WorldWideScience

Sample records for evaluation utilizing integral

  1. An integrated utility-based model of conflict evaluation and resolution in the Stroop task.

    Science.gov (United States)

    Chuderski, Adam; Smolen, Tomasz

    2016-04-01

    Cognitive control allows humans to direct and coordinate their thoughts and actions in a flexible way, in order to reach internal goals regardless of interference and distraction. The hallmark test used to examine cognitive control is the Stroop task, which elicits both the weakly learned but goal-relevant and the strongly learned but goal-irrelevant response tendencies, and requires people to follow the former while ignoring the latter. After reviewing the existing computational models of cognitive control in the Stroop task, its novel, integrated utility-based model is proposed. The model uses 3 crucial control mechanisms: response utility reinforcement learning, utility-based conflict evaluation using the Festinger formula for assessing the conflict level, and top-down adaptation of response utility in service of conflict resolution. Their complex, dynamic interaction led to replication of 18 experimental effects, being the largest data set explained to date by 1 Stroop model. The simulations cover the basic congruency effects (including the response latency distributions), performance dynamics and adaptation (including EEG indices of conflict), as well as the effects resulting from manipulations applied to stimulation and responding, which are yielded by the extant Stroop literature. (c) 2016 APA, all rights reserved).

  2. A Steam Utility Network Model for the Evaluation of Heat Integration Retrofits – A Case Study of an Oil Refinery

    Directory of Open Access Journals (Sweden)

    Sofie Marton

    2017-12-01

    Full Text Available This paper presents a real industrial example in which the steam utility network of a refinery is modelled in order to evaluate potential Heat Integration retrofits proposed for the site. A refinery, typically, has flexibility to optimize the operating strategy for the steam system depending on the operation of the main processes. This paper presents a few examples of Heat Integration retrofit measures from a case study of a large oil refinery. In order to evaluate expected changes in fuel and electricity imports to the refinery after implementation of the proposed retrofits, a steam system model has been developed. The steam system model has been tested and validated with steady state data from three different operating scenarios and can be used to evaluate how changes to steam balances at different pressure levels would affect overall steam balances, generation of shaft power in turbines, and the consumption of fuel gas.

  3. An Integrated Design Approach for Evaluating the Utility and Cost of a Fleet

    Science.gov (United States)

    2015-04-29

    fidelity design models is one of the greatest strengths of the framework. In the case study, an AMESim power-train model [18] was used to estimate the...considerations in optimal automotive vehicle design”. PhD thesis, University of Michigan. [18] Imagine, L., 2013. “Lab amesim ”. The integrated platform for multi

  4. Integrating photovoltaics into utility distribution systems

    Energy Technology Data Exchange (ETDEWEB)

    Zaininger, H.W. [Zaininger Engineering Co., Inc., San Jose, CA (United States); Barnes, P.R. [Oak Ridge National Lab., TN (United States)

    1995-03-01

    Electric utility distribution system impacts associated with the integration of distributed photovoltaic (PV) energy sources vary from site to site and utility to utility. The objective of this paper is to examine several utility- and site-specific conditions which may affect economic viability of distributed PV applications to utility systems. Assessment methodology compatible with technical and economic assessment techniques employed by utility engineers and planners is employed to determine PV benefits for seven different utility systems. The seven case studies are performed using utility system characteristics and assumptions obtained from appropriate utility personnel. The resulting site-specific distributed PV benefits increase nonsite-specific generation system benefits available to central station PV plants as much as 46%, for one utility located in the Southwest.

  5. Evaluation of Technical and Utility Programmatic Challenges With Residential Forced-Air Integrated Space/Water Heat Systems

    Energy Technology Data Exchange (ETDEWEB)

    Kingston, Tim [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States); Vadnal, Hillary [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States); Scott, Shawn [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States); Kalensky, Dave [Partnership for Advanced Residential Retrofit, Des Plaines, IL (United States)

    2016-12-01

    This multi-unit field demonstration of combined space and water heating (combi) systems was conducted to help document combi system installation and performance issues that needed to be addressed through research. The objective of the project was to put commercialized forced-air tankless combi units into the field through local contractors that were trained by manufacturers and GTI staff under the auspices of utility-implemented ETPs.

  6. Integrated Transport Planning Framework Involving Combined Utility Regret Approach

    DEFF Research Database (Denmark)

    Wang, Yang; Monzon, Andres; Di Ciommo, Floridea

    2014-01-01

    Sustainable transport planning requires an integrated approach involving strategic planning, impact analysis, and multicriteria evaluation. This study aimed at relaxing the utility-based decision-making assumption by newly embedding anticipated-regret and combined utility regret decision mechanisms...... in a framework for integrated transport planning. The framework consisted of a two-round Delphi survey, integrated land use and transport model for Madrid, and multicriteria analysis. Results show that (a) the regret-based ranking has a similar mean but larger variance than the utility-based ranking does, (b......-based multicriteria analyses result in different rankings of policy packages, and (e) the combined utility regret ranking is more informative compared with the utility-based or the regret-based ranking....

  7. Handbook of evaluation of utility DSM programs

    Energy Technology Data Exchange (ETDEWEB)

    Hirst, E.; Reed, J. [eds.; Bronfman, B.; Fitzpatrick, G.; Hicks, E.; Hirst, E.; Hoffman, M.; Keating, K.; Michaels, H.; Nadel, S.; Peters, J.; Reed, J.; Saxonis, W.; Schoen, A.; Violette, D.

    1991-12-01

    Program evaluation has become a central issue in the world of utility integrated resource planning. The DSM programs that utilities were operating to meet federal requirements or to improve customer relations are now becoming big business. DSM is being considered an important resource in a utility`s portfolio of options. In the last five years, the amount of money that utilities have invested in DSM has grown exponentially in most regulatory jurisdictions. Market analysts are now talking about DSM being a $30 billion industry by the end of the decade. If the large volume of DSM-program investments was not enough to highlight the importance of evaluation, then the introduction of regulatory incentives has really focused the spotlight. This handbook was developed through a process that involved many of those people who represent the diverse constituencies of DSM-program evaluation. We have come to recognize the many technical disciplines that must be employed to evaluate DSM programs. An analysis might start out based on the principles of utility load research to find out what happened, but a combination of engineering and statistical methods must be used to ``triangulate`` an estimate of what would have happened without the program. The difference, of course, is that elusive but prized result of evaluation: what happened as the direct result of the DSM program. Technical performance of DSM measures is not the sole determinant of the answer, either. We also recognize the importance of such behavioral attributes of DSM as persistence and free ridership. Finally, DSM evaluation is meaningless without attention to planning an approach, communicating results to relevant decision-makers, and focusing as much on the process as the impacts of the program. These topics are all covered in this handbook.

  8. Experimental Evaluation of Incorporating Digital and Analog Integrated Circuit Die on a Common Substrate Utilizing Silicon-Hybrid Wafer-Scale Integration Technology

    Science.gov (United States)

    1992-03-01

    Program Is Running" ’####### Establish communications with device driver########### OPEN "$DV488" FOR OUTPUT AS #1 ’HP Scope PRINT #1, "BUFFERCLEAR...Packaging Hurdle," Electronics Design 39(8): 99-114. (April 1991). 3. Berry, M. J. Private Communication . Microelectronics Center of North Carolina...INTEGRATION TECNOLOGY 6. AUTHOR(S) Philip C. Reamy, Captain, USAF 7.PEAP07MING 08(3GANILATION ’JAME(S) AND ADDRISS(ES) 8, PERFORMING ORrArN𔃼ATION

  9. Comparative Evaluation of Integrated Waste Heat Utilization Systems for Coal-Fired Power Plants Based on In-Depth Boiler-Turbine Integration and Organic Rankine Cycle

    Directory of Open Access Journals (Sweden)

    Shengwei Huang

    2018-01-01

    Full Text Available To maximize the system-level heat integration, three retrofit concepts of waste heat recovery via organic Rankine cycle (ORC, in-depth boiler-turbine integration, and coupling of both are proposed, analyzed and comprehensively compared in terms of thermodynamic and economic performances. For thermodynamic analysis, exergy analysis is employed with grand composite curves illustrated to identify how the systems are fundamentally and quantitatively improved, and to highlight key processes for system improvement. For economic analysis, annual revenue and investment payback period are calculated based on the estimation of capital investment of each component to identify the economic feasibility and competitiveness of each retrofit concept proposed. The results show that the in-depth boiler-turbine integration achieves a better temperature match of heat flows involved for different fluids and multi-stage air preheating, thus a significant improvement of power output (23.99 MW, which is much larger than that of the system with only ORC (6.49 MW. This is mainly due to the limitation of the ultra-low temperature (from 135 to 75 °C heat available from the flue gas for ORC. The thermodynamic improvement is mostly contributed by the reduction of exergy destruction within the boiler subsystem, which is eventually converted to mechanical power; while the exergy destruction within the turbine system is almost not changed for the three concepts. The selection of ORC working fluids is performed to maximize the power output. Due to the low-grade heat source, the cycle with R11 offers the largest additional net power generation but is not significantly better than the other preselected working fluids. Economically, the in-depth boiler-turbine integration is the most economic completive solution with a payback period of only 0.78 year. The ORC concept is less attractive for a sole application due to a long payback time (2.26 years. However, by coupling both

  10. Integrating Solar PV in Utility System Operations

    Energy Technology Data Exchange (ETDEWEB)

    Mills, A.; Botterud, A.; Wu, J.; Zhou, Z.; Hodge, B-M.; Heany, M.

    2013-10-31

    This study develops a systematic framework for estimating the increase in operating costs due to uncertainty and variability in renewable resources, uses the framework to quantify the integration costs associated with sub-hourly solar power variability and uncertainty, and shows how changes in system operations may affect these costs. Toward this end, we present a statistical method for estimating the required balancing reserves to maintain system reliability along with a model for commitment and dispatch of the portfolio of thermal and renewable resources at different stages of system operations. We estimate the costs of sub-hourly solar variability, short-term forecast errors, and day-ahead (DA) forecast errors as the difference in production costs between a case with “realistic” PV (i.e., subhourly solar variability and uncertainty are fully included in the modeling) and a case with “well behaved” PV (i.e., PV is assumed to have no sub-hourly variability and can be perfectly forecasted). In addition, we highlight current practices that allow utilities to compensate for the issues encountered at the sub-hourly time frame with increased levels of PV penetration. In this analysis we use the analytical framework to simulate utility operations with increasing deployment of PV in a case study of Arizona Public Service Company (APS), a utility in the southwestern United States. In our analysis, we focus on three processes that are important in understanding the management of PV variability and uncertainty in power system operations. First, we represent the decisions made the day before the operating day through a DA commitment model that relies on imperfect DA forecasts of load and wind as well as PV generation. Second, we represent the decisions made by schedulers in the operating day through hour-ahead (HA) scheduling. Peaking units can be committed or decommitted in the HA schedules and online units can be redispatched using forecasts that are improved

  11. An evaluation of a geographic information system software and its utility in promoting the use of integrated process skills in secondary students

    Science.gov (United States)

    Abbott, Thomas Diamond

    2001-07-01

    As technology continues to become an integral part of our educational system, research that clarifies how various technologies affect learning should be available to educators prior to the large scale introduction of any new technology into the classroom. This study will assess the degree to which a relatively new Geographic Information System Software (ArcView 3.1), when utilized by high school freshman in earth science and geography courses, can be used to (a) promote and develop integrated process skills in these students, and (b) improve their awareness and appraisal of their problem solving abilities. Two research questions will be addressed in this research: (1) Will the use of a GIS to solve problems with authentic contexts enhance the learning and refinement of integrated process skills over more conventional means of classroom instruction? and (2) Will students' perceptions of competence to solve problems within authentic contexts be greater for those who learned to use and implement a GIS when compared to those who have learned by more conventional means of classroom instruction? Research Question 1 will be assessed by using the Test of Integrated Process Skills II (or TIPS II) and Research Question 2 will be addressed by using the Problem Solving Inventory (PSI). The research will last thirteen weeks. The TIPS II and the PSI will be administered after the intervention of GIS to the experimental group, at which point an Analysis of Covariance and the Mann-Whitney U-test will be utilized to measure the affects of intervention by the independent variable. Teacher/researcher journals and teacher/student questionnaires will be used to compliment the statistical analysis. It is hoped that this study will help in the creation of future instructional models that enable educators to utilize modern technologies appropriately in their classrooms.

  12. Scoping study of integrated resource planning needs in the public utility sector

    Energy Technology Data Exchange (ETDEWEB)

    Garrick, C J; Garrick, J M; Rue, D R [NEOS Corp., Lakewood, CO (United States)

    1993-06-01

    Integrated resource planning (IRP) is an approach to utility resource planning that integrates the evaluation of supply- and demand-site options for providing energy services at the least cost. Many utilities practice IRP; however, most studies about IRP focus on investor-owned utilities (IOUs). This scoping study investigates the IRP activities and needs of public utilities (not-for-profit utilities, including federal, state, municipal, and cooperative utilities). This study (1) profiles IRP-related characteristics of the public utility sector, (2) articulates the needs of public utilities in understanding and implementing IRP, and (3) identifies strategies to advance IRP principles in public utility planning.

  13. Integrated Assessment Model Evaluation

    Science.gov (United States)

    Smith, S. J.; Clarke, L.; Edmonds, J. A.; Weyant, J. P.

    2012-12-01

    Integrated assessment models of climate change (IAMs) are widely used to provide insights into the dynamics of the coupled human and socio-economic system, including emission mitigation analysis and the generation of future emission scenarios. Similar to the climate modeling community, the integrated assessment community has a two decade history of model inter-comparison, which has served as one of the primary venues for model evaluation and confirmation. While analysis of historical trends in the socio-economic system has long played a key role in diagnostics of future scenarios from IAMs, formal hindcast experiments are just now being contemplated as evaluation exercises. Some initial thoughts on setting up such IAM evaluation experiments are discussed. Socio-economic systems do not follow strict physical laws, which means that evaluation needs to take place in a context, unlike that of physical system models, in which there are few fixed, unchanging relationships. Of course strict validation of even earth system models is not possible (Oreskes etal 2004), a fact borne out by the inability of models to constrain the climate sensitivity. Energy-system models have also been grappling with some of the same questions over the last quarter century. For example, one of "the many questions in the energy field that are waiting for answers in the next 20 years" identified by Hans Landsberg in 1985 was "Will the price of oil resume its upward movement?" Of course we are still asking this question today. While, arguably, even fewer constraints apply to socio-economic systems, numerous historical trends and patterns have been identified, although often only in broad terms, that are used to guide the development of model components, parameter ranges, and scenario assumptions. IAM evaluation exercises are expected to provide useful information for interpreting model results and improving model behavior. A key step is the recognition of model boundaries, that is, what is inside

  14. Utilization of a Web-Based vs Integrated Phone/Web Cessation Program Among 140,000 Tobacco Users: An Evaluation Across 10 Free State Quitlines

    Science.gov (United States)

    Vickerman, Katrina A; Kellogg, Elizabeth S; Zbikowski, Susan M

    2015-01-01

    Background Phone-based tobacco cessation program effectiveness has been established and randomized controlled trials have provided some support for Web-based services. Relatively little is known about who selects different treatment modalities and how they engage with treatments in a real-world setting. Objective This paper describes the characteristics, Web utilization patterns, and return rates of tobacco users who self-selected into a Web-based (Web-Only) versus integrated phone/Web (Phone/Web) cessation program. Methods We examined the demographics, baseline tobacco use, Web utilization patterns, and return rates of 141,429 adult tobacco users who self-selected into a Web-Only or integrated Phone/Web cessation program through 1 of 10 state quitlines from August 2012 through July 2013. For each state, registrants were only included from the timeframe in which both programs were offered to all enrollees. Utilization data were limited to site interactions occurring within 6 months after registration. Results Most participants selected the Phone/Web program (113,019/141,429, 79.91%). After enrollment in Web services, Web-Only were more likely to log in compared to Phone/Web (21,832/28,410, 76.85% vs 23,920/56,892, 42.04%; PWeb-Only were younger, healthier, more highly educated, more likely to be uninsured or commercially insured, more likely to be white non-Hispanic and less likely to be black non-Hispanic, less likely to be highly nicotine-addicted, and more likely to have started their program enrollment online (all PWeb services if they were women, older, more highly educated, or were sent nicotine replacement therapy (NRT) through their quitline (all PWeb were also more likely to return if they had completed a coaching call, identified as white non-Hispanic or “other” race, or were commercially insured (all PWeb-Only were less likely to return if they started their enrollment online versus via phone. The interactive Tobacco Tracker, Cost Savings Calculator

  15. Effect of vertical integration on the utilization of hardwood resources

    Science.gov (United States)

    Jan Wiedenbeck

    2002-01-01

    The effectiveness of vertical integration in promoting the efficient utilization of the hardwood resource in the eastern United States was assessed during a series of interviews with vertically integrated hardwood manufacturers in the Appalachian region. Data from 19 companies that responded to the 1996 phone survey indicate that: 1) vertically integrated hardwood...

  16. Integrating Knowledge Generation with Knowledge Diffusion and Utilization: A Case Study Analysis of the Consortium for Applied Research and Evaluation in Mental Health

    National Research Council Canada - National Science Library

    Evelyn Vingilis; Kathleen Hartford; Ted Schrecker; Beth Mitchell; Barbara Lent; Joan Bishop

    2003-01-01

    Objective: Knowledge diffusion and utilization (KDU) have become a key focus in the health research community because of the limited success to date of research findings to inform health policies, programs and services...

  17. Data readout system utilizing photonic integrated circuit

    Energy Technology Data Exchange (ETDEWEB)

    Stopiński, S., E-mail: S.Stopinski@tue.nl [COBRA Research Institute, Eindhoven University of Technology (Netherlands); Institute of Microelectronics and Optoelectronics, Warsaw University of Technology (Poland); Malinowski, M.; Piramidowicz, R. [Institute of Microelectronics and Optoelectronics, Warsaw University of Technology (Poland); Smit, M.K.; Leijtens, X.J.M. [COBRA Research Institute, Eindhoven University of Technology (Netherlands)

    2013-10-11

    We describe a novel optical solution for data readout systems. The core of the system is an Indium-Phosphide photonic integrated circuit performing as a front-end readout unit. It functions as an optical serializer in which the serialization of the input signal is provided by means of on-chip optical delay lines. The circuit employs electro-optic phase shifters to build amplitude modulators, power splitters for signal distribution, semiconductor optical amplifiers for signal amplification as well as on-chip reflectors. We present the concept of the system, the design and first characterization results of the devices that were fabricated in a multi-project wafer run.

  18. An integrated approach to evaluating the economic costs of wildfire hazard reduction through wood utilization opportunities in the southwestern United States

    Science.gov (United States)

    Eini C. Lowell; Dennis R. Becker; Robert Rummer; Debra Larson; Linda Wadleigh

    2008-01-01

    This research provides an important step in the conceptualization and development of an integrated wildfire fuels reduction system from silvicultural prescription, through stem selection, harvesting, in-woods processing, transport, and market selection. Decisions made at each functional step are informed by knowledge about subsequent functions. Data on the resource...

  19. Load Forecasting in Electric Utility Integrated Resource Planning

    Energy Technology Data Exchange (ETDEWEB)

    Carvallo, Juan Pablo [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Larsen, Peter H. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sanstad, Alan H [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Goldman, Charles A. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2017-07-19

    Integrated resource planning (IRP) is a process used by many vertically-integrated U.S. electric utilities to determine least-cost/risk supply and demand-side resources that meet government policy objectives and future obligations to customers and, in many cases, shareholders. Forecasts of energy and peak demand are a critical component of the IRP process. There have been few, if any, quantitative studies of IRP long-run (planning horizons of two decades) load forecast performance and its relationship to resource planning and actual procurement decisions. In this paper, we evaluate load forecasting methods, assumptions, and outcomes for 12 Western U.S. utilities by examining and comparing plans filed in the early 2000s against recent plans, up to year 2014. We find a convergence in the methods and data sources used. We also find that forecasts in more recent IRPs generally took account of new information, but that there continued to be a systematic over-estimation of load growth rates during the period studied. We compare planned and procured resource expansion against customer load and year-to-year load growth rates, but do not find a direct relationship. Load sensitivities performed in resource plans do not appear to be related to later procurement strategies even in the presence of large forecast errors. These findings suggest that resource procurement decisions may be driven by other factors than customer load growth. Our results have important implications for the integrated resource planning process, namely that load forecast accuracy may not be as important for resource procurement as is generally believed, that load forecast sensitivities could be used to improve the procurement process, and that management of load uncertainty should be prioritized over more complex forecasting techniques.

  20. Evaluation. A Training Module. School Personnel Utilization.

    Science.gov (United States)

    Jones, G. Brian; And Others

    A series of modules was prepared by the School Personnel Utilization Project to assist personnel in building the necessary skills for the development of organizational change strategies and collaborative, collegial educational problem solving capabilities. This module focuses on the evaluation process in the context of elementary and secondary…

  1. Utilization of mixed pond ash in integrated steel plant for ...

    Indian Academy of Sciences (India)

    Utilization of mixed pond ash in integrated steel plant for manufacturing superior quality bricks. Piyush Kant Pandey Raj Kumar ... Fly ash (FA) poses serious problems to the industries. Integrated steel plants generate huge quantity of FA from their captive power plants and other furnaces. This ash is generally disposed off in ...

  2. Utility Wind Integration and Operating Impact - State of the Art

    Energy Technology Data Exchange (ETDEWEB)

    Smith, J. C.; Milligan, M. R.; DeMeo, E. A.; Parsons, B.

    2007-08-01

    At the end of 2005, the Power Engineering Society (PES) published a special issue of its Power & Energy Magazine that focused on integrating wind into the power system. This paper provides a summary and update on many of the salient points from that special issue about the current state of knowledge regarding utility wind integration issues.

  3. Integrated Baseline System (IBS) Version 1.03: Utilities guide

    Energy Technology Data Exchange (ETDEWEB)

    Burford, M.J.; Downing, T.R.; Pottier, M.C.; Schrank, E.E.; Williams, J.R.

    1993-01-01

    The Integrated Baseline System (IBS) is an emergency management planning and analysis tool that was developed under the direction of the Federal Emergency Management Agency (FEMA). This Utilities Guide explains how to operate utility programs that are supplied as a part of the IBS. These utility programs are chiefly for managing and manipulating various kinds of IBS data and system administration files. Many of the utilities are for creating, editing, converting, or displaying map data and other data that are related to geographic location.

  4. Integrated Baseline System (IBS) Version 2.0: Utilities Guide

    Energy Technology Data Exchange (ETDEWEB)

    Burford, M.J.; Downing, T.R.; Williams, J.R. [Pacific Northwest Lab., Richland, WA (United States); Bower, J.C. [Bower Software Services, Kennewick, WA (United States)

    1994-03-01

    The Integrated Baseline System (IBS) is an emergency management planning and analysis tool being developed under the direction of the US Army Nuclear and Chemical Agency. This Utilities Guide explains how you can use the IBS utility programs to manage and manipulate various kinds of IBS data. These programs include utilities for creating, editing, and displaying maps and other data that are referenced to geographic location. The intended audience for this document are chiefly data managers but also system managers and some emergency management planners and analysts.

  5. Utilizing Creeks for Integrated Rural Coastal Development of Ilaje ...

    African Journals Online (AJOL)

    Rural communities in the country are blessed with resources which need to be exploited to achieve rural development. This study examines the Utilization of Creeks for Integrated Coastal Development of Ilaje Area of Nigeria. The primary goal of the study is to carry out inventory on creek resources and how best it could be ...

  6. Integrated polymerase chain reaction chips utilizing digital microfluidics.

    Science.gov (United States)

    Chang, Yi-Hsien; Lee, Gwo-Bin; Huang, Fu-Chun; Chen, Yi-Yu; Lin, Jr-Lung

    2006-09-01

    This study reports an integrated microfluidic chip for polymerase chain reaction (PCR) applications utilizing digital microfluidic chip (DMC) technology. Several crucial procedures including sample transportation, mixing, and DNA amplification were performed on the integrated chip using electro-wetting-on-dielectric (EWOD) effect. An innovative concept of hydrophobic/hydrophilic structure has been successfully demonstrated to integrate the DMC chip with the on-chip PCR device. Sample droplets were generated, transported and mixed by the EWOD-actuation. Then the mixture droplets were transported to a PCR chamber by utilizing the hydrophilic/hydrophobic interface to generate required surface tension gradient. A micro temperature sensor and two micro heaters inside the PCR chamber along with a controller were used to form a micro temperature control module, which could perform precise PCR thermal cycling for DNA amplification. In order to demonstrate the performance of the integrated DMC/PCR chips, a detection gene for Dengue II virus was successfully amplified and detected. The new integrated DMC/PCR chips only required an operation voltage of 12V(RMS) at a frequency of 3 KHz for digital microfluidic actuation and 9V(DC) for thermal cycling. When compared to its large-scale counterparts for DNA amplification, the developed system consumed less sample and reagent and could reduce the detection time. The developed chips successfully demonstrated the feasibility of Lab-On-a-Chip (LOC) by utilizing EWOD-based digital microfluidics.

  7. Integrated manure utilization system life-cycle value assessment

    Energy Technology Data Exchange (ETDEWEB)

    Row, J.; Neabel, D. [Pembina Inst. for Appropriate Development, Drayton Valley, AB (Canada)

    2005-10-15

    A life-cycle assessment of the Alberta Research Council (ARC) and Highmark Renewables' development of an integrated manure utilization system (IMUS) were presented. The assessment focused on an evaluation of factors of primary importance to government, investors and the livestock industry. IMUS technology uses manure as a resource to produce electricity, heat, bio-based fertilizer and reusable water. Results of the assessment indicated that IMUS plants have the potential to be financially viable if a power purchase of $90 MWh on average can be purchased from a 30,000 head livestock operation. A capital cost of under $11 million is necessary, and an established biofertilizer price of $50 per tonne should be established. An IMUS plant was estimated to reduce life-cycle greenhouse gas emissions by 70 to 80 per cent when compared to land spreading. Reductions are accomplished through displacing electricity from the provincial grid and reducing nitrous oxide (N{sub 2}O) emissions from spreading of manure The IMUS plants lessen environment impacts by reducing the extraction and consumption of non-renewable resources, and by displacing an estimated 11,700 GJ of coal and natural gas per 1000 head of cattle per year. In addition, various pathogens within manure are eliminated. The plants have the potential to eliminate the environmental hazards associated with the disposal of deadstock. The systems reduce manure odour, lessen truck traffic and are expected to contribute to rural economic diversification. Barriers to further implementation of IMUS were discussed, as well as emerging opportunities for IMUS developers. It was concluded that the initial assessments of the IMUS were positive. Further investigation is needed to determine actual life-cycle performance of the operations. 18 refs., 3 tabs., 3 figs.

  8. Utility-Interconnected Photovoltaic Systems: Evaluating the Rationale for the Utility-Accessible External Disconnect Switch

    Energy Technology Data Exchange (ETDEWEB)

    Coddington, M.; Margolis, R.M.; Aabakken, J.

    2008-01-01

    The utility-accessible alternating current (AC) external disconnect switch (EDS) for distributed generators, including photovoltaic (PV) systems, is a hardware feature that allows a utility?s employees to manually disconnect a customer-owned generator from the electricity grid. This paper examines the utility-accessible EDS debate in the context of utility-interactive PV systems for residential and small commercial installations. It also evaluates the rationale for EDS requirements.

  9. Factors relevant to utility integration of intermittent renewable technologies

    Energy Technology Data Exchange (ETDEWEB)

    Wan, Yih-huei; Parsons, B.K.

    1993-08-01

    This study assesses factors that utilities must address when they integrate intermittent renewable technologies into their power-supply systems; it also reviews the literature in this area and has a bibliography containing more than 350 listings. Three topics are covered: (1) interface (hardware and design-related interconnection), (2) operability/stability, and (3) planning. This study finds that several commonly held perceptions regarding integration of intermittent renewable energy technologies are not valid. Among findings of the study are the following: (1) hardware and system design advances have eliminated most concerns about interface; (2) cost penalties have not occurred at low to moderate penetration levels (and high levels are feasible); and (3) intermittent renewable energy technologies can have capacity values. Obstacles still interfering with intermittent renewable technologies are also identified.

  10. Factors Relevant to Utility Integration of Intermittent Renewable Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Wan, Y.; Parsons, B.

    1993-08-24

    This study assesses factors that utilities must address when they integrate intermittent renewable technologies into their power-supply systems; it also reviews the literature in this area and has a bibliography containing more than 350 listings. Three topics are covered: (1) interface (hardware and design-related interconnection), (2) operability/stability, and (3) planning. This study finds that several commonly held perceptions regarding integration of intermittent renewable energy technologies are not valid. Among fmdings of the study are the following: (1) hardware and system design advances have eliminated most concerns about interface, (2) cost penalties have not occurred at low to moderate penetration levels (and high levels am feasible); and (3) intermittent renewable energy technologies can have capacity values. Obstacles still interfering with intermittent renewable technologies are also indentified.

  11. Utilizing the CIPP Model as a Means to Develop an Integrated Service-Learning Component in a University Health Course

    Science.gov (United States)

    Powell, Brent; Conrad, Eric

    2015-01-01

    Purpose: To examine the enhancement of a university health course through the utilization of the CIPP Model as a means to develop an integrated service-learning component. Methods: The CIPP model was utilized in two concurrent semesters of an undergraduate health course in order to design and evaluate the implementation of a drug and alcohol…

  12. ENVIRONMENTAL EVALUATION FOR UTILIZATION OF ASH IN SOIL STABILIZATION

    Energy Technology Data Exchange (ETDEWEB)

    David J. Hassett; Loreal V. Heebink

    2001-08-01

    The Minnesota Pollution Control Agency (MPCA) approved the use of coal ash in soil stabilization, indicating that environmental data needed to be generated. The overall project goal is to evaluate the potential for release of constituents into the environment from ash used in soil stabilization projects. Supporting objectives are: (1) To ensure sample integrity through implementation of a sample collection, preservation, and storage protocol to avoid analyte concentration or loss. (2) To evaluate the potential of each component (ash, soil, water) of the stabilized soil to contribute to environmental release of analytes of interest. (3) To use laboratory leaching methods to evaluate the potential for release of constituents to the environment. (4) To facilitate collection of and to evaluate samples from a field runoff demonstration effort. The results of this study indicated limited mobility of the coal combustion fly ash constituents in laboratory tests and the field runoff samples. The results presented support previous work showing little to negligible impact on water quality. This and past work indicates that soil stabilization is an environmentally beneficial CCB utilization application as encouraged by the U.S. Environmental Protection Agency. This project addressed the regulatory-driven environmental aspect of fly ash use for soil stabilization, but the demonstrated engineering performance and economic advantages also indicate that the use of CCBs in soil stabilization can and should become an accepted engineering option.

  13. Integrated Renewable Hydrogen Utility System (IRHUS) business plan

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    This business plan is for a proposed legal entity named IRHUS, Inc. which is to be formed as a subsidiary of Energy Partners, L.C. (EP) of West Palm Beach, Florida. EP is a research and development company specializing in hydrogen proton exchange membrane (PEM) fuel cells and systems. A fuel cell is an engine with no moving parts that takes in hydrogen and produces electricity. The purpose of IRHUS, Inc. is to develop and manufacture a self-sufficient energy system based on the fuel cell and other new technology that produces hydrogen and electricity. The product is called the Integrated renewable Hydrogen utility System (IRHUS). IRHUS, Inc. plans to start limited production of the IRHUS in 2002. The IRHUS is a unique product with an innovative concept in that it provides continuous electrical power in places with no electrical infrastructure, i.e., in remote and island locations. The IRHUS is a zero emissions, self-sufficient, hydrogen fuel generation system that produces electricity on a continuous basis by combining any renewable power source with hydrogen technology. Current plans are to produce a 10 kilowatt IRHUS MP (medium power). Future plans are to design and manufacture IRHUS models to provide power for a variety of power ranges for identified attractive market segments. The technological components of the IRHUS include an electrolyzer, hydrogen and oxygen storage subsystems, fuel cell system, and power control system. The IRHUS product is to be integrated with a variety of renewable energy technologies. 5 figs., 10 tabs.

  14. Evaluation Results From Prospective Drug Utilization Review: Medicaid Demonstrations

    OpenAIRE

    Kidder, David; Bae, Jay

    1999-01-01

    In 1992 HCFA awarded two cooperative agreements for demonstrations of prospective drug utilization review (PDUR). Iowa tested an on-line prospective drug utilization review (OPDUR) system. Washington tested payments to pharmacists for providing non-dispensing “cognitive services” (CS). In this article the authors report on an evaluation of these demonstrations and on three assessments of retrospective drug utilization review (RDUR) interventions. The evaluation failed to detect effects of eit...

  15. Dietetic Internship: Evaluation of an Integrated Model.

    Science.gov (United States)

    Lordly, Daphne J.; Travers, Kim D.

    1998-01-01

    The purpose of this study was to utilize graduate and employer perceptions of outcomes of the Mount Saint Vincent University (MSVU) Co-operative Education (Co-op) Dietetics program to determine if an integrated model was an acceptable alternate method of dietetic education. Acceptable alternate was defined as: "facilitating achievement of entry level competence for dietetic practice". A self-administered, validated and piloted questionnaire was utilized to collect qualitative and quantitative information concerning employability, professional preparedness and program outcomes. Surveys were mailed to all program graduates (1989-1993) (n=24) and their first employers (n=19). Response rates were 96% and 89% respectively. Close-ended questions were analyzed quantitatively by determining frequency distributions. Data were also subjected to Chi-square to identify dependent factors. Qualitative responses to open-ended questions were analyzed by thematic content analysis. Results revealed all graduates were employed by six months after graduation. Competency development, a component of professional preparedness, was rated as average or above average by the majority of graduates and employers. Analysis of open-ended responses indicated that the introduction of experience while students were establishing theoretical foundations was perceived as beneficial. An integration of qualitative findings led to the development of a model depicting how professional competency development, readiness for practice, a realistic approach to dietetic practice and a high standard of practice were developed within an evolving personal and contextual framework. Socialization and mentoring opportunities, evaluation processes and the integration of theory and practice influenced professional development. In conclusion, both employer and graduate responses indicated overall program satisfaction suggesting that the Co-op program is an acceptable alternate method of dietetic education.

  16. Integration profile and safety of an adenovirus hybrid-vector utilizing hyperactive sleeping beauty transposase for somatic integration.

    Directory of Open Access Journals (Sweden)

    Wenli Zhang

    Full Text Available We recently developed adenovirus/transposase hybrid-vectors utilizing the previously described hyperactive Sleeping Beauty (SB transposase HSB5 for somatic integration and we could show stabilized transgene expression in mice and a canine model for hemophilia B. However, the safety profile of these hybrid-vectors with respect to vector dose and genotoxicity remains to be investigated. Herein, we evaluated this hybrid-vector system in C57Bl/6 mice with escalating vector dose settings. We found that in all mice which received the hyperactive SB transposase, transgene expression levels were stabilized in a dose-dependent manner and that the highest vector dose was accompanied by fatalities in mice. To analyze potential genotoxic side-effects due to somatic integration into host chromosomes, we performed a genome-wide integration site analysis using linker-mediated PCR (LM-PCR and linear amplification-mediated PCR (LAM-PCR. Analysis of genomic DNA samples obtained from HSB5 treated female and male mice revealed a total of 1327 unique transposition events. Overall the chromosomal distribution pattern was close-to-random and we observed a random integration profile with respect to integration into gene and non-gene areas. Notably, when using the LM-PCR protocol, 27 extra-chromosomal integration events were identified, most likely caused by transposon excision and subsequent transposition into the delivered adenoviral vector genome. In total, this study provides a careful evaluation of the safety profile of adenovirus/Sleeping Beauty transposase hybrid-vectors. The obtained information will be useful when designing future preclinical studies utilizing hybrid-vectors in small and large animal models.

  17. INTEGRATED POWER GENERATION SYSTEMS FOR COAL MINE WASTE METHANE UTILIZATION

    Energy Technology Data Exchange (ETDEWEB)

    Peet M. Soot; Dale R. Jesse; Michael E. Smith

    2005-08-01

    An integrated system to utilize the waste coal mine methane (CMM) at the Federal No. 2 Coal Mine in West Virginia was designed and built. The system includes power generation, using internal combustion engines, along with gas processing equipment to upgrade sub-quality waste methane to pipeline quality standards. The power generation has a nominal capacity of 1,200 kw and the gas processing system can treat about 1 million cubic feet per day (1 MMCFD) of gas. The gas processing is based on the Northwest Fuel Development, Inc. (NW Fuel) proprietary continuous pressure swing adsorption (CPSA) process that can remove nitrogen from CMM streams. The two major components of the integrated system are synergistic. The byproduct gas stream from the gas processing equipment can be used as fuel for the power generating equipment. In return, the power generating equipment provides the nominal power requirements of the gas processing equipment. This Phase III effort followed Phase I, which was comprised of a feasibility study for the project, and Phase II, where the final design for the commercial-scale demonstration was completed. The fact that NW Fuel is desirous of continuing to operate the equipment on a commercial basis provides the validation for having advanced the project through all of these phases. The limitation experienced by the project during Phase III was that the CMM available to operate the CPSA system on a commercial basis was not of sufficiently high quality. NW Fuel's CPSA process is limited in its applicability, requiring a relatively high quality of gas as the feed to the process. The CPSA process was demonstrated during Phase III for a limited time, during which the processing capabilities met the expected results, but the process was never capable of providing pipeline quality gas from the available low quality CMM. The NW Fuel CPSA process is a low-cost ''polishing unit'' capable of removing a few percent nitrogen. It was never

  18. Evaluation of Usability Utilizing Markov Models

    Science.gov (United States)

    Penedo, Janaina Rodrigues; Diniz, Morganna; Ferreira, Simone Bacellar Leal; Silveira, Denis S.; Capra, Eliane

    2012-01-01

    Purpose: The purpose of this paper is to analyze the usability of a remote learning system in its initial development phase, using a quantitative usability evaluation method through Markov models. Design/methodology/approach: The paper opted for an exploratory study. The data of interest of the research correspond to the possible accesses of users…

  19. Evaluating Whether Changes in Utilization of Hospital Outp..

    Data.gov (United States)

    U.S. Department of Health & Human Services — Data reported in Evaluating Whether Higher Utilization of Hospital Outpatient Services Contributed to Lower Readmission Rate in 2012, published in Volume 4, Issue 1,...

  20. Evaluation of Drug Utilization Pattern for Patients of Bronchial ...

    African Journals Online (AJOL)

    2017-10-26

    Oct 26, 2017 ... Demographic details, brand/ generic name, indication, route, dosage, frequency ... KEYWORDS: Airway, pharmaco-epidemiology, pharmacy, public health, survey. Evaluation of Drug Utilization Pattern for Patients .... also found a low overall awareness level regarding national guidelines among physicians.

  1. Maquoketa Shale Caprock Integrity Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Leetaru, Hannes

    2014-09-30

    The Knox Project objective is to evaluate the potential of formations within the Cambrian-Ordovician strata above the Mt. Simon Sandstone (St. Peter Sandstone and Potosi Dolomite) as potential targets for carbon dioxide (CO2) sequestration in the Illinois and Michigan Basins. The suitability of the St. Peter Sandstone and Potosi Dolomite to serve as reservoirs for CO2 sequestration is discussed in separate reports. In this report the data gathered from the Knox project, the Illinois Basin – Decatur Project (IBDP) and Illinois Industrial Carbon Capture and Sequestration project (IL-ICCS) are used to make some conclusions about the suitability of the Maquoketa shale as a confining layer for CO2 sequestration. These conclusions are then upscaled to basin-wide inferences based on regional knowledge. Data and interpretations (stratigraphic, petrophysical, fractures, geochemical, risk, seismic) applicable to the Maquoketa Shale from the above mentioned projects was inventoried and summarized. Based on the analysis of these data and interpretations, the Maquoketa Shale is considered to be an effective caprock for a CO2 injection project in either the Potosi Dolomite or St. Peter Sandstone because it has a suitable thickness (~200ft. ~61m), advantageous petrophysical properties (low effective porosity and low permeability), favorable geomechanical properties, an absence of observable fractures and is regionally extensive. Because it is unlikely that CO2 would migrate upward through the Maquoketa Shale, CO2, impact to above lying fresh water aquifers is unlikely. Furthermore, the observations indicate that CO2 injected into the St. Peter Sandstone or Potosi Dolomite may never even migrate up into the Maquoketa Shale at a high enough concentrations or pressure to threaten the integrity of the caprock. Site specific conclusions were reached by unifying the data and conclusions from the IBDP, ICCS and the Knox projects. In the Illinois Basin, as one looks further away from

  2. Evaluation of mobile systems: an integrative framework.

    NARCIS (Netherlands)

    Högler, T.; Versendaal, J.; Batenburg, R.

    2015-01-01

    This work presents an integrative framework for the evaluation of mobile systems. In comparison to stationary systems, mobile systems have a bundle of specific singularities that should be considered for evaluation. Further analysis of existing approaches clarifies that an integrative approach for

  3. Integration of alternative feedstreams for biomass treatment and utilization

    Science.gov (United States)

    Hennessey, Susan Marie [Avondale, PA; Friend, Julie [Claymont, DE; Dunson, Jr., James B.; Tucker, III, Melvin P.; Elander, Richard T [Evergreen, CO; Hames, Bonnie [Westminster, CO

    2011-03-22

    The present invention provides a method for treating biomass composed of integrated feedstocks to produce fermentable sugars. One aspect of the methods described herein includes a pretreatment step wherein biomass is integrated with an alternative feedstream and the resulting integrated feedstock, at relatively high concentrations, is treated with a low concentration of ammonia relative to the dry weight of biomass. In another aspect, a high solids concentration of pretreated biomass is integrated with an alternative feedstream for saccharifiaction.

  4. Hawaii Utility Integration Initiatives to Enable Wind (Wind HUI) Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Dora Nakafuji; Lisa Dangelmaier; Chris Reynolds

    2012-07-15

    monitoring using PMU devices and enhanced grid analysis tools; and Initiative 3: Identifying grid automation and smart technology architecture retrofit/improvement opportunities following a systematic review approach, inclusive of increasing renewables and variable distributed generation. Each of the initiative was conducted in partnership with industry technology and equipment providers to facilitate utility deployment experiences inform decision making, assess supporting infrastructure cost considerations, showcase state of the technology, address integration hurdles with viable workarounds. For each initiative, a multi-phased approach was followed that included 1) investigative planning and review of existing state-of-the-art, 2) hands on deployment experiences and 3) process implementation considerations. Each phase of the approach allowed for mid-course corrections, process review and change to any equipment/devices to be used by the utilities. To help the island grids transform legacy infrastructure, the Wind HUI provided more systematic approaches and exposure with vendor/manufacturers, hand-on review and experience with the equipment not only from the initial planning stages but through to deployment and assessment of field performance of some of the new, remote sensing and high-resolution grid monitoring technologies. HELCO became one of the first utilities in the nation to install and operate a high resolution (WindNet) network of remote sensing devices such as radiometers and SODARs to enable a short-term ramp event forecasting capability. This utility-industry and federal government partnership produced new information on wind energy forecasting including new data additions to the NOAA MADIS database; addressed remote sensing technology performance and O&M (operations and maintenance) challenges; assessed legacy equipment compatibility issues and technology solutions; evaluated cyber-security concerns; and engaged in community outreach opportunities that will

  5. Evaluation of Oracle Big Data Integration Tools

    OpenAIRE

    Urhan, Harun; Baranowski, Zbigniew

    2015-01-01

    Abstract The project’s objective is evaluating Oracle’s Big Data Integration Tools. The project covers evaluation of two of Oracle’s tools, Oracle Data Integrator: Application Adapters for Hadoop to load data from Oracle Database to Hadoop and Oracle SQL Connectors for HDFS to query data stored on a Hadoop file system by using SQL statements executed on an Oracle Database.

  6. Pipeline integrity handbook risk management and evaluation

    CERN Document Server

    Singh, Ramesh

    2013-01-01

    Based on over 40 years of experience in the field, Ramesh Singh goes beyond corrosion control, providing techniques for addressing present and future integrity issues. Pipeline Integrity Handbook provides pipeline engineers with the tools to evaluate and inspect pipelines, safeguard the life cycle of their pipeline asset and ensure that they are optimizing delivery and capability. Presented in easy-to-use, step-by-step order, Pipeline Integrity Handbook is a quick reference for day-to-day use in identifying key pipeline degradation mechanisms and threats to pipeline integrity. The book begins

  7. Evaluation of the Geothermal Public Power Utility Workshops in California

    Energy Technology Data Exchange (ETDEWEB)

    Farhar, B. C.

    2004-10-01

    The federal government devotes significant resources to educating consumers and businesses about geothermal energy. Yet little evidence exists for defining the kinds of information needed by the various audiences with specialized needs. This paper presents the results of an evaluation of the Geothermal Municipal Utility Workshops that presented information on geothermal energy to utility resource planners at customer-owned utilities in California. The workshops were sponsored by the Western Area Power Administration and the U.S. Department of Energy's GeoPowering the West Program and were intended to qualitatively assess the information needs of municipal utilities relative to geothermal energy and get feedback for future workshops. The utility workshop participants found the geothermal workshops to be useful and effective for their purposes. An important insight from the workshops is that utilities need considerable lead-time to plan a geothermal project. They need to know whether it is better to own a project or to purchase geothermal electricity from another nonutility owner. California customer-owned utilities say they do not need to generate more electricity to meet demand, but they do need to provide more electricity from renewable resources to meet the requirements of the state's Renewable Portfolio Standard.

  8. Attempts to utilize and integrate traditional medicine in North Korea.

    Science.gov (United States)

    Lim, Byungmook; Park, Jongbae; Han, Changyon

    2009-03-01

    To summarize the way North Korea attempted to modernize its system of traditional medicine and integrate it with Western biomedicine. We reviewed clinical textbooks and periodicals of traditional Korean medicine published in North Korea, research reports on North Korean health and medicine published elsewhere, and conducted interviews of defectors from North Korea who were students or clinicians of traditional medicine. Key findings of this study are: (1) North Korea has attempted several ways of integrating traditional medicine into education and clinical practices; (2) North Korea's communist government provided the main driving force for an integration policy; (3) school curricula of both Western and traditional Korean medicine incorporated knowledge of both disciplines, yet more weight was placed on traditional Korean medicine; (4) a combination of Western diagnosis and Korean therapeutics was the most frequent example of integration, while the dual system approach with reciprocal practice was also explored; (5) several forms of integrative therapeutic mixture were practiced including concurrent medication, injection on acupuncture points, and intramuscular or intravenous injection of extracts from medicinal plants; and (6) limited resources for research and the underdeveloped level of clinical research failed to secure rigorous scientific advancement. Despite the government-driven attempt to create an ideal integrative system of medicine, according to our findings, the actual introduction of an integrative system into practice was far from the North Korean government's anticipated outcome in regards to clinical practice. We hypothesize this was due to famine, economic crisis, and political isolation from the international realm. Traditional Korean medicine seems to have served the population, which is in desperate need of treatment amid difficulties in health, while North Korea's Western biomedicine-based health delivery system has been badly affected.

  9. Conception of EGNOS Integrity Data Utilization in ENC Systems

    Directory of Open Access Journals (Sweden)

    Mateusz Bilewski

    2016-09-01

    Full Text Available The paper presents the processing of EGNOS integrity data received either directly from the satellite network or the Sisnet internet relay. Relationship between the individual frames in EGNOS messages has been described. Usefulness of these data was indicated by the three examples. In the first example data form EGNOS was used to compare integrity parameters and the calculated position error. In further examples the simulated position with error and calculated integrity parameters were implemented together. The results were presented in two ways: with use of dedicated program which presents only ship contours (the one not covering GNSS uncertainty and the one covering this uncertainty called Marine Vessel Protection Area and as a layer in existing ECDIS.

  10. An Integrated Multicriteria Decision-Making Approach for Evaluating Nuclear Fuel Cycle Systems for Long-term Sustainability on the Basis of an Equilibrium Model: Technique for Order of Preference by Similarity to Ideal Solution, Preference Ranking Organization Method for Enrichment Evaluation, and Multiattribute Utility Theory Combined with Analytic Hierarchy Process

    Directory of Open Access Journals (Sweden)

    Saerom Yoon

    2017-02-01

    Full Text Available The focus on the issues surrounding spent nuclear fuel and lifetime extension of old nuclear power plants continues to grow nowadays. A transparent decision-making process to identify the best suitable nuclear fuel cycle (NFC is considered to be the key task in the current situation. Through this study, an attempt is made to develop an equilibrium model for the NFC to calculate the material flows based on 1 TWh of electricity production, and to perform integrated multicriteria decision-making method analyses via the analytic hierarchy process technique for order of preference by similarity to ideal solution, preference ranking organization method for enrichment evaluation, and multiattribute utility theory methods. This comparative study is aimed at screening and ranking the three selected NFC options against five aspects: sustainability, environmental friendliness, economics, proliferation resistance, and technical feasibility. The selected fuel cycle options include pressurized water reactor (PWR once-through cycle, PWR mixed oxide cycle, or pyroprocessing sodium-cooled fast reactor cycle. A sensitivity analysis was performed to prove the robustness of the results and explore the influence of criteria on the obtained ranking. As a result of the comparative analysis, the pyroprocessing sodium-cooled fast reactor cycle is determined to be the most competitive option among the NFC scenarios.

  11. An integrated multicriteria decision-making approach for evaluating nuclear fuel cycle systems for long-term sustainability on the basis of an equilibrium model: Technique for order of preference by similarity to ideal solution, preference ranking organization method for enrichment evaluation, and multiattribute utility theory combined with analytic hierarchy process

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Sae Rom [Dept of Quantum Energy Chemical Engineering, Korea University of Science and Technology (KUST), Daejeon (Korea, Republic of); Choi, Sung Yeol [Ulsan National Institute of Science and Technology, Ulju (Korea, Republic of); Ko, Wonil [Nonproliferation System Development Division, Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2017-02-15

    The focus on the issues surrounding spent nuclear fuel and lifetime extension of old nuclear power plants continues to grow nowadays. A transparent decision-making process to identify the best suitable nuclear fuel cycle (NFC) is considered to be the key task in the current situation. Through this study, an attempt is made to develop an equilibrium model for the NFC to calculate the material flows based on 1 TWh of electricity production, and to perform integrated multicriteria decision-making method analyses via the analytic hierarchy process technique for order of preference by similarity to ideal solution, preference ranking organization method for enrichment evaluation, and multiattribute utility theory methods. This comparative study is aimed at screening and ranking the three selected NFC options against five aspects: sustainability, environmental friendliness, economics, proliferation resistance, and technical feasibility. The selected fuel cycle options include pressurized water reactor (PWR) once-through cycle, PWR mixed oxide cycle, or pyroprocessing sodium-cooled fast reactor cycle. A sensitivity analysis was performed to prove the robustness of the results and explore the influence of criteria on the obtained ranking. As a result of the comparative analysis, the pyroprocessing sodium-cooled fast reactor cycle is determined to be the most competitive option among the NFC scenarios.

  12. Process integration to increase woody biomass utilization for energy purposes

    OpenAIRE

    Mesfun, Sennai

    2016-01-01

    Woody biomass is an abundant renewable energy resource in Sweden, and the Swedish government has been promoting research and development programs for the exploitation of this resource as a mean to meet the targets on the reduction of the carbon dioxide emissions from the industrial, energy and transportation sectors. This thesis aims at expanding the knowledge on the efficient utilization of the available woody biomass, so that a larger amount of this renewable resource can be used for energy...

  13. Integrated Optical Components Utilizing Long-Range Surface Plasmon Polaritons

    DEFF Research Database (Denmark)

    Boltasseva, Alexandra; Nikolajsen, Thomas; Leosson, Kristjan

    2005-01-01

    New optical waveguide technology for integrated optics, based on propagation of long-range surface plasmon polaritons (LR-SPPs) along metal stripes embedded in dielectric, is presented. Guiding and routing of electromagnetic radiation along nanometer-thin and micrometer-wide gold stripes embedded...

  14. Utilization of mixed pond ash in integrated steel plant for ...

    Indian Academy of Sciences (India)

    Unknown

    PIYUSH KANT PANDEY* and RAJ KUMAR AGRAWAL†. Bhilai Institute of Technology, Bhilai House, Durg 491 002, India. †Steel Authority of India Limited, Bhilai Steel Plant, Bhilai 491 006, India. MS received 18 April 2002; revised 22 July 2002. Abstract. Fly ash (FA) poses serious problems to the industries. Integrated ...

  15. Implementation & Analysis of Integrated Utility System in Developing Nation like India

    Directory of Open Access Journals (Sweden)

    Rajan Gupta

    2016-07-01

    Full Text Available Public utility systems are prevalent around the world but are struggling in developing nations like India to work efficiently. Integration of different utilities can be a possible solution on the technology front, so that more requests can be handled with lesser problems. This study provides the implementation design and benefits of an already proposed integration system by the same authors. It is found that Data Storage, Access Time, Transaction Cost, security cost and server’s busy time can become more effective if the implementation of integration system can be put in place. The working prototype is based on three utilities (Gas, Power & Water of Delhi-NCR, India.

  16. Economic evaluation of integrated care: an introduction

    Directory of Open Access Journals (Sweden)

    Hindrik Vondeling

    2004-03-01

    Full Text Available Background: Integrated care has emerged in a variety of forms in industrialised countries during the past decade. It is generally assumed that these new arrangements result in increased effectiveness and quality of care, while being cost-effective or even cost-saving at the same time. However, systematic evaluation, including an evaluation of the relative costs and benefits of these arrangements, has largely been lacking. Objectives: To stimulate fruitful dialogue and debate about the need for economic evaluation in integrated care, and to outline possibilities for undertaking economic appraisal studies in this relatively new field. Theory: Key concepts, including e.g. scarcity and opportunity costs, are introduced, followed by a brief overview of the most common methods used in economic evaluation of health care programmes. Then a number of issues that seem particularly relevant for economic evaluation of integrated care arrangements are addressed in more detail, illustrated with examples from the literature. Conclusion and discussion: There is a need for well-designed economic evaluation studies of integrated care arrangements, in particular in order to support decision making on the long-term financing of these programmes. Although relatively few studies have been done to date, the field is challenging from a methodological point of view, offering analysts a wealth of opportunities. Guidance to realise these opportunities is provided by the general principles for economic evaluation, which can be tailored to the requirements of this particular field.

  17. Evaluating the Utility of Minnesota's Teacher Performance Assessment

    Science.gov (United States)

    Wiechman, Jeffery P.

    2013-01-01

    Teacher preparation is a hot topic in the world of education today. Performance assessments mark one way that colleges may prove the readiness of their pre-service teaching candidates for a career in the classroom. This study used methods to evaluate one college's effort to implement such an assessment, to integrate assessment tasks into its…

  18. Integrated production and utility system approach for optimizing industrial unit operations

    Energy Technology Data Exchange (ETDEWEB)

    Agha, Mujtaba H.; Thery, Raphaele; Hetreux, Gilles; Le Lann, Jean Marc [Universite de Toulouse, Laboratoire de Genie Chimique (ENSIACET-INPT), 4 allee Emile Monso, BP 44362, 31432 Toulouse Cedex 4 (France); Hait, Alain [Universite de Toulouse, Institut Superieur de l' Aeronautique et de l' Espace, 10 av. E. Belin, 31055 Toulouse Cedex 4 (France)

    2010-02-15

    To meet utility demands some industrial units use onsite utility system. Traditionally, the management of such type of industrial units is carried out in three sequential steps: scheduling of the manufacturing unit by minimizing inventory, estimating the utility needs of manufacturing unit and finally operation planning of the utility system. This article demonstrates the value of an integrated approach which couples the scheduling of manufacturing unit with operational planning of the utility system. A discrete-time mixed integer linear programming (MILP) model is developed to compare traditional and integrated approaches. Results indicate that the integrated approach leads to significant reduction in energy costs and at the same time decreases the emissions of harmful gases. (author)

  19. patient perceptions of integrated care and their relationship to utilization of emergency, inpatient and outpatient services.

    Science.gov (United States)

    Fryer, Ashley-Kay; Friedberg, Mark W; Thompson, Ryan W; Singer, Sara J

    2017-12-01

    Patients with multiple chronic conditions have garnered particular attention from policymakers and health service researchers because these patients utilize more services and contribute disproportionally to rising health care expenses. The growing prevalence of patients with multiple chronic conditions has increased the importance of achieving better health care integration for this patient population. Patients may be well positioned to assess integration of their care, but the relationship between patients' perceptions of care integration and use of health services has not been studied. We sought to understand how patient-perceived integrated care relates to utilization of health services. We fielded the Patient Perceptions of Integrated Care survey among a random sample of 3000 (patients with multiple chronic conditions belonging to the Massachusetts General Hospital Physician Organization; 1503 responses were collected (50% response rate). We assessed relationships between provider performance on 11 domains of patient-reported integrated care and rates of emergency department (ED) visits, hospital admissions, and outpatient visits. Better performance on two of the surveyed dimensions of integrated care (information flow to other providers in your doctor's office and responsiveness independent of visits, pcare (information flow to your specialist, ppatient, ppatient over time, ppatient perceptions of integrated care were associated with ED and outpatient utilization but not inpatient utilization. With further development, patient reports of integration could be useful guides to improving health system efficiency. Copyright © 2017. Published by Elsevier Inc.

  20. Case-study application of venture analysis: the integrated energy utility. Volume 3. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Fein, E; Gordon, T J; King, R; Kropp, F G; Shuchman, H L; Stover, J; Hausz, W; Meyer, C

    1978-11-01

    The appendices for a case-study application of venture analysis for an integrated energy utility for commercialization are presented. The following are included and discussed: utility interviews; net social benefits - quantitative calculations; the financial analysis model; market penetration decision model; international district heating systems; political and regulatory environment; institutional impacts.

  1. Introducing an integrated intermediate care unit improves ICU utilization: a prospective intervention study

    OpenAIRE

    Solberg, Barbara CJ; Dirksen, Carmen D; Nieman, Fred HM; van Merode, Godefridus; Ramsay, Graham; Roekaerts, Paul; Poeze, Martijn

    2014-01-01

    Background Improvement of appropriate bed use and access to intensive care (ICU) beds is essential in optimizing utilization of ICU capacity. The introduction of an intermediate care unit (IMC) integrated in the ICU care may improve this utilization. Method In a before-after prospective intervention study in a university hospital mixed ICU, the impact of introducing a six-bed mixed IMC unit supervised and staffed by ICU physicians was investigated. Changes in ICU utilization (length of stay, ...

  2. Kauai Island Utility Co-op (KIUC) PV integration study.

    Energy Technology Data Exchange (ETDEWEB)

    Ellis, Abraham; Mousseau, Tom (Knoxville, TN)

    2011-08-01

    This report investigates the effects that increased distributed photovoltaic (PV) generation would have on the Kauai Island Utility Co-op (KIUC) system operating requirements. The study focused on determining reserve requirements needed to mitigate the impact of PV variability on system frequency, and the impact on operating costs. Scenarios of 5-MW, 10-MW, and 15-MW nameplate capacity of PV generation plants distributed across the Kauai Island were considered in this study. The analysis required synthesis of the PV solar resource data and modeling of the KIUC system inertia. Based on the results, some findings and conclusions could be drawn, including that the selection of units identified as marginal resources that are used for load following will change; PV penetration will displace energy generated by existing conventional units, thus reducing overall fuel consumption; PV penetration at any deployment level is not likely to reduce system peak load; and increasing PV penetration has little effect on load-following reserves. The study was performed by EnerNex under contract from Sandia National Laboratories with cooperation from KIUC.

  3. How to Evaluate Integrated Library Automation Systems.

    Science.gov (United States)

    Powell, James R.; Slach, June E.

    1985-01-01

    This paper describes methodology used in compiling a list of candidate integrated library automation systems at a corporate technical library. Priorities for automation, identification of candidate systems, the filtering process, information for suppliers, software and hardware considerations, on-site evaluations, and final system selection are…

  4. 77 FR 46069 - Proposed Guidelines for Ensuring and Maximizing the Quality, Objectivity, Utility, and Integrity...

    Science.gov (United States)

    2012-08-02

    ... Maximizing the Quality, Objectivity, Utility, and Integrity of Information Disseminated by the Bureau of..., and integrity of information disseminated by the Bureau. These guidelines also detail the... personal information, such as account numbers or social security numbers, should not be included. Comments...

  5. Design techniques for modular integrated utility systems. [energy production and conversion efficiency

    Science.gov (United States)

    Wolfer, B. M.

    1977-01-01

    Features basic to the integrated utility system, such as solid waste incineration, heat recovery and usage, and water recycling/treatment, are compared in terms of cost, fuel conservation, and efficiency to conventional utility systems in the same mean-climatic area of Washington, D. C. The larger of the two apartment complexes selected for the test showed the more favorable results in the three areas of comparison. Restrictions concerning the sole use of currently available technology are hypothetically removed to consider the introduction and possible advantages of certain advanced techniques in an integrated utility system; recommendations are made and costs are estimated for each type of system.

  6. Service-provider and utility task-leadership integration. Paper D

    Energy Technology Data Exchange (ETDEWEB)

    Bagshaw, S.; Van Tassell, D. [AP Services, Inc., Freeport, PA (United States)

    2011-07-01

    As nuclear power utilities strive to stream-line their organizations, while improving outage and refurbishment project performance, the necessity for effective relationships and interaction between utility and service-providers becomes paramount. Successful integration of Service-Provider into the Utility's environment is achievable and has been demonstrated. Early and extensive engagement in front-end planning, single-point-of-continuity, and the use of integrated execution teams, are some of the critical elements for ensuring success. The paper discusses Task-Leadership Integration at the three levels of; utility executive level 'need-statement'; a 'why is this important' discussion; and as a 'thoughtful tutorial' on its features and practice. (author)

  7. UTILIZING SAR AND MULTISPECTRAL INTEGRATED DATA FOR EMERGENCY RESPONSE

    Directory of Open Access Journals (Sweden)

    S. Havivi

    2016-06-01

    Full Text Available Satellite images are used widely in the risk cycle to understand the exposure, refine hazard maps and quickly provide an assessment after a natural or man-made disaster. Though there are different types of satellite images (e.g. optical, radar these have not been combined for risk assessments. The characteristics of different remote sensing data type may be extremely valuable for monitoring and evaluating the impacts of disaster events, to extract additional information thus making it available for emergency situations. To base this approach, two different change detection methods, for two different sensor's data were used: Coherence Change Detection (CCD for SAR data and Covariance Equalization (CE for multispectral imagery. The CCD provides an identification of the stability of an area, and shows where changes have occurred. CCD shows subtle changes with an accuracy of several millimetres to centimetres. The CE method overcomes the atmospheric effects differences between two multispectral images, taken at different times. Therefore, areas that had undergone a major change can be detected. To achieve our goals, we focused on the urban areas affected by the tsunami event in Sendai, Japan that occurred on March 11, 2011 which affected the surrounding area, coastline and inland. High resolution TerraSAR-X (TSX and Landsat 7 images, covering the research area, were acquired for the period before and after the event. All pre-processed and processed according to each sensor. Both results, of the optical and SAR algorithms, were combined by resampling the spatial resolution of the Multispectral data to the SAR resolution. This was applied by spatial linear interpolation. A score representing the damage level in both products was assigned. The results of both algorithms, high level of damage is shown in the areas closer to the sea and shoreline. Our approach, combining SAR and multispectral images, leads to more reliable information and provides a

  8. Utilizing SAR and Multispectral Integrated Data for Emergency Response

    Science.gov (United States)

    Havivi, S.; Schvartzman, I.; Maman, S.; Marinoni, A.; Gamba, P.; Rotman, S. R.; Blumberg, D. G.

    2016-06-01

    Satellite images are used widely in the risk cycle to understand the exposure, refine hazard maps and quickly provide an assessment after a natural or man-made disaster. Though there are different types of satellite images (e.g. optical, radar) these have not been combined for risk assessments. The characteristics of different remote sensing data type may be extremely valuable for monitoring and evaluating the impacts of disaster events, to extract additional information thus making it available for emergency situations. To base this approach, two different change detection methods, for two different sensor's data were used: Coherence Change Detection (CCD) for SAR data and Covariance Equalization (CE) for multispectral imagery. The CCD provides an identification of the stability of an area, and shows where changes have occurred. CCD shows subtle changes with an accuracy of several millimetres to centimetres. The CE method overcomes the atmospheric effects differences between two multispectral images, taken at different times. Therefore, areas that had undergone a major change can be detected. To achieve our goals, we focused on the urban areas affected by the tsunami event in Sendai, Japan that occurred on March 11, 2011 which affected the surrounding area, coastline and inland. High resolution TerraSAR-X (TSX) and Landsat 7 images, covering the research area, were acquired for the period before and after the event. All pre-processed and processed according to each sensor. Both results, of the optical and SAR algorithms, were combined by resampling the spatial resolution of the Multispectral data to the SAR resolution. This was applied by spatial linear interpolation. A score representing the damage level in both products was assigned. The results of both algorithms, high level of damage is shown in the areas closer to the sea and shoreline. Our approach, combining SAR and multispectral images, leads to more reliable information and provides a complete scene for

  9. Development, evaluation, and utility of a peer evaluation form for online teaching.

    Science.gov (United States)

    Gaskamp, Carol D; Kintner, Eileen

    2014-01-01

    Formative assessment of teaching by peers is an important component of quality improvement for educators. Teaching portfolios submitted for promotion and tenure are expected to include peer evaluations. Faculty resources designed for peer evaluation of classroom teaching are often inadequate for evaluating online teaching. The authors describe development, evaluation, and utility of a new peer evaluation form for formative assessment of online teaching deemed relevant, sound, feasible, and beneficial.

  10. CTBT integrated verification system evaluation model supplement

    Energy Technology Data Exchange (ETDEWEB)

    EDENBURN,MICHAEL W.; BUNTING,MARCUS; PAYNE JR.,ARTHUR C.; TROST,LAWRENCE C.

    2000-03-02

    Sandia National Laboratories has developed a computer based model called IVSEM (Integrated Verification System Evaluation Model) to estimate the performance of a nuclear detonation monitoring system. The IVSEM project was initiated in June 1994, by Sandia's Monitoring Systems and Technology Center and has been funded by the U.S. Department of Energy's Office of Nonproliferation and National Security (DOE/NN). IVSEM is a simple, ''top-level,'' modeling tool which estimates the performance of a Comprehensive Nuclear Test Ban Treaty (CTBT) monitoring system and can help explore the impact of various sensor system concepts and technology advancements on CTBT monitoring. One of IVSEM's unique features is that it integrates results from the various CTBT sensor technologies (seismic, in sound, radionuclide, and hydroacoustic) and allows the user to investigate synergy among the technologies. Specifically, IVSEM estimates the detection effectiveness (probability of detection), location accuracy, and identification capability of the integrated system and of each technology subsystem individually. The model attempts to accurately estimate the monitoring system's performance at medium interfaces (air-land, air-water) and for some evasive testing methods such as seismic decoupling. The original IVSEM report, CTBT Integrated Verification System Evaluation Model, SAND97-25 18, described version 1.2 of IVSEM. This report describes the changes made to IVSEM version 1.2 and the addition of identification capability estimates that have been incorporated into IVSEM version 2.0.

  11. Evaluating Pain Education Programs: An Integrated Approach

    Directory of Open Access Journals (Sweden)

    Adam Dubrowski

    2011-01-01

    Full Text Available Evaluation of educational programs and assessment of learning are essential to maintain high-standard health science education, which includes pain education. Current models of program evaluations applied to the education of the health professions, such as the Kirkpatrick model, are mainly outcome based. More recently, efforts have been made to examine other process-based models such as the Context Input Process Product model. The present article proposes an approach that integrates both outcome- and process-based models with models of clinical performance assessment to provide a deeper understanding of a program function. Because assessment instruments are a critical part of program evaluation, it is suggested that standardization and rigour should be used in their selection, development and adaptation. The present article suggests an alternative to currently used models in pain education evaluation.

  12. Handbook of evaluation of utility DSM programs. [Demand-Side Management (DSM)

    Energy Technology Data Exchange (ETDEWEB)

    Hirst, E.; Reed, J. (eds.); Bronfman, B.; Fitzpatrick, G.; Hicks, E.; Hirst, E.; Hoffman, M.; Keating, K.; Michaels, H.; Nadel, S.; Peters, J.; Reed, J.; Saxonis, W.; Schoen, A.; Violette, D.

    1991-12-01

    Program evaluation has become a central issue in the world of utility integrated resource planning. The DSM programs that utilities were operating to meet federal requirements or to improve customer relations are now becoming big business. DSM is being considered an important resource in a utility's portfolio of options. In the last five years, the amount of money that utilities have invested in DSM has grown exponentially in most regulatory jurisdictions. Market analysts are now talking about DSM being a $30 billion industry by the end of the decade. If the large volume of DSM-program investments was not enough to highlight the importance of evaluation, then the introduction of regulatory incentives has really focused the spotlight. This handbook was developed through a process that involved many of those people who represent the diverse constituencies of DSM-program evaluation. We have come to recognize the many technical disciplines that must be employed to evaluate DSM programs. An analysis might start out based on the principles of utility load research to find out what happened, but a combination of engineering and statistical methods must be used to triangulate'' an estimate of what would have happened without the program. The difference, of course, is that elusive but prized result of evaluation: what happened as the direct result of the DSM program. Technical performance of DSM measures is not the sole determinant of the answer, either. We also recognize the importance of such behavioral attributes of DSM as persistence and free ridership. Finally, DSM evaluation is meaningless without attention to planning an approach, communicating results to relevant decision-makers, and focusing as much on the process as the impacts of the program. These topics are all covered in this handbook.

  13. Development of a Deterministic Optimization Model for Design of an Integrated Utility and Hydrogen Supply Network

    Energy Technology Data Exchange (ETDEWEB)

    Hwangbo, Soonho; Lee, In-Beum [POSTECH, Pohang (Korea, Republic of); Han, Jeehoon [University of Wisconsin-Madison, Madison (United States)

    2014-10-15

    Lots of networks are constructed in a large scale industrial complex. Each network meet their demands through production or transportation of materials which are needed to companies in a network. Network directly produces materials for satisfying demands in a company or purchase form outside due to demand uncertainty, financial factor, and so on. Especially utility network and hydrogen network are typical and major networks in a large scale industrial complex. Many studies have been done mainly with focusing on minimizing the total cost or optimizing the network structure. But, few research tries to make an integrated network model by connecting utility network and hydrogen network. In this study, deterministic mixed integer linear programming model is developed for integrating utility network and hydrogen network. Steam Methane Reforming process is necessary for combining two networks. After producing hydrogen from Steam-Methane Reforming process whose raw material is steam vents from utility network, produced hydrogen go into hydrogen network and fulfill own needs. Proposed model can suggest optimized case in integrated network model, optimized blueprint, and calculate optimal total cost. The capability of the proposed model is tested by applying it to Yeosu industrial complex in Korea. Yeosu industrial complex has the one of the biggest petrochemical complex and various papers are based in data of Yeosu industrial complex. From a case study, the integrated network model suggests more optimal conclusions compared with previous results obtained by individually researching utility network and hydrogen network.

  14. Definition, design, utilization. Some problems associated with Integrated Science curricula with special reference to the Project for Science Integration in Ghana

    Science.gov (United States)

    Lutterodt, S. A.

    1981-09-01

    The rapid spread of Integrated Science Courses throughout the world should not conceal the difficulties facing teachers in utilizing Integrated Science curricula. These problems derive from lack of precision in definition and give rise to basic tensions between scientific and educational principles in course design. Learning by discovery approaches, applied to the pupil's level of intellectual development, have to bridge the gap between knowledge from everyday experience and an articulated appreciation of the unity of science. The contrasting environments which condition everyday experience complicate the resolution of these problems. Three kinds of `dilemma' in teachers' utilizing of Integrated Science curricula are identified from the evaluation of `Project for Science Integration' in Ghana: (1) how far experience can be incorporated before beginning to sacrifice conceptual unity; (2) how pupils' understanding of the theoretical implications of practical activities can be achieved; and (3) how the varying results of individual pupils' experience can be adapted to the successful teaching of prescribed objectives. These dilemmas exemplify the need for a realistic assessment of the experience of Integrated Science teaching over the last decade, leading to more conceptual precision, a greater awareness of curricular possibilities, and more enlightened decision-making.

  15. Structural Integrity Evaluation of HANARO Fuel Basket

    Energy Technology Data Exchange (ETDEWEB)

    Ryu, Jeong Soo; Kim, Seong Ho; Yoon, Doo Byung

    2005-12-15

    The objective of this report is to perform the seismic analysis and the structural integrity evaluation of HANARO fuel basket and its supporting box beam in water. For these purpose, the in-air and submerged ANSYS finite element models of the HANARO fuel basket and the box beam were developed and the dynamic characteristics were analyzed. The seismic response spectrum analyses of HANARO fuel basket and box beam structure under the design floor response spectrum loads of OBE and SSE were performed. The analysis results show that the stress values of the HANARO fuel basket and the box beam for the seismic loads are within the ASME Code limits. It is also confirmed that the fatigue usage factor is much less than 1.0. Therefore any damage on structural integrity is not expected when the HANARO fuel basket is installed in the upper part of the box beam structure in water.

  16. Cochlear implants: system design, integration, and evaluation.

    Science.gov (United States)

    Zeng, Fan-Gang; Rebscher, Stephen; Harrison, William; Sun, Xiaoan; Feng, Haihong

    2008-01-01

    As the most successful neural prosthesis, cochlear implants have provided partial hearing to more than 120000 persons worldwide; half of which being pediatric users who are able to develop nearly normal language. Biomedical engineers have played a central role in the design, integration and evaluation of the cochlear implant system, but the overall success is a result of collaborative work with physiologists, psychologists, physicians, educators, and entrepreneurs. This review presents broad yet in-depth academic and industrial perspectives on the underlying research and ongoing development of cochlear implants. The introduction accounts for major events and advances in cochlear implants, including dynamic interplays among engineers, scientists, physicians, and policy makers. The review takes a system approach to address critical issues in cochlear implant research and development. First, the cochlear implant system design and specifications are laid out. Second, the design goals, principles, and methods of the subsystem components are identified from the external speech processor and radio frequency transmission link to the internal receiver, stimulator and electrode arrays. Third, system integration and functional evaluation are presented with respect to safety, reliability, and challenges facing the present and future cochlear implant designers and users. Finally, issues beyond cochlear implants are discussed to address treatment options for the entire spectrum of hearing impairment as well as to use the cochlear implant as a model to design and evaluate other similar neural prostheses such as vestibular and retinal implants.

  17. Emergy Evaluation of a Production and Utilization Process of Irrigation Water in China

    Directory of Open Access Journals (Sweden)

    Dan Chen

    2013-01-01

    Full Text Available Sustainability evaluation of the process of water abstraction, distribution, and use for irrigation can contribute to the policy of decision making in irrigation development. Emergy theory and method are used to evaluate a pumping irrigation district in China. A corresponding framework for its emergy evaluation is proposed. Its emergy evaluation shows that water is the major component of inputs into the irrigation water production and utilization systems (24.7% and 47.9% of the total inputs, resp. and that the transformities of irrigation water and rice as the systems’ products (1.72E+05 sej/J and 1.42E+05 sej/J, resp.; sej/J = solar emjoules per joule represent their different emergy efficiencies. The irrigated agriculture production subsystem has a higher sustainability than the irrigation water production subsystem and the integrated production system, according to several emergy indices: renewability ratio (%R, emergy yield ratio (EYR, emergy investment ratio (EIR, environmental load ratio (ELR, and environmental sustainability index (ESI. The results show that the performance of this irrigation district could be further improved by increasing the utilization efficiencies of the main inputs in both the production and utilization process of irrigation water.

  18. Emergy evaluation of a production and utilization process of irrigation water in China.

    Science.gov (United States)

    Chen, Dan; Luo, Zhao-Hui; Chen, Jing; Kong, Jun; She, Dong-Li

    2013-01-01

    Sustainability evaluation of the process of water abstraction, distribution, and use for irrigation can contribute to the policy of decision making in irrigation development. Emergy theory and method are used to evaluate a pumping irrigation district in China. A corresponding framework for its emergy evaluation is proposed. Its emergy evaluation shows that water is the major component of inputs into the irrigation water production and utilization systems (24.7% and 47.9% of the total inputs, resp.) and that the transformities of irrigation water and rice as the systems' products (1.72E + 05 sej/J and 1.42E + 05 sej/J, resp.; sej/J = solar emjoules per joule) represent their different emergy efficiencies. The irrigated agriculture production subsystem has a higher sustainability than the irrigation water production subsystem and the integrated production system, according to several emergy indices: renewability ratio (%R), emergy yield ratio (EYR), emergy investment ratio (EIR), environmental load ratio (ELR), and environmental sustainability index (ESI). The results show that the performance of this irrigation district could be further improved by increasing the utilization efficiencies of the main inputs in both the production and utilization process of irrigation water.

  19. CTBT Integrated Verification System Evaluation Model

    Energy Technology Data Exchange (ETDEWEB)

    Edenburn, M.W.; Bunting, M.L.; Payne, A.C. Jr.

    1997-10-01

    Sandia National Laboratories has developed a computer based model called IVSEM (Integrated Verification System Evaluation Model) to estimate the performance of a nuclear detonation monitoring system. The IVSEM project was initiated in June 1994, by Sandia`s Monitoring Systems and Technology Center and has been funded by the US Department of Energy`s Office of Nonproliferation and National Security (DOE/NN). IVSEM is a simple, top-level, modeling tool which estimates the performance of a Comprehensive Nuclear Test Ban Treaty (CTBT) monitoring system and can help explore the impact of various sensor system concepts and technology advancements on CTBT monitoring. One of IVSEM`s unique features is that it integrates results from the various CTBT sensor technologies (seismic, infrasound, radionuclide, and hydroacoustic) and allows the user to investigate synergy among the technologies. Specifically, IVSEM estimates the detection effectiveness (probability of detection) and location accuracy of the integrated system and of each technology subsystem individually. The model attempts to accurately estimate the monitoring system`s performance at medium interfaces (air-land, air-water) and for some evasive testing methods such as seismic decoupling. This report describes version 1.2 of IVSEM.

  20. Potentials of an integrated biomass utilization system: Estimation of carbon flow and energy consumption

    Science.gov (United States)

    Suzuki, Ryosuke; Nishimura, Motoki; Yuan, Lee Chang; Kamahara, Hirotsugu; Atsuta, Yoichi; Daimon, Hiroyuki

    2017-10-01

    Utilization of sewage sludge using anaerobic digestion has been promoted for decades. However, it is still relatively uncommon especially in Japan. As an approach to promote the utilization of sewage sludge using anaerobic digestion, an integrated system that combines anaerobic digestion with greenhouse, composting and seaweed cultivation was proposed. Based on the concept of the integrated system, not only sewage sludge can be treated using anaerobic digestion that creates green energy, but also the by-products such as CO2 and heat produced during the process can be utilized for crops production. In this study, the potentials of such integrated system were discussed through the estimation of possible commercialized scale as well as comparison of energy consumption with conventional approach for sewage sludge treatment, which is the incineration. The estimation of possible commercialized scale was calculated based on the carbon flow of the system. Results showed that 25% of the current total electricity of the wastewater treatment plant can be covered by the energy produced using anaerobic digestion of sewage sludge. It was estimated that the total energy consumption of the integrated system was actually 14% lower when compared to incineration approach. In addition to the large amount of crops that can be produced, all in all this study aimed to be the showcase of the potentials of sewage sludge as a biomass by implementing the proposed integrated system. The extra values of producing crops through the utilization of CO2 and heat can serve as a stimulus to the public, which would surely lead to higher interest to implement the utilization of sewage sludge using anaerobic digestion.

  1. Individual class evaluation and effective teaching characteristics in integrated curricula.

    Science.gov (United States)

    Hwang, Jung Eun; Kim, Na Jin; Song, Meiying; Cui, Yinji; Kim, Eun Ju; Park, In Ae; Lee, Hye In; Gong, Hye Jin; Kim, Su Young

    2017-12-12

    In an integrated curriculum, multiple instructors take part in a course in the form of team teaching. Accordingly, medical schools strive to manage each course run by numerous instructors. As part of the curriculum management, course evaluation is conducted, but a single, retrospective course evaluation does not comprehensively capture student perception of classes by different instructors. This study aimed to demonstrate the need for individual class evaluation, and further to identify teaching characteristics that instructors need to keep in mind when preparing classes. From 2014 to 2015, students at one medical school left comments on evaluation forms after each class. Courses were also assessed after each course. Their comments were categorized by connotation (positive or negative) and by subject. Within each subject category, test scores were compared between positively and negatively mentioned classes. The Mann-Whitney U test was performed to test group differences in scores. The same method was applied to the course evaluation data. Test results for course evaluation showed group difference only in the practice/participation category. However, test results for individual class evaluation showed group differences in six categories: difficulty, main points, attitude, media/contents, interest, and materials. That is, the test scores of classes positively mentioned in six domains were significantly higher than those of negatively mentioned classes. It was proved that individual class evaluation is needed to manage multi-instructor courses in integrated curricula of medical schools. Based on the students' extensive feedback, we identified teaching characteristics statistically related to academic achievement. School authorities can utilize these findings to encourage instructors to develop effective teaching characteristics in class preparation.

  2. A New Building-Integrated Wind Turbine System Utilizing the Building

    Directory of Open Access Journals (Sweden)

    Jeongsu Park

    2015-10-01

    Full Text Available This paper proposes an innovative building-integrated wind turbine (BIWT system by directly utilizing the building skin, which is an unused and unavailable area in all conventional BIWT systems. The proposed system has been developed by combining a guide vane that is able to effectively collect the incoming wind and increase its speed and a rotor with an appropriate shape for specific conditions. To this end, several important design issues for the guide vane as well as the rotor were thoroughly investigated and accordingly addressed in this paper. A series of computational fluid dynamics (CFD analyses was performed to determine the optimal configuration of the proposed system. Finally, it is demonstrated from performance evaluation tests that the prototype with the specially designed guide vane and rotor for the proposed BIWT system accelerates the wind speed to a sufficient level and consequently increases the power coefficient significantly. Thus, it was confirmed that the proposed system is a promising environment-friendly energy production system for urban areas.

  3. Utilization of radiation protection gear for absorbed dose reduction: an integrative literature review

    Energy Technology Data Exchange (ETDEWEB)

    Soares, Flavio Augusto Penna; Flor, Rita de Cassia [Instituto Federal de Santa Catarina (IFSC), Florianopolis, SC (Brazil); Pereira, Aline Garcia, E-mail: aalinegp@gmail.co [Sinan Project - Sistema de Informacao de Agravos de Notificacao, Florianopolis, SC (Brazil)

    2011-03-15

    Objective: The present study was aimed at evaluating the relation between the use of radiation protection gear and the decrease in absorbed dose of ionizing radiation, thereby reinforcing the efficacy of its use by both the patients and occupationally exposed personnel. Materials and Methods: The integrative literature review method was utilized to analyze 21 articles, 2 books, 1 thesis, 1 monograph, 1 computer program, 4 pieces of database research (Instituto Brasileiro de Geografia e Estatistica and Departamento de Informatica do Sistema Unico de Saude) and 2 sets of radiological protection guidelines. Results: Theoretically, a reduction of 86% to 99% in the absorbed dose is observed with the use of radiation protection gear. In practice, however, the reduction may achieve 88% in patients submitted to conventional radiology, and 95% in patients submitted to computed tomography. In occupationally exposed individuals, the reduction is around 90% during cardiac catheterization, and 75% during orthopedic surgery. Conclusion: According to findings of several previous pieces of research, the use of radiation protection gear is a low-cost and effective way to reduce absorbed dose both for patients and occupationally exposed individuals. Thus, its use is necessary for the implementation of effective radioprotection programs in radiodiagnosis centers. (author)

  4. The integration of renewable energy sources into electric power distribution systems. Volume 2, Utility case assessments

    Energy Technology Data Exchange (ETDEWEB)

    Zaininger, H.W.; Ellis, P.R.; Schaefer, J.C. [Zaininger Engineering Co., San Jose, CA (United States)

    1994-06-01

    Electric utility distribution system impacts associated with the integration of renewable energy sources such as photovoltaics (PV) and wind turbines (WT) are considered in this project. The impacts are expected to vary from site to site according to the following characteristics: (1) The local solar insolation and/or wind characteristics; (2) renewable energy source penetration level; (3) whether battery or other energy storage systems are applied; and (4) local utility distribution design standards and planning practices. Small, distributed renewable energy sources are connected to the utility distribution system like other, similar kW- and MW-scale equipment and loads. Residential applications are expected to be connected to single-phase 120/240-V secondaries. Larger kw-scale applications may be connected to three-phase secondaries, and larger hundred-kW and MW-scale applications, such as MW-scale windfarms or PV plants, may be connected to electric utility primary systems via customer-owned primary and secondary collection systems. Small, distributed renewable energy sources installed on utility distribution systems will also produce nonsite-specific utility generation system benefits such as energy and capacity displacement benefits, in addition to the local site-specific distribution system benefits. Although generation system benefits are not site-specific, they are utility-specific, and they vary significantly among utilities in different regions. In addition, transmission system benefits, environmental benefits and other benefits may apply. These benefits also vary significantly among utilities and regions. Seven utility case studies considering PV, WT, and battery storage were conducted to identify a range of potential renewable energy source distribution system applications.

  5. Utilization Evaluation of Antimicrobial Agents in Neutropenic Cancer Patients in a Teaching hospital: Urgent of Drug Utilization Evaluation Studies

    Directory of Open Access Journals (Sweden)

    Hadi Hamishehkar

    2015-10-01

    Full Text Available Background: More than 80% of patients with hematologic malignancies will develop fever during more than one chemotherapy cycle combined with neutropenia. We aim to evaluate empiric antibiotic strategies in Febrile Neutropenic (FN cancer patients.Methods: This is a concurrent study performed in the “Shahid Ghazi” teaching hospital, hematology-oncology center of Tabriz, Iran during the period of December 2011 to September2012. During this period, patients with FN were evaluated in view of antibiotics utilization based on Infectious Disease Society of America (IDSA and National Comprehensive Cancer Network (NCCN instructions.Results: Seventy patients had a total of 91 episodes of FN in the duration of this study. Among them 63 (90% patients were the cases of acute leukemia. For 88 (96.7 % patients, imipenem was used as the initial empirical antibiotic regimen. It was changed to piperacillin/tazobactam in 8 (8.8% of them without indication. Cultures didn’t obtain before the initiation of empirical therapy in 19 (20.9% episodes. Empiric vancomycin didn’t discontinue after 3 days even if it was not warranted in 23 episodes. In 16 cases vancomycin was switched to teicoplanin. The fluconazole dosages generally given to patients were all suboptimal. Adjusting the dosages of vancomycin or imipenem was not done correctly in 13 (14.29% episodes.Conclusion: The results of this study showed that choosing antimicrobial agents and their dosing for prophylaxis and treatment of FN patients and discharge antimicrobial planning of FN patients do not follow the evaluated guidelines. Drug Usage Evaluation studies need to be done regularly in such a center.

  6. The Integration of Renewable Energy Sources into Electric Power Distribution Systems, Vol. II Utility Case Assessments

    Energy Technology Data Exchange (ETDEWEB)

    Zaininger, H.W.

    1994-01-01

    Electric utility distribution system impacts associated with the integration of renewable energy sources such as photovoltaics (PV) and wind turbines (WT) are considered in this project. The impacts are expected to vary from site to site according to the following characteristics: the local solar insolation and/or wind characteristics, renewable energy source penetration level, whether battery or other energy storage systems are applied, and local utility distribution design standards and planning practices. Small, distributed renewable energy sources are connected to the utility distribution system like other, similar kW- and MW-scale equipment and loads. Residential applications are expected to be connected to single-phase 120/240-V secondaries. Larger kW-scale applications may be connected to three+phase secondaries, and larger hundred-kW and y-scale applications, such as MW-scale windfarms, or PV plants, may be connected to electric utility primary systems via customer-owned primary and secondary collection systems. In any case, the installation of small, distributed renewable energy sources is expected to have a significant impact on local utility distribution primary and secondary system economics. Small, distributed renewable energy sources installed on utility distribution systems will also produce nonsite-specific utility generation system benefits such as energy and capacity displacement benefits, in addition to the local site-specific distribution system benefits. Although generation system benefits are not site-specific, they are utility-specific, and they vary significantly among utilities in different regions. In addition, transmission system benefits, environmental benefits and other benefits may apply. These benefits also vary significantly among utilities and regions. Seven utility case studies considering PV, WT, and battery storage were conducted to identify a range of potential renewable energy source distribution system applications. The

  7. Meleis' Nursing Theories Evaluation: integrative review.

    Science.gov (United States)

    Ramalho Neto, José Melquiades; Marques, Daniela Karina Antão; Fernandes, Maria das Graças Melo; da Nóbrega, Maria Miriam Lima

    2016-01-01

    to analyze the application of the theory evaluation model proposed by Meleis in Brazilian studies. integrative review of online articles published from 2002 to 2012 in the databases LILACS and BDENF. the 16 selected studies confirmed the use of only three of the five stages proposed for Meleis' theories analysis: Description of the Theory, Criticism of the Theory and Analysis of the Theory, with a predominance of a single unit of analysis in each. the analysis of nursing theories provides support to nurses in the practice, research, education and administration of the different dimensions of care. Meleis' model figures as very important by contributing to the development of knowledge of nursing discipline, considering that its use as a method allows several reflections on theories in order that they be revalidated to support a more theoretical and practical applicability.

  8. Prospective evaluation of the clinical utility of laryngeal electromyography.

    Science.gov (United States)

    Ingle, John W; Young, VyVy N; Smith, Libby J; Munin, Micheal C; Rosen, Clark A

    2014-12-01

    To prospectively evaluate the clinical utility of laryngeal electromyography (LEMG) STUDY DESIGN: Prospective observational study. The study involved 50 consecutive patients referred for LEMG. Laryngologists initially indicated diagnoses and treatment plans under the assumption of no access to LEMG. Patients then underwent LEMG by blinded examiners. LEMG results were reviewed by each patient's laryngologist. Diagnoses and treatment plans were either maintained or altered based on the LEMG results. The diagnosis changed 10% (5/50) of the time and treatment plans were altered 36% (18/50) of the time based on information provided by LEMG. Observational periods were eliminated in 13/50 patients based on LEMG, moving them to permanent treatment. LEMG allowed the differentiation between joint fixation and bilateral paralysis in three patients. Previously unrecognized superior laryngeal neuropathies were identified in three patients. Laryngeal electromyography often provides clinically useful information that typically leads to a more accurate diagnosis and a more appropriate, expedited treatment plan. 2b. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

  9. An electronic record system in nursing education: evaluation and utilization.

    Directory of Open Access Journals (Sweden)

    Víctor Manuel González-Chordá

    2014-09-01

    Full Text Available The main objective of the present work is to analyze the results of the utilization and evaluation of the LORETO Record System (LRS, providing improvement areas in the teaching-learning process and technology, in second year nursing students. A descriptive, prospective, cross sectional study using inferential statics has been carried out on all electronic records reported by 55 nursing students during clinical internships (April 1º-June 26º, 2013. Electronic record average rated 7.22 points (s=0.6; CV=0.083, with differences based on the clinical practice units (p<0,05. Three items assessed did not exceed the quality threshold set at 0.7 (p<0.05. Record Rate exceeds the quality threshold set at 80% for the overall sample, with differences based on the practice units.  Only two clinical practice units rated above the minimum threshold (p <0.05. Record of care provision every 3 days did not reach the estimated quality threshold (p <0.05. There is a dichotomy between qualitative and quantitative results of LRS. Improvement areas in theoretical education have been identified. The LRS seems an appropriate learning and assessment tool, although the development of a new APP version and the application of principles of gamification should be explored.

  10. Clinical utility of imaging for evaluation of hepatocellular carcinoma

    Directory of Open Access Journals (Sweden)

    Murakami T

    2014-07-01

    Full Text Available Takamichi Murakami,1 Masakatsu Tsurusaki,1 Tomoko Hyodo,1 Yasuharu Imai2 1Department of Radiology, Kinki University Faculty of Medicine, 2Department of Hepatology and Gastroenterology, Ikeda Municipal Hospital, Osaka, Japan Abstract: The hemodynamics of a hepatocellular nodule is the most important imaging parameter used to characterize various hepatocellular nodules in liver cirrhosis, because sequential changes occur in the feeding vessels and hemodynamic status during hepatocarcinogenesis. Therefore, the imaging criteria for hepatocellular carcinoma (HCC are also usually based on vascular findings, eg, early arterial uptake followed by washout in the portal venous and equilibrium phases. Contrast-enhanced ultrasonography, dynamic multidetector-row computed tomography (MDCT, and dynamic magnetic resonance (MR imaging with gadopentetate dimeglumine (Gd-DTPA are useful for detecting hypervascular HCC on the basis of vascular criteria but are not as useful for hypovascular HCC. Contrast-enhanced MR imaging with gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid (Gd-EOB-DTPA, a hepatocyte-specific MR contrast agent, is superior to dynamic MDCT and dynamic MR imaging with Gd-DTPA in detecting both hypervascular and hypovascular HCC. Moreover, Gd-EOB-DTPA-enhanced MR imaging can display each histologically differentiated HCC as hypointense relative to the liver parenchyma. 18F-fluorodeoxyglucose positron emission tomography imaging might not be suitable for the screening and detection of HCC, given its lower diagnostic performance. However, this technique plays an important role in determining whether HCC has spread beyond the liver. Keywords: hepatocellular carcinoma, evaluation, imaging, clinical utility

  11. Evaluation of alternative institutional arrangements in public utilities

    Directory of Open Access Journals (Sweden)

    Ermishina Anna, V.

    2015-06-01

    Full Text Available Since early 2000s a policy of attracting private operators to public utilities, which should help to increase productivity, reduce costs, and as a result, reduce utility prices takes place in Russia. The aim of the study is to identify the relationship between institutional arrangements and pricing for water and wastewater services. Applying statistical and cluster analysis to empirical data on water utilities in 13 largest cities has revealed the differences in the level and dynamics of prices for water and wastewater services in the group of public utilities and public private water utilities. In 2011-2014 the level and growth price rates in the group of public private partnerships were higher than in group of municipal water utilities. Thus, the involvement of private operators has not yet lead to the expected reduction in prices.

  12. Integration of Digital Dentistry into a Predoctoral Implant Program: Program Description, Rationale, and Utilization Trends.

    Science.gov (United States)

    Afshari, Fatemeh S; Sukotjo, Cortino; Alfaro, Maria F; McCombs, Jeri; Campbell, Stephen D; Knoernschild, Kent L; Yuan, Judy Chia-Chun

    2017-08-01

    A recently revised predoctoral implant curriculum at the University of Illinois at Chicago College of Dentistry integrated digital dentistry into both the preclinical dental implant course and clinical activities. Traditionally, competence in the didactic and clinical parts of predoctoral education in single tooth implant restorations has emphasized the analog impression technique and subsequent mounting of soft tissue working casts. However, computer-aided design/computer-aided manufacturing (CAD/CAM) implant restorations can play a significant role in predoctoral dental education utilizing digital technologies. The goal of the curriculum expansion is to transition from analog to partially digital and, finally, complete digital workflow. The aim of this article is to describe the specific components, implementation, and rationale for the new digitally integrated implant curriculum and present short-term clinical utilization trends.

  13. A good integrated resource plan: Guidelines for electric utilities and regulators

    Energy Technology Data Exchange (ETDEWEB)

    Hirst, E.

    1992-12-01

    Integrated resource planning helps utilities and state regulatory commissions consistently assess a broad range of demand and supply resources to meet customer energy-service needs cost-effectively. Key characteristics of this planning approach include: explicit consideration and fair treatment of a wide variety of demand and supply options, consideration of the environmental and other social costs of providing energy services, public participation in the development of the resource plan, and analysis of the uncertainties associated with different external factors and resource options. Integrated resource planning differs from traditional planning in the types and scope of resources considered, the owners of the resources, the organizations involved in resource planning, and the criteria for resource selection. This report presents suggestions to utilities on how to conduct such planning and what to include in their resource-planning reports. These suggestions are based on a review of about 50 resource plans as well as discussions with and presentations to regulators and utilities. The suggestions cover four broad topics; the technical competence with which the plan was developed; the adequacy, detail, and consistency (with the long-term plan) of the short-term action plan; the extent to which the interests of various stakeholders was considered, both in public participation in plan development and in the variety of resource plans developedand assessed; and the clarity and comprehensiveness of the utility`s report on its plan. Technical competence includes energy and demand forecasts, assessment of supply and demand resources, resource integration, and treatment of uncertainty. Issues associated with forecasts include forecasting approaches; links between the forecasts of energy use and peak demands; and links between the forecasts and the effects of past, present, and future demand-side management programs.

  14. Transitional Home Care program utilizing the Integrated Practice Unit concept (THC-IPU: Effectiveness in improving acute hospital utilization

    Directory of Open Access Journals (Sweden)

    Lian Leng Low

    2017-08-01

    Full Text Available Background: Organizing care into integrated practice units (IPUs around conditions and patient segments has been proposed to increase value. We organized transitional care into an IPU (THC-IPU for a patient segment of functionally dependent patients with limited community ambulation. Methods: 1,166 eligible patients were approached for enrolment into THC-IPU. THC-IPU patients received a comprehensive assessment within two weeks of discharge; medication reconciliation; education using standardized action plans and a dedicated nurse case manager for up to 90 days after discharge. Patients who rejected enrolment into THC-IPU received usual post-discharge care planned by their attending hospital physician, and formed the control group. The primary outcome was the proportion of patients with at least one unscheduled readmission within 30 days after discharge. Results: We found a statistically significant reduction in 30-day readmissions and emergency department visits in patients on THC-IPU care compared to usual care, even after adjusting for confounders. Conclusion: Delivering transitional care to patients with functional dependence in the form of home visits and organized into an IPU reduced acute hospital utilization in this patient segment. Extending the program into the pre-hospital discharge phase to include discharge planning can have incremental effectiveness in reducing avoidable hospital readmissions.

  15. Transitional Home Care Program Utilizing the Integrated Practice Unit Concept (THC-IPU): Effectiveness in Improving Acute Hospital Utilization.

    Science.gov (United States)

    Low, Lian Leng; Tay, Wei Yi; Tan, Shu Yun; Chia, Elian Hui San; Towle, Rachel Marie; Lee, Kheng Hock

    2017-08-14

    Organizing care into integrated practice units (IPUs) around conditions and patient segments has been proposed to increase value. We organized transitional care into an IPU (THC-IPU) for a patient segment of functionally dependent patients with limited community ambulation. 1,166 eligible patients were approached for enrolment into THC-IPU. THC-IPU patients received a comprehensive assessment within two weeks of discharge; medication reconciliation; education using standardized action plans and a dedicated nurse case manager for up to 90 days after discharge. Patients who rejected enrolment into THC-IPU received usual post-discharge care planned by their attending hospital physician, and formed the control group. The primary outcome was the proportion of patients with at least one unscheduled readmission within 30 days after discharge. We found a statistically significant reduction in 30-day readmissions and emergency department visits in patients on THC-IPU care compared to usual care, even after adjusting for confounders. Delivering transitional care to patients with functional dependence in the form of home visits and organized into an IPU reduced acute hospital utilization in this patient segment. Extending the program into the pre-hospital discharge phase to include discharge planning can have incremental effectiveness in reducing avoidable hospital readmissions.

  16. Microscope-Integrated OCT Feasibility and Utility With the EnFocus System in the DISCOVER Study.

    Science.gov (United States)

    Runkle, Anne; Srivastava, Sunil K; Ehlers, Justis P

    2017-03-01

    To evaluate the feasibility and utility of a novel microscope-integrated intraoperative optical coherence tomography (OCT) system. The DISCOVER study is an investigational device study evaluating microscope-integrated intraoperative OCT systems for ophthalmic surgery. This report focuses on subjects imaged with the EnFocus prototype system (Leica Microsystems/Bioptigen, Morrisville, NC). OCT was performed at surgeon-directed milestones. Surgeons completed a questionnaire after each case to evaluate the impact of OCT on intraoperative management. Fifty eyes underwent imaging with the EnFocus system. Successful imaging was obtained in 46 of 50 eyes (92%). In eight cases (16%), surgical management was changed based on intraoperative OCT findings. In membrane peeling procedures, intraoperative OCT findings were discordant from the surgeon's initial impression in seven of 20 cases (35%). This study demonstrates the feasibility of microscope-integrated intraoperative OCT using the Bioptigen EnFocus system. Intraoperative OCT may provide surgeons with additional information that may influence surgical decision-making. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:216-222.]. Copyright 2017, SLACK Incorporated.

  17. A Design Taxonomy Utilizing Ten Major Evaluation Strategies.

    Science.gov (United States)

    Willis, Barry

    This paper discusses ten evaluation strategies selected on the basis of their general acceptance and their relatively unique approach to the field: (1) State, "Countenance of Evaluation"; (2) Stufflebeam, "Decision Centered Evaluation (CIPP)"; (3) Provus, "Discrepancy Evaluation"; (4) Scriven, "Goal Free Evaluation"; (5) Scriven, "Formative and…

  18. A good integrated resource plan: Guidelines for electric utilities and regulators

    Energy Technology Data Exchange (ETDEWEB)

    Hirst, E.

    1992-12-01

    Integrated resource planning helps utilities and state regulatory commissions consistently assess a broad range of demand and supply resources to meet customer energy-service needs cost-effectively. Key characteristics of this planning approach include: explicit consideration and fair treatment of a wide variety of demand and supply options, consideration of the environmental and other social costs of providing energy services, public participation in the development of the resource plan, and analysis of the uncertainties associated with different external factors and resource options. Integrated resource planning differs from traditional planning in the types and scope of resources considered, the owners of the resources, the organizations involved in resource planning, and the criteria for resource selection. This report presents suggestions to utilities on how to conduct such planning and what to include in their resource-planning reports. These suggestions are based on a review of about 50 resource plans as well as discussions with and presentations to regulators and utilities. The suggestions cover four broad topics; the technical competence with which the plan was developed; the adequacy, detail, and consistency (with the long-term plan) of the short-term action plan; the extent to which the interests of various stakeholders was considered, both in public participation in plan development and in the variety of resource plans developedand assessed; and the clarity and comprehensiveness of the utility's report on its plan. Technical competence includes energy and demand forecasts, assessment of supply and demand resources, resource integration, and treatment of uncertainty. Issues associated with forecasts include forecasting approaches; links between the forecasts of energy use and peak demands; and links between the forecasts and the effects of past, present, and future demand-side management programs.

  19. An integrated SNP mining and utilization (ISMU pipeline for next generation sequencing data.

    Directory of Open Access Journals (Sweden)

    Sarwar Azam

    Full Text Available Open source single nucleotide polymorphism (SNP discovery pipelines for next generation sequencing data commonly requires working knowledge of command line interface, massive computational resources and expertise which is a daunting task for biologists. Further, the SNP information generated may not be readily used for downstream processes such as genotyping. Hence, a comprehensive pipeline has been developed by integrating several open source next generation sequencing (NGS tools along with a graphical user interface called Integrated SNP Mining and Utilization (ISMU for SNP discovery and their utilization by developing genotyping assays. The pipeline features functionalities such as pre-processing of raw data, integration of open source alignment tools (Bowtie2, BWA, Maq, NovoAlign and SOAP2, SNP prediction (SAMtools/SOAPsnp/CNS2snp and CbCC methods and interfaces for developing genotyping assays. The pipeline outputs a list of high quality SNPs between all pairwise combinations of genotypes analyzed, in addition to the reference genome/sequence. Visualization tools (Tablet and Flapjack integrated into the pipeline enable inspection of the alignment and errors, if any. The pipeline also provides a confidence score or polymorphism information content value with flanking sequences for identified SNPs in standard format required for developing marker genotyping (KASP and Golden Gate assays. The pipeline enables users to process a range of NGS datasets such as whole genome re-sequencing, restriction site associated DNA sequencing and transcriptome sequencing data at a fast speed. The pipeline is very useful for plant genetics and breeding community with no computational expertise in order to discover SNPs and utilize in genomics, genetics and breeding studies. The pipeline has been parallelized to process huge datasets of next generation sequencing. It has been developed in Java language and is available at http://hpc.icrisat.cgiar.org/ISMU as a

  20. Supporting Building Portfolio Investment and Policy Decision Making through an Integrated Building Utility Data Platform

    Energy Technology Data Exchange (ETDEWEB)

    Aziz, Azizan [Carnegie Mellon Univ., Pittsburgh, PA (United States); Lasternas, Bertrand [Carnegie Mellon Univ., Pittsburgh, PA (United States); Alschuler, Elena [US DOE; View Inc; Loftness, Vivian [Carnegie Mellon Univ., Pittsburgh, PA (United States); Wang, Haopeng [Carnegie Mellon Univ., Pittsburgh, PA (United States); Mo, Yunjeong [Carnegie Mellon Univ., Pittsburgh, PA (United States); Wang, Ting [Carnegie Mellon Univ., Pittsburgh, PA (United States); Zhang, Chenlu [Carnegie Mellon Univ., Pittsburgh, PA (United States); Sharma, Shilpi [Carnegie Mellon; Stevens, Ivana [Carnegie Mellon Univ., Pittsburgh, PA (United States)

    2016-03-18

    The American Recovery and Reinvestment Act stimulus funding of 2009 for smart grid projects resulted in the tripling of smart meters deployment. In 2012, the Green Button initiative provided utility customers with access to their real-time1 energy usage. The availability of finely granular data provides an enormous potential for energy data analytics and energy benchmarking. The sheer volume of time-series utility data from a large number of buildings also poses challenges in data collection, quality control, and database management for rigorous and meaningful analyses. In this paper, we will describe a building portfolio-level data analytics tool for operational optimization, business investment and policy assessment using 15-minute to monthly intervals utility data. The analytics tool is developed on top of the U.S. Department of Energy’s Standard Energy Efficiency Data (SEED) platform, an open source software application that manages energy performance data of large groups of buildings. To support the significantly large volume of granular interval data, we integrated a parallel time-series database to the existing relational database. The time-series database improves on the current utility data input, focusing on real-time data collection, storage, analytics and data quality control. The fully integrated data platform supports APIs for utility apps development by third party software developers. These apps will provide actionable intelligence for building owners and facilities managers. Unlike a commercial system, this platform is an open source platform funded by the U.S. Government, accessible to the public, researchers and other developers, to support initiatives in reducing building energy consumption.

  1. Building relationships and facilitating immigrant community integration: An evaluation of a Cultural Navigator Program.

    Science.gov (United States)

    Thomas, Rebecca L; Chiarelli-Helminiak, Christina M; Ferraj, Brunilda; Barrette, Kyle

    2016-04-01

    Despite the long history of immigration in the United States, communities around the country struggle to integrate newcomers into the economic, cultural, and political spheres of society. Utilizing results from the program evaluation of one public library's Cultural Navigator Program, the authors illustrate how communities and public institutions can promote integration and relationship-building between newly arrived immigrants and long-time residents. Existing social networks within receiving communities, conceptualized in this article as social capital, were leveraged to build capacity among newly arrived immigrants and foster inclusivity and integration at the community level. As a place of intervention, public libraries are suggested as a safe and shared space where community integration can be fostered. Insights derived from the evaluation inform a discussion on engaging approaches to immigrant integration. Lessons learned and recommendations for program evaluators and administrators are provided. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. A Modular Approach Utilizing Decision Tree in Teaching Integration Techniques in Calculus

    Directory of Open Access Journals (Sweden)

    Edrian E. Gonzales

    2015-08-01

    Full Text Available – This study was conducted to test the effectiveness of modular approach using decision tree in teaching integration techniques in Calculus. It sought answer to the question: Is there a significant difference between the mean scores of two groups of students in their quizzes on (1 integration by parts and (2 integration by trigonometric transformation? Twenty-eight second year B.S. Computer Science students at City College of Calamba who were enrolled in Mathematical Analysis II for the second semester of school year 2013-2014 were purposively chosen as respondents. The study made use of the non-equivalent control group posttest-only design of quasi-experimental research. The experimental group was taught using modular approach while the comparison group was exposed to traditional instruction. The research instruments used were two twenty-item multiple-choice-type quizzes. Statistical treatment used the mean, standard deviation, Shapiro-Wilk test for normality, twotailed t-test for independent samples, and Mann-Whitney U-test. The findings led to the conclusion that both modular and traditional instructions were equally effective in facilitating the learning of integration by parts. The other result revealed that the use of modular approach utilizing decision tree in teaching integration by trigonometric transformation was more effective than the traditional method.

  3. Elliptic integral evaluations of Bessel moments

    Energy Technology Data Exchange (ETDEWEB)

    Bailey, David H.; Borwein, Jonathan M.; Broadhurst, David; Glasser, M.L.

    2008-01-06

    We record what is known about the closed forms for variousBessel function moments arising in quantum field theory, condensed mattertheory and other parts of mathematical physics. More generally, wedevelop formulae for integrals of products of six or fewer Besselfunctions. In consequence, we are able to discover and prove closed formsfor c(n,k) := Int_0 inf tk K_0 n(t) dt, with integers n = 1, 2, 3, 4 andk greater than or equal to 0, obtaining new results for the even momentsc3,2k and c4,2k . We also derive new closed forms for the odd momentss(n,2k+1) := Int_0 inf t(2k+1) I_0(t) K_0n(t) dt,with n = 3, 4 and fort(n,2k+1) := Int_0 inf t(2k+1) I_02(t) K_0(n-2) dt, with n = 5, relatingthe latter to Green functions on hexagonal, diamond and cubic lattices.We conjecture the values of s(5,2k+1), make substantial progress on theevaluation of c(5,2k+1), s(6,2k+1) and t(6,2k+1) and report more limitedprogress regarding c(5,2k), c(6,2k+1) and c(6,2k). In the process, weobtain 8 conjectural evaluations, each of which has been checked to 1200decimal places. One of these lies deep in 4-dimensional quantum fieldtheory and two are probably provable by delicate combinatorics. Thereremains a hard core of five conjectures whose proofs would be mostinstructive, to mathematicians and physicists alike.

  4. Teaching and Evaluation Materials Utilizing Multiple Representations in Mechanics

    Science.gov (United States)

    Savinainen, A.; Nieminen, P.; Makynen, A.; Viiri, J.

    2013-01-01

    In this paper, we present materials and teaching ideas utilizing multiple representations in the contexts of kinematics and the force concept. These ideas and materials are substantiated by evidence and can be readily used in teaching with no special training. In addition, we briefly discuss two multiple-choice tests based on physics education…

  5. Evaluation of Antibacterial Utilization in Olabisi Onabanjo University ...

    African Journals Online (AJOL)

    ... and Therapeutic Committee roles. It can also form basis for intervention be it educational, managerial or regulatory. METHODS: It is a retrospective drug utilization review studies, in addition a cost perspective was added. Sampled Case notes were examined for prescriptions. Interview with pharmacists about some issues ...

  6. Analyzing the barriers affecting the effective utilization of quality tools and techniques using Integrated ISM approach

    Directory of Open Access Journals (Sweden)

    Vivek Sharma

    2017-08-01

    Full Text Available The aim of this study is to recognize and scrutinize the barriers affecting the utilization of quality tools and techniques (QT&T in manufacturing organizations. For this purpose, twelve barriers af-fecting the execution of QT&T in manufacturing organizations have been identified from literature analysis and experts’ opinion (academicians and industrial. Questionnaire-based survey has been utilized for the validation of identified barriers. Afterwards, an integrated model of QT&T has been developed by using interpretive structural Modelling (ISM and Matriced Impacts Croisés Multi-plication Appliquée á un Classement (MICMAC approach. This research gives an apparent depic-tion to identify and handle the barriers by computing the effectiveness of each barrier. Barriers like accessibility of time and space, inability to change organizational culture and inadequate coordina-tion and teamwork are found to be the key barriers for utilization of QT&T in manufacturing organ-ization. The developed model will help the manufacturing organizations effectively utilize QT&T.

  7. Integrated outage management: Leveraging utility system assets including GIS and AMR for optimum outage response

    Energy Technology Data Exchange (ETDEWEB)

    Finamore, E. P.

    2004-02-01

    The control of electrical system outages is discussed. The principal argument advanced is that traditional stand-alone methods of outage response will no longer get the job done without utility companies integrating their outage management systems with other system assets such as GIS (geographic information system) and AMR (advanced metering systems). Many meter reading systems, while primarily supporting customer billing, can also provide outage alarm and some are also capable of service restoration notification, which is an invaluable benefit to service operators since it obviates the need for verifying system restoration by labour-intensive on-site visits or customer call-backs. If successfully leveraged, optimization of all utility assets and improvements in labour productivity can results in improved outage management performance gains without affecting performance in other areas.

  8. National Aeronautics and Space Administration fundamental research program. Information utilization and evaluation

    Science.gov (United States)

    Estes, J. E.; Eisgruber, L.

    1981-01-01

    In the second half of the 1980's NASA can expect to face difficult choices among alternative fundamental and applied research, and development projects that could potentially lead to improvements in the information systems used to manage renewable resources. The working group on information utilization and evaluation believes that effective choices cannot be made without a better understanding of the current and prospective problems and opportunities involved in the application of remote sensing to improve renewable research information systems. A renewable resources information system is defined in a broad context to include a flow of data/information from: acquisition through processing, storage, integration with other data, analysis, graphic presentation, decision making, and assessment of the affects of those decisions.

  9. Utilizing integrated facility design to improve the quality of a pediatric ambulatory surgery center.

    Science.gov (United States)

    Pelly, Nicole; Zeallear, Brian; Reed, Mark; Martin, Lynn

    2013-07-01

    The aim was to use Integrated Facility Design (IFD) to design a surgery center that enhances the delivery of health care by developing processes that provide highly efficient patient, family, and provider flows while adding value and utilizing costly resources effectively. Integrated Facility Design is an adaptation of the Toyota 3P (Production, Preparation, Process) Program. The goal of IFD is to accelerate development time and lower start-up costs. The use of IFD produced a savings of $30 million in project costs and enabled a completion date 3.5 months ahead of schedule. The designed patient flow processes resulted in dramatic improvements in patient, family, and provider throughput. The use of IFD in the design of a pediatric ambulatory clinic and surgery resulted in significant cost savings and improved clinical efficiency. © 2013 John Wiley & Sons Ltd.

  10. Development of integrity evaluation technology for pressurized components in nuclear power plant and IT based integrity evaluation system

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Jin; Choi, Jae Boong; Shim, Do Jun [Sungkyunkwan Univ., Seoul (Korea, Republic of)] (and others)

    2004-02-15

    The objective of this research is to develop on efficient integrity evaluation technology and to investigate the applicability of the newly-developed technology such as internet-based cyber platform etc. to Nuclear Power Plant(NPP) components. The development of an efficient structural integrity evaluation system is necessary for safe operation of NPP as the increase of operating periods. Moreover, material test data as well as emerging structural integrity assessment technology are also needed for the evaluation of aged components. The following five topics are covered in this project: development of the wall-thinning evaluation program for nuclear piping; development of structural integrity evaluation criteria for steam generator tubes with cracks of various shape; development of fatigue life evaluation system for major components of NPP; ingegration of internet-based cyber platform and integrity evaluation program for primary components of NPP; effects of aging on strength of dissimilar welds.

  11. Outcome Assessment for Cost-Utility Evaluations: SF-6D vs. EQ-5D

    DEFF Research Database (Denmark)

    Søgaard, Rikke; Christiansen, Terkel; Christensen, Finn Bjarke

    2010-01-01

    -utility evaluations, providing a cost per quality-adjusted life-year (QALY) for different choices, have become popular. If cost-utility evaluations are to be run alongside clinical trials, trialists have to append an instrument for the measurement of generic, preference-based outcomes. The objective of this chapter...

  12. Biocompatible yogurt carbon dots: evaluation of utilization for medical applications

    Science.gov (United States)

    Dinç, Saliha; Kara, Meryem; Demirel Kars, Meltem; Aykül, Fatmanur; Çiçekci, Hacer; Akkuş, Mehmet

    2017-09-01

    In this study, carbon dots (CDs) were produced from yogurt, a fermented milk product, via microwave-assisted process (800 W) in 30 min without using any additional chemical agents. Yogurt CDs had outstanding nitrogen and oxygen ratios. These dots were monodisperse and about 2 nm sized. The toxicological assessments of yogurt carbon dots in human cancer cells and normal epithelial cells and their fluorescence imaging in living cell system were carried out. Yogurt carbon dots had intense fluorescent signal under confocal microscopy and good fluorescence stability in living cell system. The resulting yogurt carbon dots exhibited high biocompatibility up to 7.1 mg/mL CD concentration which may find utilization in medical applications such as cellular tracking, imaging and drug delivery. Yogurt carbon dots have potential to be good diagnostic agents to visualize cancer cells which may be developed as a therapeutic carrier.

  13. An empirical examination of the evaluative utility of design auralization

    Energy Technology Data Exchange (ETDEWEB)

    Mahdavi, A.; Becker, G.; Lechleitner, J. [Inst. of Architectural Sciences, Vienna Univ. of Technology, Vienna (Austria). Dept. of Building Physics and Building Ecology

    2005-07-01

    Simulations of acoustical conditions in architectural spaces are often used to generate numeric values of acoustical performance indicators, such as sound pressure levels and reverberation times. Designers and consultants typically compare the numeric results with minimum or maximum requirements in relevant room acoustics and noise standards. Recently, the possibility has emerged that traditional numeric evaluation methods can be complemented by approaches that rely on scientific auralization tools, which allow users to virtually experience and evaluate the acoustical properties of architectural spaces. This paper presented details of a study in which subjective assessments of the acoustical properties of a real space can be reproduced by assessments based on computational auralization. Three spaces with different functional and acoustical characteristics were selected and evaluated by a group of test participants. A second group of participants evaluated high-quality auralizations of the same spaces. The results were then compared to determine if auralization can reliably represent real spaces for acoustical quality evaluation purposes. It was concluded that computational auralization has the potential to support the design of acoustically critical spaces. The test participants' acoustic evaluation of real spaces could be approximated by auralization-based evaluations. It was noted that the approximation functioned with greater success for spaces with pronounced acoustical properties and scales of higher expressiveness such as reverberation, clarity and speech intelligibility. Speech intelligibility indices in the 3 spaces could be accurately reproduced using auralization. It was concluded that further research should attempt to probe the validity of the results in a more comprehensive manner, and in a larger number of spaces. Consistent criteria and processes are needed in view of the digital quality of tone samples, the properties of computer sound cards

  14. Utilizing a Russian space nuclear reactor for a US space mission: Systems integration issues

    Science.gov (United States)

    Reynolds, E.; Schaefer, E.; Polansky, G.; Lacy, J.; Bocharov, A.

    1993-09-01

    The Nuclear Electric Propulsion Space Test Program (NEPSTP) has developed a cooperative relationship with several institutes of the former Soviet Union to evaluate Russian space hardware on a US spacecraft. One component is the Topaz 2 Nuclear Power System; a built and flight qualified nuclear reactor that has yet to be tested in space. The access to the Topaz 2 reactor provides the NEPSTP with a rare opportunity; to conduct an early flight demonstration of nuclear electric propulsion at a relatively low cost. This opportunity, however, is not without challenges. Topaz 2 was designed to be compatible with Russian spacecraft and launch vehicles. It was manufactured and flight qualified by Russian techniques and standards and conforms to safety requirements of the former Soviet Union, not the United States. As it is desired to make minimal modifications to the Topaz 2, integrating the reactor system with a United States spacecraft and launch vehicle presents an engineering challenge. This paper documents the lessons learned regarding the integration of reactor based spacecraft and also some insight about integrating Russian hardware. It examines the planned integration flow along with specific reactor requirements that affect the spacecraft integration including American-Russian space system compatibility.

  15. Utilizing a Russian Space Nuclear Reactor for a United States Space Mission: Systems Integration Issues

    Science.gov (United States)

    Reynolds, Edward; Schaefer, Edward; Polansky, Gary; Lacy, Jeff; Bocharov, Anatoly

    1994-07-01

    The Nuclear Electric Propulsion Space Test Program (NEPSTP) has developed a cooperative relationship with several institutes of the former Soviet Union to evaluate Russian space hardware on a U.S. spacecraft. One component is the Topaz II Nuclear Power System; a built and flight qualified nuclear reactor that has yet to be tested in space. The access to the Topaz II reactor provides the NEPSTP with a rare opportunity; to conduct an early flight demonstration of nuclear electric propulsion at a relatively low cost. This opportunity, however, is not without challenges. Topaz II was designed to be compatible with Russian spacecraft and launch vehicles. It was manufactured and flight qualified by Russian techniques and standards and conforms to safety requirements of the former Soviet Union, not the United States. As it is desired to make minimal modifications to the Topaz II, integrating the reactor system with a United States spacecraft and launch vehicle presents an engineering challenge. This paper documents the lessons learned regarding the integration of reactor based spacecraft and also some insight about integrating Russian hardware. It examines the planned integration flow along with specific reactor requirements that affect the spacecraft integration including American-Russian space system compatibility.

  16. Evaluation of the general three-loop vacuum Feynman integral

    Science.gov (United States)

    Martin, Stephen P.; Robertson, David G.

    2017-01-01

    We discuss the systematic evaluation of three-loop vacuum integrals with arbitrary masses. Using integration by parts, the general integral of this type can be reduced algebraically to a few basis integrals. We define a set of modified finite basis integrals that are particularly convenient for expressing renormalized quantities. The basis integrals can be computed numerically by solving coupled first-order differential equations, using as boundary conditions the analytically known special cases that depend on only one mass scale. We provide the results necessary to carry this out and introduce an implementation in the form of a public software package called 3vil (three-loop Vacuum Integral Library), which efficiently computes the numerical values of the basis integrals for any specified masses. Note that 3vil is written in c, and can be linked from c, c++, or fortran code.

  17. A Quantitative Human Spacecraft Design Evaluation Model for Assessing Crew Accommodation and Utilization

    Science.gov (United States)

    Fanchiang, Christine

    Crew performance, including both accommodation and utilization factors, is an integral part of every human spaceflight mission from commercial space tourism, to the demanding journey to Mars and beyond. Spacecraft were historically built by engineers and technologists trying to adapt the vehicle into cutting edge rocketry with the assumption that the astronauts could be trained and will adapt to the design. By and large, that is still the current state of the art. It is recognized, however, that poor human-machine design integration can lead to catastrophic and deadly mishaps. The premise of this work relies on the idea that if an accurate predictive model exists to forecast crew performance issues as a result of spacecraft design and operations, it can help designers and managers make better decisions throughout the design process, and ensure that the crewmembers are well-integrated with the system from the very start. The result should be a high-quality, user-friendly spacecraft that optimizes the utilization of the crew while keeping them alive, healthy, and happy during the course of the mission. Therefore, the goal of this work was to develop an integrative framework to quantitatively evaluate a spacecraft design from the crew performance perspective. The approach presented here is done at a very fundamental level starting with identifying and defining basic terminology, and then builds up important axioms of human spaceflight that lay the foundation for how such a framework can be developed. With the framework established, a methodology for characterizing the outcome using a mathematical model was developed by pulling from existing metrics and data collected on human performance in space. Representative test scenarios were run to show what information could be garnered and how it could be applied as a useful, understandable metric for future spacecraft design. While the model is the primary tangible product from this research, the more interesting outcome of

  18. The Meaning and Utility of Institutional Teaching Evaluations

    Science.gov (United States)

    East, Katheryn

    2015-01-01

    This study analyzes end of course institutional teaching evaluations (ITEs) done anonymously by students in a pre-service teacher education course over a 15-year span. The purpose was to determine if and how the ITE findings might inform practice and relate to teaching metaphors as a tool of study. Analysis revealed: (a) teacher effectiveness…

  19. Integrating Systems Health Management with Adaptive Controls for a Utility-Scale Wind Turbine

    Science.gov (United States)

    Frost, Susan A.; Goebel, Kai; Trinh, Khanh V.; Balas, Mark J.; Frost, Alan M.

    2011-01-01

    Increasing turbine up-time and reducing maintenance costs are key technology drivers for wind turbine operators. Components within wind turbines are subject to considerable stresses due to unpredictable environmental conditions resulting from rapidly changing local dynamics. Systems health management has the aim to assess the state-of-health of components within a wind turbine, to estimate remaining life, and to aid in autonomous decision-making to minimize damage. Advanced adaptive controls can provide the mechanism to enable optimized operations that also provide the enabling technology for Systems Health Management goals. The work reported herein explores the integration of condition monitoring of wind turbine blades with contingency management and adaptive controls. Results are demonstrated using a high fidelity simulator of a utility-scale wind turbine.

  20. Measuring weld heat to evaluate weld integrity

    Energy Technology Data Exchange (ETDEWEB)

    Schauder, V., E-mail: schauder@hks-prozesstechnik.de [HKS-Prozesstechnik GmbH, Halle (Germany)

    2015-11-15

    Eddy current and ultrasonic testing are suitable for tube and pipe mills and have been used for weld seam flaw detection for decades, but a new process, thermography, is an alternative. By measuring the heat signature of the weld seam as it cools, it provides information about weld integrity at and below the surface. The thermal processes used to join metals, such as plasma, induction, laser, and gas tungsten arc welding (GTAW), have improved since they were developed, and they get better with each passing year. However, no industrial process is perfect, so companies that conduct research in flaw detection likewise continue to develop and improve the technologies used to verify weld integrity: ultrasonic testing (UT), eddy current testing (ET), hydrostatic, X-ray, magnetic particle, and liquid penetrant are among the most common. Two of these are used for verifying the integrity of the continuous welds such as those used on pipe and tube mills: UT and ET. Each uses a transmitter to send waves of ultrasonic energy or electrical current through the material and a receiver (probe) to detect disturbances in the flow. The two processes often are combined to capitalize on the strengths of each. While ET is good at detecting flaws at or near the surface, UT penetrates the material, detecting subsurface flaws. One drawback is that sound waves and electrical current waves have a specific direction of travel, or an alignment. A linear defect that runs parallel to the direction of travel of the ultrasonic sound wave or a flaw that is parallel to the coil winding direction of the ET probe can go undetected. A second drawback is that they don't detect cold welds. An alternative process, thermography, works in a different fashion: It monitors the heat of the material as the weld cools. Although it measures the heat at the surface, the heat signature provides clues about cooling activity deep in the material, resulting in a thorough assessment of the weld's integrity It

  1. Evaluation of Integrated Child Development Services program in Gujarat, India.

    Science.gov (United States)

    Chudasama, Rajesh K; Kadri, A M; Verma, Pramod B; Patel, Umed V; Joshi, Nirav; Zalavadiya, Dipesh; Bhola, Chirag

    2014-09-01

    To evaluate Integrated Child Development Services (ICDS) program in terms of infrastructure of Anganwadi centers, inputs, process, coverage and utilization of services, and issues related to program operation in twelve districts of Gujarat, India. Facility (Anganwadi) based study. Twelve districts of Gujarat, India (April 1, 2012 to March 31, 2013). ICDS service providers (60 Anganwadi workers from 46 rural and 14 urban Anganwadi centers) and their beneficiaries. Coverage of supplementary nutrition, pre-school education, immunization and referral services. Supplementary nutrition coverage was reported in 48.3% in children. Interruption in supply of supplementary nutrition during last six months was reported in 61.7% Anganwadi centers. Only 20% centers reported 100% pre-school education coverage among children. Immunization of all children was recorded in only 10% Anganwadi centers, while in 76.7% centers, no such records were available. Regular health checkup of beneficiaries was done in 30% centers. Referral slips were available in 18.3% Anganwadi centers and referral of sick children was done from only 8.3% centers. There are program gaps in coverage of supplementary nutrition in children, its regular supply to the beneficiaries, in pre-school activities coverage, recording of immunization, and regular health check-up of beneficiaries and referral of sick children.

  2. An innovative integrated system utilizing solar energy as power for the treatment of decentralized wastewater.

    Science.gov (United States)

    Han, Changfu; Liu, Junxin; Liang, Hanwen; Guo, Xuesong; Li, Lin

    2013-02-01

    This article reports an innovative integrated system utilizing solar energy as power for decentralized wastewater treatment, which consists of an oxidation ditch with double channels and a photovoltaic (PV) system without a storage battery. Because the system operates without a storage battery, which can reduce the cost of the PV system, the solar radiation intensity affects the amount of power output from the PV system. To ensure that the power output is sufficient in all different weather conditions, the solar radiation intensity of 78 W/m2 with 95% confidence interval was defined as a threshold of power output for the PV system according to the monitoring results in this study, and a step power output mode was used to utilize the solar energy as well as possible. The oxidation ditch driven by the PV system without storage battery ran during the day and stopped at night. Therefore, anaerobic, anoxic and aerobic conditions could periodically appear in the oxidation ditch, which was favorable to nitrogen and phosphate removal from the wastewater. The experimental results showed that the system was efficient, achieving average removal efficiencies of 88% COD, 98% NH4+-N, 70% TN and 83% TP, under the loading rates of 140 mg COD/(g MLSS x day), 32 mg NH4+-N/(g MLSS x day), 44 mg TN/(g MLSS x day) and 5 mg TP/(g MLSS x day).

  3. Standardization of surface electromyography utilized to evaluate patients with dysphagia

    Directory of Open Access Journals (Sweden)

    Vaiman Michael

    2007-06-01

    Full Text Available Abstract Backgorund Patients suspected of having swallowing disorders, could highly benefit from simple diagnostic screening before being referred to specialist evaluations. We introduce surface electromyography (sEMG to carry out rapid assessment of such patients and propose suggestions for standardizing sEMGs in order to identify abnormal deglutition. Methods Specifics steps for establishing standards for applying the technique for screening purposes (e.g., evaluation of specific muscles, the requirements for diagnostic sEMG equipment, the sEMG technique itself, and defining the tests suitable for assessing deglutition (e.g., saliva, normal, and excessive swallows and uninterrupted drinking of water are presented in detail. A previously described normative database for single swallowing and drinking and standard approach to analysis was compared to data on the duration and electric activity of muscles involved in deglutition and with sEMG recordings in order to estimate stages of a swallow. Conclusion SEMG of swallowing is a simple and reliable method for screening and preliminary differentiation among dysphagia and odynophagia of various origins. This noninvasive radiation-free examination has a low level of discomfort, and is simple, timesaving and inexpensive to perform. With standardization of the technique and an established normative database, sEMG can serve as a reliable screening method for optimal patient management.

  4. Evaluation of the GPM IMERG satellite-based precipitation products and the hydrological utility

    Science.gov (United States)

    Wang, Zhaoli; Zhong, Ruida; Lai, Chengguang; Chen, Jiachao

    2017-11-01

    Pre-occupation evaluation of latest generation satellite-based precipitation products (SPPs) is an essential step before the massive scale use. Taking the Beijiang River Basin as the case study, we used nine statistical evaluation indices and the Variable Infiltration Capacity (VIC) distributed hydrological model to quantitatively evaluate the performance and the hydrological utility of three Global Precipitation Measurement (GPM) Integrated Multi-satellitE Retrievals for GPM (IMERG) products: the near-real-time ;Early; run and ;Late; run IMERG products (IMERG-E and IMERG-L), and the post-real-time ;Final; run IMERG product (IMERG-F) over south China during 2014-2015, with the last-generation Tropical Rainfall Measurement Mission (TRMM) Multi-satellite Precipitation Analysis (TMPA) 3B42-V7 product as comparison. The IMERG-F presents satisfactory accuracy with high correlation coefficient (CC = 0.63) and low relative bias (0.92%), while the IMERG-E and IMERG-L performs relatively poorly featuring low correlation (with CC of 0.49 and 0.52 respectively) with the ground observations. All of the three IMERG products present apparently higher probability of detection (POD, 0.64-0.67) but have higher false alarm ratio (FAR, ≧ 0.14) than the 3B42-V7. The hydrological simulation under scenario I (model calibrated by the gauge observations) shows that, the IMERG-F, with a high Nash-Sutcliffe coefficient of efficiency (NSCE) of 0.742, presents better hydrological performance than the 3B42-V7; the IMERG-E and IMERG-L perform poorly for the whole simulation period with NSCE lower than 0.35 and relative bias higher than 28% while perform satisfactorily during the flood season with apparently higher NSCE of 0.750 and 0.733 respectively. The hydrological simulation under scenario II (model calibrated by the 3B42-V7) shows that the performance of all the IMERG products was significantly improved. Generally, the IMERG-F has high accuracy and good hydrological utility, while the

  5. Propulsion integration of hypersonic air-breathing vehicles utilizing a top-down design methodology

    Science.gov (United States)

    Kirkpatrick, Brad Kenneth

    In recent years, a focus of aerospace engineering design has been the development of advanced design methodologies and frameworks to account for increasingly complex and integrated vehicles. Techniques such as parametric modeling, global vehicle analyses, and interdisciplinary data sharing have been employed in an attempt to improve the design process. The purpose of this study is to introduce a new approach to integrated vehicle design known as the top-down design methodology. In the top-down design methodology, the main idea is to relate design changes on the vehicle system and sub-system level to a set of over-arching performance and customer requirements. Rather than focusing on the performance of an individual system, the system is analyzed in terms of the net effect it has on the overall vehicle and other vehicle systems. This detailed level of analysis can only be accomplished through the use of high fidelity computational tools such as Computational Fluid Dynamics (CFD) or Finite Element Analysis (FEA). The utility of the top-down design methodology is investigated through its application to the conceptual and preliminary design of a long-range hypersonic air-breathing vehicle for a hypothetical next generation hypersonic vehicle (NHRV) program. System-level design is demonstrated through the development of the nozzle section of the propulsion system. From this demonstration of the methodology, conclusions are made about the benefits, drawbacks, and cost of using the methodology.

  6. Piloting a method to evaluate the implementation of integrated water ...

    African Journals Online (AJOL)

    2015-10-05

    Oct 5, 2015 ... This paper provides an assessment of the implementation of principles of integrated water resource management (IWRM) in the Inkomati River ... Keywords: Integrated water resource management, Inkomati River Basin, South Africa, Swaziland ...... are required to support water decision making, evaluation.

  7. Evaluating Computer Technology Integration in a Centralized School System

    Science.gov (United States)

    Eteokleous, N.

    2008-01-01

    The study evaluated the current situation in Cyprus elementary classrooms regarding computer technology integration in an attempt to identify ways of expanding teachers' and students' experiences with computer technology. It examined how Cypriot elementary teachers use computers, and the factors that influence computer integration in their…

  8. Evaluating the Performance of an Integrated Navigation System.

    NARCIS (Netherlands)

    Lorga, J.F.M.; Chu, Q.P.; Mulder, J.A.; Halsema, D. van

    2005-01-01

    In this paper, the authors propose to introduce and describe a newly developed precise tightly-coupled integrated navigation system. The performed experiments with the purpose of evaluating the system performance are shown. A complete description of the integrated navigation system hardware,

  9. Evaluating the performance and utility of regional climate models

    DEFF Research Database (Denmark)

    Christensen, Jens H.; Carter, Timothy R.; Rummukainen, Markku

    2007-01-01

    This special issue of Climatic Change contains a series of research articles documenting co-ordinated work carried out within a 3-year European Union project 'Prediction of Regional scenarios and Uncertainties for Defining European Climate change risks and Effects' (PRUDENCE). The main objective...... of the PRUDENCE project was to provide high resolution climate change scenarios for Europe at the end of the twenty-first century by means of dynamical downscaling (regional climate modelling) of global climate simulations. The first part of the issue comprises seven overarching PRUDENCE papers on: (1) the design...... of the model simulations and analyses of climate model performance, (2 and 3) evaluation and intercomparison of simulated climate changes, (4 and 5) specialised analyses of impacts on water resources and on other sectors including agriculture, ecosystems, energy, and transport, (6) investigation of extreme...

  10. A Model for the Utilization of Formative Evaluation in the Process of Developing Instructional Materials.

    Science.gov (United States)

    Nevo, David

    An applied model is presented for the utilization of formative evaluation in developing instructional materials. The model is introduced through a presentation of its conceptual rationale. A description is given of its methodology and instrumentation, and a demonstration presented of its development and utilization within the framework of a…

  11. Evaluation of the useful life of steam turbine rotors; Evaluacion de vida util de rotores de turbinas de vapor

    Energy Technology Data Exchange (ETDEWEB)

    Carnero Parra, Antonio; Garcia Illescas, Rafael; Kubiak Szyszka, Janusz [Instituto de Investigaciones Electricas, Temixco, Morelos (Mexico)

    1999-07-01

    This article presents the methodology applied by the Management of Turbomachinery of the Institute of Investigaciones Electricas (IIE), for the evaluation of the remaining useful life of steam turbine rotors in the phase of initiation of fissures. The evaluation of the remaining useful life of turbines, will reveal the real state of health of the rotor and will serve as a base for the future decision making that guarantees their structural integrity. [Spanish] El presentes articulo presenta la metodologia aplicada por la Gerencia de Turbomaquinaria del Instituto de Investigaciones Electricas (IIE), para la evaluacion de la vida util remanente de rotores de turbinas de vapor en la fase de iniciacion de fisuras. La evaluacion de la vida util de turbinas, revelar el estado real de salud del rotor y servira de base para la toma de decisiones futuras que garanticen su integridad estructural.

  12. THE CONSOLIDATION OF EU GOVERNANCE: THE EUROPEAN SEMESTER AND THE EVALUATION OF EUROPEAN INTEGRATION DEEPENING

    Directory of Open Access Journals (Sweden)

    Nicolae TODERAS

    2016-03-01

    Full Text Available Once it was introduced as an instrument for deepening European integration, the legitimacy, opportunity and utility of European Semester were repeatedly questioned from the perspective of its contribution to the institutionalization of European governance. Also, there is a strong and direct link between the further deepening of the European Union’s political and economic integration on the one hand, and the development of a culture of evaluating policies and programs on the other. Taking these aspects into account, the following questions arise: does the European Commission have, in its position as manager of the European Semester, a real capacity of evaluating all aspects regarding the deepening of European integration? Can the European Semester be a means for diffusing evaluation practice at the level of Member States? This is why, in this paper, we propose to give answers to these questions.

  13. Evaluating the utility of dynamical downscaling in agricultural impacts projections.

    Science.gov (United States)

    Glotter, Michael; Elliott, Joshua; McInerney, David; Best, Neil; Foster, Ian; Moyer, Elisabeth J

    2014-06-17

    Interest in estimating the potential socioeconomic costs of climate change has led to the increasing use of dynamical downscaling--nested modeling in which regional climate models (RCMs) are driven with general circulation model (GCM) output--to produce fine-spatial-scale climate projections for impacts assessments. We evaluate here whether this computationally intensive approach significantly alters projections of agricultural yield, one of the greatest concerns under climate change. Our results suggest that it does not. We simulate US maize yields under current and future CO2 concentrations with the widely used Decision Support System for Agrotechnology Transfer crop model, driven by a variety of climate inputs including two GCMs, each in turn downscaled by two RCMs. We find that no climate model output can reproduce yields driven by observed climate unless a bias correction is first applied. Once a bias correction is applied, GCM- and RCM-driven US maize yields are essentially indistinguishable in all scenarios (RCMs correct some GCM biases related to fine-scale geographic features, errors in yield are dominated by broad-scale (100s of kilometers) GCM systematic errors that RCMs cannot compensate for. These results support previous suggestions that the benefits for impacts assessments of dynamically downscaling raw GCM output may not be sufficient to justify its computational demands. Progress on fidelity of yield projections may benefit more from continuing efforts to understand and minimize systematic error in underlying climate projections.

  14. The Utility of Pitch Elevation in the Evaluation of Oropharyngeal Dysphagia: Preliminary Findings

    Science.gov (United States)

    Malandraki, Georgia A.; Hind, Jacqueline A.; Gangnon, Ronald; Logemann, Jeri A.; Robbins, JoAnne

    2011-01-01

    Purpose: To evaluate the utility of a pitch elevation task in the assessment of oropharyngeal dysphagia. Method: This study was a pilot prospective cohort study including 40 consecutive patients (16 male and 24 female) who were referred by their physician for a swallowing evaluation. Patients were evaluated with a noninstrumental clinical…

  15. PROSPERO at one year: an evaluation of its utility

    Directory of Open Access Journals (Sweden)

    Booth Alison

    2013-01-01

    Full Text Available Abstract Background PROSPERO, an international prospective register of systematic review protocols in health and social care, was launched in February 2011. After one year of operation we describe access and use, explore user experience and identify areas for future improvement. Methods We collated administrative data and web statistics and conducted an online survey of users’ experiences. Results On 21 February 2012, there were 1,076 registered users and 359 registration records published on PROSPERO. The database usage statistics demonstrate the international interest in PROSPERO with high access around the clock and around the world. Based on 232 responses from PROSPERO users (response rate 22%, almost all respondents found joining and navigation was easy or very easy (99%; turn round time was good or excellent (96%; and supporting materials provided were helpful or very helpful (80%. The registration fields were found by 80% to be relevant to their review; 99% rated their overall experience of registering with PROSPERO as good or excellent. Most respondents (81% had a written protocol before completing the registration form and 19% did not. The majority, 136 (79%, indicated they completed the registration form in 60 minutes or less. Of those who expressed an opinion, 167 (87% considered the time taken to be about right. Conclusions The first year of PROSPERO has shown that registration of systematic review protocols is feasible and not overly burdensome for those registering their reviews. The evaluation has demonstrated that, on the whole, survey respondents are satisfied and the system allows registration of protocol details in a straightforward and acceptable way. The findings have prompted some changes to improve user experience and identified some issues for future consideration.

  16. Utility of MRIs in adult cochlear implant evaluations.

    Science.gov (United States)

    Jiang, Zi Yang; Odiase, Eunice; Isaacson, Brandon; Roland, Peter S; Kutz, J Walter

    2014-10-01

    To determine the prevalence of MRI abnormalities in adults undergoing cochlear implantation and to correlate abnormalities to audiology data. Case series. Academic medical center. Adult patients (>18 yr old) undergoing cochlear implant evaluation from January 2008 to December 2012 were identified based on CPT code search. Demographics, preoperative MRI findings, operative findings, and audiometric data were collected. The study included 188 patients. Seventeen (9%) patients had significant otic capsule or vestibulocochlear nerve pathologies: 5 vestibular schwannomas, 4 enlarged vestibular aqueducts, 2 hypoplastic cochlear nerves, 2 labyrinthitis ossificans, 1 cochlear aplasia, 1 posterior semicircular canal malformation, 1 calcified meningioma, and 1 cholesterol granuloma. MRI results were normal (65%) or with findings not directly related to hearing loss (incidental findings, 25%) in the remaining patients. Mean pure tone average (PTA) differences (between the implanted and contralateral ear) did not significantly vary between normal-incidental and abnormal MRI scans (-6.6 dB versus -6.7 dB, p = 0.99) nor did speech discrimination scores (SDS) scores (8.5% versus 8.4%, p = 0.99). No significant difference was found in HINT scores for patients with a normal versus an abnormal MRI (19% versus 16,%, p = 0.62). Although the majority of precochlear implantation MRIs were normal or demonstrated incidental findings, such as white matter changes, significant MRI findings affecting implantation site and patient counseling were found in almost 10% of patients. Audiogram findings did not correlate with abnormal findings on MRIs. Routine use of MRI in adult cochlear implant candidates may be warranted.

  17. Remote Sensing of Vegetation Species Diversity: The Utility of Integrated Airborne Hyperspectral and Lidar Data

    Science.gov (United States)

    Krause, Keith Stuart

    The change, reduction, or extinction of species is a major issue currently facing the Earth. Efforts are underway to measure, monitor, and protect habitats that contain high species diversity. Remote sensing technology shows extreme value for monitoring species diversity by mapping ecosystems and using those land cover maps or other derived data as proxies to species number and distribution. The National Ecological Observatory Network (NEON) Airborne Observation Platform (AOP) consists of remote sensing instruments such as an imaging spectrometer, a full-waveform lidar, and a high-resolution color camera. AOP collected data over the Ordway-Swisher Biological Station (OSBS) in May 2014. A majority of the OSBS site is covered by the Sandhill ecosystem, which contains a very high diversity of vegetation species and is a native habitat for several threatened fauna species. The research presented here investigates ways to analyze the AOP data to map ecosystems at the OSBS site. The research attempts to leverage the high spatial resolution data and study the variability of the data within a ground plot scale along with integrating data from the different sensors. Mathematical features are derived from the data and brought into a decision tree classification algorithm (rpart), in order to create an ecosystem map for the site. The hyperspectral and lidar features serve as proxies for chemical, functional, and structural differences in the vegetation types for each of the ecosystems. K-folds cross validation shows a training accuracy of 91%, a validation accuracy of 78%, and a 66% accuracy using independent ground validation. The results presented here represent an important contribution to utilizing integrated hyperspectral and lidar remote sensing data for ecosystem mapping, by relating the spatial variability of the data within a ground plot scale to a collection of vegetation types that make up a given ecosystem.

  18. Integrative Evaluation: An Emerging Role for Classroom Studies of CAL.

    Science.gov (United States)

    Draper, Stephen W.; And Others

    1996-01-01

    Reviews evaluations of CAL (computer-assisted learning) in use at the University of Glasgow (Scotland). Topics include methods used; prior knowledge; learning motivation; attitude measures; confidence logs; knowledge quizzes; study habits; Hawthorne effects; formative, summative, illuminative, and integrative evaluation; quality assurance…

  19. Evaluation of the Integrated Services Pilot Program from Western Australia

    Science.gov (United States)

    Hancock, Peter; Cooper, Trudi; Bahn, Susanne

    2009-01-01

    Independent evaluation of refugee-focused programs in developed nations is increasingly a mandatory requirement of funding bodies and government agencies. This paper presents an evaluation of the Integrated Services Centre (ISC) Pilot Project that was conducted in Australia in 2007 and early 2008. The purpose of the ISC program was to provide…

  20. Microbial network for waste activated sludge cascade utilization in an integrated system of microbial electrolysis and anaerobic fermentation

    DEFF Research Database (Denmark)

    Liu, Wenzong; He, Zhangwei; Yang, Chunxue

    2016-01-01

    in an integrated system of microbial electrolysis cell (MEC) and anaerobic digestion (AD) for waste activated sludge (WAS). Microbial communities in integrated system would build a thorough energetic and metabolic interaction network regarding fermentation communities and electrode respiring communities...... and Parabacteroides, which showed a delayed contribution to the extracellular electron transport leading to a slow cascade utilization of WAS. Conclusions: Efficient pretreatment could supply more short-chain fatty acids and higher conductivities in the fermentative liquid, which facilitated mass transfer in anodic...

  1. Integration/evaluation of a HCI prototyping environment

    Science.gov (United States)

    Moore, Loretta A.

    1994-01-01

    Components of a human computer interface (HCI) prototyping environment have been integrated and evaluated. This environment will be valuable in developing and refining HCI standards and evaluating program/project interface development, especially the International Space Station Alpha's on-board displays for payload operations. This environment, which allows for rapid prototyping and evaluation of graphical interfaces, includes four components: (1) a HCI format development tool, (2) a test and evaluation simulator development tool, (3) a dynamic, interactive interface between the HCI prototype and simulator, and (4) an embedded evaluation capability to evaluate the adequacy of a HCI based on a user's performance. The objective of the research was to determine whether or not the functional components could be integrated and could provide the needed functionality for a rapid prototyping environment.

  2. Integration of Utilities Infrastructures in a Future Internet Enabled Smart City Framework

    Directory of Open Access Journals (Sweden)

    Luis Sánchez

    2013-10-01

    Full Text Available Improving efficiency of city services and facilitating a more sustainable development of cities are the main drivers of the smart city concept. Information and Communication Technologies (ICT play a crucial role in making cities smarter, more accessible and more open. In this paper we present a novel architecture exploiting major concepts from the Future Internet (FI paradigm addressing the challenges that need to be overcome when creating smarter cities. This architecture takes advantage of both the critical communications infrastructures already in place and owned by the utilities as well as of the infrastructure belonging to the city municipalities to accelerate efficient provision of existing and new city services. The paper highlights how FI technologies create the necessary glue and logic that allows the integration of current vertical and isolated city services into a holistic solution, which enables a huge forward leap for the efficiency and sustainability of our cities. Moreover, the paper describes a real-world prototype, that instantiates the aforementioned architecture, deployed in one of the parks of the city of Santander providing an autonomous public street lighting adaptation service. This prototype is a showcase on how added-value services can be seamlessly created on top of the proposed architecture.

  3. Integration of Utilities Infrastructures in a Future Internet Enabled Smart City Framework

    Science.gov (United States)

    Sánchez, Luis; Elicegui, Ignacio; Cuesta, Javier; Muñoz, Luis; Lanza, Jorge

    2013-01-01

    Improving efficiency of city services and facilitating a more sustainable development of cities are the main drivers of the smart city concept. Information and Communication Technologies (ICT) play a crucial role in making cities smarter, more accessible and more open. In this paper we present a novel architecture exploiting major concepts from the Future Internet (FI) paradigm addressing the challenges that need to be overcome when creating smarter cities. This architecture takes advantage of both the critical communications infrastructures already in place and owned by the utilities as well as of the infrastructure belonging to the city municipalities to accelerate efficient provision of existing and new city services. The paper highlights how FI technologies create the necessary glue and logic that allows the integration of current vertical and isolated city services into a holistic solution, which enables a huge forward leap for the efficiency and sustainability of our cities. Moreover, the paper describes a real-world prototype, that instantiates the aforementioned architecture, deployed in one of the parks of the city of Santander providing an autonomous public street lighting adaptation service. This prototype is a showcase on how added-value services can be seamlessly created on top of the proposed architecture. PMID:24233072

  4. Institutional Design and Utilization of Evaluation: A Contribution to a Theory of Evaluation Influence Based on Swiss Experience

    Science.gov (United States)

    Balthasar, Andreas

    2009-01-01

    Growing interest in the institutionalization of evaluation in the public administration raises the question as to which institutional arrangement offers optimal conditions for the utilization of evaluations. "Institutional arrangement" denotes the formal organization of processes and competencies, together with procedural rules, that are…

  5. Utility of Serial Urinalyses and Urinary Cytology in the Evaluation of ...

    African Journals Online (AJOL)

    BACKGROUND: Serial urinalyses have been advocated when haematuria is suspected. OBJECTIVE: To determine the utility of serial urinalyses and urinary cytology in patients presenting for evaluation of microscopic haematuria. METHODS: Eighty-five patients with the diagnosis of microscopic haematuria were evaluated ...

  6. Center for Integrated Nanotechnologies (CINT) Chemical Release Modeling Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Stirrup, Timothy Scott [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-12-20

    This evaluation documents the methodology and results of chemical release modeling for operations at Building 518, Center for Integrated Nanotechnologies (CINT) Core Facility. This evaluation is intended to supplement an update to the CINT [Standalone] Hazards Analysis (SHA). This evaluation also updates the original [Design] Hazards Analysis (DHA) completed in 2003 during the design and construction of the facility; since the original DHA, additional toxic materials have been evaluated and modeled to confirm the continued low hazard classification of the CINT facility and operations. This evaluation addresses the potential catastrophic release of the current inventory of toxic chemicals at Building 518 based on a standard query in the Chemical Information System (CIS).

  7. Stochastic simulation of power systems with integrated renewable and utility-scale storage resources

    Science.gov (United States)

    Degeilh, Yannick

    The push for a more sustainable electric supply has led various countries to adopt policies advocating the integration of renewable yet variable energy resources, such as wind and solar, into the grid. The challenges of integrating such time-varying, intermittent resources has in turn sparked a growing interest in the implementation of utility-scale energy storage resources ( ESRs), with MWweek storage capability. Indeed, storage devices provide flexibility to facilitate the management of power system operations in the presence of uncertain, highly time-varying and intermittent renewable resources. The ability to exploit the potential synergies between renewable and ESRs hinges on developing appropriate models, methodologies, tools and policy initiatives. We report on the development of a comprehensive simulation methodology that provides the capability to quantify the impacts of integrated renewable and ESRs on the economics, reliability and emission variable effects of power systems operating in a market environment. We model the uncertainty in the demands, the available capacity of conventional generation resources and the time-varying, intermittent renewable resources, with their temporal and spatial correlations, as discrete-time random processes. We deploy models of the ESRs to emulate their scheduling and operations in the transmission-constrained hourly day-ahead markets. To this end, we formulate a scheduling optimization problem (SOP) whose solutions determine the operational schedule of the controllable ESRs in coordination with the demands and the conventional/renewable resources. As such, the SOP serves the dual purpose of emulating the clearing of the transmission-constrained day-ahead markets (DAMs ) and scheduling the energy storage resource operations. We also represent the need for system operators to impose stricter ramping requirements on the conventional generating units so as to maintain the system capability to perform "load following'', i

  8. UTILIZATION OF EVALUATION RESULTS IN LEGAL POLICY-MAKING AND ADMINISTRATION

    Directory of Open Access Journals (Sweden)

    Hellmut Wollmann

    2017-01-01

    Full Text Available The article is devoted to the analysis of evaluation method and its impact on legal policy development in governance, including in the area of law enforcement.The author outlines the importance of question whether, when and how the evaluation results of public policies, programs and measures has been utilized (or not utilized in policy making and policy implementation.In the pursuit of this guiding question the article will come in five steps.First, major variants of evaluation will be briefly presented particularly with an eye on their respective “utilization potential”.Second, different concepts will be sketched that have been forwarded to capture the utilization of social science generated knowledge by political, administrative and social actors. The author outlines a detailed description of types of evaluations: a retrospective, prelimi-nary, ongoing, interactive, – as well as existing concepts of application of its results.Third, looking at Germany, Switzerland and the European Union as “cases in point” perti-ent research findings will be discussed. The article also subjected to a detailed analysis of the experience of Germany, Switzerland and the European Union in the field of utilization of evaluation results.Fourth, a summary and conclusion will be given.Fifth, some remarks on pertinent research needs will be made.The author comes to the conclusion that that the rate of the utilization of evaluation-generated knowledge has so far turned out be, by and large, scarce. The author says that re-garding the politically crucial decisions the political rationality and its underlying political will of the decision-makers prevail while concerning less important decisions evaluation-generated evidence does show some effect and, hence, a dose of scientific rationality comes to the fore.There is also a need for further research on the subject of how should (and should not use assessment results when making legal and political decisions.

  9. Clinical utility of early amplitude integrated EEG in monitoring term newborns at risk of neurological injury

    Directory of Open Access Journals (Sweden)

    Paulina A. Toso

    2014-04-01

    Full Text Available OBJECTIVE: to test the clinical utility of an early amplitude-integrated electroencephalography (aEEG to predict short-term neurological outcome in term newborns at risk of neurology injury. METHODS: this was a prospective, descriptive study. The inclusion criteria were neonatal encephalopathy, neurologic disturbances, and severe respiratory distress syndrome. Sensitivity, specificity, positive and negative predictive values, and likelihood ratio (LR were calculated. Clinical and demographic data were analyzed. Neurological outcome was defined as the sum of clinical, electroimaging, and neuroimaging findings. RESULTS: ten of the 21 monitored infants (48% presented altered short-term neurologic outcome. The aEEG had 90% sensitivity, 82% specificity, 82% positive predictive value, and 90% negative predictive value. The positive LR was 4.95, and the negative LR was 0.12. In three of 12 (25% encephalopathic infants, the aEEG allowed for a better definition of the severity of their condition. Seizures were detected in eight infants (38%, all subclinical at baseline, and none had a normal aEEG background pattern. The status of three infants (43% evolved and required two or more drugs for treatment. CONCLUSIONS: in infants with encephalopathy or other severe illness, aEEG disturbances occur frequently. aEEG provided a better classification of the severity of encephalopathy, detected early subclinical seizures, and allowed for monitoring of the response to treatment. aEEG was a useful tool at the neonatal intensive care unit for predicting poor short-term neurological outcomes for all sick newborn.

  10. Developments of integrity evaluation technology for pressurized components in nuclear power plant and IT based integrity evaluation system

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Jin; Choi, Jae Boong; Shim, Do Jun [Sungkyunkwan Univ., Seoul (Korea, Republic of)] (and others)

    2003-03-15

    The objective of this research is to develop an efficient evaluation technology and to investigate applicability of newly-developed technology, such as internet-based cyber platform, to operating power plants. Development of efficient evaluation systems for Nuclear Power Plant components, based on structural integrity assessment techniques, are increasingly demanded for safe operation with the increasing operating period of Nuclear Power Plants. The following five topics are covered in this project: development of assessment method for wall-thinned nuclear piping based on pipe test; development of structural integrity program for steam generator tubes with cracks of various shape; development of fatigue life evaluation system for mam components of NPP; development of internet-based cyber platform and integrity program for primary components of NPP; effect of aging on strength of dissimilar welds.

  11. Orientation, Evaluation, and Integration of Part-Time Nursing Faculty.

    Science.gov (United States)

    Carlson, Joanne S

    2015-07-10

    This study helps to quantify and describe orientation, evaluation, and integration practices pertaining to part-time clinical nursing faculty teaching in prelicensure nursing education programs. A researcher designed Web-based survey was used to collect information from a convenience sample of part-time clinical nursing faculty teaching in prelicensure nursing programs. Survey questions focused on the amount and type of orientation, evaluation, and integration practices. Descriptive statistics were used to analyze results. Respondents reported on average four hours of orientation, with close to half reporting no more than two hours. Evaluative feedback was received much more often from students than from full-time faculty. Most respondents reported receiving some degree of mentoring and that it was easy to get help from full-time faculty. Respondents reported being most informed about student evaluation procedures, grading, and the steps to take when students are not meeting course objectives, and less informed about changes to ongoing curriculum and policy.

  12. Integration of modern remote sensing technologies for faster utility mapping and data extraction

    Science.gov (United States)

    Ristic, Aleksandar; Govedarica, Miro; Vrtunski, Milan; Petrovacki, Dusan

    2015-04-01

    Analysis of the application of modern remote sensing technologies in current research shows a significant increase in interest in fast and efficient detection of underground installations. The most important reasons of the said application are preventing damage during excavation works, as well as the formation of the cadastre of underground utilities suitable for operating and maintaining of such resources. Given the wide area of application in the detection of underground installations, ground penetrating radar scanning technology (GPR), in this instance, is used as prevalent method for the purpose of the acquisition radargram of pipelines and the comparison with the results of the acquisition of Unmanned Aerial Vehicle - UAV drone Aibot X6 equipped with Optris PI Lightweight Kit (which consists of a miniaturized lightweight PC and a weight-optimized PI450 Optris LW infrared camera). The aim of the research presented in the this paper is to analyze the benefits of integrating a mobile system capable of very fast, reliable and relatively inexpensive detection of heating pipelines using thermal imaging aerial inspection and GPR technology for control sampling of radargrams on specific locations of routes in order to achieve following: a simple identification of the characteristics of heating pipelines, prevention and registration of damage, as well as automated data extraction. The results of integrated application of the above-mentioned remote sensing technologies have shown that, within 10min of planned flight, it is possible to detect and georeference routes of heating pipelines in the area of 50.000m2 by application of thermal imaging inspection that assigns an adequate temperature value to each pixel in an image. The experiment showed that the registration is also possible in the case of pre-insulated and conventionally insulated heating pipes, and the difference in temperature measurements above the routes and the environment was up to 4 degrees. It should be

  13. Integrated Simulation Development and Decision Support Tool-Set for Utility Market and Distributed Solar Power Generation Electricore, Inc.

    Energy Technology Data Exchange (ETDEWEB)

    Daye, Tony [Green Power Labs (GPL), San Diego, CA (United States)

    2013-09-30

    This project will enable utilities to develop long-term strategic plans that integrate high levels of renewable energy generation, and to better plan power system operations under high renewable penetration. The program developed forecast data streams for decision support and effective integration of centralized and distributed solar power generation in utility operations. This toolset focused on real time simulation of distributed power generation within utility grids with the emphasis on potential applications in day ahead (market) and real time (reliability) utility operations. The project team developed and demonstrated methodologies for quantifying the impact of distributed solar generation on core utility operations, identified protocols for internal data communication requirements, and worked with utility personnel to adapt the new distributed generation (DG) forecasts seamlessly within existing Load and Generation procedures through a sophisticated DMS. This project supported the objectives of the SunShot Initiative and SUNRISE by enabling core utility operations to enhance their simulation capability to analyze and prepare for the impacts of high penetrations of solar on the power grid. The impact of high penetration solar PV on utility operations is not only limited to control centers, but across many core operations. Benefits of an enhanced DMS using state-of-the-art solar forecast data were demonstrated within this project and have had an immediate direct operational cost savings for Energy Marketing for Day Ahead generation commitments, Real Time Operations, Load Forecasting (at an aggregate system level for Day Ahead), Demand Response, Long term Planning (asset management), Distribution Operations, and core ancillary services as required for balancing and reliability. This provided power system operators with the necessary tools and processes to operate the grid in a reliable manner under high renewable penetration.

  14. Evaluation of UK Integrated Care Pilots: research protocol

    Directory of Open Access Journals (Sweden)

    Tom Ling

    2010-09-01

    Full Text Available Background: In response to concerns that the needs of the aging population for well-integrated care were increasing, the English National Health Service (NHS appointed 16 Integrated Care Pilots following a national competition. The pilots have a range of aims including development of new organisational structures to support integration, changes in staff roles, reducing unscheduled emergency hospital admissions, reduced length of hospital stay, increasing patient satisfaction, and reducing cost. This paper describes the evaluation of the initiative which has been commissioned. Study design and data collection methods: A mixed methods approach has been adopted including interviews with staff and patients, non-participant observation of meetings, structured written feedback from sites, questionnaires to patients and staff, and analysis of routinely collected hospital utilisation data for patients/service users. The qualitative analysis aims to identify the approaches taken to integration by the sites, the benefits which result, the context in which benefits have resulted, and the mechanisms by which they occur. Methods of analysis: The quantitative analysis adopts a 'difference in differences' approach comparing health care utilisation before and after the intervention with risk-matched controls. The qualitative data analysis adopts a 'theory of change' approach in which we triangulate data from the quantitative analysis with qualitative data in order to describe causal effects (what happens when an independent variable changes and causal mechanisms (what connects causes to their effects. An economic analysis will identify what incremental resources are required to make integration succeed and how they can be combined efficiently to produce better outcomes for patients. Conclusion: This evaluation will produce a portfolio of evidence aimed at strengthening the evidence base for integrated care, and in particular identifying the context in which

  15. Evaluation of UK Integrated Care Pilots: research protocol

    Directory of Open Access Journals (Sweden)

    Tom Ling

    2010-09-01

    Full Text Available Background: In response to concerns that the needs of the aging population for well-integrated care were increasing, the English National Health Service (NHS appointed 16 Integrated Care Pilots following a national competition. The pilots have a range of aims including development of new organisational structures to support integration, changes in staff roles, reducing unscheduled emergency hospital admissions, reduced length of hospital stay, increasing patient satisfaction, and reducing cost. This paper describes the evaluation of the initiative which has been commissioned.Study design and data collection methods: A mixed methods approach has been adopted including interviews with staff and patients, non-participant observation of meetings, structured written feedback from sites, questionnaires to patients and staff, and analysis of routinely collected hospital utilisation data for patients/service users. The qualitative analysis aims to identify the approaches taken to integration by the sites, the benefits which result, the context in which benefits have resulted, and the mechanisms by which they occur.Methods of analysis: The quantitative analysis adopts a 'difference in differences' approach comparing health care utilisation before and after the intervention with risk-matched controls. The qualitative data analysis adopts a 'theory of change' approach in which we triangulate data from the quantitative analysis with qualitative data in order to describe causal effects (what happens when an independent variable changes and causal mechanisms (what connects causes to their effects. An economic analysis will identify what incremental resources are required to make integration succeed and how they can be combined efficiently to produce better outcomes for patients.Conclusion: This evaluation will produce a portfolio of evidence aimed at strengthening the evidence base for integrated care, and in particular identifying the context in which

  16. Evaluation of UK Integrated Care Pilots: research protocol.

    Science.gov (United States)

    Ling, Tom; Bardsley, Martin; Adams, John; Lewis, Richard; Roland, Martin

    2010-09-27

    In response to concerns that the needs of the aging population for well-integrated care were increasing, the English National Health Service (NHS) appointed 16 Integrated Care Pilots following a national competition. The pilots have a range of aims including development of new organisational structures to support integration, changes in staff roles, reducing unscheduled emergency hospital admissions, reduced length of hospital stay, increasing patient satisfaction, and reducing cost. This paper describes the evaluation of the initiative which has been commissioned. A mixed methods approach has been adopted including interviews with staff and patients, non-participant observation of meetings, structured written feedback from sites, questionnaires to patients and staff, and analysis of routinely collected hospital utilisation data for patients/service users. The qualitative analysis aims to identify the approaches taken to integration by the sites, the benefits which result, the context in which benefits have resulted, and the mechanisms by which they occur. The quantitative analysis adopts a 'difference in differences' approach comparing health care utilisation before and after the intervention with risk-matched controls. The qualitative data analysis adopts a 'theory of change' approach in which we triangulate data from the quantitative analysis with qualitative data in order to describe causal effects (what happens when an independent variable changes) and causal mechanisms (what connects causes to their effects). An economic analysis will identify what incremental resources are required to make integration succeed and how they can be combined efficiently to produce better outcomes for patients. This evaluation will produce a portfolio of evidence aimed at strengthening the evidence base for integrated care, and in particular identifying the context in which interventions are likely to be effective. These data will support a series of evaluation judgements aimed

  17. California Integrated Service Delivery Evaluation Report. Phase I

    Science.gov (United States)

    Moore, Richard W.; Rossy, Gerard; Roberts, William; Chapman, Kenneth; Sanchez, Urte; Hanley, Chris

    2010-01-01

    This study is a formative evaluation of the OneStop Career Center Integrated Service Delivery (ISD) Model within the California Workforce System. The study was sponsored by the California Workforce Investment Board. The study completed four in-depth case studies of California OneStops to describe how they implemented the ISD model which brings…

  18. Evaluation of the Integrated Management of Childhood Illness ...

    African Journals Online (AJOL)

    Introduction. Bulawayo City reported an age-specific death rate for under-5s of 5.9/1 000 in 2004, and this figure rose to 6.8/1 000 in 2005. Nurses were trained in implementation of the Integrated Management of Childhood Illness (IMCI) strategy in 2005. We evaluated the programme in order to establish the level of ...

  19. An Integrated Approach to Disability Policy Development, Implementation, and Evaluation

    Science.gov (United States)

    Shogren, Karrie A.; Luckasson, Ruth; Schalock, Robert L.

    2017-01-01

    This article provides a framework for an integrated approach to disability policy development, implementation, and evaluation. The article discusses how a framework that combines systems thinking and valued outcomes can be used by coalition partners across ecological systems to implement disability policy, promote the effective use of resources,…

  20. Model for the integrated and transversal monitoring and evaluation ...

    African Journals Online (AJOL)

    Literature indicates that there is a lack of an integrated approach to monitoring and evaluation (M&E) of interventions focusing on rural development, resulting in policy development and analyses not being supported, transparency and accountability on rural spending not enhanced and organisational learning not ...

  1. Modeling and Evaluation of Bioenergy and Agriculture System Integration

    DEFF Research Database (Denmark)

    Sigurjonsson, Hafthor Ægir

    This Ph.D thesis focuses on exploring the integration between agriculture and bioenergy, by developing and analysing biomass fuelled energy system concepts that can produce heat and power in the effort of replacing fossil fuelled production. Bioenergy technologies based on thermochemical and bioc......This Ph.D thesis focuses on exploring the integration between agriculture and bioenergy, by developing and analysing biomass fuelled energy system concepts that can produce heat and power in the effort of replacing fossil fuelled production. Bioenergy technologies based on thermochemical...... and biochemical conversion have been developed to utilize residual resources from agricultural systems. Nevertheless, these technologies are more often used in systems that maximize energy generation while disregarding and destroying the "waste" products which often contain essential elements to agriculture...... of mineral fertilizers in the agricultural system....

  2. Integration of Behind-the-Meter PV Fleet Forecasts into Utility Grid System Operations

    Energy Technology Data Exchange (ETDEWEB)

    Hoff, Thomas Hoff [Clean Power Research, L.L.C., Napa, CA (United States); Kankiewicz, Adam [Clean Power Research, L.L.C., Napa, CA (United States)

    2016-02-26

    Four major research objectives were completed over the course of this study. Three of the objectives were to evaluate three, new, state-of-the-art solar irradiance forecasting models. The fourth objective was to improve the California Independent System Operator’s (ISO) load forecasts by integrating behind-the-meter (BTM) PV forecasts. The three, new, state-of-the-art solar irradiance forecasting models included: the infrared (IR) satellite-based cloud motion vector (CMV) model; the WRF-SolarCA model and variants; and the Optimized Deep Machine Learning (ODML)-training model. The first two forecasting models targeted known weaknesses in current operational solar forecasts. They were benchmarked against existing operational numerical weather prediction (NWP) forecasts, visible satellite CMV forecasts, and measured PV plant power production. IR CMV, WRF-SolarCA, and ODML-training forecasting models all improved the forecast to a significant degree. Improvements varied depending on time of day, cloudiness index, and geographic location. The fourth objective was to demonstrate that the California ISO’s load forecasts could be improved by integrating BTM PV forecasts. This objective represented the project’s most exciting and applicable gains. Operational BTM forecasts consisting of 200,000+ individual rooftop PV forecasts were delivered into the California ISO’s real-time automated load forecasting (ALFS) environment. They were then evaluated side-by-side with operational load forecasts with no BTM-treatment. Overall, ALFS-BTM day-ahead (DA) forecasts performed better than baseline ALFS forecasts when compared to actual load data. Specifically, ALFS-BTM DA forecasts were observed to have the largest reduction of error during the afternoon on cloudy days. Shorter term 30 minute-ahead ALFS-BTM forecasts were shown to have less error under all sky conditions, especially during the morning time periods when traditional load forecasts often experience their largest

  3. Determination of feasibility and utility of microscope-integrated optical coherence tomography during ophthalmic surgery: the DISCOVER Study RESCAN Results.

    Science.gov (United States)

    Ehlers, Justis P; Goshe, Jeff; Dupps, William J; Kaiser, Peter K; Singh, Rishi P; Gans, Richard; Eisengart, Jonathan; Srivastava, Sunil K

    2015-10-01

    Optical coherence tomography (OCT) has transformed the clinical management of a myriad of ophthalmic conditions. Applying OCT to ophthalmic surgery may have implications for surgical decision making and patient outcomes. To assess the feasibility and effect on surgical decision making of a microscope-integrated intraoperative OCT (iOCT) system. Report highlighting the 1-year results (March 2014-February 2015) of the RESCAN 700 portion of the DISCOVER (Determination of Feasibility of Intraoperative Spectral Domain Microscope Combined/Integrated OCT Visualization During En Face Retinal and Ophthalmic Surgery) study, a single-site, multisurgeon, prospective consecutive case series regarding this investigational device. Participants included patients undergoing ophthalmic surgery. Data on clinical characteristics were collected, and iOCT was performed during surgical milestones, as directed by the operating surgeon. A surgeon questionnaire was issued to each surgeon and was completed after each case to evaluate the role of iOCT during surgery and its particular role in select surgical procedures. Percentage of cases with successful acquisition of iOCT (ie, feasibility). Percentage of cases in which iOCT altered surgical decision making (ie, utility). During year 1 of the DISCOVER study, a total of 227 eyes (91 anterior segment cases and 136 posterior segment cases) underwent imaging with the RESCAN 700 system. Successful imaging (eg, the ability to acquire an OCT image of the tissue of interest) was obtained for 224 of 227 eyes (99% [95% CI, 98%-100%]). During lamellar keratoplasty, the iOCT data provided information that altered the surgeon's decision making in 38% of the cases (eg, complete graft apposition when the surgeon believed there was interface fluid). In membrane peeling procedures, iOCT information was discordant with the surgeon's impression of membrane peel completeness in 19% of cases (eg, lack of residual membrane or presence of occult membrane), thus

  4. Evaluating landscape health: Integrating societal goals and biophysical process

    Science.gov (United States)

    Rapport, D.J.; Gaudet, C.; Karr, J.R.; Baron, Jill S.; Bohlen, C.; Jackson, W.; Jones, B.; Naiman, R.J.; Norton, B.; Pollock, M. M.

    1998-01-01

    Evaluating landscape change requires the integration of the social and natural sciences. The social sciences contribute to articulating societal values that govern landscape change, while the natural sciences contribute to understanding the biophysical processes that are influenced by human activity and result in ecological change. Building upon Aldo Leopold's criteria for landscape health, the roles of societal values and biophysical processes in shaping the landscape are explored. A framework is developed for indicators of landscape health and integrity. Indicators of integrity are useful in measuring biological condition relative to the condition in landscapes largely unaffected by human activity, while indicators of health are useful in evaluating changes in highly modified landscapes. Integrating societal goals and biophysical processes requires identification of ecological services to be sustained within a given landscape. It also requires the proper choice of temporal and spatial scales. Societal values are based upon inter-generational concerns at regional scales (e.g. soil and ground water quality). Assessing the health and integrity of the environment at the landscape scale over a period of decades best integrates societal values with underlying biophysical processes. These principles are illustrated in two contrasting case studies: (1) the South Platte River study demonstrates the role of complex biophysical processes acting at a distance; and (2) the Kissimmee River study illustrates the critical importance of social, cultural and economic concerns in the design of remedial action plans. In both studies, however, interactions between the social and the biophysical governed the landscape outcomes. The legacy of evolution and the legacy of culture requires integration for the purpose of effectively coping with environmental change.

  5. EVALUATION OF UTILIZING SERVICE ORIENTED ARCHITECTURE AS A SUITABLE SOLUTION TO ALIGN UNIVERSITY MANAGEMENT INFORMATION SYSTEMS AND LEARNING MANAGEMENT SYSTEMS

    Directory of Open Access Journals (Sweden)

    A. M. RIAD

    2009-10-01

    Full Text Available To help universities achieve their goals, it is important to align managerial functionalities side by side with educational aspects. Universities consume University Management Information Systems (UMIS to handle managerial aspects as they do with Learning Management Systems (LMS to achieve learning objectives. UMIS advances LMS by decades and has reached stable and mature consistency level. LMS is the newly acquired solution in Universities; compared to UMIS, and so adopting LMSs in universities can be achieved via three different deployment approaches. First approach believes in LMS ability to replace UMIS and performing its functionalities. Second approach presents the idea of extending UMIS to include LMS functionalities. Third approach arises from the shortages of the two proposed approaches and present integration between both as the appropriate deployment approach. Service Oriented Architecture (SOA is a design pattern that can be used as a suitable architectural solution to align UMIS and LMS. SOA can be utilized in universities to overcome some of information systems’ challenges like the integration between UMIS and LMS. This paper presents the current situation at Mansoura University; Egypt, presents integration as the most suitable solution, and evaluates three different implementation techniques: Dynamic Query, Stored Procedure, and Web services. Evaluation concludes that though SOA enhanced many different aspects of both UMIS and LMS; and consequently university overall. It is not recommended to adopt SOA via Web services as the building unit of the system, but as the interdisciplinary interface between systems.

  6. Financial evaluation of the integration of satellite technology for snow cover measurements at a hydroelectric plant. (Utilization of Radarsat I in the La Grande river basin, Quebec); Evaluation financiere de l'integration de technologies satellitaires, pour le suivi du couvert nival, au sein d'une entreprise hydroelectrique. (Le cas de l'utilisation du satellite Radarsat I dans le bassin de la riviere La Grande, Quebec)

    Energy Technology Data Exchange (ETDEWEB)

    Martin, D.; Bernier, M.; Sasseville, J.L. [INRS-Eau, Sainte-Foy, Quebec (Canada) ; Charbonneau, R. [Hydro-Quebec, St. Hilaire, Quebec (Canada)

    1999-07-01

    The emergence, on the markets, of new technologies evokes, for the potential users, a lot of questions concerning the implementation and operation costs associated with these technologies. Nevertheless, for a lot of users, costs should be considered with the benefits these technologies are able to generate. The benefit-cost analysis is a useful tool for a financial evaluation of the transferability of the technology. This method has been selected to evaluate the eventual implementation of remote sensing technologies for snow cover measurements in the La Grande river basin (Quebec, Canada). Indeed, a better assessment of the snow water equivalent leads to a better forecasting of the water inputs due to the snowmelt. Thus, the improvement of the snow cover monitoring has direct impact on hydroelectric reservoir management. The benefit-cost analysis was used to compare three acquisition modes of the satellite Radarsat 1 (ScanSAR, Wide and Standard). The costs considered for this project are: R and D costs and operations costs (the purchase of images and costs of ground truth measurements). We evaluated the raw benefits on the basis of reducing the standard deviation of predicted inflows. The results show that the ScanSAR mode is the primary remote sensing tool for the monitoring of the snow cover, on an operational basis. With this acquisition mode, the benefit-cost ratios range between 2.3:1 and 3.9:1, using a conservative 4% reduction of the standard deviation. Even if the reduction is only 3%, ScanSAR remains profitable. Due to the large number of images needed to cover all the territory, the Standard and Wide modes are penalized by the purchase and the processing costs of the data and with delays associated to the processing. Nevertheless, with these two modes, it could be possible to work with a partial coverage of the watershed, 75% being covered in 4 days in Wide mod. The estimated B/C ratios (1.5:1 and 2:1) confirm the advantages of this alternative

  7. The utility of curriculum-based measurement for evaluating the effects of methylphenidate on academic performance.

    OpenAIRE

    Stoner, G.; Carey, S P; Ikeda, M J; Shinn, M R

    1994-01-01

    Two case studies were conducted to investigate the utility of curriculum-based measurement of math and reading for evaluating the effects of methylphenidate on the academic performance of 2 students diagnosed with attention deficit hyperactivity disorder. Following baseline measurement, double-blind placebo-controlled procedures were employed to evaluate each student's response to three levels (5 mg, 10 mg, and 15 mg) of the medication. Results of the first study suggest that the curriculum-b...

  8. Does evaluation of the ligamentous compartment enhance diagnostic utility of sacroiliac joint MRI in axial spondyloarthritis?

    DEFF Research Database (Denmark)

    Weber, Ulrich; Maksymowych, Walter P; Chan, Stanley M

    2015-01-01

    in the ligamentous compartment and their potential diagnostic utility in axial SpA. We therefore aimed to evaluate the ligamentous compartment on sacroiliac joint MRI for lesion distribution and potential incremental value towards diagnosis of SpA over and above the traditional assessment of the cartilaginous...

  9. Evaluation of a sugar based edible adhesive utilizing a tensile strength tester

    Science.gov (United States)

    A new method to evaluate adhesives has been developed and utilized to formulate a recently patented adhesive based on sugar and citric acid. Factors affecting adhesive performance were uncovered, such as reduced strength due to improper heating time, and an optimal curing temperature of 60oC was ac...

  10. Evaluating Intangible Outcomes: Using Multiattribute Utility Analysis to Compare the Benefits and Costs of Social Programs

    Science.gov (United States)

    Selameab, Tehout; Yeh, Stuart S.

    2008-01-01

    Increasingly, program managers are required to evaluate programs with multiple outcomes against costs. This is difficult when program outcomes are not easily translated into a common metric. This article compares cost benefit analysis with Multiple Attribute Utility Technology and discusses the application of judgment in both analytical…

  11. Development of an Integrity Evaluation System for Nuclear Power Plants

    Science.gov (United States)

    Kim, Young-Jin; Choi, Jae-Boong; Lee, Joon-Seong; Jun, Hyun-Kyu; Park, Youn-Won

    This paper describes the structure and development strategy for integrity evaluation system for nuclear power plants called NPP-KINS/SAFE. NPP-KINS/SAFE consists of three different programs covering the integrity assessment of reactor pressure vessel, pipings, and pressure tubes, respectively. The system has been developed based on currently available codes and standards, and includes a number of databases, expert systems, and numerical analysis schemes. NPP-KINS/SAFE is applicable for various types of nuclear power plants constructed in Korea with the aid of attached database systems including plant specific data. Case studies for the developed system are also provided.

  12. 1980 survey and evaluation of utility conservation, load management, and solar end-use projects. Volume 3: utility load management projects. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1982-01-01

    The results of the 1980 survey of electric utility-sponsored energy conservation, load management, and end-use solar energy conversion projects are described. The work is an expansion of a previous survey and evaluation and has been jointly sponsored by EPRI and DOE through the Oak Ridge National Laboratory. There are three volumes and a summary document. Each volume presents the results of an extensive survey to determine electric utility involvement in customer-side projects related to the particular technology (i.e., conservation, solar, or load management), selected descriptions of utility projects and results, and first-level technical and economic evaluations.

  13. GIS in Evaluation: Utilizing the Power of Geographic Information Systems to Represent Evaluation Data

    Science.gov (United States)

    Azzam, Tarek; Robinson, David

    2013-01-01

    This article provides an introduction to geographic information systems (GIS) and how the technology can be used to enhance evaluation practice. As a tool, GIS enables evaluators to incorporate contextual features (such as accessibility of program sites or community health needs) into evaluation designs and highlights the interactions between…

  14. Evaluation of demand integrated substations; Utvaerdering av funktionsintegrerad fjaerrvaermecentral

    Energy Technology Data Exchange (ETDEWEB)

    Andersson, Sofie; Werner, Sven [FVB Sverige AB, Boraas (Sweden)

    2005-07-01

    Demand integrated substations contain an intelligent control unit, which recently has been developed by NordIQ Goeteborg AB. The purpose with this project has been to evaluate the benefits of this intelligent control unit. This evaluation project has been based on field measurement of hourly heat supply, circulated water, forward- and return temperatures in six substations with a 12 month reference period with the existing substation and another 12 month evaluation period with a demand integrated substation. The results from the evaluation show that: - The annual heat delivery was reduced by 10-11 % in average, when a new demand integrated substation replaced an existing conventional substation in the same building. - The annual cooling of the district heat fluid increased by 10-11 deg C, giving lower return temperatures in the district heating systems. The annual volume of circulated water was reduced with 33,200 m{sup 3} from the initial 112,800 m{sup 3} during the reference year. - The daily variation of the customer heat demand became less bumpy from lower morning peaks and heat demands moved to evenings and nights. The financial benefit from the intelligent control unit estimated as net present value is higher than the cost for new conventional substations. Applied to the whole Swedish district heat sector, this benefit has an annual value of about 1,6-2,0 billion SEK (180- 220 million Euro), corresponding to 7-9 % of the current price level for district heat in Sweden.

  15. Stable Integration of Power Electronics-Based DG Links to the Utility Grid with Interfacing Impedance Uncertainties

    OpenAIRE

    Kazem Hoseini, S.; Pouresmaeil, Edris; Adabi, Jafar; Catalão, João

    2015-01-01

    Part 16: Energy: Power Conversion II; International audience; For the integration of distributed generation (DG) units to the utility grid, voltage source converter (VSC) is the key technology. In order to realize high quality power injection, different control techniques have been adopted. However, the converter-based DG interface is subject to inevitable uncertainties, which adversely influence the performance of the controller. The interfacing impedance seen by the VSC may considerably var...

  16. Integrated biogas upgrading and hydrogen utilization in an anaerobic reactor containing enriched hydrogenotrophic methanogenic culture

    DEFF Research Database (Denmark)

    Luo, Gang; Angelidaki, Irini

    2012-01-01

    Biogas produced by anaerobic digestion, is mainly used in a gas motor for heat and electricity production. However, after removal of CO2, biogas can be upgraded to natural gas quality, giving more utilization possibilities, such as utilization as autogas, or distant utilization by using the exist......Biogas produced by anaerobic digestion, is mainly used in a gas motor for heat and electricity production. However, after removal of CO2, biogas can be upgraded to natural gas quality, giving more utilization possibilities, such as utilization as autogas, or distant utilization by using...... the existing natural gas grid. The current study presents a new biological method for biogas upgrading in a separate biogas reactor, containing enriched hydrogenotrophic methanogens and fed with biogas and hydrogen. Both mesophilic- and thermophilic anaerobic cultures were enriched to convert CO2 to CH4...... by PCR–DGGE. Nonetheless, they all belonged to the order Methanobacteriales, which can mediate hydrogenotrophic methanogenesis. Biogas upgrading was then tested in a thermophilic anaerobic reactor under various operation conditions. By continuous addition of hydrogen in the biogas reactor, high degree...

  17. Utility of DMSP-SSM/I for integrated water vapour over the Indian seas

    Indian Academy of Sciences (India)

    Recent algorithms for Special Sensor Microwave/Imager (DMSP-SSM/I) satellite data are used for estimating integrated water vapour over the Indian seas. ... On the basis of this algorithm, distribution of integrated water vapour is determined during the monsoon depression (22nd{27th July, 1992) that formed over the Bay of ...

  18. Utility of DMSP-SSM/I for integrated water vapour over the Indian seas

    Indian Academy of Sciences (India)

    R. Narasimhan (Krishtel eMaging Solutions)

    Recent algorithms for Special Sensor Microwave/Imager (DMSP-SSM/I) satellite data are used for estimating integrated water vapour over the Indian seas. Integrated water vapour obtained from these algorithms is compared with that derived from radiosonde observations at Minicoy and Port. Blair islands. Algorithm-3 of ...

  19. Forecasting return products in an integrated forward/reverse supply chain utilizing an ANFIS

    Directory of Open Access Journals (Sweden)

    Kumar D. Thresh

    2014-09-01

    Full Text Available Interests in Closed-Loop Supply Chain (CLSC issues are growing day by day within the academia, companies, and customers. Many papers discuss profitability or cost reduction impacts of remanufacturing, but a very important point is almost missing. Indeed, there is no guarantee about the amounts of return products even if we know a lot about demands of first products. This uncertainty is due to reasons such as companies’ capabilities in collecting End-of-Life (EOL products, customers’ interests in returning (and current incentives, and other independent collectors. The aim of this paper is to deal with the important gap of the uncertainties of return products. Therefore, we discuss the forecasting method of return products which have their own open-loop supply chain. We develop an integrated two-phase methodology to cope with the closed-loop supply chain design and planning problem. In the first phase, an Adaptive Network Based Fuzzy Inference System (ANFIS is presented to handle the uncertainties of the amounts of return product and to determine the forecasted return rates. In the second phase, and based on the results of the first one, the proposed multi-echelon, multi-product, multi-period, closed-loop supply chain network is optimized. The second-phase optimization is undertaken based on using general exact solvers in order to achieve the global optimum. Finally, the performance of the proposed forecasting method is evaluated in 25 periods using a numerical example, which contains a pattern in the returning of products. The results reveal acceptable performance of the proposed two-phase optimization method. Based on them, such forecasting approaches can be applied to real-case CLSC problems in order to achieve more reliable design and planning of the network

  20. Integrative medical education: educational strategies and preliminary evaluation of the Integrated Curriculum for Anthroposophic Medicine (ICURAM).

    Science.gov (United States)

    Scheffer, Christian; Tauschel, Diethard; Neumann, Melanie; Lutz, Gabriele; Cysarz, Dirk; Heusser, Peter; Edelhäuser, Friedrich

    2012-12-01

    the development and preliminary evaluation of a new medical program aimed at educating students in patient-centered integrative care and developing appropriate educational strategies. The Integrated Curriculum for Anthroposophic Medicine (ICURAM) was developed with modules on anthroposophic medicine integrated into the full 6 years of the regular medical curriculum. The educational strategy is the ESPRI(2)T approach, combining Exploratory learning, Supported participation, Patient-based learning, Reflective practice, Integrated learning, an Integrative approach and Team-based learning. The student participation, assessed based on the number of credit points earned per year (ctp/year) through the ICURAM (1 ctp=30 h workload), served as a preliminary indicator of student interest. Of the 412 55%medical students participated in the program: 16% full participation (≥ 4 ctp/year), 18% partial participation (1-3.99 ctp/year) and 22% occasional participation (0.25-0.99 ctp/year). The amount of additional workload taken on by students was between 7.8h/year for occasional participants, 33 h/year for partial participants and 84 h/year for full participants. More than half of medical students were willing to invest a significant amount of additional time in the optional program. An integrative medical curriculum with a student-centered educational strategy seems to be of interest to most medical students. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  1. The Dynamic Integrated Evaluation Model (DIEM): Achieving Sustainability in Organizational Intervention through a Participatory Evaluation Approach.

    Science.gov (United States)

    von Thiele Schwarz, Ulrica; Lundmark, Robert; Hasson, Henna

    2016-10-01

    Recently, there have been calls to develop ways of using a participatory approach when conducting interventions, including evaluating the process and context to improve and adapt the intervention as it evolves over time. The need to integrate interventions into daily organizational practices, thereby increasing the likelihood of successful implementation and sustainable changes, has also been highlighted. We propose an evaluation model-the Dynamic Integrated Evaluation Model (DIEM)-that takes this into consideration. In the model, evaluation is fitted into a co-created iterative intervention process, in which the intervention activities can be continuously adapted based on collected data. By explicitly integrating process and context factors, DIEM also considers the dynamic sustainability of the intervention over time. It emphasizes the practical value of these evaluations for organizations, as well as the importance of their rigorousness for research purposes. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  2. Radiological anatomy - evaluation of integrative education in radiology.

    Science.gov (United States)

    Dettmer, S; Schmiedl, A; Meyer, S; Giesemann, A; Pabst, R; Weidemann, J; Wacker, F K; Kirchhoff, T

    2013-09-01

    Evaluation and analysis of the integrative course "Radiological Anatomy" established since 2007 at the Medical School Hannover (MHH) in comparison with conventional education. Anatomy and radiology are usually taught separately with a considerable time lag. Interdisciplinary teaching of these associated subjects seems logical for several reasons. Therefore, the integrative course "Radiological Anatomy" was established in the second year of medical education, combining these two closely related subjects. This interdisciplinary course was retrospectively evaluated by consideration of a student questionnaire and staff observations. The advantages and disadvantages of integrative teaching in medical education are discussed. The course ratings were excellent (median 1; mean 1.3 on a scale of 1 to 6). This is significantly (p radiology increased during the course (88 %). According to the students' suggestions the course was enhanced by a visitation in the Department of Radiology and the additional topic central nervous system. Integrative teaching of anatomy and radiology was well received by the students. Both, anatomical and radiological comprehension and the motivation to learn were improved. However, it should be considered, that the amount of work and time required by the teaching staff is considerably increased compared to traditional teaching. © Georg Thieme Verlag KG Stuttgart · New York.

  3. Numerical evaluation of tensor Feynman integrals in Euclidean kinematics

    Energy Technology Data Exchange (ETDEWEB)

    Gluza, J.; Kajda [Silesia Univ., Katowice (Poland). Inst. of Physics; Riemann, T.; Yundin, V. [Deutsches Elektronen-Synchrotron (DESY), Zeuthen (Germany)

    2010-10-15

    For the investigation of higher order Feynman integrals, potentially with tensor structure, it is highly desirable to have numerical methods and automated tools for dedicated, but sufficiently 'simple' numerical approaches. We elaborate two algorithms for this purpose which may be applied in the Euclidean kinematical region and in d=4-2{epsilon} dimensions. One method uses Mellin-Barnes representations for the Feynman parameter representation of multi-loop Feynman integrals with arbitrary tensor rank. Our Mathematica package AMBRE has been extended for that purpose, and together with the packages MB (M. Czakon) or MBresolve (A. V. Smirnov and V. A. Smirnov) one may perform automatically a numerical evaluation of planar tensor Feynman integrals. Alternatively, one may apply sector decomposition to planar and non-planar multi-loop {epsilon}-expanded Feynman integrals with arbitrary tensor rank. We automatized the preparations of Feynman integrals for an immediate application of the package sectordecomposition (C. Bogner and S. Weinzierl) so that one has to give only a proper definition of propagators and numerators. The efficiency of the two implementations, based on Mellin-Barnes representations and sector decompositions, is compared. The computational packages are publicly available. (orig.)

  4. Evaluating trauma nursing education: An integrative literature review.

    Science.gov (United States)

    Ding, Min; Metcalfe, Helene; Gallagher, Olivia; Hamdorf, Jeffrey M

    2016-09-01

    A review of the current literature evaluating trauma nursing education. A variety of trauma nursing courses exist, to educate nurses working in trauma settings, and to maintain their continuing professional development. Despite an increase in the number of courses delivered, there appears to be a lack of evidence to demonstrate the effectiveness of trauma nursing education and in particular the justification for this resource allocation. Integrative literature review. A search of international literature on trauma nursing education evaluation published in English from 1985 to 2015 was conducted through electronic databases CINAHL Plus, Google Scholar, PubMed, Austhealth, Science Citation Index Expanded (Web of Science), Sciverse Science Direct (Elsevier) & One file (Gale). Only peer reviewed journal articles identifying trauma course and trauma nursing course evaluation have been included in the selection criteria. An integrative review of both quantitative and qualitative literature guided by Whittemore and Knafl's theoretical framework using Bowling's and Pearson's validated appraisal checklists, has been conducted for three months. Only 17 studies met the inclusion criteria, including 14 on trauma course evaluation and 3 on trauma nursing course evaluation. Study findings are presented as two main themes: the historical evolution of trauma nursing education and evaluation of trauma nursing education outcomes. Trauma nursing remains in its infancy and education in this specialty is mainly led by continuing professional development courses. The shortage of evaluation studies on trauma nursing courses reflects the similar status in continuing professional development course evaluation. A trauma nursing course evaluation study will address the gap in this under researched area. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Integral Criteria for Measuring the Quality of Teacher Evaluation

    Directory of Open Access Journals (Sweden)

    Olga Navickienė

    2012-07-01

    Full Text Available Purpose—To construct the knowledge evaluation quality integral criteria, which allows to ascertain whether the different teachers properly assess the students’ knowledge. The criteria has been tested setting up the educational experiment and examining the six mathematics lecturers’ assessments.Design/methodology/approach—This research involved the Mykolas Romeris University students of Public Administration degree second year and Management of Organizations degree first year. The test questions for students were designed using the mathematical knowledge assessment information system, which allows for closed-ended mathematical test, to obtain statistical data about test takers, to perform quality analysis of the test; in the middle and the end of the semester.Findings—The construction technique for the evaluation quality criteria of the students’ working results assessment, which were performed by six different lecturers, during practical trainings, seminars, laboratory and other sessions is proposed in this article.Research limitations/implications—The constructed evaluation criteria is universal: it does not depend on the particular subject; it can be applied to several groups, courses or lecturers. It depends on three calculated indicators I, S, K, which show in two ways obtained estimates of the measured information compatibility of degrees, marks matching and correlation terms.Practical implications—The integral criteria has been tested examining the six mathematics lecturers’ assessments.Originality/Value—Constructing the criteria have been used the educational measurement models of authors of this article and other researchers, however its’ connection to general (integral criteria, best of authors’ knowledge, is original and have not be researched before.Keywords: knowledge evaluation, quality of teacher evaluation, evaluation of teachers, mathematical modeling.Research type: research paper.

  6. Evaluation of the electric utility missions; Evaluation des missions de service public de l'electricite

    Energy Technology Data Exchange (ETDEWEB)

    Syrota, J

    2000-07-01

    The French law from February 10, 2000, about the modernization and development of the electric utility, has created new missions of public utility and foresees some compensation mechanisms for not handicapping the power operators in charge of these missions and for not creating competition distortions to their detriment on the European market. The author explains, first, the financial and economical stakes linked with these new missions. Then, he evokes the evolution of the energy context that has taken place between the 2. World war and the enforcement of the February 10, 2000 law, and he analyzes the systems foreseen for the power generation and distribution. For each public utility charge, the existing dispositions and those introduced by the law are analyzed and compared to the equivalent systems existing in other countries. Then, charge evaluation criteria and sharing rules and proposed. (J.S.)

  7. The air quality and human health effects of integrating utility-scale batteries into the New York State electricity grid

    Science.gov (United States)

    Gilmore, Elisabeth A.; Apt, Jay; Walawalkar, Rahul; Adams, Peter J.; Lave, Lester B.

    In a restructured electricity market, utility-scale energy storage technologies such as advanced batteries can generate revenue by charging at low electricity prices and discharging at high prices. This strategy changes the magnitude and distribution of air quality emissions and the total carbon dioxide (CO 2) emissions. We evaluate the social costs associated with these changes using a case study of 500 MW sodium-sulfur battery installations with 80% round-trip efficiency. The batteries displace peaking generators in New York City and charge using off-peak generation in the New York Independent System Operator (NYISO) electricity grid during the summer. We identify and map charging and displaced plant types to generators in the NYISO. We then convert the emissions into ambient concentrations with a chemical transport model, the Particulate Matter Comprehensive Air Quality Model with extensions (PMCAM x). Finally, we transform the concentrations into their equivalent human health effects and social benefits and costs. Reductions in premature mortality from fine particulate matter (PM 2.5) result in a benefit of 4.5 ¢ kWh -1 and 17 ¢ kWh -1 from displacing a natural gas and distillate fuel oil fueled peaking plant, respectively, in New York City. Ozone (O 3) concentrations increase due to decreases in nitrogen oxide (NO x) emissions, although the magnitude of the social cost is less certain. Adding the costs from charging, displacing a distillate fuel oil plant yields a net social benefit, while displacing the natural gas plant has a net social cost. With the existing base-load capacity, the upstate population experiences an increase in adverse health effects. If wind generation is charging the battery, both the upstate charging location and New York City benefit. At 20 per tonne of CO 2, the costs from CO 2 are small compared to those from air quality. We conclude that storage could be added to existing electricity grids as part of an integrated strategy from a

  8. Economic evaluation of the integrated SMART desalination plant

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Young Dong; Lee, Man Kye; Yeo, Ji Won; Kim, Hee Chul; Chang, Moon Hee

    2001-04-01

    In this study, an economic evaluation methodology of the integrated SMART desalination plant was established and the economic evaluation of SMART was performed. The plant economics was evaluated with electricity generation costs calculated using approximate estimates of SMART cost data and the result was compared with the result calculated using the SMART design data and estimated bulk materials. In addition, a series of sensitivity studies on the power generation cost was performed for the main economic parameters of SMART Power credit method was used for the economic analysis of the integrated SMART desalination plant. Power credit method is a widely used economic analysis method for the cogeneration plant when the major portion of the energy is used for the electricity generation. In the case of using SMART fot power generation only, the result shows that the electricity generation cost of SMART is higher than that of the alternative power options. However, it can be competitive with the other power options in the limited cases, especially with the gas fired combined plant. In addition, an economic analysis of the integrated SMART desalination plant coupled with MED was performed. The calculated water production cost is in the range of 0.56 approx. 0.88($/m{sup 3}) for the plant availability of 80% or higher, which is close to the study results presented by the various other countries. This indicates that SMART can be considered as a competitive choice for desalination among various alternative energy sources.

  9. Addressing data center efficiency. Lessons learned from process evaluations of utility energy efficiency programs

    Energy Technology Data Exchange (ETDEWEB)

    Howard, A.J.; Holmes, J. [Energy Market Innovations, Inc, 83 Columbia St., Suite 303, Seattle, WA 98104 (United States)

    2012-01-15

    This paper summarizes the unique challenges related to addressing energy efficiency in the data center industry and lessons learned from original research and two process evaluations of energy efficiency programs with components that specifically target data centers. The lessons learned include: creating program opportunities specifically focused on data centers; clearly identifying target data centers able to implement energy efficiency programs; understanding decision making in these facilities; and effectively communicating the program opportunities to the target market. The growing energy use of data centers has drawn international attention from policy makers, regulators, industry consortiums, and electric utilities. Any program effective at improving the energy performance of data centers must include specific strategies and processes aimed at confronting a number of challenges specific to this industry, including: the concentrated and rapidly growing energy use of these facilities; the rapid pace of innovation; the extremely high reliability requirements; and the significant split incentives due to the typical data center management structure. The process evaluations covered in this paper are the Pacific Gas and Electric (PG and E) High-Tech program and the Silicon Valley Power (SVP) Public Benefits Program. While the PG and E evaluation was a more complete process evaluation, the SVP evaluation focused specifically on participation from co-location facilities. These process evaluations together included interviews with program participants, nonparticipants and utility staff and also included outreach to a large variety of industry stakeholders. In addition, the PG and E evaluation included detailed process-mapping used to identify the necessity and importance of all program processes. The insights gathered from these evaluations are not only applicable to US electrical utilities but can also be applied to any international organization looking to create

  10. Analytic continuation and numerical evaluation of the kite integral and the equal mass sunrise integral

    Directory of Open Access Journals (Sweden)

    Christian Bogner

    2017-09-01

    Full Text Available We study the analytic continuation of Feynman integrals from the kite family, expressed in terms of elliptic generalisations of (multiple polylogarithms. Expressed in this way, the Feynman integrals are functions of two periods of an elliptic curve. We show that all what is required is just the analytic continuation of these two periods. We present an explicit formula for the two periods for all values of t∈R. Furthermore, the nome q of the elliptic curve satisfies over the complete range in t the inequality |q|≤1, where |q|=1 is attained only at the singular points t∈{m2,9m2,∞}. This ensures the convergence of the q-series expansion of the ELi-functions and provides a fast and efficient evaluation of these Feynman integrals.

  11. Utility of the CIPP Model for Evaluating an Established Career Program in a Community College.

    Science.gov (United States)

    Hecht, Alfred R.

    How useful is Stufflebeam's Context, Input, Process, Product (CIPP) model for evaluating an established career program in a community college? On the basis of a case study, advantages of using CIPP include: comprehensiveness, flexibility, integration and decision-orientation. Implementation problems include: establishing procedures for delineating…

  12. A procedure to evaluate the efficiency of utilization of dietary amino acid for poultry

    Directory of Open Access Journals (Sweden)

    Edney Pereira da Silva

    2014-05-01

    Full Text Available The aim of this study was to develop a procedure based on Gompertz function to determine the efficiency of utilization of amino acid. The procedure was applied to determine the efficiency of utilization of dietary lysine, methionine+cystine and threonine by growing pullets and based on the efficiencies were estimated the requirements for the growth phase of birds. The Gompertz function was fitted to the data of feed intake, body weight, feather-free body protein weight and feather protein weight of four strains of laying hens in the growth phase. The rates of consumption and daily protein deposition (PD were calculated. The amino acid deposition was obtained by multiplying the PD by the amino acid concentration in feather protein and feather-free body protein. The results showed that the efficiency of utilization of amino acid decreased with maturity and, conversely, there was a proportional increase of the requirement per kg of weight gain. The procedure based on the Gompertz function to determine the efficiency of utilization of amino acid proved to be suitable to evaluate the efficiency of utilization of amino acid and can be a useful tool to diagnose the effectiveness of the nutritional management, aiding in decision-making on the nutritional management.

  13. Software Testbed for Developing and Evaluating Integrated Autonomous Subsystems

    Science.gov (United States)

    Ong, James; Remolina, Emilio; Prompt, Axel; Robinson, Peter; Sweet, Adam; Nishikawa, David

    2015-01-01

    under development and not yet sufficiently capable, the ANML model is translated into the New Domain Definition Language (NDDL) and sent to NASA's EUROPA planning system for plan generation. The adaptive controller executes the new plan, using augmented, hierarchical finite state machines to select and sequence actions based on the state of the ADAPT system. Real-time sensor data, commands, and plans are displayed in information-dense arrays of timelines and graphs that zoom and scroll in unison. A dynamic schematic display uses color to show the real-time fault state and utilization of the system components and resources. An execution manager coordinates the activities of the other subsystems. The subsystems are integrated using the Internet Communications Engine (ICE). an object-oriented toolkit for building distributed applications.

  14. Utilization of Remote Sensing Techniques for Monitoring and Evaluation of Solo Watershed Management

    Directory of Open Access Journals (Sweden)

    Totok Gunawan

    2004-01-01

    Full Text Available This research is an application of remote sensing technology for monitoring and evaluation of watershed management, which was conducted is Solo Watershed, Central and East Java. The research objectives were 1 to investigate the capability of photomorphic analysis of Landsat Thematic Mapper (TM and Enhanced Themmatic Mapper (ETM + imagery as the basic for analyzes of landforms, landuse, and morphometry of the land surface; 2 to calculate the overland flow – peak discharge and erosion – sediment yield as indicators of land degradation of the area; 3 to use the indicators as set of instrument for monitoring and evaluation of watershed management. In this study, visual interpretation by means of on-screen digilization of the digital imagery was carried out in order to identify and to delineate land parameters using photomorphic approach. Based on the photomorphic analysis, several image – based parameters such as relief topography, physical soil characteristic, litho – stratigraphy, and vegetation cover were integrated with other themati maps in a geographic information system (GIS environment. Estimation of overland flow (C based on Cook methods (1942 and calculation of peak disccharge (Qmax based on rational method (Qmax = C. I. A were applied. Meanwhile, estimation of surface erosion was carried out using Universal Soil Loss Equation (USLE, A = R. K. L. S. CP. The sediment yield (Sy was estimated using seddiment delivery ratio ( SDR based on the following formula: Sy = [A + (25% x A] x SDR. Both pairs of C – Qmax and A – Sy, were utilized as the basis for monitoring and evaluation of the watershed. The combination of C – Qmax and A – Sy were also used as the basis for selection of stream gauge setting / AWLR within particular sub – catchment. It was found that the photomorphic analysis is only color/tone, slope aspects, pattern, and texture, unit boundaries between volcanic – origin landscape (Wilis volcanic complex and folded

  15. Utility of factor analysis in optimization of resident assessment and faculty evaluation.

    Science.gov (United States)

    Teman, Nicholas R; Minter, Rebecca M; Kasten, Steven J

    2016-06-01

    Increasing focus on more granular assessment in medical education has led to more lengthy instruments, with concern that the increased complexity undermines the utility of these tools. This study evaluated the relative contribution of individual questions in an assessment of resident performance and a faculty performance evaluation by residents. The authors performed factor analysis on the individual items in the resident assessment instrument (3,009 assessments of 71 residents) and faculty evaluations (7,328 evaluations of 61 faculty) collected from 2006 to 2012. Factor analysis of the resident assessment tool revealed that 1 component was responsible for 96.6% of the variance. This component encompassed each question from the assessment form, and could also be termed "overall resident competency." Factor analysis of the attending evaluation form revealed 2 unique components, representing "clinical care" and "interpersonal skills," which accounted for 89.9% of variance. Three components accounted for 90% to 97% of the observed variance in our analysis. Factor analysis represents a useful strategy for analyzing the utility of data obtained from individual items in the assessment and evaluation instruments. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Initial Economic Analysis of Utility-Scale Wind Integration in Hawaii

    Energy Technology Data Exchange (ETDEWEB)

    2012-03-01

    This report summarizes an analysis, conducted by the National Renewable Energy Laboratory (NREL) in May 2010, of the economic characteristics of a particular utility-scale wind configuration project that has been referred to as the 'Big Wind' project.

  17. Integrated Care for the Terminally Ill: Variations in the Utilization of Formal Services.

    Science.gov (United States)

    Meyers, Allan R.; And Others

    1983-01-01

    A review of 85 patients who received home care for terminal illness showed that a small proportion of patients use a relatively high volume of both in-patient and home care services. Data suggest that there are two dimensions of service utilization: a medical dimension and a social dimension. (Author/RC)

  18. Utility Theory for Evaluation of Optimal Process Condition of SAW: A Multi-Response Optimization Approach

    Science.gov (United States)

    Datta, Saurav; Biswas, Ajay; Bhaumik, Swapan; Majumdar, Gautam

    2011-01-01

    Multi-objective optimization problem has been solved in order to estimate an optimal process environment consisting of optimal parametric combination to achieve desired quality indicators (related to bead geometry) of submerged arc weld of mild steel. The quality indicators selected in the study were bead height, penetration depth, bead width and percentage dilution. Taguchi method followed by utility concept has been adopted to evaluate the optimal process condition achieving multiple objective requirements of the desired quality weld.

  19. Simultaneous evaluation of plasma membrane integrity, acrosomal integrity, and mitochondrial membrane potential in bovine spermatozoa by flow cytometry.

    Science.gov (United States)

    Kanno, Chihiro; Kang, Sung-Sik; Kitade, Yasuyuki; Yanagawa, Yojiro; Takahashi, Yoshiyuki; Nagano, Masashi

    2016-08-01

    The present study aimed to develop an objective evaluation procedure to estimate the plasma membrane integrity, acrosomal integrity, and mitochondrial membrane potential of bull spermatozoa simultaneously by flow cytometry. Firstly, we used frozen-thawed semen mixed with 0, 25, 50, 75 or 100% dead spermatozoa. Semen was stained using three staining solutions: SYBR-14, propidium iodide (PI), and phycoerythrin-conjugated peanut agglutinin (PE-PNA), for the evaluation of plasma membrane integrity and acrosomal integrity. Then, characteristics evaluated by flow cytometry and by fluorescence microscopy were compared. Characteristics of spermatozoa (viability and acrosomal integrity) evaluated by flow cytometry and by fluorescence microscopy were found to be similar. Secondly, we attempted to evaluate the plasma membrane integrity, acrosomal integrity, and also mitochondrial membrane potential of spermatozoa by flow cytometry using conventional staining with three dyes (SYBR-14, PI, and PE-PNA) combined with MitoTracker Deep Red (MTDR) staining (quadruple staining). The spermatozoon characteristics evaluated by flow cytometry using quadruple staining were then compared with those of staining using SYBR-14, PI, and PE-PNA and staining using SYBR-14 and MTDR. There were no significant differences in all characteristics (viability, acrosomal integrity, and mitochondrial membrane potential) evaluated by quadruple staining and the other procedures. In conclusion, quadruple staining using SYBR-14, PI, PE-PNA, and MTDR for flow cytometry can be used to evaluate the plasma membrane integrity, acrosomal integrity, and mitochondrial membrane potential of bovine spermatozoa simultaneously.

  20. Evaluation of tunnel stability using integrated geophysical methods

    Science.gov (United States)

    Cardarelli, E.; Marrone, C.; Orlando, L.

    2003-02-01

    An integrated interpretation was made of data, from ground penetrating radar (GPR), seismic refraction and seismic transmission tomography, collected inside the catchment tunnels of a potable water source in central Italy. Rock fracturing and obsolescence of the concrete lining in a tunnel led a landslide that caused structural instability in the catchment work structures. To assess the stability of the rock close to the landslide, geophysical surveys were preferred to boreholes and geotechnical tests in order to avoid water pollution and the risk of further landslides. The interpretation of integrated data from seismic tomography and 200 MHz antenna GPR resulted in an evaluation of some of the elastic characteristics and the detection of discontinuities in the rock. Note also that an analysis of the back-scattered energy was required for the GPR data interpretation. The integration of seismic refraction data and 450 MHz antenna allowed us to identify the loosened zone around the tunnel and the extent of the mass involved in the cave-in, while GPR data from 225 MHz were used to evaluate the quality of contact between concrete lining and massive rock.

  1. INTEGRAL CRITERIA FOR EVALUATION OF SCIENTIFIC AND TECHNICAL RESEARCH

    Directory of Open Access Journals (Sweden)

    Stanislav Nazarevich

    2015-09-01

    Full Text Available In the paper, we develop approaches to the estimation of production enterprises based on the criteria of classification of products, goods and services to innovative products. Developed their qualitative scale for interpreting the results of the evaluation, blind spots, which were not included in the intervals, are compensated by the use of fuzzy sets. In the presented method uses integral criterion based on fuzzy accessory products specific form. The obtained numerical values of the integral criterion reflect the adequacy of the technical characteristics to determine the form of new products, as well as identifying the characteristics of the gap to peers and benchmarks. The technique is applicable to the assessment processes of innovation and competitiveness of new and current products, as well as in dealing with the definition of the innovative features of the new products.

  2. Review of Prior Commercial Building Energy Efficiency Retrofit Evaluation: A Report to Snohomish Public Utilities District

    Energy Technology Data Exchange (ETDEWEB)

    Price, Phillip N. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States). Environmental Energy Technologies Division

    2014-11-01

    Snohomish County Public Utilities District (the District or Snohomish PUD) provides electricity to about 325,000 customers in Snohomish County, Washington. The District has an incentive programs to encourage commercial customers to improve energy efficiency: the District partially reimburses the cost of approved retrofits if they provide a level of energy performance improvement that is specified by contract. In 2013 the District contracted with Lawrence Berkeley National Laboratory to provide a third-party review of the Monitoring and Verification (M&V) practices the District uses to evaluate whether companies are meeting their contractual obligations. This work helps LBNL understand the challenges faced by real-world practitioners of M&V of energy savings, and builds on a body of related work such as Price et al. (2013). The District selected a typical project for which they had already performed an evaluation. The present report includes the District's original evaluation as well as LBNL's review of their approach. The review is based on the document itself; on investigation of the load data and outdoor air temperature data from the building evaluated in the document; and on phone discussions with Bill Harris of the Snohomish County Public Utilities District. We will call the building studied in the document the subject building, the original Snohomish PUD report will be referred to as the Evaluation, and this discussion by LBNL is called the Review.

  3. Does Integrated Care Affect Healthcare Utilization in Multi-problem Refugees?

    Science.gov (United States)

    White, Carol C; Solid, Craig A; Hodges, James S; Boehm, Deborah H

    2015-10-01

    A history of trauma is common in refugee populations and appropriate treatment is frequently avoided. Using a convenience sample of 64 patients in a Somali primary care clinic, a culture and trauma specific intervention was developed to address retention into appropriate treatment. One goal of the intervention was to improve the rate of engagement in psychotherapy after a mental health referral and to test the effect of psychotherapy on health care utilization using a staged primary care clinical tool. Forty-eight percent of patients given a mental health referral engaged in psychotherapy. Patients engaging in psychotherapy had higher baseline utilization and over 12 months trended towards less emergency room use and more primary care. Our findings suggest that the intervention improved referral and retention in mental health therapy for East African refugee women.

  4. Mechanical integrity evaluation of low-k device with bump shear

    Science.gov (United States)

    Su, Peng; Zhao, Jie-Hua; Pozder, Scott; Wontor, David

    2006-05-01

    The mechanical integrity of low-k dielectric films has brought many process challenges in both front-end integration and back-end assembly, mostly due to possible interfacial delamination and fractures within the low-k films. From a packaging point of view, it is important to have an assessment of the integrity of the low-k stack before the device is fully assembled and the time-consuming full package evaluation is started. Some of the methods that are presently used to evaluate devices with low-k films either do not reflect the real stress situation in a package (such as 4-point bend), or introduce a mixed die-solder failure mode (such as die pull), which makes the results hard to interpret. In this paper, an evaluation method using solder bump shear is introduced. The solder joints are electroplated with a Cu stud as part of the under bump metallization. When the testing parameters are carefully optimized, bump shear can induce a failure in the low-k stack. By analyzing the maximum load of the shear test and the characteristics of the load curves, die with different interlayer dielectric materials and locations on the die with different interconnect metal densities can be effectively differentiated. A finite-element model is established and fracture mechanics methodologies are utilized to interpret the results of the bump shear.

  5. Utility of Acculturation in Physical Activity Research in Latina Adults: An Integrative Review of Literature

    Science.gov (United States)

    Benitez, Tanya J.; Dodgson, Joan E.; Coe, Kathryn; Keller, Colleen

    2016-01-01

    Latina adults in the United States have a disproportionately higher prevalence of chronic diseases related to low physical activity levels than non-Hispanic women. Literature indicates that acculturation may be a contributing factor to being physically active, but the extent of this association remains unclear. An integrative review of literature…

  6. Low-coherence interferometric sensor system utilizing an integrated optics configuration.

    Science.gov (United States)

    Plissi, M V; Rogers, A J; Brassington, D J; Wilson, M G

    1995-08-01

    The implementation of a twin Mach-Zehnder reference interferometer in an integrated optics substrate is described. From measurements of the fringe visibilities, an identification of the fringe order is attempted as a way to provide an absolute sensor for any parameter capable of modifying the difference in path length between two interfering optical paths.

  7. A compact versatile matrix converter to integrate various energy resources to utility network

    DEFF Research Database (Denmark)

    Liu, Xiong; Loh, Poh Chiang; Wang, Peng

    2011-01-01

    This paper proposes a multi-inputs versatile matrix converter (VMC) to integrate various energy resources and energy storages to a power grid. The VMC is developed based on a traditional indirect matrix converter (IMC) and a nineswitch converter. The six input terminals provide flexibility...

  8. Utilizing Krashen's Monitor Model in the Integration of the Arts in Second Language Acquisition.

    Science.gov (United States)

    Suranna, Keith J.

    This paper proposes an integration of the arts into second language programs as an effective inexpensive, and creative way to serve second language learners, using Stephen Krashen's Monitor Model as a framework. An overview of Krashen's model describes its five hypotheses: (1) that acquisition and learning are separate concepts; (2) language…

  9. Facilitative Project Management: Constructing A Model For Integrated Change Implementation By Utilizing Case Studies

    Directory of Open Access Journals (Sweden)

    Veronica Hodgson

    2003-11-01

    Full Text Available Change management theory is extensive, and organisations constantly adapt to and embrace change. In post-apartheid South Africa we are building a racially integrated business environment and society, and leverage its competitive re-entry into the world business arena. Research to date has found that the majority of change initiatives fail due to resistance caused by poor conceptualisation and planning, and the lack of proper integration of the people and business dimensions of change. The model to implement a successful change program will be designed using a combination of readily available skills and techniques. Its development and testing will take place within the context of three case studies. OpsommingDie teorie van veranderingsbestuur is omvattend. Organisasies moet op konstante wyse daarby aanpas en dit integreer. In Post-Apartheid Suid-Afrika bou ons tans ’n ras geïntegreerde besigheidsomgewing en gemeenskap, en benut dit maksimaal in ons toetrede tot die mededingende wêreld besigheidsarena. Huidige navorsing het bevind dat die meeste veranderingsinitiatiewe faal weens weerstand teen verandering wat deur swak konseptualisering en beplanning, en ’n gebrek aan behoorlike integrering van mense en die besigheidsdimensies van verandering veroorsaak is. Die model om ’n suksesvolle veranderingsprogram te implementeer, sal ontwerp word met geredelik beskikbare vaardighede en tegnieke. Die ontwikkeling en toetsing sal binne die konteks van drie gevallestudies plaasvind.

  10. Key issues regarding digital libraries evaluation and integration

    CERN Document Server

    Shen, Rao; Fox, Edward A

    2013-01-01

    This is the second book based on the 5S (Societies, Scenarios, Spaces, Structures, Streams) approach to digital libraries (DLs). Leveraging the first volume, on Theoretical Foundations, we focus on the key issues of evaluation and integration. These cross-cutting issues serve as a bridge for those interested in DLs, connecting the introduction and formal discussion in the first book, with the coverage of key technologies in the third book, and of illustrative applications in the fourth book. These two topics have central importance in the DL field, allowing it to be treated scientifically as well as practically. In the scholarly world, we only really understand something if we know how to measure and evaluate it. In the Internet era of distributed information systems, we only can be practical at scale if we integrate across both systems and their associated content. Evaluation of DLs must take place atmultiple levels,so we can address the different entities and their associated measures. Thus, for digital obj...

  11. Innovation in Evaluating the Impact of Integrated Service-Delivery: The Integra Indexes of HIV and Reproductive Health Integration.

    Directory of Open Access Journals (Sweden)

    Susannah H Mayhew

    Full Text Available The body of knowledge on evaluating complex interventions for integrated healthcare lacks both common definitions of 'integrated service delivery' and standard measures of impact. Using multiple data sources in combination with statistical modelling the aim of this study is to develop a measure of HIV-reproductive health (HIV-RH service integration that can be used to assess the degree of service integration, and the degree to which integration may have health benefits to clients, or reduce service costs.Data were drawn from the Integra Initiative's client flow (8,263 clients in Swaziland and 25,539 in Kenya and costing tools implemented between 2008-2012 in 40 clinics providing RH services in Kenya and Swaziland. We used latent variable measurement models to derive dimensions of HIV-RH integration using these data, which quantified the extent and type of integration between HIV and RH services in Kenya and Swaziland. The modelling produced two clear and uncorrelated dimensions of integration at facility level leading to the development of two sub-indexes: a Structural Integration Index (integrated physical and human resource infrastructure and a Functional Integration Index (integrated delivery of services to clients. The findings highlight the importance of multi-dimensional assessments of integration, suggesting that structural integration is not sufficient to achieve the integrated delivery of care to clients--i.e. "functional integration".These Indexes are an important methodological contribution for evaluating complex multi-service interventions. They help address the need to broaden traditional evaluations of integrated HIV-RH care through the incorporation of a functional integration measure, to avoid misleading conclusions on its 'impact' on health outcomes. This is particularly important for decision-makers seeking to promote integration in resource constrained environments.

  12. Integrating Oncology Massage Into Chemoinfusion Suites: A Program Evaluation.

    Science.gov (United States)

    Mao, Jun J; Wagner, Karen E; Seluzicki, Christina M; Hugo, Audra; Galindez, Laura K; Sheaffer, Heather; Fox, Kevin R

    2017-03-01

    This article reports on the development, implementation, and evaluation of an integrative clinical oncology massage program for patients undergoing chemotherapy for breast cancer in a large academic medical center. We describe the development and implementation of an oncology massage program embedded into chemoinfusion suites. We used deidentified program evaluation data to identify specific reasons individuals refuse massage and to evaluate the immediate impact of massage treatments on patient-reported outcomes using a modified version of the Distress Thermometer delivered via iPad. We analyzed premassage and postmassage data from the Distress Thermometer using paired t test and derived qualitative data from participants who provided written feedback on their massage experiences. Of the 1,090 massages offered, 692 (63%) were accepted. We observed a significant decrease in self-reported anxiety (from 3.9 to 1.7), nausea (from 2.5 to 1.2), pain (from 3.3 to 1.9), and fatigue (from 4.8 to 3.0) premassage and postmassage, respectively (all P massage, and 649 (94%) would recommend it to another patient undergoing treatment. Spontaneous patient responses overwhelmingly endorsed the massage as relaxing. No adverse events were reported. Among the 398 patients (36%) who declined a massage, top reasons were time concerns and lack of interest. A clinical oncology massage program can be safely and effectively integrated into chemoinfusion units to provide symptom control for patients with breast cancer. This integrative approach overcomes patient-level barriers of cost, time, and travel, and addresses the institutional-level barrier of space.

  13. Integral Criteria for Measuring the Quality of Teacher Evaluation

    Directory of Open Access Journals (Sweden)

    Olga Navickienė

    2013-01-01

    Full Text Available Purpose—To construct the knowledge evaluation quality integral criteria, which allows to ascertain whether the different teachers properly assess the students’ knowledge. The criteria has been tested setting up the educational experiment and examining the six mathematics lecturers’ assessments. Design/methodology/approach—This research involved the Mykolas Romeris University students of Public Administration degree second year and Management of Organizations degree first year. The test questions for students were designed using the mathematical knowledge assessment information system, which allows for closed-ended mathematical test, to obtain statistical data about test takers, to perform quality analysis of the test; in the middle and the end of the semester. Findings—The construction technique for the evaluation quality criteria of the students’ working results assessment, which were performed by six different lecturers, during practical trainings, seminars, laboratory and other sessions is proposed in this article. Research limitations/implications—The constructed evaluation criteria is universal: it does not depend on the particular subject; it can be applied to several groups, courses or lecturers. It depends on three calculated indicators I, S, K, which show in two ways obtained estimates of the measured information compatibility of degrees, marks matching and correlation terms. Practical implications—The integral criteria has been tested examining the six mathematics lecturers’ assessments. Originality/Value—Constructing the criteria have been used the educational measurement models of authors of this article and other researchers, however its’ connection to general (integral criteria, best of authors’ knowledge, is original and have not be researched before.

  14. A Practice-Based Evaluation of Distress Screening Protocol Adherence and Medical Service Utilization.

    Science.gov (United States)

    Zebrack, Brad; Kayser, Karen; Bybee, Deborah; Padgett, Lynne; Sundstrom, Laura; Jobin, Chad; Oktay, Julianne

    2017-07-01

    Background: This study examined the extent to which cancer programs demonstrated adherence to their own prescribed screening protocol, and whether adherence to that protocol was associated with medical service utilization. The hypothesis is that higher rates of service utilization are associated with lower rates of adherence to screening protocols. Methods: Oncology social workers at Commission on Cancer-accredited cancer programs reviewed electronic health records (EHRs) in their respective cancer programs during a 2-month period in 2014. Rates of overall adherence to a prescribed distress screening protocol were calculated based on documentation in the EHR that screening adherence and an appropriate clinical response had occurred. We examined documentation of emergency department (ED) use and hospitalization within 2 months after the screening visit. Results: Review of 8,409 EHRs across 55 cancer centers indicated that the overall adherence rate to screening protocols was 62.7%. The highest rates of adherence were observed in Community Cancer Programs (76.3%) and the lowest rates were in NCI-designated Cancer Centers (43.3%). Rates of medical service utilization were significantly higher than expected when overall protocol adherence was lacking. After controlling for patient and institutional characteristics, risk ratios for ED use (0.82) and hospitalization (0.81) suggest that when overall protocol adherence was documented, 18% to 19% fewer patients used these medical services. Conclusions: The observed associations between a mandated psychosocial care protocol and medical service utilization suggest opportunities for operational efficiencies and costs savings. Further investigations of protocol integrity, as well as the clinical care models by which psychosocial care is delivered, are warranted. Copyright © 2017 by the National Comprehensive Cancer Network.

  15. Program evaluation of remote heart failure monitoring: healthcare utilization analysis in a rural regional medical center.

    Science.gov (United States)

    Riley, William T; Keberlein, Pamela; Sorenson, Gigi; Mohler, Sailor; Tye, Blake; Ramirez, A Susana; Carroll, Mark

    2015-03-01

    Remote monitoring for heart failure (HF) has had mixed and heterogeneous effects across studies, necessitating further evaluation of remote monitoring systems within specific healthcare systems and their patient populations. "Care Beyond Walls and Wires," a wireless remote monitoring program to facilitate patient and care team co-management of HF patients, served by a rural regional medical center, provided the opportunity to evaluate the effects of this program on healthcare utilization. Fifty HF patients admitted to Flagstaff Medical Center (Flagstaff, AZ) participated in the project. Many of these patients lived in underserved and rural communities, including Native American reservations. Enrolled patients received mobile, broadband-enabled remote monitoring devices. A matched cohort was identified for comparison. HF patients enrolled in this program showed substantial and statistically significant reductions in healthcare utilization during the 6 months following enrollment, and these reductions were significantly greater compared with those who declined to participate but not when compared with a matched cohort. The findings from this project indicate that a remote HF monitoring program can be successfully implemented in a rural, underserved area. Reductions in healthcare utilization were observed among program participants, but reductions were also observed among a matched cohort, illustrating the need for rigorous assessment of the effects of HF remote monitoring programs in healthcare systems.

  16. [Integration and utilization of physiotherapy in hospice and palliative care : A survey on clinical practice in Germany].

    Science.gov (United States)

    Woitha, K; Schneider, N; Wünsch, A; Wiese, B; Fimm, S; Müller-Mundt, G

    2017-02-01

    Palliative care is an approach that improves the quality of life of patients with incurable and progressive illnesses; therefore, in these situations physiotherapy can play an important role. This study was carried out to examine the integration and utilization of physiotherapy in palliative and hospice care services in Germany. A cross-sectional survey including all palliative care units, specialized outpatient palliative care teams and hospices in Germany (n = 680) in 2013 was carried out. The response rate was 43.5 % (n = 296). Physiotherapy is predominantly applied in palliative care units (79 %) but rarely in hospices (38 %) and outpatient palliative care teams (30 %). A structured physiotherapeutic assessment is rarely carried out even on palliative care units (26 %). Positive effects of physiotherapy are especially described for symptoms, such as edema, pain, constipation and dyspnea. Despite its significant potential to relieve symptoms, physiotherapy is not systematically integrated into palliative care practice in Germany.

  17. Great Lakes O shore Wind Project: Utility and Regional Integration Study

    Energy Technology Data Exchange (ETDEWEB)

    Sajadi, Amirhossein [Case Western Reserve Univ., Cleveland, OH (United States); Loparo, Kenneth A. [Case Western Reserve Univ., Cleveland, OH (United States); D' Aquila, Robert [General Electric (GE), Albany, NY (United States); Clark, Kara [National Renewable Energy Lab. (NREL), Golden, CO (United States); Waligorski, Joseph G. [FirstEnergy, Akron, OH (United States); Baker, Scott [PJM Interconnection, Audubon, PA (United States)

    2016-06-30

    This project aims to identify transmission system upgrades needed to facilitate offshore wind projects as well as operational impacts of offshore generation on operation of the regional transmission system in the Great Lakes region. A simulation model of the US Eastern Interconnection was used as the test system as a case study for investigating the impact of the integration of a 1000MW offshore wind farm operating in Lake Erie into FirstEnergy/PJM service territory. The findings of this research provide recommendations on offshore wind integration scenarios, the locations of points of interconnection, wind profile modeling and simulation, and computational methods to quantify performance, along with operating changes and equipment upgrades needed to mitigate system performance issues introduced by an offshore wind project.

  18. Utility of algorithms for the analysis of integrated Salmonella surveillance data.

    Science.gov (United States)

    Vrbova, L; Patrick, D M; Stephen, C; Robertson, C; Koehoorn, M; Parmley, E J; DE With, N I; Galanis, E

    2016-07-01

    The objective of this study was to assess the use of statistical algorithms in identifying significant clusters of Salmonella spp. across different sectors of the food chain within an integrated surveillance programme. Three years of weekly Salmonella serotype data from farm animals, meat, and humans were used to create baseline models (first two years) and identify weeks with counts higher than expected using surveillance algorithms in the third (test) year. During the test year, an expert working group identified events of interest reviewing descriptive analyses of same data. The algorithms did not identify Salmonella events presenting as gradual increases or seasonal patterns as identified by the working group. However, the algorithms did identify clusters for further investigation, suggesting they could be a valuable complementary tool within an integrated surveillance system.

  19. Integrated CO2 Capture and Utilization Using Non-Thermal Plasmolysis

    Directory of Open Access Journals (Sweden)

    Matthew Moss

    2017-08-01

    Full Text Available In this work, two simple processes for carbon dioxide (CO2 such as capture and utilization have been combined to form a whole systems approach to carbon capture and utilization (CCU. The first stage utilizes a pressure swing adsorption (PSA system, which offers many benefits over current amine technologies. It was found that high selectivity can be achieved with rapid adsorption/desorption times while employing a cheap, durable sorbent that exhibits no sorbent losses and is easily regenerated by simple pressure drops. The PSA system is capable of capturing and upgrading the CO2 concentration of a waste gas stream from 12.5% to a range of higher purities. As many CCU end processes have some tolerance toward impurities in the feed, in the form of nitrogen (N2, for example, this is highly advantageous for this PSA system since CO2 purities in excess of 80% can be achieved with only a few steps and minimal energy input. Non-thermal plasma is one such technology that can tolerate, and even benefit from, small N2 impurities in the feed, therefore a 100% pure CO2 stream is not required. The second stage of this process deploys a nanosecond pulsed corona discharge reactor to split the captured CO2 into carbon monoxide (CO, which can then be used as a chemical feedstock for other syntheses. Corona discharge has proven industrial applications for gas cleaning and the benefit of pulsed power reduces the energy consumption of the system. The wire-in-cylinder geometry concentrates the volume of gas treated into the area of high electric field. Previous work has suggested that moderate conversions can be achieved (9%, compared to other non-thermal plasma methods, but with higher energy efficiencies (>60%.

  20. An HIV-1 Replication Pathway Utilizing Reverse Transcription Products That Fail To Integrate

    Science.gov (United States)

    Trinité, Benjamin; Ohlson, Eric C.; Voznesensky, Igor; Rana, Shashank P.; Chan, Chi N.; Mahajan, Saurabh; Alster, Jason; Burke, Sean A.; Wodarz, Dominik

    2013-01-01

    Integration is a central event in the replication of retroviruses, yet ≥90% of HIV-1 reverse transcripts fail to integrate, resulting in accumulation of unintegrated viral DNA in cells. However, understanding what role, if any, unintegrated viral DNA plays in the natural history of HIV-1 has remained elusive. Unintegrated HIV-1 DNA is reported to possess a limited capacity for gene expression restricted to early gene products and is considered a replicative dead end. Although the majority of peripheral blood CD4+ T cells are refractory to infection, nonactivated CD4 T cells present in lymphoid and mucosal tissues are major targets for infection. Treatment with cytokine interleukin-2 (IL-2), IL-4, IL-7, or IL-15 renders CD4+ T cells permissive to HIV-1 infection in the absence of cell activation and proliferation and provides a useful model for infection of resting CD4+ T cells. We found that infection of cytokine-treated resting CD4+ T cells in the presence of raltegravir or with integrase active-site mutant HIV-1 yielded de novo virus production following subsequent T cell activation. Infection with integration-competent HIV-1 naturally generated a population of cells generating virus from unintegrated DNA. Latent infection persisted for several weeks and could be activated to virus production by a combination of a histone deacetylase inhibitor and a protein kinase C activator or by T cell activation. HIV-1 Vpr was essential for unintegrated HIV-1 gene expression and de novo virus production in this system. Bypassing integration by this mechanism may allow the preservation of genetic information that otherwise would be lost. PMID:24049167

  1. Consistent evaluation of an ultrasound-guided surgical navigation system by utilizing an active validation platform

    Science.gov (United States)

    Kim, Younsu; Kim, Sungmin; Boctor, Emad M.

    2017-03-01

    An ultrasound image-guided needle tracking systems have been widely used due to their cost-effectiveness and nonionizing radiation properties. Various surgical navigation systems have been developed by utilizing state-of-the-art sensor technologies. However, ultrasound transmission beam thickness causes unfair initial evaluation conditions due to inconsistent placement of the target with respect to the ultrasound probe. This inconsistency also brings high uncertainty and results in large standard deviations for each measurement when we compare accuracy with and without the guidance. To resolve this problem, we designed a complete evaluation platform by utilizing our mid-plane detection and time of flight measurement systems. The evaluating system uses a PZT element target and an ultrasound transmitting needle. In this paper, we evaluated an optical tracker-based surgical ultrasound-guided navigation system whereby the optical tracker tracks marker frames attached on the ultrasound probe and the needle. We performed ten needle trials of guidance experiment with a mid-plane adjustment algorithm and with a B-mode segmentation method. With the midplane adjustment, the result showed a mean error of 1.62+/-0.72mm. The mean error increased to 3.58+/-2.07mm without the mid-plane adjustment. Our evaluation system can reduce the effect of the beam-thickness problem, and measure ultrasound image-guided technologies consistently with a minimal standard deviation. Using our novel evaluation system, ultrasound image-guided technologies can be compared under equal initial conditions. Therefore, the error can be evaluated more accurately, and the system provides better analysis on the error sources such as ultrasound beam thickness.

  2. Exploring New Models for Utility Distributed Energy Resource Planning and Integration: SMUD and Con Edison

    Energy Technology Data Exchange (ETDEWEB)

    2018-01-23

    As a result of the rapid growth of renewable energy in the United States, the U.S. electric grid is undergoing a monumental shift away from its historical status quo. These changes are occurring at both the centralized and local levels and have been driven by a number of different factors, including large declines in renewable energy costs, federal and state incentives and mandates, and advances in the underlying technology. Higher levels of variable-generation renewable energy, however, may require new and increasingly complex methods for utilities to operate and maintain the grid while also attempting to limit the costly build-out of supporting grid infrastructure.

  3. Innovation in Evaluating the Impact of Integrated Service-Delivery: The Integra Indexes of HIV and Reproductive Health Integration

    Science.gov (United States)

    Mayhew, Susannah H.; Ploubidis, George B.; Sloggett, Andy; Church, Kathryn; Obure, Carol D.; Birdthistle, Isolde; Sweeney, Sedona; Warren, Charlotte E.; Watts, Charlotte; Vassall, Anna

    2016-01-01

    Background The body of knowledge on evaluating complex interventions for integrated healthcare lacks both common definitions of ‘integrated service delivery’ and standard measures of impact. Using multiple data sources in combination with statistical modelling the aim of this study is to develop a measure of HIV-reproductive health (HIV-RH) service integration that can be used to assess the degree of service integration, and the degree to which integration may have health benefits to clients, or reduce service costs. Methods and Findings Data were drawn from the Integra Initiative’s client flow (8,263 clients in Swaziland and 25,539 in Kenya) and costing tools implemented between 2008–2012 in 40 clinics providing RH services in Kenya and Swaziland. We used latent variable measurement models to derive dimensions of HIV-RH integration using these data, which quantified the extent and type of integration between HIV and RH services in Kenya and Swaziland. The modelling produced two clear and uncorrelated dimensions of integration at facility level leading to the development of two sub-indexes: a Structural Integration Index (integrated physical and human resource infrastructure) and a Functional Integration Index (integrated delivery of services to clients). The findings highlight the importance of multi-dimensional assessments of integration, suggesting that structural integration is not sufficient to achieve the integrated delivery of care to clients—i.e. “functional integration”. Conclusions These Indexes are an important methodological contribution for evaluating complex multi-service interventions. They help address the need to broaden traditional evaluations of integrated HIV-RH care through the incorporation of a functional integration measure, to avoid misleading conclusions on its ‘impact’ on health outcomes. This is particularly important for decision-makers seeking to promote integration in resource constrained environments. PMID:26800517

  4. AN INTEGRATED FUZZY AHP AND TOPSIS MODEL FOR SUPPLIER EVALUATION

    Directory of Open Access Journals (Sweden)

    Željko Stević

    2016-05-01

    Full Text Available In today’s modern supply chains, the adequate suppliers’ choice has strategic meaning for entire companies’ business. The aim of this paper is to evaluate different suppliers using the integrated model that recognizes a combination of fuzzy AHP (Analytical Hierarchy Process and the TOPSIS method. Based on six criteria, the expert team was formed to compare them, so determination of their significance is being done with fuzzy AHP method. Expert team also compares suppliers according to each criteria and on the base of triangular fuzzy numbers. Based on their inputs, TOPSIS method is used to estimate potential solutions. Suggested model accomplishes certain advantages in comparison with previously used traditional models which were used to make decisions about evaluation and choice of supplier.

  5. Evaluating preference weights for the Asthma Symptom Utility Index (ASUI across countries

    Directory of Open Access Journals (Sweden)

    Mörk Ann-Christin

    2006-08-01

    Full Text Available Abstract Background The Asthma Symptom Utility Index (ASUI is a preference-based outcome measure used in US clinical trials and cost-effectiveness studies for asthma. This study evaluated ASUI preference weights in Europe to determine whether the multi-attribute utility function, based on preferences from a US population, is generalizable across countries. Methods Data were collected from ninety asthma patients from Italy, France, and the United Kingdom using the Asthma Control Questionnaire, the Asthma Quality of Life Questionnaire, and the ASUI. Subjects rated their preferences for 10 asthma health states using a visual analogue scale (VAS and a standard gamble (SG interview. Results All multi-symptom states showed statistically significant differences (p Conclusion Results of this study suggest that the ASUI may be a complementary patient-reported outcome for clinical studies and may be useful for applications in cost-effectiveness studies comparing different asthma treatments.

  6. Alternative utility conservation program designs: an evaluation based on case study program experience

    Energy Technology Data Exchange (ETDEWEB)

    Kreitler, V.

    1985-01-01

    Utilities around the nation are promoting residential conservation through a variety of program activities, ranging from customer education programs to financial incentive programs to direct installation programs. This report was undertaken to evaluate some of these alternative program designs, to compare their achievements against those of the RCS program, and to suggest program planning directions that seem most promising. Interviews with program managers were used to elucidate the rationale behind the alternative programs and to discuss program effectiveness. The experiences of nine utilities and one nonutility organization are reviewed. Program managers' opinions about RCS and their experiences with thirteen other programs are summarized. The effectiveness of the alternative program designs are compared and some implications for conservation program planning and implementation are highlighted.

  7. Integrative Reiki for cancer patients: a program evaluation.

    Science.gov (United States)

    Fleisher, Kimberly A; Mackenzie, Elizabeth R; Frankel, Eitan S; Seluzicki, Christina; Casarett, David; Mao, Jun J

    2014-01-01

    This mixed methods study sought to evaluate the outcomes of an integrative Reiki volunteer program in an academic medical oncology center setting. We used de-identified program evaluation data to perform both quantitative and qualitative analyses of participants' experiences of Reiki sessions. The quantitative data were collected pre- and postsession using a modified version of the distress thermometer. The pre- and postsession data from the distress assessment were analyzed using a paired Student's : test. The qualitative data were derived from written responses to open-ended questions asked after each Reiki session and were analyzed for key words and recurring themes. Of the 213 pre-post surveys of first-time sessions in the evaluation period, we observed a more than 50% decrease in self-reported distress (from 3.80 to 1.55), anxiety (from 4.05 to 1.44), depression (from 2.54 to 1.10), pain (from 2.58 to 1.21), and fatigue (from 4.80 to 2.30) with P Reiki, we found 176 (82.6%) of participants liked the Reiki session, 176 (82.6%) found the Reiki session helpful, 157 (73.7%) plan to continue using Reiki, and 175 (82.2%) would recommend Reiki to others. Qualitative analyses found that individuals reported that Reiki induced relaxation and enhanced spiritual well-being. An integrative Reiki volunteer program shows promise as a component of supportive care for cancer patients. More research is needed to evaluate and understand the impact that Reiki may have for patients, caregivers, and staff whose lives have been affected by cancer.

  8. Developing a clinical utility framework to evaluate prediction models in radiogenomics

    Science.gov (United States)

    Wu, Yirong; Liu, Jie; Munoz del Rio, Alejandro; Page, David C.; Alagoz, Oguzhan; Peissig, Peggy; Onitilo, Adedayo A.; Burnside, Elizabeth S.

    2015-03-01

    Combining imaging and genetic information to predict disease presence and behavior is being codified into an emerging discipline called "radiogenomics." Optimal evaluation methodologies for radiogenomics techniques have not been established. We aim to develop a clinical decision framework based on utility analysis to assess prediction models for breast cancer. Our data comes from a retrospective case-control study, collecting Gail model risk factors, genetic variants (single nucleotide polymorphisms-SNPs), and mammographic features in Breast Imaging Reporting and Data System (BI-RADS) lexicon. We first constructed three logistic regression models built on different sets of predictive features: (1) Gail, (2) Gail+SNP, and (3) Gail+SNP+BI-RADS. Then, we generated ROC curves for three models. After we assigned utility values for each category of findings (true negative, false positive, false negative and true positive), we pursued optimal operating points on ROC curves to achieve maximum expected utility (MEU) of breast cancer diagnosis. We used McNemar's test to compare the predictive performance of the three models. We found that SNPs and BI-RADS features augmented the baseline Gail model in terms of the area under ROC curve (AUC) and MEU. SNPs improved sensitivity of the Gail model (0.276 vs. 0.147) and reduced specificity (0.855 vs. 0.912). When additional mammographic features were added, sensitivity increased to 0.457 and specificity to 0.872. SNPs and mammographic features played a significant role in breast cancer risk estimation (p-value < 0.001). Our decision framework comprising utility analysis and McNemar's test provides a novel framework to evaluate prediction models in the realm of radiogenomics.

  9. Evaluation on equality and efficiency of health resources allocation and health services utilization in China.

    Science.gov (United States)

    Sun, Jian; Luo, Hongye

    2017-07-14

    China is faced with a daunting challenge to equality and efficiency in health resources allocation and health services utilization in the context of rapid economic growth. This study sought to evaluate the equality and efficiency of health resources allocation and health services utilization in China. Demographic, economic, and geographic area data was sourced from China Statistical Yearbook 2012-2016. Data related to health resources and health services was obtained from China Health Statistics Yearbook 2012-2016. Furthermore, we evaluated the equality of health resources allocation based on Gini coefficient. Concentration index was used to measure the equality in utilization of health services. Data envelopment analysis (DEA) was employed to assess the efficiency of health resources allocation. From 2011 to 2015, the Gini coefficients for health resources by population ranged between 0.0644 and 0.1879, while the Gini coefficients for the resources by geographic area ranged from 0.6136 to 0.6568. Meanwhile, the concentration index values for health services utilization ranged from -0.0392 to 0.2110. Moreover, in 2015, 10 provinces (32.26%) were relatively efficient in terms of health resources allocation, while 7 provinces (22.58%) and 14 provinces (45.16%) were weakly efficient and inefficient, respectively. There exist distinct regional disparities in the distribution of health resources in China, which are mainly reflected in the geographic distribution of health resources. Furthermore, the people living in the eastern developed areas are more likely to use outpatient care, while the people living in western underdeveloped areas are more likely to use inpatient care. Moreover, the efficiency of health resources allocation in 21 provinces (67.74%) of China was low and needs to be improved. Thus, the government should pay more attention to the equality based on geographic area, guide patients to choose medical treatment rationally, and optimize the resource

  10. Evaluation of supercritical water gasification and biomethanation for wet biomass utilization in Japan

    Energy Technology Data Exchange (ETDEWEB)

    Matsumura, Yukihiko [Hiroshima Univ., Dept. of Mechanical System Engineering, Hiroshima (Japan)

    2002-08-01

    Two wet biomass gasification processes, supercritical water gasification and biomethanation, were evaluated from energy, environmental, and economic aspects. Gasification of 1 dry-t/d of water hyacinth was taken as a model case. Assumptions were made that system should be energetically independent, that no environmentally harmful material should be released, and that carbon dioxide should be removed from the product gas. Energy efficiency, carbon dioxide payback time, and price of the product gas were chosen as indices for energy, environmental, and economic evaluations, respectively. Under the conditions assumed here, supercritical water gasifications is evaluated to be more advantageous over biomethanation, but the cost of the product gas is still 1.86 times more expensive than city gas in Tokyo. To improve efficiency of supercritical water gasification, improvement of heat exchanger efficiency is effective. Utilization of fermentation sludge will make biomethanation much more advantageous. (Author)

  11. Structural Integrity Evaluation for the IVTM Gripper in PGSFR

    Energy Technology Data Exchange (ETDEWEB)

    Kim, S. H.; Koo, G. H. [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2015-10-15

    The materials of the gripper used for the analysis are the 316SS in the gripper body parts and the Inconel 718 alloy in the gripper finger parts, respectively. For six sections of the IVTM gripper, the structural integrity according to ASME-NB design rule is checked for the dead weight and refueling load because it is under the low temperature during the refueling operation. As a result of the evaluation, it is reviewed the IVTM gripper design has the structural adequacy. IVTM (In-Vessel Transfer Machine) is the instrument for transferring the core assembly inside the reactor vessel. The IVTM use the gripper finger for the connection and disconnection with the core assembly, which is designed to be possible for the rotation and vertical movement of the gripper. We can see that the IVTM gripper is supported by the gripper guide structure. In the gripper movement, the gripper is lowered to pick up the core assembly with its fingers closed. On contact with the end of the core assembly, the gripper fingers are opened, and then connected with the core assembly. The gripper is then raised with the core assembly. This is the gripper mechanism to handle the core assembly. The purpose of this study is to analyze the gripper stresses and displacements for the design loads applied to the gripper, and also to evaluate the structural integrity of the gripper design for 60 year lifetime.

  12. Optimized grid representation of plant species richness in India-Utility of an existing national database in integrated ecological analysis.

    Science.gov (United States)

    Tripathi, Poonam; Behera, Mukund Dev; Roy, Partha Sarathi

    2017-01-01

    Data on the distribution of plant species at spatial (grid) scales are required as input for integrative analysis along with related climate, environment, topography and soil data. Although the world's scientific community is increasingly generating data on plant species at various spatial grids and statistically interpolating and extrapolating the available information, data on plant diversity from the Asian continent are scant. Such data are unavailable for India, the mainland of which has part of three of the world's 36 biodiversity hotspots. Although sufficient field sampling is always impossible and impractical, it is essential to utilize fully any available database by adjudging the sampling sufficiency at a given scale. In this work, we used an exhaustive database of the plant species of the Indian mainland that was sufficient in terms of sampling vegetation types. We transformed the data, obtained the distribution at the 1° and 2° spatial grid levels and evaluated the sampling sufficiency at acceptable threshold limits (60% to 80%). The greatest species richness values recorded in the 0.04 ha quadrant, 1° grid and 2° grid were 59, 623 and 1244, respectively. Clench model was significantly (p value plant species data at both the grid levels with a very high coefficient of determination (>0.95). At an acceptable threshold limit of 70%, almost all the grids at the 2° level and more than 80% of the grids at the 1° level were found to be sufficiently sampled. Sampling sufficiency was observed to be highly scale-dependent as a greater number of 2° grids attained asymptotic behaviour following the species-area curve. Grid-level sampling insufficiency was attributed to lower numbers of sampling quadrats in forests with poor approachability, which coincided with the world biodiversity hotspots', suggesting that additional sampling was required. We prescribe the use of the 1° and 2° spatial grids with sufficient sampling for any ecological analysis in

  13. Evaluation of a black-footed ferret resource utilization function model

    Science.gov (United States)

    Eads, D.A.; Millspaugh, J.J.; Biggins, D.E.; Jachowski, D.S.; Livieri, T.M.

    2011-01-01

    Resource utilization function (RUF) models permit evaluation of potential habitat for endangered species; ideally such models should be evaluated before use in management decision-making. We evaluated the predictive capabilities of a previously developed black-footed ferret (Mustela nigripes) RUF. Using the population-level RUF, generated from ferret observations at an adjacent yet distinct colony, we predicted the distribution of ferrets within a black-tailed prairie dog (Cynomys ludovicianus) colony in the Conata Basin, South Dakota, USA. We evaluated model performance, using data collected during post-breeding spotlight surveys (2007-2008) by assessing model agreement via weighted compositional analysis and count-metrics. Compositional analysis of home range use and colony-level availability, and core area use and home range availability, demonstrated ferret selection of the predicted Very high and High occurrence categories in 2007 and 2008. Simple count-metrics corroborated these findings and suggested selection of the Very high category in 2007 and the Very high and High categories in 2008. Collectively, these results suggested that the RUF was useful in predicting occurrence and intensity of space use of ferrets at our study site, the 2 objectives of the RUF. Application of this validated RUF would increase the resolution of habitat evaluations, permitting prediction of the distribution of ferrets within distinct colonies. Additional model evaluation at other sites, on other black-tailed prairie dog colonies of varying resource configuration and size, would increase understanding of influences upon model performance and the general utility of the RUF. ?? 2011 The Wildlife Society.

  14. Performance evaluation of integrated solid-liquid wastes treatment technology in palm oil industry

    Science.gov (United States)

    Amelia, J. R.; Suprihatin, S.; Indrasti, N. S.; Hasanudin, U.; Fujie, K.

    2017-05-01

    The oil palm industry significantly contributes to environmental degradation if without waste management properly. The newest alternative waste management that might be developed is by utilizing the effluent of POME anaerobic digestion with EFB through integrated anaerobic decomposition process. The aim of this research was to examine and evaluate the integrated solid-liquid waste treatment technology in the view point of greenhouse gasses emission, compost, and biogas production. POME was treated in anaerobic digester with loading rate about 1.65 gCOD/L/day. Treated POME with dosis of 15 and 20 L/day was sprayed to the anaerobic digester that was filled of 25 kg of EFB. The results of research showed that after 60 days, the C/N ratio of EFB decreased to 12.67 and 10.96 for dosis of treated POME 15 and 20 L/day, respectively. In case of 60 day decomposition, the integrated waste treatment technology could produce 51.01 and 34.34 m3/Ton FFB which was equivalent with 636,44 and 466,58 kgCO2e/ton FFB for dosis of treated POME 15 and 20 L/day, respectively. The results of research also showed that integrated solid-liquid wastes treatment technology could reduce GHG emission about 421.20 and 251.34 kgCO2e/ton FFB for dosis of treated POME 15 and 20 L/day, respectively.

  15. Evaluation of the sustainability of contrasted pig farming systems: integrated evaluation

    NARCIS (Netherlands)

    Bonneau, M.; Klauke, T.N.; Gonzalez, J.; Rydhmer, L.; Ilari-Antoine, E.; Dourmad, J.Y.; Greef, de K.H.; Houwers, H.W.J.; Cinar, M.U.; Fabrega, E.; Zimmer, C.; Hviid, M.; Oever, van der B.; Edwards, S.A.

    2014-01-01

    The aim of this paper is to present an approach for an integrated evaluation of the sustainability of pig farming systems, taking into account the three classical pillars: economy, environment and society. Eight sustainability themes were considered: Animal Welfare (AW), Animal Health (AH), Breeding

  16. Exploring outcomes and evaluation in narrative pedagogy: An integrative review.

    Science.gov (United States)

    Brady, Destiny R; Asselin, Marilyn E

    2016-10-01

    To identify narrative pedagogy learning outcomes and evaluation methods used for pre-licensure nursing students. Recommend areas for expanding narrative pedagogy research. An integrative review using a modified version of Cooper's 1998 framework, as described by Whittemore and Knafl (2005). A computer-assisted search of the literature from 1995 to 2015 was performed using the search terms narrative pedagogy and nursing. Databases included the Cumulative Index to Nursing and Allied Health Literature, Academic Search Premier, Educational Resources Information Center, Educational Research Complete, Medline, PsychArticles, PsychINFO, and the Teacher Reference Center. Ancestry searches led to the inclusion of additional articles. Twenty-six texts met the criteria for full review and were evaluated for methodological rigor and relevance to the review aims. Nine articles achieved an acceptable quality score and were used for thematic analysis. Learning outcomes associated with narrative pedagogy were grouped into five themes: thinking, empowerment, interconnectedness, learning as a process of making meaning, and ethical/moral judgment. Multiple methods of evaluation are necessary to evaluate these learning outcomes. Narrative pedagogy may be a beneficial philosophical approach to teaching. However, at this time, there is insufficient evidence to recommend its universal adoption. It is too broad in its approach to reliably measure its effectiveness. Future research should examine the effectiveness of specific teaching strategies to promote desired learning outcomes. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Cost-utility analysis of an integrated care model for multimorbid patients based on a clinical trial.

    Science.gov (United States)

    Lanzeta, Itziar; Mar, Javier; Arrospide, Arantzazu

    2016-01-01

    To conduct a cost-utility analysis on an integrated healthcare model comprising an assigned internist and a hospital liaison nurse for patients with multimorbidity, compared to a conventional reactive healthcare system. A cluster randomised clinical trial was conducted. The model consisted of a reference internist and a liaison nurse, who aimed to improve coordination and communication between levels and to enhance continuity of care after hospitalisation. We recorded sociodemographic data, diagnoses and corresponding clinical categories, functional status, use of healthcare resources and quality of life. Data were collected by reviewing electronic medical records and administering questionnaires. We performed univariate and multivariate analyses both for utilities and total costs. Bootstrapping methods were applied to calculate the confidence ellipses of incremental costs and efficiency. We recruited a total of 140 patients. The model assessed was not found to be efficient in general. We found an incremental cost of €1,035.90 and an incremental benefit of -0.0762 QALYs for the initiative compared to standard care after adjusting for the main variables. However, the subgroup of patients under 80 years of age with three or more clinical categories resulted in an 89% cost saving in the simulations. The integrated model was not suitable for all study patients. However, the subgroup analysis identified a narrow target population that should be analysed in future studies. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  18. Unravelling evolutionary strategies of yeast for improving galactose utilization through integrated systems level analysis

    DEFF Research Database (Denmark)

    Hong, Kuk-Ki; Vongsangnak, Wanwipa; Vemuri, Goutham N

    2011-01-01

    , SO16 and PGM2, which also showed higher galactose uptake rate in previous studies. The profile of intermediates in galactose metabolism was similar in evolved and engineered mutants, whereas reserve carbohydrates metabolism was specifically elevated in the evolved mutants and one evolved strain...... growth rate on galactose and related these changes to the acquired phenotypic properties. Three evolved mutants (62A, 62B, and 62C) with higher specific growth rates and faster specific galactose uptake were isolated. The evolved mutants were compared with a reference strain and two engineered strains...... specific growth rate on galactose. These results show that adaptive evolution results in the utilization of unpredicted routes to accommodate increased galactose flux in contrast to rationally engineered strains. Our study demonstrates that adaptive evolution represents a valuable alternative to rational...

  19. Development, Integration and Utilization of Surface Nuclear Energy Sources for Exploration Missions

    Science.gov (United States)

    Houts, Michael G.; Schmidt, George R.; Bragg-Sitton, Shannon; Hickman, Robert; Hissam, Andy; Houston, Vance; Martin, Jim; Mireles, Omar; Reid, Bob; Schneider, Todd

    2005-01-01

    Throughout the past five decades numerous studies have identified nuclear energy as an enhancing or enabling technology for human surface exploration missions. Nuclear energy sources were used to provide electricity on Apollo missions 12, 14, 15, 16, and 17, and on the Mars Viking landers. Nuclear energy sources were used to provide heat on the Pathfinder; Spirit, and Discovery rovers. Scenarios have been proposed that utilize -1 kWe radioisotope systems for early missions, followed by fission systems in the 10 - 30 kWe range when energy requirements increase. A fission energy source unit size of approximately 150 kWt has been proposed based on previous lunar and Mars base architecture studies. Such a unit could support both early and advanced bases through a building block approach.

  20. Integration of Shiitake cultivation and solid-state anaerobic digestion for utilization of woody biomass.

    Science.gov (United States)

    Lin, Yunqin; Ge, Xumeng; Liu, Zhe; Li, Yebo

    2015-04-01

    Pretreatment technologies that can not only reduce the recalcitrance of woody biomass but also achieve a high benefit-cost ratio are desirable for bioenergy production from woody biomass. In this study, an integrated process was proposed and conducted by pretreating woodchips via Shiitake cultivation for improved methane yield during solid-state anaerobic digestion (SS-AD), and simultaneously producing mushrooms as a high-value co-product. Shiitake cultivation using woodchips as the main substrate ingredient obtained mushroom yields comparable to those using a commercial substrate. Enzymatic digestibility and cumulative methane yields (133-160 L kg(-1)VS during 62 days of SS-AD) of pretreated substrates (spent mushroom substrate) were at least 1.5 times as high as those of untreated woodchips. Compared to a sole SS-AD process, the integrated Shiitake cultivation/SS-AD process increased methane production and solid waste reduction per kilogram of woodchips by about 1.5 and 8 times, respectively. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. Integrated double mulching practices optimizes soil temperature and improves soil water utilization in arid environments

    Science.gov (United States)

    Yin, Wen; Feng, Fuxue; Zhao, Cai; Yu, Aizhong; Hu, Falong; Chai, Qiang; Gan, Yantai; Guo, Yao

    2016-09-01

    Water shortage threatens agricultural sustainability in many arid and semiarid areas of the world. It is unknown whether improved water conservation practices can be developed to alleviate this issue while increasing crop productivity. In this study, we developed a "double mulching" system, i.e., plastic film coupled with straw mulch, integrated together with intensified strip intercropping. We determined (i) the responses of soil evaporation and moisture conservation to the integrated double mulching system and (ii) the change of soil temperature during key plant growth stages under the integrated systems. Experiments were carried out in northwest China in 2009 to 2011. Results show that wheat-maize strip intercropping in combination with plastic film and straw covering on the soil surface increased soil moisture (mm) by an average of 3.8 % before sowing, 5.3 % during the wheat and maize co-growth period, 4.4 % after wheat harvest, and 4.9 % after maize harvest, compared to conventional practice (control). The double mulching decreased total evapotranspiration of the two intercrops by an average of 4.6 % ( P < 0.05), compared to control. An added feature was that the double mulching system decreased soil temperature in the top 10-cm depth by 1.26 to 1.31 °C in the strips of the cool-season wheat, and by 1.31 to 1.51 °C in the strips of the warm-season maize through the 2 years. Soil temperature of maize strips higher as 1.25 to 1.94 °C than that of wheat strips in the top 10-cm soil depth under intercropping with the double mulching system; especially higher as 1.58 to 2.11 °C under intercropping with the conventional tillage; this allows the two intercrops to grow in a well "collaborative" status under the double mulching system during their co-growth period. The improvement of soil moisture and the optimization of soil temperature for the two intercrops allow us to conclude that wheat-maize intensification with the double mulching system can be used as an

  2. [Preliminary evaluation of xenotransplantation and utilization of native pig breeds in China].

    Science.gov (United States)

    Li, Y; He, Q; Cai, S

    1999-01-01

    To evaluate the general situation of the native pig breeds and the relative present study conditions for better development of xenotransplantation in China. By comparing the profits between the pigs and the non-human primates as the potential donors for xenotransplantation and emphasizing the source of the pigs as the organ donors from the transplantation studies, we analyzed the possible values of the native pig breeds as the donors. As one of the richest resources in the world, the species variation and relative genetic stability of Chinese native pig breeds could be the very valuable resources for xenotransplantation study and utilization. As a reverse, the xenotransplantation could provide opportunity for more economically and environmentally utilization of the pigs besides as the meat supply. As a very valuable and potential resource of organ donor, the native pig breeds of China might be noticed by the xenotransplantation colleagues in the world. It is necessary, to keep the balance among the risk vs. benefit and the protection vs. utilization of this valuable resource.

  3. Utilizing a Suited Manikin Test Apparatus and Spacesuit Ventilation Loop to Evaluate Carbon Dioxide Washout

    Science.gov (United States)

    Chullen, Cinda; Conger, Bruce; Korona, Adam; Kanne, Bryan; McMillin, Summer; Norcross, Jason; Jeng, Frank; Swickrath, Mike

    2014-01-01

    NASA is pursuing technology development of an Advanced Extravehicular Mobility Unit (AEMU) which is an integrated assembly made up of primarily a pressure garment system and a Portable Life Support System (PLSS). The PLSS is further composed of an oxygen subsystem, a ventilation subsystem, and a thermal subsystem. One of the key functions of the ventilation system is to remove and control the carbon dioxide delivered to the crewmember. Carbon dioxide washout is the mechanism by which CO2 levels are controlled within the spacesuit helmet to limit the concentration of CO2 inhaled by the crew member. CO2 washout performance is a critical parameter needed to ensure proper and robust designs that are insensitive to human variabilities in a spacesuit. A Suited Manikin Test Apparatus (SMTA) is being developed to augment testing of the PLSS ventilation loop in order to provide a lower cost and more controlled alternative to human testing. The CO2 removal function is performed by the regenerative Rapid Cycle Amine (RCA) within the PLSS ventilation loop and its performance is evaluated within the integrated SMTA and Ventilation Loop test system. This paper will provide a detailed description of the schematics, test configurations, and hardware components of this integrated system. Results and analysis of testing performed with this integrated system will be presented within this paper.

  4. Surface plasmon resonance sensor utilizing an integrated organic light emitting diode.

    Science.gov (United States)

    Frischeisen, Jörg; Mayr, Christian; Reinke, Nils A; Nowy, Stefan; Brütting, Wolfgang

    2008-10-27

    A novel surface plasmon resonance (SPR) sensor based on an integrated planar and polychromatic light source is presented. The sensor comprises an organic light emitting diode (OLED) and a metallic sensing layer located on opposite sides of a glass prism. We successfully fabricated and tested prototype sensors based on this approach by the use of different prism geometries and OLEDs with blue, green and red emission color. We investigated the angular and wavelength dependent SPR dispersion relation for sensing layers consisting of silver and gold in contact with air. Further on we demonstrated the sensor function by real time monitoring of temperature changes inside an adjacent water reservoir as well as by recording the dissolving process of sodium chloride in water. The presented technique offers the advantage that there is no necessity to couple light from external bulky sources such as lasers or halogen lamps into the sensing device which makes it particularly interesting for miniaturization.

  5. Fully Integrated, Miniature, High-Frequency Flow Probe Utilizing MEMS Leadless SOI Technology

    Science.gov (United States)

    Ned, Alex; Kurtz, Anthony; Shang, Tonghuo; Goodman, Scott; Giemette. Gera (d)

    2013-01-01

    This work focused on developing, fabricating, and fully calibrating a flowangle probe for aeronautics research by utilizing the latest microelectromechanical systems (MEMS), leadless silicon on insulator (SOI) sensor technology. While the concept of angle probes is not new, traditional devices had been relatively large due to fabrication constraints; often too large to resolve flow structures necessary for modern aeropropulsion measurements such as inlet flow distortions and vortices, secondary flows, etc. Mea surements of this kind demanded a new approach to probe design to achieve sizes on the order of 0.1 in. (.3 mm) diameter or smaller, and capable of meeting demanding requirements for accuracy and ruggedness. This approach invoked the use of stateof- the-art processing techniques to install SOI sensor chips directly onto the probe body, thus eliminating redundancy in sensor packaging and probe installation that have historically forced larger probe size. This also facilitated a better thermal match between the chip and its mount, improving stability and accuracy. Further, the leadless sensor technology with which the SOI sensing element is fabricated allows direct mounting and electrical interconnecting of the sensor to the probe body. This leadless technology allowed a rugged wire-out approach that is performed at the sensor length scale, thus achieving substantial sensor size reductions. The technology is inherently capable of high-frequency and high-accuracy performance in high temperatures and harsh environments.

  6. Utilization integrated Fuzzy-QFD and TOPSIS approach in supplier selection

    Directory of Open Access Journals (Sweden)

    2016-02-01

    Full Text Available Supplier selection is a typical multi-attribute problem that involves both qualitative and quantitative factors. To deal with this problem, different techniques have suggested. Being based on purely mathematical data, these techniques have significant drawbacks especially when we want to consider qualitative factors, which are very important in supplier selection and are not easy to measure. Some innovative approaches, based on artificial intelligence techniques such as Fuzzy Logic match very well with decision-making situations especially when decision makers express heterogeneous judgments. In this research, by the combination of Fuzzy logic and the House of Quality (HOQ, qualitative criteria are considered in the forward parts of car suppliers’ selection process in Sazehgostar SAIPA Company. Then, TOPSIS technique is adopted to consider quantitative metrics. Finally, by combining of Fuzzy QFD and TOPSIS techniques, these suppliers will be selected and ranked in this Company. Concern to the both qualitative and quantitative criteria, is the important point used in this research and also methodology utilized, counts innovative aspect. Limited number of experts associated with each piece and unavailability of some quantitative criteria has been limitations across of this study’s accomplishment.

  7. INTEGRATING MULTIPLE CRITERIA EVALUATION AND GIS IN ECOTOURISM: A REVIEW

    Directory of Open Access Journals (Sweden)

    Z. H. Mohd

    2016-09-01

    Full Text Available The concept of 'Eco-tourism' is increasingly heard in recent decades. Ecotourism is one adventure that environmentally responsible intended to appreciate the nature experiences and cultures. Ecotourism should have low impact on environment and must contribute to the prosperity of local residents. This article reviews the use of Multiple Criteria Evaluation (MCE and Geographic Information System (GIS in ecotourism. Multiple criteria evaluation mostly used to land suitability analysis or fulfill specific objectives based on various attributes that exist in the selected area. To support the process of environmental decision making, the application of GIS is used to display and analysis the data through Analytic Hierarchy Process (AHP. Integration between MCE and GIS tool is important to determine the relative weight for the criteria used objectively. With the MCE method, it can resolve the conflict between recreation and conservation which is to minimize the environmental and human impact. Most studies evidences that the GIS-based AHP as a multi criteria evaluation is a strong and effective in tourism planning which can aid in the development of ecotourism industry effectively.

  8. Integrating Multiple Criteria Evaluation and GIS in Ecotourism: a Review

    Science.gov (United States)

    Mohd, Z. H.; Ujang, U.

    2016-09-01

    The concept of 'Eco-tourism' is increasingly heard in recent decades. Ecotourism is one adventure that environmentally responsible intended to appreciate the nature experiences and cultures. Ecotourism should have low impact on environment and must contribute to the prosperity of local residents. This article reviews the use of Multiple Criteria Evaluation (MCE) and Geographic Information System (GIS) in ecotourism. Multiple criteria evaluation mostly used to land suitability analysis or fulfill specific objectives based on various attributes that exist in the selected area. To support the process of environmental decision making, the application of GIS is used to display and analysis the data through Analytic Hierarchy Process (AHP). Integration between MCE and GIS tool is important to determine the relative weight for the criteria used objectively. With the MCE method, it can resolve the conflict between recreation and conservation which is to minimize the environmental and human impact. Most studies evidences that the GIS-based AHP as a multi criteria evaluation is a strong and effective in tourism planning which can aid in the development of ecotourism industry effectively.

  9. Experimental Evaluation of High Performance Integrated Heat Pump

    Energy Technology Data Exchange (ETDEWEB)

    Miller, William A [ORNL; Berry, Robert [Unico Inc., St. Louis, MO; Durfee, Neal [ORNL; Baxter, Van D [ORNL

    2016-01-01

    Integrated heat pump (IHP) technology provides significant potential for energy savings and comfort improvement for residential buildings. In this study, we evaluate the performance of a high performance IHP that provides space heating, cooling, and water heating services. Experiments were conducted according to the ASHRAE Standard 206-2013 where 24 test conditions were identified in order to evaluate the IHP performance indices based on the airside performance. Empirical curve fits of the unit s compressor maps are used in conjunction with saturated condensing and evaporating refrigerant conditions to deduce the refrigerant mass flowrate, which, in turn was used to evaluate the refrigerant side performance as a check on the airside performance. Heat pump (compressor, fans, and controls) and water pump power were measured separately per requirements of Standard 206. The system was charged per the system manufacturer s specifications. System test results are presented for each operating mode. The overall IHP performance metrics are determined from the test results per the Standard 206 calculation procedures.

  10. Evaluation on Biofilter in Recirculating Integrated Multi-Trophic Aquaculture

    Directory of Open Access Journals (Sweden)

    S. Sumoharjo

    2013-06-01

    Full Text Available Integrated multi-trophic aquaculture pays more attention as a bio-integrated food production system that serves as a model of sustainable aquaculture, minimizes waste discharge, increases diversity and yields multiple products. The objectives of this research were to analyze the efficiency of total ammonia nitrogen biofiltration and its effect on carrying capacity of fish rearing units. Pilot-scale bioreactor was designed with eight run-raceways (two meters of each that assembled in series. Race 1-3 were used to stock silky worm (Tubifex sp as detrivorous converter, then race 4-8 were used to plant three species of leaf-vegetable as photoautotrophic converters, i.e; spinach (Ipomoea reptana, green mustard (Brassica juncea and basil (Ocimum basilicum. The three plants were placed in randomized block design based on water flow direction. Mass balance of nutrient analysis, was applied to figure out the efficiency of bio-filtration and its effect on carrying capacity of rearing units. The result of the experiment showed that 86.5 % of total ammonia nitrogen removal was achieved in 32 days of culturing period. This efficiency able to support the carrying capacity of the fish tank up to 25.95 kg/lpm with maximum density was 62.69 kg/m3 of fish biomass productionDoi: http://dx.doi.org/10.12777/ijse.4.2.2013.80-85 [How to cite this article: Sumoharjo, S.  and Maidie, A. (2013. Evaluation on Biofilter in Recirculating Integrated Multi-Trophic Aquaculture.  International Journal of  Science and Engineering, 4(2,80-85. Doi: http://dx.doi.org/10.12777/ijse.4.2.2013.80-85

  11. Spray dryer/baghouse flue gas desulfurization (FGD) evaluation for high-sulfur utility applications

    Energy Technology Data Exchange (ETDEWEB)

    Burnett, T.A.; Threet, G.E. Jr.; Humphries, L.R.; Robards, R.F.; Runyan, R.A.

    1985-01-01

    The Tennessee Valley Authority (TVA) initiated a program in 1983 to evaluate two pilot spray dryer/baghouse FGD systems. The main objective of this testing was to determine if the new type of FGD system, which was being commercialized on low-sulfur coal applications, was capable of treating flue gas from high-sulfur coal-fired utility boilers. Variables which were evaluated include lime stoichiometry, approach-to-saturation temperature, recycle rate, flue gas residence time in the spray dryer, atomizer speed, inlet flue gas temperature, and inlet SO/sub 2/ concentration. As expected, the SO/sub 2/ removal efficiency is a strong function of lime stoichiometry and approach-to-saturation temperature.

  12. Utilization and evaluation of noncore chemotherapy regimens within an academic medical center.

    Science.gov (United States)

    Jared, Jason R; Mably, Mary S; Makielski, Rory; Reed, Michael P; Fallon, Michael J; Liu, Glenn; Mulkerin, Daniel; Callander, Natalie S

    2017-10-01

    Uniformity of evidence-based chemotherapy prescribing using approved, standard, or "core" regimens provides systems-based safety. Noncore chemotherapy regimens are non-standard-of-care regimens requested by physicians on a patient-by-patient basis. Chemotherapy Council, a Pharmacy & Therapeutics subcommittee, assesses all requests and determines approval status based upon submitted evidence and patient-specific factors. This study's purpose is to describe noncore chemotherapy regimens utilization, efficacy, and clinical outcomes in patients receiving noncore chemotherapy regimens. This retrospective chart review includes a two-stage utilization and outcomes evaluation of patients receiving noncore chemotherapy regimens. Stage I, a demographics and utilization assessment of patients receiving noncore chemotherapy regimens, has data collection including patient age, sex, performance score, malignancy, and noncore chemotherapy regimen use justification. Stage II assesses noncore chemotherapy regimen-related, patient-specific outcomes of breast cancer noncore chemotherapy regimen patients. Breast cancer patients were evaluated on regimen and clinical outcomes including disease stage, regimen duration, discontinuation reason, subsequent chemotherapy, survival, and time from noncore chemotherapy regimen until death. Within stage I, 307 patient-specific noncore chemotherapy regimen requests were submitted. The most commonly submitted rationale was modification of a core regimen (33%), followed by patient-specific factors (29%) and salvage therapy (22%). For stage II, 29 breast cancer patients received a noncore chemotherapy regimen and most (54%) received a modified core regimen. The vast majority of noncore chemotherapy regimen discontinuation was due to either regimen completion (42%) or disease progression (42%). Nonelective hospitalizations (35%) and mortality (30%) were found during the median 13.3 months of follow up. Noncore chemotherapy regimen use provides

  13. Estimating Associations Between Medical Home Adoption, Utilization, and Quality: A Comparison of Evaluation Approaches.

    Science.gov (United States)

    Martsolf, Grant R; Kandrack, Ryan; Baird, Matthew; Friedberg, Mark W

    2018-01-01

    Methodological differences between evaluations of medical home adoption might complicate readers' ability to draw conclusions across studies. To study whether associations between medical home adoption and patient care are affected by methodological choices. Among 71 practices participating in the Pennsylvania Chronic Care Initiative (a medical home pilot), we estimated cross-sectional and longitudinal associations between 4 definitions of "medical home adoption" [National Committee on Quality Assurance (NCQA) recognition in year 3, Medical Home Index scores at baseline and 3, and within-practice changes in Medical Home Index scores between baseline and year 3] and utilization and quality. Six utilization and 6 quality measures. In cross-sectional analyses at year 3, NCQA recognition was associated with higher rates of nephropathy monitoring (7.23 percentage points; confidence interval, 0.45-14.02), breast cancer screening (7.48; 2.11-12.86), and colorectal cancer screening (8.43; 2.44-14.42). In longitudinal analyses, NCQA recognition was associated with increases in hospitalization rates (2.75 per 1000 patient-months; 0.52-4.98). In baseline cross-sectional analyses, higher Medical Home Index scores were associated with fewer ambulatory care-sensitive hospitalizations (-0.61 per 1000 patient per month; -1.11 to -0.11), all-cause emergency department visits (-6.80; -12.28 to -1.32), and ambulatory care-sensitive emergency department visits (-5.60; 10.32 to -0.88). There were no statistically significant associations between any other measure of medical home adoption and quality or utilization. The findings of medical home evaluations are sensitive to methodological choices. Meta-analyses, narrative reviews, and other syntheses of medical home studies should consider subdividing their findings by analytic approach.

  14. Evaluation of the integrated community based home care model

    Directory of Open Access Journals (Sweden)

    LR Uys

    2001-09-01

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

  15. Carbone dioxide capture and utilization in gas turbine plants via the integration of power to gas

    Directory of Open Access Journals (Sweden)

    Ahmed Boubenia

    2017-03-01

    Full Text Available Recent studies have shown that the concentration of greenhouse gases such as carbon dioxide in the atmosphere is growing rapidly over recent years and this can lead to major dangers for the planet. This growth is mainly due to the emissions from fossil power source such as diesel plants and gas turbines. The purpose of the present paper is to study the feasibility of integrating a technique based on power to gas concept in fossil power plants such as gas turbine. This work is based on the reduction of pollutant gas emissions produced from a gas turbine plant, especially the carbon dioxide. This captured gas (CO2 can be converted once again into energy via the technique of power to gas concept. This concept starts by extracting CO2 from exhaust gases which is carried out by multiple chemical process. On the other side, H2 is produced from water electrolysis using the excess electricity which is produced but not consumed by the existing loads. finally the production of Methane (CH4 can be achieved by combination of the captured CO2 and the extracted H2 via a reactor known as a reactor of Sabatier, this operation is called methanation or hydrogenation of carbon dioxide. Simulation results are presented for the validation of the proposed technique based on real data obtained on site from a gas turbine plant.

  16. Integrated Microfluidic Membrane Transistor Utilizing Chemical Information for On-Chip Flow Control

    Science.gov (United States)

    Frank, Philipp; Schreiter, Joerg; Haefner, Sebastian; Paschew, Georgi; Voigt, Andreas; Richter, Andreas

    2016-01-01

    Microfluidics is a great enabling technology for biology, biotechnology, chemistry and general life sciences. Despite many promising predictions of its progress, microfluidics has not reached its full potential yet. To unleash this potential, we propose the use of intrinsically active hydrogels, which work as sensors and actuators at the same time, in microfluidic channel networks. These materials transfer a chemical input signal such as a substance concentration into a mechanical output. This way chemical information is processed and analyzed on the spot without the need for an external control unit. Inspired by the development electronics, our approach focuses on the development of single transistor-like components, which have the potential to be used in an integrated circuit technology. Here, we present membrane isolated chemical volume phase transition transistor (MIS-CVPT). The device is characterized in terms of the flow rate from source to drain, depending on the chemical concentration in the control channel, the source-drain pressure drop and the operating temperature. PMID:27571209

  17. Mars Colony in situ resource utilization: An integrated architecture and economics model

    Science.gov (United States)

    Shishko, Robert; Fradet, René; Do, Sydney; Saydam, Serkan; Tapia-Cortez, Carlos; Dempster, Andrew G.; Coulton, Jeff

    2017-09-01

    This paper reports on our effort to develop an ensemble of specialized models to explore the commercial potential of mining water/ice on Mars in support of a Mars Colony. This ensemble starts with a formal systems architecting framework to describe a Mars Colony and capture its artifacts' parameters and technical attributes. The resulting database is then linked to a variety of ;downstream; analytic models. In particular, we integrated an extraction process (i.e., ;mining;) model, a simulation of the colony's environmental control and life support infrastructure known as HabNet, and a risk-based economics model. The mining model focuses on the technologies associated with in situ resource extraction, processing, storage and handling, and delivery. This model computes the production rate as a function of the systems' technical parameters and the local Mars environment. HabNet simulates the fundamental sustainability relationships associated with establishing and maintaining the colony's population. The economics model brings together market information, investment and operating costs, along with measures of market uncertainty and Monte Carlo techniques, with the objective of determining the profitability of commercial water/ice in situ mining operations. All told, over 50 market and technical parameters can be varied in order to address ;what-if; questions, including colony location.

  18. Novel High Temperature Capacitive Pressure Sensor Utilizing SiC Integrated Circuit Twin Ring Oscillators

    Science.gov (United States)

    Scardelletti, M.; Neudeck, P.; Spry, D.; Meredith, R.; Jordan, J.; Prokop, N.; Krasowski, M.; Beheim, G.; Hunter, G.

    2017-01-01

    This paper describes initial development and testing of a novel high temperature capacitive pressure sensor system. The pressure sensor system consists of two 4H-SiC 11-stage ring oscillators and a SiCN capacitive pressure sensor. One oscillator has the capacitive pressure sensor fixed at one node in its feedback loop and varies as a function of pressure and temperature while the other provides a pressure-independent reference frequency which can be used to temperature compensate the output of the first oscillator. A two-day repeatability test was performed up to 500C on the oscillators and the oscillator fundamental frequency changed by only 1. The SiCN capacitive pressure sensor was characterized at room temperature from 0 to 300 psi. The sensor had an initial capacitance of 3.76 pF at 0 psi and 1.75 pF at 300 psi corresponding to a 54 change in capacitance. The integrated pressure sensor system was characterized from 0 to 300 psi in steps of 50 psi over a temperature range of 25 to 500C. The pressure sensor system sensitivity was 0.113 kHzpsi at 25C and 0.026 kHzpsi at 500C.

  19. Evaluation of the sustainability of contrasted pig farming systems: integrated evaluation.

    Science.gov (United States)

    Bonneau, M; Klauke, T N; Gonzàlez, J; Rydhmer, L; Ilari-Antoine, E; Dourmad, J Y; de Greef, K; Houwers, H W J; Cinar, M U; Fàbrega, E; Zimmer, C; Hviid, M; van der Oever, B; Edwards, S A

    2014-12-01

    The aim of this paper is to present an approach for an integrated evaluation of the sustainability of pig farming systems, taking into account the three classical pillars: economy, environment and society. Eight sustainability themes were considered: Animal Welfare (AW), Animal Health (AH), Breeding Programmes (BP), Environment (EN), Meat Safety (MS), Market Conformity (MC), Economy (EC) and Working Conditions (WC). A total of 37 primary indicators were identified and used for the evaluation of 15 much contrasted pig farming systems in five EU countries. The results show that the eight themes were not redundant and all contributed to the observed variation between systems. The tool was very robust for highlighting the strengths and weaknesses of the systems along the eight themes that were considered. The number of primary indicators could be reduced from 37 to 18 with limited impact on the strengths/weaknesses profile of the individual systems. Integrating the eight theme evaluations into a single sustainability score is based on hypotheses or presumptions on the relative weights that should be given to the eight themes, which are very dependent on the context and on the purpose of the users of the tool. Therefore, the present paper does not have the ambition to provide a ready-for-use tool, rather to suggest an approach for the integrated evaluation of the sustainability of pig farming systems.

  20. Structural integrity evaluation of KC-135 fuselage structure

    Science.gov (United States)

    Cope, Dale Alan

    In this study, extensive numerical simulations were conducted in order to assess the damage tolerance and residual strength capability of the KC-135 fuselage's original design using state-of-the-art fracture mechanics numerical methods (FRANC3D/STAGS) and to evaluate the impact of multiple site damage on the fuselage's structural integrity. Geometric nonlinear fracture mechanics analyses were conducted on detailed "local" models of three key KC-135 fuselage areas in the forward, center, and aft fuselage sections subjected to internal pressure loads and simulated flight loads. For the damage tolerance assessments, stress intensity factors were determined for longitudinal skin cracks under realistic loading conditions while accounting for such factors as the actual built-up structure, load redistribution, and large displacements. Elastic-plastic stable tearing analyses, which apply the critical crack tip opening angle fracture criterion, were conducted on the center and aft fuselage areas in order to predict their residual strength. These nonlinear fracture mechanics analyses indicated that the aft fuselage area may have a lower damage tolerance capability than the other areas because of its thinner 7075-T6 skin material. Residual strength predictions showed that the aft fuselage crown skin had the lowest load-carrying capability; it was only able to sustain a longitudinal skin crack that spanned approximately one-third of a frame bay under limit load conditions without failure of the skin panel. The initial structural integrity evaluations provided the foundation for conducting a thorough damage tolerance and residual strength assessment of the KC-135 aft fuselage that accounted for varying degrees of multiple site damage. A parametric study considering the influences of various combinations of lead cracks and multiple site damage on the fuselage's structural integrity was conducted on an aft fuselage lap joint. Analysis results provided an estimate of the failure

  1. Forecasting return products in an integrated forward/reverse supply chain utilizing an ANFIS

    DEFF Research Database (Denmark)

    Kumar, D. T.; Soleimani, H.; Kannan, G.

    2014-01-01

    Interests in Closed-Loop Supply Chain (CLSC) issues are growing day by day within the academia, companies, and customers. Many papers discuss profitability or cost reduction impacts of remanufacturing, but a very important point is almost missing. Indeed, there is no guarantee about the amounts......-period, closed-loop supply chain network is optimized. The second-phase optimization is undertaken based on using general exact solvers in order to achieve the global optimum. Finally, the performance of the proposed forecasting method is evaluated in 25 periods using a numerical example, which contains...

  2. Prospects for integrating utility-scale solar photovoltaics and industrial agriculture in the U.S

    Science.gov (United States)

    Dahlin, K.; Anderegg, W.; Hernandez, R. R.; Hiza, N.; Johnson, J. E.; Maltais-landry, G.; Wolf, A.; Zimmerman, N. B.

    2011-12-01

    One of the key challenges to many alternative energy options is land use competition, such as conflict with food production (e.g., corn or sugar cane ethanol) or natural resource protection (e.g., solar panels in desert habitat). Wind power has largely avoided these conflicts by leasing land from farmers and maintaining a small footprint on the landscape. Here, we ask whether similar opportunities exist for solar photovoltaics in agricultural settings. Our test case consists of a soybean field in Ames, Iowa (USA), with south-facing solar panels in rows spaced 16 m apart (~3 times further than typical), a center pole height of 3 m (3 times higher than in a typical ground-mounted system), and a fixed tilt of 25 degrees. Using a geometric shade model coupled to a common crop model (DSSAT) and driven by 14 years of weather data, we find that the average annual soybean yield is not significantly reduced (renewable energy with little or no reduction in yields. Using the National Renewable Energy Laboratory (NREL) System Advisor Model and assuming 18 to 20% efficient panels, we estimate that this configuration at this location will produce 295 MWh ha-1 in the first year of operation. With this configuration the United States' current (2007) electricity production could be met by incorporating photovoltaic panels into as little as 11% of currently cropped land. We are currently developing an independent model that will complement our DSSAT analyses by simulating the effects of solar photovoltaics on available light, albedo and temperature on a range of different crops. We also review some of the major challenges to and potential benefits of integrated solar-agricultural systems in different regions and cropping systems.

  3. Multimodal integration of anatomy and physiology classes: How instructors utilize multimodal teaching in their classrooms

    Science.gov (United States)

    McGraw, Gerald M., Jr.

    Multimodality is the theory of communication as it applies to social and educational semiotics (making meaning through the use of multiple signs and symbols). The term multimodality describes a communication methodology that includes multiple textual, aural, and visual applications (modes) that are woven together to create what is referred to as an artifact. Multimodal teaching methodology attempts to create a deeper meaning to course content by activating the higher cognitive areas of the student's brain, creating a more sustained retention of the information (Murray, 2009). The introduction of multimodality educational methodologies as a means to more optimally engage students has been documented within educational literature. However, studies analyzing the distribution and penetration into basic sciences, more specifically anatomy and physiology, have not been forthcoming. This study used a quantitative survey design to determine the degree to which instructors integrated multimodality teaching practices into their course curricula. The instrument used for the study was designed by the researcher based on evidence found in the literature and sent to members of three associations/societies for anatomy and physiology instructors: the Human Anatomy and Physiology Society; the iTeach Anatomy & Physiology Collaborate; and the American Physiology Society. Respondents totaled 182 instructor members of two- and four-year, private and public higher learning colleges collected from the three organizations collectively with over 13,500 members in over 925 higher learning institutions nationwide. The study concluded that the expansion of multimodal methodologies into anatomy and physiology classrooms is at the beginning of the process and that there is ample opportunity for expansion. Instructors continue to use lecture as their primary means of interaction with students. Email is still the major form of out-of-class communication for full-time instructors. Instructors with

  4. Multivariable integrated evaluation of model performance with the vector field evaluation diagram

    Science.gov (United States)

    Xu, Zhongfeng; Han, Ying; Fu, Congbin

    2017-10-01

    This paper develops a multivariable integrated evaluation (MVIE) method to measure the overall performance of climate model in simulating multiple fields. The general idea of MVIE is to group various scalar fields into a vector field and compare the constructed vector field against the observed one using the vector field evaluation (VFE) diagram. The VFE diagram was devised based on the cosine relationship between three statistical quantities: root mean square length (RMSL) of a vector field, vector field similarity coefficient, and root mean square vector deviation (RMSVD). The three statistical quantities can reasonably represent the corresponding statistics between two multidimensional vector fields. Therefore, one can summarize the three statistics of multiple scalar fields using the VFE diagram and facilitate the intercomparison of model performance. The VFE diagram can illustrate how much the overall root mean square deviation of various fields is attributable to the differences in the root mean square value and how much is due to the poor pattern similarity. The MVIE method can be flexibly applied to full fields (including both the mean and anomaly) or anomaly fields depending on the application. We also propose a multivariable integrated evaluation index (MIEI) which takes the amplitude and pattern similarity of multiple scalar fields into account. The MIEI is expected to provide a more accurate evaluation of model performance in simulating multiple fields. The MIEI, VFE diagram, and commonly used statistical metrics for individual variables constitute a hierarchical evaluation methodology, which can provide a more comprehensive evaluation of model performance.

  5. Quantitative Percussion Diagnostics For Evaluating Bond Integrity Between Composite Laminates

    Science.gov (United States)

    Poveromo, Scott Leonard

    Conventional nondestructive testing (NDT) techniques used to detect defects in composites are not able to determine intact bond integrity within a composite structure and are costly to use on large and complex shaped surfaces. To overcome current NDT limitations, a new technology was utilized based on quantitative percussion diagnostics (QPD) to better quantify bond quality in fiber reinforced composite materials. Experimental results indicate that this technology is capable of detecting 'kiss' bonds (very low adhesive shear strength), caused by the application of release agents on the bonding surfaces, between flat composite laminates bonded together with epoxy adhesive. Specifically, the local value of the loss coefficient determined from quantitative percussion testing was found to be significantly greater for a release coated panel compared to that for a well bonded sample. Also, the local value of the probe force or force returned to the probe after impact was observed to be lower for the release coated panels. The increase in loss coefficient and decrease in probe force are thought to be due to greater internal friction during the percussion event for poorly bonded specimens. NDT standards were also fabricated by varying the cure parameters of an epoxy film adhesive. Results from QPD for the variable cure NDT standards and lap shear strength measurements taken of mechanical test specimens were compared and analyzed. Finally, experimental results have been compared to a finite element analysis to understand the visco-elastic behavior of the laminates during percussion testing. This comparison shows how a lower quality bond leads to a reduction in the percussion force by biasing strain in the percussion tested side of the panel.

  6. Development of safety analysis technology for integral reactor; evaluation on safety concerns of integral reactor

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hee Chul; Kim, Woong Sik; Lee, J. H. [Korea Institute of Nuclear Safety, Taejeon (Korea)

    2002-03-01

    The Nuclear Desalination Plant (NDP) is being developed to produce electricity and fresh water, and is expected to locate near population zone. In the aspect of safety, it is required to protect the public and environment from the possible releases of fission products and to prevent the fresh water from the contamination of radioactivity. Thus, in this study, the safety characteristics of the integral reactor adopting passive and inherent safety features significantly different from existing nuclear power plants were investigated. Also, safety requirements applicable to the NDP were analyzed based on the regulatory requirements for current light water reactor and advanced reactor designs, and user requirements for small-medium size reactors. Based on these analyses, some safety concerns to be considered in the design stage have been identified and discussed. They include the use of proven technology for new safety features, systematic event classification and selection, strengthening containment function, and the safety impacts on desalination-related systems. The study presents the general safety requirements applicable to licensing of an integral reactor and suggests additional regulatory requirements, which need to be developed, based on the direction to resolution of the safety concerns. The efforts to identify and technically resolve the safety concerns in the design stage will provide the early confidence of SMART safety and the technical basis to evaluate the safety to designers and reviewers in the future. Suggestion on the development of additional regulatory requirements will contribute for the regulator to taking actions for licensing of an integral reactor. 66 refs., 5 figs., 24 tabs. (Author)

  7. Integrated-Optics Components Utilizing Long-Range Surface Plasmon Polaritons

    DEFF Research Database (Denmark)

    Boltasseva, Alexandra

    2004-01-01

    . A propagation loss of ~ 6 dB/cm, a coupling loss of ~ 0.5 dB (per facet), and a bend loss of ~ 5 dB for a bend radius of 15 mm are evaluated for 15-nm-thick and 8-µm-wide stripes at a wavelength of 1550 nm. LR-SPP-based 3dB power Y-splitters, multi-mode interference waveguides, and directional couplers are also...... with experimental results is obtained. The interaction of LR-SPPs with photonic crystals (PCs) is also studied. The PC structures are formed by periodic arrays of gold bumps that are arranged in a triangular lattice and placed symmetrically on both sides of a thin gold film. The LR-SPP transmission through...

  8. Boundary value problem of Pontryagin's maximum principle in a two-sector economy model with an integral utility function

    Science.gov (United States)

    Kiselev, Yu. N.; Orlov, M. V.; Orlov, S. M.

    2015-11-01

    An infinite-horizon two-sector economy model with a Cobb-Douglas production function and a utility function that is an integral functional with discounting and a logarithmic integrand is investigated. The application of Pontryagin's maximum principle yields a boundary value problem with special conditions at infinity. The search for the solution of the maximum-principle boundary value problem is complicated by singular modes in its optimal solution. In the construction of the solution to the problem, they are described in analytical form. Additionally, a special version of the sweep method in continuous form is proposed, which is of interest from theoretical and computational points of view. An important result is the proof of the optimality of the extremal solution obtained by applying the maximum-principle boundary value problem.

  9. Autonomous Integrated Navigation for Indoor Robots Utilizing On-Line Iterated Extended Rauch-Tung-Striebel Smoothing

    Directory of Open Access Journals (Sweden)

    Yuan Xu

    2013-11-01

    Full Text Available In order to reduce the estimated errors of the inertial navigation system (INS/Wireless sensor network (WSN-integrated navigation for mobile robots indoors, this work proposes an on-line iterated extended Rauch-Tung-Striebel smoothing (IERTSS utilizing inertial measuring units (IMUs and an ultrasonic positioning system. In this mode, an iterated Extended Kalman filter (IEKF is used in forward data processing of the Extended Rauch-Tung-Striebel smoothing (ERTSS to improve the accuracy of the filtering output for the smoother. Furthermore, in order to achieve the on-line smoothing, IERTSS is embedded into the average filter. For verification, a real indoor test has been done to assess the performance of the proposed method. The results show that the proposed method is effective in reducing the errors compared with the conventional schemes.

  10. Integrated Utilization of Sewage Sludge and Coal Gangue for Cement Clinker Products: Promoting Tricalcium Silicate Formation and Trace Elements Immobilization

    Science.gov (United States)

    Yang, Zhenzhou; Zhang, Yingyi; Liu, Lili; Seetharaman, Seshadri; Wang, Xidong; Zhang, Zuotai

    2016-01-01

    The present study firstly proposed a method of integrated utilization of sewage sludge (SS) and coal gangue (CG), two waste products, for cement clinker products with the aim of heat recovery and environment protection. The results demonstrated that the incremental amounts of SS and CG addition was favorable for the formation of tricalcium silicate (C3S) during the calcinations, but excess amount of SS addition could cause the impediment effect on C3S formation. Furthermore, it was also observed that the C3S polymorphs showed the transition from rhombohedral to monoclinic structure as SS addition was increased to 15 wt %. During the calcinations, most of trace elements could be immobilized especially Zn and cannot be easily leached out. Given the encouraging results in the present study, the co-process of sewage sludge and coal gangue in the cement kiln can be expected with a higher quality of cement products and minimum pollution to the environment. PMID:28773400

  11. Integral power evaluation in fossil fuel power plants; Evaluacion energetica integral en unidades de centrales termoelectricas

    Energy Technology Data Exchange (ETDEWEB)

    Figueroa I, Luis R; Sanchez H, Laura E; Rodriguez M, Jose H [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico); Nebradt G, Jesus [Unidad de Investigacion y Desarrollo de la Subdireccion de Generacion de la Comision Federal de Electricidad, (Mexico)

    2006-07-01

    In this occasion, a methodology is presented that carries out an integral energy evaluation of fossil fuel power plants units (FFPPU) with the purpose of determining the root of the significant decrements of power produced soon after the annual maintenance service. This proposal, besides identifying the origin of the energy efficiency problems, offers information about the contributions of each one of the involved equipment in the total decrement of the unit. With this methodology, the maintenance focuses in the equipment that contributes to the greater energy loss. This document presents such methodology along with its application in a real case, results and necessary remedial actions, demonstrating that its application offers bases for the investment in corrective measures. [Spanish] En esta ocasion se presenta una metodologia que efectua una evaluacion energetica integral de las unidades de centrales termoelectricas (UCT) con el fin de determinar la raiz de los decrementos de potencia significativos producidos luego del servicio anual de mantenimiento. Dicha propuesta, ademas de identificar el origen de los problemas de eficiencia energetica, brinda informacion acerca de las aportaciones de cada uno de los equipos involucrados al decremento total de la unidad. Con esta metodologia, el mantenimiento se enfoca a los equipos que contribuyen a la mayor perdida de potencia. Este documento exhibe tal metodologia junto con su aplicacion en un caso real, resultados y las acciones correctivas necesarias, demostrando que su aplicacion ofrece bases para una inversion futura en medidas correctivas.

  12. Utilization of modernized global navigation satellite systems for aircraft-based navigation integrity

    Science.gov (United States)

    Ene, Alexandru

    The objective of this dissertation is to assess whether or not two particular biocomposite materials, made from hemp fabric and cellulose acetate or polyhydroxybutyrate matrices, are capable of being used for structural and/or construction purposes within in the construction and building industry. The objective of this dissertation was addressed by conducting research to meet the following three goals: (1) to measure the basic mechanical properties of hemp/cellulose acetate and hemp/PHB biocomposites and evaluate if they suitable for use in construction applications, (2) to determine how quickly moisture diffuses into the biocomposite materials and how the moisture affects the mechanical behavior, and (3) to determine how well simple models can predict behavior of structural scale laminates in tension and flexure using biocomposite ply behavior. Compression molding was used to manufacturing the biocomposites from hemp fabric and the themoplastic matrices: cellulose acetate and polyhydroxybutyrate. Four methods for determining the fiber volume fraction were evaluated, and the dissolution method, using different solvents for each matrix type, was used to determine the fiber volume fraction for each composite plate manufactured. Both types of biocomposite were tested in tension, compression, shear, and flexure and the measured properties were compared to wood and engineered wood products to assess whether the biocomposite properties are suitable for use in the construction industry. The biocomposites were conditioned in a humid environment to determine the rate of moisture diffusion into the materials. Then saturated specimens and specimens that were saturated and then dried were tested in tension to evaluate how moisture absorption affects the mechanical behavior of the biocomposites. Finally, simple models of laminate behavior based on laminate plate theory were evaluated to determine if ply level behavior could be used to predict structural scale laminate behavior

  13. Phase Preference by Active, Acetate-Utilizing Bacteria at the Rifle, CO Integrated Field Research Challenge Site

    Energy Technology Data Exchange (ETDEWEB)

    Kerkhof, L.; Williams, K.H.; Long, P.E.; McGuinness, L.

    2011-02-21

    Previous experiments at the Rifle, Colorado Integrated Field Research Challenge (IFRC) site demonstrated that field-scale addition of acetate to groundwater reduced the ambient soluble uranium concentration. In this report, sediment samples collected before and after acetate field addition were used to assess the active microbes via {sup 13}C acetate stable isotope probing on 3 phases [coarse sand, fines (8-approximately 150 {micro}m), groundwater (0.2-8 {micro}m)] over a 24-day time frame. TRFLP results generally indicated a stronger signal in {sup 13}C-DNA in the 'fines' fraction compared to the sand and groundwater. Before the field-scale acetate addition, a Geobacter-like group primarily synthesized {sup 13}C-DNA in the groundwater phase, an alpha Proteobacterium primarily grew on the fines/sands, and an Acinetobacter sp. and Decholoromonas-like OTU utilized much of the {sup 13}C acetate in both groundwater and particle-associated phases. At the termination of the field-scale acetate addition, the Geobacter-like species was active on the solid phases rather than the groundwater, while the other bacterial groups had very reduced newly synthesized DNA signal. These findings will help to delineate the acetate utilization patterns of bacteria in the field and can lead to improved methods for stimulating distinct microbial populations in situ.

  14. INTEGRAL UTILIZATION OF SERIGUELA FRUIT (Spondias purpurea L. IN THE PRODUCTION OF COOKIES

    Directory of Open Access Journals (Sweden)

    JULIANA GONDIM DE ALBUQUERQUE

    2016-01-01

    Full Text Available ABSTRACT This study aimed to process, characterize and use seriguela fruit residue pulp and flour (Spondias purpurea L. (SFR in the processing of cookies, evaluating nutritional and microbiological quality and sensory acceptance. SFR was prepared and characterized as to its physical and chemical characteristics. Cookies made with SFR at concentrations of 0, 10, 20 and 30% were submitted to analyses of chemical composition, acidity, pH, ascorbic acid, water activity, in addition to yield and costs. Microbiological analysis of cookies was performed previously to sensory analysis, which was performed by 100 potential consumers. SFR showed high levels of Vitamin C (57.99 mg / 100 g, fiber (12.82%, carbohydrate (71.77% and energy density (313.21 Kcal/100 g. As SFR was added, there was an increase in the content of fibers, minerals and vitamin C. Cookies showed sensory scores between 6 and 7 of a 9-point hedonic scale; however, cookie containing 10% of seriguela fruit residue flour was the most accepted, with purchase intent and preference similar to control cookies, which were made with 100% wheat flour. The use of seriguela fruit residue in the production of cookies can be a viable option to increase the nutritional value and reduce the cost of ingredients used in the processing of food products, in addition to being important from the environmental point of view.

  15. An Integrated Performance Evaluation Model for the Photovoltaics Industry

    Directory of Open Access Journals (Sweden)

    He-Yau Kang

    2012-04-01

    Full Text Available Global warming is causing damaging changes to climate around the World. For environmental protection and natural resource scarcity, alternative forms of energy, such as wind energy, fire energy, hydropower energy, geothermal energy, solar energy, biomass energy, ocean power and natural gas, are gaining attention as means of meeting global energy demands. Due to Japan’s nuclear plant disaster in March 2011, people are demanding a good alternative energy resource, which not only produces zero or little air pollutants and greenhouse gases, but also with a high safety level to protect the World. Solar energy, which depends on an infinite resource, the sun, is one of the most promising renewable energy sources from the perspective of environmental sustainability. Currently, the manufacturing cost of solar cells is still very high, and the power conversion efficiency is low. Therefore, photovoltaics (PV firms must continue to invest in research and development, commit to product differentiation, achieve economies of scale, and consider the possibility of vertical integration, in order to strengthen their competitiveness and to acquire the maximum benefit from the PV market. This research proposes a performance evaluation model by integrating analytic hierarchy process (AHP and data envelopment analysis (DEA to assess the current business performance of PV firms. AHP is applied to obtain experts’ opinions on the importance of the factors, and DEA is used to determine which firms are efficient. A case study is performed on the crystalline silicon PV firms in Taiwan. The findings shall help the firms determine their strengths and weaknesses and provide directions for future improvements in business operations.

  16. Rapid Prototyping Integrated With Nondestructive Evaluation and Finite Element Analysis

    Science.gov (United States)

    Abdul-Aziz, Ali; Baaklini, George Y.

    2001-01-01

    Most reverse engineering approaches involve imaging or digitizing an object then creating a computerized reconstruction that can be integrated, in three dimensions, into a particular design environment. Rapid prototyping (RP) refers to the practical ability to build high-quality physical prototypes directly from computer aided design (CAD) files. Using rapid prototyping, full-scale models or patterns can be built using a variety of materials in a fraction of the time required by more traditional prototyping techniques (refs. 1 and 2). Many software packages have been developed and are being designed to tackle the reverse engineering and rapid prototyping issues just mentioned. For example, image processing and three-dimensional reconstruction visualization software such as Velocity2 (ref. 3) are being used to carry out the construction process of three-dimensional volume models and the subsequent generation of a stereolithography file that is suitable for CAD applications. Producing three-dimensional models of objects from computed tomography (CT) scans is becoming a valuable nondestructive evaluation methodology (ref. 4). Real components can be rendered and subjected to temperature and stress tests using structural engineering software codes. For this to be achieved, accurate high-resolution images have to be obtained via CT scans and then processed, converted into a traditional file format, and translated into finite element models. Prototyping a three-dimensional volume of a composite structure by reading in a series of two-dimensional images generated via CT and by using and integrating commercial software (e.g. Velocity2, MSC/PATRAN (ref. 5), and Hypermesh (ref. 6)) is being applied successfully at the NASA Glenn Research Center. The building process from structural modeling to the analysis level is outlined in reference 7. Subsequently, a stress analysis of a composite cooling panel under combined thermomechanical loading conditions was performed to validate

  17. Applying fuzzy integral for evaluating intensity of knowledge work in jobs

    Directory of Open Access Journals (Sweden)

    Jalil Heidary Dahooie

    2013-10-01

    Full Text Available In this article, a framework is proposed to define and identify knowledge work intensity in jobs, quantitatively. For determining the Knowledge Work Intensity Score (KWIS of a job, it is supposed that the job comprises some tasks and KWIS of the job is determined based on knowledge intensity of these tasks. Functional Job Analysis (FJA method is applied to determine tasks of jobs and then Task’s Knowledge Intensity Score (TKIS is computed by using Fuzzy integral method. Besides, importance weight and time weight of tasks are determined by utilizing appropriate methods. Finally, KWIS is calculated by a formula composed of tasks’ TKISs and the weights. For evaluating applicability of the framework, it is applied to calculate KWISs of two jobs (Deputy of Finance and service, Laboratory technician.

  18. A Retrospective Administrative Claims Database Evaluation of the Utilization of Belimumab in US Managed Care Settings.

    Science.gov (United States)

    Ke, Xuehua; Eisenberg Lawrence, Debra F; Oglesby, Alan; Patel, Jeetvan; Kan, Hong; Boggs, Robert

    2015-12-01

    Belimumab is an approved therapy for the treatment of systemic lupus erythematosus (SLE). This study examined the real-world utilization patterns of belimumab and standard SLE therapies in patients after regulatory approval of belimumab in the United States. A retrospective, observational study of belimumab users in the HealthCore Integrated Research Database was conducted using administrative claims data (GlaxoSmithKline Clinical Study Register Study ID: 114955). The overall population for analysis was composed of patients who were prescribed belimumab, had ≥6 months pre- and ≥6 months post-index medical and pharmacy eligibility, and at least 1 medical claim for SLE. Patients' clinical and demographic characteristics, treatment history, treatment patterns of belimumab, utilization of other medications, all-cause resource utilization, and costs were assessed. No hypotheses were tested. All patients who were prescribed belimumab had an SLE claim. Patients who met all eligibility criteria (n = 155) were primarily female (94.2%; mean [SD] age, 44 [12] years) and 94.2% had used standard SLE therapies during the pre- and post-index periods. The majority had moderate SLE disease severity pre-index, and there was a small shift (approximately 8%) from moderate to mild SLE after initiation of belimumab. Two thirds of patients remained on belimumab therapy at 6 months post-index. The percentage of patients with any claim for oral corticosteroids remained stable; however, the point estimate for mean daily dose decreased slightly in months 3 to 6 post-index. Inpatient hospital admissions decreased slightly in the post-index period. The point estimate for total costs (excluding belimumab) decreased after initiation of belimumab, although overall total health care costs (including belimumab) increased. All patients with a belimumab prescription had an SLE diagnosis on at least 1 medical claim, and the vast majority of those meeting all eligibility criteria had previously

  19. Deterministic bead-in-droplet ejection utilizing an integrated plug-in bead dispenser for single bead-based applications

    Science.gov (United States)

    Kim, Hojin; Choi, In Ho; Lee, Sanghyun; Won, Dong-Joon; Oh, Yong Suk; Kwon, Donghoon; Sung, Hyung Jin; Jeon, Sangmin; Kim, Joonwon

    2017-04-01

    This paper presents a deterministic bead-in-droplet ejection (BIDE) technique that regulates the precise distribution of microbeads in an ejected droplet. The deterministic BIDE was realized through the effective integration of a microfluidic single-particle handling technique with a liquid dispensing system. The integrated bead dispenser facilitates the transfer of the desired number of beads into a dispensing volume and the on-demand ejection of bead-encapsulated droplets. Single bead-encapsulated droplets were ejected every 3 s without any failure. Multiple-bead dispensing with deterministic control of the number of beads was demonstrated to emphasize the originality and quality of the proposed dispensing technique. The dispenser was mounted using a plug-socket type connection, and the dispensing process was completely automated using a programmed sequence without any microscopic observation. To demonstrate a potential application of the technique, bead-based streptavidin-biotin binding assay in an evaporating droplet was conducted using ultralow numbers of beads. The results evidenced the number of beads in the droplet crucially influences the reliability of the assay. Therefore, the proposed deterministic bead-in-droplet technology can be utilized to deliver desired beads onto a reaction site, particularly to reliably and efficiently enrich and detect target biomolecules.

  20. Deterministic bead-in-droplet ejection utilizing an integrated plug-in bead dispenser for single bead–based applications

    Science.gov (United States)

    Kim, Hojin; Choi, In Ho; Lee, Sanghyun; Won, Dong-Joon; Oh, Yong Suk; Kwon, Donghoon; Sung, Hyung Jin; Jeon, Sangmin; Kim, Joonwon

    2017-01-01

    This paper presents a deterministic bead-in-droplet ejection (BIDE) technique that regulates the precise distribution of microbeads in an ejected droplet. The deterministic BIDE was realized through the effective integration of a microfluidic single-particle handling technique with a liquid dispensing system. The integrated bead dispenser facilitates the transfer of the desired number of beads into a dispensing volume and the on-demand ejection of bead-encapsulated droplets. Single bead–encapsulated droplets were ejected every 3 s without any failure. Multiple-bead dispensing with deterministic control of the number of beads was demonstrated to emphasize the originality and quality of the proposed dispensing technique. The dispenser was mounted using a plug-socket type connection, and the dispensing process was completely automated using a programmed sequence without any microscopic observation. To demonstrate a potential application of the technique, bead-based streptavidin–biotin binding assay in an evaporating droplet was conducted using ultralow numbers of beads. The results evidenced the number of beads in the droplet crucially influences the reliability of the assay. Therefore, the proposed deterministic bead-in-droplet technology can be utilized to deliver desired beads onto a reaction site, particularly to reliably and efficiently enrich and detect target biomolecules. PMID:28393911

  1. Drug Utilization Evaluation of Vancomycin in a Referral Infectious Center in Mazandaran Province

    Directory of Open Access Journals (Sweden)

    Ebrahim Salehifar

    2015-10-01

    Full Text Available Background: DUE (Drug Utilization Evaluation studies can help identify and correct problems associated with irrational use of drugs. Considering lack of data regarding how rational vancomycin is being used, we evaluated this DUE study in a referral infectious center to evaluate compliance with guidelines in terms of rational use of this valuable antibiotic.Methods: This retrospective study was done for 6 months from March to September 2012 at Razi hospital, an educational hospital affiliated to Mazandaran University of Medical Sciences. Data including patients’ demographics, vancomycin dose, kidney function assessment, dose adjustments, sampling and culture were collected. Based on the HICPAC (Hospital Infection Control Practices Advisory Committee and Up-to-date 2012 advices, the concordance of practice with standard guidelines was assessed.Results: One hundred and forty six medical records were reviewed in this study. Fever and shortness of breath were the most common symptoms at the time of initiation of vancomycin. Skin infections, lower respiratory tract infection and septicemia were the most common initial diagnosis of patients. Sampling was done in almost one-third of patients. Most of patient with a specific order were received vancomycin in half an hour. Considering the indication, Vancomycin was administered appropriately in 58 percent of patients.Conclusion: Vancomycin was used irrationally in a great proportion of patients. The main observed drawbacks were empiric use of vancomycin without subsequent adjustment of antimicrobial agent according to culture and sensitivity data and lack of paying enough attention to calculation of creatinine clearance and dosage adjustment.

  2. Use of Multi-attribute Utility Functions in Evaluating Security Systems

    Energy Technology Data Exchange (ETDEWEB)

    Meyers, C; Lamont, A; Sicherman, A

    2008-06-13

    In analyzing security systems, we are concerned with protecting a building or facility from an attack by an adversary. Typically, we address the possibility that an adversary could enter a building and cause damage resulting in an immediate loss of life, or at least substantial disruption in the operations of the facility. In response to this setting, we implement security systems including devices, procedures, and facility upgrades designed to (a) prevent the adversary from entering, (b) detect and neutralize him if he does enter, and (c) harden the facility to minimize damage if an attack is carried out successfully. Although we have cast this in terms of physical protection of a building, the same general approach can be applied to non-physical attacks such as cyber attacks on a computer system. A rigorous analytic process is valuable for quantitatively evaluating an existing system, identifying its weaknesses, and proposing useful upgrades. As such, in this paper we describe an approach to assess the degree of overall protection provided by security measures. Our approach evaluates the effectiveness of the individual components of the system, describes how the components work together, and finally assesses the degree of overall protection achieved. This model can then be used to quantify the amount of protection provided by existing security measures, as well as to address proposed upgrades to the system and help identify a robust and cost effective set of improvements. Within the model, we use multiattribute utility functions to perform the overall evaluations of the system.

  3. Does evaluation of the ligamentous compartment enhance diagnostic utility of sacroiliac joint MRI in axial spondyloarthritis?

    DEFF Research Database (Denmark)

    Weber, Ulrich; Maksymowych, Walter P; Chan, Stanley M

    2015-01-01

    INTRODUCTION: Inflammation of the sacroiliac joints (SIJ) is a fundamental clinical feature of axial spondyloarthritis (SpA). The anatomy of the irregularly shaped SIJ is complex with an antero-inferior cartilaginous compartment containing central hyaline and peripheral fibrocartilage, and a dorso...... in the ligamentous compartment and their potential diagnostic utility in axial SpA. We therefore aimed to evaluate the ligamentous compartment on sacroiliac joint MRI for lesion distribution and potential incremental value towards diagnosis of SpA over and above the traditional assessment of the cartilaginous...... compartment alone. METHODS: Two independent cohorts of 69 and 88 consecutive back pain patients ≤50 years were referred for suspected SpA (cohort A) or acute anterior uveitis plus back pain (cohort B). Patients were classified according to rheumatologist expert opinion based on clinical, radiographic...

  4. Symmetry evaluation for an interferometric fiber optic gyro coil utilizing a bidirectional distributed polarization measurement system.

    Science.gov (United States)

    Peng, Feng; Li, Chuang; Yang, Jun; Hou, Chengcheng; Zhang, Haoliang; Yu, Zhangjun; Yuan, Yonggui; Li, Hanyang; Yuan, Libo

    2017-07-10

    We propose a dual-channel measurement system for evaluating the optical path symmetry of an interferometric fiber optic gyro (IFOG) coil. Utilizing a bidirectional distributed polarization measurement system, the forward and backward transmission performances of an IFOG coil are characterized simultaneously by just a one-time measurement. The simple but practical configuration is composed of a bidirectional Mach-Zehnder interferometer and multichannel transmission devices connected to the IFOG coil under test. The static and dynamic temperature results of the IFOG coil reveal that its polarization-related symmetric properties can be effectively obtained with high accuracy. The optical path symmetry investigation is highly beneficial in monitoring and improving the winding technology of an IFOG coil and reducing the nonreciprocal effect of an IFOG.

  5. UAS Integration in the NAS Project: Integrated Test and Evaluation (IT&E) Flight Test 3. Revision E

    Science.gov (United States)

    Marston, Michael

    2015-01-01

    The desire and ability to fly Unmanned Aircraft Systems (UAS) in the National Airspace System (NAS) is of increasing urgency. The application of unmanned aircraft to perform national security, defense, scientific, and emergency management are driving the critical need for less restrictive access by UAS to the NAS. UAS represent a new capability that will provide a variety of services in the government (public) and commercial (civil) aviation sectors. The growth of this potential industry has not yet been realized due to the lack of a common understanding of what is required to safely operate UAS in the NAS. NASA's UAS Integration into the NAS Project is conducting research in the areas of Separation Assurance/Sense and Avoid Interoperability, Human Systems Integration (HSI), and Communication to support reducing the barriers of UAS access to the NAS. This research is broken into two research themes namely, UAS Integration and Test Infrastructure. UAS Integration focuses on airspace integration procedures and performance standards to enable UAS integration in the air transportation system, covering Sense and Avoid (SAA) performance standards, command and control performance standards, and human systems integration. The focus of Test Infrastructure is to enable development and validation of airspace integration procedures and performance standards, including the integrated test and evaluation. In support of the integrated test and evaluation efforts, the Project will develop an adaptable, scalable, and schedulable relevant test environment capable of evaluating concepts and technologies for unmanned aircraft systems to safely operate in the NAS. To accomplish this task, the Project will conduct a series of Human-in-the-Loop and Flight Test activities that integrate key concepts, technologies and/or procedures in a relevant air traffic environment. Each of the integrated events will build on the technical achievements, fidelity and complexity of the previous tests and

  6. On a New Simple Method for Evaluation of Certain Multiple Definite Integrals

    Science.gov (United States)

    Sen Gupta, I.; Debnath, L.

    2006-01-01

    This paper deals with a simple method of evaluation of certain multiple definite integrals. This is followed by two main theorems concerning multiple definite integrals. Some examples of applications are given.

  7. Integrated multimodal metrology for objective and noninvasive tear evaluation.

    Science.gov (United States)

    Kottaiyan, Ranjini; Yoon, Geunyoung; Wang, Qi; Yadav, Rahul; Zavislan, James M; Aquavella, James V

    2012-01-01

    The clinical tests used to assess tear film and diagnose dry eye are invasive and produce results that are different from natural tear characteristics. There is a need to objectively and noninvasively assess tear parameters under controlled environmental circumstances to refine dry eye diagnosis and therapy. We have developed multimodal tear imaging systems integrated in a chamber in which individual environmental factors can be precisely varied to investigate their impacts on tear parameters. With the custom-built high-resolution wavefront sensor combined with placido disc, it is possible to objectively detect two-dimensional tear breakups in real time and evaluate its impact on visual quality. Micrometer ultra-high resolution optical coherence tomography (OCT) enables us to quantify thickness and volume of the tear over the cornea and tear menisci. The ocular surface imaging ellipsometer uses polarized illumination from which both the lipid refractive index and thickness can be measured at a very high resolution. Using an enhanced thermal camera, we measure the ocular surface temperature noninvasively, which makes it possible to study spatial and temporal changes in tear evaporation. The multimodal deployment of these four components in the controlled chamber will assist in better differentiating the various clinical dry eye entities and will lead to the development of specific dry eye treatments. Copyright © 2012 Elsevier Inc. All rights reserved.

  8. [Integrated evaluation of circular agriculture system: a life cycle perspective].

    Science.gov (United States)

    Liang, Long; Chen, Yuan-Quan; Gao, Wang-Sheng

    2010-11-01

    For the point of view that recycling economy system is one of ways to achieve the low-carbon economy, we have made an evaluation on a typical circular agriculture duck industry in Hunan Province, China, through improving the framework of life cycle assessment (LCA). The analysis indicated that the consumption of non-renewable resources, land and water were 48.629 MJ, 2.36 m2 and 1 321.41 kg, while the potential greenhouse gas (GHGs), acidification, eutrophication, human toxicity, freshwater ecotoxicity and terrestrial ecotoxicity were 11 543.26 g (CO2 eq), 52.36g (SO2eq), 25.83g (PO4eq), 1.26, 60.74 and 24.65 g (1,4-DCBeq), respectively. The potential damage of aquatic eutrophication, freshwater ecotoxicity and terrestrial ecotoxicity was more serious than that of GHGs. Main results were following: i. the circular agricultural chain promoted the principle of "moderate circulation", which based on the traditional production methods; ii. circular agriculture could not blindly pursue low carbon development. Instead, soil and biological carbon sequestration should be considered, in addition to reducing carbon emissions; iii. circular economy and circular agriculture should take other potential environmental impacts into account such as acidification, eutrophication and ecotoxicity,with the exception to carbon emissions,to developed integrated system assessment; iv. LCA could provide a comprehensive assessment of circular agriculture, and it was worth of further study.

  9. SURFACE INTEGRITY EVALUATION OF TURNING WITH AUTO-ROTATING TOOL

    Directory of Open Access Journals (Sweden)

    Jozef Struharnansky

    2016-09-01

    Full Text Available The technical practice requirements comes to have increased demands on higher productivity, speed and quality of the machining process of various materials. Hard to machine materials, whose machining led to the development of turning with rotating cutting edge are not an exception. The machining process of auto-rotating tool is more complicated than the conventional process of turning, especially for the process of reshaping cutting layers into chips. There is a significant load in the system, that may affect the life of the cutting edge of the tool as well as the whole system and also in the final extent of the qualitative parameters of the workpiece (product / product. The article specifies the knowledge and findings of measurement in machining material 100Cr6 with an auto-rotating tool. The measurements were conducted to evaluate the integrity of the surface (roughness of the workpiece to the impacts of cutting conditions, in particular the feed and the cutting edge inclination. It also analyzes the presence (size, character, action of residual stresses concentrated in the surface layers of the workpiece by changing the cutting conditions.

  10. INTEGRAL EVALUATION OF THE CYTOKINE SYSTEM IN VIRAL MYOCARDITIS

    Directory of Open Access Journals (Sweden)

    Peremot S. D.

    2017-10-01

    Full Text Available The need for an individual approach in the choice of means for the prevention of complications in inflammatory processes in cardiomyocytes, the course of which unfolds against a persistent viral infection, dictates the need to determine the general mechanisms for maintaining and progressing of the pathological process and an objective evaluation of immunological changes. The aim of the study was to determine changes in the system of inflammatory mediators in patients with subacute and chronic herpesviral infectious myocarditis on the basis of an integral assessment of the levels of opposing groups of cytokines. Materials & methods. To achieve this goal, we conducted a determination and analysis of changes in the cytokine profile in 87 patients with subacute (from 2 to 6 months and chronic (more than 6 months myocarditis due to an integral assessment of the mediator levels of inflammation of opposing groups in patients with herpesviral myocarditis on treatment in medical institutions of the Kharkov city. The average age of the patients was (27 ± 7.4 years. The control group was attracted to 40 people without clinical manifestations of cardiovascular diseases and in whose anamnesis there were no data on the transferred inflammatory diseases of the myocardium. Both groups of subjects were comparable in age and gender. The main group of subjects was divided into two subgroups. The first was 44 patients with subacute flow, the second - 43 patients with chronic infectious myocarditis. The diagnosis was established in accordance with the recommendations of the Association of Cardiologists of Ukraine and experts of the European Society of Cardiology, according to the formation of definitions of diseases in the International Classification of Diseases (ICD-10 of the tenth revision. The removal of material from patients was carried out according to the rules for the collection of infectious material. The concentration of cytokines: IL-2, IL-4, IL-6, IL

  11. Evaluation of Universitas Indonesia’s Recharge Pond Performance and Potential Utilization for Raw Water Source

    Directory of Open Access Journals (Sweden)

    Nyoman Suwartha

    2012-05-01

    Full Text Available The UI recharge pond has been constructed 5 years ago. However, monitoring and evaluation activities on its performances are very lack. Aims of this study are to understand the recharge rate, and to evaluate existing quantity and water quality of the pond during dry and rainy season. Measurement of water depth, rainfall intensity, and evaporation is conducted to determine water availability, recharge rate, and water balance of the recharge pond. Amount of surface water is collected from recharge pond and river at three sampling point to determine existing water quality of the pond. The results showed that recharge rate of the pond between dry season (3.2 mm/day and wet season (6.1 mm/day are considered as insignificant different. The water balance of the recharge pond shows an excessive rate. Various physics and chemical parameters (turbidity, color, TDS, pH, and  Cl are found to have concentration lower than the water quality standard. The results suggest that the pond surface water is remain suitable to be recharged into aquifer zone so that sustaining ground water conservation campaign, and it is potential to be utilized as an additional  raw water source for domestic water demand of UI Campus Depok.

  12. Framework for evaluating the utility of incentive systems for radioactive waste repository siting

    Energy Technology Data Exchange (ETDEWEB)

    Carnes, S.A.; Soderstrom, E.J.; Sorensen, J.; Peelle, E.; Reed, J.H.; Bjornstad, D.J.; Copenhaver, E.D.

    1982-01-01

    The importance of social and institutional issues in siting radioactive waste repositories has been recognized in recent years. Within this set of issues, the siting of repositories over the objections of members of potential host communities is viewed as especially problematic. Incentives to potential host communities have been suggested as a means of increasing local support for and offsetting local opposition to such facilities. Incentives are classified according to their function as mitigation, compensation or reward. Our analysis of results of a 1980 survey (conducted by John Kelly, Complex Systems Group, University of New Hampshire) of 420 rural Wisconsin residents indicates that incentives may achieve the purpose of increasing support for and decreasing opposition to accepting a repository. Criteria for evaluating the utility of incentives are identified. They respond to four basic questions: (1) What is absolutely necessary. (2) Will the incentive work. (3) Can the incentive be understood. and (4) What are the consequences of implementing the incentive. It is suggested that meaningful evaluations of incentives can only be performed by members of potential host communities.

  13. Clinical Utility of a Precision Medicine Test Evaluating Outpatients with Suspected Obstructive Coronary Artery Disease.

    Science.gov (United States)

    Ladapo, Joseph A; Budoff, Matt; Sharp, David; Zapien, Michael; Huang, Lin; Maniet, Bruce; Herman, Lee; Monane, Mark

    2017-04-01

    Identifying patients with obstructive coronary artery disease can be challenging for primary care physicians. Advances in precision medicine may help augment clinical tools and redefine the paradigm for evaluating coronary artery disease in the outpatient setting. A blood-based age/sex/gene expression score (ASGES) incorporating key features of precision medicine has shown clinical validity with a 96% negative predictive value and 89% sensitivity in estimating a symptomatic patient's current likelihood of obstructive coronary artery disease. To better characterize the clinical utility of the ASGES and measure its impact on clinician decision-making, a community-based registry was established. The prospective PRESET Registry (NCT01677156) enrolled stable, nonacute adult patients presenting with typical or atypical symptoms suggestive of obstructive coronary artery disease from 21 US primary care practices from August 2012 to August 2014. Demographics, clinical characteristics, and ASGES results (predefined as low [ASGES ≤15] or elevated [ASGES >15]) were collected, as were referrals to Cardiology or further functional/anatomic cardiac testing after ASGES testing. Patients were followed for 1 year post ASGES testing. Among the 566-patient cohort (median age 56 years), clinicians referred 26/252 (10%) of patients with low scores vs 137/314 (44%) of patients with elevated scores to Cardiology or advanced cardiac testing for further evaluation (unadjusted odds ratio 0.15, P clinical covariates = 0.18, P advanced cardiac testing showed abnormal findings in 0 of 13 (0%) low ASGES and 10 of 71 (14%) elevated ASGES patients. Major adverse cardiovascular events and revascularization were noted in 3/252 (1.2%) patients with low ASGES and 14/314 (4.5%) patients with elevated ASGES score (P clinical utility in the evaluation of patients with suspected obstructive coronary artery disease. Low-score patients were less likely to undergo cardiac referral, were unlikely to have

  14. Evaluation of UK Integrated Care Pilots: research protocol

    OpenAIRE

    Tom Ling; Martin Bardsley; John Adams; Richard Lewis; Martin Roland

    2010-01-01

    Background: In response to concerns that the needs of the aging population for well-integrated care were increasing, the English National Health Service (NHS) appointed 16 Integrated Care Pilots following a national competition. The pilots have a range of aims including development of new organisational structures to support integration, changes in staff roles, reducing unscheduled emergency hospital admissions, reduced length of hospital stay, increasing patient satisfaction, and reducing co...

  15. An integrative review of student evaluations of teaching: implications for evaluation of nursing faculty.

    Science.gov (United States)

    Annan, Sandra L; Tratnack, Sheri; Rubenstein, Cynthia; Metzler-Sawin, Erika; Hulton, Linda

    2013-01-01

    Student evaluations of teaching often play an important role in the promotion and tenure of faculty. Many of the instruments in use within the university setting are self-developed and have not undergone psychometric testing. More specifically, nursing education has many unique challenges, yet the effectiveness of student evaluations of teaching in nursing is understudied. The purposes of this integrative review were to review the current research literature on the design and psychometric testing of teaching evaluation scales, to synthesize the results, and to propose implications specific to nursing programs that are evidence based and will provide guidance on faculty teaching evaluations. A systematic literature review was conducted using Cooper, H. (1998). Synthesizing research: A guide for literature review (3rd ed.). Thousand Oaks, CA: Sage Publications methodology. Data analysis led to the identification of 6 themes: faculty characteristics and perceptions, student characteristics and perceptions, course characteristics, on-line versus paper student evaluations, reliability and validity, and development of new instruments. This literature review provides the context in which to interpret student evaluations of teaching and discusses implications for practice. © 2013.

  16. Evaluation Capacity Building in the Context of Military Psychological Health: Utilizing Preskill and Boyle's Multidisciplinary Model

    Science.gov (United States)

    Hilton, Lara; Libretto, Salvatore

    2017-01-01

    The need for evaluation capacity building (ECB) in military psychological health is apparent in light of the proliferation of newly developed, yet untested programs coupled with the lack of internal evaluation expertise. This study addresses these deficiencies by utilizing Preskill and Boyle's multidisciplinary ECB model within a post-traumatic…

  17. Are They Paying Attention? Students' Lack of Motivation and Attention Potentially Threaten the Utility of Course Evaluations

    Science.gov (United States)

    Bassett, Jonathan; Cleveland, Amanda; Acorn, Deborah; Nix, Marie; Snyder, Timothy

    2017-01-01

    Student evaluations are a common source of information used by instructors and administrators, but their utility depends on students' motivation and attention. This paper presents evidence from two studies indicating that insufficient effort responding and lack of motivation may be problems in course evaluations. In the first study, approximately…

  18. Evaluation of a BED-SIDE Platelet Function Assay : Performance and Clinical Utility.

    Directory of Open Access Journals (Sweden)

    Lau Wei

    2002-01-01

    Full Text Available Platelets have a pivotal role in the initial defense against insult to the vasculature and are also recognized of critical importance in the acute care settings of percutaneous coronary intervention and cardiopulmonary bypass. In these environments both platelet count and function may be markedly compromised. Unfortunately, current assays to evaluate the parameters of platelet count and function are of limited utility for bed-side testing. Moreover, it is suggested that there may be significant inter patient variation in response to antiplatelet therapy that may be exacerbated by other agents (e.g. heparin that are routinely administered during cardiac intervention. Here we describe a practical, rapid and user-friendly whole blood platelet function assay that has been developed for use in bed-side settings. Platelet agonists were formulated with an anticoagulant and lyophilized in blood collection tubes standardised to receive a l mL fresh whole blood sample. In the presence of an agonist, platelets are activated and interact (aggregate. Using traditional cell counting principles, non-aggregated platelets are counted whereas aggregated platelets are not. The percentage (% of functional platelets in reference to a baseline tube may then be determined. Results are available within four minutes. Platelet aggregation in whole blood demonstrated good correlation with turbidometric aggregometry for both ADP (r=0.91 and collagen (r=0.88. Moreover, in clinical settings where antiplatelet agents were administered, this rapid, bed-side, platelet function assay demonstrated utility in monitoring patient response to these therapies. This novel bed-side assay of platelet function is extremely suitable for the clinical environment with a rapid turn-around time. In addition, it provides a full haematology profile, including platelet count, and should permit enhancement of transfusion and interventional decisions.

  19. Early psychosocial intervention in Alzheimer's disease: cost utility evaluation alongside the Danish Alzheimer's Intervention Study (DAISY).

    Science.gov (United States)

    Søgaard, Rikke; Sørensen, Jan; Waldorff, Frans B; Eckermann, Ane; Buss, Dorte V; Phung, Kieu T T; Waldemar, Gunhild

    2014-01-15

    To assess the cost utility of early psychosocial intervention for patients with Alzheimer's disease and their primary caregivers. Cost utility evaluation alongside a multicentre, randomised controlled trial with 3 years of follow-up. Primary care and memory clinics in five Danish districts. 330 community-dwelling patients and their primary caregivers. Psychosocial counselling and support lasting 8-12 months after diagnosis and follow-up at 3, 6, 12 and 36 months in the intervention group or follow-up only in the control group. The primary outcome measure was the cost of additional quality-adjusted life years (QALYs). Costs were measured from a societal perspective, including the costs of healthcare, social care, informal care and production loss. QALYs were estimated separately for the patient and the caregiver before aggregation for the main analysis. None of the observed cost and QALY measures were significantly different between the intervention and control groups, although a tendency was noted for psychosocial care leading to cost increases with informal care that was not outweighed by the tendency for cost savings with formal care. The probability of psychosocial intervention being cost-effective did not exceed 36% for any threshold value. The alternative scenario analysis showed that the probability of cost-effectiveness increased over the range of threshold values used if the cost perspective was restricted to formal healthcare. A multifaceted, psychosocial intervention programme was found unlikely to be cost-effective from a societal perspective. The recommendation for practice in settings that are similar to the Danish setting is to provide follow-up with referral to available local support programmes when needed, and to restrict large multifaceted intervention programmes to patients and caregivers with special needs until further evidence for cost-effectiveness emerges. The study was registered in the Clinical Trial Database as ISRCTN74848736.

  20. Genetics of efficient feed utilization and national cattle evaluation: a review.

    Science.gov (United States)

    Crews, D H Denny

    2005-06-30

    replacements must be considered in implementation of national cattle evaluations for efficiency of feed utilization. These costs need to be compared to expected, and, if possible, realized rates of genetic change and the associated reduction in feed input requirements.

  1. Evaluation of internet access and utilization by medical students in Lahore, Pakistan

    Science.gov (United States)

    2011-01-01

    Background The internet is increasingly being used worldwide in imparting medical education and improving its delivery. It has become an important tool for healthcare professionals training but the data on its use by medical students in developing countries is lacking with no study on the subject from Pakistan. This study was, therefore, carried out with an aim to evaluate the pattern of internet access and utilization by medical students in Pakistan. Methods A structured pre-tested questionnaire was administered to a group of 750 medical students in clinical years studying at various public and private medical colleges in Lahore. The questions were related to patterns of internet access, purpose of use and self reported confidence in performing various internet related tasks, use of health related websites to supplement learning and the problems faced by students in using internet at the institution. Results A total of 532 medical students (70.9%) returned the questionnaire. The mean age of study participants was 21.04 years (SD 1.96 years). Majority of the respondents (84.0%) reported experience with internet use. About half of the students (42.1%) were using internet occasionally with 23.1%, 20.9% and 13.9% doing so frequently, regularly and rarely respectively. About two third of the students (61.0%) stated that they use internet for both academic and professional activities. Most of the participants preferred to use internet at home (70.5%). Self reported ability to search for required article from PubMed and PakMedinet was reported by only 34.0% of the entire sample. Students were moderately confident in performing various internet related tasks including downloading medical books from internet, searching internet for classification of diseases and downloading full text article. Health related websites were being accessed by 55.1% students to supplement their learning process. Lack of time, inadequate number of available computers and lack of support from

  2. Evaluation of internet access and utilization by medical students in Lahore, Pakistan.

    Science.gov (United States)

    Jadoon, Nauman A; Zahid, Muhammad F; Mansoorulhaq, Hafiz; Ullah, Sami; Jadoon, Bilal A; Raza, Ali; Hussain, Mansoor; Yaqoob, Rehan; Shahzad, Mohammad A

    2011-05-30

    The internet is increasingly being used worldwide in imparting medical education and improving its delivery. It has become an important tool for healthcare professionals training but the data on its use by medical students in developing countries is lacking with no study on the subject from Pakistan. This study was, therefore, carried out with an aim to evaluate the pattern of internet access and utilization by medical students in Pakistan. A structured pre-tested questionnaire was administered to a group of 750 medical students in clinical years studying at various public and private medical colleges in Lahore. The questions were related to patterns of internet access, purpose of use and self reported confidence in performing various internet related tasks, use of health related websites to supplement learning and the problems faced by students in using internet at the institution. A total of 532 medical students (70.9%) returned the questionnaire. The mean age of study participants was 21.04 years (SD 1.96 years). Majority of the respondents (84.0%) reported experience with internet use. About half of the students (42.1%) were using internet occasionally with 23.1%, 20.9% and 13.9% doing so frequently, regularly and rarely respectively. About two third of the students (61.0%) stated that they use internet for both academic and professional activities. Most of the participants preferred to use internet at home (70.5%). Self reported ability to search for required article from PubMed and PakMedinet was reported by only 34.0% of the entire sample. Students were moderately confident in performing various internet related tasks including downloading medical books from internet, searching internet for classification of diseases and downloading full text article. Health related websites were being accessed by 55.1% students to supplement their learning process. Lack of time, inadequate number of available computers and lack of support from staff were cited as the most

  3. Phase Preference by Active, Acetate-Utilizing Bacteria at the Rifle, CO Integrated Field Research Challenge Site

    Energy Technology Data Exchange (ETDEWEB)

    Kerkhoff, Lee; Williams, Kenneth H.; Long, Philip E.; McGuinness, L.

    2011-02-15

    Uranium contaminated groundwaters are a legacy concern for the U.S. Department of Energy. Previous experiments at the Rifle, Colorado Integrated Field Challenge (IFC) site have demonstrated that field-scale addition of acetate to groundwater reduces the ambient soluable uranium concentration, sequestering the radionuclide as uraninite. However, questions remain regarding which microorganism(s) are consuming this acetate and if active groundwater microorganisms are different from active particle-associated bacteria. In this report, 13-C acetate was used to assess the active microbes that synthesize DNA on 3 size fractions [coarse sand, fines (8-approximately 150 micron), groundwater (0.2-8 micron)] over a 24 -day time frame. Results indicated a stronger signal from 13-C acetate associated with the “fines” fraction compared with smaller amounts of 13-C uptake on the sand fraction and groundwater samples during the SIP incubations. TRFLP analysis of this 13-C-labeled DNA, indicated 31+ 9 OTU's with 6 peaks dominating the active profiles (166, 187, 210, 212, and 277 bp peaks using MnlI). Cloning/sequencing of the amplification products indicated a Geobacter-like group (187, 210, 212 bp) primarily synthesized DNA from acetate in the groundwater phase, an alpha Proteobacterium (166 bp) primarily grew on the fines/sands, and an Acinetobacter sp. (277 bp) utilized much of the 13C acetate in both groundwater and particle-associated phases. These findings will help to delineate the acetate utilization patterns of bacteria during field-scale acetate addition and can lead to improved methods for stimulating distinct microbial populations in situ.

  4. Integrating research into the inter-organisational relationship: towards a theoretically-rooted tool for evaluation

    OpenAIRE

    Douglas, Simon; Wilson, Rob

    2010-01-01

    Purpose To enable an understanding of the complexities involved in evaluating and improving the partnerships between organisations involved in integrated working. Theory Network organisations provide a unique challenge to understanding and evaluating the processes and mechanisms through which organisations integrate. Through integrating research into this interface we propose a methodology for evaluation. Methods A Grounded Theory study of partnership working in network organisations, with da...

  5. Antifungal agent utilization evaluation in hospitalized neutropenic cancer patients at a large teaching hospital

    Directory of Open Access Journals (Sweden)

    Vazin A

    2015-06-01

    Full Text Available Afsaneh Vazin,1 Mohammad Ali Davarpanah,2 Setareh Ghalesoltani3 1Department of Clinical Pharmacy, Faculty of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran; 2HIV Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; 3International Branch of Faculty of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran Abstract: To evaluate pattern of using of three antifungal drugs: fluconazole, amphotericin B and voriconazole, at the hematology–oncology and bone marrow transplant wards of one large teaching hospital. In a prospective cross-sectional study, we evaluated the appropriateness of using antifungal drugs in patients, using Infectious Disease Society of America (IDSA and National Comprehensive Cancer Network (NCCN guidelines. All the data were recorded daily by a pharmacist in a form designed by a clinical pharmacist and infectious diseases specialist, for antifungals usage, administration, and monitoring. During the study, 116 patients were enrolled. Indications of prescribing amphotericin B, fluconazole, and voriconazole were appropriate according to guidelines in 83.4%, 80.6%, and 76.9% respectively. The duration of treatments were appropriate according to guidelines in 75%, 64.5%, and 71.1% respectively. The dose of voriconazole was appropriate according to guidelines in 46.2% of patients. None of the patients received salt loading before administration of amphotericin B. The most considerable problems with the mentioned antifungals were about the indications and duration of treatment. In addition, prehydration for amphotericin B and dosage of voriconazole were not completely compatible with the mentioned guidelines. A suitable combination of controlling the use of antifungals and educational programs could be essential for improving the general process of using antifungal drugs at our hospital. Keywords: utilization evaluation, fluconazole, amphotericin B, voriconazole, neutropenia

  6. Evaluation of algorithms to identify delirium in administrative claims and drug utilization database.

    Science.gov (United States)

    Kim, Dae Hyun; Lee, Jung; Kim, Caroline A; Huybrechts, Krista F; Bateman, Brian T; Patorno, Elisabetta; Marcantonio, Edward R

    2017-08-01

    To evaluate the performance of delirium-identification algorithms in administrative claims and drug utilization data. We used data from a prospective study of 184 older adults who underwent aortic valve replacement at a single academic medical center to evaluate the following delirium-identification algorithms: (1) International Classification of Diseases (ICD) diagnosis codes for delirium; (2) antipsychotics use; (3) either ICD diagnosis codes or antipsychotics use; and (4) both ICD diagnosis codes and antipsychotics use. These algorithms were evaluated against a validated bedside assessment, the Confusion Assessment Method, and a validated delirium severity scale, the CAM-S. Delirium occurred in 66 patients (36%), of which 14 (21%) had hyperactive or mixed features and 15 (23%) had severe delirium. ICD diagnosis codes for delirium were present in 15 patients (8%). Antipsychotics were used in 13 patients (7%). ICD diagnosis codes alone and antipsychotics use alone had comparable sensitivity (18% vs. 18%) and specificity (98% vs. 99%). Defining delirium using either ICD diagnosis codes or antipsychotics use, sensitivity improved to 30% with little change in specificity (97%). This algorithm showed higher sensitivity for hyperactive or mixed delirium (64%) and severe delirium (73%). Requiring both ICD diagnosis codes and antipsychotics use resulted in perfect specificity but low sensitivity (6%). Delirium-identification algorithms in claims data have low sensitivity and high specificity. Defining delirium using ICD diagnosis codes or antipsychotics use performs better than considering either type of information alone. This information should inform the design and interpretation of claims-based comparative effectiveness and safety research. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

  7. Separate hydrolysis and co-fermentation for improved xylose utilization in integrated ethanol production from wheat meal and wheat straw.

    Science.gov (United States)

    Erdei, Borbála; Frankó, Balázs; Galbe, Mats; Zacchi, Guido

    2012-03-12

    The commercialization of second-generation bioethanol has not been realized due to several factors, including poor biomass utilization and high production cost. It is generally accepted that the most important parameters in reducing the production cost are the ethanol yield and the ethanol concentration in the fermentation broth. Agricultural residues contain large amounts of hemicellulose, and the utilization of xylose is thus a plausible way to improve the concentration and yield of ethanol during fermentation. Most naturally occurring ethanol-fermenting microorganisms do not utilize xylose, but a genetically modified yeast strain, TMB3400, has the ability to co-ferment glucose and xylose. However, the xylose uptake rate is only enhanced when the glucose concentration is low. Separate hydrolysis and co-fermentation of steam-pretreated wheat straw (SPWS) combined with wheat-starch hydrolysate feed was performed in two separate processes. The average yield of ethanol and the xylose consumption reached 86% and 69%, respectively, when the hydrolysate of the enzymatically hydrolyzed (18.5% WIS) unwashed SPWS solid fraction and wheat-starch hydrolysate were fed to the fermentor after 1 h of fermentation of the SPWS liquid fraction. In the other configuration, fermentation of the SPWS hydrolysate (7.0% WIS), resulted in an average ethanol yield of 93% from fermentation based on glucose and xylose and complete xylose consumption when wheat-starch hydrolysate was included in the feed. Increased initial cell density in the fermentation (from 5 to 20 g/L) did not increase the ethanol yield, but improved and accelerated xylose consumption in both cases. Higher ethanol yield has been achieved in co-fermentation of xylose and glucose in SPWS hydrolysate when wheat-starch hydrolysate was used as feed, then in co-fermentation of the liquid fraction of SPWS fed with the mixed hydrolysates. Integration of first-generation and second-generation processes also increases the ethanol

  8. Separate hydrolysis and co-fermentation for improved xylose utilization in integrated ethanol production from wheat meal and wheat straw

    Directory of Open Access Journals (Sweden)

    Erdei Borbála

    2012-03-01

    Full Text Available Abstract Background The commercialization of second-generation bioethanol has not been realized due to several factors, including poor biomass utilization and high production cost. It is generally accepted that the most important parameters in reducing the production cost are the ethanol yield and the ethanol concentration in the fermentation broth. Agricultural residues contain large amounts of hemicellulose, and the utilization of xylose is thus a plausible way to improve the concentration and yield of ethanol during fermentation. Most naturally occurring ethanol-fermenting microorganisms do not utilize xylose, but a genetically modified yeast strain, TMB3400, has the ability to co-ferment glucose and xylose. However, the xylose uptake rate is only enhanced when the glucose concentration is low. Results Separate hydrolysis and co-fermentation of steam-pretreated wheat straw (SPWS combined with wheat-starch hydrolysate feed was performed in two separate processes. The average yield of ethanol and the xylose consumption reached 86% and 69%, respectively, when the hydrolysate of the enzymatically hydrolyzed (18.5% WIS unwashed SPWS solid fraction and wheat-starch hydrolysate were fed to the fermentor after 1 h of fermentation of the SPWS liquid fraction. In the other configuration, fermentation of the SPWS hydrolysate (7.0% WIS, resulted in an average ethanol yield of 93% from fermentation based on glucose and xylose and complete xylose consumption when wheat-starch hydrolysate was included in the feed. Increased initial cell density in the fermentation (from 5 to 20 g/L did not increase the ethanol yield, but improved and accelerated xylose consumption in both cases. Conclusions Higher ethanol yield has been achieved in co-fermentation of xylose and glucose in SPWS hydrolysate when wheat-starch hydrolysate was used as feed, then in co-fermentation of the liquid fraction of SPWS fed with the mixed hydrolysates. Integration of first-generation and

  9. Utilizing acid-rich effluents of fermentative hydrogen production process as substrate for harnessing bioelectricity: An integrative approach

    Energy Technology Data Exchange (ETDEWEB)

    Mohanakrishna, G.; Venkata Mohan, S.; Sarma, P.N. [Bioengineering and Environmental Centre (BEEC), Indian Institute of Chemical Technology (IICT), Hyderabad 500 607 (India)

    2010-04-15

    Lower substrate degradation is one of the limiting factors associated with fermentative hydrogen production process. To overcome this, an attempt was made to integrate microbial fuel cell (MFC) as a secondary energy generating process with the fermentative hydrogen (H{sub 2}) production. The acid-rich effluents generated from the acidogenic sequential batch biofilm reactor (AcSBBR) producing H{sub 2} by fermenting vegetable waste was subsequently used as substrate for bioelectricity generation in single chambered MFC (air cathode; non-catalyzed electrodes). AcSBBR was operated at 70.4 kg COD/m{sup 3}-day and the outlet was fed to the MFC at three variable organic loading rates. The final outlet from AcSBBR was composed of fermentative soluble acid intermediates along with residual carbon source. Experimental data illustrated the feasibility of utilizing acid-rich effluents by MFC for both additional energy generation and wastewater treatment. Higher power output (111.76 mW/m{sup 2}) was observed at lower substrate loading condition. MFC also illustrated its function as wastewater treatment unit by removing COD (80%), volatile fatty acids (79%), carbohydrates (78%) and turbidity (65.38%) effectively. Fermented form of vegetable wastewater exhibited higher improvement (94%) in power compared to unfermented wastewater. The performance of MFC was characterized with respect to polarization behavior, cell potentials, cyclic voltammetry and sustainable power. This integration approach enhanced wastewater treatment efficiency (COD removal, 84.6%) along with additional energy generation demonstrating both environmental and economic sustainability of the process. (author)

  10. Integrated modelling approach for the evaluation of low emission zones.

    Science.gov (United States)

    Dias, Daniela; Tchepel, Oxana; Antunes, António Pais

    2016-07-15

    Low emission zones (LEZ) are areas where the most polluting vehicles are restricted or deterred from entering. In recent years, LEZ became a popular option to reduce traffic-related air pollution and have been implemented in many cities worldwide, notably in Europe. However, the evidence about their effectiveness is inconsistent. This calls for the development of tools to evaluate ex-ante the air quality impacts of a LEZ. The integrated modelling approach we propose in this paper aims to respond to this call. It links a transportation model with an emissions model and an air quality model operating over a GIS-based platform. Through the application of the approach, it is possible to estimate the changes induced by the creation of a LEZ applied to private cars with respect to air pollution levels not only inside the LEZ, but also, more generally, in the city where it is located. The usefulness of the proposed approach was demonstrated for a case study involving the city of Coimbra (Portugal), where the creation of a LEZ is being sought to mitigate the air quality problems that its historic centre currently faces. The main result of this study was that PM10 and NO2 emissions from private cars would decrease significantly inside the LEZ (63% and 52%, respectively) but the improvement in air quality would be small and exceedances to the air pollution limits adopted in the European Union would not be fully avoided. In contrast, at city level, total emissions increase and a deterioration of air quality is expected to occur. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. Stimulating utilities to promote energy efficiency: Process evaluation of Madison Gas and Electric's Competition Pilot Program

    Energy Technology Data Exchange (ETDEWEB)

    Vine, E.; De Buen, O.; Goldfman, C.

    1990-12-01

    This report describes the process evaluation of the design and implementation of the Energy Conservation Competition Pilot (hereafter referred to as the Competition), ordered by the Public Service Commission of Wisconsin (PSCW) with a conceptual framework defined by PSCW staff for the Madison Gas and Electric (MGE) Company. This process evaluation documents the history of the Competition, describing the marketing strategies adopted by MGE and its competitors, customer service and satisfaction, administrative issues, the distribution of installed measures, free riders, and the impact of the Competition on MGE, its competitors, and other Wisconsin utilities. We also suggest recommendations for a future Competition, compare the Competition with other approaches that public utility commissions (PUCs) have used to motivate utilities to promote energy efficiency, and discuss its transferability to other utilities. 48 refs., 8 figs., 40 tabs.

  12. UTILITY OF IMPLEMENTING INTEGRATED MANAGEMENT OF NEONATAL AND CHILDHOOD ILLNESS (IMNCI ALGORITHM IN A TERTIARY CARE HOSPITAL FOR THE YOUNG INFANTS OF AGE 0-2 MONTHS

    Directory of Open Access Journals (Sweden)

    Muralikrishna Thummakomma

    2016-11-01

    Full Text Available BACKGROUND Most deaths in post-neonatal, under-5 children are due to infectious causes with the three major killers being diarrhoea, pneumonia and malaria. The aim of the study is to evaluate the utility of implementing Integrated Management of Neonatal and Childhood Illness (IMNCI algorithm in reducing the morbidity and mortality in infants of 0-2 months. To check the validity and reliability of IMNCI algorithm for young infants (0-2 months. MATERIALS AND METHODS It is a prospective observational study conducted in the Department of Paediatrics of MGM Hospital, Kakatiya Medical College, Warangal, India, during the period of January 2013 to September 2014. The subjects were enrolled as and when they came in contact with study team, in both the Outpatient Department (OPD, PICU and SNCU so that illnesses of varying severity could be evaluated. A total of 500 infants are included in the study. RESULTS In the present study, the sensitivity of IMNCI criterion in correctly identifying sick infants of age 0-2 months is 90.02%, specificity is 63.10%, positive predictive value being 92.44% and negative predictive value is 55.79%. CONCLUSIONS IMNCI ensures the combined treatment of the major childhood illnesses emphasising prevention of disease through immunisation and improved nutrition. Based on the above study results, sensitivity of the present study is 90.2% indicating it is an effective tool for early identification and referral of sick young infants.

  13. Qualitative evaluation of titanium implant integration into bone by diffraction enhanced imaging

    Science.gov (United States)

    Wagner, A.; Sachse, A.; Keller, M.; Aurich, M.; Wetzel, W.-D.; Hortschansky, P.; Schmuck, K.; Lohmann, M.; Reime, B.; Metge, J.; Arfelli, F.; Menk, R.; Rigon, L.; Muehleman, C.; Bravin, A.; Coan, P.; Mollenhauer, J.

    2006-03-01

    Diffraction enhanced imaging (DEI) uses refraction of x-rays at edges, which allows pronounced visualization of material borders and rejects scattering which often obscures edges and blurs images. Here, the first evidence is presented that, using DEI, a destruction-free evaluation of the quality of integration of metal implants into bone is possible. Experiments were performed in rabbits and sheep with model implants to investigate the option for DEI as a tool in implant research. The results obtained from DEI were compared to conventional histology obtained from the specimens. DE images allow the identification of the quality of ingrowth of bone into the hydroxyapatite layer of the implant. Incomplete integration of the implant with a remaining gap of less than 0.3 mm caused the presence of a highly refractive edge at the implant/bone border. In contrast, implants with bone fully grown onto the surface did not display a refractive signal. Therefore, the refractive signal could be utilized to diagnose implant healing and/or loosening.

  14. Successful integration of hepatitis C evaluation and treatment services with methadone maintenance.

    Science.gov (United States)

    Harris, Kenneth A; Arnsten, Julia H; Litwin, Alain H

    2010-03-01

    Despite high rates of hepatitis C virus (HCV) infection, relatively few current or former injection drug users receive evaluation and treatment for HCV. Here, we demonstrate the feasibility and effectiveness of integrating HCV care and methadone maintenance treatment (MMT). We hypothesized that colocation of these services would result in improved access to and utilization of HCV care. In this retrospective observational study, all patient charts from a single MMT clinic were reviewed 2 years after HCV care and MMT were integrated. Information obtained included screening for and counseling about HCV infection status, on-site HCV treatment and outcomes, and demographic and substance abuse data. Two hundred ninety-one patient charts were reviewed. Two hundred eighty-one (99%) patients were screened for HCV antibody (HCV-Ab), and 188 (65%) were positive. Forty-nine (17%) patients were HIV/HCV coinfected. Ninety-eight percent of the HCV-Ab-positive patients received HCV counseling. Hundred fifty-nine (85%) of the HCV-Ab-positive patients were eligible to receive further evaluation and treatment for HCV on site, and 125 (78%) accepted. Hundred eighteen (94%) patients were tested for chronic HCV, and 83 were determined to have chronic HCV. Twenty-five patients received liver biopsy; low-stage disease was found in 7 patients. Twenty-one patients initiated HCV treatment. Sustained viral response was achieved in 8 patients. Seventeen patients had contraindications to HCV treatment. Further workup was prevented or delayed in 45 patients for various reasons, most commonly due to personal choice (29 patients). This study demonstrates that current and former injection drug users can be engaged successfully in evaluation and treatment of HCV infection when these services are collocated with MMT.

  15. Effect of continuity of care on hospital utilization for seniors with multiple medical conditions in an integrated health care system.

    Science.gov (United States)

    Bayliss, Elizabeth A; Ellis, Jennifer L; Shoup, Jo Ann; Zeng, Chan; McQuillan, Deanna B; Steiner, John F

    2015-03-01

    Lower continuity of care has been associated with higher rates of adverse outcomes for persons with multiple chronic medical conditions. It is unclear, however, whether this relationship also exists within integrated systems that offer high levels of informational continuity through shared electronic health records. We conducted a retrospective cohort study of 12,200 seniors with 3 or more chronic conditions within an integrated delivery system. Continuity of care was calculated using the Continuity of Care Index, which reflects visit concentration with individual clinicians. Using Cox proportional hazards regression permitting continuity to vary monthly until the outcome or censoring event, we separately assessed inpatient admissions and emergency department visits as a function of primary care continuity and specialty care continuity. After adjusting for covariates (demographics; baseline, primary, and specialty care visits; baseline outcomes; and morbidity burden), greater primary care continuity and greater specialty care continuity were each associated with a lower risk of inpatient admission (respective hazard ratios (95% CIs) = 0.97 (0.96, 0.99) and 0.95 (0.93, 0.98)) and a lower risk of emergency department visits (respective hazard ratios = 0.97 (0.96, 0.98) and 0.98 (0.96, 1.00)). For the subgroup with 3 or more primary care and 3 or more specialty care visits, specialty care continuity (but not primary care continuity) was independently associated with a decreased risk of inpatient admissions (hazard ratio = 0.94 (0.92, 0.97)), and primary care continuity (but not specialty care continuity) was associated with a decreased risk of emergency department visits (hazard ratio = 0.98 (0.96, 1.00)). In an integrated delivery system with high informational continuity, greater continuity of care is independently associated with lower hospital utilization for seniors with multiple chronic medical conditions. Different subgroups of patients will benefit from

  16. Utility of microscope-integrated optical coherence tomography (MIOCT) in the treatment of myopic macular hole retinal detachment.

    Science.gov (United States)

    Kumar, Atul; Kakkar, Prateek; Ravani, Raghav Dinesh; Markan, Ashish

    2017-07-14

    Macular hole-associated retinal detachment in high myopia is described as a final stage in progression of myopic traction maculopathy (MTM).1â€"3 Shimada et al4 described the progressive stages of MTM from macular retinoschisis to serous retinal detachment in high myopia. Stage 4 MTM is characterised as disappearance of retinoschisis with progression to retinal detachment due to macular hole formation. It is hypothesised that vitreoschisis and abnormal vitreo-retinal interface create the premacular tangential traction.5 6 Intraoperative triamcinolone acetonide is used to visualise the residual posterior vitreous cortex (PVC). We hereby describe the utility of microscope-integrated optical coherence tomography (MIOCT) in assisting complete removal of PVC and internal limiting membrane (ILM) peeling with multilayered inverted ILM flap in the treatment of myopic macular hole retinal detachment. MIOCT helped identify vitreoschisis and confirm the position of ILM flaps over the macular hole intraoperatively. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  17. Potential utility of MRI in the evaluation of children at risk of renal scarring

    Energy Technology Data Exchange (ETDEWEB)

    Chan Yuleung; Chan Kamwing; Roebuck, D.J.; Chu, W.C.W.; Metreweli, C. [Dept. of Diagnostic Radiology and Organ Imaging, Chinese Univ. of Hong Kong, Shatin (China); Yeung Chungkwong; Lee Kimhung [Dept. of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong (China)

    1999-11-01

    Background. Gadolinium-enhanced MRI has recently been employed in the diagnosis of acute pyelonephritis. Its potential utility in the diagnosis of renal scars in children is unknown. Objective. To evaluate the potential utility of MRI using fat-saturated T1-weighted (T1-W) and post-gadolinium, short-tau inversion-recovery (STIR) sequences in detecting renal scarring by comparison with technetium dimercaptosuccinic acid ({sup 99} {sup m}Tc-DMSA) renal scintigraphy in children at risk of renal scarring. Materials and methods. A group of 24 children with spina bifida and neurogenic bladder or anorectal anomaly was studied. No patient had a history of acute pyelonephritis. Documented urinary tract infection (UTI) was present in 10 children (42 %). The remaining 14 (58 %) children had a history of asymptomatic bacteriuria. None had clinical signs or symptoms of acute UTI at the time of the study. {sup 99} {sup m}Tc-DMSA and MRI were performed to detect renal scarring. {sup 99} {sup m}Tc-DMSA scans were supplemented with pinhole imaging. MRI of the kidneys employed a fat-saturated T1-W sequence and a post-gadolinium STIR sequence employing a short echo time. Results. Of the kidneys studied, 33 % (n = 16) had evidence of a renal parenchymal defect suggestive of scarring on {sup 99} {sup m}Tc-DMSA. The concordance in the detection of a scarred kidney by post-gadolinium STIR sequence and {sup 99} {sup m}Tc-DMSA is 94 %; that by fat-saturated T1-W sequence and {sup 99} {sup m}Tc-DMSA is 82 %; that by both sequences (positive result on either sequence) and {sup 99} {sup m}Tc-DMSA is 100 %. Using {sup 99} {sup m}Tc-DMSA as the gold standard, MRI had a sensitivity of 100 % and a specificity of 78 % in the diagnosis of a scarred kidney. The concordance in the detection of a scarred zone by post-gadolinium STIR sequence and {sup 99} {sup m}Tc-DMSA is 68 %; that by fat-saturated T1-W sequence and DMSA is 44 %; that by both sequences (positive result on either sequence) and {sup 99

  18. Numerical Evaluation of Arbitrary Singular Domain Integrals Using Third-Degree B-Spline Basis Functions

    Directory of Open Access Journals (Sweden)

    Jin-Xiu Hu

    2014-01-01

    Full Text Available A new approach is presented for the numerical evaluation of arbitrary singular domain integrals. In this method, singular domain integrals are transformed into a boundary integral and a radial integral which contains singularities by using the radial integration method. The analytical elimination of singularities condensed in the radial integral formulas can be accomplished by expressing the nonsingular part of the integration kernels as a series of cubic B-spline basis functions of the distance r and using the intrinsic features of the radial integral. In the proposed method, singularities involved in the domain integrals are explicitly transformed to the boundary integrals, so no singularities exist at internal points. A few numerical examples are provided to verify the correctness and robustness of the presented method.

  19. The Utility of a Population Approach in Drug-Drug Interaction Assessments: A Simulation Evaluation.

    Science.gov (United States)

    Wang, Diane D; Yu, Yanke; Kassir, Nastya; Zhu, Min; Hanley, William D; Earp, Justin C; Chow, Andrew T; Gupta, Manish; Hu, Chuanpu

    2017-10-01

    This study aims at evaluating the utility of the population pharmacokinetics approach in therapeutic protein drug-drug-interaction (DDI) assessment. Simulations were conducted for 2 representative victim drugs, methotrexate and trastuzumab, using a parallel-group design with and without the interaction drug. The effect of a perpetrator on the exposure of the victim drug is described as the ratio of clearance/apparent clearance of the victim drug given with or without the perpetrator. The power of DDI assessment was calculated as the percentage of runs with 90% confidence interval of the estimated DDI effect within 80% to 125% for the scenarios of no DDI, benchmarked with the noncompartmental approach with intensive sampling. The impact of the number of subjects, the number of sampling points per subject, sampling time error, and model misspecification on the power of DDI determination were evaluated. Results showed that with equal numbers of subjects in each arm, the population pharmacokinetics approach with sparse sampling may need about the same or a higher number of subjects compared to a noncompartmental approach in order to achieve similar power. Increasing the number of subjects, even if only in the study drug alone arm, can increase the power. Sampling or dosing time error had notable impacts on the power for methotrexate but not for trastuzumab. Model misspecification had no notable impacts on the power for trastuzumab. Overall, the population pharmacokinetics approach with sparse sampling built in phase 2/3 studies allows appropriate DDI assessment with adequate study design and analysis and can be considered as an alternative to dedicated DDI studies. © 2017, The American College of Clinical Pharmacology.

  20. Utility of meibography in the evaluation of meibomian glands morphology in normal and diseased eyelids☆

    Science.gov (United States)

    Alsuhaibani, Adel H.; Carter, Keith D.; Abràmoff, Michael D.; Nerad, Jeffrey A.

    2010-01-01

    Purpose To study the utility of meibography for the morphology of meibomian glands in normal eyelids and in various eyelid diseases. Design A cross-sectional study. Methods A newly designed transilluminator, fitting both the upper along with lower eyelids, and an infrared camera were used to obtain video clips of the meibomian glands for 60 asymptomatic subjects with normal eyelid margin. Parameters studied included, ocular surface, Schirmer test, and tear breakup time (TBUT). The meibomian glands of patients with meibomian glands’ abnormality secondary to infectious, inflammatory, malignant, congenital, or post-radiation therapy disease related etiologies were compared with normal patients. Still pictures were extracted from the video clips to evaluate the meibomian glands for gland dropout and gross morphological changes. Results In normal subjects, meibomian glands appeared to be thinner and longer in the upper eye lids than in the lower eye lids. Gland dropout occured with increased age, more in the lower eye lid and in females. Excessive gland drop out (> 75%) was seen in patients with history of trachoma, Stevens Johnson syndrome, severe blepharitis, and post-radiation for orbital tumors. Variable gland drop out was noticed in patients with floppy eyelid syndrome, and blepharitis. In patients with congenital distichiasis, partial or complete gland drop out at the part of the eyelid margins affected by distichiasis was noticed. Conclusions The newly designed transilluminator permitted the examination of both upper and lower eye lid meibomian glands with minimal discomfort. Evaluating the anatomical changes involving meibomian glands with meibography may help increase our understanding of the meibomian gland-related diseases, monitor the effects of treatment, and provide helpful information for patient education. PMID:23960903

  1. Cost, utilization, and quality of care: an evaluation of illinois' medicaid primary care case management program.

    Science.gov (United States)

    Phillips, Robert L; Han, Meiying; Petterson, Stephen M; Makaroff, Laura A; Liaw, Winston R

    2014-01-01

    In 2006, Illinois established Illinois Health Connect (IHC), a primary care case management program for Medicaid that offered enhanced fee-for-service, capitation payments, performance incentives, and practice support. Illinois also implemented a complementary disease management program, Your Healthcare Plus (YHP). This external evaluation explored outcomes associated with these programs. We analyzed Medicaid claims and enrollment data from 2004 to 2010, covering both pre- and post-implementation. The base year was 2006, and 2006-2010 eligibility criteria were applied to 2004-2005 data to allow comparison. We studied costs and utilization trends, overall and by service and setting. We studied quality by incorporating Healthcare Effectiveness Data and Information Set (HEDIS) measures and IHC performance payment criteria. Illinois Medicaid expanded considerably between 2006 (2,095,699 full-year equivalents) and 2010 (2,692,123). Annual savings were 6.5% for IHC and 8.6% for YHP by the fourth year, with cumulative Medicaid savings of $1.46 billion. Per-beneficiary annual costs fell in Illinois over this period compared to those in states with similar Medicaid programs. Quality improved for nearly all metrics under IHC, and most prevention measures more than doubled in frequency. Medicaid inpatient costs fell by 30.3%, and outpatient costs rose by 24.9% to 45.7% across programs. Avoidable hospitalizations fell by 16.8% for YHP, and bed-days fell by 15.6% for IHC. Emergency department visits declined by 5% by 2010. The Illinois Medicaid IHC and YHP programs were associated with substantial savings, reductions in inpatient and emergency care, and improvements in quality measures. This experience is not typical of other states implementing some, but not all, of these same policies. Although specific features of the Illinois reforms may have accounted for its better outcomes, the limited evaluation design calls for caution in making causal inferences. © 2014 Annals of

  2. Utility of mobile devices in the computerized tomography evaluation of intracranial hemorrhage

    Directory of Open Access Journals (Sweden)

    Sridhar G Panughpath

    2013-01-01

    Full Text Available Aim: To evaluate the utility of a mobile device to detect and assess intracranial hemorrhage (ICH on head computed tomographys (CT performed in the emergency setting. Materials and Methods: 100 head CT scans were randomly selected from our emergency radiology database and anonymized for patient demographics and clinical history. The studies were independently interpreted by two experienced radiologists in a blinded manner, initially on a mobile device (iPad, Apple computers and subsequently, at an interval of one week, on a regular desktop workstation. Evaluation was directed towards detection, localization and characterization of hemorrhage. The results were assessed for accuracy, sensitivity, specificity and positive predictive value. Statistical significance was ascertained using Fisher′s exact test. Results: 27 of the examinations were positive for ICH, of which 11 had multiple hemorrhages. Of these there were 17 subdural, 18 intraparenchymal, 8 subarachnoid, 4 intraventricular and 2 extradural hemorrhages. In 96 of the studies there was complete concurrence between the iPad and desktop interpretations for both radiologists. Of 49 hemorrhages, 48 were accurately detected on the iPad by one of the radiologists. In the remaining case, a tiny intraventricular hemorrhage was missed by both radiologists on the iPad as well as on the workstation, indicating that the miss was more likely related to the very small size of the hemorrhage than the viewer used. Conclusion: We conclude that in the emergency setting, a mobile device with appropriate web-based pictue archiving and communication system (PACS is effective in the detection of intracranial hemorrhage present on head CT.

  3. "Erythropoietin Utilization Evaluation And Two Brand Products Comparison, Eprex and Eposim "

    Directory of Open Access Journals (Sweden)

    H. Khalili

    2006-06-01

    Full Text Available Background and Aim: Anemia is one of the common problems in patients with chronic renal impairment. The most common cause of anemia in this patients is a decreased in erythropoietin hormone excretion, however other common cause include low life of red blood cells, loss of blood during dialysis, frequent blood sampling, uremia, iron, vitamin B12 and folic acid deficiency. Until introduction of erythropoietin in 1982, blood transfusion was an alternative for correction and maintaining hematocrit in normal range in dialyze patients. In current date, any dialyzed patient take rh-erythropoietin . Materials and Methods: The goal of this study is to evaluate erythropoietin utilization and comparing the effectiveness of the commercial product in the Iranian drugs market. The study was performed at nephrology and dialyze ward of Immam Khomeini hospital in a one year period. Results and Conclusion: Of the 30 patients' subject of study, 13 patients received eprex and 17 received epocim. Average dose of erythropoietin 2000IU was three times per week. The average plasma hemoglobin and hematocrit of patients prior to the treatment were 9.38 g/dl and 28% respectively. Increase in the hemoglobin and hematocrit in the group who received eprex was significantly higher than epocim group (p=0.001 and p=0.026 respectively. The incidents of side effects including hypertension, headache, pain at injection site, and influenza-like in eposim group were considerably higher than eprex.

  4. Evaluation of Cryosurgery-Hyperthermia Treatment Utilizing Peltier Thermoelectric Effect for Living Tissue

    Science.gov (United States)

    Takahashi, Daishi; Sone, Kazuya; Fukumoto, Ichiro

    Cryosurgery and hyperthermia treatment are used as a treatment method for malignant tumors. Since liquid nitrogen is used as the cryogens, it is difficult to control the freezing rate and thawing rate. In hyperthermia, there are problems of thermotolerance acquisition by heat shock protein (HSP) and only a few studies regarding hyperthermia with cryosurgery have been investigated. The aims of this study are to produce cryosurgery-hyperthermia system utilizing Stirling Cooler and Peltier device and evaluate hyperthermia after cryosurgery by comparing cryosurgery and hyperthermia on the mouse liver. Normal living liver tissues of mice are divided into 3 groups (cryosurgery and cryosurgery-hyperthermia, hyperthermia), then performed cryosurgery, hyperthermia and hyperthermia followed cryosurgery, applying a 1 cycle rapid freezing and slow thawing method for cryosurgery. The temperatures of the tissue surface and probe were measured during operation, the liver was stained by Hematoxylin-Eosin (HE) after operation and observed under an optical microscope. The results showed measured temperature of rapid freezing and slow thawing. HE stained tissue showed stasis, pyknosis, nucleus disappearance and decreasing stainability in cryosurgery and cryosurgery-hyperthermia group, stasis, pyknosis and degreasing stainability in hyperthermia group. The results suggested cryosurgery-hyperthermia was the most effective to destroy the tissue.

  5. Evaluating the use and utility of noninvasive angiography in diagnosing traumatic blunt cerebrovascular injury.

    Science.gov (United States)

    Wang, Anthony C; Charters, Michael A; Thawani, Jayesh P; Than, Khoi D; Sullivan, Stephen E; Graziano, Gregory P

    2012-06-01

    Digital subtraction angiography (DSA) is the gold standard for radiographic diagnosis of blunt cerebrovascular injury (BCVI), but use of computed tomography angiography (CTA) and magnetic resonance angiography (MRA) has increased dramatically in BCVI screening. This study explores the utility, effectiveness, and cost of noninvasive CTA and MRA screening for BCVI. Medical records of 2,025 consecutive adults evaluated for acute blunt neck trauma and BCVI were reviewed retrospectively. The incidence of BCVI, level(s) of cervical injury, involvement of foramina transversaria and internal carotid canals, presence of bony dislocation or subluxation, and subsequent treatment received were assessed. Asymptomatic patients were analyzed based on fracture and injury patterns. The cost effectiveness of CTA compared with DSA and the effects of CTA sensitivity and screening yield were determined. Of reviewed patients, 196 received CTA or MRA. Thirty-eight patients (19.4%) were diagnosed with BCVI. Screening yield in patients symptomatic at presentation was 48.8%. Large-vessel internal carotid, vertebral, anterior spinal, and basilar artery occlusion were associated with a positive screen, as were concurrent stroke and spinal cord injury (p tool for BCVI screening. Symptomatic presentation was the best predictor of BCVI. Significant cost savings were realized using CTA rather than DSA, with similar effectiveness and patient outcomes. Diagnostic study, level III; economic analysis, level IV. Copyright © 2012 by Lippincott Williams & Wilkins

  6. Utility of CT in the evaluation of pulmonary tuberculosis in patients without Aids

    Energy Technology Data Exchange (ETDEWEB)

    Lee, K.S.; Hwang, J.W.; Chung, M.P. [Samsung Medical Center, Seoul (Korea, Republic of)

    1997-03-01

    Objective. To assess the utility of CT in the evaluation of pulmonary tuberculosis in patients without AIDS. Patients and methods. Thin-section CT scans for suspicion of pulmonary tuberculosis were obtained from 226 patients. A total of 38 patients were excluded; the reasons were unavailability of final results (n=18), patient unavailability for follow-up (n=13), and coexistence of tuberculosis and aspergilloma (n=7). The results from 188 patients were used for this study. After assessing the patterns of parenchymal lesion, involved segments, and presence of cavity, bronchiectases, and bronchogenic spread of the lesion with CT, tentative diagnosis and disease activity were recorded. Results. With CT, 133 of 146 patients (91%) with tuberculosis were correctly diagnosed as having pulmonary tuberculosis whereas 32 of 42 patients (76%) without tuberculosis were correctly excluded. CT diagnosis of lung cancer (n=8), bacterial pneumonia (n=2), pulmonary metastasis (n=1), chronic hypersensitivity pneumonia (n=1) and diffuse pan-bronchiolitis (n=1) turned out to be tuberculosis. Conversely CT diagnoses of tuberculosis appeared pathologically as lung cancer (n=5), bacterial pneumonia 71/89, (80%) and inactive state (51/57, 89%) of disease respectively could be correctly differentiated by CT. Conclusion. CT can be helpful in the diagnosis of pulmonary tuberculosis in most cases. On the basis of CT findings, distinction of active from inactive disease can be made in most cases. (authors).

  7. Evaluation of Crop-Livestock Integration Systems among Farm ...

    African Journals Online (AJOL)

    USER

    ... of crops and livestock. Keywords: Crop-livestock integration systems, adopted village, farm family. .... crop is planted at about the time when the first crop is being harvested. Crop residues ..... Agronomy Monograph, 54. Madison, WI.

  8. Recommendations and Improvements for the Evaluation of Integrated Community-Wide Interventions Approaches

    NARCIS (Netherlands)

    van Koperen, Tessa M; Renders, Carry M; Spierings, Eline J M; Hendriks, Anna-Marie; Westerman, Marjan J; Seidell, Jacob C; Schuit, Albertine J

    2016-01-01

    Background. Integrated community-wide intervention approaches (ICIAs) are implemented to prevent childhood obesity. Programme evaluation improves these ICIAs, but professionals involved often struggle with performance. Evaluation tools have been developed to support Dutch professionals involved in

  9. Architecture's models: Integral thermal evaluation; Modelos en arquitectura: evaluacion termica integral

    Energy Technology Data Exchange (ETDEWEB)

    Roset, Jaume [Universidad Politecnica de Cataluna, Barcelona (Spain); Marincic, Irene; Ochoa, J. Manuel [Universidad de Sonora, Hermosillo, Sonora (Mexico)

    2000-07-01

    During the fist stages of a building design, considering energy conscious design, inhabitants needs and functionality, it is necessary to estimate and evaluate the buildings behavior and to know if it achieves the initial design objectives. Models are used to represent a description of objects and architectural concepts, as well as the hypothesis of its temporary and spatial behavior. The quantity and type of information needed as input of a model to be operative, has been, and still is, a controversial topic. The question is: how much useful are models that need a great quantity of inputs than other simpler ones? We consider as simple models those that habitually contain a certain quantity of empirical coefficients, which permit to reduce the number of inputs, solving the calculus as an approximation. In the other hand, in the architectural domain, information is usually presented in different type of supports (tables of numerical values, planes, physical models, ...). The information supplied in each type of support must necessary be combined, in order to maximize the information contained in the global system. In this paper, we present examples of thermal studies dealing with different ways to evaluate models, which involve variables of thermal behavior of buildings, the interaction between them and the environment and its influence on the indoor thermal comfort. As a general conclusion, we can say that a model should minimize the quantity of inputs required, which must be able to approach to the most relevant effects, that nearly represent the real behavior. The hypothesis and evaluation conditions of these effects must be understood and assumed by the user. [Spanish] Durante las etapas previas al diseno de un edificio eficiente energeticamente y coherente con las necesidades de sus usuarios y con su funcion, sera necesario estimar y evaluar su comportamiento para saber en que medida se estan logrando los objetivos de diseno planteados inicialmente. Con este

  10. Utility of F-18 FDG PET/CT on the evaluation of primary bone lymphoma.

    Science.gov (United States)

    Wang, Li-Juan; Wu, Hu-Bing; Wang, Meng; Han, Yan-Jiang; Li, Hong-Sheng; Zhou, Wen-Lan; Wang, Quan-Shi

    2015-11-01

    Primary bone lymphoma (PBL) is a rare type of malignant lymphoma. Few data have been reported regarding the utility of F-18 FDG PET/CT in this disease. The aim of this study was to assess the role of F-18 FDG PET/CT in the diagnosis and therapeutic effect evaluation of PBL. A total of 19 consecutive patients with PBL were enrolled. Whole-body PET/CT scan was performed for all patients. The diagnosis of PBL was established by histopathology and immunohistochemistry. F-18 FDG PET/CT was positive in 94.7% (18/19) of patients. Uptake of FDG in lesions was intense with SUVmax of 15.14 ± 11.82. Multiple involved lesions were found in 47.4% (9/19) patients, while 52.6% presented with a single involved lesion. Based on the lesions, PET detected 98.9% (87/88) lesions. Among them, 71.6% (63/88) lesions were found to be located in axial skeleton and 28.4% (25/88) in the extremity skeleton. FDG PET/CT also found the lesions infiltrate to the surrounding soft tissue in 84.2% (16/19) patients. On the syn-modality CT, the bone destruction was noted in 43.2% (38/88) of the lesions, of which 50.0% lesions presented as slight change in bone density and 50.0% as severe change. The diagnostic sensitivity of PET was much higher than that of CT (98.9% vs. 43.2%, P=0.000). PET/CT was performed for evaluation of treatment response in 13 patients. In 12 patients with complete response(CR), PET/CT found the 25 lesions were F-18 FDG fully resoluted after treatment, however, bone destruction was still presented in 72.0% (18/25) lesions. The present study suggests that F-18 FDG PET/CT was a sensitive imaging modality for diagnosis and treatment response evaluation of PBL. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  11. DISTINCT: Diversity in Solar Talent Through INnovative Curriculum and Training: An Integrated Research and Education Approach towards Creating Diversity and Advancing Utility-Scale Solar Technology

    Energy Technology Data Exchange (ETDEWEB)

    Krishnaswami, Hariharan

    2018-02-05

    The DISTINCT project research objective is to develop an innovative N-port power converter for a utility-scale PV system that is modular, compact and cost-effective and that will enable the integration of a high-frequency, high-voltage solid-state transformer.

  12. Development and psychometric evaluation of a measure to evaluate the quality of integrated care : the Patient Assessment of Integrated Elderly Care

    NARCIS (Netherlands)

    Uittenbroek, Ronald J; Reijneveld, Sijmen A; Stewart, Roy E; Spoorenberg, Sophie L W; Kremer, Hubertus P H; Wynia, Klaske

    BACKGROUND: Novel population-based integrated care services are being developed to adequately serve the growing number of elderly people. Suitable, reliable and valid measurement instruments are needed to evaluate the quality of care delivered. OBJECTIVE: To develop a measure to evaluate the quality

  13. Review of recent benchmark experiments on integral test for high energy nuclear data evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Nakashima, Hiroshi; Tanaka, Susumu; Konno, Chikara; Fukahori, Tokio; Hayashi, Katsumi [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

    1998-11-01

    A survey work of recent benchmark experiments on an integral test for high energy nuclear data evaluation was carried out as one of the work of the Task Force on JENDL High Energy File Integral Evaluation (JHEFIE). In this paper the results are compiled and the status of recent benchmark experiments is described. (author)

  14. Sources and Characteristics of Utility Weights for Economic Evaluation of Pediatric Vaccines: A Systematic Review.

    Science.gov (United States)

    Herdman, Michael; Cole, Amanda; Hoyle, Christopher K; Coles, Victoria; Carroll, Stuart; Devlin, Nancy

    2016-01-01

    Cost-effectiveness analysis of pediatric vaccines for infectious diseases often requires quality-of-life (utility) weights. To investigate how utility weights have been elicited and used in this context. A systematic review was conducted of studies published between January 1990 and July 2013 that elicited or used utility weights in cost-effectiveness analyses of vaccines for pediatric populations. The review focused on vaccines for 17 infectious diseases and is presented following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology. A total of 6410 titles and abstracts and 225 full-text articles were reviewed. Of those selected for inclusion (n = 101), 15 articles described the elicitation of utility weights and 86 described economic modeling studies using utilities. Various methods were used to generate utilities, including time trade-off, contingent valuation, and willingness to pay, as well as a preference-based measure with associated value sets, such as the EuroQol five-dimensional questionnaire or the Health Utilities Index. In modeling studies, the source of utilities used was often unclear, poorly reported, or based on weak underlying evidence. We found no articles that reported on the elicitation or use of utilities in diphtheria, polio, or tetanus. The scarcity of appropriate utility weights for vaccine-preventable infectious diseases in children and a lack of standardization in their use in economic assessments limit the ability to accurately assess the benefits associated with interventions to prevent infectious diseases. This is an issue that should be of concern to those making decisions regarding the prevention and treatment of infectious childhood illnesses. Copyright © 2016 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  15. Towards the automatized evaluation of Feynman integrals with differential equations

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Christoph; Uwer, Peter [HU Berlin, Berlin (Germany)

    2016-07-01

    In the past years the method of differential equations has proven itself to be a powerful tool for the computation of multi-loop Feynman integrals. This method relies on the choice of a basis of master integrals in which the dependence on the dimensional regulator factorizes. We present an algorithm which automatizes the transformation to such a basis, starting from a given reduction basis. The algorithm only requires some mild assumptions about the basis. It applies to problems with multiple scales of which we will present some examples.

  16. The utility of magnetoencephalography in the presurgical evaluation of refractory insular epilepsy.

    Science.gov (United States)

    Mohamed, Ismail S; Gibbs, Steve A; Robert, Manon; Bouthillier, Alain; Leroux, Jean-Maxime; Khoa Nguyen, Dang

    2013-11-01

    To study the utility of magnetoencephalography (MEG) in patients with refractory insular epilepsy. Covered by highly functional temporal, frontal, and parietal opercula, insular-onset seizures can manifest a variety of ictal symptoms falsely leading to a diagnosis of temporal, frontal, or parietal lobe seizures. Lack of recognition of insular seizures may be responsible for some epilepsy surgery failures. We retrospectively reviewed and analyzed MEG data in 14 patients with refractory insular seizures defined through intracranial electroencephalography (EEG) or by the presence of an epileptogenic lesion in the insula with compatible seizure semiology. MEG was performed as part of the noninvasive presurgical evaluation, using a 275-channel whole head MEG system. MEG data were analyzed using a single equivalent current dipole model. MEG localization was compared to interictal positron emission tomography (PET) and ictal single photon emission computed tomography (SPECT) results and to the resection margin. Three patterns of MEG spike sources were observed. Seven patients showed an anterior operculoinsular clusters and two patients had a posterior operculoinsular cluster. No spikes were detected in one patient, and the remaining four patients showed a diffuse perisylvian distribution. Spike sources showed uniform orientation perpendicular to the sylvian fissure. Nine patients proceeded to insular epilepsy surgery with favorable surgical outcome. Among patients with anterior operculoinsular cluster who proceeded to have surgery, MEG provided superior information to ictal SPECT in four of six patients and to interictal PET in five of six patients. MEG is useful in identifying patients who are likely to benefit from epilepsy surgery targeting the insula, particularly if a tight dipole cluster is identified even if other noninvasive modalities fail to produce localizing results. Wiley Periodicals, Inc. © 2013 International League Against Epilepsy.

  17. Utility of human hepatocyte spheroids without feeder cells for evaluation of hepatotoxicity.

    Science.gov (United States)

    Ogihara, Takuo; Arakawa, Hiroshi; Jomura, Tomoko; Idota, Yoko; Koyama, Satoshi; Yano, Kentaro; Kojima, Hajime

    2017-01-01

    We investigated the utility of three-dimensionally cultured hepatocytes (spheroids) without feeder cells (Sph(f-)) for the prediction of drug-induced liver injury (DILI) in humans. Sph(f-) and spheroids cultured on feeder cells (Sph(f+)) were exposed to the hepatotoxic drugs flutamide, diclofenac, isoniazid and chlorpromazine at various concentrations for 14 days, and albumin secretion and cumulative leakages of toxicity marker enzymes, aspartate aminotransferase (AST), alanine aminotransferase (ALT), lactate dehydrogenase (LDH) and γ-glutamyl transpeptidase (γ-GTP), were measured. The cumulative AST, LDH or γ-GTP leakages from Sph(f-) were similar to or greater than those from Sph(f+) for all drugs tested, although ALT leakages showed no consistent difference between Sph(f+) and Sph(f-). In the case of Sph(f-), significant correlations among all the toxicity markers except for γ-GTP were observed. As regards the drug concentrations causing 1.2-fold elevation of enzyme leakage (F1.2), no consistent difference between Sph(f+) and Sph(f-) was found, although several F1.2 values were undetermined, especially in Sph(f+). The IC50 of albumin secretion and F1.2 of AST leakage from Sph(f-) were equal to or lower than those of Sph(f+) for all the tested drugs. These results indicate that feeder cells might contribute to resistance to hepatotoxicity, suggesting DILI could be evaluated more accurately by using Sph(f-). We suggest that long-term exposure of Sph(f-) to drugs might be a versatile method to predict and reproduce clinical chronic toxicity, especially in response to repeated drug administration.

  18. Evaluation of the diagnostic utility of the traditional and revised WHO dengue case definitions.

    Directory of Open Access Journals (Sweden)

    Gamaliel Gutiérrez

    Full Text Available Dengue, a mosquito-borne viral illness, is a major public health problem worldwide, and its incidence continues to increase. In 2009, the World Health Organization published guidelines that included a revision of the dengue case definition. Compared to the traditional definition, the revised case definition relies more on signs than on symptoms, making it more applicable to young children. We evaluated the diagnostic utility of both case definitions in two studies of pediatric dengue in Managua, Nicaragua. In a community-based cohort study, we included data from 3,407 suspected dengue cases, of which 476 were laboratory-confirmed. In the second study, we collected information from 1,160 participants recruited at the national pediatric reference hospital (723 laboratory-confirmed. In the cohort study, the traditional definition had 89.3% sensitivity and 43.1% specificity, while the revised definition yielded similar sensitivity (86.6% and higher specificity (55.2%, p<0.001. In the hospital study, the traditional case definition yielded 96.7% sensitivity and 22.0% specificity, whereas the revised case definition had higher sensitivity (99.3%, p<0.001 but lower specificity (8.5%, p<0.001. We then evaluated the performance of two diagnostic models based on the signs/symptoms included in each definition by analyzing the effect of increasing numbers of signs/symptoms on the sensitivity and specificity of case capture. Receiver operating characteristic analysis showed a slightly better performance for the revised model in both studies. Interestingly, despite containing less symptoms that cannot be readily expressed by children aged less than 4 years, the revised definition did not perform better in this age group. Overall, our results indicate that both case definitions have similar capacity to diagnose dengue. Owing to their high sensitivity and low specificity, they should be primarily used for screening purposes. However, in a primary care setting

  19. Utilizing knowledge from prior plans in the evaluation of quality assurance

    Science.gov (United States)

    Stanhope, Carl; Wu, Q. Jackie; Yuan, Lulin; Liu, Jianfei; Hood, Rodney; Yin, Fang-Fang; Adamson, Justus

    2015-06-01

    Increased interest regarding sensitivity of pre-treatment intensity modulated radiotherapy and volumetric modulated arc radiotherapy (VMAT) quality assurance (QA) to delivery errors has led to the development of dose-volume histogram (DVH) based analysis. This paradigm shift necessitates a change in the acceptance criteria and action tolerance for QA. Here we present a knowledge based technique to objectively quantify degradations in DVH for prostate radiotherapy. Using machine learning, organ-at-risk (OAR) DVHs from a population of 198 prior patients’ plans were adapted to a test patient’s anatomy to establish patient-specific DVH ranges. This technique was applied to single arc prostate VMAT plans to evaluate various simulated delivery errors: systematic single leaf offsets, systematic leaf bank offsets, random normally distributed leaf fluctuations, systematic lag in gantry angle of the mutli-leaf collimators (MLCs), fluctuations in dose rate, and delivery of each VMAT arc with a constant rather than variable dose rate. Quantitative Analyses of Normal Tissue Effects in the Clinic suggests V75Gy dose limits of 15% for the rectum and 25% for the bladder, however the knowledge based constraints were more stringent: 8.48   ±   2.65% for the rectum and 4.90   ±   1.98% for the bladder. 19   ±   10 mm single leaf and 1.9   ±   0.7 mm single bank offsets resulted in rectum DVHs worse than 97.7% (2σ) of clinically accepted plans. PTV degradations fell outside of the acceptable range for 0.6   ±   0.3 mm leaf offsets, 0.11   ±   0.06 mm bank offsets, 0.6   ±   1.3 mm of random noise, and 1.0   ±   0.7° of gantry-MLC lag. Utilizing a training set comprised of prior treatment plans, machine learning is used to predict a range of achievable DVHs for the test patient’s anatomy. Consequently, degradations leading to statistical outliers may be identified

  20. Integrating tuberculosis/HIV treatment: an evaluation of the ...

    African Journals Online (AJOL)

    2013-01-25

    Jan 25, 2013 ... Scientific Letter: Integrating tuberculosis/HIV treatment: 478. Vol 55 No 5. SA Fam Pract 2013. Introduction. The Infectious Disease Clinic of Worcester Hospital provides antiretroviral (ARV) treatment to eligible patients who are infected with human immunodeficiency virus (HIV) in the Breede.

  1. Experimental Evaluation of a Motor Integrated Permanent Magnet Gear

    DEFF Research Database (Denmark)

    Rasmussen, Peter Omand; Frandsen, Tommy; Jensen, Kasper Køtter

    2011-01-01

    This paper presents test results of a new motor integrated permanent magnet gear and clarifies a path for future optimizations. The prototype, which fabrication also is described, is initially targeting electrical traction for vehicles. Basic measured parameters in form of back-emf, stall torque...

  2. Evaluation of pre-service training on integrated management of ...

    African Journals Online (AJOL)

    Data was col-lected using pre-tested questionnaires, focused group interviews with teachers and students, observation of stu-dents while managing sick children using Integrated Management of Newborn and Childhood Illness guidelines, and reviews of pediatric course outlines and other teaching/learning materials.

  3. Finding new relationships between hypergeometric functions by evaluating Feynman integrals

    Energy Technology Data Exchange (ETDEWEB)

    Kniehl, Bernd A. [Santa Barbara Univ., CA (United States). Kavli Inst. for Theoretical Physics; Tarasov, Oleg V. [Hamburg Univ. (Germany). 2. Inst. fuer Theoretische Physik

    2011-08-15

    Several new relationships between hypergeometric functions are found by comparing results for Feynman integrals calculated using different methods. A new expression for the one-loop propagator-type integral with arbitrary masses and arbitrary powers of propagators is derived in terms of only one Appell hypergeometric function F{sub 1}. From the comparison of this expression with a previously known one, a new relation between the Appell functions F{sub 1} and F{sub 4} is found. By comparing this new expression for the case of equal masses with another known result, a new formula for reducing the F{sub 1} function with particular arguments to the hypergeometric function {sub 3}F{sub 2} is derived. By comparing results for a particular one-loop vertex integral obtained using different methods, a new relationship between F{sub 1} functions corresponding to a quadratic transformation of the arguments is established. Another reduction formula for the F{sub 1} function is found by analysing the imaginary part of the two-loop self-energy integral on the cut. An explicit formula relating the F{sub 1} function and the Gaussian hypergeometric function {sub 2}F{sub 1} whose argument is the ratio of polynomials of degree six is presented. (orig.)

  4. Evaluating the Impact of Technology Integration in Teaching and Learning

    Science.gov (United States)

    Adedokun-Shittu, Nafisat Afolake; Shittu, Abdul Jaleel Kehinde

    2014-01-01

    This article reports the impacts of technology integration on teaching and learning from a study that examines the impact of ICT deployment in teaching and learning at a University in Nigeria. The survey data were drawn from 593 respondents (students and lecturers) and the survey instrument employed for both the students and the lecturers is a…

  5. Piloting a method to evaluate the implementation of integrated water ...

    African Journals Online (AJOL)

    This paper provides an assessment of the implementation of principles of integrated water resource management (IWRM) in the Inkomati River Basin (IRB), shared by South Africa, Swaziland and Mozambique. A methodology with a set of principles, change areas and measures was developed as a performance ...

  6. SEE Action Guide for States: Evaluation, Measurement, and Verification Frameworks$-$Guidance for Energy Efficiency Portfolios Funded by Utility Customers

    Energy Technology Data Exchange (ETDEWEB)

    Li, Michael [Dept. of Energy (DOE), Washington DC (United States); Dietsch, Niko [US Environmental Protection Agency (EPA), Cincinnati, OH (United States)

    2018-01-01

    This guide describes frameworks for evaluation, measurement, and verification (EM&V) of utility customer–funded energy efficiency programs. The authors reviewed multiple frameworks across the United States and gathered input from experts to prepare this guide. This guide provides the reader with both the contents of an EM&V framework, along with the processes used to develop and update these frameworks.

  7. Evaluation of the Parent-Implemented Communication Strategies (PiCS) Project Using the Multiattribute Utility (MAU) Approach

    Science.gov (United States)

    Stoner, Julia B.; Meadan, Hedda; Angell, Maureen E.; Daczewitz, Marcus

    2012-01-01

    We conducted a multiattribute utility (MAU) evaluation to assess the Parent-Implemented Communication Strategies (PiCS) project which was funded by the Institute of Education Sciences (IES). In the PiCS project parents of young children with developmental disabilities are trained and coached in their homes on naturalistic and visual teaching…

  8. Evaluating integrated healthcare for refugees and hosts in an African context.

    Science.gov (United States)

    Tuepker, Anais; Chi, Chunhuei

    2009-04-01

    This paper argues on ethical and practical grounds for more widespread use of an integrated approach to refugee healthcare, and proposes a basic model of assessment for integrated systems. A defining element of an integrated approach is an equal ability by refugee and host nationals to access the same healthcare resources from the same providers. This differs fundamentally from parallel care, currently the predominant practice in Africa. The authors put forward a general model for evaluation of integrated healthcare with four criteria: (1) improved health outcomes for both hosts and refugees, (2) increased social integration, (3) increased equitable use of healthcare resources, and (4) no undermining of protection. Historical examples of integrated care in Ethiopia and Uganda are examined in light of these criteria to illustrate how this evaluative model would generate evidence currently lacking in debates on the merit of integrated healthcare.

  9. Real-world healthcare utilization in asthma patients using albuterol sulfate inhalation aerosol (ProAir® HFA with and without integrated dose counters

    Directory of Open Access Journals (Sweden)

    Kerwin EM

    2017-05-01

    Full Text Available Edward M Kerwin,1 Thomas J Ferro,2 Rinat Ariely,3 Debra E Irwin,4 Ruchir Parikh3 1Clinical Trials Division, Clinical Research Institute of Southern Oregon, PC, Medford, OR, 2Global Medical Affairs, 3Global Health Economics and Outcome Research, Teva Pharmaceuticals, Frazer, PA, 4Outcomes Research, Truven Health Analytics, Durham, NC, USA Background: Accurate tracking of the administered dose of asthma rescue inhalers is critical for optimal disease management and is related to reductions in rates of unscheduled health care utilization in asthma patients. There are few published data on the real-world impact of rescue inhalers with integrated dose counters (IDCs on health care resource utilization (HRU for asthma patients. This study evaluates HRU among users of ProAir® hydrofluoroalkane (HFA (albuterol sulfate inhalation aerosol, with IDC versus without IDC, in asthma patients.Methods: This was a retrospective administrative claims study of asthma patients receiving a new prescription for albuterol inhalation aerosol without IDC during 2 years (January 2011–December 2012 or with IDC during the first full year after IDC implementation in the USA (July 2013–July 2014. Six months of continuous enrollment with medical and prescription drug benefits were required before and after the first prescription during the study period. Data on respiratory-related hospitalizations and emergency department (ED visits were collected during the follow-up period.Results: A total of 135,305 (32% patients used albuterol inhalation aerosol with IDC, and 287,243 (68% patients received albuterol inhalation aerosol without IDC. After adjusting for baseline confounding factors, the odds ratio (OR for experiencing a respiratory-related hospitalization (OR=0.92; 95% confidence interval [CI] 0.88–0.96 or ED visit (OR=0.92; 95% CI 0.90–0.94 was significantly lower among patients using albuterol inhalation aerosol with IDC versus without IDC.Conclusion: In a real

  10. Evaluation of utility relocation costs and best management practices : final report : SCDOT research project 684.

    Science.gov (United States)

    2014-05-21

    In recent years, the SCDOT has experienced a significant variation in estimated costs for the relocation of : utilities on many projects. This has led to cost overruns and caused headaches for the district engineers : responsible for the projects. Th...

  11. Electric utility engineer`s FGD manual -- Volume 2: Major mechanical equipment; FGD proposal evaluations; Use of FGDPRISM in FGD system modification, proposal, evaluation, and design; FGD system case study. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-04

    Part 2 of this manual provides the electric utility engineer with detailed technical information on some of the major mechanical equipment used in the FGD system. The objectives of Part 2 are the following: to provide the electric utility engineer with information on equipment that may be unfamiliar to him, including ball mills, vacuum filters, and mist eliminators; and to identify the unique technique considerations imposed by an FGD system on more familiar electric utility equipment such as fans, gas dampers, piping, valves, and pumps. Part 3 provides an overview of the recommended procedures for evaluating proposals received from FGD system vendors. The objectives are to provide procedures for evaluating the technical aspects of proposals, and to provide procedures for determining the total costs of proposals considering both initial capital costs and annual operating and maintenance costs. The primary objective of Part 4 of this manual is to provide the utility engineer who has a special interest in the capabilities of FGDPRISM [Flue Gas Desulfurization PRocess Integration and Simulation Model] with more detailed discussions of its uses, requirements, and limitations. Part 5 is a case study in using this manual in the preparation of a purchase specification and in the evaluation of proposals received from vendors. The objectives are to demonstrate how the information contained in Parts 1 and 2 can be used to improve the technical content of an FGD system purchase specification; to demonstrate how the techniques presented in Part 3 can be used to evaluate proposals received in response to the purchase specification; and to illustrate how the FGDPRISM computer program can be used to establish design parameters for the specification and evaluate vendor designs.

  12. Final Technical Report for Contract No. DE-EE0006332, "Integrated Simulation Development and Decision Support Tool-Set for Utility Market and Distributed Solar Power Generation"

    Energy Technology Data Exchange (ETDEWEB)

    Cormier, Dallas [San Diego Gas & Electric, CA (United States); Edra, Sherwin [San Diego Gas & Electric, CA (United States); Espinoza, Michael [San Diego Gas & Electric, CA (United States); Daye, Tony [Green Power Labs, San Diego, CA (United States); Kostylev, Vladimir [Green Power Labs, San Diego, CA (United States); Pavlovski, Alexandre [Green Power Labs, San Diego, CA (United States); Jelen, Deborah [Electricore, Inc., Valencia, CA (United States)

    2014-12-29

    This project will enable utilities to develop long-term strategic plans that integrate high levels of renewable energy generation, and to better plan power system operations under high renewable penetration. The program developed forecast data streams for decision support and effective integration of centralized and distributed solar power generation in utility operations. This toolset focused on real time simulation of distributed power generation within utility grids with the emphasis on potential applications in day ahead (market) and real time (reliability) utility operations. The project team developed and demonstrated methodologies for quantifying the impact of distributed solar generation on core utility operations, identified protocols for internal data communication requirements, and worked with utility personnel to adapt the new distributed generation (DG) forecasts seamlessly within existing Load and Generation procedures through a sophisticated DMS. This project supported the objectives of the SunShot Initiative and SUNRISE by enabling core utility operations to enhance their simulation capability to analyze and prepare for the impacts of high penetrations of solar on the power grid. The impact of high penetration solar PV on utility operations is not only limited to control centers, but across many core operations. Benefits of an enhanced DMS using state-of-the-art solar forecast data were demonstrated within this project and have had an immediate direct operational cost savings for Energy Marketing for Day Ahead generation commitments, Real Time Operations, Load Forecasting (at an aggregate system level for Day Ahead), Demand Response, Long term Planning (asset management), Distribution Operations, and core ancillary services as required for balancing and reliability. This provided power system operators with the necessary tools and processes to operate the grid in a reliable manner under high renewable penetration.

  13. Integrating Traditional Chinese Medicine Services in Community Health Centers: Insights into Utilization Patterns in the Pearl River Region of China

    Directory of Open Access Journals (Sweden)

    Vincent C. H. Chung

    2013-01-01

    Full Text Available In China's healthcare reform, community health centers (CHCs are designed to take a pivotal role in providing primary care. Whilst about 20% of all outpatient care in China is delivered by the traditional Chinese medicine (TCM sector, hospitals, instead of CHCs, are major providers. Using current patterns of patient utilization this study aims to inform CHCs on how they may strengthen access to TCM services. Three thousand three hundred and sixty CHC patients from six cities within the urban Pearl Delta Region were enumerated using multistage cluster sampling. Fifty-two percent had visited herbalists within three months with a mean visit frequency of 1.50 times. Herbal treatments, which are cheaper than western medicines, were more popular amongst those who needed to pay out of pocket including the uninsured. Herbal medicines appeared to be an alternative for those who are underinsured. Acupuncturists and massage therapists were visited by smaller proportions, 6.58% and 5.98%, respectively, with a mean three-month visit of 0.27 and 0.26 times. Access was restricted by lack of social insurance coverage. Whilst increasing provision of TCM in CHCs might respond to patient demand, increasing insurance coverage for TCM needs to be evaluated using current evidence on safety and effectiveness.

  14. Evaluation of the "Angelina Jolie Effect" on Screening Mammography Utilization in an Academic Center.

    Science.gov (United States)

    Huesch, Marco D; Schetter, Susann; Segel, Joel; Chetlen, Alison

    2017-08-01

    The aim of this study was to understand the impact on screening mammography at our institution, comparing weekly utilization in the 2 years before and the 2 years after Ms Angelina Jolie disclosed in the New York Times on May 13, 2013, that she had had a prophylactic double mastectomy. All 48,110 consecutive screening mammograms conducted at our institution between May 16, 2011, and May 16, 2015, were selected from our electronic medical record system. We used interrupted time series statistical models and graphical methods on utilization data to understand utilization changes before and after Ms Jolie's news. The graphed trend of weekly screening mammogram utilization failed to show changes around the time of interest. Analytical models and statistical tests also failed to show a step change increase or acceleration of utilization around May 2013. However, graphical and time series analyses showed a flattening of utilization in the middle of 2014. In our well-powered analysis in a large regional breast imaging center, we found no support for the hypothesis that this celebrity news drove increased screening. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  15. Integrated approach for sinkhole evaluation and evolution prediction in the Central Ebro Basin (NE Spain)

    OpenAIRE

    Oscar Pueyo Anchuela; Andrés Pocoví Juan; Casas Sainz, Antonio M.; Javier Gracia Abadias; Carlos L. Liesa Carrera

    2017-01-01

    Evaluation of karst hazards benefits from the integration of different techniques, methodologies and approaches. Each one presents a different signature and is sensitive to certain indicators related to karst hazards. In some cases, detailed analysis permits the evaluation of representativeness either from isolated approaches or by means of integrated analyses. In this study, we present the evaluation of an area with high density of karstic collapses at different evolutionary stages through t...

  16. Utilization of cervical cancer screening services and trends in screening positivity rates in a 'screen-and-treat' program integrated with HIV/AIDS care in Zambia.

    Directory of Open Access Journals (Sweden)

    Mulindi H Mwanahamuntu

    Full Text Available In the absence of stand-alone infrastructures for delivering cervical cancer screening services, efforts are underway in sub-Saharan Africa to dovetail screening with ongoing vertical health initiatives like HIV/AIDS care programs. Yet, evidence demonstrating the utilization of cervical cancer prevention services in such integrated programs by women of the general population is lacking.We analyzed program operations data from the Cervical Cancer Prevention Program in Zambia (CCPPZ, the largest public sector programs of its kind in sub-Saharan Africa. We evaluated patterns of utilization of screening services by HIV serostatus, examined contemporaneous trends in screening outcomes, and used multivariable modeling to identify factors associated with screening test positivity.Between January 2006 and April 2011, CCPPZ services were utilized by 56,247 women who underwent cervical cancer screening with visual inspection with acetic acid (VIA, aided by digital cervicography. The proportion of women accessing these services who were HIV-seropositive declined from 54% to 23% between 2006-2010, which coincided with increasing proportions of HIV-seronegative women (from 22% to 38% and women whose HIV serostatus was unknown (from 24% to 39% (all p-for trend<0.001. The rates of VIA screening positivity declined from 47% to 17% during the same period (p-for trend <0.001, and this decline was consistent across all HIV serostatus categories. After adjusting for demographic and sexual/reproductive factors, HIV-seropositive women were more than twice as likely (Odds ratio 2.62, 95% CI 2.49, 2.76 to screen VIA-positive than HIV-seronegative women.This is the first 'real world' demonstration in a public sector implementation program in a sub-Saharan African setting that with successful program scale-up efforts, nurse-led cervical cancer screening programs targeting women with HIV can expand and serve all women, regardless of HIV serostatus. Screening program

  17. Utilization of cervical cancer screening services and trends in screening positivity rates in a 'screen-and-treat' program integrated with HIV/AIDS care in Zambia.

    Science.gov (United States)

    Mwanahamuntu, Mulindi H; Sahasrabuddhe, Vikrant V; Blevins, Meridith; Kapambwe, Sharon; Shepherd, Bryan E; Chibwesha, Carla; Pfaendler, Krista S; Mkumba, Gracilia; Vwalika, Belington; Hicks, Michael L; Vermund, Sten H; Stringer, Jeffrey Sa; Parham, Groesbeck P

    2013-01-01

    In the absence of stand-alone infrastructures for delivering cervical cancer screening services, efforts are underway in sub-Saharan Africa to dovetail screening with ongoing vertical health initiatives like HIV/AIDS care programs. Yet, evidence demonstrating the utilization of cervical cancer prevention services in such integrated programs by women of the general population is lacking. We analyzed program operations data from the Cervical Cancer Prevention Program in Zambia (CCPPZ), the largest public sector programs of its kind in sub-Saharan Africa. We evaluated patterns of utilization of screening services by HIV serostatus, examined contemporaneous trends in screening outcomes, and used multivariable modeling to identify factors associated with screening test positivity. Between January 2006 and April 2011, CCPPZ services were utilized by 56,247 women who underwent cervical cancer screening with visual inspection with acetic acid (VIA), aided by digital cervicography. The proportion of women accessing these services who were HIV-seropositive declined from 54% to 23% between 2006-2010, which coincided with increasing proportions of HIV-seronegative women (from 22% to 38%) and women whose HIV serostatus was unknown (from 24% to 39%) (all p-for trend<0.001). The rates of VIA screening positivity declined from 47% to 17% during the same period (p-for trend <0.001), and this decline was consistent across all HIV serostatus categories. After adjusting for demographic and sexual/reproductive factors, HIV-seropositive women were more than twice as likely (Odds ratio 2.62, 95% CI 2.49, 2.76) to screen VIA-positive than HIV-seronegative women. This is the first 'real world' demonstration in a public sector implementation program in a sub-Saharan African setting that with successful program scale-up efforts, nurse-led cervical cancer screening programs targeting women with HIV can expand and serve all women, regardless of HIV serostatus. Screening program performance can

  18. Radiation Testing and Evaluation Issues for Modern Integrated Circuits

    Science.gov (United States)

    LaBel, Kenneth A.; Cohn, Lew M.

    2005-01-01

    Abstract. Changes in modern integrated circuit (IC) technologies have modified the way we approach and conduct radiation tolerance and testing of electronics. These changes include scaling of geometries, new materials, new packaging technologies, and overall speed and device complexity challenges. In this short course section, we will identify and discuss these issues as they impact radiation testing, modeling, and effects mitigation of modern integrated circuits. The focus will be on CMOS-based technologies, however, other high performance technologies will be discussed where appropriate. The effects of concern will be: Single-Event Effects (SEE) and steady state total ionizing dose (TID) IC response. However, due to the growing use of opto-electronics in space systems issues concerning displacement damage testing will also be considered. This short course section is not intended to provide detailed "how-to-test" information, but simply provide a snapshot of current challenges and some of the approaches being considered.

  19. A Learning Process Evaluation Model for the Integrated Islamic Elementary School

    Directory of Open Access Journals (Sweden)

    Retno Wahyuningsih

    2016-11-01

    Full Text Available The study was to: 1 generate the appropriate evaluation instrument so that the instrument might be implemented in evaluating the Integrated Islamic Elementary School (SDIT, Sekolah Dasar Islam Terpadu learning process; 2 identify the effectiveness of the developed evaluation instrument; and 3 identify the description and the criteria in the results of evaluation conducted in the Integrated Islamic Elementary School. The study was categorized as an evaluation research that applied the CIPP evaluation model (the aspects that had been selected were the input and the process, namely the one that referred to the steps in the research and development efforts in order to develop the instrument for evaluating the learning process in the Integrated Islamic Elementary School. The conclusions of the study, then, are as follows: 1 the study has generated the Integrated Islamic Elementary School Learning Process Evaluation Model (P3 and the P3 Model that has been developed refers to the theory of Borg & Gall that consists of 9 stages; 2 the P3 Model has a “Very Good” effectiveness based on the reviewer assessment and has met the standards of a tool that might be applied for evaluating the learning process in the Integrated Islamic Elementary School; and 3 the criteria in the P3 Model might provide a factual and overall description regarding the learning process in the Integrated Islamic Elementary School.

  20. Development of Integrated Evaluation System for Severe Accident Management

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Dong Ha; Kim, K. R.; Park, S. H.; Park, S. Y.; Park, J. H.; Song, Y. M.; Ahn, K. I.; Choi, Y

    2007-06-15

    The objective of the project is twofold. One is to develop a severe accident database (DB) for the Korean Standard Nuclear Power plant (OPR-1000) and a DB management system, and the other to develop a localized computer code, MIDAS (Multi-purpose IntegrateD Assessment code for Severe accidents). The MELCOR DB has been constructed for the typical representative sequences to support the previous MAAP DB in the previous phase. The MAAP DB has been updated using the recent version of MAAP 4.0.6. The DB management system, SARD, has been upgraded to manage the MELCOR DB in addition to the MAAP DB and the network environment has been constructed for many users to access the SARD simultaneously. The integrated MIDAS 1.0 has been validated after completion of package-wise validation. As the current version of MIDAS cannot simulate the anticipated transient without scram (ATWS) sequence, point-kinetics model has been implemented. Also the gap cooling phenomena after corium relocation into the RPV can be modeled by the user as an input parameter. In addition, the subsystems of the severe accident graphic simulator are complemented for the efficient severe accident management and the engine of the graphic simulator was replaced by the MIDAS instead of the MELCOR code. For the user's convenience, MIDAS input and output processors are upgraded by enhancing the interfacial programs.

  1. Direct Integration: Training Software Developers to Conduct Usability Evaluations

    DEFF Research Database (Denmark)

    Skov, Mikael B.; Stage, Jan

    2008-01-01

    is based on an empirical study where 36 teams with a total of 234 first-year university students on software development and design educations were trained in a simple approach for user-based website usability testing that was taught in a 40 hour course. This approach supported them in planning, conducting......Many improvements of the interplay between usability evaluation and software development rely either on better methods for conducting usability evaluations or on better formats for presenting evaluation results in ways that are useful for software designers and developers. Both approaches involve...... a complete division of work between developers and evaluators, which is an undesirable complexity for many software development projects. This paper takes a different approach by exploring to what extent software developers and designers can be trained to carry out their own usability evaluations. The paper...

  2. A New Framework for Evaluating the Functional Capabilities of Intra-Enterprise Application Integration Technologies

    Directory of Open Access Journals (Sweden)

    Hossein Moradi

    2010-10-01

    Full Text Available Enterprise Application Integration (EAI technologies facilitate the sharing of information and business processes of interrelated information systems in order to achieve the target integrated systems. Different EAI solutions and technologies provide various capabilities which lead to the complexity of their evaluation process. To reduce this complexity, appropriate tools for evaluating the functional capabilities of EAI technologies are required. This paper proposes a new framework for evaluating the functional capabilities of EAI technologies, which simplify the process of evaluating the functional capabilities of intra-enterprise integration technologies and solutions.The proposed framework for evaluating the EAI technologies was enhanced using the structural and conceptual aspects of previous frameworks. It offers a new schema for which various EAI technologies are categorized in different classes and are evaluated based on their supporting level for functional integration capabilities’ criteria.The new framework offers two lists containing integration technologies and their associated classifications, and functional capabilities of integration technologies. The proposed framework is a novel one which can be used by information system experts for evaluation and comparison purposes of various integration technologies.

  3. Evaluation of integrated Child Development Services program in Gujarat, India for the years 2012 to 2015.

    Science.gov (United States)

    Chudasama, Rajesh K; Patel, Umed V; Kadri, Amiruddin M; Mitra, Arohi; Thakkar, Dhara; Oza, Jasmin

    2016-01-01

    The Integrated Child Development Services (ICDS) scheme has been operational for more than three decades in India. To evaluate the various aspects of the ICDS program in terms of inputs, process and outcome (coverage), utilization, and issues related to the ICDS program. A total of 130 Anganwadi centers (AWCs) were selected including 95 AWCs from rural areas and 35 AWCs from urban areas from April 2012 to March 2015, from 12 districts of Gujarat and the union territory of Diu. Information was collected for infrastructure, baseline characteristics of AWWs, provision, coverage and utilization of various ICDS services, and various issues related to program operation. A majority of pregnant (94.7%) and lactating (74.4%) mothers, and adolescent girls (86.6%) were availing ICDS services. In 96.9% of the AWCs, a growth chart was available and 92.3% AWWs were using it accurately. A total of 14.9% children were underweight including 13.5% moderately and 1.4% severely malnourished children. Two-third (66.2%) children were covered by supplementary nutrition (SN). Only 14.6% of the AWCs reported 100% preschool education (PSE) coverage among children. More than half (55.4%) of the AWCs reported an interruption in supply during the last 6 months. Various issues were reported by AWWs related to the ICDS. The study has reported gaps in terms of infrastructure facility, different trainings, coverage, supply, and provision of SN, status of PSE activities in AWCs, and provision of different services to the beneficiaries.

  4. Neutron Cross Section Processing Methods for Improved Integral Benchmarking of Unresolved Resonance Region Evaluations

    Directory of Open Access Journals (Sweden)

    Walsh Jonathan A.

    2016-01-01

    Full Text Available In this work we describe the development and application of computational methods for processing neutron cross section data in the unresolved resonance region (URR. These methods are integrated with a continuous-energy Monte Carlo neutron transport code, thereby enabling their use in high-fidelity analyses. Enhanced understanding of the effects of URR evaluation representations on calculated results is then obtained through utilization of the methods in Monte Carlo integral benchmark simulations of fast spectrum critical assemblies. First, we present a so-called on-the-fly (OTF method for calculating and Doppler broadening URR cross sections. This method proceeds directly from ENDF-6 average unresolved resonance parameters and, thus, eliminates any need for a probability table generation pre-processing step in which tables are constructed at several energies for all desired temperatures. Significant memory reduction may be realized with the OTF method relative to a probability table treatment if many temperatures are needed. Next, we examine the effects of using a multi-level resonance formalism for resonance reconstruction in the URR. A comparison of results obtained by using the same stochastically-generated realization of resonance parameters in both the single-level Breit-Wigner (SLBW and multi-level Breit-Wigner (MLBW formalisms allows for the quantification of level-level interference effects on integrated tallies such as keff and energy group reaction rates. Though, as is well-known, cross section values at any given incident energy may differ significantly between single-level and multi-level formulations, the observed effects on integral results are minimal in this investigation. Finally, we demonstrate the calculation of true expected values, and the statistical spread of those values, through independent Monte Carlo simulations, each using an independent realization of URR cross section structure throughout. It is observed that both

  5. Multi-state time-varying reliability evaluation of smart grid with flexible demand resources utilizing Lz transform

    Science.gov (United States)

    Jia, Heping; Jin, Wende; Ding, Yi; Song, Yonghua; Yu, Dezhao

    2017-01-01

    With the expanding proportion of renewable energy generation and development of smart grid technologies, flexible demand resources (FDRs) have been utilized as an approach to accommodating renewable energies. However, multiple uncertainties of FDRs may influence reliable and secure operation of smart grid. Multi-state reliability models for a single FDR and aggregating FDRs have been proposed in this paper with regard to responsive abilities for FDRs and random failures for both FDR devices and information system. The proposed reliability evaluation technique is based on Lz transform method which can formulate time-varying reliability indices. A modified IEEE-RTS has been utilized as an illustration of the proposed technique.

  6. Evaluation of higher distribution and/or utilization voltages. Fourth interim report (August 1980): assessment of optimum distribution configuration

    Energy Technology Data Exchange (ETDEWEB)

    1981-04-01

    This interim report provides documentation on the fourth task, Assessment of Optimum Distribution Configuration, of DOE Contract No. ET-78-C-01-2866, Evaluation of Higher Distribution and/or Utilization Voltages. The work performed under this task includes the development of a computer model for assessment of life cycle costs for the distribution and utilization systems, the development of an optimization algorithm to enable distribution system configuration optimization and a net energy analysis to determine potential net energy savings. Input data for this task derive from Task 3. The major output of this task is a documented computer code.

  7. Integrating Soft Set Theory and Fuzzy Linguistic Model to Evaluate the Performance of Training Simulation Systems

    Science.gov (United States)

    Chang, Kuei-Hu; Chang, Yung-Chia; Chain, Kai; Chung, Hsiang-Yu

    2016-01-01

    The advancement of high technologies and the arrival of the information age have caused changes to the modern warfare. The military forces of many countries have replaced partially real training drills with training simulation systems to achieve combat readiness. However, considerable types of training simulation systems are used in military settings. In addition, differences in system set up time, functions, the environment, and the competency of system operators, as well as incomplete information have made it difficult to evaluate the performance of training simulation systems. To address the aforementioned problems, this study integrated analytic hierarchy process, soft set theory, and the fuzzy linguistic representation model to evaluate the performance of various training simulation systems. Furthermore, importance–performance analysis was adopted to examine the influence of saving costs and training safety of training simulation systems. The findings of this study are expected to facilitate applying military training simulation systems, avoiding wasting of resources (e.g., low utility and idle time), and providing data for subsequent applications and analysis. To verify the method proposed in this study, the numerical examples of the performance evaluation of training simulation systems were adopted and compared with the numerical results of an AHP and a novel AHP-based ranking technique. The results verified that not only could expert-provided questionnaire information be fully considered to lower the repetition rate of performance ranking, but a two-dimensional graph could also be used to help administrators allocate limited resources, thereby enhancing the investment benefits and training effectiveness of a training simulation system. PMID:27598390

  8. Integrating Soft Set Theory and Fuzzy Linguistic Model to Evaluate the Performance of Training Simulation Systems.

    Science.gov (United States)

    Chang, Kuei-Hu; Chang, Yung-Chia; Chain, Kai; Chung, Hsiang-Yu

    2016-01-01

    The advancement of high technologies and the arrival of the information age have caused changes to the modern warfare. The military forces of many countries have replaced partially real training drills with training simulation systems to achieve combat readiness. However, considerable types of training simulation systems are used in military settings. In addition, differences in system set up time, functions, the environment, and the competency of system operators, as well as incomplete information have made it difficult to evaluate the performance of training simulation systems. To address the aforementioned problems, this study integrated analytic hierarchy process, soft set theory, and the fuzzy linguistic representation model to evaluate the performance of various training simulation systems. Furthermore, importance-performance analysis was adopted to examine the influence of saving costs and training safety of training simulation systems. The findings of this study are expected to facilitate applying military training simulation systems, avoiding wasting of resources (e.g., low utility and idle time), and providing data for subsequent applications and analysis. To verify the method proposed in this study, the numerical examples of the performance evaluation of training simulation systems were adopted and compared with the numerical results of an AHP and a novel AHP-based ranking technique. The results verified that not only could expert-provided questionnaire information be fully considered to lower the repetition rate of performance ranking, but a two-dimensional graph could also be used to help administrators allocate limited resources, thereby enhancing the investment benefits and training effectiveness of a training simulation system.

  9. Evaluation Framework and Analyses for Thermal Energy Storage Integrated with Packaged Air Conditioning

    Energy Technology Data Exchange (ETDEWEB)

    Kung, F.; Deru, M.; Bonnema, E.

    2013-10-01

    Few third-party guidance documents or tools are available for evaluating thermal energy storage (TES) integrated with packaged air conditioning (AC), as this type of TES is relatively new compared to TES integrated with chillers or hot water systems. To address this gap, researchers at the National Renewable Energy Laboratory conducted a project to improve the ability of potential technology adopters to evaluate TES technologies. Major project outcomes included: development of an evaluation framework to describe key metrics, methodologies, and issues to consider when assessing the performance of TES systems integrated with packaged AC; application of multiple concepts from the evaluation framework to analyze performance data from four demonstration sites; and production of a new simulation capability that enables modeling of TES integrated with packaged AC in EnergyPlus. This report includes the evaluation framework and analysis results from the project.

  10. Investigation of Metal Bioavailability and Microbial Metal Utilization in Methane Seep Ecosystems through Integration of Geochemical and Biological Datasets

    Science.gov (United States)

    Glass, J. B.; Gadh, V.; Steele, J. A.; Adkins, J. F.; Orphan, V. J.

    2012-12-01

    Methane hydrate seeps are important sources of greenhouse gases and host unique microbial communities that couple anaerobic oxidation of methane and sulfate reduction. Microbial enzymes that catalyze the reactions driving these anaerobic metabolisms require transition metals such as Fe, Ni, Co, Zn, and Mo as essential cofactors. These metals are expected to be drawn down to low concentrations by precipitation as sulfide phases in the highly sulfidic porewaters at methane seep ecosystems. However, in situ concentrations of biologically-important metals in sulfidic methane seep pore fluids and the relative importance of different metals for anaerobic methanotrophic archaea (ANME) vs. sulfate reducing bacteria (SRB) are unknown. We are integrating geochemical and metagenomic datasets with nano-scale maps of cellular metal distributions to gain insights into metal bioavailability and utilization in methane seep ecosystems. We have measured porewater profiles of dissolved metals (V, Ni, Cu, Co, Fe, Mn, Zn, Mo and W) from three habitat types at Hydrate Ridge, offshore Oregon: Calyptogena clam beds, microbial mats and sites with low methane flux. Highly sulfidic sediment porewaters beneath microbial mats contained the lowest metal concentrations, suggesting that microbes inhabiting these environments may be limited by metal scarcity. Cobalt occurred at particularly low abundances (≤5 nM in all cores and frequently at sub-nanomolar levels). We also analyzed the taxonomic distribution of ABC (ATP-binding cassette) metal transporters in metagenomes from environmentally-enriched consortia of ANME-2 and SRB from Eel River Basin methane seeps. Our findings suggest that both ANME and SRB possess genes encoding ABC transporters with high affinity for Fe, Ni, Co, Zn and Mo. Combined with our geochemical data, these results imply that ANME-SRB consortia in highly sulfidic environments have specialized mechanisms that allow them to acquire metal micronutrients, although it is

  11. Let's get technical: Enhancing program evaluation through the use and integration of internet and mobile technologies.

    Science.gov (United States)

    Materia, Frank T; Miller, Elizabeth A; Runion, Megan C; Chesnut, Ryan P; Irvin, Jamie B; Richardson, Cameron B; Perkins, Daniel F

    2016-06-01

    Program evaluation has become increasingly important, and information on program performance often drives funding decisions. Technology use and integration can help ease the burdens associated with program evaluation by reducing the resources needed (e.g., time, money, staff) and increasing evaluation efficiency. This paper reviews how program evaluators, across disciplines, can apply internet and mobile technologies to key aspects of program evaluation, which consist of participant registration, participant tracking and retention, process evaluation (e.g., fidelity, assignment completion), and outcome evaluation (e.g., behavior change, knowledge gain). In addition, the paper focuses on the ease of use, relative cost, and fit with populations. An examination on how these tools can be integrated to enhance data collection and program evaluation is discussed. Important limitations of and considerations for technology integration, including the level of technical skill, cost needed to integrate various technologies, data management strategies, and ethical considerations, are highlighted. Lastly, a case study of technology use in an evaluation conducted by the Clearinghouse for Military Family Readiness at Penn State is presented and illustrates how technology integration can enhance program evaluation. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Systems Analysis Programs for Hands-on Integrated Reliability Evaluations (SAPHIRE) Data Loading Manual

    Energy Technology Data Exchange (ETDEWEB)

    C. L. Smith; K. J. Kvarfordt; S. T. Wood

    2006-07-01

    The Systems Analysis Programs for Hands-on Integrated Reliability Evaluations (SAPHIRE) is a software application developed for performing a complete probabilistic risk assessment (PRA) using a personal computer. SAPHIRE is primarily funded by the U.S. Nuclear Regulatory Commission (NRC) and developed by the Idaho National Laboratory. This report is intended to assist the user to enter PRA data into the SAPHIRE program using the built-in MAR-D ASCII-text file data transfer process. Towards this end, a small sample database is constructed and utilized for demonstration. Where applicable, the discussion includes how the data processes for loading the sample database relate to the actual processes used to load a larger PRA models. The procedures described herein were developed for use with SAPHIRE Version 6.0 and Version 7.0. In general, the data transfer procedures for version 6 and 7 are the same, but where deviations exist, the differences are noted. The guidance specified in this document will allow a user to have sufficient knowledge to both understand the data format used by SAPHIRE and to carry out the transfer of data between different PRA projects.

  13. An integrated impact assessment and weighting methodology: evaluation of the environmental consequences of computer display technology substitution.

    Science.gov (United States)

    Zhou, Xiaoying; Schoenung, Julie M

    2007-04-01

    Computer display technology is currently in a state of transition, as the traditional technology of cathode ray tubes is being replaced by liquid crystal display flat-panel technology. Technology substitution and process innovation require the evaluation of the trade-offs among environmental impact, cost, and engineering performance attributes. General impact assessment methodologies, decision analysis and management tools, and optimization methods commonly used in engineering cannot efficiently address the issues needed for such evaluation. The conventional Life Cycle Assessment (LCA) process often generates results that can be subject to multiple interpretations, although the advantages of the LCA concept and framework obtain wide recognition. In the present work, the LCA concept is integrated with Quality Function Deployment (QFD), a popular industrial quality management tool, which is used as the framework for the development of our integrated model. The problem of weighting is addressed by using pairwise comparison of stakeholder preferences. Thus, this paper presents a new integrated analytical approach, Integrated Industrial Ecology Function Deployment (I2-EFD), to assess the environmental behavior of alternative technologies in correlation with their performance and economic characteristics. Computer display technology is used as the case study to further develop our methodology through the modification and integration of various quality management tools (e.g., process mapping, prioritization matrix) and statistical methods (e.g., multi-attribute analysis, cluster analysis). Life cycle thinking provides the foundation for our methodology, as we utilize a published LCA report, which stopped at the characterization step, as our starting point. Further, we evaluate the validity and feasibility of our methodology by considering uncertainty and conducting sensitivity analysis.

  14. Evaluation of Azygous Vein Aneurysm Using Integrated PET/MRI

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Hyo Jung; Kang, Keon Wook; Lee, Dong Soo; Goo, Jin Mo; Kim, Young Tae; Park, Young Sik; Cheon, Gi Jeong [Seoul National Univ. College of Medicine, Seoul (Korea, Republic of)

    2014-06-15

    A previously healthy, non-smoking, 72-year-old woman was referred to our hospital with abnormal chest X-ray and chest discomfort. A 3.5-cm, well-defined, right paratracheal mass was revealed on non-contrast chest computed tomography (CT), which was suspected to be an azygous vein aneurysm, lymph adenopathy or neurogenic tumor. Whole-body integrated positron emission tomography/magnetic resonance imaging (PET/MRI) (Biograph mMR; Siemens Healthcare, Erlangen, Germany) was performed for the differential diagnosis. A homogenously enhancing mass connected with the azygous vein was well visualized in a post-contrast volumetric interpolated gradient echo (VIBE) sequence. Additionally, the PET showed minimal {sup 18}F-fluorodeoxyglucose (FDG) uptake (maximum standardized uptake value [SUVmax], 1.83), similar to that of the great vessels, with no filling defect to suggest thromboembolism and no significant FDG uptake to suggest active thrombo-embolism or malignancy. The imaging findings in integrated PET/MRI were useful to characterize azygous vein aneurysm. The patient had a video-assisted thoracoscopic surgery to relieve the symptom of chest pain. A congenital etiology of azygous vein aneurysm was confirmed by pathology.

  15. Polymer density functional approach to efficient evaluation of path integrals

    DEFF Research Database (Denmark)

    Brukhno, Andrey; Vorontsov-Velyaminov, Pavel N.; Bohr, Henrik

    2005-01-01

    , the path integral problem can, in principle, be solved exactly by making use of the two-particle pair correlation function (2p-PCF) for the ends of an open polymer, half of the original. This way the exact data for one-dimensional quantum harmonic oscillator are reproduced in a wide range of temperatures....... The exact solution is not, though, reachable in three dimensions (3D) because of a vast amount of storage required for 2p-PCF. In order to treat closed paths in 3D, we introduce a so-called "open ring" approximation which proves to be rather accurate in the limit of long chains. We also employ a simple self......-consistent iteration so as to correctly account for the interparticle interactions. The algorithm is speeded up by taking convolutions with the aid of fast Fourier transforms. We apply this approximate path integral DFT (PI-DFT) method to systems within spherical symmetry: 3D harmonic oscillator, atoms of hydrogen...

  16. Publicly available software tools for decision-makers during an emergent epidemic-Systematic evaluation of utility and usability.

    Science.gov (United States)

    Heslop, David James; Chughtai, Abrar Ahmad; Bui, Chau Minh; MacIntyre, C Raina

    2017-12-01

    Epidemics and emerging infectious diseases are becoming an increasing threat to global populations-challenging public health practitioners, decision makers and researchers to plan, prepare, identify and respond to outbreaks in near real-timeframes. The aim of this research is to evaluate the range of public domain and freely available software epidemic modelling tools. Twenty freely utilisable software tools underwent assessment of software usability, utility and key functionalities. Stochastic and agent based tools were found to be highly flexible, adaptable, had high utility and many features, but low usability. Deterministic tools were highly usable with average to good levels of utility. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

  17. Performing Economic Evaluation of Integrated Care: Highway to Hell or Stairway to Heaven?

    Science.gov (United States)

    Stein, K. Viktoria; Evers, Silvia; Rutten-van Mölken, Maureen

    2016-01-01

    Health economists are increasingly interested in integrated care in order to support decision-makers to find cost-effective solutions able to tackle the threat that chronic diseases pose on population health and health and social care budgets. However, economic evaluation in integrated care is still in its early years, facing several difficulties. The aim of this paper is to describe the unique nature of integrated care as a topic for economic evaluation, explore the obstacles to perform economic evaluation, discuss methods and techniques that can be used to address them, and set the basis to develop a research agenda for health economics in integrated care. The paper joins the voices that call health economists to pay more attention to integrated care and argues that there should be no more time wasted for doing it. PMID:28316543

  18. Does My Program Really Make a Difference? Program Evaluation Utilizing Aggregate Single-Subject Data

    Science.gov (United States)

    Burns, Catherine E.

    2015-01-01

    In the current climate of increasing fiscal and clinical accountability, information is required about overall program effectiveness using clinical data. These requests present a challenge for programs utilizing single-subject data due to the use of highly individualized behavior plans and behavioral monitoring. Subsequently, the diversity of the…

  19. Evaluation of Social Media Utilization by Latino Adolescents: Implications for Mobile Health Interventions

    Science.gov (United States)

    Vyas, Amita; Turner, Monique; Glick, Sara; Wood, Susan

    2015-01-01

    Background Trends in social media use, including sending/receiving short message service (SMS) and social networking, are constantly changing, yet little is known about adolescent’s utilization and behaviors. This longitudinal study examines social media utilization among Latino youths, and differences by sex and acculturation. Objectives The purpose of this study was to examine Latino adolescents’ social media utilization and behavior over a 16-month period, and to assess whether changes in use differed by sex and acculturation. Methods This study included 555 Latino youths aged 13-19 who completed baseline and 16-month follow-up surveys. Prevalence of social media utilization and frequency, by sex and acculturation categories, was examined using generalized estimating equations. Results Women are more likely to use SMS, but men are significantly more likely to SMS a girl/boyfriend (P=.03). The use of Internet by men and women to research health information increased over time. Facebook use declined over time (PInstagram (P<.001) increased, especially among women and more US acculturated youths. Conclusion Social media is ubiquitous in Latino adolescents’ lives and may be a powerful mode for public health intervention delivery. PMID:26420553

  20. Evaluation of Social Media Utilization by Latino Adolescents: Implications for Mobile Health Interventions.

    Science.gov (United States)

    Landry, Megan; Vyas, Amita; Turner, Monique; Glick, Sara; Wood, Susan

    2015-09-29

    Trends in social media use, including sending/receiving short message service (SMS) and social networking, are constantly changing, yet little is known about adolescent's utilization and behaviors. This longitudinal study examines social media utilization among Latino youths, and differences by sex and acculturation. The purpose of this study was to examine Latino adolescents' social media utilization and behavior over a 16-month period, and to assess whether changes in use differed by sex and acculturation. This study included 555 Latino youths aged 13-19 who completed baseline and 16-month follow-up surveys. Prevalence of social media utilization and frequency, by sex and acculturation categories, was examined using generalized estimating equations. Women are more likely to use SMS, but men are significantly more likely to SMS a girl/boyfriend (P=.03). The use of Internet by men and women to research health information increased over time. Facebook use declined over time (PInstagram (P<.001) increased, especially among women and more US acculturated youths. Social media is ubiquitous in Latino adolescents' lives and may be a powerful mode for public health intervention delivery.

  1. Utilization of industrial enzymes in the evaluation of neutral detergent insoluble fiber content in high-starch samples

    Directory of Open Access Journals (Sweden)

    Daiany Íris Gomes

    2014-09-01

    Full Text Available It were performed two experiments to evaluate the utilization of industrial enzymes in the evaluation of NDF contents in high-starch materials. In the first experiment, it was verified the accuracy of estimates of neutral detergent fiber (NDF obtained with the utilization of three industrial enzymes (Termamyl 2X, Liquozyme Supra 2.2.X, and Amylase AG 300L at different volumes (50, 100, 250 or 500 mL/ sample. Samples were simulated to contain starch at 0, 100, 300, 500 and 1000 g/kg using purified cellulose and starch (n = 240. In the second experiment, samples of corn grain and sorghum grain were evaluated considering the same enzyme types and volumes used in the first experiment adding aliquots without using enzyme (n = 104. There was no significant bias of NDF recovery for simulated samples containing starch up to 300 g/kg. Considering those samples, none difference among enzymes was observed. It was observed a more intense decrease in NDF content according to each enzyme unit added on corn when compared to sorghum. Considering NDF evaluation in samples with mass of 0.7 to 1.0 g, it can be recommended the utilization of 250 mL the ?-amylases Termamyl and 2X Liquozyme 2.2X with activities of 240 and 300 KNU/g, respectively.

  2. Evaluation of the utilization patterns of leukotriene modifiers in a large managed care health plan.

    Science.gov (United States)

    Lakomski, Paul G; Chitre, Mona

    2004-01-01

    To assess the utilization of leukotriene modifiers (LM) relative to national guidelines and to investigate possible emergency room utilization differences for LMs as monotherapy versus inhaled corticosteroid (ICS) monotherapy or combination ICS and LM therapy. The utilization of leukotriene modifiers (montelukast sodium, zafirlukast, and zileuton), concurrent inhaled steroids (beclomethasone, budesonide, flunisolide, fluticasone, and triamcinolone), beta-agonists (albuterol, bitolterol, formoterol, isoetharine, levalbuterol, metaproterenol, pirbuterol, salmeterol, and terbutaline) and low-sedating antihistamines ([LSAs] cetirizine, desloratadine, fexofenadine, and loratadine) were assessed from the drug claims database of a large health insurer for dates of service for the 12-month period from September 1, 2001, through August 31, 2002. New-start LM patients were identified as having no previous LM drug claim within a 180-day look-back period from the first date of fill for the LM. Claims were stratified into age cohorts of.under 16 years. and.16 years and older. Emergency room (ER) claims for patients utilizing LMs, ICSs, and patients on both LM and ICS were retrieved for analysis from the medical claims database for the same 12-month study period. More than 89% of new LM starts had no history of an ICS in the claims database. Overall, 61% of all (new and existing) LM patients did not have a claim for an ICS in their drug claims profile during the study period. An estimated 25% of LM utilization was not for asthma. No differences in ER utilization were found between ICS users and LM users; however, the ER utilization rate (0.090 ER visits per patient per year) was lower with combination therapy compared with monotherapy with ICS (0.110 ER visits per patient per year, P = 0.001) or LM (0.119 emergency room visits per patient per year, P<0.001). The majority of LM use in this health plan was initial monotherapy, contrary to national treatment guidelines for asthma

  3. Studying of preconditions of introduction of integrating-utilizing balls in the process of physical education of children of the senior preschool age

    Directory of Open Access Journals (Sweden)

    Pasichnyk V. M.

    2012-03-01

    Full Text Available The condition of introduction of integrating-utilizing balls in process of physical education of children of the senior preschool age is considered. In research is used the data of questionnaire of 95 teachers of preschool educational establishments of Lvov. It is established that all interrogated are interested in innovations in physical education process. It is noticed that the majority of respondents 54, 6 % prefer sports employment with elements of games, entertainments and relay races. Determined that 72, 9 % interrogated combined sports employment with other subjects. It is shown that impellent activity promotes mental development of children. By the overwhelming majority of respondents of 98, 8 % are noticed that in the course of physical education it is expedient to combine impellent and informative activity. It is established that all respondents would like to introduce is integrating-utilizing balls in process of physical education of the pre-school educational establishments and see expedient working out of methodical recommendations.

  4. Utility of postoperative radiographs for cervical spine fusion: a comprehensive evaluation of operative technique, surgical indication, and duration since surgery.

    Science.gov (United States)

    Shau, David N; Bible, Jesse E; Samade, Richard; Gadomski, Stephen P; Mushtaq, Bushra; Wallace, Ato; McGirt, Matthew J; O'Neill, Kevin R; Devin, Clinton J

    2012-11-15

    A retrospective study. To assess the utility of postoperative radiographs in patients across a spectrum of cervical fusion procedures, surgical indication, and time since surgery. Postoperative radiographs are routinely obtained after cervical spine fusion despite lack of evidence supporting such practice. Studies assessing postoperative radiographical utility in the cervical spine have been limited. To date, no study has comprehensively evaluated the utility of obtaining such radiographs across multiple cervical fusion procedures. A total of 972 clinic notes from 301 patients during a 10-year period at a single institution were retrospectively reviewed. Patients in this study underwent an anterior cervical discectomy and fusion, anterior corpectomy and fusion, a combined anterior cervical discectomy and fusion and anterior corpectomy and fusion (hybrid), posterior spine fusion, or 360° fusion. All postoperative clinic notes and radiographs were reviewed for abnormalities and changes in treatment course. It was determined whether an abnormal radiograph alone led to a change in treatment course among the various operative techniques, surgical indication, or time since surgery. No statistical significant difference in radiograph utility between anterior cervical discectomy and fusion (0 changes in treatment course due to radiograph alone out of 332 clinic notes), anterior corpectomy and fusion (0 of 140), hybrid procedure (1 of 72), posterior spine fusion (5 of 357), and 360° fusion (0 of 71) was found. Surgical indication (trauma vs. degeneration) and duration from surgery yielded no statistical significant difference in radiograph utility. The overall sensitivity, specificity, and positive and negative predictive values of radiographs were 33.8%, 87.6%, 19.0%, and 93.9%, respectively. Regardless of operative techniques performed, surgical indication, and time since surgery, routine postoperative radiographs provide low utility in guiding treatment course in

  5. Evaluating components of dental care utilization among adults with diabetes and matched controls via hurdle models

    Directory of Open Access Journals (Sweden)

    Chaudhari Monica

    2012-07-01

    Full Text Available Abstract Background About one-third of adults with diabetes have severe oral complications. However, limited previous research has investigated dental care utilization associated with diabetes. This project had two purposes: to develop a methodology to estimate dental care utilization using claims data and to use this methodology to compare utilization of dental care between adults with and without diabetes. Methods Data included secondary enrollment and demographic data from Washington Dental Service (WDS and Group Health Cooperative (GH, clinical data from GH, and dental-utilization data from WDS claims during 2002–2006. Dental and medical records from WDS and GH were linked for enrolees continuously and dually insured during the study. We employed hurdle models in a quasi-experimental setting to assess differences between adults with and without diabetes in 5-year cumulative utilization of dental services. Propensity score matching adjusted for differences in baseline covariates between the two groups. Results We found that adults with diabetes had lower odds of visiting a dentist (OR = 0.74, p  0.001. Among those with a dental visit, diabetes patients had lower odds of receiving prophylaxes (OR = 0.77, fillings (OR = 0.80 and crowns (OR = 0.84 (p 0.005 for all and higher odds of receiving periodontal maintenance (OR = 1.24, non-surgical periodontal procedures (OR = 1.30, extractions (OR = 1.38 and removable prosthetics (OR = 1.36 (p  Conclusions Patients with diabetes are less likely to use dental services. Those who do are less likely to use preventive care and more likely to receive periodontal care and tooth-extractions. Future research should address the possible effectiveness of additional prevention in reducing subsequent severe oral disease in patients with diabetes.

  6. Integrated Psychosocial and Opioid-Antagonist Treatment for Alcohol Dependence: A Systematic Review of Controlled Evaluations

    Science.gov (United States)

    Vaughn, Michael G.; Howard, Matthew O.

    2004-01-01

    Methodological characteristics and outcomes of 14 controlled clinical investigations of integrated psychosocial and opioid-antagonist alcohol dependence treatment were evaluated. The 14 studies were identified through computerized bibliographic and manual literature searches. Clients receiving integrated psychosocial and opioid-antagonist…

  7. Process Evaluation of a Workplace Integrated Care Intervention for Workers with Rheumatoid Arthritis

    NARCIS (Netherlands)

    Vlisteren, M. van; Boot, C.R.; Voskuyl, A.E.; Steenbeek, R.; Schaardenburg, D. van; Anema, J.R.

    2016-01-01

    Purpose To perform a process evaluation of the implementation of a workplace integrated care intervention for workers with rheumatoid arthritis to maintain and improve work productivity. The intervention consisted of integrated care and a participatory workplace intervention with the aim to make

  8. Evaluation of Chest Ultrasound Integrated Teaching of Respiratory System Physiology to Medical Students

    Science.gov (United States)

    Paganini, Matteo; Bondì, Michela; Rubini, Alessandro

    2017-01-01

    Ultrasound imaging is a widely used diagnostic technique, whose integration in medical education is constantly growing. The aim of this study was to evaluate chest ultrasound usefulness in teaching respiratory system physiology, students' perception of chest ultrasound integration into a traditional lecture in human physiology, and short-term…

  9. Experimental Evaluation of Integral Transformations for Engineering Drawings Vectorization

    Directory of Open Access Journals (Sweden)

    Vaský Jozef

    2014-12-01

    Full Text Available The concept of digital manufacturing supposes application of digital technologies in the whole product life cycle. Direct digital manufacturing includes such information technology processes, where products are directly manufactured from 3D CAD model. In digital manufacturing, engineering drawing is replaced by CAD product model. In the contemporary practice, lots of engineering paper-based drawings are still archived. They could be digitalized by scanner and stored to one of the raster graphics format and after that vectorized for interactive editing in the specific software system for technical drawing or for archiving in some of the standard vector graphics file format. The vector format is suitable for 3D model generating, too.The article deals with using of selected integral transformations (Fourier, Hough in the phase of digitalized raster engineering drawings vectorization.

  10. Evaluation of a monthly hydrological model for Integrated Assessment Models

    Science.gov (United States)

    Liu, Y.; Hejazi, M. I.; Li, H. Y.; Zhang, X.; Leng, G.

    2016-12-01

    The Integrated Assessment modeling (IAM) community, which generated the four representative concentration pathways (RCPs), is actively moving toward including endogenous representations of water supply and demand in their economic modeling frameworks. Toward integrating the water supply module, we build an efficient object-oriented and open-source hydrologic model (HM) to be embedded in IAMs - Global Change Assessment Model (GCAM). The main objective for this new HM is to strike a balance between model complexity and computational efficiency; i.e., possessing sufficient fidelity to capture both the annual and the seasonal signals of water fluxes and pools and being highly computationally efficient so that it can be used for large number of simulations or uncertainty quantification analyses. To this end, we build a monthly gridded hydrological model based on the ABCD model with some additional features such as a snow scheme and the effects of land use and land cover change (LULCC) on the hydrological cycle. In this framework, we mainly simulate the pools of soil moisture, snowpack and groundwater storage, and the fluxes of evapotranspiration, recharge to groundwater, direct runoff and groundwater discharge. We assess the performance of the model by comparing the model results against runoff simulation from the model of Variable Infiltration Capacity (VIC) as well as historical streamflow observations at various gauge stations. We will present results on the model performance, the gains of adding different model components (e.g., snow scheme, effects of LULCC), and the variations of hydrological cycle globally over the historical period of 1901-2010.

  11. Evaluation of lead/carbon devices for utility applications : a study for the DOE Energy Storage Program.

    Energy Technology Data Exchange (ETDEWEB)

    Walmet, Paula S. (MeadWestvaco Corporation,North Charleston, SC)

    2009-06-01

    This report describes the results of a three-phase project that evaluated lead-based energy storage technologies for utility-scale applications and developed carbon materials to improve the performance of lead-based energy storage technologies. In Phase I, lead/carbon asymmetric capacitors were compared to other technologies that used the same or similar materials. At the end of Phase I (in 2005) it was found that lead/carbon asymmetric capacitors were not yet fully developed and optimized (cost/performance) to be a viable option for utility-scale applications. It was, however, determined that adding carbon to the negative electrode of a standard lead-acid battery showed promise for performance improvements that could be beneficial for use in utility-scale applications. In Phase II various carbon types were developed and evaluated in lead-acid batteries. Overall it was found that mesoporous activated carbon at low loadings and graphite at high loadings gave the best cycle performance in shallow PSoC cycling. Phase III studied cost/performance benefits for a specific utility application (frequency regulation) and the full details of this analysis are included as an appendix to this report.

  12. Evaluation Of Farmer Field School On Integrated Pest | Rustum ...

    African Journals Online (AJOL)

    ... as SLPHT, namely Sekolah Lapangan Pengendalian Hama Terpadu); to evaluate the effects of the IPMFFS program to the degree of the pesticide use and the production of farmer-efforts; and to describe the provision of the farmer-efforts, adoption process, innovation process and the change of knowledge and skills of the ...

  13. Evaluating Biology Achievement Scores in an ICT Integrated PBL Environment

    Science.gov (United States)

    Osman, Kamisah; Kaur, Simranjeet Judge

    2014-01-01

    Students' achievement in Biology is often looked up as a benchmark to evaluate the mode of teaching and learning in higher education. Problem-based learning (PBL) is an approach that focuses on students' solving a problem through collaborative groups. There were eighty samples involved in this study. The samples were divided into three groups: ICT…

  14. Evaluation of Learning Gains through Integrated STEM Projects

    Science.gov (United States)

    Corlu, Mehmet Ali; Aydin, Emin

    2016-01-01

    New approaches to instruction are needed in all educational levels in order to develop the skills suited to the twenty-first century (i.e., inquiry, problem solving, innovation, entrepreneurship, technological communication, experimental design, and investigativeness). This research evaluated the outcomes of an approach aiming to develop such…

  15. Integrated corridor management initiative : demonstration phase evaluation, San Diego institutional and organizational analysis test plan.

    Science.gov (United States)

    2012-08-01

    This report presents the test plan for conducting the Institutional and Organizational Analysis for the United States Department of Transportation (U.S. DOT) evaluation of the San Diego Integrated Corridor Management (ICM) Initiative Demonstration. T...

  16. Integrated corridor management initiative : demonstration phase evaluation. Dallas institutional and organizational analysis test plan.

    Science.gov (United States)

    2012-08-01

    This report presents the test plan for conducting the Institutional and Organizational Analysis for the : United States Department of Transportation (U.S. DOT) evaluation of the Dallas U.S. 75 Integrated : Corridor Management (ICM) Initiative Demonst...

  17. Integrated corridor management initiative : demonstration phase evaluation - Dallas technical capability analysis test plan.

    Science.gov (United States)

    This report presents the test plan for conducting the Technical Capability Analysis for the United States : Department of Transportation (U.S. DOT) evaluation of the Dallas U.S. 75 Integrated Corridor : Management (ICM) Initiative Demonstration. The ...

  18. Integrated corridor management initiative : demonstration phase evaluation, San Diego technical capability analysis test plan.

    Science.gov (United States)

    2012-08-01

    This report presents the test plan for conducting the Technical Capability Analysis for the United States Department of Transportation (U.S. DOT) evaluation of the San Diego Integrated Corridor Management (ICM) Initiative Demonstration. The ICM proje...

  19. Numerical Evaluation of Stress Intensity Factors (Ki) J-Integral Approach

    National Research Council Canada - National Science Library

    Riveros, Guillermo A

    2006-01-01

    The purpose of this Coastal and Hydraulics Engineering Technical Note (CHETN) is to describe the numerical evaluation of the stress intensity factors using the J-integral approach (Rice 1968a, 1968b...

  20. Weather integration in TMC operations : a self-evaluation and planning guide.

    Science.gov (United States)

    2009-04-01

    This flyer describes how Traffic Management Centers (TMC) can integrate weather information into their daily operations, and is based on the Road Weather Management Program publication, Self-Evaluation and Planning Guide (FHWA-JPO-08-057). The Guide ...

  1. Integrated corridor management initiative : demonstration phase evaluation - San Diego benefit-cost analysis test plan.

    Science.gov (United States)

    This report presents the test plan for conducting the Benefit-Cost Analysis (BCA) for the United States : Department of Transportation (U.S. DOT) evaluation of the San Diego Integrated Corridor Management : (ICM) Initiative Demonstration. The ICM pro...

  2. Integrated corridor management initiative : demonstration phase evaluation, San Diego air quality test plan.

    Science.gov (United States)

    2012-08-01

    This report presents the test plan for conducting the Air Quality Analysis for the United States Department of Transportation (U.S. DOT) evaluation of the San Diego Integrated Corridor Management (ICM) Initiative Demonstration. The ICM projects being...

  3. Integrated corridor management initiative : demonstration phase evaluation, Dallas air quality test plan.

    Science.gov (United States)

    2012-08-01

    This report presents the test plan for conducting the Air Quality Analysis for the United States : Department of Transportation (U.S. DOT) evaluation of the Dallas U.S. 75 Integrated Corridor : Management (ICM) Initiative Demonstration. The ICM proje...

  4. Integrated corridor management initiative : demonstration phase evaluation, San Diego decision support system analysis test plan.

    Science.gov (United States)

    2012-08-01

    This report presents the test plan for conducting the Decision Support System Analysis for the United States Department of Transportation (U.S. DOT) evaluation of the San Diego Integrated Corridor Management (ICM) Initiative Demonstration. The ICM pr...

  5. Integrated corridor management initiative : demonstration phase evaluation - Dallas decision support system analysis test plan.

    Science.gov (United States)

    2012-08-01

    This report presents the test plan for conducting the Decision Support System (DSS) Analysis for the : United States Department of Transportation (U.S. DOT) evaluation of the Dallas U.S. 75 Integrated : Corridor Management (ICM) Initiative Demonstrat...

  6. Streamlining and integrating right-of-way and utility processes with planning, environmental, and design processes in Australia and Canada.

    Science.gov (United States)

    2009-06-01

    Many transportation projects require acquisition of land and accommodation of utility facilities in the : right-of-way. The Federal Highway Administration, American Association of State Highway and : Transportation Officials, and National Cooperative...

  7. Why we do what we do: a theoretical evaluation of the integrated practice model for forensic nursing science.

    Science.gov (United States)

    Valentine, Julie L

    2014-01-01

    An evaluation of the Integrated Practice Model for Forensic Nursing Science () is presented utilizing methods outlined by . A brief review of nursing theory basics and evaluation methods by Meleis is provided to enhance understanding of the ensuing theoretical evaluation and critique. The Integrated Practice Model for Forensic Nursing Science, created by forensic nursing pioneer Virginia Lynch, captures the theories, assumptions, concepts, and propositions inherent in forensic nursing practice and science. The historical background of the theory is explored as Lynch's model launched the role development of forensic nursing practice as both a nursing and forensic science specialty. It is derived from a combination of nursing, sociological, and philosophical theories to reflect the grounding of forensic nursing in the nursing, legal, psychological, and scientific communities. As Lynch's model is the first inception of forensic nursing theory, it is representative of a conceptual framework although the title implies a practice theory. The clarity and consistency displayed in the theory's structural components of assumptions, concepts, and propositions are analyzed. The model is described and evaluated. A summary of the strengths and limitations of the model is compiled followed by application to practice, education, and research with suggestions for ongoing theory development.

  8. Evaluation of Learning Gains Through Integrated STEM Projects

    OpenAIRE

    Corlu, Mehmet Ali; Aydin, Emin

    2016-01-01

    New approaches to instruction are needed in all educational levels in order to develop the skills suited to the twenty-first century (i.e., inquiry, problem solving, innovation, entrepreneurship, technological communication, experimental design, and investigativeness). This research evaluated the outcomes of an approach aiming to develop such skills based on students’ assessments of themselves and their peers with regard to investigative projects and course grades. The study is chiefly based ...

  9. Vancomycin and Five Broad-spectrum Antibiotic Utilization Evaluation in an Educational Medical Center in One Year

    OpenAIRE

    SiminDokht Shoaei; Aliasghar Bagherzadeh; Mehrdad Haghighi; Meinoosh Shabani

    2015-01-01

     Background: Antibiotics can be life saving if they are used correctly, and can have unwanted side effects specially resistance with incorrect use. Unfortunately in fear of no response, physicians use broad spectrum antibiotics meticulously. In this Drug Utilization Evaluation (DUE), improper use of Vancomycin and five broad-spectrum antibiotics are studied to find faults and solution for this problem. Methods:This descriptive cross-sectional study performed during the March of 2012 to March ...

  10. Recommended methods for evaluating the benefits of ECUT Program outputs. [Energy Conversion and Utilization

    Energy Technology Data Exchange (ETDEWEB)

    Levine, L.O.; Winter, C.

    1986-03-01

    This study was conducted to define and develop techniques that could be used to assess the complete spectrum of positive effects resulting from the Energy Conversion and Utilization Technologies (ECUT) Program activities. These techniques could then be applied to measure the benefits from past ECUT outputs. In addition, the impact of future ECUT outputs could be assessed as part of an ongoing monitoring process, after sufficient time has elapsed to allow their impacts to develop.

  11. Evaluating environmental sustainability: an integration of multiple-criteria decision-making and fuzzy logic.

    Science.gov (United States)

    Liu, Kevin F R

    2007-05-01

    While pursuing economic development, countries around the world have become aware of the importance of environmental sustainability; therefore, the evaluation of environmental sustainability has become a significant issue. Traditionally, multiple-criteria decision-making (MCDM) was widely used as a way of evaluating environmental sustainability, Recently, several researchers have attempted to implement this evaluation with fuzzy logic since they recognized the assessment of environmental sustainability as a subjective judgment Intuition. This paper outlines a new evaluation-framework of environmental sustainability, which integrates fuzzy logic into MCDM. This evaluation-framework consists of 36 structured and 5 unstructured decision-points, wherein MCDM is used to handle the former and fuzzy logic serves for the latter, With the integrated evaluation-framework, the evaluations of environmental sustainability in 146 countries are calculated, ranked and clustered, and the evaluation results are very helpful to these countries, as they identify their obstacles towards environmental sustainability.

  12. The evaluation of chosen properties of ashes created by thermal utilization of hazardous and communal wastes

    Directory of Open Access Journals (Sweden)

    Damian Krawczykowski

    2005-11-01

    Full Text Available One of methods of the waste neutralization is their thermal transformation in suitable installations or devices in order to achieve the state, which is no longer dangerous for the human health and life or for the environment. In effect of the thermal transformation the “new” wastes are created, which, by law are suppose a to be utilized first. These wastes may be utilized if their properties are suitable. In the paper, the process of thermal utilization of hazardous and municipal wastes is presented, together with the investigation results of the grain composition, surface area, density and of the initial chemical analysis of the created ashes. The research of the grain composition was conducted by using the “Fritsch” apparatus. On the base of the grain composition, the surface area of ashes under investigation was determined, whereas the density was determined by using the helium pycnometer. The purpose of the research was to determine how the properties of ashes are changed and if the differences allow to use these ashes in future.

  13. Exposure testing and evaluation of solar utilization materials. Semiannual report, May 1, 1975--October 31, 1975

    Energy Technology Data Exchange (ETDEWEB)

    Gilligan, J.E.; Brzuskiewicz, J.

    1975-01-01

    The initial efforts of a program of research and experimental testing is described in which the optical performance of materials for use in solar energy utilization devices will be determined before and after exposure to outdoor weathering tests. Materials which are currently in use and others which are being considered or developed for these applications will be characterized and exposed to natural solar radiation. Outdoor testing will be accomplished in Phoenix (Ariz.), Miami (Fla.), and Chicago (Ill.). The results of these tests, primarily the effects of outdoor exposure on optical and physical properties, will be compiled in a handbook, along with cost, availability and other pertinent information. These data are vital to the intelligent selection of solar utilization materials, since a knowledge of the cost performance and lifetime characteristics of candidate materials will greatly assist the design of efficient and reliable solar energy utilization devices. Primary accomplishments include the definition of sample requirements, specification of test samples and test configurations, formulation of acceptance/rejection criteria and contacts with numerous potential materials suppliers.

  14. TOWARD INTEGRATION IN THE CONTEXT OF HEALTH TECHNOLOGY ASSESSMENT: THE NEED FOR EVALUATIVE FRAMEWORKS.

    Science.gov (United States)

    van der Wilt, Gert Jan; Gerhardus, Ansgar; Oortwijn, Wija

    2017-01-01

    A comprehensive health technology assessment (HTA) enables a patient-centered assessment of the effectiveness, economic, ethical, socio-cultural, and legal issues of health technologies that takes context and implementation into account. A question is whether these various pieces of evidence need to be integrated, and if so, how that might be achieved. The objective of our study is to discuss the meaning of integration in the context of HTA and suggest how it may be achieved in a more structured way. An analysis of the concept of integration in the context of HTA and a review of approaches that were adopted in the INTEGRATE-HTA project that may support integration. Current approaches to integration in HTA are mainly methods of commensuration, which are not optimally geared to support public deliberation. In contrast, articulating evaluative frameworks could be an important means of integration which allows for exploring how facts and values can be brought to bear on each other. Integration is not something that only needs to be addressed at the end, but rather throughout an HTA, right from the start. Integration can be conceived as a matter of accounting for the relevance of empirical evidence in view of a commitment to a set of potentially conflicting values. Various elements of the INTEGRATE-HTA project, such as scoping and the development of logic models, can help to achieve integration in HTA.

  15. Thermoeconomic Evaluation of Integrated Solar Combined Cycle Systems (ISCCS

    Directory of Open Access Journals (Sweden)

    Javier Rodríguez Martín

    2014-07-01

    Full Text Available Three alternatives for integrating a solar field with the bottoming cycle of a combined cycle plant are modeled: parabolic troughs with oil at intermediate and low cycle pressures and Fresnel linear collectors at low cycle pressure. It is assumed that the plant will always operate at nominal conditions, using post-combustion during the hours of no solar resource. A thermoeconomic study of the operation of the plant throughout a year has been carried out. The energy and exergy efficiencies of the plant working in fuel only and hybrid modes are compared. The energy efficiencies obtained are very similar; slightly better for the fuel only mode. The exergy efficiencies are slightly better for hybrid operation than for fuel-only mode, due to the high exergy destruction associated with post-combustion. The values for solar electric efficiency are in line with those of similar studies. The economic study shows that the Fresnel hybridization alternative offers similar performance to the others at a significantly lower cost.

  16. Aging Evaluation Programs for Jet Transport Aircraft Structural Integrity

    Directory of Open Access Journals (Sweden)

    Borivoj Galović

    2012-10-01

    Full Text Available The paper deals with criteria and procedures in evaluationof timely preventive maintenance recommendations that willsupport continued safe operation of aging jet transports untiltheir retirement from service. The active service life of commercialaircraft has increased in recent years as a result of low fuelcost, and increasing costs and delivery times for fleet replacements.Air transport industry consensus is that older jet transportswill continue in service despite anticipated substantial increasesin required maintenance. Design concepts, supportedby testing, have worked well due to the system that is used to ensureflying safety. Continuing structural integrity by inspectionand overhaul recommendation above the level contained inmaintenance and service bulletins is additional requirement, insuch cases. Airplane structural safety depends on the performanceof all participants in the system and the responsibility forsafety cannot be delegated to a single participant. This systemhas three major participants: the manufacturers who design,build and support airplanes in service, the airlines who operate,inspect and mantain airplanes and the airworthiness authoritieswho establish rules and regulations, approve the design andpromote airline maintenance performance.

  17. Performance Evaluation of Integrated Constructed Wetland for Domestic Wastewater Treatment.

    Science.gov (United States)

    Sehar, Shama; Naz, Iffat; Khan, Sumera; Naeem, Sana; Perveen, Irum; Ali, Naeem; Ahmed, Safia

    2016-03-01

    Simple, budget friendly, laboratory-scale integrated constructed wetland (ICW) was designed to assess domestic wastewater treatment performance at a loading rate of 75 mm/d, planted with native plant species: Veronica-angallis aquatica and compared with non-vegetative control system at various residence times of 4, 8, 12, 16, 20, 24, and 28 days. Results revealed that the vegetated ICW demonstrated superior performance over non-vegetated control: 69.12 vs 17.12%, 67.77 vs 16.04%, 68 vs 16.48%, 71.19 vs 6.56%, 71.54 vs 14.80%, and 72.04 vs 11.41% for total dissolved solids, total suspended solids, phosphates (PO4(-)), sulfate (SO4(-)), nitrate (NO3(-)), and nitrite (NO2(-)), respectively, at 20 days residence times. Reduction in bacterial counts (2.79 × 10(4) CFU/mL) and fecal pathogens (345.5 MPN index/100 mL) was observed in V. aquatica at 20 days residence time. Therefore, the present study highlights not only the presence of vegetation but also appropriate residence time in constructed wetlands for better performances.

  18. Laboratory Performance Evaluation of Residential Integrated Heat Pump Water Heaters

    Energy Technology Data Exchange (ETDEWEB)

    Sparn, B.; Hudon, K.; Christensen, D.

    2014-06-01

    This paper explores the laboratory performance of five integrated Heat Pump Water Heaters (HPWHs) across a wide range of operating conditions representative of U.S. climate regions. HPWHs are expected to provide significant energy savings in certain climate zones when compared to typical electric resistance water heaters. Results show that this technology is a viable option in most climates, but differences in control schemes and design features impact the performance of the units tested. Tests were conducted to map heat pump performance across the operating range and to determine the logic used to control the heat pump and the backup electric heaters. Other tests performed include two unique draw profile tests, reduced air flow performance tests and the standard DOE rating tests. The results from all these tests are presented here for all five units tested. The results of these tests will be used to improve the EnergyPlus heat pump water heater for use in BEopt™ whole-house building simulations.

  19. Laboratory Performance Evaluation of Residential Integrated Heat Pump Water Heaters

    Energy Technology Data Exchange (ETDEWEB)

    Sparn, B.; Hudon, K.; Christensen, D.

    2014-06-01

    This paper explores the laboratory performance of five integrated Heat Pump Water Heaters (HPWHs) across a wide range of operating conditions representative of US climate regions. HPWHs are expected to provide significant energy savings in certain climate zones when compared to typical electric resistance water heaters. Results show that this technology is a viable option in most climates, but differences in control schemes and design features impact the performance of the units tested. Tests were conducted to map heat pump performance across the operating range and to determine the logic used to control the heat pump and the backup electric heaters. Other tests performed include two unique draw profile tests, reduced air flow performance tests and the standard DOE rating tests. The results from all these tests are presented here for all five units tested. The results of these tests will be used to improve the EnergyPlus heat pump water heater for use in BEopt(tm) whole-house building simulations.

  20. Integrating evidence in disability evaluation by social insurance physicians.

    Science.gov (United States)

    Kok, Rob; Hoving, Jan L; Verbeek, Jos; Schaafsma, Frederieke G; van Dijk, Frank Jh

    2011-11-01

    The aim of this study was to explore applying the method of evidence-based medicine (EBM) to resolve common questions in the field of disability evaluation. We used three clinical questions corresponding to problems encountered by insurance physicians in daily practice to explore opportunities for and barriers to the application of EBM. The questions fell under two topics: the prognosis of work ability and the effectiveness of interventions to enhance work participation. We used the four-step EBM strategy: (i) formulation of a clinical question, (ii) searching the literature, (iii) appraisal of the evidence, and (iv) implementation of the findings into clinical practice. We restricted the searches to PubMed (Medline). For rheumatoid arthritis, we found evidence on the prognosis of work disability over a long-term period. For remaining sciatica after lumbar discectomy, we found evidence for the stability of the limitations at this stage. For depression with co-morbid alcoholism, we found evidence that treatment of both conditions would enhance work participation. The searches were effective and efficient. The interpretation of the findings was hampered by a lack of consensus in the literature about outcomes such as the concept of a poor prognosis of work ability. The EBM strategy and methods can be used by social insurance physicians to find and apply evidence for common questions in disability evaluation. The World Health Organization's International Classification of Functioning, Disability, and Health (ICF) model is instrumental in this, although more consensus on central outcome measures is needed. Further research is needed on the translation of evidence into practice. Development of valid specific search strategies for physicians in disability evaluation would improve the implementation of EBM.

  1. Evaluation of steam generator WWER 440 tube integrity criteria

    Energy Technology Data Exchange (ETDEWEB)

    Splichal, K.; Otruba, J.; Burda, J. [Nuclear Research Institute Rez plc. (Czechoslovakia)

    1997-02-01

    The main corrosion damage in WWER steam generators under operating conditions has been observed on the outer surface of these tubes. An essential operational requirement is to assure a low probability of radioactive primary water leakage, unstable defect development and rupture of tubes. In the case of WWER 440 steam generators the above requirements led to the development of permissible limits for data evaluation of the primary-to-secondary leak measurements and determination of acceptable values for plugging of heat exchange tubes based on eddy current test (ECT) inspections.

  2. Evaluation of Nozzle Arrangement Focused on RPV Integrity

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jong Wook; Lee, Gyu Mahn; Jeoung, Kyeong Hoon; Kim, Tae Wan; Park, Keun Bae; Kim, Keung Koo

    2008-10-15

    The purpose of this study is to investigate the fabrication capacity of the reactor pressure vessel. For that reason, this study focuses on survey of the domestic equipment capacity and the feasible size for reactor pressure vessel. Also, the forecasting issues of adoption of new material for reactor pressure vessel are reviewed through typically examples. Additionally, an evaluation procedure for the design of nozzle is developed to meet ASME code requirements. The developed design procedure could provide typical references for the development of advanced reactor design in the future.

  3. Integrating Usability Evaluations into the Software Development Process

    DEFF Research Database (Denmark)

    Lizano, Fulvio

    usability evaluations into modern software development processes, as the agile methods, by using an iterative scheme of small tests. The efficiency of the method relies on the fact that all the activities in the test process require much less time than at the lab, while still obtaining similar results...... of users’ emotions, something which will increase the developers’ empathy towards users. The efficiency of the method is grounded in the fact that it allows a remote interaction with users, which facilitates the emotional contagion process....

  4. Integrating model of the Project Independence Evaluation System. Volume VI. Data documentation. Part I

    Energy Technology Data Exchange (ETDEWEB)

    Allen, B J

    1979-02-01

    This documentation describes the PIES Integrating Model as it existed on January 1, 1978. This volume contains two chapters. In Chapter I, Overview, the following subjects are briefly described: supply data, EIA projection series and scenarios, demand data and assumptions, and supply assumptions - oil and gas availabilities. Chapter II contains supply and demand data tables and sources used by the PIES Integrating Model for the mid-range scenario target years 1985 and 1990. Tabulated information is presented for demand, price, and elasticity data; coal data; imports data; oil and gas data; refineries data; synthetics, shale, and solar/geothermal data; transportation data; and utilities data.

  5. The utilization and evaluation of a simulation game in pre-registration nurse education.

    Science.gov (United States)

    Wildman, S; Reeves, M

    1996-10-01

    The employment of simulations and games has been widely recommended for use in nurse education but there are few reports of their introduction or evaluation. This paper describes the use and evaluation of a simulation game which prepares students for a management module in an English National Board pilot scheme course. Evaluation took place by using a questionnaire completed by 528 students and by participant observation by the facilitators. The evaluation indicates that a simulation game is an appropriate way of preparing students for practice and that it provides a realistic and safe environment for enjoyable and meaningful learning to take place.

  6. Integrative approaches utilizing oxytocin to enhance prosocial behavior: from animal and human social behavior to autistic social dysfunction

    National Research Council Canada - National Science Library

    Yamasue, Hidenori; Yee, Jason R; Hurlemann, René; Rilling, James K; Chen, Frances S; Meyer-Lindenberg, Andreas; Tost, Heike

    2012-01-01

    .... Thus, identifying causes and treatments is imperative. Here, we briefly review the topics covered in our 2012 Society for Neuroscience Mini-Symposium entitled "Integrative Approaches Using Oxytocin to Enhance Prosocial Behavior...

  7. National coal utilization assessment. An integrated assessment of increased coal use in the Midwest: impacts and constraints

    Energy Technology Data Exchange (ETDEWEB)

    Hoover, L. John

    1977-10-01

    This study was performed as a part of the Argonne National Laboratory Regional Studies program, which is sponsored by the Department of Energy. The purpose is to assess the impacts and consequences associated with alternative energy options on a regional basis, and to identify and analyze alternative mitigation and solution strategies for increasing the acceptability of these options. The National Coal Utilization Assessment is being conducted as a part of the Regional Studies Program. This particular study is focusing on impacts and constraints on increased coal utilization. In addition, a major focal point for the study is the identification and analysis of alternative solution strategies applicable to these constraints and problems.

  8. Evaluating The Performance of Asphalt Concrete Mixes by Utilizing Carbon Black as Asphalt Modifier

    Directory of Open Access Journals (Sweden)

    Aliaa Faleh Al.ani

    2018-02-01

    Full Text Available Carbon black produced from several factories in Iraq is expected to provide a reinforcing agent for asphalt paving materials. Carbon black has many characteristics that distinguish  it from conventional mineral fillers, as well as their different function in pavement mixtures. Theory and exercise advanced  in the inclusive utilize of carbon black as a reinforcing agent for rubber has led to concept of asphalt reinforcement. The very fine particles of micro filler added in different contents will be dispersed in asphalt cement improving the mechanical properties of asphalt concrete mixes. In this Four percentages rates were utilized; 0, 3, 6, and 9 percent adding to asphalt grade (60-70. Mixes of asphalt concrete were destined at their optimum asphalt content (OAC then experienced to assess their engineering characteristics that contain moisture of damage, permanent deformation, modulus of resilient and characteristics of fatigue. These characteristics have been assessed utilizing indirect tensile strength, uniaxial repeated loading and repeated flexural beam tests. Mixtures improved with carbon black were existed to have amended permanent deformation and fatigue characteristics, else exhibited high resilient modulus and lower moisture susceptibility. Result showed that a rate changed from 3 to 9 percent has shown an increase in resilient modulus for increment of carbon black and modulus of resilient for mixes with 9 percent carbon black was 1.4 times that for mixes with 0 percent carbon black. The altering of carbon black from a range (3-9 percent has modified the fatigue property of the asphalt concrete mixes as determined by flexural test, Significantly, to modify the asphalt concrete manner taken the  percent of carbon black 6, and to produce the mixes more durable , higher resistance to distresses by adding the local knowledge.

  9. An Evaluation of the Physiological Strain Experienced by Electrical Utility Workers in North America.

    Science.gov (United States)

    Meade, Robert D; Lauzon, Martin; Poirier, Martin P; Flouris, Andreas D; Kenny, Glen P

    2015-01-01

    The purpose of this study was to assess the physiological strain experienced by North American electrical utility workers during the performance of their normal work duties in heat stressed conditions. Three common job categories were monitored as they are normally performed in 32 electrical utility workers: (i) Ground Work (n = 11); (ii) Bucket Work (n = 9); and (iii) Manual Pole Work (n = 12). Worker hydration status (urine specific gravity (USG)) was measured prior to and following the work monitoring period (duration: 187 ± 104 min). Core and skin temperatures as well as heart rate were measured continuously. Physiological Strain Index (PSI) was calculated from the measurements of core temperature and heart rate. Prior to the start of the work shift, 38% of workers were euhydrated (USG 1.020; prevalence: 75%; p Pole Work relative to the other job categories (both p Pole Work achieved core temperatures in excess of 38.5 °C, while only one other worker surpassed this threshold in Bucket Work. The high levels of thermal strain were paralleled by elevated mean and peak heart rate and PSI responses, which were greater in Manual Pole Work in comparison to the other job categories (all p ≤ 0.05). Furthermore, two workers performing Manual Pole Work achieved severely elevated core temperatures reaching or exceeding 39.5 °C along with prolonged periods of near maximal heart rate responses (i.e., >90% of heart rate reserve). We report elevated levels of thermal and cardiovascular strain in electrical utility workers during work in the heat and potentially dangerous levels of hyperthermia during particularly strenuous work.

  10. Evaluation of Recent Trailer Contamination and Supersack Integrity Issues

    Energy Technology Data Exchange (ETDEWEB)

    Gordon, S.

    2012-09-17

    During the period from fiscal year (FY) 2009 to FY 2011, there were a total of 21 incidents involving radioactively contaminated shipment trailers and 9 contaminated waste packages received at the Nevada National Security Site (NNSS) Area 5 Radioactive Waste Management Site (RWMS). During this time period, the EnergySolutions (ES) Clive, Utah, disposal facility had a total of 18 similar incidents involving trailer and package contamination issues. As a result of the increased occurrence of such incidents, DOE Environmental Management Headquarters (EM/HQ) Waste Management organization (EM-30) requested that the Energy Facility Contractors’ Group (EFCOG) Waste Management Working Group (WMWG) conduct a detailed review of these incidents and report back to EM-30 regarding the results of this review, including providing any recommendations formulated as a result of the evaluation of current site practices involving handling and management of radioactive material and waste shipments.

  11. Integrity evaluation project for nuclear materials and components

    Energy Technology Data Exchange (ETDEWEB)

    Hwang, Seong Sik; Lee, E. H.; Kim, K. M.; and others

    2012-01-15

    A test loop has been designed to check electrochemical properties and it can control flow velocity, dissolved oxygen, pH and temperature of the coolant. The piping material of the loop is AISI 316L stainless steel and it will be tested in the range of 150-270 .deg. C and designed to 300 .deg. C for the safety of the system. Its maximum pressure is 1,000 psi and can be operated in the range of pH 7.0-10.5 and dissolved oxygen 1-100 ppb. The flow velocity can be controlled up to 10 m/s. Some major items have been purchased and a test section has been manufactured in 2011. Other items will be prepared and the test loop will be made by the first half of 2012. Corrosion tests of SA 106 Gr. B performed using static autoclave system at the condition of pH 7, 8, 9, 10, 150 .deg. C, O{sub 2}. Various sources of error occurred in high temperature thickness measurement were reviewed. In order to develop a high temperature thickness measurement technique, a proto-type shear horizontal waveguide was designed and fabricated. The ultrasonic signals with shear mode piezoelectric ultrasonic transducers showed enough SN ratio. This technique will be applied to an actual FAC mockup after experiment with various high temperatures conditions. The basic mechanisms and models on FAC phenomena was studied for pipe materials and FAC estimation programs was reviewed which was used in nuclear power plants. CHECWORKS program was mostly used for FAC mangement including Korea, it is revewed on the FAC evaluation process and the applications of this code. The improvement method was considered to use the FAC evaluation program with effective and easy usage for domestic NPPs.

  12. Factors influencing the utilization of a school self-evaluation instrument

    NARCIS (Netherlands)

    Schildkamp, Kim; Visscher, Arend J.

    2009-01-01

    School quality care has become important in many Western countries and a number of high quality school self-evaluation instruments has been developed and implemented to support this activity. However, little is known on the critical success factors for the use of school self-evaluation instruments.

  13. Evaluation of Core Loss in Magnetic Materials Employed in Utility Grid AC Filters

    DEFF Research Database (Denmark)

    Beres, Remus Narcis; Wang, Xiongfei; Blaabjerg, Frede

    2016-01-01

    in the core, depending on the magnetic material of choice and current ripple specifications. Additionally, shunt or series reactors that exists in LCL or trap filters and which are subjected to sinusoidal excitations have different specifications and requirements. Therefore, the core losses of different...... magnetic materials adopted in utility grid ac filters have been investigated and measured for both sinusoidal and rectangular excitation, with and without dc bias condition. The core loss information can ensure cost effective passive filter designs and may avoid trial-error design procedures of the passive...

  14. Identifying and Solving the Real Problems Facing the Integrated Disability Evaluation System (IDES)

    Science.gov (United States)

    2013-06-14

    utilization by integrating DoD and DVA processes, eliminating duplication, and improving case management” (DoD 2007, 2). DoD and VA leaders noted that the...senior leaders within the DoD (DoD 2007, 4-5) with responsibility for “develop[ing] and direct[ing] the DES Pilot in collaboration with the DVA ,” “ensur

  15. Evaluation Of Model Based Systems Engineering Processes For Integration Into Rapid Acquisition Programs

    Science.gov (United States)

    2016-09-01

    integration of new capabilities seamlessly into an existing software baseline or architecture  the ability to effectively assess performance at... software development,” (b) “model driven development,” (c) “ architecture centric development,” (d) “specification-driven development,” and (e) “generative...Development Process Like the MK54 program, this Radar project utilized an agile Vee process, in a Scrum environment. However, in this case, the software

  16. A STRUCTURAL INTEGRITY EVALUATION OF THE TANK FARM WASTE TRANSFER SYSTEM

    Energy Technology Data Exchange (ETDEWEB)

    Wiersma, B.

    2006-03-09

    Radioactive supernate, salt, and/or sludge wastes (i.e., high level wastes) are confined in 49 underground storage tanks at the Savannah River Site (SRS). The waste is transported between tanks within and between the F and H area tank farms and other facilities on site via underground and a limited number of aboveground transfer lines. The Department of Energy - Savannah River Operations Office (DOE-SR) performed a comprehensive assessment of the structural integrity program for the Tank Farm waste transfer system at the SRS. This document addresses the following issues raised during the DOE assessment: (1) Inspections of failed or replaced transfer lines indicated that the wall thickness of some core and jacket piping is less than nominal; (2) No corrosion allowance is utilized in the transfer line structural qualification calculations. No basis for neglecting corrosion was provided in the calculations; (3) Wall loss due to erosion is not addressed in the transfer line structural qualification calculations; and (4) No basis is provided for neglecting intergranular stress corrosion cracking in the transfer line structural qualification calculations. The common theme in most of these issues is the need to assess the potential for occurrence of material degradation of the transfer line piping. The approach used to resolve these issues involved: (1) Review the design and specifications utilized to construct and fabricate the piping system; (2) Review degradation mechanisms for stainless steel and carbon steel and determine their relevance to the transfer line piping; (3) Review the transfer piping inspection data; (4) Life estimation calculations for the transfer lines; and (5) A Fitness-For-Service evaluation for one of the transfer line jackets. The evaluation concluded that the transfer line system piping has performed well for over fifty years. Although there have been instances of failures of the stainless steel core pipe during off-normal service, no significant

  17. Evaluating the Figure of Merit in mammography utilizing Monte Carlo simulation

    Energy Technology Data Exchange (ETDEWEB)

    Delis, H. [Department of Medical Physics, Faculty of Medicine, University of Patras, 265 00 Patras (Greece); Spyrou, G. [Department of Medical Physics, Faculty of Medicine, University of Patras, 265 00 Patras (Greece); Academy of Athens, Biomedical Research Foundation, 115 27 Athens (Greece); Costaridou, L. [Department of Medical Physics, Faculty of Medicine, University of Patras, 265 00 Patras (Greece); Tzanakos, G. [Division of Nuclear and Particle Physics, Department of Physics, University of Athens, 157 71 Athens (Greece); Panayiotakis, G. [Department of Medical Physics, Faculty of Medicine, University of Patras, 265 00 Patras (Greece)], E-mail: panayiot@upatras.gr

    2007-09-21

    Mammography represents the most powerful screening tool available for the early detection of breast cancer. As a screening technique, it addresses to asymptomatic women and therefore the implementation of the 'As Low As Reasonably Achievable' (ALARA) principle is of increased importance. The overall optimization of any radiographic procedure requires the definition of a suitable Figure of Merit (FOM), based on a representative combination of image quality and dose characteristics. For the present study, Monte Carlo simulation of the mammographic process was utilized to derive the energy deposition inside the breast phantom and the signal beneath it. Certain signal characteristics (Subject Contrast (SC), Contrast to Noise Ratio (CNR), squared CNR) were studied (normalized to the output signal) and combined with appropriate dose indices (Entrance Surface Dose (ESD), Average Glandular Dose (AGD), Mid Plane Dose (MPD)) to extract an appropriate FOM index, suitable for spectrum based optimization. Results, for different breast glandularities and lesion sizes and compositions, demonstrate that the choice of the optimum spectrum strongly depends not only on the breast and lesion characteristics, but also on the selection of the utilized FOM index. For screen-film mammography, where the primary image quality index is considered the SC, the traditionally used Mo and Rh-anode spectra demonstrate improved overall performance, despite their inferior dosimetric characteristics compared to W-anode spectra. If digital mammography is considered, where the CNR is of primary importance, W-anode spectra demonstrate a noticeable improved performance.

  18. Evaluating Utility Measurement from Recurrent Marker Processes in the Presence of Competing Terminal Events.

    Science.gov (United States)

    Sun, Yifei; Wang, Mei-Cheng

    2017-01-01

    In follow-up studies, utility marker measurements are usually collected upon the occurrence of recurrent events until a terminal event such as death takes place. In this article, we define the recurrent marker process to characterize utility accumulation over time. For example, with medical cost and repeated hospitalizations being treated as marker and recurrent events respectively, the recurrent marker process is the trajectory of cumulative cost, which stops to increase after death. In many applications, competing risks arise as subjects are at risk of more than one mutually exclusive terminal event, such as death from different causes, and modeling the recurrent marker process for each failure type is often of interest. However, censoring creates challenges in the methodological development, because for censored subjects, both failure type and recurrent marker process after censoring are unobserved. To circumvent this problem, we propose a nonparametric framework for recurrent marker process with competing terminal events. In the presence of competing risks, we start with an estimator by using marker information from uncensored subjects. As a result, the estimator can be inefficient under heavy censoring. To improve efficiency, we propose a second estimator by combining the first estimator with auxiliary information from the estimate under non-competing risks model. The large sample properties and optimality of the second estimator is established. Simulation studies and an application to the SEER-Medicare linked data are presented to illustrate the proposed methods. Supplemental materials are available online.

  19. Integration

    DEFF Research Database (Denmark)

    Emerek, Ruth

    2004-01-01

    Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration......Bidraget diskuterer de forskellige intergrationsopfattelse i Danmark - og hvad der kan forstås ved vellykket integration...

  20. Building Bridges Across Frames? A Meta-Evaluation of Dutch Integration Policy

    NARCIS (Netherlands)

    P.W.A. Scholten (Peter); F.K.M. van Nispen tot Pannerden (Frans)

    2008-01-01

    textabstractThe integration of immigrants is an intractable policy controversy in Dutch politics: the Blok Committee was established by Parliament to offer a resolution. However, its evaluation study ‘ Building Bridges’, itself became controversial. This paper asks: Why did the policy evaluation of

  1. Marginal integrity evaluation of dental composite using optical coherence tomography

    Science.gov (United States)

    Stan, Adrian-Tudor; Cojocariu, Andreea-Codruta; Antal, Anca Adriana; Topala, Florin; Sinescu, Cosmin; Negrutiu, Meda Lavinia; Duma, Virgil-Florin; Podoleanu, Adrian Gh.

    2016-03-01

    In clinical dental practice it is often difficult or even impossible to distinguish and control interfacial adhesive defects from adhesive restorations using visual inspection or other traditional diagnostic methods. Nonetheless, non-invasive biomedical imaging methods like Optical Coherence Tomography (OCT) may provide a better view in this diagnostic outline. The aim of this study is to explore evaluations of the marginal adaptation of class I resin composites restorations using Time Domain (TD) OCT. Posterior human teeth have been chosen for this study. The teeth were stored in 0.9% physiological saline solution prior to use. A classical round-shaped class I cavity was prepared and cavities were restored with Charisma Diamond composite by Heraeus Kulzer and using a system of etch and rinse boding. The specimens were subjected to water storage and then to thermo-cycling. Three dimensional (3-D) scans of the restoration were obtained using a TD-OCT system centered at a 1300 nm wavelength. Open marginal adaptation at the interfaces and gaps inside the composite resins materials were identified using the proposed method. In conclusion, OCT has numerous advantages which justify its use for in vitro, as well as for in vivo studies. It can therefore be considered for non-invasive and fast detection of gaps at the restoration interface.

  2. Experimental Performance Evaluation of Multihop IEEE 802.15.4/4g/4e Smart Utility Networks in Outdoor Environment

    Directory of Open Access Journals (Sweden)

    Chin-Sean Sum

    2017-01-01

    Full Text Available This paper presents the experimental performance evaluation results of the IEEE 802.15.4/4g/4e Smart Utility Networks (SUN in applications suited for outdoor environment. SUN is an advanced wireless communications network designed for reliable, low data rate, and low energy consumption networks for command-and-control applications like utility service, sensor network, and so on. IEEE 802.15.4g/4e is the international standard for SUN supported by multiple utility providers and product vendors. In this paper, a comprehensive field test was conducted by employing the implementation we have developed to evaluate the performance of the SUN devices based on IEEE 802.15.4/4g/4e standard. The output power of the implementation is 250 mW for extended range, reducible to 20 mW for short-range scalability and battery preservation. Results showed that in an outdoor line-of-sight environment, the achievable one-hop range of a 50 kbps SUN device was 450 m. Next, in a non-line-of-sight environment involving typical residential concrete building, the communications could be established penetrating obstructions to reach above the 11th storey, reaching the performance degradation limits at the 20th storey. Next, the network of the SUN system was proven to be capable of supporting a typical multihop tree network in a dense populated building, meeting the required performance by the standard.

  3. [Evaluation of the dustiness of a bakery: an integrated system with an experimental electronic device].

    Science.gov (United States)

    Dario, R; Uva, J; Trani, G; Falco, S; Ancona, V; Petrera, L

    2012-01-01

    In this paper we describe a novel approach to environmental control in a bakery, based on an integration system of qualitative and quantitative information. The aim is to identify prevention policy for allergic disease. Specifically, the dust concentration evaluated continuously by deposimeters and the realization of chemical-analytical investigations on flours samples, used in the production cycle, have given qualitative evaluation on powders dispersion; the integration of an electronic device, characterized by measurement reliability and low cost implementation, supported the development and evaluation of an environmental monitoring system in a bakery. The environmental control system could be used in other work environments where occupational asthma occurred.

  4. Utility of prechemotherapy evaluation of left ventricular function for patients with lymphoma.

    Science.gov (United States)

    Steuter, John; Bociek, Robert; Loberiza, Fausto; Mathers, Daniel; Armitage, James; Vose, Julie; Bast, Martin; Saxena, Shikhar; Porter, Thomas; Bierman, Philip

    2015-01-01

    Published guidelines recommend baseline cardiac function testing before initiating anthracycline-based chemotherapy. These recommendations are based largely on consensus, and there is little information regarding how often testing leads to alterations in therapy or whether testing is able to predict subsequent cardiac toxicity. We performed a retrospective analysis of patients with Hodgkin lymphoma and non-Hodgkin lymphoma to determine whether there was a prechemotherapy evaluation of left ventricular function and whether findings from the evaluation led to alterations in therapy. Records also were reviewed to evaluate subsequent test results of cardiac function. We identified 309 patients with lymphoma between 2004 and 2012 with a planned anthracycline- or anthracenedione-based regimen. Of this total, 232 patients (75%) had a pretreatment cardiac evaluation. There were 201 patients (87%) in this group with no history of cardiac disease. Although 22 of these patients (11%) had abnormal echocardiograms, none had a change in therapy and no subsequent cases of cardiomyopathy were identified. Five of the remaining 179 patients with a normal cardiac evaluation developed a cardiomyopathy. Thirty-one patients had a history of cardiac disease, and only 4 patients had a change in therapy. There were 77 patients (25%) who did not have a prechemotherapy cardiac evaluation. No subsequent cases of cardiomyopathy were identified in this group. Pretreatment evaluation rarely leads to a change in management and is not helpful in predicting subsequent cardiomyopathy. Guidelines that recommend evaluation of left ventricular function in all patients before anthracycline-based chemotherapy should be reexamined. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. Microbial network for waste activated sludge cascade utilization in an integrated system of microbial electrolysis and anaerobic fermentation

    DEFF Research Database (Denmark)

    Liu, Wenzong; He, Zhangwei; Yang, Chunxue

    2016-01-01

    Background: Bioelectrochemical systems have been considered a promising novel technology that shows an enhanced energy recovery, as well as generation of value-added products. A number of recent studies suggested that an enhancement of carbon conversion and biogas production can be achieved...... in an integrated system of microbial electrolysis cell (MEC) and anaerobic digestion (AD) for waste activated sludge (WAS). Microbial communities in integrated system would build a thorough energetic and metabolic interaction network regarding fermentation communities and electrode respiring communities...... investigated the interaction of fermentation communities and electrode respiring communities in an integrated system of WAS fermentation and MEC for hydrogen recovery. A high energy recovery was achieved in the MECs feeding WAS fermentation liquid through alkaline pretreatment. Some anaerobes belonging...

  6. Utilization and evaluation of CHO-specific sequence databases for mass spectrometry based proteomics.

    Science.gov (United States)

    Meleady, Paula; Hoffrogge, Raimund; Henry, Michael; Rupp, Oliver; Bort, Juan Hernandez; Clarke, Colin; Brinkrolf, Karina; Kelly, Shane; Müller, Benjamin; Doolan, Padraig; Hackl, Matthias; Beckmann, Tim Frederik; Noll, Thomas; Grillari, Johannes; Barron, Niall; Pühler, Alf; Clynes, Martin; Borth, Nicole

    2012-06-01

    Recently released sequence information on Chinese hamster ovary (CHO) cells promises to not only facilitate our understanding of these industrially important cell factories through direct analysis of the sequence, but also to enhance existing methodologies and allow new tools to be developed. In this article we demonstrate the utilization of CHO specific sequence information to improve mass spectrometry (MS) based proteomic identification. The use of various CHO specific databases enabled the identification of 282 additional proteins, thus increasing the total number of identified proteins by 40-50%, depending on the sample source and methods used. In addition, a considerable portion of those proteins that were identified previously based on inter-species sequence homology were now identified by a larger number of peptides matched, thus increasing the confidence of identification. The new sequence information offers improved interpretation of proteomic analyses and will, in the years to come, prove vital to unraveling the CHO proteome. Copyright © 2012 Wiley Periodicals, Inc.

  7. A Framework for Evaluating Economic Impacts of Rooftop PV Systems with or without Energy Storage on Thai Distribution Utilities and Ratepayers

    Science.gov (United States)

    Chaianong, A.; Bangviwat, A.; Menke, C.

    2017-07-01

    Driven by decreasing PV and energy storage prices, increasing electricity costs and policy supports from Thai government (self-consumption era), rooftop PV and energy storage systems are going to be deployed in the country rapidly that may disrupt existing business models structure of Thai distribution utilities due to revenue erosion and lost earnings opportunities. The retail rates that directly affect ratepayers (non-solar customers) are expected to increase. This paper focuses on a framework for evaluating impacts of PV with and without energy storage systems on Thai distribution utilities and ratepayers by using cost-benefit analysis (CBA). Prior to calculation of cost/benefit components, changes in energy sales need to be addressed. Government policies for the support of PV generation will also help in accelerating the rooftop PV installation. Benefit components include avoided costs due to transmission losses and deferring distribution capacity with appropriate PV penetration level, while cost components consist of losses in revenue, program costs, integration costs and unrecovered fixed costs. It is necessary for Thailand to compare total costs and total benefits of rooftop PV and energy storage systems in order to adopt policy supports and mitigation approaches, such as business model innovation and regulatory reform, effectively.

  8. Renal ultrasound provides low utility in evaluating cardiac surgery associated acute kidney injury.

    Science.gov (United States)

    Young, Allen; Crawford, Todd; Pierre, Alejandro Suarez; Trent Magruder, J; Fraser, Charles; Conte, John; Whitman, Glenn; Sciortino, Christopher

    2017-09-02

    Renal ultrasonography is part of the algorithm in assessing acute kidney injury (AKI). The purpose of this study was to assess the clinical utility of renal US in postoperative cardiac patients who develop AKI. We conducted a retrospective study of 90 postoperative cardiac surgery patients at a single institution from 1/19/2010 to 3/19/2016 who underwent renal US for AKI. We reviewed provider documentation to determine whether renal US changed management. We defined change as: administration of crystalloid or colloid, addition of inotropic or vasopressor, or procedural interventions on the renal system. Mean age of study patients was 68 ± 13 years. 48/90 patients (53.3%) had pre-existing chronic kidney disease of varying severity. 48 patients (53.3%) had normal renal US with incidental findings and 31 patients (34.4%) had US evidence of medical kidney disease. 10 patients (11.1%) had limited US results due to poor visualization and 1 patient (1.1%) had mild right-sided hydronephrosis. No patients were found to have obstructive uropathy or renal artery stenosis. Clinical management was altered in only 4/90 patients (4.4%), which included 3 patients that received a fluid bolus and 1 patient that received a fluid bolus and inotropes. No vascular or urologic procedures resulted from US findings. Although renal ultrasound is often utilized in the work-up of AKI, our study shows that renal US provides little benefit in managing postoperative cardiac patients. This diagnostic modality should be scrutinized rather than viewed as a universal measure in the cardiac surgery population.

  9. Integrating Program Theory and Systems-Based Procedures in Program Evaluation: A Dynamic Approach to Evaluate Educational Programs

    Science.gov (United States)

    Grammatikopoulos, Vasilis

    2012-01-01

    The current study attempts to integrate parts of program theory and systems-based procedures in educational program evaluation. The educational program that was implemented, called the "Early Steps" project, proposed that physical education can contribute to various educational goals apart from the usual motor skills improvement. Basic…

  10. Evaluation on the High-temperature Structural Integrity of the small-scale PHE prototype

    Energy Technology Data Exchange (ETDEWEB)

    Song, Kee Nam; Hong, S. D.; Kim, Y. W.; Park, H. Y. [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2011-10-15

    Recently, nuclear hydrogen production is garnering worldwide attention since it can produce hydrogen, a promising energy carrier, without an environmental burden. The nuclear hydrogen program in the Republic of Korea (ROK) is strongly considering producing hydrogen by employing a Sulfur-Iodine (SI) water-splitting hydrogen production processes. An intermediate loop that transports the nuclear heat to the hydrogen production process is necessitated for the nuclear hydrogen program as shown in Fig. 1. In the intermediate loop, whereas the HGD (Hot Gas Duct) provide a route of a high temperature gas from the nuclear reactor to the IHX (Intermediate Heat Exchanger), the PHE (Process Heat Exchanger) is a component that utilizes the nuclear heat from the nuclear reactor to provide hydrogen. PHE is used in several processes such as nuclear steam reforming, nuclear methanol, nuclear steel, nuclear oil refinery, and nuclear steam. PHE of the SO{sub 3} decomposer which generates processed gas, such as H{sub 2}O, O{sub 2}, SO{sub 2}, and SO{sub 3} at very high temperature is a key component in the nuclear hydrogen program in ROK. A performance test on the small-scale PHE prototype made of Hastelloy-X is under way in the small-scale gas loop at KAERI as shown in Fig. 2. In this study, in order to evaluate the high-temperature structural integrity of the PHE prototype under the test condition of the gas loop, structural analysis on the PHE prototype is carried out, considering the stiffness of pipelines connected to the PHE prototype in the gas loop

  11. Program evaluation of an Integrated Basic Science Medical Curriculum in Shiraz Medical School, Using CIPP Evaluation Model.

    Science.gov (United States)

    Rooholamini, Azadeh; Amini, Mitra; Bazrafkan, Leila; Dehghani, Mohammad Reza; Esmaeilzadeh, Zohreh; Nabeiei, Parisa; Rezaee, Rita; Kojuri, Javad

    2017-07-01

    In recent years curriculum reform and integration was done in many medical schools. The integrated curriculum is a popular concept all over the world. In Shiraz medical school, the reform was initiated by stablishing the horizontal basic science integration model and Early Clinical Exposure (ECE) for undergraduate medical education. The purpose of this study was to provide the required data for the program evaluation of this curriculum for undergraduate medical students, using CIPP program evaluation model. This study is an analytic descriptive and triangulation mixed method study which was carried out in Shiraz Medical School in 2012, based on the views of professors of basic sciences courses and first and second year medical students. The study evaluated the quality of the relationship between basic sciences and clinical courses and the method of presenting such courses based on the Context, Input, Process and Product (CIPP) model. The tools for collecting data, both quantitatively and qualitatively, were some questionnaires, content analysis of portfolios, semi- structured interview and brain storming sessions. For quantitative data analysis, SPSS software, version 14, was used. In the context evaluation by modified DREEM questionnaire, 77.75%of the students believed that this educational system encourages them to actively participate in classes. Course schedule and atmosphere of class were reported suitable by 87.81% and 83.86% of students. In input domain that was measured by a researcher made questionnaire, the facilities for education were acceptable except for shortage of cadavers. In process evaluation, the quality of integrated modules presentation and Early Clinical Exposure (ECE) was good from the students' viewpoint. In product evaluation, students' brain storming, students' portfolio and semi-structured interview with faculties were done, showing some positive aspects of integration and some areas that need improvement. The main advantage of assessing

  12. Program evaluation of an integrated basic science medical curriculum in Shiraz Medical School, using CIPP evaluation model

    Directory of Open Access Journals (Sweden)

    AZADEH ROOHOLAMINI

    2017-07-01

    Full Text Available Introduction: In recent years curriculum reform and integration was done in many medical schools. The integrated curriculum is a popular concept all over the world. In Shiraz medical school, the reform was initiated by stablishing the horizontal basic science integration model and Early Clinical Exposure (ECE for undergraduate medical education. The purpose of this study was to provide the required data for the program evaluation of this curriculum for undergraduate medical students, using CIPP program evaluation model. Methods: This study is an analytic descriptive and triangulation mixed method study which was carried out in Shiraz Medical School in 2012, based on the views of professors of basic sciences courses and first and second year medical students. The study evaluated the quality of the relationship between basic sciences and clinical courses and the method of presenting such courses based on the Context, Input, Process and Product (CIPP model. The tools for collecting data, both quantitatively and qualitatively, were some questionnaires, content analysis of portfolios, semistructured interview and brain storming sessions. For quantitative data analysis, SPSS software, version 14, was used. Results: In the context evaluation by modified DREEM questionnaire, 77.75%of the students believed that this educational system encourages them to actively participate in classes. Course schedule and atmosphere of class were reported suitable by 87.81% and 83.86% of students. In input domain that was measured by a researcher made questionnaire, the facilities for education were acceptable except for shortage of cadavers. In process evaluation, the quality of integrated modules presentation and Early Clinical Exposure (ECE was good from the students’ viewpoint. In product evaluation, students’ brain storming, students’ portfolio and semi-structured interview with faculties were done, showing some positive aspects of integration and some areas

  13. Integrating model of the Project Independence Evaluation System. Volume IV. Model documentation

    Energy Technology Data Exchange (ETDEWEB)

    Shaw, M L; Allen, B J; Gale, J E; Lutz, M S; O& #x27; Hara, N E; Wood, R K

    1979-02-01

    This volume is the fourth in a series of seven documenting the PIES Integrating Model. It contains detailed descriptions of the basic assumptions behind each of the components of PIES and how they interact with one another. Chapter II of this volume presents the methodology used to integrate supply and demand. It includes a discussion of both the interface between the Demand Model and the equilibrating mechanism and the various supply models via the equilibrating algorithm used by PIES. Chapters III through IX describe each supply submodel in turn: coal, oil, and natural gas supply, utilities, refineries, advanced technologies, and transportation. Code and data documentation are covered elsewhere in this series (Volumes V and VI respectively). PIES is an evolving system. As this document was being prepared, many parts of the model were being modified. This document describes the PIES Integrating Model as of January 1, 1978.

  14. Integrated high voltage power supply utilizing burst mode control and its performance impact on dielectric electro active polymer actuators

    DEFF Research Database (Denmark)

    Andersen, Thomas; Rødgaard, Martin Schøler; Andersen, Michael A. E.

    Through resent years new high performing Dielectric Electro Active Polymers (DEAP) have emerged. To fully utilize the potential of DEAPs a driver with high voltage output is needed. In this paper a piezoelectric transformer based power supply for driving DEAP actuators is developed, utilizing...... a burst mode control technique. Controlling and driving a DEAP actuator between 250V to 2.5kV is demonstrated, where discrete like voltage change and voltage ripple is observed, which is introduced by the burst mode control. Measurements of the actuator strain-force reveal that the voltage ripples...... translates to small strain-force ripples. Nevertheless the driver demonstrates good capabilities of following an input reference signal, as well as having the size to fit inside a 110 mm x 32 mm cylindrical InLastor Push actuator, forming a “low voltage” DEAP actuator....

  15. From Theory to Practice: Utilizing Integrative Seminars as Bookends to the Master of Public Administration Program of Study

    Science.gov (United States)

    Stout, Margaret; Holmes, Maja Husar

    2013-01-01

    Integrative seminar style courses are most often used as an application-oriented capstone in place of a thesis or comprehensive exam requirement in Master of Public Administration (MPA) degree programs. This article describes and discusses the benefits of a unique approach of one National Association of Schools of Public Affairs and Administration…

  16. The Evaluation of Surface Integrity During Machining of Inconel 718 with Various Laser Assistance Strategies

    Directory of Open Access Journals (Sweden)

    Wojciechowski Szymon

    2017-01-01

    Full Text Available The paper is focused on the evaluation of surface integrity formed during turning of Inconel 718 with the application of various laser assistance strategies. The primary objective of the work was to determine the relations between the applied machining strategy and the obtained surface integrity, in order to select the effective cutting conditions allowing the obtainment of high surface quality. The carried out experiment included the machining of Inconel 718 in the conventional turning conditions, as well as during the continuous laser assisted machining and sequential laser assistance. The surface integrity was evaluated by the measurements of machined surface topographies, microstructures and the microhardness. Results revealed that surface integrity of Inconel 718 is strongly affected by the selected machining strategy. The significant improvement of the surface roughness formed during machining of Inconel 718, can be reached by the application of simultaneous laser heating and cutting (LAM.

  17. Mackerel (Scomber Scrombrus) Oil Extraction and Evaluation as Raw Materials for Industrial Utilization

    OpenAIRE

    A. A. BAWA; O. D. ADENIYI

    2006-01-01

    The extraction, evaluation and refining of fish oil from mackerel (scomber scrombrus) has been conducted in this work. The total percentage oil yield using solvent extraction and total moisture content was 28.24% and 56.50 %respectively, which were found to increase linearly with time. The analytical properties of the crude and the refined oil were evaluated. It was observed that the crude oil consist from: acid value 2.5 mg/KOH, peroxide value 2.19 mEq/kg, saponification value 201.6 mgKOH/g,...

  18. Hybrid adeno-associated viral vectors utilizing transposase-mediated somatic integration for stable transgene expression in human cells.

    Directory of Open Access Journals (Sweden)

    Wenli Zhang

    Full Text Available Recombinant adeno-associated viral (AAV vectors have been shown to be one of the most promising vectors for therapeutic gene delivery because they can induce efficient and long-term transduction in non-dividing cells with negligible side-effects. However, as AAV vectors mostly remain episomal, vector genomes and transgene expression are lost in dividing cells. Therefore, to stably transduce cells, we developed a novel AAV/transposase hybrid-vector. To facilitate SB-mediated transposition from the rAAV genome, we established a system in which one AAV vector contains the transposon with the gene of interest and the second vector delivers the hyperactive Sleeping Beauty (SB transposase SB100X. Human cells were infected with the AAV-transposon vector and the transposase was provided in trans either by transient and stable plasmid transfection or by AAV vector transduction. We found that groups which received the hyperactive transposase SB100X showed significantly increased colony forming numbers indicating enhanced integration efficiencies. Furthermore, we found that transgene copy numbers in transduced cells were dose-dependent and that predominantly SB transposase-mediated transposition contributed to stabilization of the transgene. Based on a plasmid rescue strategy and a linear-amplification mediated PCR (LAM-PCR protocol we analysed the SB100X-mediated integration profile after transposition from the AAV vector. A total of 1840 integration events were identified which revealed a close to random integration profile. In summary, we show for the first time that AAV vectors can serve as template for SB transposase mediated somatic integration. We developed the first prototype of this hybrid-vector system which with further improvements may be explored for treatment of diseases which originate from rapidly dividing cells.

  19. An organizational model to distinguish between and integrate research and evaluation activities in a theory based evaluation.

    Science.gov (United States)

    Sample McMeeking, Laura B; Basile, Carole; Brian Cobb, R

    2012-11-01

    Theory-based evaluation (TBE) is an evaluation method that shows how a program will work under certain conditions and has been supported as a viable, evidence-based option in cases where randomized trials or high-quality quasi-experiments are not feasible. Despite the model's widely accepted theoretical appeal there are few examples of its well-implemented use, probably due to time and money limitations necessary for planning and a confusion over the definitions between research and evaluation functions and roles. In this paper, we describe the development of a theory-based evaluation design in a Math and Science Partnership (MSP) research project funded by the U.S. National Science Foundation (NSF). Through this work we developed an organizational model distinguishing between and integrating evaluation and research functions, explicating personnel roles and responsibilities, and highlighting connections between research and evaluation work. Although the research and evaluation components operated on independent budgeting, staffing, and implementation activities, we were able to combine datasets across activities to allow us to assess the integrity of the program theory, not just the hypothesized connections within it. This model has since been used for proposal development and has been invaluable as it creates a research and evaluation plan that is seamless from the beginning. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. [Integrity].

    Science.gov (United States)

    Gómez Rodríguez, Rafael Ángel

    2014-01-01

    To say that someone possesses integrity is to claim that that person is almost predictable about responses to specific situations, that he or she can prudentially judge and to act correctly. There is a closed interrelationship between integrity and autonomy, and the autonomy rests on the deeper moral claim of all humans to integrity of the person. Integrity has two senses of significance for medical ethic: one sense refers to the integrity of the person in the bodily, psychosocial and intellectual elements; and in the second sense, the integrity is the virtue. Another facet of integrity of the person is la integrity of values we cherish and espouse. The physician must be a person of integrity if the integrity of the patient is to be safeguarded. The autonomy has reduced the violations in the past, but the character and virtues of the physician are the ultimate safeguard of autonomy of patient. A field very important in medicine is the scientific research. It is the character of the investigator that determines the moral quality of research. The problem arises when legitimate self-interests are replaced by selfish, particularly when human subjects are involved. The final safeguard of moral quality of research is the character and conscience of the investigator. Teaching must be relevant in the scientific field, but the most effective way to teach virtue ethics is through the example of the a respected scientist.

  1. An integrated approach for the design and evaluation of human-machine interfaces

    Science.gov (United States)

    Truszkowski, Walt F.

    1987-01-01

    An integrated environment for the design and evaluation (from a human factors point-of-view) of human-machine interfaces is proposed. Four major components of an experimental environment currently under study are identified and discussed. A scenario highlighting the relationships of these four components in an integrated operational environment is presented. Current status, issues to be addressed and future plans for this activity are discussed.

  2. Evaluation of four sorghum varieties in the utilization of sorghum flour tortillas

    Science.gov (United States)

    Gluten-free flour tortillas were made with five different sorghum flours to evaluate flour quality. Four sorghum varieties were used along with a commercial sorghum flour. The four varieties were: Fontanelle-625 (F-625), Fontanelle-1000 (F-1000), ATx631xRTx2907(NE#20), and 5040C. The tortilla wei...

  3. Exploring Simulation Utilization and Simulation Evaluation Practices and Approaches in Undergraduate Nursing Education

    Science.gov (United States)

    Zitzelsberger, Hilde; Coffey, Sue; Graham, Leslie; Papaconstantinou, Efrosini; Anyinam, Charles

    2017-01-01

    Simulation-based learning (SBL) is rapidly becoming one of the most significant teaching-learning-evaluation strategies available in undergraduate nursing education. While there is indication within the literature and anecdotally about the benefits of simulation, abundant and strong evidence that supports the effectiveness of simulation for…

  4. Evaluating the Utility of Commercial Videotapes for Teaching Hand Washing to Children with Autism

    Science.gov (United States)

    Rosenberg, Nancy E.; Schwartz, Ilene S.; Davis, Carol A.

    2010-01-01

    We evaluated the effects of using a commercially available video model to teach three preschoolers with autism to wash their hands. While one child learned 80% of the hand washing steps, 2 of the 3 children did not learn from the commercial model. All were subsequently exposed to a customized video model, which resulted in at least some…

  5. Evaluating the Utility of Sluggish Cognitive Tempo in Discriminating among "DSM-IV" ADHD Subtypes

    Science.gov (United States)

    Harrington, Kelly M.; Waldman, Irwin D.

    2010-01-01

    The objective of the current study was to evaluate how the inclusion of 3 Sluggish Cognitive Tempo (SCT) symptoms in Attention-Deficit/Hyperactivity Disorder (ADHD) diagnostic criteria influences the external validity of the ADHD subtypes. The sample comprised 228 children (166 boys, 62 girls) ranging in age from 5-18 years who were referred to…

  6. Asthma control cost-utility randomized trial evaluation (ACCURATE: the goals of asthma treatment

    Directory of Open Access Journals (Sweden)

    Honkoop Persijn J

    2011-11-01

    Full Text Available Abstract Background Despite the availability of effective therapies, asthma remains a source of significant morbidity and use of health care resources. The central research question of the ACCURATE trial is whether maximal doses of (combination therapy should be used for long periods in an attempt to achieve complete control of all features of asthma. An additional question is whether patients and society value the potential incremental benefit, if any, sufficiently to concur with such a treatment approach. We assessed patient preferences and cost-effectiveness of three treatment strategies aimed at achieving different levels of clinical control: 1. sufficiently controlled asthma 2. strictly controlled asthma 3. strictly controlled asthma based on exhaled nitric oxide as an additional disease marker Design 720 Patients with mild to moderate persistent asthma from general practices with a practice nurse, age 18-50 yr, daily treatment with inhaled corticosteroids (more then 3 months usage of inhaled corticosteroids in the previous year, will be identified via patient registries of general practices in the Leiden, Nijmegen, and Amsterdam areas in The Netherlands. The design is a 12-month cluster-randomised parallel trial with 40 general practices in each of the three arms. The patients will visit the general practice at baseline, 3, 6, 9, and 12 months. At each planned and unplanned visit to the general practice treatment will be adjusted with support of an internet-based asthma monitoring system supervised by a central coordinating specialist nurse. Patient preferences and utilities will be assessed by questionnaire and interview. Data on asthma control, treatment step, adherence to treatment, utilities and costs will be obtained every 3 months and at each unplanned visit. Differences in societal costs (medication, other (health care and productivity will be compared to differences in the number of limited activity days and in quality adjusted

  7. Utilization of two web-based continuing education courses evaluated by Markov chain model.

    Science.gov (United States)

    Tian, Hao; Lin, Jin-Mann S; Reeves, William C

    2012-01-01

    To evaluate the web structure of two web-based continuing education courses, identify problems and assess the effects of web site modifications. Markov chain models were built from 2008 web usage data to evaluate the courses' web structure and navigation patterns. The web site was then modified to resolve identified design issues and the improvement in user activity over the subsequent 12 months was quantitatively evaluated. Web navigation paths were collected between 2008 and 2010. The probability of navigating from one web page to another was analyzed. The continuing education courses' sequential structure design was clearly reflected in the resulting actual web usage models, and none of the skip transitions provided was heavily used. The web navigation patterns of the two different continuing education courses were similar. Two possible design flaws were identified and fixed in only one of the two courses. Over the following 12 months, the drop-out rate in the modified course significantly decreased from 41% to 35%, but remained unchanged in the unmodified course. The web improvement effects were further verified via a second-order Markov chain model. The results imply that differences in web content have less impact than web structure design on how learners navigate through continuing education courses. Evaluation of user navigation can help identify web design flaws and guide modifications. This study showed that Markov chain models provide a valuable tool to evaluate web-based education courses. Both the results and techniques in this study would be very useful for public health education and research specialists.

  8. An Integral Evaluation of the Financial State of the Regional Enterprises

    Directory of Open Access Journals (Sweden)

    Sergey Panteleyevich Kyurdzhiev

    2016-06-01

    Full Text Available The subject matter of the article is the development of theoretical positions and methodical approaches to the integral evaluation of the financial state of the region’s metallurgical enterprises. The purpose is to show the possibility of dividing the integral evaluation into separate elements for using this tool to build individual models based on the forecasting of the various coordinates of the financial position of enterprise. The hypothesis of the study is based on the objective need to improve the integral evaluation of the financial position of enterprises. This involves the modernization of existing theoretical and methodological approaches to the increase of the quality of analysis by eliminating certain shortcomings of discriminant models in order to clarify the algorithm of constructing the integral index. The methodological bases of systemic approach and mathematical modelling in economics are applied: the methods of financial analysis, grouping, abstraction, comparison which give the possibility of determining the financial indicators needed to build the predictive models of financial state; the methods of correlation and regression analysis, which allow to improve the integral value and to build the mathematical forecasting models. With the purpose of improving the integral evaluation of the financial condition of enterprise, the geometric interpretation is used, which involves the dividing of the integral indicator on the individual elements. The special feature of the proposed methodological approach consists in the implementation rules for the certain procedures of the evaluation of financial position and generalization of the analysis results. The proposed approach can be used by financial analysts to elaborate the strategic plans of company development and structure optimization of financial resources. This research allows to define the quantitative influence of separate parameters on the general assessment of the financial

  9. Evaluation of oscillatory integrals for analytical groundwater flow and mass transport models

    Science.gov (United States)

    Ledder, Glenn; Zlotnik, Vitaly A.

    2017-06-01

    Modeling of transient dynamics of an interface between fluids of identical density and viscosity, but different otherwise, is of great interest in aquifer hydraulic, and advective contaminant transport, and has broad application. Closed-form solutions are often available for problems with simple, practically important geometry, but the integrals that appear in such solutions often have integrands with two or more oscillatory factors. Such integrals pose difficulties for numerical evaluation because the positive and negative contributions of the integrand largely cancel and the integrands decay very slowly in the integration domain. Some problems with integrands with a single oscillatory factor were tackled in the past with an integration/summation/extrapolation (ISE) method: breaking the integrand at consecutive zeros to obtain an alternating series and then using the Shanks algorithm to accelerate convergence of the series. However, this technique is ineffective for problems with multiple oscillatory factors. We present a comprehensive strategy for evaluation of such integrals that includes a better ISE method, an interval truncation method, and long-time asymptotics; this strategy is applicable to a large class of integrals with either single or multiple oscillatory factors that arise in modeling of groundwater flow and transport. The effectiveness of this methodology is illustrated by examples of integrals used in well hydraulics, groundwater recharge design, and particle tracking.

  10. Evaluation of stream ecological integrity using litter decomposition and benthic invertebrates

    Energy Technology Data Exchange (ETDEWEB)

    Castela, Jose [Departamento de Zoologia and IMAR-CIC, Universidade de Coimbra, Largo Marques de Pombal, 3004-517 Coimbra (Portugal)], E-mail: jcccastela@gmail.com; Ferreira, Veronica [Departamento de Zoologia and IMAR-CIC, Universidade de Coimbra, Largo Marques de Pombal, 3004-517 Coimbra (Portugal)], E-mail: veronica@ci.uc.pt; Graca, Manuel A.S. [Departamento de Zoologia and IMAR-CIC, Universidade de Coimbra, Largo Marques de Pombal, 3004-517 Coimbra (Portugal)], E-mail: mgraca@ci.uc.pt

    2008-05-15

    Biomonitoring programs to access the ecological integrity of freshwaters tend to rely exclusively on structural parameters. Here we evaluated stream ecological integrity using (a) benthic macroinvertebrate derived metrics and a biotic index as measures of structural integrity and (b) oak litter decomposition and associated fungal sporulation rates as measures of functional integrity. The study was done at four sites (S1, S2, S3 and S4) along a downstream increasing phosphorus and habitat degradation gradient in a small stream. The biotic index, invertebrate metrics, invertebrate and fungal communities' structure and sporulation rates discriminated upstream and downstream sites. Decomposition rates classified sites S4 and S2 as having a compromised ecosystem functioning. Although both functional and structural approaches gave the same results for the most impacted site (S4), they were complementary for moderately impacted sites (S2 and S3), and we therefore support the need for incorporating functional measures in evaluations of stream ecological integrity. - This study supports the need for incorporating functional measures in evaluations of stream ecological integrity.

  11. Evaluation of N-methylpyrrolidone and its oxidative products toxicity utilizing the Microtox assay

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, H.L. [Susquehanna River Basin Commission, Harrisburg, PA (United States); Striebig, B.A. [Pennsylvania State Univ., University Park, PA (United States)

    1999-06-01

    N-Methylpyrrolidone (NMP) is a cyclic nitrogen-containing organic chemical used to replace more volatile and toxic organic solvents in paint coating and cleaning applications. The Marine Corps Multi-Commodity Maintenance Center was concerned that the high NMP and organic levels in process water would upset treatment processes at the Industrial Process Water Plant (IWP). The NMP contaminated process water was oxidized by a semicontinuous advanced oxidation reactor to reduce the organic concentration. The oxidative byproducts of NMP were identified by GC/MS and tested for their toxicity. A toxicity test, utilizing the Microtox toxicity assay, revealed that methylsuccinimide was the most toxic identifiable product of NMP oxidation. The toxicity of the process water was reduced as methylsuccinimide and was further oxidized to succinimide and other amine products. The results indicate that NMP contaminated process water should be oxidized past the N-methylsuccinimide compound prior to standard industrial process water treatment procedures, so as to reduce toxicity concerns associated with NMP contaminated process water.

  12. Health Supply Utilization at a Boy Scout Summer Camp: An Evaluation for Improvement and Preparedness.

    Science.gov (United States)

    Miller, Ross T; Barth, Bradley E

    2016-12-01

    To describe the health conditions treated by a health services center at a Boy Scout summer camp and make recommendations for appropriate resources and supplies. We conducted a retrospective review of health center utilization at a Boy Scout camp in central Missouri during the summers of 2012 and 2013. Health logbook data were compiled and analyzed using descriptive and comparative statistics. During the study period 19,771 camp participants made 1586 visits to the health care center. The overall incidence rate of health center visits was 6.20 visits per 1000 camp days. Two-thirds of visits were for illness and the remainder for injury. Over 90% of patients were returned to camp, 7.3% were transferred to another health facility, and 1.6% were advised to leave camp and return home. The most common treatments were rehydration (17.8 %) and administration of analgesics (13.4%) and topical creams (12.3%). Summer camps need to be prepared for a wide range of conditions and injuries in youth campers, leaders, and staff members. Over 90% of presenting complaints were managed on site, and the majority of conditions were easily treatable minor injuries and illnesses. We provide recommendations for appropriate medical supplies and suggest opportunities for improvement to aid health centers in planning and treatment. Copyright © 2016 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  13. Limited utility of plain abdominal radiographs in evaluating intussusceptions secondary to long indwelling feeding tubes

    Directory of Open Access Journals (Sweden)

    Albert Yang

    2013-01-01

    Full Text Available Adult intussusception (AI is relatively rare and can be a difficult clinical diagnosis, often requiring cross-sectional imaging for confirmation. Unfortunately, intussusceptions in the setting of indwelling long enteral feeding tubes have been predominantly characterized in the pediatric population with minimal investigation in adults. We report three cases of AI in patients with long feeding catheters serving as anatomic lead points leading to intussusception diagnosed on cross-sectional imaging. We highlight the limited utility of the supine plain films for detection of AI, and it behooves the radiologist to hold a high index of suspicion if the patient has a long enteral catheter. Since the majority of these patients tend to be fairly ill and unable to stand for upright abdominal radiographs, in the setting of percutaneous feeding tubes, decubitus abdominal radiographs should always be obtained. These cases also highlight the importance of having a high clinical suspicion of intussusceptions in a patient presenting with abdominal pain in the setting of an enteral feeding tube. In post-operative patients, other factors can predispose the patient to intussusception, including adhesions. Another interesting feature in tube related AI is the reverse intussusception that may be seen with indwelling enteral tubes. Reverse intussusception is where the distal bowel telescopes into the proximal segment over the tube.

  14. Evaluating the MEDLINE Core Clinical Journals filter: data-driven evidence assessing clinical utility.

    Science.gov (United States)

    Klein-Fedyshin, Michele; Ketchum, Andrea M; Arnold, Robert M; Fedyshin, Peter J

    2014-12-01

    MEDLINE offers the Core Clinical Journals filter to limit to clinically useful journals. To determine its effectiveness for searching and patient-centric decision making, this study compared literature used for Morning Report in Internal Medicine with journals in the filter. An EndNote library with references answering 327 patient-related questions during Morning Report from 2007 to 2012 was exported to a file listing variables including designated Core Clinical Journal, Impact Factor, date used and medical subject. Bradford's law of scattering was applied ranking the journals and reflecting their clinical utility. Recall (sensitivity) and precision of the Core Morning Report journals and non-Core set was calculated. This study applied bibliometrics to compare the 628 articles used against these criteria to determine journals impacting decision making. Analysis shows 30% of clinically used articles are from the Core Clinical Journals filter and 16% of the journals represented are Core titles. When Bradford-ranked, 55% of the top 20 journals are Core. Articles Journals filter indicates less relevance for hospital-based care. The divergence from high-impact medicine titles suggests clinically valuable journals differ from academically important titles. With few subjects demonstrating high recall or precision, the MEDLINE Core Clinical Journals filter may require a review and update to better align with current clinical needs. © 2014 John Wiley & Sons, Ltd.

  15. A critical evaluation of the utility of eggshells for estimating mercury concentrations in avian eggs

    Science.gov (United States)

    Peterson, Sarah; Ackerman, Joshua T.; Eagles-Smith, Collin A.; Hartman, C. Alex; Herzog, Mark P.

    2017-01-01

    Eggshells are a potential tool for non-lethally sampling contaminant concentrations in bird eggs, yet few studies have examined their utility to represent mercury exposure. We assessed mercury concentrations in eggshell components for 23 bird species and determined whether they correlated with total mercury (THg) in egg contents. We designed a multi-experiment analysis to examine how THg is partitioned into eggshell components, specifically hardened eggshells, material adhered to the eggshell, and inner eggshell membranes. THg concentrations in eggshells were much lower than in egg contents, and almost all of the THg within the eggshell was contained within material adhered to eggshells and inner eggshell membranes, and specifically not within calcium-rich hardened eggshells. Despite having very little mercury, THg concentrations in hardened eggshells had the strongest correlation with egg contents among all eggshell components. However, species with the same THg concentrations in eggshells had different THg concentrations in egg contents, indicating that there is no global predictive equation among species for the relationship between eggshell and egg content THg concentrations. Further, for all species, THg concentrations in eggshells decreased with relative embryo age. Although the majority of mercury in eggshells was contained within other eggshell components and not within hardened eggshells, THg in hardened eggshells can be used to estimate THg concentrations in egg contents, if embryo age and species are addressed.

  16. ECONOMIC-MATHEMATICAL MODEL FOR EVALUATING THE EFFECTIVENESS OF THE INTEGRATION UNITS

    Directory of Open Access Journals (Sweden)

    I. P. Bogomolova

    2015-01-01

    Full Text Available Evaluating the effectiveness of integration formations requires an integrated approach that combines the use of both quantitative and qualitative indicators. Existing methods for analyzing the effectiveness of economic processes can not be formally applied to the problem of assessing the effectiveness of the implementation of the integration units for many reasons. Application of statistical analysis of historical data or case law causes difficulties due to the uniqueness of integration activities and the impossibility of duplicating administrative decisions due to the specifics of the internal environment of organizations, market instability, the effect of different environmental factors that necessitated the economic and mathematical modeling, expert assessments of the effectiveness of the integration units (EIF with using linguistic variables and methods of the theory of fuzzy numbers. Selected mathematical tools used in the proposed model the theory of fuzzy sets, which makes it possible to analyze the qualitative variables, manipulate the input data and fuzzy linguistic criteria, as well as to model complex systems and to compare them with each other. Economic-mathematical model provides an assessment of EIF in two stages. At first defined the generalized evaluation of each of the nine blocks that characterize the contribution of block EIF, the second integral evaluation performed EIF. Conclusion on the integrated assessment of EIF can be obtained by analyzing the values of integrated assessments, reflecting the impact of the block. Recent consider, in turn, that comprehensive evaluations were obtained from the analysis values of the indicators. It is necessary to ensure the fulfillment of the requirement to increase the value of each evaluation index, or was coupled with an increase in value of EIF. This requirement is satisfied when the transition to the linguistic values. The algorithms implementing the steps vary the transitional

  17. Thermal utilization of wastes as a part of an integrated waste management concept of the Balearic Islands; Thermische Abfallbehandlung als Teil des integrierten Abfallwirtschaftskonzepts der Balearen

    Energy Technology Data Exchange (ETDEWEB)

    Silbermann, Georg [Hitachi Zosen Inova AG, Zuerich (Switzerland)

    2012-11-01

    For several years, a rethinking in the tourist paradise Mallorca took place. Due to the limited land resources it was clear to the public authorities that the waste cannot be deposited unlimited and unsorted. An ambitious concept for the waste management has to be developed, and an integrated system has to be planned. The ambiguous goal is zero landfill: In future, as many waste materials as possible should be led back in the product cycle. The non-recyclable materials should be incinerated efficiently and utilized energetically.

  18. Structural Integrity Evaluation of Cold Neutron Laboratory Building by Design Change of Guide Shielding Room

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Sangik; Kim, Youngki; Kim, Harkrho

    2007-06-15

    This report summarizes the results of the structural integrity evaluation for the cold neutron laboratory building by design change of guide shielding room. The design of the guide shielding room was changed by making its structure members in normal concrete (2.3 g/cc) instead of heavy concrete (3.5 g/cc) because the heavy concrete could be not supplied to meet its design specification. Therefore, it was decided that the guide shielding room is made of the normal concrete. And, the shielding performance of the normal concrete was recalculated to confirm satisfying its design specification, which is of a 9000 zone according to HANARO radiation region classification. The change makes the shielding wall thicker than existing design, and then it is caused to qualify the structural integrity evaluation of the CNLB. Finally, the structural integrity of the CNLB was re-evaluated by considering the design change of the guide shielding room.

  19. Evaluation of newer methods of pretreatment for biological utilization of cellulosic residues

    Energy Technology Data Exchange (ETDEWEB)

    Cabello, A.; Conde, J.

    1985-01-01

    An evaluation of different kinds of treatments to enhance the biological degradability of sugarcane bagasse-pith is presented. NaOH treatment, gamma ray irradiation and inoculation of the material with the white rotting mold Sporotrichum pulvurulentum and combinations of above mentioned alternatives were evaluated by measuring the increase in water solubility and the susceptibility to cellulose degradation as well as by the change in the chemical composition of the material. NaOH treatment at 6% concentration and the combined treatment with NaOH at 2% and further fermentation with the mold gave the best results. Gamma irradiation up to a dose of 60 Mrad didn't show an important effect.

  20. A method to evaluate process performance by integrating time and resources

    Science.gov (United States)

    Wang, Yu; Wei, Qingjie; Jin, Shuang

    2017-06-01

    The purpose of process mining is to improve the existing process of the enterprise, so how to measure the performance of the process is particularly important. However, the current research on the performance evaluation method is still insufficient. The main methods of evaluation are mainly using time or resource. These basic statistics cannot evaluate process performance very well. In this paper, a method of evaluating the performance of the process based on time dimension and resource dimension is proposed. This method can be used to measure the utilization and redundancy of resources in the process. This paper will introduce the design principle and formula of the evaluation algorithm. Then, the design and the implementation of the evaluation method will be introduced. Finally, we will use the evaluating method to analyse the event log from a telephone maintenance process and propose an optimization plan.

  1. Mackerel (Scomber Scrombrus Oil Extraction and Evaluation as Raw Materials for Industrial Utilization

    Directory of Open Access Journals (Sweden)

    A. A. BAWA

    2006-01-01

    Full Text Available The extraction, evaluation and refining of fish oil from mackerel (scomber scrombrus has been conducted in this work. The total percentage oil yield using solvent extraction and total moisture content was 28.24% and 56.50 %respectively, which were found to increase linearly with time. The analytical properties of the crude and the refined oil were evaluated. It was observed that the crude oil consist from: acid value 2.5 mg/KOH, peroxide value 2.19 mEq/kg, saponification value 201.6 mgKOH/g, iodine value 108.09 I2/100g, specific gravity 0.911, refractive index 1.485 and reddish brown colour. The refined oil was also evaluated as follows: acid value 2.27 mg/KOH, peroxide 1.00 meq/kg, saponification value 147.84 mgKOH/g, iodine value 106.93 I2 /100g and golden brown colour. These values fall within the acceptable standard values. The refining of the oil brought about a notable improvement in the analytical properties of the oil. Thus, leads to a high quality fish oil in terms of the taste, colour, odours, shelf life and market value. Based on the improved characteristics of the oil, it could be suitable for applications in pharmaceutical and food industries.

  2. Importance and utility of microbial elements in evaluating soil quality: case studies in silvopastoral systems

    Directory of Open Access Journals (Sweden)

    Victoria Eugenia Vallejo Quintero

    2013-07-01

    Full Text Available Environmental sustainability is achieved by main-taining and improving soil quality. This quality is defined as “the ability of soil to function” and is evaluated through measuring a minimum set of data corresponding to different soil properties (physical, chemical and biological. However, assessment of these properties does not meet all the conditions necessary to be ideal indicators such as: clearly discriminating between the systems use and / or management evaluation, sensitivity to stress conditions associated with anthropogenic actions, easy measurement, accessibility to many users and short response time. Because loss in quality is associated with the alteration of many processes performed by soil microorganisms they meet the above conditions and have been proposed as valid indicators for diagnosing the impact of changes in land-use and ecosystem restoration. Thus, through the evaluation of the density, activity and /or structure-composition of microorganisms we can determine whether current management systems maintain, improve or degrade the soil. In this article we review the main concepts related to soil quality and its indicators. We discuss the effect of the implementation of silvopastoral systems on soil quality, with an emphasis on the use of microbial indicators.

  3. Recommendations and Improvements for the Evaluation of Integrated Community-Wide Interventions Approaches

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    Tessa M. van Koperen

    2016-01-01

    Full Text Available Background. Integrated community-wide intervention approaches (ICIAs are implemented to prevent childhood obesity. Programme evaluation improves these ICIAs, but professionals involved often struggle with performance. Evaluation tools have been developed to support Dutch professionals involved in ICIAs. It is unclear how useful these tools are to intended users. We therefore researched the facilitators of and barriers to ICIA programme evaluation as perceived by professionals and their experiences of the evaluation tools. Methods. Focus groups and interviews with 33 public health professionals. Data were analysed using a thematic content approach. Findings. Evaluation is hampered by insufficient time, budget, and experience with ICIAs, lack of leadership, and limited advocacy for evaluation. Epidemiologists are regarded as responsible for evaluation but feel incompetent to perform evaluation or advocate its need in a political environment. Managers did not prioritise process evaluations, involvement of stakeholders, and capacity building. The evaluation tools are perceived as valuable but too comprehensive considering limited resources. Conclusion. Evaluating ICIAs is important but most professionals are unfamiliar with it and management does not prioritise process evaluation nor incentivize professionals to evaluate. To optimise programme evaluation, more resources and coaching are required to improve professionals’ evaluation capabilities and specifically the use of evaluation.

  4. Telemedicine-based diabetic retinopathy screening programs: an evaluation of utility and cost-effectiveness

    Directory of Open Access Journals (Sweden)

    Cuadros JA

    2015-06-01

    Full Text Available Jorge A Cuadros Optometry/Vision Science, University of California, Berkeley, CA, USA Abstract: Diabetes is the main cause of blindness among working age adults, although treatment is highly effective in preventing vision loss. Eye examinations are recommended on a yearly basis for most patients for timely detection of retinal disease. Telemedicine-based diabetic retinopathy screening (TMDRS programs have been developed to identify patients with sight-threatening diabetic eye disease because patients are often noncompliant with recommended live eye examinations. This article reviews the cost-effectiveness of the various forms of TMDRS. A review of relevant articles, mostly published since 2008, shows that societal benefits generally outweigh the costs of TMDRS. However, advances in technology to improve efficacy, lower costs, and broaden screening to other sight-threatening conditions, such as glaucoma and refractive error, are necessary to improve the sustainability of TMDRS within health care organizations. Patient satisfaction with these telemedicine programs is generally high. New models of shared care with primary care providers and staff are emerging to improve patient engagement and follow-up care when individuals are found to have sight-threatening eye disease. TMDRS programs are growing and provide valuable clinical benefit. The cost-utility is currently well proven in locations with limited access to regular eye care services, such as rural areas, poor communities, and prison systems; however, improvements over time are necessary for these programs to be cost-effective in mainstream medical settings in the future. Keywords: telemedicine, diabetes, retinopathy, retinal imaging

  5. Evaluating the utility of circulating biomarkers of collagen synthesis in hypertrophic cardiomyopathy.

    Science.gov (United States)

    Ellims, Andris H; Taylor, Andrew J; Mariani, Justin A; Ling, Liang-Han; Iles, Leah M; Maeder, Micha T; Kaye, David M

    2014-03-01

    In hypertrophic cardiomyopathy (HCM), accumulation of myocardial collagen may play a central role in the pathogenesis of diastolic dysfunction and arrhythmia. Previous studies have suggested that peripheral levels of byproducts of collagen synthesis are reflective of myocardial extracellular matrix metabolism, although this has not been validated in detail. Given the potential clinical utility of such biomarkers, we sought to validate the assumed relationship between peripheral markers and myocardial fibrosis in HCM. Fifty patients with HCM and 25 healthy controls underwent peripheral venous sampling to determine plasma concentrations of key collagen precursors (procollagen I and III N-terminal propeptides [PINP, PIIINP]). Contrast-enhanced cardiac magnetic resonance imaging was performed to quantify regional (by late-gadolinium enhancement) and diffuse (by T1 mapping) myocardial fibrosis. Nineteen subjects also underwent simultaneous arterial and coronary sinus blood sampling (to derive transcardiac concentration gradients of PINP, PIIINP, and C-terminal telopeptide of type I collagen) and right heart catheterization. Despite cardiac magnetic resonance evidence of regional (late-gadolinium enhancement quantity, 6.4±8.0%) and diffuse (T1 time, 478±79 ms) myocardial fibrosis in patients with HCM, peripheral levels of collagen precursors were similar compared with control subjects (PINP, 45.9±22.9 versus 53.4±25.9 μg/L; P=0.21; PIIINP, 4.8±1.7 versus 4.4±1.1 μg/L; P=0.26). No significant net positive transcardiac concentration gradient was detected for either biomarker of collagen synthesis. The cardiac contribution to peripheral levels of byproducts of collagen synthesis in patients with HCM is insignificant. Furthermore, peripheral levels of these biomarkers do not accurately reflect myocardial collagen content in these patients.

  6. Competency-based evaluation tools for integrative medicine training in family medicine residency: a pilot study

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    Schneider Craig

    2007-04-01

    Full Text Available Abstract Background As more integrative medicine educational content is integrated into conventional family medicine teaching, the need for effective evaluation strategies grows. Through the Integrative Family Medicine program, a six site pilot program of a four year residency training model combining integrative medicine and family medicine training, we have developed and tested a set of competency-based evaluation tools to assess residents' skills in integrative medicine history-taking and treatment planning. This paper presents the results from the implementation of direct observation and treatment plan evaluation tools, as well as the results of two Objective Structured Clinical Examinations (OSCEs developed for the program. Methods The direct observation (DO and treatment plan (TP evaluation tools developed for the IFM program were implemented by faculty at each of the six sites during the PGY-4 year (n = 11 on DO and n = 8 on TP. The OSCE I was implemented first in 2005 (n = 6, revised and then implemented with a second class of IFM participants in 2006 (n = 7. OSCE II was implemented in fall 2005 with only one class of IFM participants (n = 6. Data from the initial implementation of these tools are described using descriptive statistics. Results Results from the implementation of these tools at the IFM sites suggest that we need more emphasis in our curriculum on incorporating spirituality into history-taking and treatment planning, and more training for IFM residents on effective assessment of readiness for change and strategies for delivering integrative medicine treatment recommendations. Focusing our OSCE assessment more narrowly on integrative medicine history-taking skills was much more effective in delineating strengths and weaknesses in our residents' performance than using the OSCE for both integrative and more basic communication competencies. Conclusion As these tools are refined further they will be of value both in improving

  7. Clinical utility of F-18 FDG PET-CT in the initial evaluation of lung cancer

    DEFF Research Database (Denmark)

    Madsen, Poul Henning; Holdgaard, Paw Christian; Buck Christensen, Janne

    2016-01-01

    PURPOSE: Positron emission tomography-computed tomography (PET-CT) is a resource-demanding imaging modality with increasing popularity in the workup of patients with suspected or proven lung cancer. METHODS: To review the clinical usefulness of this imaging modality in the diagnosis, staging...... the predefined criteria and were read in full to identify relevant original articles on F-18 FDG PET-CT (1) in the evaluation of solitary pulmonary nodules (n = 14), (2) in curative-intent treatment trials (n = 9), and (3) in planning of invasive procedures (n = 18). RESULTS: We found the following important...

  8. Utility of ultrasonography as adjunct to diagnosis in certain orofacial lesions over the clinical and radiological evaluation: A comparative study

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    Vinod Vijay Chandar

    2009-01-01

    Full Text Available Objectives : This study was aimed at evaluating the utility of ultrasonography in the diagnosis and treatment plan of certain orofacial lesions over the clinical and radiological evaluation of patients and to visualize advantages and disadvantages, if any, over conventional diagnostic methods. Study Design : The study consisted of 35 patients and according to the requirement, all these patients were clinically and radiologically diagnosed and then subjected to ultrasonographic evaluation. Results : Following the evaluation when the lesions were measured and compared, it was noticeable that clinical measurement was found to be relatively larger in all classes. Not many characteristics are found to be specific to any particular pathological lesions and it is not possible to establish the diagnosis of lesion by sonographic evaluation alone. The statistical analysis (ANOVA a and post Hoc test revealed statistical significance with regard to inflammatory and neoplastic conditions; others did not show significant values. Conclusion : Ultrasound can be used as a diagnostic tool in the diagnosis of certain orofacial lesions in the maxillofacial region, as this method is quick, widely available, relatively inexpensive, and easily reproducible without causing inconvenience to patients. However, careful analysis with through anatomical knowledge, could give an effective, early, and accurate diagnosis.

  9. Economic evaluation and market analysis for natural gas utilization. Topical report

    Energy Technology Data Exchange (ETDEWEB)

    Hackworth, J.H.; Koch, R.W.; Rezaiyan, A.J.

    1995-04-01

    During the past decade, the U.S. has experienced a surplus gas supply. Future prospects are brightening because of increased estimates of the potential size of undiscovered gas reserves. At the same time, U.S. oil reserves and production have steadily declined, while oil imports have steadily increased. Reducing volume growth of crude oil imports was a key objective of the Energy Policy Act of 1992. Natural gas could be an important alternative energy source to liquid products derived from crude oil to help meet market demand. The purpose of this study was to (1) analyze three energy markets to determine whether greater use could be made of natural gas or its derivatives and (2) determine whether those products could be provided on an economically competitive basis. The following three markets were targeted for possible increases in gas use: transportation fuels, power generation, and chemical feedstock. Gas-derived products that could potentially compete in these three markets were identified, and the economics of the processes for producing those products were evaluated. The processes considered covered the range from commercial to those in early stages of process development. The analysis also evaluated the use of both high-quality natural gas and lower-quality gases containing CO{sub 2} and N{sub 2} levels above normal pipeline quality standards.

  10. Evaluation of Fertilizer Potential of Different K Compounds Prepared Utilizing Sea Bittern as Feed Stock

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    Khanjan Trivedi

    2017-09-01

    Full Text Available Aim: Many countries import potassic fertilizers due to dearth of K-mineral deposits. Therefore processes to obtain K-nutrient sources from sea bittern were developed by our Institute. The present investigation evaluated the fertilizer potential of three different sea bittern-derived (SBD potassium forms developed viz., potassium schoenite, potassium nitrate and potassium ammonium sulfate on maize productivity in two cropping seasons.Methods: The pot and field experiments consisted of four treatments, wherein the three K forms were applied at the recommended rate of 40 kg K2O ha−1 and were compared with commercially used sulfate of potash. The effect of these fertilizers on different parameters of plant and soil were evaluated.Results: The application of SBD-potassic fertilizers led to enhancement in growth, productivity and quality of maize which related well with higher photosynthesis, nutrient uptake and soil quality parameters. On an average all the three forms of sea bittern-derived potash enhanced yield of maize over control by 22.3 and 23.8%, respectively, in pot and field trials. The best performance was under SBD-KNO3, which also recorded the highest benefit: cost ratio of 1.76.Conclusion: The K-fertilizers derived from sea-bittern—a waste product of salt industry—can thus be economically used to improve crop production sustainably.

  11. Utility of the Ultrasound Evaluation of Intraperitoneal Fat in Correlation with Endometrial Cancer

    Directory of Open Access Journals (Sweden)

    Răzvan CIORTEA

    2011-03-01

    Full Text Available Introduction: In the context of endometrial cancer, visceral obesity as a risk factor is associated with a chronic inflammatory process, confirmed by the increase in inflammatory marker levels. Material and Method: The study is a case-control analysis including 2 groups of patients: group I – 50 patients diagnosed with endometrial cancer, group II – 70 patients without gynecological pathology or inflammatory disorders (control group. The diagnosis of endometrial cancer was made following histopathological examination that evaluated the tissue material obtained following endometrial biopsy. After clinical examination and anthropometric measurements, these patients underwent ultrasound and computer tomography examination by which intraperitoneal fat was determined. All parameters were included in the study database. Results: A significant correlation coefficient was also found between visceral fat evaluated by CT and visceral fat assessed by US (r =0.96, p<0.0001. In the case of the control group, the mean visceral fat area was 159.14±42.5 cm², while in the group of patients with endometrial cancer, the mean visceral fat area was 251.37±59.78 cm². Thus, there is a statistically significant difference in intraperitoneal fat between the two groups (p<0.0001. Conclusions: A visceral fat area larger than 250 cm² is a risk factor for endometrial cancer. The measurement of visceral fat by US can be a screening method for endometrial cancer in obese patients.

  12. A new technique for evaluating mesospheric momentum balance utilizing radars and satellite data

    Directory of Open Access Journals (Sweden)

    D. J. Frame

    2000-04-01

    Full Text Available A new method for evaluating momentum balance in the mesosphere using radar and satellite data is presented. This method is applied to radar wind data from two medium frequency installations (near Adelaide, Australia and Christchurch, New Zealand and satellite temperature data from the Improved Stratospheric and Mesospheric Sounder (ISAMS. Because of limitations in data availability and vertical extent, the technique can only be applied to evaluate the momentum balance at 80 km above the radar sites for May 1992. The technique allows the calculation of the residual terms in the momentum balance which are usually attributed to the effects of breaking gravity waves. Although the results are inconclusive above Adelaide, this method produces values of zonal and meridional residual accelerations above Christchurch which are consistent with expectation. In both locations it is apparent that geostrophic balance is a poor approximation of reality. (This result is not dependent on a mismatch between the radar and satellite derived winds, but rather is inherent in the satellite data alone. Despite significant caveats about data quality the technique appears robust and could be of use with data from future instruments.Key words: Meteorology and atmospheric dynamics (middle atmosphere dynamics; waves and tides; instruments and techniques

  13. Developing team leadership to facilitate guideline utilization: planning and evaluating a 3-month intervention strategy.

    Science.gov (United States)

    Gifford, Wendy; Davies, Barbara; Tourangeau, Ann; Lefebre, Nancy

    2011-01-01

    Research describes leadership as important to guideline use. Yet interventions to develop current and future leaders for this purpose are not well understood. To describe the planning and evaluation of a leadership intervention to facilitate nurses' use of guideline recommendations for diabetic foot ulcers in home health care. Planning the intervention involved a synthesis of theory and research (qualitative interviews and chart audits). One workshop and three follow-up teleconferences were delivered at two sites to nurse managers and clinical leaders (n=15) responsible for 180 staff nurses. Evaluation involved workshop surveys and interviews. Highest rated intervention components (four-point scale) were: identification of target indicators (mean 3.7), and development of a team leadership action plan (mean 3.5). Pre-workshop barriers assessment rated lowest (mean 2.9). Three months later participants indicated their leadership performance had changed as a result of the intervention, being more engaged with staff and clear about implementation goals. Creating a team leadership action plan to operationalize leadership behaviours can help in delivery of evidence-informed care. Access to clinical data and understanding team leadership knowledge and skills prior to formal training will assist nursing management in tailoring intervention strategies to identify needs and gaps. © 2010 The Authors. Journal compilation © 2010 Blackwell Publishing Ltd.

  14. Blood gas analyzer utility in evaluating oxygen kinetics of the aqueous humor

    Directory of Open Access Journals (Sweden)

    Ismail Ersan

    2015-04-01

    Full Text Available Purpose: To measure the partial pressure of oxygen (PO2 and carbon dioxide (PCO2 and the pH of aqueous humor (AH and arterial blood samples from rabbits using a blood gas analyzer. Methods: Twenty New Zealand rabbits were anesthetized intramuscularly with ketamine and xylazine and were then allowed to breathe room air. Using a gas blood analyzer, arterial blood and AH samples were analyzed for PO2, PCO2, and pH. Results: The mean arterial blood pressure was 87.14 ± 15.0 mmHg. The mean blood and AH PO2 were 95.18 ± 11.76 mmHg and 88.83 ± 9.92 mmHg, the mean blood and AH PCO2 were 25.86 ± 5.46 mmHg and 29.50 ± 5.36 mmHg, and the mean blood and AH pH were 7.38 ± 0.06 and 7.33 ± 0.09, respectively. Conclusion: Conclusions: The blood gas analyzer was easily employed to evaluate the aqueous humor in rabbits. When comparing the results of studies evaluating aqueous PO2, care should be taken to determine the methods used in these studies.

  15. Evaluation of amino Acid and energy utilization in feedstuff for Swine and poultry diets.

    Science.gov (United States)

    Kong, C; Adeola, O

    2014-07-01

    basal endogenous AA losses, provides appropriate information for the formulation of swine and poultry diets. The total quantity of energy in feedstuffs can be partitioned into different components including gross energy (GE), digestible energy (DE), metabolizable energy (ME), and net energy based on the consideration of sequential energy losses during digestion and metabolism from GE in feeds. For swine, the total collection method is suggested for determining DE and ME in feedstuffs whereas for poultry the classical ME assay and the precision-fed method are applicable. Further investigation for the utilization of ME may be conducted by measuring either heat production or energy retention using indirect calorimetry or comparative slaughter method, respectively. This review provides information on the methodology used to determine accurate estimates of AA and energy availability for formulating swine and poultry diets.

  16. Evaluation of Amino Acid and Energy Utilization in Feedstuff for Swine and Poultry Diets

    Science.gov (United States)

    Kong, C.; Adeola, O.

    2014-01-01

    basal endogenous AA losses, provides appropriate information for the formulation of swine and poultry diets. The total quantity of energy in feedstuffs can be partitioned into different components including gross energy (GE), digestible energy (DE), metabolizable energy (ME), and net energy based on the consideration of sequential energy losses during digestion and metabolism from GE in feeds. For swine, the total collection method is suggested for determining DE and ME in feedstuffs whereas for poultry the classical ME assay and the precision-fed method are applicable. Further investigation for the utilization of ME may be conducted by measuring either heat production or energy retention using indirect calorimetry or comparative slaughter method, respectively. This review provides information on the methodology used to determine accurate estimates of AA and energy availability for formulating swine and poultry diets. PMID:25050031

  17. Evaluating Whether Changes in Utilization of Hospital Outpatient Services Contributed to Lower Medicare Readmission Rate

    Science.gov (United States)

    Gerhardt, Geoffrey; Yemane, Alshadye; Apostle, Keri; Oelschlaeger, Allison; Rollins, Eric; Brennan, Niall

    2014-01-01

    Objective Descriptive analysis comparing changes in hospital inpatient readmissions to emergency department visits and observation stays that occurred within 30 days of an inpatient stay. Population Medicare fee-for-service (FFS) beneficiaries that had at least one acute hospital inpatient stay. Data Source Using 100 percent of claims in the Chronic Condition Data Warehouse, we compare growth in annual readmission stays to post-hospitalization emergency department visits and observation stays that were not accompanied by an inpatient stay. Comparisons are performed at the national level and within the Dartmouth Hospital Referral Regions (HRRs) Results In calendar year 2012, the national, all-cause, 30-day hospital readmission rate among Medicare FFS beneficiaries was 18.5 percent, a significant decline from 19 percent in 2011, which was also the average rate over the previous five years. The number of index admission stays per-1,000 Medicare beneficiaries declined by 4.3 percent, from 283.4 in 2011 to 271.3 in 2012. On a per-1,000 beneficiary basis, the number of readmission stays declined by 6.8 percent, from 53.8 in 2011 to 50.1 in 2012. On the same per-beneficiary basis, the rate of outpatient visits to an emergency department occurring within 30 days of an index hospitalization remained similar at 23.5 in 2011 and 23.4 in 2012. Per-1,000 beneficiaries, the number of observation stays within 30 days of an index hospitalization increased by 0.3 percent, from 3.4 in 2011 to 3.7 in 2012. Discussion The reasons behind the decline in the Medicare readmission rate in 2012 are not yet clear. When looking at utilization changes in absolute terms, our findings suggest that the reduction in the nation-wide readmission rate observed in 2012 was not primarily the result of increases in either post-index ED visits or post-index observation stays. PMID:25009762

  18. Evaluating Proposed Investments in Power System Reliability and Resilience: Preliminary Results from Interviews with Public Utility Commission Staff

    Energy Technology Data Exchange (ETDEWEB)

    LaCommare, Kristina [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Larsen, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Eto, Joseph [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2017-01-01

    Policymakers and regulatory agencies are expressing renewed interest in the reliability and resilience of the U.S. electric power system in large part due to growing recognition of the challenges posed by climate change, extreme weather events, and other emerging threats. Unfortunately, there has been little or no consolidated information in the public domain describing how public utility/service commission (PUC) staff evaluate the economics of proposed investments in the resilience of the power system. Having more consolidated information would give policymakers a better understanding of how different state regulatory entities across the U.S. make economic decisions pertaining to reliability/resiliency. To help address this, Lawrence Berkeley National Laboratory (LBNL) was tasked by the U.S. Department of Energy Office of Energy Policy and Systems Analysis (EPSA) to conduct an initial set of interviews with PUC staff to learn more about how proposed utility investments in reliability/resilience are being evaluated from an economics perspective. LBNL conducted structured interviews in late May-early June 2016 with staff from the following PUCs: Washington D.C. (DCPSC), Florida (FPSC), and California (CPUC).

  19. The utility of anoscopy and colposcopy in the evaluation of male sexual assault victims.

    Science.gov (United States)

    Ernst, A A; Green, E; Ferguson, M T; Weiss, S J; Green, W M

    2000-11-01

    We sought to compare the use of anoscopy and colposcopy in examinations of male sexual assault victims and to characterize the demographics of male sexual assault victims. This is a case series of 67 male sexual assault victims evaluated over an 8-year period by the Sexual Assault Forensic Examination team. The setting is a university-based emergency department serving as the primary site for examination of sexual assault victims by trained nurse practitioners and physician's assistants. Police and victims' advocates are available at the time of the examination. Anoscopy was done routinely over the entire study period in all patients with any anal penetration or involvement. Colposcopy use started in 1994 to magnify and take pictures. Patients were categorized into 2 groups. Group 1 consisted of subjects receiving only anoscopy, and group 2 consisted of subjects receiving initial colposcopy. Anoscopy in group 1 and colposcopy in group 2 were compared for positive results. A positive result was defined as an additional finding to those obtained by means of gross examination by using the test being evaluated (anoscopy versus colposcopy). Colposcopy and anoscopy were also compared among the subjects receiving both tests. Groups were compared by using a Pearson chi(2) test. Sixty-seven male sexual assault victims were evaluated between 1991 and 1998. The average age was 26+/-8 years, and the distribution of races was 30% black, 62% white, and 8% Hispanic. Results of gross examination were positive in 42 (63%) subjects. Four patients did not receive either anoscopy or colposcopy. Of the remaining 63, 25 patients had anoscopy only (group 1), and 38 patients had initial colposcopy (group 2). There were no significant differences in age, race, or rate of positive gross examination results between groups. Findings in addition to those obtained by means of gross examination were revealed by means of anoscopy in 8 (32%) of 25 subjects in group 1 and colposcopy in 3 (8%) of 38

  20. A novel evaluation method for optical integration of class IV composite restorations.

    Science.gov (United States)

    Dietschi, D; Abdelaziz, M; Krejci, I; Di Bella, E; Ardu, S

    2012-12-01

    This aim of this study was to compare traditional visual appreciation with spectrophotometry to evaluate the optical integration of anterior composite restorations. Eleven restorations were evaluated in eight patients receiving dental treatment at fourth and fifth year student clinics at the dental school of the University of Geneva, Switzerland. Colour integration of completed restorations was assessed by visual observation according to USPHS criteria and spectrophotometric analysis; both methods were then compared. A mean ΔE of 1.1 (range 0.7 to 1.7) corresponded to an optimal visual integration between natural tooth and restoration (alpha score) while a mean ΔE of 3.3 (range 2.6 to 3.8) corresponded to clinically 'non-acceptable' visual integration (charlie score). Restorations scored as 'bravo', corresponded to a suboptimal but not disturbing visual integration, had a mean ΔE of 2. L* and b* values present at the bevel area and into the composite bulk tended to be lower than that of the natural tooth while a* composite values were slightly higher. The spectrophotometric method employed in this pilot study has confirmed the published range of ΔE (global difference of L*a*b* values) corresponding to clinically 'optimal', 'acceptable' and 'unacceptable' colour integration. © 2012 Australian Dental Association.