be extremely sensitive to vibrations from machinery, acoustics, ventilation, and crew activity. Suppression of Transient Acceleration by Levitation (STABLE) is an active vibration isolation system designed to protect payloads from these disturbances. This paper gives an account of results from the flight demonstration of the STABLE microgravity isolation system, which was developed and successfully flight tested in orbit during USML-2, with the participation of Astronaut Fred Leslie. Following a very brief description of the operational principles, the hardware and software design, and performance criteria, results of the analysis of measured flight data are presented to provide an evaluation of system performance parameters, including acceleration attenuation, assessment of sway space, system power consumption, and other factors critical to the performance of an isolation system. Lessons learned and potential design improvements and evolutions are discussed. Data reduction by Robert Boucher of McDonnell Douglas Aerospace (MDA) was substantially assisted by Kenneth Hrovat of Tal-Cut, Inc., under support from National Aeronautics and Space Administration/Lewis Research Center (LeRC), Cleveland, OH.

  16. AeroMACS system characterization and demonstrations

    Science.gov (United States)

    Kerczewski, R. J.; Apaza, R. D.; Dimond, R. P.

    This The Aeronautical Mobile Airport Communications System (AeroMACS) is being developed to provide a new broadband wireless communications capability for safety critical communications in the airport surface domain, providing connectivity to aircraft and other ground vehicles as well as connections between other critical airport fixed assets. AeroMACS development has progressed from requirements definition through technology definition, prototype deployment and testing, and now into national and international standards development. The first prototype AeroMACS system has been deployed at the Cleveland Hopkins International Airport (CLE) and the adjacent NASA Glenn Research Center (GRC). During the past three years, extensive technical testing has taken place to characterize the performance of the AeroMACS prototype and provide technical support for the standards development process. The testing has characterized AeroMACS link and network performance over a variety of conditions for both fixed and mobile data transmission and has included basic system performance testing and fixed and mobile applications testing. This paper provides a summary of the AeroMACS performance testing and the status of standardization activities that the testing supports.

  17. NATO Advanced Research Workshop on Frontiers of High-Pressure Research

    CERN Document Server

    Etters, Richard

    1991-01-01

    The role of high pressure experiments in the discovery of supercon­ ducting materials with a T. above liquid nitrogen temperature has demon­ strated the importance of such experiments. The same role holds true in the tailoring of materials for optoelectronic devices. In addition, much progress has been made recently in the search for metallic hydro­ gen, and the application of high pressure in polymer research has brought forth interesting results. These facts together with the suc­ cess of previous small size meetings (such as the "First International Conference on the Physics of Solids at High Pressure", held in 1965 in Tucson, Arizona, U. S. A. ; "High Pressure and Low Temperature Physics", held in 1977 in Cleveland, Ohio, U. S. A. ; and "Physics of Solids Under High Pressure", held in 1981 in bad Honnef, Germany), motivated us to organize a workshop with emphasis on the newest results and trends in these fields of high pressure research. Furthermore, it was intended to mix experienced and young scien�...

  18. Warm Pressurant Gas Effects on the Liquid Hydrogen Bubble Point

    Science.gov (United States)

    Hartwig, Jason W.; McQuillen, John B.; Chato, David J.

    2013-01-01

    This paper presents experimental results for the liquid hydrogen bubble point tests using warm pressurant gases conducted at the Cryogenic Components Cell 7 facility at the NASA Glenn Research Center in Cleveland, Ohio. The purpose of the test series was to determine the effect of elevating the temperature of the pressurant gas on the performance of a liquid acquisition device. Three fine mesh screen samples (325 x 2300, 450 x 2750, 510 x 3600) were tested in liquid hydrogen using cold and warm noncondensible (gaseous helium) and condensable (gaseous hydrogen) pressurization schemes. Gases were conditioned from 0 to 90 K above the liquid temperature. Results clearly indicate a degradation in bubble point pressure using warm gas, with a greater reduction in performance using condensable over noncondensible pressurization. Degradation in the bubble point pressure is inversely proportional to screen porosity, as the coarsest mesh demonstrated the highest degradation. Results here have implication on both pressurization and LAD system design for all future cryogenic propulsion systems. A detailed review of historical heated gas tests is also presented for comparison to current results.

  19. Controls and Health Management Technologies for Intelligent Aerospace Propulsion Systems

    Science.gov (United States)

    Garg, Sanjay

    2004-01-01

    With the increased emphasis on aircraft safety, enhanced performance and affordability, and the need to reduce the environmental impact of aircraft, there are many new challenges being faced by the designers of aircraft propulsion systems. The Controls and Dynamics Technology Branch at NASA (National Aeronautics and Space Administration) Glenn Research Center (GRC) in Cleveland, Ohio, is leading and participating in various projects in partnership with other organizations within GRC and across NASA, the U.S. aerospace industry, and academia to develop advanced controls and health management technologies that will help meet these challenges through the concept of an Intelligent Engine. The key enabling technologies for an Intelligent Engine are the increased efficiencies of components through active control, advanced diagnostics and prognostics integrated with intelligent engine control to enhance component life, and distributed control with smart sensors and actuators in an adaptive fault tolerant architecture. This paper describes the current activities of the Controls and Dynamics Technology Branch in the areas of active component control and propulsion system intelligent control, and presents some recent analytical and experimental results in these areas.

  20. LTCS (Laser Thermal Control System) Test Supporting the Improvement of DeCoM (Deepak Condenser Model)

    Science.gov (United States)

    Patel, Deepak

    2014-01-01

    Thermal and Fluids Analysis Workshop, Cleveland OH. NCTS 19701-14. On Dec 2013 a Loop Heat Pipe (LHP) test was performed as part of the integral Laser Thermal Control System (LTCS). During the balance portion of this testing it was noticed that the LHP was not going to be able to maintain temperature on the operational thermal mass. The test was stopped. After multiple meetings with the LTCS designers, LHP experts (in house and external) it was concluded that gravity was preventing the control heaters to maintain control on the reservoir. A heater was installed onto the liquid return line as part of the fix. After implementing the fix on the liquid return line, the test on May 2014 proved that the system works in vertical orientation using the liquid line heater. Through this testing, the correlation of the Deepak Condenser Model (DeCoM) was possible. This paper describes how well DeCoM predicts the condenser behavior in comparison to the test results of LTCS test.

  1. Introduction to Advanced Engine Control Concepts

    Science.gov (United States)

    Sanjay, Garg

    2007-01-01

    With the increased emphasis on aircraft safety, enhanced performance and affordability, and the need to reduce the environmental impact of aircraft, there are many new challenges being faced by the designers of aircraft propulsion systems. The Controls and Dynamics Branch at NASA (National Aeronautics and Space Administration) Glenn Research Center (GRC) in Cleveland, Ohio, is leading and participating in various projects in partnership with other organizations within GRC and across NASA, the U.S. aerospace industry, and academia to develop advanced controls and health management technologies that will help meet these challenges through the concept of Intelligent Propulsion Systems. The key enabling technologies for an Intelligent Propulsion System are the increased efficiencies of components through active control, advanced diagnostics and prognostics integrated with intelligent engine control to enhance operational reliability and component life, and distributed control with smart sensors and actuators in an adaptive fault tolerant architecture. This presentation describes the current activities of the Controls and Dynamics Branch in the areas of active component control and propulsion system intelligent control, and presents some recent analytical and experimental results in these areas.

  2. Partnering with public schools: a resident-driven reproductive health education initiative.

    Science.gov (United States)

    Kuo, Kelly; Zhu, Tao Y; Raidoo, Shandhini; Zhao, Lulu X; Sammarco, Anne; Ashby, Karen

    2014-02-01

    To assess the impact of a resident-driven sexual health educational initiative in an inner-city Cleveland middle school. 10 resident physicians and 57 students in 7(th) and 8(th) grade participated in this prospective cohort study. Residents taught 3 sessions on the topics of basic anatomy and physiology, pregnancy, sexually transmitted infections (STI), contraception, and safe relationships. Outcome measures included the percentages of students able to name at least 3 different STIs and contraceptive methods; to name potential complications of STIs; and to correctly identify condoms and abstinence as the only contraceptive methods also protective against STI transmission. Significant improvements were noted in students' baseline knowledge of human anatomy, contraception, and safe sex practices after completion of the curriculum. The percentage of students able to name at least 3 forms of birth control increased from 1.7% to 70.7% (P schools. The socioeconomic burden of teen pregnancy justifies comprehensive efforts to improve reproductive health education. Copyright © 2014 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  3. Riceland mosquito management practices for Anopheles quadrimaculatus larvae.

    Science.gov (United States)

    Allen, R A; Wilkes, W W; Lewis, C N; Meisch, M V

    2008-12-01

    Two separate but related studies were conducted regarding management of Anopheles quadrimaculatus larval populations in commercial rice fields near Cleveland, MS, in 2004. Study 1 was to evaluate the effectiveness of 2 treatments of aerially applied ultra-low volume applications of Bacillus thuringiensis var. israelensis (Bti) against An. quadrimaculatus larvae in dense, high-canopy mid- to late-season rice crop. Study 2 was to investigate the effect of preflood treatments of lambda-cyhalothrin (Karate), which is commonly used against rice water weevil (Lissorhoptrus oryzophilus), on An. quadrimaculatus larvae. Excellent initial, but short residual control (>99% control 1 day after treatment) was observed in the Bti-treated fields in both mid- and late-season rice. Little or no effect on mosquito larvae was observed in the lambda-cyhalothrin-treated fields. Results indicate that Bti can be effectively used by mosquito management personnel to control larval populations of An. quadrimaculatus in late-season rice fields; however, lambda-cyhalothrin did not effectively control larval An. quadrimaculatus when applied preflood to rice fields.

  4. A comparison of density of Insight and Ektaspeed plus dental x-ray films using automatic and manual processing

    International Nuclear Information System (INIS)

    Yoon, Suk Ja

    2001-01-01

    To compare the film density of Insight dental X-ray film (Eastman Kodak Co., Rochester, NY, USA) with that of Ektaspeed Plus film (Eastman Kodak) under manual and automatic processing conditions. Insight and wedge on the film under the three different exposure times. The exposed films were processed by both manual and automatic ways. The Base plus fog density and the optical density and the optical density made by exposing step wedge were calculated using a digital densitometer (model 07-443, Victoreen Inc, Cleveland, Ohio, USA). The optical densities of the Insight and Ektaspeed film versus thickness of aluminum wedge at the same exposure time were plotted on the graphs. Statistical analyses were applied for comparing the optical densities of the two films. The film density of both Insight films and Ektaspeed Plus films under automatic processing condition was significantly higher over the manual processing. The film density of Insight over Ektaspeed Plus film. To take the full advantage of reducing exposure time, Insight film should be processed automatically

  5. Evaluation of the Acceptance Journeys Social Marketing Campaign to Reduce Homophobia.

    Science.gov (United States)

    Hull, Shawnika J; Davis, Catasha R; Hollander, Gary; Gasiorowicz, Mari; Jeffries, William L; Gray, Simone; Bertolli, Jeanne; Mohr, Anneke

    2017-01-01

    To evaluate the effectiveness of the Acceptance Journeys social marketing campaign to reduce homophobia in the Black community in Milwaukee, Wisconsin. We assessed the campaign's effectiveness using a rolling cross-sectional survey. Data were collected annually online between 2011 and 2015. Each year, a unique sample of Black and White adults, aged 30 years and older, were surveyed in the treatment city (Milwaukee) and in 2 comparison cities that did not have antihomophobia campaigns (St. Louis, MO, and Cleveland, OH; for total sample, n = 3592). Black self-identification and Milwaukee residence were significantly associated with exposure to the campaign, suggesting successful message targeting. The relationship between exposure and acceptance of gay men was significantly mediated through attitudes toward gay men, perceptions of community acceptance, and perceptions of the impact of stigma on gay men, but not through rejection of stereotypes. This model accounted for 39% of variance in acceptance. This evidence suggests that the Acceptance Journeys model of social marketing may be a promising strategy for addressing homophobia in US Black communities.

  6. Marketplace of memory: what the brain fitness technology industry says about us and how we can do better.

    Science.gov (United States)

    George, Daniel R; Whitehouse, Peter J

    2011-10-01

    In the therapeutic void created by over 20 failed Alzheimer's disease drugs during the past decade, a new marketplace of "brain fitness" technology products has emerged. Ranging from video games and computer software to mobile phone apps and hand-held devices, these commercial products promise to maintain and enhance the memory, concentration, visual and spatial skills, verbal recall, and executive functions of individual users. It is instructive to view these products as sociocultural objects deeply imbued with the values and ideologies of our age; consequently, this article offers a critique of the brain fitness technology marketplace while identifying limitations in the capacity of commercial products to realistically improve cognitive health. A broader conception of brain health is presented, going beyond the reductionism of the commercial brain fitness marketplace and asking how our most proximate relationships and local communities can play a role in supporting cognitive and psychosocial well-being. This vision is grounded in recent experiences at The Intergenerational School in Cleveland, OH, a multigenerational community-oriented learning environment that is implementing brain fitness technology in novel ways.

  7. Simulation and Control Lab Development for Power and Energy Management for NASA Manned Deep Space Missions

    Science.gov (United States)

    McNelis, Anne M.; Beach, Raymond F.; Soeder, James F.; McNelis, Nancy B.; May, Ryan; Dever, Timothy P.; Trase, Larry

    2014-01-01

    The development of distributed hierarchical and agent-based control systems will allow for reliable autonomous energy management and power distribution for on-orbit missions. Power is one of the most critical systems on board a space vehicle, requiring quick response time when a fault or emergency is identified. As NASAs missions with human presence extend beyond low earth orbit autonomous control of vehicle power systems will be necessary and will need to reliably function for long periods of time. In the design of autonomous electrical power control systems there is a need to dynamically simulate and verify the EPS controller functionality prior to use on-orbit. This paper presents the work at NASA Glenn Research Center in Cleveland, Ohio where the development of a controls laboratory is being completed that will be utilized to demonstrate advanced prototype EPS controllers for space, aeronautical and terrestrial applications. The control laboratory hardware, software and application of an autonomous controller for demonstration with the ISS electrical power system is the subject of this paper.

  8. INDEX - a solution to the high cost of processing transient workers

    International Nuclear Information System (INIS)

    Stroupe, E.P.

    1987-01-01

    In 1985 twelve midwestern utilities formed the Nuclear Employee Data System for the US Nuclear Regulatory Commission's (NRC's) Region III (NEDS III) group. These utilities are Cleveland Electric Illuminating Company, Commonwealth Edison Company, Consumers Power Company, Detroit Edison Company, Illinois Power Company, Indiana and Michigan Electric Company, Iowa Electric Light and Power Company, Northern States Power Company, Toledo Edison Company, Union Electric Company, and Wisconsin Public Service Corporation. Early in 1986, Kansas Gas and Electric of NRC's Region IV joined the group and a cost-benefit study of a nuclear employee data system was initiated. The purpose of this system is to reduce the cost of processing workers requiring unescorted access to nuclear power plants. The involved utilities continued this project as the Integrated Nuclear Data Exchange (INDEX). In 1987 the following additional utilities joined INDEX: Houston Lighting and Power, Pacific Gas and Electric, Texas Utilities Electric Company, Arkansas Power and Light, Louisiana Power and Light, Systems Energy Resources Inc., and Southern California Edison. This paper summarizes the results of the study and discusses the current status of the program

  9. A retrospective analysis of delays in the diagnosis of lung cancer and associated costs

    Directory of Open Access Journals (Sweden)

    Gildea TR

    2017-05-01

    Full Text Available Thomas R Gildea,1 Stacey DaCosta Byfield,2 D Kyle Hogarth,3 David S Wilson,4 Curtis C Quinn5 1Department of Pulmonary, Allergy, and Critical Care Medicine and Transplant Center, Cleveland Clinic, Cleveland, OH, 2Health Economics and Outcomes Research, Optum, Eden Prairie, MN, 3Department of Medicine, Section of Pulmonary and Critical Care, University of Chicago Medical Center, Chicago, IL, 4The Lung Institute, Columbus Regional Hospital, Columbus, IN, 5Cardiothoracic Surgery/Thoracic Surgery, Cardiothoracic Surgery of Charleston, Roper St. Francis Physician Partners Group, Charleston, SC, USA Purpose: Diagnosis of lung cancer at advanced stages can result in missed treatment opportunities, worse outcomes, and higher health care costs. This study evaluated the wait time to diagnose non-small-cell lung cancer (NSCLC and the cost of diagnosis and treatment based on the stage at diagnosis. Patients and methods: Adult patients diagnosed with NSCLC between January 2007 and September 2011 were identified from a proprietary oncology registry and linked to health insurance claims from a large US health insurance company. Continuous enrollment in the health plan was required for at least 12 months prediagnosis (baseline and at least 3 months postdiagnosis (follow-up. Use of diagnostic tests and time to diagnosis were examined. The rates of health care utilization and per-patient per-month (PPPM health care costs were calculated. Results: A total of 1,210 patients with NSCLC were included in the analysis. Most patients (93.6% had evidence of diagnostic tests beginning 5 to 6 months prior to diagnosis, and most were diagnosed at an advanced stage (23% Stage IIIb and 46% Stage IV. The PPPM total health care costs in USD pre- and postdiagnosis were $2,407±$3,364 (mean±standard deviation and $16,577±$33,550, respectively. PPPM total health care costs and utilization after lung cancer diagnosis were significantly higher among patients diagnosed at Stage

  10. MediCaring: development and test marketing of a supportive care benefit for older people.

    Science.gov (United States)

    Lynn, J; O'Connor, M A; Dulac, J D; Roach, M J; Ross, C S; Wasson, J H

    1999-09-01

    To develop an alternative healthcare benefit (called MediCaring) and to assess the preferences of older Medicare beneficiaries concerning this benefit, which emphasizes more home-based and supportive health care and discourages use of hospitalization and aggressive treatment. To evaluate the beneficiaries' ability to understand and make a choice regarding health insurance benefits; to measure their likelihood to change from traditional Medicare to the new MediCaring benefit; and to determine the short-term stability of that choice. Focus groups of persons aged 65+ and family members shaped the potential MediCaring benefit. A panel of 50 national experts critiqued three iterations of the benefit. The final version was test marketed by discussing it with 382 older people (men > or = 75 years and women > or = 80 years) in their homes. Telephone surveys a few days later, and again 1 month after the home interview, assessed the potential beneficiaries' understanding and preferences concerning MediCaring and the stability of their responses. Focus groups were held in community settings in New Hampshire, Washington, DC, Cleveland, OH, and Columbia, SC. Test marketing occurred in New Hampshire, Cleveland, OH; Columbia, SC, and Los Angeles, CA. Focus group participants were persons more than 65 years old (11 focus groups), healthcare providers (9 focus groups), and family decision-makers (3 focus groups). Participants in the in-home informing (test marketing group) were persons older than 75 years who were identified through contact with a variety of services. Demographics, health characteristics, understanding, and preferences. Focus group beneficiaries between the ages of 65 and 74 generally wanted access to all possible medical treatment and saw MediCaring as a need of persons older than themselves. Those older than age 80 were mostly in favor of it. Test marketing participants understood the key points of the new benefit: 74% generally liked it, and 34% said they would

  11. Advanced Offshore Wind Turbine/Foundation Concept for the Great Lakes

    Energy Technology Data Exchange (ETDEWEB)

    Afjeh, Abdollah A. [Univ. of Toledo, OH (United States); Windpower, Nautica [Nautica Windpower, Olmsted Falls, OH (United States); Marrone, Joseph [OCC COWI, Vancouver (Canada); Wagner, Thomas [Nautica Windpower, Olmsted Falls, OH (United States)

    2013-08-29

    This project investigated a conceptual 2-bladed rotor wind turbine design and assessed its feasibility for installation in the Great Lakes. The levelized cost of energy was used for this purpose. A location in Lake Erie near the coast of Cleveland, Ohio was selected as the application site. The loading environment was defined using wind and wave data collected at a weather station in Lake Erie near Cleveland. In addition, the probability distributions of the annual significant wave height and wind speed were determined. A model of the dependence of the above two quantities was also developed and used in the study of wind turbine system loads. Loads from ice floes and ridges were also included.The NREL 5 MW 3-bladed rotor wind turbine concept was used as the baseline design. The proposed turbine design employs variable pitch blade control with tip-brakes and a teeter mechanism. The rotor diameter, rated power and the tower dimensions were selected to closely match those of the NREL 5 MW wind turbine.A semi-floating gravity base foundation was designed for this project primarily to adapt to regional logistical constraints to transport and install the gravity base foundation. This foundation consists of, from bottom to top, a base plate, a buoyancy chamber, a taper zone, a column (with ice cone), and a service platform. A compound upward-downward ice cone was selected to secure the foundation from moving because of ice impact.The turbine loads analysis was based on International ElectroTechnical Committee (IEC) Standard 61400-1, Class III winds. The NREL software FAST was the primary computational tool used in this study to determine all design load cases. An initial set of studies of the dynamics of wind turbines using Automatic Dynamic Analysis of Mechanical Systems (ADAMS) demonstrated that FAST and ADAMS load predictions were comparable. Because of its relative simplicity and short run times, FAST was selected for this study. For ice load calculations, a method

  12. EDITORIAL: Commercial opportunities for neural engineers

    Science.gov (United States)

    Cavuoto, James

    2008-03-01

    Research and academic professionals in neural engineering know well the promise the field offers for advancing our understanding of basic neuroscience and devising new therapies for treating neurological diseases and disorders. But there is also considerable commercial opportunity for new start-up companies in several areas of neural engineering. The neurotechnology industry, which includes firms that manufacture neuromodulation devices, neural prostheses, neurorehabilitation systems, and neurosensing devices, is forecast to grow to grow from 3.6 billion this year to 8.8 billion in 2012, according to a recently published market research study from Neurotech Reports. In recent years, there have been several successful spinoffs of neurotechnology startup firms that originated with research at universities and clinical institutions. In many cases, the academic researchers who invented the new technology or product innovation have stayed on with their startup firms after receiving funding from venture capital firms, or after going public. Among the most successful neurotechnology industry spinoffs in recent years were: Cyberkinetics Inc., Foxborough, MA, a manufacturer of brain-computer interface devices based on research at Brown University. John Donoghue, a professor and chairman of the department of neuroscience at Brown University and executive director of the brain science program at Brown, founded the company in 2001 and remains on board as the chief scientific officer. Synapse Biomedical, Inc., Oberlin, OH, a manufacturer of diaphragm pacing systems, based on research at Case Western Reserve University. Raymond Onders, director of minimal invasive surgery and associate professor at University Hospital Case Medical Center in Cleveland, was the primary researcher. He was helped by J. Thomas Mortimer, professor emeritus of biomedical engineering at Case, and it was Mortimer who came up with the name NeuRx for the device. Onders performed his first surgical implant

  13. A work-for-food enrichment program increases exploration and decreases stereotypies in four species of bears.

    Science.gov (United States)

    Wagman, Jason D; Lukas, Kristen E; Dennis, Patricia M; Willis, Mark A; Carroscia, Joe; Gindlesperger, Curt; Schook, Mandi W

    2018-01-01

    Zoo-housed bears are prone to exhibiting stereotypic behaviors, generally considered indicators of negative welfare. We explored the effects of a variable-time feeding enrichment schedule on behavioral indicators of welfare in four bear species at Cleveland Metroparks Zoo. We distributed the diets of eight bears in one of five enrichment items, for two consecutive days each, and monitored behavior throughout the day. In Experiment 1, we compared variable-time to fixed-time presentation of enrichment over two, 10-day periods. Overall, bears performed more exploratory behavior when enriched (p enrichment was associated with a greater increase in exploratory behavior than fixed-time enrichment when compared to baseline (p enrichment were also associated with similar decreases in abnormal behavior compared to baseline. For Experiment 2, we tested habituation to enrichment over 30 days using multiple items and a semi-variable presentation schedule. Again during the enrichment period, bears exhibited increased exploratory behavior (p enrichment period for these behaviors. Collectively, these results suggest that daily, variable-schedule feeding enrichment, with intermittent presentation of unique enrichment items, increases behavioral indicators of positive welfare and decreases behavioral indicators of negative welfare. © 2018 Wiley Periodicals, Inc.

  14. Lewis Information Network (LINK): Background and overview

    Science.gov (United States)

    Schulte, Roger R.

    1987-01-01

    The NASA Lewis Research Center supports many research facilities with many isolated buildings, including wind tunnels, test cells, and research laboratories. These facilities are all located on a 350 acre campus adjacent to the Cleveland Hopkins Airport. The function of NASA-Lewis is to do basic and applied research in all areas of aeronautics, fluid mechanics, materials and structures, space propulsion, and energy systems. These functions require a great variety of remote high speed, high volume data communications for computing and interactive graphic capabilities. In addition, new requirements for local distribution of intercenter video teleconferencing and data communications via satellite have developed. To address these and future communications requirements for the next 15 yrs, a project team was organized to design and implement a new high speed communication system that would handle both data and video information in a common lab-wide Local Area Network. The project team selected cable television broadband coaxial cable technology as the communications medium and first installation of in-ground cable began in the summer of 1980. The Lewis Information Network (LINK) became operational in August 1982 and has become the backbone of all data communications and video.

  15. NASA Microgravity Science Competition for High-school-aged Student Teams

    Science.gov (United States)

    DeLombard, Richard; Stocker, Dennis; Hodanbosi, Carol; Baumann, Eric

    2002-01-01

    NASA participates in a wide variety of educational activities including competitive events. There are competitive events sponsored by NASA and student teams which are mentored by NASA centers. This participation by NASA in public forums serves to bring the excitement of aerospace science to students and educators. A new competition for highschool-aged student teams involving projects in microgravity has completed two pilot years and will have national eligibility for teams during the 2002-2003 school year. A team participating in the Dropping In a Microgravity Environment will research the field of microgravity, develop a hypothesis, and prepare a proposal for an experiment to be conducted in a microgravity drop tower facility. A team of NASA scientists and engineers will select the top proposals and those teams will then design and build their experiment apparatus. When the experiment apparatus are completed, team representatives will visit NASA Glenn in Cleveland, Ohio for operation of their facility and participate in workshops and center tours. Presented in this paper will be a description of DIME, an overview of the planning and execution of such a program, results from the first two pilot years, and a status of the first national competition.

  16. Transient simulation for a real-time operator advisor expert system

    International Nuclear Information System (INIS)

    Jakubowski, T.; Hajek, B.K.; Miller, D.W.; Bhatnagar, R.

    1990-01-01

    An Operator Advisor (OA) consisting of four integrated expert systems has been under development at The Ohio State University since 1985. The OA, designed for a General Electric BWR-6 plant, has used the Perry Nuclear Power Plants full scope simulator near Cleveland, Ohio (USA) as the reference plant. The primary goal of this development has been to provide a single system which not only performs monitoring and diagnosis functions, but also provides fault mitigation procedures to the operator, monitors the performance of these procedures and provides backup procudures should the initial ones fail. To test the system off line, a transient event simulation methodology has been developed. The simulator employs event scenarios from the Perry simulator. Scenarios are selected to test both inter- and intra-modular system behavior and response and to verify the consistency and accuracy of the knowledge base. This paper describes the OA architecture and design and the transient simulation. A discussion of a sample scenario test, including the rationale for scenario selection, is included as an example. The results of the testing demonstrate the value of off line transient simulations in that they verify system operation and help to identify characteristics requiring further improvements

  17. City Planning Rhetorics and the Cultural Trope of Opportunity

    Directory of Open Access Journals (Sweden)

    Mary E. Triece

    2017-09-01

    Full Text Available Historians and sociologists have explored past and present processes of urban segregation, development, and displacement of minority and low income communities, and policy questions surrounding barriers to housing and the ways residents interact with community institutions. As communication scholars, we have a unique opportunity to add critical insights regarding the cultural meaning making of urban planning discourses. This article asks: How do cultural assumptions embedded in the myth of American opportunity shape urban planning processes? I examine two city planning documents—Detroit Future City and Connecting Cleveland 2020 Citywide Plan—for the ways references to opportunity construct an optimistic understanding of urban potential while ignoring the complicated and controversial ways race is woven into urban planning and the arrangement of city spaces. Specifically, I explore how references to the term “opportunity” appeal to cultural commonsense through associations with promise and possibility. These appeals gain persuasive traction through the term’s tendency toward over-simplification, which acts conservatively to universalize the white male experience, beg questions of race and racism, and, at times, completely elide the relevance of race in urban arrangements.

  18. Initial crisis risk communications: A success story

    International Nuclear Information System (INIS)

    Goldman, S.B.; Traverso, D.K.

    1992-01-01

    Federal regulations require nuclear facilities to be prepared for the risk communication aspects of a catastrophic emergency. Thus, all nuclear plants have provisions for a Joint Public Information Center (JPIC). The JPICs are designed to handle more than 300 media for 24 hours a day; to coordinate information among utility, federal, state, and local agencies; to provide spokespersons; etc. For a large-scale emergency, JPICs can work very well. However, some utilities - indeed, most companies - appear to have only two modes of emergency communication response: normal staff and JPIC. Experience has shown that normal staffing is inadequate to handle the risk communication response for media-intensive low-level emergencies and for the initial stages of an escalating emergency. It is clear that initial response will determine how well a company fares in its overall emergency response and in its long-term relations with the media and public. A solution to this risk communication challenge was developed by Cleveland Electric Illuminating Company's Perry Nuclear Plant - the Public Information Response Team. Using existing facilities and staff - only one of whom works regularly with the media - the Perry plant proactively manages its initial risk communication response

  19. [The beginnings and the development of heart surgery in Debrecen; the consequence of Professor József Schnitzler's initiative].

    Science.gov (United States)

    Péterffy, Arpád

    2009-10-04

    In the early 1960s, cardiac surgery was founded in Debrecen in the department of thoracic surgery, on Professor József Schnitzler's initiative with the cooperation of the head surgeon Arpád Eisert from Nyíregyháza. During the first 5 years, between 1963-1968, 44 closed cardiac surgical procedures were performed (closure of patent ductus arteriosus, pulmonal and mitral stenosis, pericardectomy). The first open heart surgery was performed by Gábor Kovács visiting professor from Szeged in 1968, after the Pemco heart-lung machine, a donation by Béla Köteles and the Presbyterian Church in Cleveland had arrived. The cardiac surgical activity was led by Professor András Gömöry (1972-1983). During the first 20 years 310 open, 220 closed cardiac surgical, and 612 pacemaker operations were performed. After Professor Schnitzler's retirement in 1983, Arpád Péterffy was appointed the head of the entire department (general and cardio-thoracic surgery). In the last 25 years, 18,000 open, 1500 closed and 8500 pacemaker procedures altogether 32,000 were performed. In 2008 associate professor Tamás Szerafin became the head of the department of cardiac surgery.

  20. Hybrid Turbine Electric Vehicle

    Science.gov (United States)

    Viterna, Larry A.

    1997-01-01

    Hybrid electric power trains may revolutionize today's ground passenger vehicles by significantly improving fuel economy and decreasing emissions. The NASA Lewis Research Center is working with industry, universities, and Government to develop and demonstrate a hybrid electric vehicle. Our partners include Bowling Green State University, the Cleveland Regional Transit Authority, Lincoln Electric Motor Division, the State of Ohio's Department of Development, and Teledyne Ryan Aeronautical. The vehicle will be a heavy class urban transit bus offering double the fuel economy of today's buses and emissions that are reduced to 1/10th of the Environmental Protection Agency's standards. At the heart of the vehicle's drive train is a natural-gas-fueled engine. Initially, a small automotive engine will be tested as a baseline. This will be followed by the introduction of an advanced gas turbine developed from an aircraft jet engine. The engine turns a high-speed generator, producing electricity. Power from both the generator and an onboard energy storage system is then provided to a variable-speed electric motor attached to the rear drive axle. An intelligent power-control system determines the most efficient operation of the engine and energy storage system.

  1. MRI-guided trephine biopsy and fine-needle aspiration in the diagnosis of bone lesions in low-field (0.23 T) MRI system using optical instrument tracking

    International Nuclear Information System (INIS)

    Blanco Sequeiros, Roberto; Klemola, Rauli; Ojala, Risto; Jyrkinen, Lasse; Tervonen, Osmo; Lappi-Blanco, Elisa; Soini, Ylermi

    2002-01-01

    The purpose of this study was to evaluate the feasibility of MRI-guided bone biopsy with optical instrument tracking and evaluate advantage of combined fine-needle aspiration (FNA) with trephine biopsy. Twenty trephine bone biopsies and 13 FNAs were performed under MRI and CT guidance in 14 patients. Informed consent was obtained from all patients. The evaluation of diagnostic accuracy was achieved by comparing the histopathological and cytological diagnosis with current or final diagnosis made during 6-month clinical follow-up. A 0.23-T open MRI scanner with interventional tools (Outlook Proview, Marconi Medical Systems, Cleveland, Ohio) was used. A surface coil was used. For trephine biopsy MRI-compatible bone biopsy set (Daum medical, Schwerin, Germany) was used. The FNA was performed with MRI compatible 20-G needle (Cook, Bloomington, Ind.). The diagnostic accuracy of MRI-guided trephine biopsy was 95%. The FNA sample diagnosis concurred with the histological in 54%. Our results show that MRI guidance in bone biopsies is accurate and safe. It is comparable to CT-guided or open biopsy. The role of combined FNA with bone biopsies remains controversial. (orig.)

  2. A Simple, Cost-Effective Sensor for Detecting Lead Ions in Water Using Under-Potential Deposited Bismuth Sub-Layer with Differential Pulse Voltammetry (DPV)

    Science.gov (United States)

    Dai, Yifan; Liu, Chung Chiun

    2017-01-01

    This research has developed a simple to use, cost effective sensor system for the detection of lead ions in tap water. An under-potential deposited bismuth sub-layer on a thin gold film based electrochemical sensor was designed, manufactured, and evaluated. Differential pulse voltammetry (DPV) measurement technique was employed in this detection. Tap water from the Cleveland, OH, USA regional water district was the test medium. Concentrations of lead ion in the range of 8 × 10−7 M to 5 × 10−4 M were evaluated, showing a good sensitivity over this concentration range. The calibration curve for the DPV measurements of lead ions in tap water showed excellent reproducibility with R2 value of 0.970. This DPV detection system required 3–6 min to complete the detection measurement. A longer measurement time of 6 min was used for the lower lead ion concentration. The selectivity of this lead ion sensor was very good, and Fe III, Cu II, Ni II, and Mg II at a concentration level of 5 × 10−4 M did not interfere with the lead ion measurement. PMID:28441356

  3. Three-dimensional evaluation of postural stability in Parkinson's disease with mobile technology.

    Science.gov (United States)

    Ozinga, Sarah J; Koop, Mandy Miller; Linder, Susan M; Machado, Andre G; Dey, Tanujit; Alberts, Jay L

    2017-01-01

    Postural instability is a hallmark of Parkinson's disease. Objective metrics to characterize postural stability are necessary for the development of treatment algorithms to aid in the clinical setting. The aim of this project was to validate a mobile device platform and resultant three-dimensional balance metric that characterizes postural stability. A mobile Application was developed, in which biomechanical data from inertial sensors within a mobile device were processed to characterize movement of center of mass in the medial-lateral, anterior-posterior and trunk rotation directions. Twenty-seven individuals with Parkinson's disease and 27 age-matched controls completed various balance tasks. A postural stability metric quantifying the amplitude (peak-to-peak) of sway acceleration in each movement direction was compared between groups. The peak-to-peak value in each direction for each individual with Parkinson's disease across all trials was expressed as a normalized value of the control data to identify individuals with severe postural instability, termed Cleveland Clinic-Postural Stability Index. In all conditions, the balance metric for peak-to-peak was significantly greater in Parkinson's disease compared to controls (p mobile device sensors, provides a rapid and systematic metric for quantifying postural stability in Parkinson's disease.

  4. Catching Carbon Stars in the Baade's Windows

    Science.gov (United States)

    Azzopardi, M.; Lequeux, J.; Rebeirot, E.

    1984-12-01

    Near-infrared objective prism surveys at low dispersion (1 700 to 3400 Amm-1) using Schmidt telescopes have been extensively used to detect M-, S- and C-type stars in the galactic equatorial zone, and in other strategically selected regions of the Milky Way. The detection techniques have been perfected by Nassau and his associates (Nassau and Velghe, 1964, Astrophysical Journal 139, 190) during their survey, at Cleveland, of the northern part of the Milky Way. These techniques are based on the identification of a number of typical molecular bands (TiO, CN, LaO, Va) that fall in the 6800-8800 Aspectral range, and which are used to classify M-, S- and C-type stars (Mavridis, 1967, Coll. on Late Type Stars, p. 420). Using the same method, partial or entire nearinfrared surveys of the southern Milky Way have been carried out by Blanco and Münch (1955, Bol. Obs. Tonantzintla y Tacubaya 12, 273) at Tonantzintla, Smith and Smith (1956, Astronomical Journal 61, 273) at Bloemfontein, and later by Westerlund (1971, Astronomy and Astrophysics Suppl. 4, 51 ; 1978, ibid. 32, 401) with the Uppsala Schmidt telescope at Mount Stromlo Observatory.

  5. Protecting salmon and trout in the Capilano River

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-07-01

    The Capilano Reservoir and Cleveland Dam were constructed in 1954 in order to supply energy to a growing urban region. The dam became a barrier for trout and salmon trying to migrate from the reservoir behind the dam into the lower Capilano River. Studies have indicated that up to 90 per cent of the fish do not survive the drop into the rocky pool at the base of the dam. This paper discussed a project being conducted to improve the fish habitat in the lower Capilano River and reduce the mortality of smolt or young fish during their passage over the dam. A trap-and-truck project was launched to catch migrating trout and salmon in rotary screw traps in the upper portion of the river as well as in the reservoir. The fish were measured, weighed and tagged and then trucked to the base of the dam near the fish hatchery. It was concluded that more traps will be used to increase the capture rate in 2009. Habitat assessments are also being conducted in order to design long-term fish passage systems. 10 figs.

  6. Cooking Dinner at Home--From the Office

    Science.gov (United States)

    2005-01-01

    It is well past quitting time, but you are still stuck in the office. Your spouse left work over an hour ago, but is caught in bumper-to-bumper traffic. As a result, neither of you were available to pick up your daughter on time from her soccer game. If your son hadn't gotten detention at school today, which also made him late for work, he could have picked her up. The next thing you know, it is already 8:30 at night, and your family members are finally all together under the same roof. No one has had a bite to eat since lunch, and dinner certainly isn't going to cook itself, or is it? For those who are all too familiar with this situation, it might be time to welcome the oven of the future into your homes: the ConnectIo Intelligent Oven, brought to you by TMIO, LLC, of Cleveland. Applying the same remote command and control concepts that NASA uses to run experiments on the International Space Station (ISS), ConnectIo allows its owners to cook dinner from the road, via a cell phone, personal digital assistant, or Internet connection.

  7. 1986 James B. Macelwane Awards

    Science.gov (United States)

    Wyllie, Peter J.; Stolper, Edward M.

    I can think of few things more pleasurable than introducing a young scientist whose research has enhanced his visibility to such an extent that his or her image is clearly distinguishable from among the large number of young scientists publishing excellent research these days.Normally, the recipient of a young scientist award is in a state approaching shock, with mixed feelings of pride and humility and appreciation for all those who guided him or her on the way. For Ed Stolper, however, the situation is different, and he is sitting here quite calmly. Although he is only 33 years old, his image shines brightly enough that it has received attention previously—He was awarded the Clarke Medal of the Geochemical Society in 1985, and he shared the Newcomb Cleveland Prize in 1985 with Sally Rigden and Tom Ahrens for the best 1984 paper in Science. Today it is the Macelwane Award of the American Geophysical Union, and there are still several tomorrows before his age disqualifies him as a young scientist, making it necessary for him to start getting down to serious, mature research.

  8. Terrestrial service environments for selected geographic locations. Final report. [1965--1974 data; to define solar array environment to aid in encapsulation program

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, R.E.; Carmichael, D.C.

    1976-06-24

    This report contains results obtained from analyses of climatic, precipitation, air pollution, and other environmental data for the years 1965 to 1974 at nine widely different geographic locations in the United States (Albuquerque, N.M.; Bismarck, N.D.; Boston, Mass.; Brownsville, TX.; Cleveland, OH; Fairbanks, AK; Los Angeles, CA; Miami, FL; and Phoenix, AZ). In addition to descriptive and diurnal statistics for 24 individual climatic variables, ''environmental cell'' statistics were computed to obtain the frequencies, durations, and transitions for the simultaneous occurrence of various combinations of environmental variables. Results are presented for the simultaneous occurrence of specific levels of air temperature, relative humidity, wind speed, and insolation, in addition to representative results obtained for other combinations of variables. The results characterize the environmental conditions to which terrestrial solar arrays would be exposed over a 20-year lifetime, and serve to identify environmental factors and levels that can be used in testing candidate encapsulation materials and systems for such terrestrial exposures. An innovative methodology was applied to obtain these results for combinations of environmental variables. Because of its generality and demonstrated feasibility, it is concluded that the methodology also has broad applications to other testing programs.

  9. Early complications after stapled transanal rectal resection performed using the Contour® Transtar™ device.

    Science.gov (United States)

    Martellucci, J; Talento, P; Carriero, A

    2011-12-01

    This study evaluated the early results (with particular reference to complications) of stapled transanal rectal resection (STARR) carried out using the CCS-30 Contour® Transtar™ device. The procedure was performed in a single centre on patients with obstucted defecation caused by rectocele or rectal intussusception. From July 2007 to February 2009, 133 patients were treated. Preoperatively, all underwent clinical examination, transanal ultrasonography, anorectal manometry and cinedefaecography. Obstructed defaecation syndrome was assessed using the Cleveland Clinic Constipation Score (CCC-S). Early postoperative complications and those occurring within 6 months were recorded. The median follow-up period was 19 (range 12-30) months. The mean ± standard deviation preoperative CCC-S of 19.4 ± 7.1 decreased to 10.1 ± 9.0 postoperatively. The early complication rate was 15.7% and included rectovaginal fistula (n = 1), rectal perforation (n = 1), posterior dehiscence (n = 4), further surgery for retained staples (n = 2), postoperative bleeding (n = 2) and postoperative impaired continence (n = 11). STARR using the Contour Transtar device seems to be effective for treating obstructed defaecation. However, serious complications may occur. © 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.

  10. Effects of Case Western Reserve University's transverse analysis on the quality of orthodontic treatment.

    Science.gov (United States)

    Yehya Mostafa, Raweya; Bous, Rany M; Hans, Mark G; Valiathan, Manish; Copeland, Garrison E; Palomo, Juan Martin

    2017-08-01

    The purpose of this study was to evaluate the effect of using the transverse analysis developed at Case Western Reserve University (CWRU) in Cleveland, Ohio. The hypotheses were based on the following: (1) Does following CWRU's transverse analysis improve the orthodontic results? (2) Does following CWRU's transverse analysis minimize the active treatment duration? A retrospective cohort research study was conducted on a randomly selected sample of 100 subjects. The sample had CWRU's analysis performed retrospectively, and the sample was divided according to whether the subjects followed what CWRU's transverse analysis would have suggested. The American Board of Orthodontics discrepancy index was used to assess the pretreatment records, and quality of the result was evaluated using the American Board of Orthodontics cast/radiograph evaluation. The Mann-Whitney test was used for the comparison. CWRU's transverse analysis significantly improved the total cast/radiograph evaluation scores (P = 0.041), especially the buccolingual inclination component (P = 0.001). However, it did not significantly affect treatment duration (P = 0.106). CWRU's transverse analysis significantly improves the orthodontic results but does not have significant effects on treatment duration. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  11. How Might the Genetics Profession Better Utilize Social Media.

    Science.gov (United States)

    Moore, Rebekah A; Matthews, Anne L; Cohen, Leslie

    2018-04-01

    Social media is a common method of communication in people's personal lives and professional settings. Gallagher et al. (2016) recommended, "it is time for genetic counselors to embrace social media as a means of communicating with patients or other healthcare professionals." Full members of the National Society of Genetic Counselors (NSGC) in the USA and Canada and genetics patients in Cleveland, OH, were surveyed to determine interest in using social media for patient-provider interactions. Both cohorts indicated that patient privacy and confidentiality would be a concern; however, survey results indicated patients would be interested in using social media to receive general information about genetic counseling and to learn about genetics services. Genetic counselors indicated privacy issues were not concerning if social media were to be used in this capacity. The majority of genetic counselor participants (88.7%) indicated they would welcome national guidelines for patient-provider social media use. Data from this study demonstrated that sharing what to expect at a genetic counseling appointment, defining genetic counseling, and announcing community outreach events are possible ways genetic counselors could utilize social media to communicate with and educate patients.

  12. Altitude-wind-tunnel investigation of tail-pipe burning with a Westinghouse X24C-4B axial-flow turbojet engine

    Science.gov (United States)

    Fleming, William A; Wallner, Lewis E

    1948-01-01

    Thrust augmentation of an axial-flow type turbojet engine by burning fuel in the tail pipe has been investigated in the NACA Cleveland altitude wind tunnel. The performance was determined over a range of simulated flight conditions and tail-pipe fuel flows. The engine tail pipe was modified for the investigation to reduce the gas velocity at the inlet of the tail-pipe combustion chamber and to provide an adequate seat for the flame; four such modifications were investigated. The highest net-thrust increase obtained in the investigation was 86 percent with a net thrust specific fuel consumption of 2.91 and a total fuel-air ratio of 0.0523. The highest combustion efficiencies obtained with the four configurations ranged from 0.71 to 0.96. With three of the tail-pipe burners, for which no external cooling was provided, the exhaust nozzle and the rear part of the burner section were bright red during operation at high tail-pipe fuel-air ratios. With the tail-pipe burner for which fuel and water cooling were provided, the outer shell of the tail-pipe burner showed no evidence of elevated temperatures at any operating condition.

  13. Generating pulsatility by pump speed modulation with continuous-flow total artificial heart in awake calves.

    Science.gov (United States)

    Fukamachi, Kiyotaka; Karimov, Jamshid H; Sunagawa, Gengo; Horvath, David J; Byram, Nicole; Kuban, Barry D; Dessoffy, Raymond; Sale, Shiva; Golding, Leonard A R; Moazami, Nader

    2017-12-01

    The purpose of this study was to evaluate the effects of sinusoidal pump speed modulation of the Cleveland Clinic continuous-flow total artificial heart (CFTAH) on hemodynamics and pump flow in an awake chronic calf model. The sinusoidal pump speed modulations, performed on the day of elective sacrifice, were set at ±15 and ± 25% of mean pump speed at 80 bpm in four awake calves with a CFTAH. The systemic and pulmonary arterial pulse pressures increased to 12.0 and 12.3 mmHg (±15% modulation) and to 15.9 and 15.7 mmHg (±25% modulation), respectively. The pulsatility index and surplus hemodynamic energy significantly increased, respectively, to 1.05 and 1346 ergs/cm at ±15% speed modulation and to 1.51 and 3381 ergs/cm at ±25% speed modulation. This study showed that it is feasible to generate pressure pulsatility with pump speed modulation; the platform is suitable for evaluating the physiologic impact of pulsatility and allows determination of the best speed modulations in terms of magnitude, frequency, and profiles.

  14. Ninth Thermal and Fluids Analysis Workshop Proceedings

    Science.gov (United States)

    Sakowski, Barbara (Compiler)

    1999-01-01

    The Ninth Thermal and Fluids Analysis Workshop (TFAWS 98) was held at the Ohio Aerospace Institute in Cleveland, Ohio from August 31 to September 4, 1998. The theme for the hands-on training workshop and conference was "Integrating Computational Fluid Dynamics and Heat Transfer into the Design Process." Highlights of the workshop (in addition to the papers published herein) included an address by the NASA Chief Engineer, Dr. Daniel Mulville; a CFD short course by Dr. John D. Anderson of the University of Maryland; and a short course by Dr. Robert Cochran of Sandia National Laboratories. In addition, lectures and hands-on training were offered in the use of several cutting-edge engineering design and analysis-oriented CFD and Heat Transfer tools. The workshop resulted in international participation of over 125 persons representing aerospace and automotive industries, academia, software providers, government agencies, and private corporations. The papers published herein address issues and solutions related to the integration of computational fluid dynamics and heat transfer into the engineering design process. Although the primary focus is aerospace, the topics and ideas presented are applicable to many other areas where these and other disciplines are interdependent.

  15. Germanium and uranium in coalified wood from upper Devonian black shale

    Energy Technology Data Exchange (ETDEWEB)

    Breger, I A; Schopf, J M

    1955-02-01

    Spectrographic analyses were performed on carbonaceous material and shale samples from the Chattanooga shale in Tennessee and the Cleveland member of the Ohio shale in Ohio with particular emphasis on U and Ge. Semiquantitative analyses for 29 elements (Fe, Si, Ge, Al, Ca, V, Ni, U, Mg, Cu, Ti, Cr, Mo, Na, Sr, B, Y, Pb, Ba, Co, Sn, Zr, Mn, Zn, Yb, Ga, Sc, Be) were performed on both ash specimens and whole sample. The analyses showed unusually high percentages of Ge (1 to 5%) U (0.1 to 1%), V (1 to 5%), and Ni (0.1 to 1%) in the ash of coal from the Chattanooga and Ohio shales. Quantitative chemical analysis for U, Ge, V, and Ni in the whole coal and ash were done to check the results of the semiquantitative analyses. Ash content from the proximate analyses indicated that the coal samples tested were similar to vitrain in ash percentage. Because of the unusually high percentages of U and Ge and the low ash of the coals tested, the author felt that the U and Ge might be associated wire also observed with lower radiation doses (200 and 400 rad).

  16. Microstructure and Macrosegregation Study of Directionally Solidified Al-7Si Samples Processed Terrestrially and Aboard the International Space Station

    Science.gov (United States)

    Angart, Samuel; Erdman, R. G.; Poirier, David R.; Tewari, S.N.; Grugel, R. N.

    2014-01-01

    This talk reports research that has been carried out under the aegis of NASA as part of a collaboration between ESA and NASA for solidification experiments on the International Space Station (ISS). The focus has been on the effect of convection on the microstructural evolution and macrosegregation in hypoeutectic Al-Si alloys during directional solidification (DS). The DS-experiments have been carried out under 1-g at Cleveland State University (CSU) and under low-g on the International Space Station (ISS). The thermal processing-history of the experiments is well defined for both the terrestrially-processed samples and the ISS-processed samples. We have observed that the primary dendrite arm spacings of two samples grown in the low-g environment of the ISS show good agreement with a dendrite-growth model based on diffusion controlled growth. The gravity-driven convection (i.e., thermosolutal convection) in terrestrially grown samples has the effect of decreasing the primary dendrite arm spacings and causes macrosgregation. In order to process DS-samples aboard the ISS, dendritic-seed crystals have to partially remelted in a stationary thermal gradient before the DS is carried out. Microstructural changes and macrosegregation effects during this period are described.

  17. Investigation of the Utilization of Modern Industrial Methods, Processes, Ergonomics, and the Internet in the Scientific Environment

    Science.gov (United States)

    Myer, Spencer S., Jr.

    2005-01-01

    On Oct. 1, 2001 Cleveland State University and NASA Glenn Research Center embarked on the above named cooperative agreement. Because NASA's research facilities often exhibit instances where the failure to use state-of-the-art technologies and methods to improve on outmoded systems of interface and control, and this runs contrary to the NASA philosophy of "faster, better, and cheaper", it was deemed an ideal opportunity for this collaboration. The main objectives of the proposed effort were to research and investigate the use of the latest technologies, methods, techniques, etc. which pertain to control and interface with industrial and research systems and facilities. The work was done in large part at NASA Glenn Research Center, using selected research facilities as real-world laboratories; such as certain Microgravity Science Division and Space Station projects. Microgravity Science Division at Glenn Research Center designs and builds experiments to be flown on the Space Shuttle and eventually on the International Space Station. Economy of space, weight, complexity, data storage, ergonomics, and many other factors present problems that also exist in industry. Many of the solutions can come from the same areas of study mentioned above.

  18. Plant maintenance and advanced reactors issue, 2008

    Energy Technology Data Exchange (ETDEWEB)

    Agnihotri, Newal [ed.

    2009-09-15

    The focus of the September-October issue is on plant maintenance and advanced reactors. Major articles/reports in this issue include: Technologies of national importance, by Tsutomu Ohkubo, Japan Atomic Energy Agency, Japan; Modeling and simulation advances brighten future nuclear power, by Hussein Khalil, Argonne National Laboratory, Energy and desalination projects, by Ratan Kumar Sinha, Bhabha Atomic Research Centre, India; A plant with simplified design, by John Higgins, GE Hitachi Nuclear Energy; A forward thinking design, by Ray Ganthner, AREVA; A passively safe design, by Ed Cummins, Westinghouse Electric Company; A market-ready design, by Ken Petrunik, Atomic Energy of Canada Limited, Canada; Generation IV Advanced Nuclear Energy Systems, by Jacques Bouchard, French Commissariat a l'Energie Atomique, France, and Ralph Bennett, Idaho National Laboratory; Innovative reactor designs, a report by IAEA, Vienna, Austria; Guidance for new vendors, by John Nakoski, U.S. Nuclear Regulatory Commission; Road map for future energy, by John Cleveland, International Atomic Energy Agency, Vienna, Austria; and, Vermont's largest source of electricity, by Tyler Lamberts, Entergy Nuclear Operations, Inc. The Industry Innovation article is titled Intelligent monitoring technology, by Chris Demars, Exelon Nuclear.

  19. Virtual reality training versus blended learning of laparoscopic cholecystectomy: a randomized controlled trial with laparoscopic novices.

    Science.gov (United States)

    Nickel, Felix; Brzoska, Julia A; Gondan, Matthias; Rangnick, Henriette M; Chu, Jackson; Kenngott, Hannes G; Linke, Georg R; Kadmon, Martina; Fischer, Lars; Müller-Stich, Beat P

    2015-05-01

    This study compared virtual reality (VR) training with low cost-blended learning (BL) in a structured training program.Training of laparoscopic skills outside the operating room is mandatory to reduce operative times and risks.Laparoscopy-naïve medical students were randomized in 2 groups stratified for sex. The BL group (n = 42) used E-learning for laparoscopic cholecystectomy (LC) and practiced basic skills with box trainers. The VR group (n = 42) trained basic skills and LC on the LAP Mentor II (Simbionix, Cleveland, OH). Each group trained 3 × 4 hours followed by a knowledge test concerning LC. Blinded raters assessed the operative performance of cadaveric porcine LC using the Objective Structured Assessment of Technical Skills (OSATS). The LC was discontinued when it was not completed within 80 min. Students evaluated their training modality with questionnaires.The VR group completed the LC significantly faster and more often within 80 min than BL (45% v 21%, P = .02). The BL group scored higher than the VR group in the knowledge test (13.3 ± 1.3 vs 11.0 ± 1.7, P advantages of both approaches.

  20. Single Particulate SEM-EDX Analysis of Iron-Containing Coarse Particulate Matter in an Urban Environment: Sources and Distribution of Iron within Cleveland, Ohio

    Science.gov (United States)

    The physicochemical properties of coarse-mode, iron-containing particles, and their temporal and spatial distributions are poorly understood. Single particle analysis combining x-ray elemental mapping and computer-controlled scanning electron microscopy (CCSEM-EDX) of passively ...